Zviratidzo zvepachiviri mumuviri zvinowanzosangana nekuwedzera kwechiropa chiyero. Kakawanda chikonzero chechiitiko ichi ndechekuvhiringidza uye kuvhiringidza zvirongwa. Mukupedzisa, vanachiremba vanonyora "hepatomegaly", chii-hachirevi nguva dzose kuvarwere.
Hepatomegaly - chii ichocho?
Kuona pakati pekupedzisira shoko rakadaro, chii chinonzi hepatomegaly - varwere vari kuedza kutsvaga kubva kunechiremba anoenda. Izwi iri rinowanzoshandiswa kureva kuchinja kwehukuru hwechiropa chikuru. Izvi zvinowanzotarisana nekushandurwa kwakasiyana-siyana mumatombo echirongwa. Panguva imwechete, chiropa pachacho chinogona kushandiswa nyore nyore munzvimbo ye hypochondrium (kazhinji izvi hazvigoneki).
Hepatomegaly haifaniri kuonekwa sechirwere chakasiyana, asi inongova kuratidzwa kana chiratidzo chechirwere chemuviri mumuviri. Zvakakosha kuziva kuti chiropa chinoumbwa nezvikamu zviviri, saka vanachiremba vanogona kuratidza kuti ndeupi wevamwe vanobatwa - kuruboshwe kana kurudyi. Izvo zviyero zvakananga zvinogona kutsanangurwa ne ultrasound. Nenzira yakakodzera lobe yakarurama ine uwandu hwemasendimita gumi nemaviri, uye kuruboshwe - masendimita manomwe. Kuwedzerwa kwezvinhu izvi kunonzi hepatomegaly.
Hepatomegaly - Zvinokonzera
Kana paine kuwedzera kwechiropa, zvikonzero zvisinganzwisisi kuna chiremba, kunyatsoongorora kunorayirwa. Inobva pamaitiro ehurdware, ayo anowedzerwa neongororo ye laboratori. Pakati pezvinhu zvikuru zvinokonzera kuchinja kwehukuru hwechiropa, vanachiremba vanodana:
- Kurwisa chiropa chirwere - cirrhosis , hepatitis , zvinhu zvinotyisa, chirwere chinodhaka chinodhaka. Mumamiriro ezvinhu akadaro, muviri unotanga kurira, unopera. Zvisinei, nekufambira mberi kwehutachiona, rufu rwema hepatocyte masero rinoitika. Mushure maizvozvi, nhengo inotora yaimbove yakatsetseka kwekanguva, asi zvino kushandiswa kwemagetsi kwemafa akafa evoid yakaitwa panzvimbo iyo inoitika. Zvirwere zvinowanzokura zvinokura nokukurumidza, izvo zvinokonzera kuwedzera kwechiropa.
- Kukanganiswa kweKonenital yemagetsi - glycogenesis, hemochromatosis. Pachirwere chokutanga kune kuputsa kweglycogen synthesis, iyo inoratidzika nekukundikana kwekufananidzwa kwesimbi. Somugumisiro, iyo microelement inowedzera mu parenchyma uye inotungamirira mukudzika kwayo.
- Zvirwere zve cardiovascular system. Nekuputsika kwakadaro, kusanganiswa kwemhepo kunokonzera mukati mechiropa kunoonekwa, sechikonzero icho chikamu chinova chinokanganisa.
Pakati pezvikonzero zvakare:
- mafuta ekuyerera;
- kutaridzika kwemasitasisita munhengo yezvinyunyuta;
- kusvibiswa kwemhepa yehepatic;
- kukanganisa kwemagetsi ekugadzirisa;
- kutungamira kwehupfu.
Partial hepatomegaly
Sezvo wakagadzirisa zvinokonzera kukanganisa kwakadaro sa hepatomegaly, chii ichocho, zvakakosha kuparadzanisa maitiro avo pachavo. Kuongororwa kwesarudzo hepatomegaly pachiropa kunoratidzwa apo shanduro ye ultrasound inoratidza kuwedzera kusina kukodzera munhengo. Kuchinja kune humwe humwe nzvimbo kana zvikamu. Semuenzaniso, hepatomegaly yezvakanaka zvechiropa zvinogona kuchinjwa neshoko rokuti "kuwedzera kusarudzwa" kwechirongwa. Anokanganisa kukanganisa kwechiremba kunogona nekunyorera - kunyoreswa kusina kukwana, kubhururuka kwechigadziko chakareruka.
