Hepatic necrosis: Zviratidzo neMarapirwo

Apo kunoitika pasi pokudzora inokuvadza kwokunze uye munyika zvinhu zvishoma nezvishoma rufu hepatocytes nokuda pakupera ropa wedzerai, muchiitiko ichi kuumbwa chiropa necrosis. Kazhinji maperembudzi akaratidza kurwadza nezvekufadza zvakarurama hypochondrium, kuda kurutsa, kurutsa, yakakwirira muviri tembiricha, Zvichakadaro ikure chiropa. Kuti asimbise chirwere kuti "hepatic necrosis", inoongorora, nyanzvi dzinokurudzira kuti nokukurumidza nokuda kwenhoroondo mishonga achavaponesa nemigumisiro yokurapa.

Chii hepatic necrosis

Ichi chimiro chirwere achiumbwa pasi colour ropa kuyerera kusvika munyama muviri semubairo zvemaziso, kemikari kana chafariz migumisiro. Necrosis zvinowanzoitika munharaunda uye yakajeka kumicheto. Somugumisiro zvinokuvadza kuti zvinyama kutanga akaora pamwe zvishoma nezvishoma kurambwa, kana riri utsotso yavo paumbwe imwe kumbonyanya batana vanga.

Hepatic necrosis ane huru mbiri dzokunamata kuyerera:

1. The chirwere achabatsirwa kusingarapiki urongwa, vakakuvadza pakarepo unooma pamusoro parenchyma.
2. Necrosis achabatsirwa nokukurumidza chiropa necrosis nyama dzomuviri.

Maererano nenyanzvi, chirwere ichi dzinoratidzwa kumbonyanya nokukurumidza kunoita. Kana nguva hakuiti pakurapa chirwere, muchiitiko ichi, vari pfupi, vasanyanye kuti chiropa necrosis uye chinokosha chikamu. Nekuti kuchiita murwere kwakadaro kunogona kuwira hepatic pakoma, izvo kazhinji kacho chinourayisa.

huripo mhando

Hepatic necrosis hama kuti patsanura nzvimbo tishu necrosis. Somugumisiro, zvinotevera mhando chirwere:

• Necrosis veko maronda. Izvi Chirwere kunoratidzwa maronda nomunhu nhengo dzomuviri.
• Zvatichiri necrosis chiropa. chirwere ichi anovandudza zvakananga panguva cellular chechetere.
• Akapararira necrosis. Kukura ichi Chirwere kunoratidzwa maronda ose hepatocytes dzakasiyana nzvimbo muviri.
• Bridge. Kuri mumashoko ichi mhando kubatanidzwa nomumwe kuva chete zvose akuvara muviri site, nokudaro wezvamatongerwe necrotic zvisungo.

Muhombe necrosis uye hepatic chaanoziva

Wandisa necrosis chiropa zvinofanira kusimbiswa yega, nekuti ndiye isingarapiki hunhu uye kazhinji kunotungamirira kurufu murwere. Kazhinji, izvi Chirwere achiumbwa pasi pakanyorwa nehepatitis kana chepfu chepfu mumuviri. Maererano nenyanzvi, hombe necrosis iri rikwanise nzira chaizvo, zvinonyatsorehwa chimiro iwayo maronda.

With muhombe chiropa necrosis, murwere ari raidudzwa jaundice, fivha, tsinga atadze kushanda zvakanaka. Pane misiyano inoverengeka kutanga ichi: nomuzvarirwo uye kuburikidza renal pakoma. Kazhinji, vanachiremba vane 3 Misiyano chaanoziva:

1. Kwatangwa. Murwere ane chiropa kwamira kuita chinangwa chawo, naizvozvo zvinokachidza kupinda dzimwe nhengo, uye uropi hakuna anosara. Somugumisiro, pane chikuru chiratidzo - kukanganisika tsinga.
2. Exogenous. anozivikanwa rwakadaro haasaruri zvaipesana nhengo basa, mumuviri, kazhinji kuunganidza amoniya, iyo inotungamirira kuupenyu zvikuru kudhaka.
3. Hypokalemia. In chimiro ichi zvirwere muviri kushanda rinoitwa omei. Zvinofanira kucherechedzwa kuti akashatiriswa zvikuru electrolyte mwero chinokurwadzai kupera muviri, uye somugumisiro, iri kwezvinoshandiswa.

