Chiropa chekushaya chiropa chinowanikwa munzvimbo yepus in the thickness of the parenchyma hepatic inokonzerwa nekutsvaga pathogenic microflora kana parasites. Izvo zvisina kumboitika munyaya iyi nguva dzose ndeyekupedzisira, kureva kuti, inoitika mushure mekuda kwechimwe chinokonzera kukanganisa mumuviri, kazhinji kacho nekuda kwehutachiwana nehuwandu hweropa. Chirwere ichi chakanyanya kuoma, naizvozvo inorapwa chete mumamiriro echipatara, uye kana pasina kutarisirwa kwehutano kwakakodzera kunogona kutungamirira kurufu.
Zvinokonzera chiropa chipfu
Muchirapa, chiropa chevhapiti chinowanzogoverwa mu pyogenic uye amoebic.
Pyogenic chiropa abscess
Ichi chimiro chechirwere chinowanzoonekwa kune vanhu vakwegura kupfuura makore makumi matatu. Chimwe chinowanzova chetachiona munyaya iyi kune zvirwere zvebhuku rebhaariary (cholangitis kana acle cholecystitis). Chikonzero chechipiri chinowanzokonzera zvirwere zvakasiyana-siyana zvemukati:
- ulcerative colitis;
- Chirwere cheCrohn ;
- intestinal perforation;
- diverticulitis.
Izvo zvinogonawo kuendesa hutachiona kubva kune zvakanyanya kune mitsara yehutachiona kana nehuwandu sepsis. Muchikamu chekupedzisira, Staphylococcus aureus uye hemolytic streptococcus inowanzowanikwa. Mukuwedzera, zvinokwanisika kukura saga nekukuvara kwechiropa uye kutanga kwehematoma, iyo inozobva yanyangarika, uye kana chiropa ichibatwa nehonye. Kukundikana kunogona kunge kusina kana kuwanda.
Amoebic chiropa abscess
Nhengo yakadaro inokura nokuda kwechiito chechivi chinonzi amoeba (Entamaeba histolytica), iyo inotanga muchiropa kubva kuRecum uye inobatanidza mumuviri wakaoma kana asingagumi wemukumbo. Ichi chimiro chechirwere chinowanzoonekwa muvechidiki uye, sekutonga, chinokonzera imwe purulent maitiro.
Zviratidzo zvekusiya chiropa
Zviratidzo zvechirwere ichi zvinowanzotadza, izvo zvinoreva, chirwere chekliniki yose chinogona kufanana nechimwe chezvirwere zvakakomba zvenhengo dzomukati:
- pneumonia;
- pleurisy;
- chirwere chemwoyo, nezvimwewo.
Kazhinji, pasinei neurwere hwechirwere, kubvisa chiropa kunoenderana nefivha uye kurwadziwa kwakanyanya mu hypochondrium yakanaka. Nekukurudzirwa kwechirwere, chiropa chinowedzera muhukuru, chinorwadza pamarpation, kuwedzera kweropa kunowedzera kuwanda kweeukocyte, uyewo chido chekushaya ropa .
Varwere vane hutano husina simba, kusava nenzara, kazhinji kushungurudza uye kurutsa. Zvinopfuura hafu yezviitiko mumazuva ekutanga zvinoratidzwa ne icteric sclera uye mucous membrane, iyo inopera inonyangarika. Mune varwere vane amoebic maitiro, chirwere chemahara nemitoo yeropa zvinogonawo kuitika.
Kurapa kwechiropa chekusviba
Chivharo chechiropa chirwere chakakomba zvikuru ine ngozi yakawanda yekufa, iyo inogona kurapwa chete munzvimbo yezvipatara, sezvo inoreva kushanda kwokugadzirira kupindira.
Mishonga inogara iri yakaoma uye yakagadzirirwa nachiremba, zvichienderana nezvikonzero zvinokonzera chirwere chacho.
Iyo yakanakisisa yezuva ranhasi ndiyo kushandiswa kwemishonga inorwisa mabhakitiriya pamwe chete nemvura yakasvibiswa yokuputika pasi pekuchengetedzwa kwe ultrasound. Muchiitiko apo kunyura kwechiropa chechiropa hakushandi, saka kushanda kusina kuitwa kunoitwa. Nehupenyu hwehupenyu hwechirwere ichi, chirwere hachina kuitwa kusvikira utachiona utachiona hwabviswa.
Munyaya yekubvumira kwechiropa chimwe chete, nekutora nguva yakatorwa, kufungidzira kunogona kufadza. Kudzorera vanenge 90 muzana yevarwere, kunyange zvazvo kurapwa kwenguva refu. Akawanda kana kuti asina kuroorwa, asi asina kuvharwa munguva yekuvhama, nguva dzose inotungamirira kurufu.