Monga tikuonera kwa chiwindi steatosis

Chiwindi steatosis - matenda umene umapereka dystrophic zimakhala (parenchyma) chiwindi popanda anachita yowala selo. Mu chiyambi chake ndi zochita matenda ndi yopweteka kwambiri kapena yokhalitsa. Chiwindi steatosis ndi njira yaitali, pali cholestatic ndi mafuta.

Mawonekedwe wokonda hepatosis akufotokozera atadziŵa poizoni, ndi poyizoni ya chiyambi zosiyanasiyana. Iyi ndi mowa poyizoni surrogate, zitsulo, phosphorous, kukonzekera mankhwala, zomera zakupha, bowa, etc. Izi mawonekedwe a matenda amatchedwanso chikasu manja a chiwindi. Nthawi zina, pachimake chiwindi steatosis chiwindi akufotokozera chifukwa sepsis alipo kapena matenda etiology.

Dzina la matenda, ananena kuti ali ndi isanayambike pachimake. Poyamba, zochitika za dyspepsia (nseru, kusanza) ndi zizindikiro za kuledzera. Wodwala akumva "kufooka" zopweteka thupi, kupweteka kwa minofu, anadandaula malungo. Patapita kanthawi, matenda a chikasu ndiyo akuwonekera. Chiwindi ndi pang'ono kuchuluka kukula, ndiye kukula kwake yafupika ndipo si palpable. Kuchuluka michere chiwindi (alt, Ast), misinkhu shuga magazi. Ndi histological Kupenda limba minofu, amalembedwa mafuta alibe. Inde choopsa cha matenda akhoza kugwirizana ndi kwa chiwindi insufficiency ndi kusintha mu chikomokere, chakhungu magazi clotting ndi matenda magazi.

Odwala pachimake gepatoza phunziro kwa hospitalization mokakamizidwa. chithandizo zina bwino kumadalira mmene msanga chithandizocho anayamba ndipo anasiya kudya wa poizoni mu chiwindi. Kuti tichite zimenezi, kuchita chapamimba lavage ndi matumbo. Ngati magazi udzathiridwa atsopano mazira plasma, albumin, ngati n'koyenera, maselo ofiira okhaokha magazi. Ananyamula kulowetsedwa mankhwala shuga njira, saline wodzilemekeza ndi mankhwala potassium mavitamini, kupatsidwa folic acid. Zikavuta kungafune dialysis ndi plasmapheresis.

Aakulu chiwindi steatosis akuwonetseredwa mafuta maselo chiwindi. Matenda ali yaitali nthawi ndi alternates nthawi chete wachibale exacerbation la matenda. Chifukwa cha mafuta alibe kwenikweni uchidakwa aakulu. Nthawi zina, kumachitika ndi limakhala kukhudzana yaitali kuti zinthu hepatotoxic kuntchito. Zokhudzana ndi matenda aakulu monga matenda a shuga kapena matenda kagayidwe kachakudya zina chifukwa steatosis. Zizindikiro za matenda akuwonetseredwa kufooka zonse, kupweteka ululu m'dera chiwindi. Authority akhoza pang'ono kuchuluka kukula, mwachikondi pa palpation taonera. ndulu si wakulitsidwa. Matenda a chikasu ndiyo zambiri sizichitika kapena pali pang'ono ikterichnost sclera ndi khungu. Magazi amtengo kukwezeka michere kwa chiwindi ndi mafuta.

Panganoli likathetsedwa zotsatira poizoni pa thupi, mowa ndikwaniritsa kuchira. zakudya wodwalayo ayenera kufunga mapuloteni. Motengera zakudya za mafuta. Kuikidwa ndi gepatoprotektory ndi multivitamins.

zosinthika wina wa mawonekedwe aakulu a matenda ndi cholestatic chiwindi steatosis. Zizindikiro kuchedwa kwake anasonyeza kwa chiwindi ya ndulu pigment kudzikundikira maselo chiwindi. Pankhaniyi, hepatocytes ndi ongoyendayenda kutupikana mapuloteni. matenda amayamba ndi zotsatira poizoni mankhwala ozunguza bongo. Pamene izi zimachitika matenda a kagayidwe kachakudya a chiwindi, mapangidwe ndi akusokoneza ndi otaya wabwinobwino wa ya ndulu.

Matendawa amasonyezera matenda a chikasu ndiyo kwambiri, Kuzinda ndowe ndi mdima mkodzo. Chiwindi nthawi zonse adakulabe mu kukula. Chinawonjezeka magazi bilirubin, michere, phosphatases, ndi mafuta. Chithandizo cha ichi hepatosis mawonekedwe pafupifupi mofanana mu mawonekedwe a mafuta, koma kuti corticosteroids ntchito mankhwala.

Kupewa a mitundu yonse steatosis ndi kudya zakudya zopatsa nthanzi, kukana ntchito mwadongosolo mowa, umoyo, makamaka ntchito woopsawo, ndipo, ndithudi, zonse mayeso zachipatala m'magulu amene ali pangozi.