Mutu 22

Owerenga athu adagwiritsa ntchito bwino Leviron Duo pachipatala. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Anthu ambiri omwe adapezeka kuti ali ndi hepatomegaly samadziwa izi. Izi sizoyambitsa matenda a chiwalo chambiri, koma kuphwanya kochepa chabe, kuwonetsa kukhalapo kwa mavuto ena mthupi. Amakhala ndi chiwindi.

Chifukwa chiyani hepatomegaly imachitika?

Chiwindi chimagwira gawo lofunikira mthupi la munthu. Imalimbikitsa kuwonongeka kwa zinthu za metabolic kukhala zigawo zina, zomwe zimaperekedwa kudzera mkodzo ndi ndowe. Thupi ili limatha kusintha ndikuchotsa poizoni. Kuphwanya ntchito yake, hepatomegaly imayamba. Akatswiri amachitcha kuti matenda, omwe amawonetsa mavuto mu thupi lonse.

Kusintha kwina kulikonse kwa chiwindi kukuwonetsa zovuta mmalo mwake, momwe amasiyanira mtundu wawo.

Kuphwanya kotereku kumatha kukhala ndi matenda amtima, matenda enaake komanso matenda a oncology. Chiwindi chimakula ndi matenda awa. Bacteria amawoneka m'maselo a chiwalo, zomwe zimapangitsa kuti magawo ake azikula.

Ndi hepatomegaly, ndikofunikira kuchita mayeso angapo kuti mudziwe zomwe zimayambitsa chitukuko chake. Izi zingaphatikizepo zopatukazo:

• matenda opatsirana
• chiwindi
• kuchepa kwamafuta,
• oncology
• kuledzera ndi mowa kapena mankhwala,
• Mafuta a m'chiwindi ndi mafuta,
• kuperewera kwa zakudya m'thupi
• ma metastases okhala ndi madzimadzi,
• Kutupa kwa mitsempha yathupi,
• matenda a kagayidwe kachakudya njira,
• benign neoplasms,
• matenda amatsenga
• kudzikundikira zamkuwa.

Hepatomegaly imatsimikiziridwa mosavuta ndi kuyezetsa thupi pogwiritsa ntchito palpation. Pakakhala zosokoneza zilizonse, chiwindi sichimagwira. Ndi chiwalo chomwe chakhudzidwa, zotsatira zakunja zimayendera limodzi ndi kupweteka.

Nthawi zambiri, izi zimachitika chifukwa cha kachilomboka, njira yotupa komanso kuchuluka kwa poizoni.

Ndi kumwa mowa mwauchidakwa, zinthu zapoizoni zimadziunjika m'chiwindi, zomwe zimapangitsa kukula kwa chiwalochi ndi ndulu (hepatosplenomegaly).

Ndi kuphwanya kwa zochitika za mtima, stasis ya magazi imayamba. Ngati kuphwanya kumeneku kumachitika mwadongosolo, ndiye kuti zotsatira zake zingakhudze chiwindi. Koma nthawi zambiri, hepatomegaly imayamba ndi oncology. Matenda ofananawo amakhudza chiwindi, kukulira kukula kwake ndikuwononga magwiridwe antchito.

Mavuto osokoneza

Mitundu yovuta ya hepatomegaly imakhala ngati kukula kwa chiwindi kumaposa masentimita 13. Chilichonse mwazinthu ziwiri zokhudzana ndi chiwalochi zimakhala ndimagazi enaake amwazi ndi mitsempha. Minofu yawo ndi maselo omwe amalowetsedwa ndi ma capillaries ambiri amitsempha. Loko lililonse limakhala ndi mitsempha yake yapakati komanso ndulu. Pankhani ya kupatuka panjira, chilichonse cha zinthu izi cholakwika.

Amatha kuyambitsidwa ndi matenda a streptococcal. Wodwalayo amadzimva kuti ndi wolemera kumbali yakumanja, nthawi zina akupatsa tsamba. Pankhaniyi, kuzizira kumapezeka pafupipafupi. Pankhaniyi, mankhwala othandizira adzakhala osathandiza, ndipo kuchitapo kanthu kwa opaleshoni kuyenera.

Kusintha kwa mtundu wa kusokonezeka komwe kumayambitsidwa ndi kuledzera, zakumwa za poizoni kapena zovulaza, kupweteka kwa mafupa kumachitika, ndikuwonjezeranso magawo a ndulu.

Ndi mafuta hepatosis

Mwa wodwala yemwe wapezeka ndi hepatosis yamafuta, chiwindi chimawonjezeka chifukwa cha kusintha kwa hepatocytes m'maselo a mafuta. Nthawi zambiri izi zimachitika chifukwa cha kudzikundana kwamafuta chifukwa chakugwiritsa ntchito kwambiri zakudya zamafuta, zakumwa zoledzeretsa komanso mankhwala osokoneza bongo. Zinthu zapoizoni, kamodzi chiwindi, zimasandulika m'maselo amafuta. Ndipo kuchuluka kwawo kwakukulu kumakhala chifukwa cha chitukuko cha hepatomegaly.

Kusintha kotereku kungayambitse matenda ena. Maselo amafuta amadziunjikira, ndikukula, amapanga minofu yolumikizana. Chakumapeto kwa hepatosis yamafuta, zidutswa zonse za zotumphukira zotulutsa zimawonekera. Ndi omwe amakhala chifukwa cha hepatomegaly.

