Steatohepatitis - chii? Zviratidzo uye Mabatirwo steatohepatitis

Maererano avhareji data, zvirwere chiropa chokuita zvinetso mafuta muviri, vari kuva zvapararira. Izvi vanhu kunyanya America uye Europe, izvo kakawanda nechirwere yamanenji "steatohepatitis." Chii uye sei kudzivirira zvokurwara ichi? Izvi ndizvo zvichakurukurwa kukurukurwa.

Nemafuta chirwere uye steatohepatitis

Nekuti metabolic acylglycerols (mafuta) uye oxidized zvigadzirwa ari nemudumbu dzinosiyana nemamiriro chiropa pachayo. Asi chinonyanya ngozi chinhu ndechokuti kuchinja aya zvachose zvisingaoneki, kureva, hazvina kukanganisa mamiriro eutano munhu anorwara. Kanenge, sokuvapo murwere haadi kupfuura zvokurapa kuongorora. Zvakakosha nenguva rokuongorora uye nomazvo kurapa sezvo masero chiropa rokufa ne connective tishu. pezvakaitwa kwakadaro kunokonzeresa kutyisidzira yematambudziko akadai chiropa cirrhosis. Murume akafanana chirwere kunokosha kuomerera kudya.

Steatohepatitis - chii? Hosha rinowanikwa muna nechokumashure ZHZP (mafuta chiropa chirwere), izvo chinokurwadzai zvirwere zvakawanda: neBP, kufutisa, chisingaperi hyperglycemia chirwere, atherosclerosis, etc. Somugumisiro chiropa masero cluttering triglycerides (kwazvakarerekera mafuta), nokuti iyo kwayo mamiriro kuchinja uye .. anovandudza steatosis. Nokufamba kwenguva, kutanga muna hepatocytes oxidative pezvakaitwa kuti aparadze masero chiropa. Somugumisiro chokutsva, iyo chinokurwadzai nokuratidzwa statogepatita. Kune zvitatu siyana chirwere: chidhakwa, asiri chidhakwa uye zvinodhaka.

chidhakwa chimiro

Kakawanda doro stetogepatit nayo kunoonekwa vanhu vanotambura nekuora udhakwa, riri pamusoro 35%. Nekuti 95% midzimu vanoparadzwa chete chiropa mumasero, izvo kunokonzeresa inobata kushanda kwayo. Chepfu migumisiro panyaya iyi pamusoro chiropa kunokonzeresa hunokonzera kuzvimba muviri.

Izvi kunoratidzwa kurwadza nezvekufadza munzvimbo micheto (kurudyi), psychopathological zvirwere, dyspepsia, uye icteric zviratidzo. Chiropa kunowedzera uye anova yakasimba, iri pachena oneka nokuda palpation, iyo hunokonzera mikukutu kurwadza. Kunze wokukudza mutsinga dziri yegurokuro, izvo vanotyisidzira pezviri kubuda ropa.

Nokuda vawedzere anogumbura basa transaminases, triglycerides kunowedzera. Change hombe nzira bilirubin zviratidzi lipophilic doro, alkaline phosphatase, etc. kupfuura pachena chiratidzo - .. This kuderera transaminase (hepatic makemikari) pamusoro kurega syndrome.

Rokuongorora chisingaperi steatohepatitis zvinogoneka chete pashure kuongorora zvizere: rabhoritari data, Ultrasound, biopsy, palpation, uye kutaurirana chiremba.

Zvakakosha kudzivirira chiropa masero kubva kukuvara uye kubvisa kana kuderedza kuzvimba. Rega kuwandisa connective zvinyama mumuviri uye kudzivirira kukura cirrhosis.

Alcohol unoshandiswa zvachose wairambidza! Zvikasadaro, kurapwa maturo.

Nonalcoholic chimiro

Metabolic steatohepatitis kunoitika nekuti supersaturation chiropa masero kwazvakarerekera mafuta - triglycerides. Uye sezvo Somugumisiro - oxidative uye anogumbura urongwa, kuparadzwa masero omuviri, kuwanda kwezvinhu connective zvinyama uye kukura cirrhosis. Mumakore achangopfuura, zviitiko asiri chidhakwa mafuta chiropa kwakawedzera.

