Matenda a hepatologic amachitidwa kuti ndi amodzi mwa mavuto owopsa kwambiri m'thupi. Kuwonjezeka kwa matenda ena a chiwindi kumapangitsa maselo ake kusintha zinthu zomwe zingachititse imfa ya munthu. Pofuna kupeŵa mavuto, ndizofunika kudziwa nthawi yomweyi ndikuyambitsa matendawa.
Matenda a chiwindi - mayina
Pali magulu khumi a zilonda zam'thupi, zonsezi zimagwirizana chimodzimodzi ndi zizindikiro ndi chiyambi cha matendawa. Matenda a ndulu ndi mazira ake amachiritsidwa mosiyana. Kodi matenda a chiwindi ndi chiyani?
- Kuwonongeka kwapachiyambi, kupweteka ndi kugwira ntchito kwa maselo a parenchyma. Mu gululi, mavairasi ndi poizoni wa shuga , steathepatosis, chifuwa chachikulu ndi matenda a syphilitic, hepatomegaly , mafuta a hepatosis ndi abscess.
- Kuvulala - misonzi, zilonda zam'mimba, kupweteka ndi mfuti ya chiwindi.
- Vascular pathologies. Izi zikuphatikizapo matenda a fistula ndi fistulae, pylephlebitis, Badda-Chiari, matenda opatsirana .
- Kusintha intrahepatic ducts - cholestasis, matenda a Caroli, cholelithiasis, ovuta komanso odwala cholangitis.
- Mimba. Mu chiwindi, cysts ndi hemangiomas, sarcomas, khansa zamkati komanso zam'manja, metastases kuchokera ku ziwalo zina zingayambe.
- Parasitic invasions - ascaridosis, alveolar ndi echinococcosis, leptospirosis, opisthorchiasis.
- Mavuto aumphawi. Anomalies ndi awa hemochromatosis, aplasia ndi hypoplasia, mazymopathies, pigmentary hepatosis ndi atresia.
- Kuwonongeka kwa matenda a ziwalo zozungulira. Kawirikawiri zizindikiro za matenda a chiwindi zimayamba motsutsana ndi matenda a machitidwe ena - chiwalo cha mtima (zilonda za mtima), amyloidosis (matenda a mafupa a mafupa), hepatomegaly (khansa ya m'magazi). Kuonjezerapo, kuperewera kwa chidziwitso cha chidziwitso kumaphatikizidwa mu gulu ili.
- Kusintha kwadongosolo. Kuwonongeka koopsa kwa limbalo kumachitika ndi matenda oyambirira a biliary cirrhosis, sclerosing cholangitis, matenda a chiwindi.
- Zowopsya, kusintha kwa kayendedwe ka ntchito ndi kayendedwe ka mankhwala - parenchymal jaundice, cirrhosis, coma, insufficiency.
Matenda a chiwindi - amachititsa
Chovala chimene bungwe lofotokozedwacho chimaphatikizapo, ali ndi luso lodabwitsa la kubwezeretsedwa ndi kukhazikika kwa zinthu zovulaza za chilengedwe. Pachifukwachi, matenda a chiwindi nthawi zonse amakhumudwitsa kwambiri:
- kuledzera;
- tizilombo toyambitsa matenda;
- chidakwa;
- mabakiteriya;
- tizirombo toyambitsa matenda;
- zoopsa ku zovuta za moyo;
- kuwonetsa ma radiation;
- kuphwanya ntchito zowonongeka;
- mankhwala ozunguza kwambiri m'mimba;
- umoyo;
- matenda aakulu a ziwalo zina;
- zolakwika mu zakudya;
- kugwiritsa ntchito mankhwala a hepatotoxic ndi ena.
Matenda a chiwindi - zizindikiro
Chithunzi cha kuchipatala cha kagulu kameneka kamakhudza thupi lonse. Zizindikilo za matenda a chiwindi ndiwoneka ngakhale zooneka, zimaphatikizapo mawonetseredwe a dermatological. Chifukwa cha zizindikiro zambiri za matendawa ndi matenda a chiwindi. Chiwindi chimayambitsa matenda a hematopoiesis ndi thupi lomwe limatulutsa thupi, limakhudzidwa ndi kuphatikizidwa kwa mavitamini ofunika kwambiri, ma immunoglobulins, mahomoni ndi ma antibodies. Kuwonongeka kwake kumabweretsa kulephera kwa zonse zakuthupi.
Kodi chiwindi chingapweteke?
Mu thupi ili, mulibe mapeto a mitsempha. Zili pafupi ndi m'mphepete mwa chipolopolo chimodzi, choncho chifuwa cha chiwindi chimasonyeza kale matenda akuluakulu. Minofu ya chiwalo, yomwe imakula kukula, imayamba kufinya kapule yake, ndipo imayambitsa zowawa. Nthawi zina, ululu mu hypochondrium wolondola umasonyeza mavuto kumayandikana nawo oyandikana nawo, makamaka chikhodzodzo kapena ndulu.
