Hepatomegaly - ichi ndi chiyani?

Hepatomegaly si matenda osiyana, ndi chizindikiro cha matenda ambiri. Timaphunzira maganizo a akatswiri okhudza matenda a hepatomegaly, ndi momwe angachiritse matendawa.

Kodi hepatomegaly amatanthauzanji?

Hepatomegaly - kuwonjezeka kwa chiwindi cha chiwindi, kuphatikizapo kusintha kwa ziwalo za thupi. Kusintha kwa chiwindi kumakhudzana ndi chitukuko cha njira yotupa, matenda a thupi, kutentha kwa poizoni. Zotsatira ndi izi:

• imfa ya maselo abwino;
• edema wa chiwindi;
• kuphwanya mapangidwe a glycogen - makhafidideti, kubweretsanso kusowa kwa shuga.

Zifukwa za chiwindi chachikulu

Kuwonjezeka kwa chiwindi kumasonyeza kuti paliponse (ndi matenda) kapena kufalikira (ndi kukula kwa ziwalo zogwirizana) kusintha kwa thupi.

Hepatomegaly imapezeka chifukwa cha matenda ambiri. Timazindikira zomwe zimayambitsa kuwonjezeka kwa chiwindi:

• Kulephera kwa mtima ndi matenda a Bad-Chiari, omwe amadziwika ndi kusokonezeka kwa magazi a chiwindi pachiwindi;
• Kuwonongeka kwa chiwindi chopanda matenda - poizoni wa chiwindi ndi hepatitis;
• Matenda a shuga ku chiwindi ndi kuika mafuta ndi zinthu zina;
• Matenda omwe amabwera chifukwa cha matendawa, matenda a pancreatic;
• Matenda opatsirana opatsirana ndi mavairasi, mabakiteriya, helminths, bowa ndi protozoa;
• zopweteka kwambiri m'chiwindi.

Zizindikiro za hepatomegaly

Kwa hepatomegaly, zizindikiro zotsatirazi ndizo:

• mtundu wa icteric wa khungu;
• khungu;
• kuwomba kwakukulu;
• ululu ndi kumverera kwa ziphuphu kumbali yoyenera;
• chisokonezo;
• kupweteka;
• mpweya woipa ;
• matenda osungira;
• kusungunuka kwa madzimadzi m'mimba pamimba;
• maonekedwe a "chiwindi" amatuluka pakhungu.

Njira zothandizira (ultrasound, MRI, X-ray, biopsy) ndizofunika kwambiri pakupeza matenda a chiwindi pamodzi ndi njira zamagetsi ndi ma laboratory. Pakupita kwa ultrasound ndi MRI, zizindikiro zofanana za hepatomegaly zimawululidwa:

• Kukulitsa ndi kuphatikiza parenchyma mu matenda a chiwindi;
• kusagwirizana kwa echostructure mu mafuta a hepatosis, chiwindi;
• kukulitsa kwa limba pamene kusunga homogeneity wa echostructure mu pachimake hepatitis, matenda a chiwindi a parasitic etiology ndi mtima kulephera;
• kukhalapo kwa foci mu ziphuphu ndi kuphwanya machitidwe osowa m'mapapo, ziphuphu ndi zotupa.

Kodi mungatani kuti muchepetse hepatomegaly pachiwindi?

Kuchiza kwa hepatomegaly ndi njira yovuta, yomwe imaphatikizapo njira zingapo. Zina mwa izo:

1. Thandizo lapadera. Pokhapokha pamaziko a zotsatira za kufufuza, katswiri amadziwa mapiritsi omwe angapange kuchokera ku hepatomegaly. Mankhwala opha tizilombo amalembedwa chifukwa cha matenda a chiwindi, maantibayotiki amagwiritsidwa ntchito pochiza matenda a bakiteriya, echinococcosis amachiritsidwa ndi amtundu wa anthemin. Ndi mtima wolephera, glycosides wamtima amagwiritsidwa ntchito pa mankhwala. Maonekedwe osayenera amafunika kuikidwa kwa mankhwala a chemotherapeutic.
2. Chithandizo chachidziwitso chimayesetsa kuthetsa mawonetseredwe Matenda (kunyoza, flatulence, etc.)
3. Njira yothandizira opaleshoni ingalembedwe malinga ndi zizindikiro.

Komanso, nthawi zambiri, wodwala akulimbikitsidwa kuti asinthe zakudya ndi zakudya zomwe amadya. Ndi kusokonezeka m'chiwindi, chifukwa cha kufooka kwa mtima, zakudya zopanda mchere zimagwiritsidwa ntchito. Kuchetsa chiwindi ndi mankhwala osokoneza bongo sikutheka kupatulapo kugwiritsa ntchito poizoni, makamaka mowa. Ngati metabolism imasokonezeka, zakudya ndi kuchepa kwa chakudya ndi mafuta zimasonyezedwa.