The chirwere kunoitika pamusoro mamiriro yokufutisa, pancreatic zvirwere, kusagadzikana lipid muviri, zvikuru uremu. Uyewo, chikonzero chingava murombo muviri, zvinoti mapuroteni kushaikwa, akaderedza antitrypsin sandara, uye zvichingodaro. D.

NASH anogona kuitika oga kana kuva mugumisiro nezvimwe zvirwere. Pasina Murabhoritari kunovhenekwa vanhu varege kuona zviratidzo zvayo. Transaminases vari kusashanda, chiropa kukura kunowedzera. Vanhu vakawanda nechirwere NASH vakati kuna chiremba pamwe zvichemo nedzimwe hosha.

Kuti kurapa kana kumisa kukura chirwere, zvakakodzera normalize oxidation pezvakaitwa, kuwedzera chokufambisa yokusava mafuta kubva chiropa kuderedza kuunganidza mafuta ari mumasero omuviri, uye oxidative kudzikisirana pakati lipids. Oxidants sezvamunoita kundikuvadza membranes, tsinga harinzwi uye inoparadza STRUCTURAL chairema nucleic acids.

Kwomutoro chezvinonhuwira kurapa - ndiko kudya. Sarudzai zvokudya kunokosha mumwe nomumwe nomumwe nyaya, sezvo nzira hosha pavarwere zvose yakasiyana. Uye nemhaka yakanyatsofungwa zvokudya mushonga chingamisa oxidation uye anogumbura pezvakaitwa uye kumisa kufambira mberi chirwere.

It ichikurudzirwa zvakasimba mwedzi mitanhatu ose zvakaitika rimwe fanira zvokurapa aongororwa chirwere haangatongozununguswi kune zvakakomba chimiro.

chipimo chemushonga fomu

Chimwe chimiro - somushonga steatohepatitis. Chii uye nei ikoko? Chimwe chinhu ndechokuti chokwadi: chikonzero chiri kwete kushandisa doro. Sezvo zita rinoreva, chimiro ichi chirwere kunoitika nokuda chiropa Hour zvinodhaka zvine ngozi. Nokuti vakadaro ndivo tetracycline nemishonga, chakaita zvokugadzirwa estrogens, "chloroquine," "ita Lago", zvinodhaka kubata nemavhairasi immunodeficiency, antifungals nevamwe.

Kana ukatora mishonga pangozi kwenguva refu, zvinogona kukanganisa functionality chiropa. Kureva kutyora triglyceride oxidation pezvakaitwa kuti vakawanda OOP siyana (zvinodhaka steatohepatitis), zviratidzo zvacho chisingafadzi chaizvo uye zvaioneka. Ndokusaka unofanira kuomerera pane kosi zvakajeka kurapwa, sezvo matambudziko anogona kuitika. Zvikuru ngozi zvokurwara - ndiko necrosis chiropa masero rworwendo siyana zvakaoma.

Pangozi ndivo vanhu vane atoona kutyora chiropa chaitika. Tora mishonga izvi zvinogona chete kuva pamusoro dzinoenda ari kupinda chiremba uye pasi ake kunyatsoomerera kuzvidzora. Zvinonzi zvikuru varumbidzwa pamwe zvinodhaka zvine ngozi kutora gepatoprotektory.

The dhigirii rokuparadzwa

Histology uye chikamu chiropa sero kuparadza rinoratidza hosha yava pachinhanho chii okukura.

Steatohepatitis usingashandi mwero webasa tikafunga metabolic zvirwere uye kunoratidzwa kuzvimba mumapapu. About 35% of masero kubatwa kukuvara. vachiri pavaipfuura chirwere Nokuzivikanwa kunovimbisa tibudirire kurapwa.

