Matenda eHepatologic anoonekwa seimwe yenhamo dzakaipisisa mumuviri. Kufambira mberi kwehumwe zvirwere zvechiropa kunoita kuti masero ake ave nedystrophic kuchinja kunogona kutungamirira kurufu rwemunhu. Kuti urege kunetseka, zvinokosha kuziva zvirwere izvi munguva yakakodzera uye pakarepo kutanga utano hwavo hwakaoma.
Zvirwere zvechiropa - mazita
Kune mapoka gumi ehutachiona hwehuputi, mumwe nomumwe wavo anosangana zvakafanana nezviratidzo uye kutanga kwechirwere. Zvirwere zveguruvladder uye mahara ayo anobatwa zvakasiyana. Ndezvipi zvirwere zveropa:
- Kunyanya purulent, kuvhiringidza uye kushanda zvakanaka kweparenchyma masero. Muboka iri, utachiona uye hwehutachiona hwehupatachi , steatohepatosis, tuberculosis uye syphilitic utachiona, hepatomegaly , mafuta hepatosis uye abscess.
- Kukuvadza - misodzi, kuuraya maronda, kupwanya uye gunshot chiropa.
- Vascular pathologies. Izvi zvinosanganisira arteriovenous fistula uye fistulae, pylephlebitis, Badda-Chiari syndrome, chirwere chepachivha chepamusoro .
- Inoshandura intrahepatic ducts - cholestasis, chirwere chaCaroli, cholelithiasis, yakaoma uye isingagumi cholangitis.
- Tumor. Muropa, cysts uye hemangiomas, sarcomas, makondomu e-intra-cellular uye maserovhesi, maitiro anobva kune dzimwe nhengo anogona kukura.
- Parasitic invasions - ascaridosis, alveolar uye echinococcosis, leptospirosis, opisthorchiasis.
- Hereditary problems. Anomalies anosanganisira hemochromatosis, aplasia uye hypoplasia, enzymopathies, pigmentary hepatosis uye atresia.
- Kukuvadza kwekudzivirira kwezvikamu zvevakidzani. Kazhinji zviratidzo zvechirwere zvirwere zvinokurwisana nehutachiona hwezvirwere zveimwe zvirongwa - chirwere chemwoyo chinokonzerwa nemaronda, amyloidosis (mafupa emapfupa emaronda), hepatomegaly (leukemia). Uyezve, kushaya simba kwehupenzi-hupatic kunowanikwa muboka iri.
- Shanduko dzinochinja. Kuparara kwechirwere chechirungu kunowanikwa nehukuru hwebriary cirrhosis, sclerosing cholangitis, autoimmune hepatitis.
- Matambudziko, maitiro uye maitiro anoshanduka - parenchymal jaundice, cirrhosis, coma, kusakwanira.
Zvirwere zvechiropa - zvinokonzera
Iyo nhovo iyo yakatsanangurwa nhengo inosanganisira, ine mikana inoshamisa yekudzokorora uye kugadzikana kwezvinhu zvinokuvadza zvezvakatipoteredza. Nokuda kwechikonzero ichi, chirwere cheropa chinogara chichikonzera zvikonzero zvakakosha:
- intoxication;
- viral agents;
- kudhakwa;
- mabhakitiriya;
- parasites;
- dambudziko kuhutano hwehupenyu;
- ionizing rayation;
- kukanganisa kwekuchengetedzwa kwezvirwere;
- acute purulent zviratidzo muchero cavity;
- hutano;
- zvirwere zvisingaperi zveimwe nhengo;
- inaccuracies muzvokudya;
- kushandisa hepatotoxic zvinodhaka nevamwe.
Chirwere chirwere - zviratidzo
Chirwere chemakiriniki cheboka iri rezvirwere chinokanganisa muviri wose. Zviratidzo zvechiropa zvirwere zvinoratidzika kunyange zvakaratidzwa, zvinosanganisira dermatological zviratidzo. Chikonzero chechiratidzo ichi chakakura chiri muhepatological mabasa. Chiropa chinokonzera hematopoiesis uye detoxification yemuviri, inobatanidzwa mukubatanidzwa kwema enzymes anokosha, immunoglobulins, mahomoni uye antibodies. Kukanganisa kwaro kunotungamirira kukundikana kwezvinhu zvose zvehupenyu.
Chiropa chinogona kukuvadza here?
Mumuviri uyu, pane zvinenge zvisingaiti magumo ekuguma. Izvo zvinotevera chete kune mumwe muganhu uye muhombodo, saka marwadzo mukati memucheto wechiropa anoratidza kakato kakakomba pathologies. Nhengo dzomuviri, dzakawedzerwa muhukuru, dzinotanga kufambisa kapule yayo, zvichiita kuti vasafadzwa. Mune zvimwe zviitiko, marwadzo muhana yakarurama hypochondrium inomirira zvinetso mumasangano akavakidzana, kunyanya chirongo chenduru kana mahara.
Zviratidzo zvekutanga zvechiropa chirwere
Chirwere chepiliniki yekutanga nehuwandu hwezvirwere zvehuputi hahupo, uye nhengo inoparadzwa isingazivikanwi. Ndezvipi zvinoratidza zvirwere zvechiropa kutanga, zvichienderana nemamiriro uye chiyero chekukuvara kwayo. Zvose zvinowanzosarudzwa ndezvi:
- kuchema;
- periodic nausea;
- asinganzwisisi pashure pokudya;
- isingafadzi, inopinza kunhuwira kwekutuka;
- kurima kwemuti;
- kuchinja mumucheka wemashanga (chiedza chine jira, chinenge chichitema, chitubu);
- kuora kwemaonero;
- kunetseka;
- kurasikirwa kwemaziso, vhudzi;
- headaches;
- kuzvimba uye kutuka;
- kusakosha kuora kurasikirwa;
- kuputika kworurimi, kuputika mairi;
- kuwedzera muhukuru hwemuviri;
- iyo inonzi yakachena yevhesi yeganda paganda riri munharaunda yepigastric;
- simbi zvisingachinji;
- tsika yokubuda ropa uye vamwe.