siyana chirwere

Hama kune aibuda chirwere hosha ane-siyana. Chinonyanya kusangana vari:

• Coagulation. A chiri chimiro ichi chirwere unongova kuparadzwa hepatocytes zvakapfumisa mapuroteni. Chikonzero kukuvara anova masero emadhaka umo karusiyamu ions, uyewo kuwedzera enzymatic basa muviri. Nyanzvi kusiyanisa subtypes chimiro ichi chirwere: kukwana uye kwakakwana. Mienzaniso dzinoratidzwa kuti pane hurongwa nadzurudzo anoshongwa nhego masero. Full, akavapindurawo, iri dzinoratidzwa RUBATSIRO RUNOTARISA zvakuvadza hepatocytes. Tichishandisa kunze zviratidzo zvaparadzwa masero dzikava kwemashifiti Homwe pamwe pasvurwe ari muchimiro kirisendi. Kazhinji, vane chirwere provocateurs chirwere.
• Kollivaktsionnaya. Ichi chimiro chirwere vanowanzotanga zvemamiriro Kusiyanisa pakati hepatocytes vane yakaderera mapuroteni kugutsikana. Chii hunhu sechivako zvibereko pasina sero neerekitironi. Nyanzvi dzinoti kuti necrotic masero vanoonekwa ne zvikuru kukura vane miganhu zvakajeka. Kazhinji, ivo dziri ari kure kubva ropa Kusasvika nhengo zvinyorwa. Mumakore nguva inotungamirwa anogona kuva collimation zvatichiri necrosis. Hama simba akaratidza, uye nzvimbo unhu hepatic lobules ndedzinotevera necrosis subtypes: zvatichiri, zonal tsentrolobulyarny, submassive uye hombe.
• Speed. Ichi chimiro chirwere vanowanzotanga kutungamirira necrosis pamusoro hepatocytes, riri pedyo portal tsinga unotii. Provocateur inotungamirwa chirwere chinhu yakapinza kudzikira mukufamba hepatitis cirrhosis.
• Fulminant hepatic necrosis ndiyo yakanyanya chimiro chirwere. Nyanzvi dzinoti akuvara guru-kwakaita hepatocytes, uye pakarepo foci vanosvika rebei saizi. Fulminant hepatic necrosis kunoratidzwa vazhinji pakati unooma kwemheni zvinhu, izvo kunowedzera ngozi rufu.
• Panzira chimiro achiumbwa pasi pakanyorwa rallying akafa nzvimbo parenchymal nenyere. Iri fomu chinoratidza kuti rikwanise. Nyanzvi dzinoti chimiro ichi chirwere yekudyidzana kunowedzera ngozi yokubatwa untreated ropa vachipinda zvomukati.

causation zvirwere

Maererano nenyanzvi, zvinokonzera kuti kungamutsawo paumbwe chiropa necrosis, mumwe mujenya. Chinokosha zvinokonzera chiropa necrosis - nhego kukuvara. Ukapisa murwi vari semunhu ari kwokunze zvikonzero chirwere. Uyewo, dzokunze chikonzero vanogona rakava uye kukuvara nemwaranzi. Nyanzvi dzinoti vakawanda zvinokonzera zvirwere zviri kutapukirwa noutachiona. Zvirwere avo rakava chiropa B, C, D. In varwere vakawanda vane chirwere chakadai chiropa B, rikwanise chiropa necrosis kuchengetwa. For kwenguva refu kana kugara kushandisa doro murwere gepatos kuumbwa, iyo gare gare runoyerera munzvimbo chidhakwa cirrhosis chiropa, izvo, akavapindurawo, nokukurumidza degenerates rive necrosis.