Unogona kutaura pamusoro chakakomba chimiro chirwere: mafuta matema anotsanangurwa muna 70% masero, uye izvi zvose zviri kuitika tikafunga zvinonakisa inorema kushoma.

steatohepatitis wakatsamwisa mwero basa nezvimwe zvirwere hwokuratidza kukuvara anenge 68% of masero, ane anogumbura mhinduro haisi zvakare nyanyisa, asi zvikuru kuoneka kupfuura kutanga danho.

zvikonzero

The dambudziko chinokonzera panowanikwa chirwere ichi - a metabolic nyonganyonga, izvo zvingava migumisiro chidzoke yokufutisa, kana, Ukuwo, rakapinza uremu. A kuzviomesera kudya kana nokudyisa, zvakare, kungamutsawo chiropa steatohepatitis.

The kukonzera chirwere:

• Metabolic nyonganyonga.

Izvi zvinosanganisira kufuta kana kamwe nokurasikirwa uremu muviri somugumisiro zvokudya zvinovaka muviri. Kwemakemikari anobudiswa zvirwere, metabolic chinovanetsa, zvakazoita muropa shuga rinobuda zvikuru. Changing nhamba lipids (mafuta-kufanana zvinhu) zvese. Administration kuti shuga muropa kubudikidza intravenous nzira. Yezwi zvizere pamuviri kudya.

• Drug kudhaka.

Vamwe mishonga inogona kukonzera steatosis, chinoguma nenzira glut kuti chiropa sero mafuta. Izvi zvinogona kukonzera steroid mahormone, zvinodhaka izvo tunodzivisa kana zvachose vasaziva muchitokisi nokupesana. Uyewo nemishonga kurapa zvirwere, uye vamwe Anti-anogumbura yomuchipatara kuti kuderedza fivha uye marwadzo.

• Operation munzvimbo yacho nemudumbu.
• bowel diverticulosis (saccular miganhu intestinal rusvingo).
• Gepatotserebralnoy dystrophy. Iyi ndiyo nhaka chirwere dzinoratidzwa zvinetso mhangura muviri mumuviri.

symptomatology

Sezvambotaurwa, zvichienderana zvikonzero kuti anokonzera kuzvimba iri hepatic mumasero, pane mhando nhatu chirwere: doro, kushandisa zvinodhaka uye asiri chidhakwa steatohepatitis. Zviratidzo, zvinokonzera chirwere uye nzira kurapwa neimwe nyaya zvakasiyana.

Alcohol chimiro chirwere ane vakadaro zvinhu:

• Kukura chiropa inowedzera, zvinoramba zvichitowedzera kukosha gobvu, izvo yekudyidzana panguva palpation.
• Soreness ari kumicheto (kurudyi).
• Nomudumbu, zvinokonzerwa manyoka kana kupatira.
• Murwere sweats doro uye nguva dzose nenyota.
• Kunzwa kuneta uye simba.
• Kurasikirwa kudya, mumwe munhu anorasikirwa uremu nokukurumidza.
• Murwere nguva kurwara, kazhinji akaratidza kurutsa.
• Skin uye ziso sclera kuva tsvuku Hue.

Zviratidzo chipimo chemushonga siyana chirwere:

• Enderana marwadzo (kurwadziwa) chiropa.
• Kutyora bile secretion.
• The ganda iri nechepadivi nenzira dzakasiyana tsvuku Hue.
• Pane kushatirwa kuti ganda.

NASH ane zvinotevera zviratidzo:

• Kakawanda chinorwadza nezvekufadza chiropa.
• Murwere anonzwa kugara kufundumwara mudumbu.
• Kuneta uye kushaya simba.
• Nyota uye kunyanya ziya.

diagnosing

The ngozi ndechokuti kakawanda chirwere anononoka uye asina zviratidzo pachena. Huru ngozi chiratidzo - ichi kurwadziwa chiropa, ayo kuwedzera uye nenzvimbo.

mushonga ano ane nzira dzakawanda rokuongorora zvakasiyana siyana chirwere. Mumakore achangopfuura, vakawanda zviri vakanyoresa chidhakwa steatohepatitis, mishonga iyo - kunzwisisa chaizvo uye zvakaoma muitiro. Ndokusaka pakutanga kuenda chidhakwa nhoroondo.