Zvisinei, yekupedzisira kuongororwa kunoitwa zvichienderana nemashoko e ultrasound . Apo kusarura hepatomegaly inokura (iyo ndiyo iyo inokurukurwa pamusoro apa), chirevo chikuru chekuvapo kwadzo ndiko kukanganiswa kwemaviri evanhu. Nekuongororwa kwakajeka, ma-cysts, abscesses, uye matumende zvinogona kuonekwa, izvo zvinoratidza zvakananga zvekuchinja kusarudzo muglandu, chiratidzo chekufambira mberi kwehutano hwehutano.
Kupararira kwekuwedzera kwechiropa
Kuwedzera kwechiropa kunosvika 12-13 cm mumunhu mukuru kunoratidzwa nezwi rokuti "diffuse hepatomegaly". Muchiitiko ichi, kuchinja kunogona kuonekwa mune chero chimiro chemuviri: kuruboshwe kana kurudyi, ropa rekushandisa, iyo ducts. Kuchinja kwakasiyana-siyana kunogona kuitika mune imwe yezvivako zvemuviri. Kukurudzirwa kwemhando iyi yehutachiona, zvirwere zvinotapukira zvinowanzoshandiswa, zvakadai se staphylococcus uye streptococcus. Iko kuratidzwa kukuru kwehutano ndiko kurwadziwa kunorwadza murutivi rworudyi, kupa kune nzvimbo inowanikwa uye ruoko.
Hepatomegaly nerudzi rwehepatosis
Mune dzimwe nguva, kuwedzera kwechiropa kunowanikwa sechirwere chemafuta hepatosis. Nokuti chimiro chechirwere ichi chinoratidzwa nekuderera kwemasero eropa mukati mafuta. Dambudziko racho rinowanikwa apo nhamba huru yemafuta yakaoma inowedzera mu hepatocytes. Chirwere chechipatara ndicho chikonzero chekushandisa kwenguva refu yezvokudya zvine mafuta, uye zvinogonawo kusimuka kubva mukushandiswa kwemishonga.
Kazhinji, zvisikwa zvose zvinopinda mumuviri zvinopfuura nepachiropa, hazvina kukwana kumafuta asina kuoma. Zvisinei, nekuda kwekuti huwandu hwezvokudya zvemafuta hunopinda mumuviri, mafuta akawandisa anotanga kuunganidzirwa mumasero e hepatocytes, zvichiita kuti kuve kwekuita hepatomegaly. Chirwere chacho chinononoka. Kunyanya kunetseka kuvakangani ndiyo ngozi yakakura yekuderera kwemasero aya. Kushayikwa kwechirwere chakakodzera chemafuta hepatosis yakakanganiswa nekuvandudzwa kweprhosis uye chiropa fibrosis.
Chiropa chokuwedzera - zviratidzo
Zviratidzo zve hepatomegaly zvakavanzwa pakutanga. Kuwedzera zvishoma mujeri kunogona kuramba kusingaoneki kwenguva yakareba. Mukuwedzera, zviratidzo zve hepatomegaly (chii chinonzi - chakataurwa pamusoro apa) kazhinji chinokonzerwa nehutachiona, izvo zvakaita kuti kuwedzerwa kwehukuru hwechirongwa (hepatomegaly uye chii icho). Zvine kliniki inozivikanwa, chirwere ichi chinogona kuonekwa ne palpation, nechitarisiko chemuviri. Kutanga kuongororwa, vanachiremba vanoshandisa palpation (kuongorora) uye kupikisa (kubata). Zvisinei, kuwedzera kwechiropa kwekuwedzera nemaitiro akadaro zvakaoma kufungidzira.