Matenda oterewa amapezeka mu matenda a shuga, kugaya chakudya m'thupi, kuledzera, kuperewera kwa m'thupi, kugwiritsa ntchito mankhwala osokoneza bongo, kapena kusintha pafupipafupi pakudya.

Pankhaniyi, wodwala amatha kuwonetsa zotsatirazi:

• kupweteka mu hypochondrium yoyenera,
• kusanza ndi mseru
• khungu ndi kamvekedwe ka khungu,
• kudzimbidwa
• kuwonongeka kwamawonekedwe.

Mu gawo lomaliza la matendawa, zizindikiro zimatchulidwa kwambiri kuposa zina.

Hepatomegaly imatha kukhazikika pazifukwa zosiyanasiyana, koma izi nthawi zonse zimakhala chizindikiro cha zovuta zina mthupi. Zizindikiro zake zimatengera chomwe chikuwoneka. Ndi matenda otchulidwa, zizindikiro za matendawa zimawonekera kunja, i.e. kukulira m'mimba. Koma kumayambiriro, ndi adokotala okha omwe angazindikire zisonyezo.

• kumverera kwa kupweteka mu hypochondrium yoyenera,
• kuteteza khungu
• zotupa ndi kuyabwa,
• mpweya wabwino
• madzimadzi pamimba
• nseru
• kudzimbidwa kapena kutsegula m'mimba.

Lobe lamanzere silimachulukitsidwa, nthawi zambiri limakhala loyenerera. Lobe yakumanzere imakhala pafupi ndi kapamba, chifukwa chake chiwonjezero cha gawo ili la chiwindi nthawi zambiri chimalumikizidwa ndi vuto la gland. Potere, wodwalayo amayenera kupimidwa.

Mulingo woyenera wa chiwindi nthawi zambiri umakonda kuchita hepatomegaly. Izi zimachitika chifukwa cha katundu wamkulu yemwe amayikidwa pamenepo. Komanso, kuchuluka kwake kungakhale kwachilengedwe, osati zotsatira za matendawa. Pozindikiritsa, chidwi chachikulu chimalipidwa kumbali yakumanja ya chiwindi, chifukwa ndi chomwe chimayendetsa katundu wamkulu komanso magwiridwe antchito.

Ana ndi amayi

Muubwana, hepatomegaly imatha kukula msinkhu uliwonse - kuchokera kwa akhanda mpaka achinyamata. Choyambitsa chachikulu cha vutoli ndi kuperewera kwa zakudya m'thupi. Mu ana a zaka zapakati pa 5-7, izi ndi zachilengedwe, motero, hepatomegaly imakhala yochepa. Pankhaniyi, chithandizo sichofunikira.

Komabe, ngati pamodzi ndi chiwindi chiwonjezeke, mwana ali ndi mseru, kusanza, kupweteka, kusowa chilakolako chokwanira ndi zotupa, ndiye kuti dokotala amayenera kufufuzidwa posachedwa, chifukwa pali mwayi waukulu wodwala matenda oopsa.

Choyambitsa hepatomegaly mwa ana ndi:

• njira zotupa (rubella, herpes, tiziromboti, ndi zina zotere),
• kobadwa nako chiwindi fibrosis,
• Kulephera kwa kagayidwe
• kuphwanya chiwindi (lymphoma, leukemia),
• matenda kupuma
• matenda amtsempha wamagazi ndi dongosolo la biliary.

Hepatomegaly muubwana simagulu osiyanasiyana, koma chizindikiro cha zomwe zili paliponse. Ngati dokotala akuwonetsa kuwonjezeka kwa chiwindi nthawi ya palpation, izi zikutanthauza kuti gawo loyenera la matenda lipangidwe.

Pathology ndi intrauterine chitukuko

Hepatomegaly mu fetus ndi chiwindi chomwe chimaposa kukula kwake. Popeza matenda amtunduwu amachititsa kuchuluka kwa m'mimba, sizivuta kuzindikira. Pankhaniyi, ultrasound imawulula za ecoscopic zizindikiro za matenda.

Zifukwa zakuphwanya izi ndi izi:

• matenda (chikuku, syphilis, rubella, ndi zina),
• matenda a mtima
• mavuto a metabolic
• mapangidwe osiyanasiyana a ziwindi mu chiwindi,
• hemolysis.

Nthawi zina matenda a ndulu amathanso kupangitsa kuti chiwindi cha hepatomegaly chikhale mwa mwana pa nthawi yomwe akukula. Mutha kuzindikira zolengedwa izi m'miyezi yotsiriza ya mimba.

Malinga ndi ziwerengero, mwana wosabadwayo amakula, chiwindi chimakhala chochepa kwambiri poyerekeza ndi mwa akhanda. Kuphatikiza apo, kwa ana akhanda, kuwonjezeka kwa kukula kwa chiwalo mpaka masentimita awiri kumawonedwa ngati koyenera. Koma ndikuwonjezeka kwakukulu, tikulankhula kale za kukhalapo kwa matenda obadwa nawo, omwe adayambitsa hepatomegaly.