Survey nzendo:

• Ultrassom chiropa kuti zvibereko zvayo uye kwokunze kuchinja.
• Laboratory nemiedzo nokuti Detective remafuta akawandisa pamwero, enzayemu hydrolysis, ari globular mapuroteni, bile ruvara, kwazvakarerekera kwemafuta uye t. D. mashoko aya achabatsira kuziva chii padanho pakukura chirwere chacho.

Kana nguva rokuongorora munyoro steatohepatitis, mukana kuti kunokurumidza kupora inowedzerawo.

Kana migumisiro kuongorora zviratidzo doro gepatoza asina kuzivikanwa, kutsvakurudza kuitwa musi non-doro chimiro chirwere:

• Biopsy, unosanganisira intravital fenzi chiropa mumasero murwere.
• Ultrassom kuziva kufuta kana kwemakemikari anobudiswa zvirwere. chidzidzo ichi rinoitwa ari chiitiko kuti hazvibviri kuti aite rimwe biopsy.

The chipimo chemushonga chimiro chirwere kungaratidza chiremba ndishandise zvinodhaka murwere pangozi. Nzira dzekufambisa Pakusarudza: Ultrasound kuongororwa CT Scans, rabhoritari nemiedzo kana Diagnostics pamwe biopsy.

The akanaka nzira - iri nzira kunzwisisa kuti dzichipfekeka Diagnostics.

Treatment uye matambudziko

Zvakakosha kubvisa chepfu migumisiro pamusoro pechiropa, kuwedzera muviri aikanganiswa jekiseni chiito. Uyewo normalize kuti muviri kwemafuta mumasero uye kudzorera zvirwere. Iri ndiro dambudziko guru kuti chiremba wake murefu. Steatohepatitis usingashandi mwero basa zvakanaka rinorapika.

Panyaya iyi, murwere vanofanira kuva nechokwadi kutevera kunenge ari nyanzvi. Kukosha tisanyanyozvidya muviri. Sports zvinoda kugadziriswa, asi zvine mwero: akabvumira kushambira, pilates uye achifamba mudungwe munzira. Izvi ndezvechokwadi kunyanya vanhu vane kufuta.

Diet kurapa inoratidzwa kuti mumwe murwere nomumwe. Zvinonzi zano zvakasimba varege chenjera uye mafuta zvokudya, aisvuta nyama, akasiyana-siyana marinades uye caffeine. Pasinei migumisiro yokurapa, zvokudya zvakakodzera kuchengeta zvechigarire. Zvinonzi zvaisambobvumirwa kushandisa (kunyange zvishoma) midzimu, sezvo chirwere kachitanga maziso.

Zvichienderana Chirwere (nedoro uye nonalcoholic steatohepatitis zvinodhaka) kurapwa riri kuitwa nzira dzakasiyana, vakanzi mishonga yakasiyana.

Asi unogona kusiyanisa zvinodhaka kuti kundorwa huru zviratidzo chirwere:

• Hypoglycemic yomuchipatara kunatsiridza jekiseni wanda.
• The Formulations pamusoro bile acids izvo kudukupiswa nezvebasa transaminases uye kudzivirira chiropa masero.
• Hepatoprotectors ( "Essentiale forte") muchimiro capsules kana ampoules. Zvazvinoita ndiko kubvisa kukwana uwandu phospholipids mumuviri murwere.
• Gipolidimicheskie mishonga (statins) kuti kuderedza ropa remafuta akawandisa mumatunhu.
• Chero chimiro chirwere, steatohepatitis kunyange zvishoma basa, zvinoda inpatient kurapwa pasi kuramba pokudzora unyanzvi. Sezvo vasina kurapa chinokurwadzai mukana necirrhosis, chiropa fibrosis, uye kunyange chiropa kukundikana.