Kana uchibvunzurudza murwere, kuunganidza annesnesis, vanachiremba vanocherechedza kuvapo kwezvinotevera zvinogona zviratidzo zve hepatomegaly:
- Zvinorwadza zvinorwadza, kunzwa kwechimwe chinhu, chigamba chiri kurudyi, icho chinokurudzirwa nokuchinja nzvimbo yemuviri.
- Kuonekwa kwezviputi zveganda zvakadai seasterisks, itching.
- Kubatana kwehutachiona mumakumbo emimba.
- Kuchengetedza kweganda (kanowanzo ka hepatitis).
- Kushungurudzika kwezvokudya zvekudya ( kuvimbiswa ).
- Kamwe kamwe kamwe kuwedzera kwehukuru hwemuviri.
- Nguva dzose kuora mwoyo uye maitiro ekufema kwakaipa.
- Nausea.
Moderate hepatomegaly
Kuwedzera zvishoma pachiropa kunogona kuongororwa chete nekubatsirwa nemichina ye ultrasound. Kuenzanisa hepatomegaly kunowanzoita kuti muviri urege kushandiswa, uye zviratidzo zvehutachiona zviripo zvisingabvumirwi kuwirirana nechipatara chechirwere, icho chiropa chawedzerwa. Chimiro chakafanana chechirwere chinowanikwa mune vanhu vanodhakwa zvinwiwa zvinodhaka. Kunyanya kunyunyuta kunorwadziwa muhana yakanaka ye hypochondrium yevanhu vasiri kusingaperi. Zvimwe zviratidzo zvehuwandu hwehepatomegaly kazhinji hazvipo. Kuongorora kunoenderana nemigumisiro ye ultrasound uye CT.
Anonzi hepatomegaly
Izwi rinoratidzirwa hepatomegaly chiratidzo chechirwere, asi chichiri kuchinja zvakare muhuwandu hwechiropa. Izvi zvakagadzirirwa kukanganisa kwakafanana ne hemoblastosis, leukemia, umo mune kusimba kwakasimba kwechiropa chiropa nemasero akaipa. Somugumisiro wekushandura kwakadaro, kufema kwekuwedzera kwezvibatanidza zvimedu, foci ye necrosis. Chiropa chinosvika kuhukuru hwakakura, huchitakura gwaro guru mudumbu remuviri.
Zviratidzo zvekuwedzera kwechiropa zvinoratidzika uye neziso rakashama: dumbu rinova guru, risina kukwana. Kuwedzera kunowanzotaurwa kune rumwe rutivi rworudyi. Aine hepatomegaly yakaoma pa ultrasound, vanachiremba vanoongorora:
- hukuru hwegoni;
- chimiro;
- ruvara rwechiropa.
Echo zviratidzo zve hepatomegaly
Painoongorora nhengo dzomuviri mudumbu, zvichiita ultrasound, chiremba anobva aona kuwedzera kwechiropa. Panguva imwe chete teerera mazwi ehutachiona, izvo zvinoratidza chikonzero chinokonzerwa nechirwere. Apo hepatomegaly inokonzerwa nehutachiona hwehepatitis, zvirwere zvepachirwere, chikwata chechiropa chinoshongedzwa. Ne fatty hepatosis, cirrhosis, chimiro chisingaperi chehepatitis, ehostruktura haina kukwana: iyo foci ye compaction, tuberosity, kukanganisa kwemasango uye chidimbu chechirongwa, kuchinja mumamiriro ayo kunogadziriswa.
Hepatomegaly - ndeipi miedzo yandinofanira kutora?
Kuvapo kwezviratidzo zvekukwanisa kuwedzera muchiropa ndiko kuratidza kuwedzera kwekuongorora murwere. Nokudaro, kuenzanisa chiropa hepatomegaly kunogona kusimbiswa pamusana pemigumisiro yacho:
- biochemical blood test (thymol test, bilirubin , ALT, AST, mapuroteni akazara);
- computed tomography yemudumbu cavity;
- radiography;
- kuongororwa kwechiropa kushanda mabasa, kuvhara ropa kuedza.
Hepatomegaly - nzira yekurapa sei?