Kuphwanya amayi apakati

Osatinso kawirikawiri, kukula kwa chiwindi kumawonedwa mwachindunji mwa amayi apakati okha. Zomwe zimayambitsa izi zimatha kukhala matenda amtima, kutsekeka kwa biliary thirakiti, neoplasms, kupatuka mu lipid metabolism, kusokonezeka kwa fetal, etc.

Pankhaniyi, amayi ali ndi zizindikiro monga:

• jaundice
• nseru
• kusadya bwino
• Kutopa
• mitsempha yam'mimba pamimba,
• kutupa kwa msuzi.

Ma pathologies ofananawa nthawi zambiri amawonekera mochedwa chifukwa cha kukula kwa chiberekero. Nthawi yomweyo, chiwindi chimasunthira ndikuchulukanso, ndipo zimapangitsa kuti pakhale kuchotsedwa kwa bile. Pankhaniyi, hepatomegaly samakula chifukwa cha matenda ena, monga nthawi yoyembekezera.

Magawo a chitukuko cha matenda

Zomwe zimachitika pakukula kwa kupatuka uku zimapangitsa kudziwa gawo lake. Pazonse, kukula kwa matenda am'magazi kumakhala magawo atatu:

Gawo losawoneka bwino lomwe limawonetsa kuwonjezeka pang'ono kwa chiwindi - masentimita 1-2. Kuphwanya komwe kumatha kupezeka kokha ndi ultrasound, chifukwa pakokha sikubweretsa zovuta. Koma izi zitha kuyambitsa kukwiya, kulephera kudya ndi kufooka, komanso kutentha kwa mtima komanso kupsinjika pamimba. Wodwala akapita kwa dokotala, amamulembera mankhwala ndi zakudya.

Chofunikira kwambiri pakubwera bwino pakadali pano ndikusungidwa kwa zakudya zoyenera komanso kukana zizolowezi zoyipa.

Gawo loyenera kusintha kwa hepatomegaly - kuwunika kwake kumatanthauza kuti kukula kwa chiwindi kumachulukitsidwa pang'ono kuposa kwabwinobwino. Pankhaniyi, zizindikiro zomwezo zimawoneka ngati ndi mawonekedwe osaphunzitsidwa. Izi zitha kuyamba ndi kuledzera komanso kusowa kwa zakudya m'thupi. Ndizothekanso kuzindikira matendawa pogwiritsa ntchito ultrasound. Pathology ikupitilirabe ndikupitiliza kukhala moyo womwewo.

Gawo lotchulidwa limadziwika ndi kuwonjezeka kwakukulu kwa magawo a chiwindi. Ambiri mwa m'mimba atsekedwa ndi gawo ili. Zotsatira zakuchulukitsidwa kwakukulu kotero ndizovuta kwa ziwalo zina. Matenda a mawonekedwe amtunduwu amapezeka ndikuwoneka. Kuchiza ndi gawo lotchulidwa kuyenera kuyikidwa nthawi yomweyo.

Njira Zodziwitsira

Mutha kukhazikitsa chitukuko cha hepatomegaly ndi njira zingapo. Choyamba, dokotalayo amalankhula ndikuwunika momwe wodwalayo alili kuti ayang'anire mamvekedwe a khungu ndi kuthekera kwa ma thumba am'mimba omwe amapezeka pamimba. Kenako, wodwalayo amakhala ndi kale zizindikiro za matendawa komanso mankhwala omwe amamwa. Ndikofunikira kuti mudziwe kuti amamwa kangati.

Pamaso pa zizindikiro zazikulu, kuphatikiza kusanthula kwa magazi ndi kuyezetsa kwake chifukwa cha kupangika kwake, ndikofunikira kuyesedwa kwathunthu kuti muwone mayesero amomwe matendawa ali:

• MRI
• Ultrasound yam'mimba
• X-ray
• biopsy.

Chithandizo cha gawo lililonse la hepatomegaly cholinga chake ndikuchotsa zomwe zimayambitsa chitukuko cha matenda ndi kuthetsa zizindikiro zomwe zimagwirizana nawo. Mosakayikira, zakudya ndi njira zodzitchinjiriza zimayikidwa. Komanso, zolimbitsa thupi ndizochepa.

Ngati chifukwa cha matenda a chiwindi ndi hepatitis, ndiye kuti mwalandira chithandizo chapadera, pambuyo pake kuphwanya konse mu chiwindi kuyenera kudutsa. Koma ndikupatuka kutsutsana ndi maziko a cirrhosis, munthu akhoza kungowonjezera kuchepa kwa chiwindi, koma osachira kwathunthu.

Zakudya za hepatosplenomegaly komanso hepatomegaly yosavuta ziyenera kuphatikizapo zakudya zamafuta ochepa komanso mapuloteni ambiri. Mankhwala amakhazikikanso. Woopsa pathologies, okodzetsa ndi mankhwala.

Owerenga athu adagwiritsa ntchito bwino Leviron Duo pachipatala. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Wodwala akapezeka ndi matenda enaake, zomwe zimapangitsa kuti chiwindi chikhale bwino, ndiye kuti wodwalayo amamuika kuti amuwonjezere.

Chithandizo cha anthu

Chithandizo cha mankhwala wowerengeka chitha kugwiritsidwa ntchito nthawi iliyonse yamatenda. Koma koposa zonse, imagwira ntchito poyambira.

