Hepatosplenomegaly - si chiweruzo. Yoyenera yake mankhwala kuchotsa syndrome motere

Chiwindi ndi ndulu ndi mosamala zogwirizana khosi mtsempha dongosolo ndi njira wamba lymph ndi kupereka mitsempha. Ngati vuto kumachitika m'thupi limodzi, izo zivute zitani zimakhudza ena. Hepatosplenomegaly ndi kukulitsa a chiwindi ndi ndulu, kumene kumachitika pa nthawi yomweyo.

diagnostics

Matenda a syndrome izi zachokera pamaziko a madandaulo wodwalayo. Iwo ali mtengo wa m'badwo, nthawi pamene kuwawa kulikonse kapena kusamva osiyanasiyana, chibadwa.

Ndiye dokotala kafukufuku ndi percussion ndi palpation. Hepatosplenomegaly angasonyeze pa kuyendera masomphenya. Iye amaona ngati chotupa pansi lamanja nusu chapamwamba, chimene chimatichititsa pa mpweya.

Kulongosolerana matenda amafuna zasayansi matenda, zomwe limatchula boma la zinchito chiwindi. Kuti tichite zimenezi, anachita zosiyanasiyana mayesero monga pofuna mlingo wa ceruloplasmin, chitsulo seramu ndi zizindikiro zina.

Monga Kupenda zoimbidwa ntchito ultrasound chiongoko Ndi anatumizidwa CT. Koma kukula molondola kwambiri chiwindi ukusonyeza angiography kokha, komanso zimathandiza kudziwa chikhalidwe cha chotupa ndi kuzindikira zopinga zotheka kwa m'magazi.

zifukwa

Hepatosplenomegaly - ndi matenda amene akufotokozera mu chiwerengero cha matenda. Kukulitsa a chiwindi ndi ndulu si nkhawa palokha, ngakhale nkhawa wodwala kwambiri. Kaya ngati hepatosplenomegaly oopsa, zifukwa ayenera zikhulupiriro choyamba. Pa izi zimatengera dzuwa ndi mphamvu ya mankhwala. Mavuto onse akhoza kugawidwa m'magulu asanu:

• Pachimake chiwindi matenda, imene magazi aziyenda mu mtsempha zipata. Zikuphatikizapo a chiwindi, ndi matenda enaake, zotupa mtima.
• matenda aakulu ndi matenda parasitic. Ndi malungo, matenda mononucleosis, chindoko, leishmaniasis, brucellosis ndi ena.
• Gulu lachitatu zikuphatikizapo matenda kagayidwe kachakudya - hemochromatosis, amyloidosis.
• Gulu chachinayi zikuphatikizapo matenda zokhudza zonse magazi - magazi m'thupi, khansa, matenda Hodgkin a.
• Mu gulu wachisanu monga matenda a dongosolo mtima ndi kulephera aakulu mtima: oopsa, kobadwa nako ndipo anaphunziranso zopindika a mtima, matenda a mitima.

Hepatosplenomegaly ana

Hepatosplenomegaly mwanayo angayambe pa m'badwo uliwonse, kuphatikizapo akhanda. Kuwonjezeka monga momwe akuluakulu, anatsimikiza mtima palpation. Gipatosplenomegaliya zambiri ana limodzi ndi matenda a chikasu ndiyo, magazi m'thupi, malungo. Pakuti matenda enieni, muyenera kudziwa chikhalidwe cha matenda a chikasu ndiyo (hemolytic ndi parenchymal). Izi adzalola kukhala bwino machenjerero chithandizo.

Mu maola choyamba cha moyo, pamodzi ndi matenda a chikasu ndiyo hepatosplenomegaly zambiri ndithu chifukwa cha matenda intrauterine ndi TB kapena chindoko. Hepatosplenomegaly kawirikawiri chifukwa cha kutupa kobadwa nako kapena matenda enaake. Choncho pamwamba chiwindi ndi m'goli, kugwirizana olimba. Kuwonjezeka amphamvu ana kwambiri tikuonera pa anomalies pa mundawo biliary. Mu nkhani iyi, matenda a chikasu ndiyo mofulumira ndithu kukula, limodzi ndi melena, umbilical magazi. Msanga zizindikiro za biliary matenda enaake ndi matenda oopsa zipata.

Mu ana okulirapo kuwonjezera munthawi yomweyo chiwindi ndi ndulu mwina chifukwa si ku tizilombo toyambitsa matenda, ndi kuphwanya chiyambidwe cha zakudya zoyenerera. Mafuta zakudya zokhala carcinogenic zinthu ndi katundu lalikulu ziwalo mkati. Woyamba amatenga kuwawa kwa chiwindi, amene anachita thupi monga fyuluta. Chifukwa, osatha kupirira wambirimbiri zigawo wonunkha, chiwindi ndi chinawonjezeka kukula ndi umasintha ndulu ya.

chithandizo

Ndikatha kumfunsafunsa kusamala ndi kudziwa zifukwa zilirimu matenda kuchitiridwa. Hepatosplenomegaly - si matenda koma syndrome. Special chilengedwe kapena mankhwala chofunika. Monga kukonza mankhwala holespazmolitiki anatumizidwa chiwindi (mankhwala "Papaverine", "No-spa", "Platifillin"), mankhwala cholagogue ( "holosas" "Xylitol") gepatoprotektory (mankhwala "Silibor" "Essentiale" "Geptral "" Karsil "," Riboksin "ndi ena). Mu yomweyi, mankhwala ndi wothandizila m'thupi, monga njira "Prednisolone" ndi maofesi multivitamin.

Pa zosayembekezereka ya chodabwitsa monga hepatosplenomegaly, chithandizo limodzi ndi mokakamizidwa normalization matumbo biocenosis. Madokotala akhonza kusankha kukonzekera munali lactobacilli ndi colibacteria, monga "Linex", "Primadofilus", "Bifiform", "Hilak-forte" ndi ena.

zakudya

Mafuta zakudya, mchere; kutetezera, utoto ndi carcinogens ali mankhwala ambiri, kusokoneza chiwindi, m'mimba, ndulu. Kuthandiza kugonjetsa matenda ziwalo, ndikofunika kutsatira zakudya okhwima osachepera pa mankhwala. The zakudya ayenera zigwirizana wa zakudya, otsika-mafuta ndi chakudya mwatsopano. No sausages, tchipisi, yogurt yosungirako yaitali sayenera. Maziko a zakudya ndi zakudya soups, phala popanda mafuta, otsika-mafuta kanyumba tchizi. Tiyi, khofi ndi madzi ndi yaitali moyo alumali m'malo mwa madzi yosavuta mchere, banja kompotik Kiselev. Mapayi, chofufumitsa ndi zina ndiwo zochuluka mchere mafuta komanso contraindicated. Ndi bwino kusiya wokoma kapena kuchepetsa wobiriwira tiyi ndi uchi ndi crackers. Hepatosplenomegaly - chodabwitsa amenable kuthetsa okha khama anzake a dokotala ndi wodwalayo.