Zizindikiro zoyambirira za matenda a chiwindi
Chithunzi choyambirira cha kuchipatala chomwe chimakhala ndi matenda ochulukitsa matenda a chiwindi sichipezeka, ndipo limba liwonongedwa mosazindikira. Kodi zizindikiro za matenda a chiwindi choyamba, zimadalira chikhalidwe chake ndi chiwonongeko chotani? Zowonjezeka kwambiri ndi izi:
- kupweteka;
- kusokoneza nthawi;
- osasamala mukatha kudya;
- fungo losasangalatsa, lakuthwa kwa thukuta;
- mdima wa mkodzo;
- kusintha mtundu wa nyansi zofiira (kuwala kofiira, pafupifupi wakuda, wobiriwira);
- kuwonongeka kwa masomphenya;
- phokoso;
- kusowa kwa nsidze, tsitsi;
- mutu;
- kutupa ndi thukuta;
- kusowa kolemetsa kopanda pake;
- kupukuta kwa lirime, kumang'ambika mmenemo;
- kuwonjezeka kukula kwa mimba;
- Kutchulidwa kwa mtundu wa venous pa khungu ku dera la epigastric;
- zida zosasunthika;
- chizoloŵezi chomwa magazi ndi ena.
Palinso zizindikiro zosadziwika za matenda a chiwindi, zizindikiro zikuphatikizapo mawonetseredwe a hypovitaminosis:
- kukwiya;
- kufooka;
- kuwonongeka kwa khungu ndi tsitsi;
- nthenda;
- mpweya wochepa;
- tachycardia;
- zovuta za kugona;
- kusuntha kwa milomo;
- ming'alu m'makona a pakamwa;
- kupanga ma hematoma ndi ena.
Kuwonetsa matenda a chiwindi
Matenda a hepatologic nthawi zonse amakhudza moyo wabwino. Zizindikiro zikuluzikulu za matenda a chiwindi ndizovuta kuwonetsetsa chiwalo. Pali kumverera kwa kupsyinjika, kupanikizika, raspiranie ndi kupweteka kowawa. Nthawi zina munthu amamva kupweteka pansi pa nthiti yoyenera, ngati mchira umawomba nsomba. Matenda a chiwindi - zizindikiro ndi zizindikiro za matenda a chikhalidwe chaumwini:
- kuyabwa kwa khungu;
- malaise, mphamvu yogwira ntchito;
- kugona;
- kumverera kwakukulu kwa njala ndi ludzu;
- mtima;
- kusagona usiku;
- Kuwonongeka kwa ubongo, mwachitsanzo, munthu amayamba kusokoneza mitundu (yoyera ndi yachikasu, buluu ndi violet);
- chisokonezo;
- Kuphwanyidwa kutentha (chinachake chotentha, ndiye kuzizira);
- matenda, maganizo.
Kutentha mu matenda a chiwindi
Matenda opweteka amakhala limodzi ndi malungo. Zizindikiro za thermometer ya chiwindi cha matenda a chiwindi ndi matenda ena ofanana akufika madigiri 39-40. Nthawi zina, malungo sapezeka. Kawirikawiri pali kutentha kwa chiwindi mu matenda a chiwindi, pafupi madigiri 37.2-37.5. Kwa anthu ena, izo zimakhala zachilendo (pafupifupi 36.6) zisanakhale zovuta ndipo parenchyma ya limbalo ikuwonongedwa.
Zizindikiro za kunja kwa matenda a chiwindi mwa anthu
Kuwonongeka kwa ntchito ya detoxification kumabweretsa kuwonjezeka kwa zinthu zovulaza m'magazi. Zizindikiro zoyambirira za chiwindi chodwala zimaphatikizapo kusintha kwa thupi:
- chithunzi;
- kupuma;
- kuyanika;
- kupanda;
- kukonda;
- kuyabwa ndi zochitika za kukwima;
- thukuta;
- zochitika za striae.
Matenda a chiwindi - mawonetsere pa khungu
Potsutsana ndi zochitika za kuphwanya mafilimu ndi mphamvu zopanga magazi za thupi, kuchepa kwa kaphatikizidwe ka immunoglobulins, pali zizindikiro za matenda a chiwindi:
- Zilonda. Khungu limangokhala kupanga mapuloteni ndi zithupsa, pang'ono kuwonongeka kwayaka.
- Kuthamanga kwa magazi kumatenda matenda a chiwindi. Kupezeka kwa poizoni kumawathandiza kuoneka mawanga ndi mapulogalamu.
- Hemorrhagic (petechial). Chifukwa cha kuphwanya njira zowonongeka kwa magazi, mavitamini angapo ochepetsetsa, timadzi timeneti timayang'anitsitsa.
Matenda a chiwindi - zizindikiro pamaso
Anthu omwe ali ndi kachilomboka kawirikawiri amavutika ndi ziphuphu, mosasamala kanthu za msinkhu wawo. Zisonyezero za matenda aliwonse a chiwindi zingaphatikizepo kuopsa kwa chiwindi. Ziphuphu zimakhala zakuya komanso zosamalitsa. Pakamwa, pamakhala kupweteka ndi kupweteka. Pano, ndi zizindikiro ziti za matenda a chiwindi zomwe zikuwonetsedwa pankhope:
- ma komedoni otsekedwa;
- "Mfundo zakuda";
- miliamu;
- purulent ziphuphu.
Matenda a chiwindi - njira zozindikiritsira
Matenda ambiri a chiwindi amatha kudziwika mosavuta ndi mawonekedwe a munthu, kotero katswiri amayamba kuyesa wodwala, kulemba zizindikiro, ndikupeza amnesis mwatsatanetsatane. Pambuyo pa kafukufuku, mayesero ena adakonzedweratu. Matenda a chiwindi - matenda:
- ultrasound kuyesa ziwalo;
- kuyesa magazi kwa bilirubin , albumin ndi michere ya chiwindi;
- kuyerekezera zakuthambo;
- zosavuta;
- phunziro la kagayidwe ka pigment;
- kukonzanso kwa bilirubin;
- kutsimikiza kwa mlingo wa bile acid mu bile;
- kufufuza dongosolo la coagulation.