Kurwiswa kwechiropa, zviratidzo zvayo muzvisikwa zvakasiyana siyana hazvina kufanana, chirwere chisingaperi. Chirwere ichi chinokonzera kushandiswa kwemaviri ane chirwere chetsika ne fibrous connective kana stroma. Kana kusarirwa zvisina kukodzera kana kusazvidza chirwere ichi kunogona kuuraya.
Chii chinonzi cirrhosis chechiropa?
Nechirwere ichi, kuparara kwakanyanya kwechiropa kunoonekwa. Inoparadza mishonga ine utano uye inoisimudza ne fibrous fibers. Kunzvimbo kunotungamirira pakuumbwa kwemasero ehukuru hwakasiyana, izvo zvinoshandura chimiro chechirongwa. Chirwere chechiropa chechiropa hachiratidzi nguva dzose zviratidzo muzvikamu zvekutanga, asi nzira dzisingabvumi dzatotanga mumatumbu. Izvozvo zvinopedzisira zvichinyanya kuora muhuhu hwehupenyu hwomunhu.
Chii chinonzi cirrhosis chinozivikanwa munyika yose. Kana iwe uchitenda zvinyorwa, chirwere chacho gore negore chinotora vanenge 300 zviuru zvevanhu. Chimwe chinotyisa ndezvekuti kune kuwedzera kunowanikwa muhuwandu hwekufa. Muvanhu, hutachiona hunowanikwa kakawanda kupfuura vakadzi. Zviratidzo zve-cirrhosis zvinogona kupa panguva dzakasiyana, asi sekutonga, vanhu vanotambura nechirwere makumi mana.
Cirrhosis - zvinokonzera
Zvinhu zvakasiyana-siyana zvinotungamirira kuchirwere: mavairasi, matambudziko emagetsi, kushandiswa doro zvisina kunaka, zvirwere zvekuzvarwa. Kunyatsotsanangura kuti chii chakakonzera chirwere chepirhosis - chikonzero chechirwere - chinogona kungova tsvakurudzo yekuongorora. Kukanganiswa nde:
- Chirwere chaWilson ;
- kushungurudzwa kwezvinodhaka zvinotyisa;
- chirwere chakaipa cheChiari;
- kudhakwa;
- chronic heart failure .
Dorosilic cirrhosis yechiropa
Inobudirira pamusana pemigumisiro yakareba yewaini pachiropa. Iyo inotyisa inongororwa chete nehuwandu hweEthyl doro muzvinwiwa zvinopedzwa uye hazvibvi maererano nemhando yavo. Nhamba iyo inodhaka yekudhakwa inowedzera zvakanyanya inobva pane nguva inoshandiswa yekudhakwa nedoro uye yakawandisa. Munzvimbo ine ngozi kune vanhu vano:
- inwa doro zuva rega rega kwenguva yakareba;
- vane maitiro ekugara nhaka kune chirwere chepiritsi;
- zvisingakoshi kana zvisina kururama kudya.
Viral cirrhosis yechiropa
Kubva muzita unogona kufungidzira: hutachiona hwepirhosis hunokonzerwa nemavirusi. Zvinokanganisa hepatocytes, kupisa kunotanga, muviri unotora masero akaora kune dzimwe nyika uye kuvarwisa. Sekuguma, nhengo dzemaviri dzinofa uye haigoni kuita mabasa ayo zvakanaka. Kakawanda, chiropa chinonzi cirrhosis zviratidzo chinokonzerwa ne hepatitis virus. Pashoma kakawanda, chirwere chinokonzerwa ne cytomegalovirus , HIV, herpes virus kana Epstein-Barr.
Urwu rudzi rwechirwere chinoparadzirwa kuburikidza neropa. Mhosva dzehutachiona hwemukati dzakanyanya hazviwanzoitiki. Njodzi dzinokonzera kutapukirwa neviral cirrhosis:
- zvepabonde zvisina kudzivirirwa;
- kushandiswa kwemishonga isina kusviba;
- kuwedzerwa kweropa zvakasvibiswa nemakorikoromu emaprogenic;
- kwete-kuchengetedza kwepakutanga tsika dzehutano hwehupi.
Chirwere cheprhosis chechiropa
Iyo nzira yekusimudzirwa kwechirwere ichi yakafanana neyezvimwe zvose zvayo. Nei hepatic cirrhosis ichikura? Zvinokonzera chirwere, sekutonga, zvinowedzera zviitiko muhutano hwemwoyo. Kumanikidzika kwakanyanya mumusana wepena vena cava ane hutachiona kunokonzera kuputika kwevhepatic veinpatic neropa. Somugumisiro - muviri unotambanudzwa zvakanyanya, kuunganidza mukati memvura inodzika ropa, ischemia inokura, iyo inotungamirira ku necrosis ye hepatocytes.