Nayi maphikidwe osavuta a anthu wamba:

• Sage ndi mamawort amasakanikirana, 0,5 l yamadzi otentha amathiridwa. Mutha kuwonjezera kwa iwo mizu ya dandelion ndi chicory. Msuzi umawiritsa kwa mphindi 30. pa moto wochepa, kenako wokutidwa kwa maola angapo kuti uumirire. Mutatha kusefa, ndi wokonzeka kugwiritsa ntchito. Tincture wofananira amatengedwa musanadye.
• Mukadzuka komanso usiku gwiritsani ntchito madzi pafupipafupi 2 tsp. uchi ndi mandimu.
• Kangapo patsiku, kununkhira kuchokera ku sauerkraut waledzera.
• Tsiku lililonse, dzungu limadyedwa - mpaka 0,5 kg. Masamba amatha kukhala osaphika kapena ophika kapena kuwotcha, koma osagwiritsa ntchito mafuta.
• Hafu ya beets imadyedwa yaiwisi kapena mu saladi tsiku lililonse.

Komanso, ndi hepatomegaly, ndizothandiza kugwiritsa ntchito zipatso za juniper, mafuta a azitona, maapulo, msuzi wa sitiroberi ndi walnuts.

Zakudya zamankhwala

Lamulo lalikulu pochiza matenda oterewa ndi zakudya.

Zakudya ziyenera kumwedwa pang'ono. Ndikofunikira kupatula zakudya zamchere, zokometsera, zokazinga ndi mafuta ndi mbale, soseji ndi zinthu zosuta, nyama yamafuta, batala, marinade, zakudya zamzitini, nyemba ndi anyezi. Komanso, simungathe kudya chokoleti, mankhwala a ufa ndi maswiti.

Gawo lalikulu la chakudya cha wodwalayo liyenera kukhala ndi mbale zowotchera komanso zophika osagwiritsa ntchito mafuta ndi zokometsera. Kuchuluka kwa masamba ndi zipatso zomwe zimadyedwa ziyenera kuchuluka.

Mndandanda wazinthu zololedwa umaphatikizaponso zipatso zouma, zinthu mkaka, nkhuku, nsomba zonenepa kwambiri, chimanga, msuzi, jamu ndi uchi.

Njira zopewera

Njira zopewetsedwera zimaphatikizapo kukhala ndi moyo wathanzi, wophatikizira kukana mowa ndi ndudu, zakudya zoyenera, masewera olimbitsa thupi komanso kugwiritsa ntchito mavitamini. Musamamwe mankhwala ochuluka, ndikuyembekeza kuti muchiritse hepatomegaly. Kugwiritsa ntchito molakwa mankhwala osokoneza bongo m'malo mwake kungachititse chiwindi kukula kwambiri.

Kodi kuchira kungakhale kotani?

Chithandizo ndi matenda a hepatomegaly zimatengera gawo la matendawo ndi zomwe zimayambitsa. Ngati matendawa adayamba chifukwa cha kachilombo kapena kachilombo, ndiye kuti sizivuta kuchiritsa. Njira yochira komanso poyizoni wa chiwindi imakhala yovuta pang'ono. Koma ngati wodwalayo ali ndi hepatosis yamafuta kapena cirrhosis, ndiye kuti ndizosatheka kuwachiritsa kwathunthu.

1. Ma metastases a chiwindi - angati akukhala nawo?
2. Njira zodziwira ndi kuchiza kwa capillary hemangioma ya chiwindi
3. Chifukwa chiyani mafinya amapangika m'chiwindi? Zomwe zimayambitsa, Zizindikiro, ndi Therapy Therapy
4. Cytolytic syndrome - ndi chiyani? Amayambitsa, Zizindikiro ndi chithandizo cha cytolysis

• Panyumba
• Matenda a chiwindi
• Matenda a chiwindi
• Matenda a shuga komanso mafuta a chiwindi

Matenda a shuga komanso mafuta a chiwindi

Vyalov Sergey Sergeevich
PhD mu Sayansi Yachipatala,
European Medical Center
gastroenterologist-hepatologist wa European Medical Center,
Membala wa American Gastroenterological Association (AGA),
Membala wa European Society for the Study of theibindi (EASL),
Membala wa Russian Gastroenterological Association (RGA),
Membala wa Russian Society for the Study of theibindi (ROPIP).

Kodi kapamba amatani mthupi?

Pancreas imakhala ndi zigawo ziwiri zomwe zili mkati mw enawo. Chimodzi mwazinthu zomwe timadziwa bwino zimakhala ndi ntchito yokumba. Imasunga zinthu zosiyanasiyana - ma enzyme omwe amapukusa makamaka mafuta ndi chakudya.Kuyang'aniridwa kwa ntchito ya kapamba iyi, komwe kumakhudzana ndi kutupa kwake ndi kuchepa kwake kwa michere, imatchedwa pancreatitis. Ndi pachimake komanso matenda. Komabe, pankhani ya matenda ashuga, izi sizotikhudza kwenikweni.

Gawo lina la kapamba, lomwe limapangidwa monga zotchedwa Isanger of Langerhans, limatulutsa zinthu zochulukirapo - mahomoni. Zina mwazomwezi zimapangitsa kuti thupi lizikula komanso kuti lizikula komanso lofunika kwambiri pa zaka zazing'ono. Gawo lina la mahomoni, ndipomwe limayang'anira kuwongolera kwa shuga m'thupi.