Panewo zviratidzo zvisingaoneki zvechiropa, zviratidzo zvinosanganisira zviratidzo zve hypovitaminosis:
- kutsamwa;
- kushaya simba;
- kuora kweganda nemvere;
- neuritis;
- kupfupika kwemhepo;
- tachycardia;
- kushushikana kwehope;
- kufungidzira kwemiromo;
- kuputika mumakona omuromo;
- kuumbwa kwehematomas nevamwe.
Kuona kwechiropa chirwere
Hepatologic zvirwere nguva dzose zvinokanganisa hupenyu. Zvimwe zviratidzo zvechiropa zvirwere hazvina kunaka mukuratidzwa kwechirongwa. Kune manzwiro ekuremera, kushungurudzika, kukanganisa uye kurwadziwa kunorwadza. Dzimwe nguva munhu anonzwa achibhururuka pasi pembambo yakarurama, sokunge kuti muswe unorova hove. Zvirwere zvechiropa - zviratidzo uye zviratidzo zvechirwere chechimiro chechimiro:
- kunhuwa kweganda;
- malaise, kushanda kushanda nesimba;
- kugona;
- kunzwa kwakaneta kwenzara nenyota;
- moyo palpitations;
- kusuruvara usiku;
- kuora kwehuropi, somuenzaniso, munhu anotanga kuvhiringidza mavara (machena uye machena, bhuruu uye violet);
- mafungiro anofamba;
- kukanganisa kwetrmoregulation (chimwe chinhu chinopisa, zvino chando);
- kushungurudzika mupfungwa, mano ekufunga.
Kupisa mukati mezvirwere zvechiropa
Zvirwere zvinopisa zvinokonzerwa nefivha. Zviratidzo zve thermometer yehepatitis nedzimwe zvirwere zvakafanana zvinosvika 39-40 degrees. Mune dzimwe nguva, fever haina kuonekwa. Kakawanda pane kune hutachiwana hwekushisa mune zvirwere zveropa, anenge 37.2-37.5 degrees. Mune vamwe vanhu, inogara yakasununguka (inenge 36.6) zvisati zvaitika zvinetso zvinomuka uye parenchyma yenhengo inoparadzwa.
Zviratidzo zvepachiropa zvechiropa mukati mevanhu
Kuora kwekushanda kwekuita basa re detoxification kunoita kuti kuunganidza zvinhu zvinokuvadza muropa. Zviratidzo zvepakutanga zvechiropa zvinosanganisira kuchinja kweganda chimiro:
- yellowness;
- kuzvimba;
- dryness;
- cracking;
- peeling;
- kutema nekutsvaga;
- sweating;
- chiitiko che striae.
Zvirwere zvechiropa - kuratidzwa paganda
Mukurwisana nemamiriro ezvinhu ekuputsika kwekutsvaira uye kukwanisa kuisa ropa kwechirongwa, kuderera kwekushandiswa kwemakunoglobulin, kune dermatological zviratidzo zvechiropa chirwere:
- Ulcers. Ganda rinowanikwa pakuumbwa kwe follicles nemamota, zvishoma zvacho zvinokuvadza zvinopisa.
- Allergic rinopinda muropa rechiropa. Kuwedzerwa kwehupfu kunobatsira pakuonekwa kwemafuta mapepa nemapules.
- Hemorrhagic (petechial) rashes. Nemhaka yekuputsa kwehutano hwekuvhara ropa, dzakawanda zviduku zvinoputika, zvinyorwa zvishoma zvinowanikwa.
Zvirwere zvechiropa - zviratidzo pamusoro pechiso
Vanhu avo vanotarisana neboka iri rezvirwere vanowanzotambura nemakwenzi, pasinei nezera. Zviratidzo zvehupi zvirwere zvepachiropa zvinogona kusanganisira zvakanyanya kubuda mumakumbo. Zvipembenene zvinowanikwa zvakadzika uye zviduku. Kana kurira, pane kurwadziwa kunorwadza uye kuputika. Pano, chii chinoratidza zvirwere zvechiropa chinoramba chichionekwa pachiso:
- makedhononi akavharwa;
- "Mutsvuku";
- milium;
- purulent pimples.
Zvirwere zvechiropa - nzira dzekuongororwa
Zvirwere zvakawanda zvehutachiona zvinogona kutsanangurirwa nyore nyore nekuonekwa kwomunhu, saka nyanzvi inotanga kuongorora murwere, kunyoresa zviratidzo, inounganidza zvakananga anamnesis. Mushure mokuongorora, mimwe miongorori inorongwa. Zvirwere zvechiropa - kuongororwa:
- ultrasound kuongororwa kwomuviri;
- kuongororwa ropa kwebilirubin , albumin uye enzymes yeropa;
- biochemical screening;
- hepatic assays;
- Kudzidza kwe pigment metabolism;
- urinalysis ye bilirubin;
- kutsunga kwezinga re bile acids mu bile;
- kuongororwa kwekodagulation system.