Kunokoshawo hwaro chirwere kukura ndiko kudhaka. Chepfu zvinogona kuitika somugumisiro mazhinji doro panguva yokurapwa, kwokubatsira marwadzo zvinhu. Tichishandisa anodzokorora nezvokurara, chiropa necrosis anogona kunyange kumutsa munhu wechisikigo mangwanani chirwere vakadzi vane pamuviri panguva yechipiri hafu amai.

vanoumba necrosis chawo chingava sepsis. Rinomirira wandei nekuomarara oncology, sezvo panguva Mabatirwo chiropa chirwere chinoparira wandei kuvhunduka. Vanachiremba vanoti chiropa aigona kungoti haana kukunda mabasa uye kutama mhiri chehupenyu manyowa.

Panewo ngozi paumbwe necrosis somugumisiro imwe nhengo yomuviri nokuisazve. Sezvo vakadaro kuti dare risinganamatirani midzi, zvichiguma kuramba ichi zvinoitika tiri pezvakaitwa uye putrefaction. Muzviitiko zvakadaro, murwere kwakaoma kuponesa nekuti pane mheni ropa chepfu.

Zvikonzero kukura necrosis kunganzi zvenhando Pakutanga, kukanganisika muviri.

zviratidzo

Sezvo vanachiremba, kwenguva refu, zviratidzo chiropa necrosis ndiye "nyarara." Somugumisiro, zviratidzo mashoko okutanga ndivo nonspecific.

Hepatic necrosis Zviratidzo zviri kutanga danho nokuumba unotora:

• Svoto.
• Kurasikirwa kudya.
• Kushungurudzwa nechigaro.
• Kurutsa.
• uremu.
• Jaundice.

Panguva akanaka bonde necrosis kunogona kuitika nokuvhiringidzirwa kumwedzi, uye varume, akavapindurawo, pangava nezvinetso potency.

Kukura chiropa necrosis zviratidzo vanotanga kuratidza yakajeka zvikuru. Matanho hunotevedzana dzichiri chirwere ichazivikanwa noku kuwedzera abdominal nzvimbo, kuzvimba muzvitsitsinho.

Zvinotevera zvingaratidza kuitika munguva Danho rokutanga kuva chirwere:

• Kuneta, lethargy.
• Kuramba kudya.
• Vanoswerera nemanzwiro svoto.

Dzinenge kuratidzwa zvirwere kunganzi:

• Kujairika ruvara weti uye mutsvina yadzo.
• Varicose mutsinga.
• Nokudedera ake.

Kamwe mumuviri kuitika zvimwe chakakomba muviri nadzurudzo, pakadai zvinogoneka kusiyanisa zvinotevera zviratidzo:

• Kuwedzera kukura mudumbu. Kazhinji, chikonzero nadzurudzo iyi pamusaka mvura.
• Spazmiruyutsya marwadzo zvakarurama repamusoro quadrant.
• Entrainment miganhu chiropa uye chirwatata.
• Nokusakendenga, aone zvinhu zvisipo.

Chirwere kuti chiropa necrosis

Kuchangotanga inotungamirwa vanofungidzirwa chirwere murwere vanofanira kubvunza nyanzvi yakadaro:

1. Gastroenterologist.
2. Chiremba.
3. Resuscitator.

Sezvo hepatic necrosis (zviratidzo uye kurapwa zvinogona tsunga bedzi vanokwanisa nyanzvi) chirwere ngozi, vanachiremba havana kuvakurudzira kuzvipira medicate. Nekuti pasina kuziva chirwere unogona chete kutowedzera chirwere.

diagnoses anokosha maitirwo ezvinhu:

1. US.
2. MRI, CT Scans ari akuvara nhengo uye biliary turakiti.
3. Single photon achine CT.

Kana yakananga parenchymal kukuvara maronda kutsunga kushandisa ichi chirwere. Kuti uwane mamwe mashoko pamusoro akatendeka zvakananga kuerera uye hunhu akakuvadza rinenge vainyanyoshandisa tsono biopsy.