Ndiko kusaka kunyange kuvhiringidzika kwechiropa chirwere che cirrhosis chinogona kupa:
- cardiosclerosis ;
- myxoma in the right atrium;
- chronic pulmonary heart;
- pericarditis;
- kusagadzikana kwemasral kana tricuspid valves.
Biliary cirrhosis
Kubudirira kworudzi urwu rwechirwere kunotangira nekukundwa kwebhuku rebhaariary. Kune miviri miviri mikuru yechirwere ichi. Chirwere chekutanga chebriary chinokonzera mafungiro evanhu, izvo zvinotanga kukurudzira kufambiswa kwecholestasis. Kune imwe nzira inotungamirira kune kukanganisa kwekubuda kwe bile. Kazhinji, biliary cirrhosis inowanikwa mune zvisikwa. Pakati pezvimwe zvinokonzera chirwere ichi:
- cholelithiasis ;
- cysts of bile ducts;
- purulent cholangitis;
- matumbo uye lymph nodes yakakura;
- basa re enterobacteria.
Zviratidzo zvechirwere chechiropa
Kuonekwa kukuru kwechirwere ndiko kurwadziwa kwemuviri munharaunda yekodzero yekunyengera, asi pane zvimwe zviratidzo zvechiropa chinonzi cirrhosis. Mukuwedzera, hazvisi zvisinganzwisisiki kuti chirwere chiitike pasina zviratidzo, uye murwere haatombofungi nezvekutsvaga kwake kwakaoma. Kuoma kwezviratidzo kunoshushwa nemunhu mumwe nomumwe unhu hwemuviri, danho rechirwere uye zvimwe zvimwe zvinhu.
Zviratidzo zvekutanga zvechiropa chinonzi cirrhosis
Mukana wekushongedza kwechiropa, yekutanga zviratidzo zvingasaoneka, asi kana chirwere chichizviratidza pachako, chinoitika nekubatsirwa kwe:
- kurwadziwa kwenguva nenguva mumimba, iyo inowedzera mushure mekudya mafuta, yakabikwa, marinated, doro;
- zvinetso zvepanguva dzedumbu remuviri (mune vamwe varwere, chido chinotambudza, vamwe vari kutuka, kusuruvara, kurutsa, chirwere);
- kutsamwa;
- kuneta kwakakurumidza;
- chishuvo chisingafadzi mumuromo;
- kuchena kweganda, mucous membrane, maziso epuroteni (vanowanzoteerera chirwere ichi pavanoona chiratidzo chechiratidzo chechiropa chinonzi cirrhosis).
Nhanho dzechirwere chechiropa
Chirwere chacho chinokura mumatanho akawanda. Kuoma kwechirwere ichi kunobva pane izvo zviratidzo zvinowanikwa nechiropa chinonzi cirrhosis. Mitezo mikuru ndeyotevera:
- Pachigamba chekutanga, chirongwa chekudya chinotanga kukura. Zviratidzo zvinowanikwa panguva ino - kusava nesimba, kupesana kwechido, kuderera mumagariro - varwere vakawanda vanobiridzira pa beriberi, kuneta, uye mupfungwa.
- Chikamu chechipiri chinonzi chikamu chekugadzirisa uye chinosangana nekucheka, kuchenesa kweganda uye mucous membrane, fever, nausea, kunzwa kwekurwadziwa mudumbu. Chimwe chiratidzo chinowanzoonekwa chechirrhosis ndechekuderera kwechiratidzo chekudya.
- Chikamu chechitatu chekudzikinura chinoratidzwa nechiitiko chakakomba zvikuru. Zvimwe zviratidzo zvinowanikwa munyaya iyi - mararadhi, kushambidzika nguva dzose, high fever, kupera kwakakosha kwehuremu, kusvibiswa kwemisungo yemakumbo ekumusoro, kusakwana kwese. Mikana yehupenyu hunouraya panguva ino yechirwere ichikwirira zvikuru.
- Apo chirwere chechiropa chinouya chikamu chekupedzisira, murwere anenge atova, sekutonga, anowira mu coma. Iyo nhengo yakagadzirirwa yakasimba kwazvo uye inoderera muhukuru, apo spleen inowedzera.
Ascites muropa rechiropa
Ichi ndicho chimwe chezvinetso zvakajairika zvechirwere. Ascites inokura kana zviratidzo zvikuru zvekushongedza kwechirwere zvisingaverengeki kwenguva refu. Nechiitiko ichi, mvura inowedzera mukati mechipfuva chemuviri, uye mudumbu inogamuchirwa. Chiropa nehitsvo chave chakatyamadzwa kwazvo zvokuti hachikwanise kushanda zvakanaka uye hachibvise zvose zvakanyanyisa kubva mumuviri.