Chifukwa chiyani timafunikira shuga?

Glucose ndiye gwero lamphamvu mthupi; maselo, minyewa, komanso ziwalo zonse, kuphatikizapo ubongo, zimadya. Popeza mtengo wa shuga m'thupi ndiwokwera kwambiri, thupi m'njira zosiyanasiyana limasunga kuchuluka kwake m'magazi. Titha kudziwa kuchuluka kwa shuga, nthawi zambiri kukhazikika kwake m'magazi kumayambira 3.5 mpaka 5.5 mmol / l (mtundu uwu umatha kukhala osiyanasiyana m'malo olemba malingana ndi ma reagents omwe amagwiritsa ntchito).

Chifukwa chake, pakachitidwe koyenera, makamaka ubongo ndi ziwalo zina m'magazi, kuphatikiza shuga kokhazikika kuyenera kupitilizidwa. Kutsika kwa kuchuluka kwake kumatchedwa hypoglycemia ndipo kungayambitse zovuta zazikulu, mpaka kukomoka kwa hypoglycemic! Kukula kwa glucose kumatchedwa hyperglycemia ndipo kungayambitsenso kukula kwa matenda osokoneza bongo, ku zovuta zazikulu zochokera mumtima, ubongo, mitsempha ya magazi, ngakhale hyperglycemic kapena hyperosmolar coma!

Mlingo wa shuga (shuga) m'thupi ungafanane ndi kuchuluka kwa mafuta omwe amakhala mgalimoto. Mwachitsanzo, dalaivala akazindikira mafuta ochepa pomwe injiniyo ikuyenda, amapita kumalo opangira mafuta ndi kukabwezeretsanso mafuta mu tank. Momwemonso, thupi, pozindikira kuchuluka kwa shuga, mothandizidwa ndi ubongo limatiuza zoti tidye. Woyendetsa amayendetsa galimoto yake ndi mafuta ambiri monga amafunikira kukafika kokwerera mafuta kapena kumene akupita. Ubongo umaperekanso chisonyezo cha kusintha polemba kuchuluka kwa zakudya zomwe zimamwa, zokwanira mpaka chakudya chotsatira.

Kodi matenda ashuga amakula bwanji?

Matendawa amakula tikachulukitsa matupi athu mopitirira muyeso, ndi kuchuluka komwe sakusowa. Koma, ngati dalaivalayo akathira mafuta ochuluka mgalimoto, ndiye kuti imatuluka mu tank lamagesi, ndikupanga ngozi yamoto osati yagalimoto yokha, koma malo onse amagetsi. M'malo mwake, munthu, akadzaza thupi lake ndi chakudya chamafuta kwambiri, amapanga chiwopsezo chochuluka pachiwindi ndi kapamba. Ngati kudya kwambiri, zakudya zopatsa mphamvu kwambiri zamafuta ndi mafuta, kumachitika pafupipafupi, kumapeto kwake thupi silimalimbana ndi katunduyu ... Ndiye kapamba, matenda a shuga, matenda amchiwindi amayamba.

Kodi shuga imagwirizana bwanji ndi chiwindi?

Likukhalira kuti chilichonse ndi chosavuta. Magazi athu amayendetsedwa mwanjira yoti zinthu zonse zomwe zimayikiridwa m'mimba ndipo matumbo amatengedwa m'matumbo kulowa m'magazi, omwe kenako amalowa m'chiwindi. Kuphatikiza pa kuchuluka kwambiri m'mimba mwa kapamba, chifukwa amayenera kugaya chakudya chonsechi, katundu wambiri amapangidwa pa chiwindi ndi gawo loyendetsera kapamba.

Chiwindi chimayenera kudutsa mafuta onse kuchokera pachakudyacho, ndipo chimakhala ndi zowonongeka. Zikondazo zimayenera "kuyika" mafuta ndi shuga onse omwe amalandiridwa ndi chakudya - chifukwa mulingo wake uyenera kukhala wosasunthika. Chifukwa chake thupi limasintha chakudya chamafuta kukhala mafuta ndikuwonekanso kuwonongeka kwamafuta pachiwindi! Ndipo kapamba wamasamba, amakakamizidwa kuti apange ma homon enanso ochulukirapo. Mpaka nthawi inayake, pamene kutupa kumayamba. Ndipo chiwindi, chomwe chimakhala chikuwonongeka nthawi zonse, sichimalira mpaka penapake.

Hepatic steatosis ndi steatohepatitis

Mafuta onse omwe amapezeka amakhala ndi cholesterol, triglycerides ndi lipoprotein osiyanasiyana. Amadziunjikira m'chiwindi mokulira, amatha kuwononga ma cell a chiwindi ndikupangitsa kutupa. Ngati mafuta ochulukirapo sangathe kusungidwa konse ndi chiwindi, amatengedwa ndi magazi kupita ziwalo zina. Kukhazikika kwa mafuta ndi cholesterol m'mitsempha yamagazi kumabweretsa kukula kwa atherosulinosis, kupititsa patsogolo chitukuko cha matenda a mtima, kugunda kwa mtima ndi stroko. Kukhazikika kwa mafuta ndi cholesterol kumawononga kapamba, kusokoneza kagayidwe kakang'ono ka shuga ndi shuga mthupi, potero kumathandizira kukulitsa shuga.