Pamhedziso ye "hepatomegaly" kurapwa kunoitwa mumwe nomumwe, maererano nechikonzero chekuputsa. Therapy inotarisirwa kubviswa zvachose kwechirwere ichi uye kurwisana nekliniki zviratidzo. Utano hwakaoma hwe hepatomegaly hunosanganisira:
- basa rakaderera rechiito;
- hepatoprotective therapy;
- kunamatira kune chikafu chinokosha.
Hepatomegaly - ndeipi mishonga inotora?
Chero mishonga inowedzera kuwedzera kwechiropa inofanira kusarudzwa zvakananga mumwechete uye chete nechiremba. Nheyo yemishonga yekurapa ye hepatomegaly ndeye hepatoprotectors. Pakati pezvinodhaka zvinodhaka zveboka iri:
- Brentzialle forte;
- Lipostabil;
- Resalute Pro;
- Essentiale;
- Phosphogliv .
Apo hepatomegaly inokonzerwa nekudzivirirwa kune zvinodhaka pamuviri, vanachiremba vanorayira zvinokonzera kushungurudza:
- munyu uye mapuroteni solutions (sodium chloride, Regidron);
- zvikamu zveropa (plasma).
Kana chiropa ichiwedzerwa nemhaka yehutachiona, antibacterial therapy inorondedzerwa:
- Rifampicin;
- Neomycin;
- Metronidazole;
- Vancomycin.
Sezvo imwe nzira yekuchengetedza kudzivirirwa kwomuviri, maitiro ekudzivirira muviri uye zviratidzo zvekudzivirira muviri zvinoshandiswa:
- Interferon;
- Immunomax;
- Immunal.
Chiropa chokuwedzera - kurapwa nemishonga yevanhu
Kana pane kuwedzerwa pachiropa, kurapa kunofanira kuitwa kunze kwekutarisa kwachiremba, maererano nemirairo yake. Sezvokuwedzera kumushonga wekutanga, vanachiremba vanobvumirwa kushandisa mishonga yevanhu. Kubudirira mu hepatomegaly nde:
Herbal Remedies
Zvisungo:
- Leonurus - 1 teaspoon;
- sage - 1 teaspoon;
- midzi ye dandelion - 1 teaspoon;
- peony - 1 teaspoon;
- mvura - 500 ml.
Kugadzirira, kushanda
- Mishonga inosanganiswa, inodururwa nemvura uye inopisa moto.
- Itai kumota uye simmer pamusoro pekupisa kwakapera kwemaminetsi gumi nemashanu.
- Decoction kuvhara nekusimbisa kwemaawa matatu.
- Futa uye utore masikati pane kunwa.
Honey Inwa
Zvisungo:
- uchi - 2 tsp;
- juice - 2 tsp.
- mvura - 200 ml.
Kugadzirira, kushanda
- Zvose zvakanyatsovhenganiswa.
- Tora kaviri pazuva, mangwanani nemanheru.
Hepatomegaly - kudya
Kuudza varwere pamusoro pekuongororwa kwehepatomegaly, chii ichocho, vanachiremba vanocherechedza kudiwa kwekuvandudza kudya. Kudya nehuwandu hwechiropa kunoratidza kuderedzwa kwekudya kwemafuta uye kunorema kudyiwa kwezvokudya. Inopa zvokudya zvishanu nechisungo muchisarudzo chemiti. Apo chiropa chinowedzera:
- miriwo yemafuta;
- hove dzakaderera;
- miriwo, miriwo, michero;
- zviyo;
- chicken nyama, nyuchi;
- soups.
Chimwe chinhu chekudya kunovaka muviri mu hepatomegaly kuenderana nehurumende, kunyanya manheru. Kudya kunofanirwa kuitika pasina nguva inopfuura 7 dzemasikati, uye nguva yekudya pakati pezuva inofanira kuva maawa maviri nemaawa matatu nemaviri. Zvakakosha kubvisa kubva pakudya:
- bhotela;
- margarine;
- mazai (kwete kupfuura maviri pavhiki);
- sausage products;
- mafuta ane cheeses;
- nyemba;
- anyanisi;
- mapirazi yemiriwo;
- fried food;
- tomato juice;
- confectionery;
- chocolate.