Chirwere chepirhosis chirwere chinopfurikidza nekushandurwa kwemasero ane hutano ane hutano (hepatocytes) ane michina ye fibrous isingagoni kuita mabasa avo. Chimiro chinowanzojairika chechirwere chacho ndechepirhosis biliary, inoratidzwa mumhando mbiri - yekutanga uye yechipiri. Izvo zvinoratidzwa nezviratidzo zvakafanana, asi zvinokonzera zvakasiyana zvezviitiko.
Primary primary biliary cirrhosis yechiropa
Chirwere ichi chinobva kune chimiro chemotokari uye chinotanga nekusingaperi kusuruvara kwebhariyariyari (cholangitis), nemhaka yei cholestasis inowedzera kupfuura nguva, kureva, bile zvachose kana kuti zvishoma inopinda kupinda mu duodenum. Ichi chirwere chinopedzisira chinotungamirira kune chinonyanya kushandiswa kwebriary cirrhosis, zviratidzo zvaro zvinotevera:
- kupisa ganda, kunyanya kunetseka usiku, izvo zvinogona kupedza makore akawanda;
- kushaya simba mumuviri;
- kurwadziwa mukati mekunaka hypochondrium;
- kusvibiswa kweganda pamapfudzi emafudzi, kufanana kwezvibatanidzwa, nekuvandudzwa kwechirwere, ganda rinosvibiswa mumuviri wose;
- akawedzerwa spleen;
- muscle pain;
- kunyavira mumuromo;
- kusada kudya;
- subfrible body temperature.
Varwere vazhinji kusvikira zvikamu zvekupedzisira zvechirwere hazvivhiringidzi. Kunyorera ganda kunogona kuva chikonzero chekushanyira dermatologist.
Pakupedzisira mapoka e-cirrhosis, hydrocephalus ( ascites ) inokura.
Pakati pevarwere vane biliary chiropa cirrhosis, kunyanya vakadzi vanowanikwa, asi varume vanotambura kakawanda.
Mukukura kwechirwere chemasero emuropa chikamu chakakosha chinotaridzwa nekugara nhaka.
Secondary biliary cirrhosis
Iyi fomu inowedzera nekuda kwekudzivirira kwenguva refu (kudzivirira) kwezvinowanzo bhati buct, iyo inonziwo cholechae. Zvimwe zvinokonzera chirwere ichi zvinosanganisira chilelithiasis uye mamwe maitiro ekuvhiya anoenderana, pamwe nekusingaperi kwepancreatitis uye neoplasms.
Chiratidzo chechipiri chechipiri chebriary cirrhosis ndotevera:
- itching;
- yellowing ye sclera uye ganda (rinokurumidza kutanga uye rakasimba);
- kushanduka muvara wemashanga (kubviswa kwavo);
- kushanduka muvara rwemuti kusvika kune mutsvuku;
- kurwadziwa mukati mekunaka hypochondrium;
- kuwedzera kwepleen .
Kakawanda, zviratidzo izvi zvinowedzera kubatana nehutachiwana hwehutachiwana hwehutachiwana hunosangana nehuwandu hwekushisa kwemuviri kuti uwane mafananidzo, chills, sweating.
Pazvikamu zvekupedzisira, avo vanonzi. portal hypertension, iyo inowedzera mukudzvinyirira mumusana wemasuo, pamwe chete nechimwe chiratidzo chechirwere chepirhosis - hepatic-cell insufficiency.
Secondary biliary cirrhosis yechiropa kazhinji inobata varume vane makore 30-50.