Mafuta omwe amaphatikizidwa m'chiwindi amadziwika ndi ma free radicals, ndipo peroxidation yawo imayamba. Zotsatira zake, mitundu yosinthika yazinthu imapangidwa yomwe imakhudzanso chiwindi. Amayambitsa maselo ena a chiwindi (maselo okhathamira) ndipo minyewa yabwinobwino ya chiwindi imayamba kulowa m'malo mwa minyewa yolumikizira. Fibrosis ya chiwindi imayamba.

Chifukwa chake, zosintha zonse zomwe zimakhudzana ndi kagayidwe ka mafuta m'thupi zimawononga chiwindi, zimatsogolera pakupanga:

- steatosis (kuchuluka kwa mafuta m'chiwindi),

- steatohepatitis (kusintha kwamphamvu mu chiwindi cha mafuta achilengedwe),

- chiwindi fibrosis (kapangidwe ka minyewa yolumikizana ndi chiwindi),

- chiwindi matenda enaake (chiwindi ntchito zonse za chiwindi).

Kodi ndi liti ndipo mukayikira bwanji zosinthazi?

Choyambirira, muyenera kuyamba kufuula alamu omwe adapezeka kale. Ichi mwina ndi chimodzi mwazofufuza zotsatirazi: atherosulinosis, dyslipidemia, matenda a mtima, angina pectoris, myocardial infarction, postinfarction atherosulinosis, ochepa matenda oopsa, matenda oopsa, matenda oopsa a shuga, kufooka kwa shuga, matenda a insulin, metabolic syndrome,

Ngati muli ndi imodzi mwazodziwira pamwambapa, funsani dokotala kuti ayang'anire mawonekedwe a chiwindi, komanso kusankha mankhwala.

Ngati, chifukwa cha mayeso, mwawonetsa kupatuka kwa magawo amodzi kapena angapo a labotale poyesa magazi, mwachitsanzo, cholesterol yokwezeka, triglycerides, lipoproteins, kusintha kwa glucose kapena glycosylated hemoglobin, komanso kuwonjezeka kwa zizindikiro zomwe zikuwonetsa ntchito ya chiwindi - AST, ALT, TSH, alkaline phosphat. , nthawi zina, bilirubin.

Ngati magawo awiri kapena angapo akwezedwa, onaninso ndi dokotala kuti afotokozere zaumoyo wanu, chitani matenda ena ndikuwuzani chithandizo.

Ngati muli ndi chizindikiro chimodzi kapena zingapo kapena zofunikira pakukula kwa matenda, mukufunikiranso kukaonana ndi dokotala kuti athe kuwunika moyenera, kudziwa kufunikira kwa mayeso ndikupereka mankhwala. Zomwe zimayambitsa kapena zizindikiro za metabolic syndrome ndizonenepa kwambiri, m'chiuno kwambiri, kuwonjezeka kwa magazi pafupipafupi, kugwiritsa ntchito mafuta ochulukirapo kapena zakudya zokazinga, zotsekemera, ufa, mowa.

Kodi dokotala angavomereze chiyani?

Mulimonsemo, pamaso pa matenda kapena kukhalapo kwa zowonetsa pakuwunikira kapena kupezeka kwa zizindikiro ndi zinthu zowopsa, upangiri waukatswiri ndi wofunikira!

Muyenera kulumikizana ndi akatswiri angapo nthawi imodzi - katswiri, cardiologist, endocrinologist ndi gastroenterologist. Ngati muli ndi vuto lotereku m'chiwindi, mungathe kulumikizana ndi gastroenterologist kapena hepatologist.

Dokotala adzazindikira kuopsa kwa vutoli kapena kuopsa kwa matendawa, kutengera izi, ngati kuli kufunikira kwenikweni, sankhani mayeso ndikukuwuzani zomwe zikuwoneka kuti zili bwino pakuwunika kumeneku.

Asanachitike, atapima matendawa kapena atadwala, adokotala amatha kukupatsani chithandizo, izi zimatengera kuuma kwa zizindikiro ndi zovuta zomwe zapezeka.

Nthawi zambiri, mankhwala angapo amagwiritsidwa ntchito pochiza matenda amchiberekero chamafuta kuphatikiza matenda a shuga. ndi mikwingwirima, ndi ena.

Sizowopsa kuyesa palokha kusinthidwa kwa mankhwala kapena kusankha kwa mankhwala! Funsani dokotala kuti amupatse chithandizo!

Ndi mankhwala ati omwe amagwiritsidwa ntchito kuti abwezeretse chiwindi?

Udindo wofunikira kwambiri pa mankhwalawa umachepetsedwa chifukwa chochepetsa thupi, kuwonjezera masewera olimbitsa thupi, chakudya chapadera chokhala ndi cholesterol yochepa komanso mafuta othamanga, kutengera momwe zinthu zilili, mwina mungaganizire za "mkate"

Zochizira matenda amchiwindi, pali gulu lonse la mankhwala otchedwa hepatoprotectors. Kunja, gulu la mankhwalawa limatchedwa cytoprotectors. Mankhwalawa ali ndi chikhalidwe chosiyana ndi kapangidwe kazinthu - pali mankhwala azitsamba, kukonzekera kwa chiyambi cha nyama, mankhwala opangira. Inde, zomwe mankhwalawa amapanga ndizosiyana ndipo amagwiritsidwa ntchito makamaka matenda osiyanasiyana a chiwindi. M'mikhalidwe yovuta, mankhwala angapo amagwiritsidwa ntchito nthawi imodzi.

