Chiropa fibrosis: zvinokonzera, mifananidzo, kurapwa

Chiropa fibrosis ndiye zvishoma nezvishoma yaitsiva chiropa masero nokuda connective zvinyama, zvichiguma kunyanya kugadzirwa collagen. Hepatic fibrosis kunokonzerwa ropa riyerere vasingadzoreki ari hepatic tsinga, uye Kusiyana cirrhosis kunoratidzwa kusavapo foni patsva zvakakwana. The chirwere hwapedyo zvikuru zvishoma nezvishoma, hazvina unooneka, kureva. E. Asymptomatic. Zviratidzo zvokutanga zvinozarurwa chete pashure matanhatu kusvika masere nemakore.

Pari patsanura zvinoverengeka zviri chiropa fibrosis. Idzi dzinosanganisira: refu-refu zvinodhaka, doro chepfu uye chepfu, nenhaka, vachiberekwa fibrosis, chisingaperi nemavhairasi chiropa, chirwere cheshuga, kufutisa, kwenguva refu kushayiwa zvimwe mamineral mavhitaminzi.

Kukura chiropa fibrosis kunotungamirira vakadaro chadzo uye STRUCTURAL nemigumisiro sezvo kutyora maitiro mukutsinhana pakati ropa hepatocytes vari sinusoids, shunting ropa, kufambisa kukura cirrhosis, kurasikirwa kushanda zvakanaka uye kuderedza chakarondedzera kuchirapa mabasa.

Zvichienderana muitiro wayo kuitika localization kusiyanisa zvinotevera siyana chirwere:

- perivenulyarny uye venular fibrosis kuti anova pakati mubereko uye pamusoro pamasvingo hepatic mutsinga. The kupfuura hunhu kwakadai fibrosis nokuda chisingaperi zvemwoyo chirwere uye chisingaperi chidhakwa chiropa;

- pericellular fibrosis. Most kazhinji kuonekwa doro chiropa chirwere uye chisingaperi nemavhairasi chiropa;

- septal chiropa fibrosis kuti kunoitika munharaunda Kukunda necrosis;

- mumwe portal uye periportal hepatic fibrosis, izvo ndiye anozivikanwa kuchiitwa chisingaperi chiropa dzakasiyana mavambo: nemavhairasi, autoimmune kana doro;

- periductal (cardiac) chiropa fibrosis pasika chinonzi sclerosing cholangitis uye tiri concentric yokuwedzera fibrous zvinyama akapoteredza bile yakasiyana caliber tubules;

- Mixed fibrosis ndicho chimiro, umo vari akapa kumwe fibrosis mu ratios siyana.

The chikuru zviratidzo chiropa fibrosis pachena kusvikira makore mashomanana pashure pakatanga chirwere vari:

- kuvapo ropa kubva esophageal varices;

- kuwedzera kukura chiropa;

- pakuwedzera chirwatata;

- thrombocytopenia.

Chiropa fibrosis zvakaoma chaizvo kurapa, iyo kazhinji kutaurirwa kururamisa huripo chirwere syndromes. In kuvapo vakaratidza hypersplenism vaiita splenectomy pamwe nokuiswa splenorenal anastomosis. Kumisa ropa dilated somugumisiro varicose mutsinga mudumbu uye yegurokuro, endoscopy kana sclerotherapy kuti mutsinga gastrotomy pamwe stitching.

Kudzivirira hepatic fibrosis ndiwo kurasa tsika dzakaipa, kuderedza nemishonga chakaita zvokugadzirwa mavambo, kana kufuta - kutora matanho kuchiparadza, kutamira kurudyi akanaka kudya kunovaka. Dzakamukurudzirawo supplementation kuti zvisaririra zvinhu uye mavhitaminzi. Pamusoro kuonekwa kuti chiropa fibrosis vanofanira kuderedza mutoro pamusoro pechiropa, tiite vaitarira dzose zvinodhaka anobatsira kuchenesa chiropa uye yabudiswa zvavo, uyewo normalization unoshanda. Fungidziro hunoenderana hworudzii fibrosis yakatanga. Vachiberekwa fibrosis fomu hariwanikwi chaizvo.

Yeuka kuti hepatic fibrosis hwapedyo pasina zviratidzo kwemakore akawanda, kusvikira pave cirrhosis, saka kana uri chirwere "chiropa" kana kana uine chiropa kukundikana, pane mukuru ndingangokuvara kubatwa kuti chiropa fibrosis kwacho.