Kutsanangura ascites kunogona kuva nezviratidzo zvekunze. Kana pasina huwandu hwemvura yakawedzerwa, kungoita zvishoma kuderera munzvimbo iri pedyo-buccal kunomhanya mumaziso. Pazvikamu zvekupedzisira, dumbu rinokura, uye murwere anoramba achishungurudzika. Mu ascites, peritoneum inowedzera zvakanyanya zvokuti mukadzi anorwara anogona nyore nyore kuvhiringidzwa nemukadzi ane pamuviri pamashoko ekupedzisira. Vanhu vazhinji vanowedzera kukurumidza uye vanonyunyuta nezvefivha.
Kurwara kwechiropa - chirwere
Usati watora chiropa chinonzi cirrhosis, zvinokosha kunzwisisa kuti hazvibviri kubvisa chirwere ichi, asi mumatanho ekutanga zvinogona kuderedza kuwedzera kwayo. Muhutachiona hwehutano hwehutano varwere vanorayirwa kuti vawane diuretics, uye ascites vanoderedza kudya kwemanyu. Kana zvirwere zvinotarisana nemhepo zvichionekwa, zvinokurudzirwa kutora glucocorticoids. Viral cirrhosis inorapwa nemishonga inodhaka. Kuti kusimbise chiropa, varwere vanofanira kutumira hepatoprotectors : Silymarin, Essentiale, ursodeoxycholic acid.
Dzimwe nguva kupindira kwokuvhiya kunodiwa:
- Mabasa ekudzivirira anobatsira kuvaka nzira itsva dzekuyerera kweropa;
- paracentesis yakagadzirirwa kubvisa mvura kubva ku peritoneum;
- chiropa chekushandiswa chinodiwa mumatambudziko akaoma zvikuru.
Kuti zvive nekuvandudza, murwere haafaniri kudzivisa kukanganisa mumuviri uye mupfungwa. Nechigumo chinogutsa, zvinokurudzirwa kuita tsika yekurapa uye gymnastics. Zvose, zvisingaiti, varwere vanoda kuchengetedza kudya. Kuti zvive nehutachiona muhupenyu husina simba, mune chero nzira ipi zvayo vanhu vane cirrhosis vanorayirwa mishonga inorwisa maitiro ezvidzivirira.
Kudya nokuda kwechirwere chechiropa
Chirwere ichi chinosanganisira kukanganisa kwakakwana kwezvakaomeswa, zvakakora, zvinyoro zvinyoro, zvekudya zvine mazana akawanda echolesterol. Izvo zvinodiwa kuti zvive zvakasiyana-siyana kudya nemichero mutsva - inowedzera bile excretion, kuitira kuti cholesterol ishandiswe zviri nani. Varwere vanoonekwa kuti vane chiropa chinonzi cirrhosis vanofanira kudya zvokudya zvinodziya. Kudya kunofanirwa kuva nguva dzose. Izvo zvinodiwa kubika zvokudya, kubika pane moto kana muchoto.
Ne cirrhosis, unogona kushandisa zvigadzirwa izvi:
- nyama yakaderera-mafuta;
- hove dzakaderera;
- porridge;
- nyemba;
- macaroni;
- low-fat fat sour cream;
- cottage cheese;
- kwete cheesy cheeses;
- juices;
- asiri asidi majiroji;
- soups pazvinomera muto;
- chingwa chakaomeswa;
- loose loose;
- mbiru muto.
Zvokudya zvechirrhosis hazvisi izvo zvinotevera:
- chingwa chitsva nemimwe michero yeupfu;
- michero yakasviba nemabriji;
- kofi yakasimba uye tei;
- sorele;
- radish;
- sipinashi;
- bhuruu eiii;
- doro.
Kurwara kwechiropa - chirevo
Hupenyu hunotarisirwa pane zvakadai hunoenderana nezvimwe zvinhu zvakasiyana, saka kunyatsotaura, nekurwara kwechirwere chechiropa vangani varwere vanogara, zvakaoma kana zvakaoma. Maitiro ane:
- kuoma kwechirwere;
- kuvapo kwezvinetso;
- kudya kwekudya;
- zvinokonzera chirwere;
- zera uye zvepabonde zve murwere;
- akaraira kurapwa.
Zvichienderana nechikamu chevanyori vezvirwere vanopa maitiro akadai:
- Inenge 50% yevarwere vanorarama makore manomwe uye yakareba.
- Nechitambo chakaoma chekudzikinura, tarisiro yehupenyu, sekutonga, haisi makore anopfuura mashanu.
- 20 chete - 30% yevarwere vane cirrhosis yechitatu chechitatu vanogara kusvika makore matatu.
- Panzvimbo yekupedzisira yechirwere, tarisiro yeupenyu haipfuuri gore.