Zochizira matenda amafuta a chiwindi, kukonzekera kwa ursodeoxycholic acid ndi ma phospholipids ofunikira nthawi zambiri amapatsidwa. Mankhwalawa amachepetsa lipid peroxidation, kukhazikika ndikukonza maselo a chiwindi. Chifukwa cha izi, zowonongeka zamafuta ndi ma free radicals zimachepetsedwa, kusintha kwa chiwindi, njira zopangira minofu yolumikizira imachepetsedwa, chifukwa chake, kukula kwa fibrosis ndi cirrhosis ya chiwindi kumachepetsedwa.

Kukonzekera kwa ursodeoxycholic acid (Ursosan) kumathandizanso kwambiri zimagwira ma cell, motero zimalepheretsa kuwonongeka kwa maselo a chiwindi komanso kukula kwa kutupa m'chiwindi. Ursosan amakhalanso ndi choleretic zotsatira ndikuwonjezera mafuta a cholesterol pamodzi ndi bile. Ichi ndichifukwa chake imagwiritsidwa ntchito mu metabolic syndrome. Kuphatikiza apo, Ursosan imakhazikika ndulu ya ndulu yomwe imagwiritsidwa ntchito mu ndulu ndi kapamba, imapereka gawo labwino pa ziwalo izi, zomwe ndizofunikira kwambiri kapamba.

Matenda a chiwindi chamafuta, kuphatikiza matenda a shuga ndi shuga, amafunika kugwiritsa ntchito mankhwala ena mankhwalawo.

Nkhaniyi imapereka chidziwitso chochepa cha njira ndi njira zochizira matenda a chiwindi. Kuzindikira kumafunikira kupita kwa dokotala kuti akapeze njira yoyenera yolandirira!

Chofunika cha matenda

Hepatitis C ndimatenda a chiwindi oyambitsidwa ndi kachilombo. Ikalowa mkatikati mwa thupi, imatha kuyambitsa matenda amtundu wa hepatitis wovuta komanso wowonda. Matendawa amadziwika kuti ndi mtundu woopsa kwambiri wa chiwindi cha hepatitis. Makulidwe obwera a matenda amatha kukhala masabata 2-25. Munthu amatenga kachiromboka chifukwa chopakidwa magazi, kupereka mobwerezabwereza syringe imodzi.

Kuchepetsa ungapezeke ndi kujambula, kupyoza, kugwiritsa ntchito zida zamanja. Pali mwayi wotenga kachilomboka kudzera pakukhudzana ndi kugonana, palinso njira yodwadutsira yobereka pakubala, kuchokera kwa mayi wodwala kupita kwa mwana. Mukamayamwa, kachilomboka silipatsira. Matendawa amatha kuchitika munthawi zamankhwala pophwanya malamulo oyela.

Matendawa amatha kuchitika pachimake, mawonekedwe osakhazikika komanso ngatiwonyamula kachilombo. Zizindikiro za hepatitis C poyamba zimakhala ngati fuluwenza wamba.

Munthu amene ali ndi kachilomboka amachepetsa mphamvu, mafupa opweteka, komanso malungo. Zizindikiro zowonjezereka za jaundice zimawonekera: kupweteka kwa hypochondrium yoyenera, nseru, mkodzo wakuda ndi ndowe zowala.

Matenda Azaga

Kuperewera kwa odwala matenda ashuga ndi chiwindi C kumachitika motsutsana ndi maziko a chitetezo chokwanira. Kubayidwa pafupipafupi kumawonjezera chiopsezo cha matenda ndi matenda. Pali matenda a shuga a mtundu woyamba ndi wachiwiri. Matenda a shuga a mtundu woyamba ndi matenda oopsa omwe amakhala ndi vuto la shuga. Mtundu woyamba wa shuga, kuwonjezeka kwa shuga m'magazi kumadziwika mwa wodwala chifukwa cha kuchepa kwa insulin.

Matenda a shuga a Type 1 amatchedwa kudalira insulin, odwala amafunika jakisoni wa insulin tsiku lililonse. Matenda a shuga a Type 1 akadali osachiritsika. Ngozi ili m'mavuto ake. Matendawa amatha kupangitsa matenda a impso, maso, mitsempha yamagazi, miyendo, mtima.

Anthu omwe ali ndi matenda a shuga amadziwika chifukwa cha khungu komanso kulephera impso. Pali kuchuluka kwa kuthamanga kwa magazi, kufinya kwamphamvu, azimayi amatha kukumana ndi mavuto okhala ndi pakati. Matendawa amadziwika chifukwa cha:

• kuyesedwa kwa magazi pamimba yopanda kanthu,
• kuyesa kwa maola awiri shuga.
• glycated hemoglobin.

Anthu omwe ali ndi matenda a shuga a mtundu woyamba ayenera kupewa kupsinjika ndi kutaya mtima. Muzikhala ndi zakudya zoyenera komanso muzichita masewera olimbitsa thupi.