Bata chiropa necrosis - zvinhu nzira

No nyanzvi pasina kuenda kuburikidza nechirwere haasi kuisa chirwere "necrosis chiropa." Marapirwo kunonyanya rinotanga kubviswa zvinokonzera paumbwe chirwere. Maererano nenyanzvi, rinokosha chikamu zvinokonzera zvirwere zviri nemavhairasi chiropa. Somugumisiro, nzira yokurapa zvinosanganisira antiviral mishonga. nhamba iyi zvinoreva chairwo maitiro kuchengetwa, saka, kushanda kwavo ungacherechedza pashure pechinguva.

Zviri fanira kwebasa rinofanira hepatic kwomuchipatara zvinoshandiswa kutsigira chero kumutsidzirwa mashandiro muviri duku kukuvara wakananga. Uyewo, nyanzvi vanoomerera kuti murwere zvasiya muropa zvose, zvimwe kurapa haazogumisi zvakwakanakira.

Kana mhaka chirwere ndiye paumbwe kudhaka ane muviri, muchiitiko ichi, mishonga unotora matanho hama detoxification.

Kana chiropa necrosis (zvirwere Photo akurukurwa munyaya) akanga kukonzerwa cirrhosis, umo nyaya inokosha nzira yokuporeswa ndiko kusiya doro uye gepatoprotektory kubatsira kugadzira muviri.

yevanorwara zvikuru

Direct bata varwere rikwanise chiropa necrosis rinoitwa weDhipatimendi ndichibvunza mishonga.

Ndichibvunza kurapa nokuti hepatic necrosis pakarepo kutaurirwa kuchaitwa, achinyanya chiropa kukundikana.

misimboti:

• Treatment chinotungamirwa kubvisa zvinokonzera kuti wakatsamwisa chidzoke zvirwere.
• Healing vanofanira kutanga pakarepo.
• Fanira murwere muchipatara.
• Healing nechinangwa kuramba zvakananga muviri uye seboka.
• Sezvinoratidzwa vakawanda wongororo ose nyanzvi, kana iwe kubvisa mhaka paumbwe chiropa kukundikana muna 10-zuva nguva, apo kuramba murwere rutsigiro upenyu kunobva patsva ose hepatocytes, iyo inoita kuti munhu, pakutanga kwezvose, kuti vapone.

zvavo mishonga

Nzira kurapa kungaitwa pane kwakajairika kurapa chirwere ichi hachisi chipo. Asi somunhu prophylactic Recipes emishonga zvetsika ingangodaro kushandisa. Kuti uvandudze chiropa functionality inogona kushandiswa akamuka hudyu, calendula maruva uye Helichrysum. Unogona kugadzirira anoporesa aizomupa miti izvi.

Diet chiropa necrosis

Apo chirwere kuti "chiropa necrosis," murwere vanofanira kusiya doro. The kupinda Chiremba anofanira hazvo kuva uye kupenda zvinovaka muviri Muterere.

Kazhinji, mune chirwere chakadai aishandisa № tafura 5, iyo achipfeka kubviswa zvakakwana munyu. murwere Kudya rinofanira kubva zvinhu izvi:

• Miriwo.
• Fruits.
• Kashi.
• Brown chingwa.
• Mishonga nyama.

Zvinokoshawo kuti kuteerera nzira yokubikira. Foods nani kubika, kubheka kana bikai pamusoro hwemvura kugeza.

Kislomolochku inogona dziri zvokudya, asi mune diki zvakawanda. Hove vanobvumirwa wedzera Mishonga Muterere, sezvo panobva zhinji chero zvinhu.

Asi tinofanira kurangarira kuti mishonga ipi chirwere ichava zvikuru kutanga kuonekwa uye kurapwa. Somugumisiro, kuratidzwa zviratidzo chirwere vanofanira kubvunza nyanzvi.