Hepatic kukundikana

Chiropa kukundikana chimiro kanganisika, rinomiririra mukunopera ane chirwere. The chirwere inobatanidzwa dysfunction uye zvinetso achiperekedzwa neuro-mupfungwa hunhu namamiriro zvakaoma kwazvo, mune zvimwe zviitiko, kunyange pakoma.

Chiropa kutadza anogona kukonzerwa kutapuriranwa chiropa (zvirwere), chirwere chiropa, achiumburuka mu cirrhosis, alveococcosis, namamota, chisingaperi pfungwa nomuviri zvemwana asati obturation (occlusion) ari bile mutsinga dzinofamba nemukaka. Mhaka chirwere chacho uyewo hemodynamic rebipolar pamusoro kumashure hepatic tsinga occlusion, howa chepfu, hepatotropic zvinhu (kutungamirira, phosphorus nezvimwe) hwakanyanya simba zvinhu (operative dzokuvhiya, kutsva, maronda). Kurwara hwapedyo uye kusada mishonga (Anti-chirwere cheshuga zvinodhaka, chlorpromazine, etc), zvirwere achiperekedzwa extrahepatic cholestasis.

In pauduku chiropa kukundikana kazhinji nemhaka nehepatitis B.

Akapiwa mashandiro kuti chiropa kukundikana rakakamurwa kaviri.

Chokutanga endogenous. chimiro ichi chingaitika zvichikonzerwa maronda chiropa parenchyma uye hepatocytes ishande zvirwere.

Exogenous chimiro nokuda inflow ropa nomuti amoniya iri muropa zviri portal tsinga kubudikidza portacaval anastomoses.

Sezvo tsika inoratidza hepatic insufficiency ikabuda kakawanda muna zvakavhenganiswa chimiro. Panguva iyoyowo hunodzorwa endogenous zvinhu.

Chiropa kukundikana. zviratidzo

The chirwere chinogona kuitika mheni, chirwere uye rikwanise. Rakajairika ndiyo chirwere kukura chirwere. Pakutanga zvinonzi dzakaonekwa kuratidzwa hepatocellular insufficiency. Anoti zvirwere zvokudya, ganda yakaoma, ungaderedza turgor munyama, paumbwe dandemutande mutsinga, uye hemorrhages paganda. Gynecomastia anogona kuitika nokuda kuwedzera toxicity. Uyezve, zvichida kuwedzera kana kudzikisa chiropa, ascites kukura, akawedzera chirwatata. Kuratidzwa zvikuru chirwere dzinoratidzwa rinorema kukundwa. Varwere vari mamiriro ichi akaona pachangu kwakanaka kubva pamuromo, fivha, marwadzo pamusoro palpation.

Pakuzadzisa chirwere inozivikanwa kusagadzikana huta uye nepfungwa nemamiriro varwere. Kuchinja kwakadaro kuonekwa zvikonzero zvikuru dzinoongorora kwokuomerwa chirwere. Tichifunga zviratidzo zvinetso izvi dziya muzvikamu zvitatu.

The manotsi chokutanga usiku kushaya hope, kusagadzikana mupfungwa, masikati nehope, ndangariro vanotaura, dzimwe nguva, zvinoita nomusoro kana dzungu.

Danho rechipiri kunoratidzwa chetsinga zvinetso, zvishande zvirwere, kusvikira panowanikwa hepatic (encephalopathy) gepatargii. Murwere ane tremor nemiromo, maoko, anopenya, ataxia, famba meso, involuntary defecation uye weti. Zvichida pave delirious urwere, achiperekedzwa excitation pamwe Kuchinja retardation. Kana ichi kunoitika zvikuru raidudzwa zvachinja eeg kuverengwa.

Nokuti Danho rechitatu (the chaanoziva) kunoratidzwa zvikuru kuvhiringidzika. Pashure paizvozvo kunouya screeching uchikamhina uye ipapo - pakoma.

Kana fulminant hepatic kukundikana, rufu zvinogona kuitika mumaawa mashomanana.

Chenjera Kugadzirwa hosha kunoratidzwa unopinza kana subacute (zvishoma nezvishoma) Pazvinotanga, kunotora mazuva akawanda kune mavhiki. Zvokurwara anogona mune zvimwe zviitiko kumisa Paaizosvika rokutanga kana kuti rechipiri danho, asi, sezvo murume mutemo, izvozvo mberi rufu.