Matenda a 2 a shuga amapezeka kwambiri mwa achikulire, makamaka okalamba. Matenda a matenda amakula amayamba chifukwa chophwanya kagayidwe kazachilengedwe. Zikondamoyo sizitulutsa insulin yokwanira, yomwe imayambitsa kuchuluka kwa shuga m'magazi. Matendawa amakhala ndi chibadwa cham'tsogolo. Nthawi zambiri, imakhudza anthu onenepa kwambiri, mafuta ochulukirapo amalepheretsa kugwiritsa ntchito insulin.

Zizindikiro zazikulu za matenda ashuga zimatha kupezeka ndi ludzu, kuyabwa pakhungu, kufooka. Matenda a 2 odwala matenda ashuga amatha kukhala angina pectoris, catarices. Zilonda zamkhungu zamtundu wa zithupsa, ma carbuncle, ndikuchira pang'onopang'ono zimatha kuonedwa. Ndi matendawa, kudya mwamphamvu kumafunika. Odwala ali ndi maswiti okhala ndi zotsutsana komanso zakudya zopatsa thanzi.

Matenda a shuga a Mtundu Wachiwiri amachiritsika ngati shuga atakhala kwakanthawi kochepa. Mankhwala osokoneza bongo amathandizira kuchepetsa kuyamwa kwa shuga, amathandizira ntchito ya kapamba. Mkhalidwe wofunikira ndikuchotsanso kunenepa kwambiri, kusiya kusuta fodya komanso mowa. Ndikulimbikitsidwa kuti muwononge nthawi yambiri pochita masewera olimbitsa thupi, masewera.

Zochizira

Matenda a shuga ndi matenda otupa chiwindi ndi njira zina zosalephera zomwe zimayipa kwambiri. Hepatitis odwala omwe ali ndi matenda a shuga nthawi zambiri amapezeka ndi zizindikiro zosavuta.

Wodwala angawonetse zotsatirazi:

• mkodzo wakuda
• discool discoloration,
• khungu lamaso ndi khungu la maso,
• kupweteka mu hypochondrium yoyenera,
• malungo
• kupanda chidwi ndi kukhumudwa
• kuchepa kwamtima
• kupweteka kwa minofu ndi molumikizana.

Kutsimikizira kuti:

• kuyezetsa magazi konse
• kusanthula kwa zamankhwala
• Chizindikiro cha HCV-PHK cha PCR,
• magazi coagulation dongosolo.

Hepatitis C imakhala ndi zotsutsana ndi njira ya matenda ashuga. Chithandizo cha hepatitis mu shuga chimayenderana ndi mavuto ena. Chovuta chimakhalapo chifukwa chakuti mankhwalawa omwe amagwiritsidwa ntchito polimbana ndi chiwindi amawonjezera shuga m'magazi ndikuwonjezera kagayidwe kazakudya. Pankhani imeneyi, adotolo amakupatsani mankhwala ochepetsa theka komanso mankhwalawa.

Munthawi yonse ya mankhwalawa, kayendedwe ka shuga m'magazi ndikofunikira. Chithandizo cha matenda a chiwindi ndi matenda a shuga chikuyenera kuyang'aniridwa ndi katswiri wa matenda opatsirana.

1. Mankhwala osokoneza bongo ndi Ribaverina.
2. Interferon-alpha - imafuna kugwiritsidwa ntchito mosamala mu shuga. Ngati kuwonongeka kwa chakudya kagayidwe kachakudya, mlingo wa mankhwalawa umachepetsedwa kapena kuthetsedwa.
3. Kuwongolera ntchito ya chiwindi, hepatoprotectors amafunikira.
4. Kukopa koyenera kumayenera kukhala mankhwala a immunomodulatory.
5. Pa nthawi ya chithandizo, muyenera kutsatira zakudya zosasinthika kupatula zakumwa zoledzeretsa, zamafuta ndi mafuta osenda. Zakudya zoletsedwa zomwe zimathandizira kubisalira kwa michere yam'mimba.
6. Urosan ndi mankhwala omwe amakhazikitsa ma membrane a maselo ndikuletsa kuwonongeka kwa maselo a chiwindi. Imakhala ndi choleretic, imachotsa cholesterol, imasintha mkhalidwe wa bile ducts.
7. Mankhwala a Sofosbuvir alibe zotsutsana ndi odwala matenda ashuga.

Chithandizo cha matenda a chiwindi ndi matenda ashuga ndi njira yovuta komanso yokwera mtengo yomwe imafuna munthu kuti azilingalira zoyeserera zasayansi.

Njira zopewera

Odwala omwe ali ndi matenda ashuga ayenera kusamala akamagwiritsa ntchito popimitsa shuga ndi magazi a jakisoni. Ndikofunika kuchita mayeso ndi chipangizo chamunthu payekha.

Mu matenda a shuga a mellitus, ndikofunikira kuti chitetezo chikhale chokwanira, kutenga mavitamini ndi michere mineral, kusewera masewera ndikulimbitsa thupi. Popeza hepatitis ndi asymptomatic mu matenda ashuga, kuyezetsa magazi kuyenera kuchitidwa pafupipafupi kupezeka kwa kachilombo ka hepatitis mthupi.

Ndikofunikira kupewa kugonana mwangozi, gwiritsani ntchito njira zakulera. Onani miyezo yoyera ya ukhondo: musagwiritse ntchito lezala za anthu ena, zida zamaluso. Mukamayendera ma parlors a tattoo, onetsetsani kuti chithandizochi chikuwonetsedwa.