dhayeti

Vazhinji vanhu vachitambura FH, vane dambudziko kufuta, asi nekuti mutambo uye hypocaloric Kudya - ndiwo mukana kupora. Pashure pezvose, kuitira kurerutsa kuzvimba chiropa, zvakakodzera kuderedza uremu. Kurwara, iyo vanoranga, iwe - steatohepatitis zvose izvi. Diet - ichi chinhu chinokosha zvikuru muna kupora kwacho. The pamazita mishonga kuti vaigona uye vaifanira kudya: huku (ganda havagoni kudya), nyama imwe mhuru, tsuro, yakabikwa hove (rwizi), mumwe puroteni-mafuta nomukaka zvigadzirwa kushoma. Animal mapuroteni, izvo huri zvokudya izvi, mafuta degeneration kwamakamuri kumisa pecheni.Chego hachisi chokwadi mhuka mafuta: gwayana, nyama yenguruve, nyama, mafuta ruomba, etc. Panzvimbo zvigadzirwa izvi zviri nani kushandisa muriwo kana mafuta omuorivhi ...

Complex makabhohaidhiretsi, zvakadai zviyo chena, furawa uye inotapira, zvinofanira kunze zvokudya. Kudya muriwo, michero, miriwo, michero, bota uye bran kunobatsira kuderedza remafuta akawandisa yomuropa muropa.

Pasinei chimiro zvirwere muvanhu: doro, mishonga, kana zvisiri zvinwiwa steatohepatitis, zvokudya kunokosha!

dziviriro

Kuitira kudzivirira chirwere kunokosha kutumira mauto kuti mishonga pathologies mikuru kotoryo anogona ndokumutsamwisa: kufutisa, zvirwere kwemakemikari anobudiswa, etc. Okudzivirira matanho vari chinozoiswa kudzivisa zvinokonzera kuti vanotsamwisa nayo ..:

• Doro apere zvine mwero.
• A zvokudya zvinovaka muviri.
• Zvakafanira nekukurumidza kurapa zvirwere kuti dzinobatsira kukura mafuta chiropa.
• Kunyatsoverenga Kushandisa mishonga kuti kukuisa panjodzi kuti chiropa. On a ndima navo, unofanira kutora gepatoprotektory.

Pasinei chimiro chirwere dzakaonekwa mune murwere: zvokudya - ndiko chinodiwa. Izvi zvinoreva kurambidza zvakakanyiwa namafuta, mafuta, Spicy, aisvuta uye zvakasiyana-siyana mufushwa. Chete mapuroteni zvokudya, miriwo mafuta, michero uye miriwo.

Zvinokoshawo kuti atungamirire basa mararamiro, zvakakodzera purogiramu yezuva, zvakajairika hope (maawa zvinenge 7), utsanana uye Chokwadi, muviri. Nokutevera mitemo izvi iwe chaizvoizvo kufutisa haina pangozi. Uyezve, vakawedzera kutapata chaiko muviri, uye vakawanda muviri uri kushanda zvakanaka.

Vanhu vane chirwere FH aifanira nzira yokurapa ose gore. Nokudaro vachakwanisa kuti tidzivise matambudziko.

Mabatirwo zvavo mishonga

Serious chirwere chinogona yematambudziko ngozi - ndiko steatohepatitis. Kurapa chirwere ichi chinogona vatsigirwe mishonga non-chetsika. Uyezve, kurapa vasanganiswa rinobvumira vanachiremba ano.

Mumwe dzakakurumbira mishonga rukato chiri mushonga yaizodzorera chiropa masero uye nokudaro nechokumusoro functionality kwayo. zvakasikwa zvakawanda zvinobudirira zvainanga panguva Mabatirwo nuna chiropa, akaumbwa mushoma mbeu mukaka thistle ose.

How kubika thistle upfu pamusoro steatohepatitis

Kugadzira mushonga unofanira zvibereko (35 g). Ngaakuyire mbeu ari blender chokuumba upfu uye uparadze 1 yetea 6 kanomwe pazuva negirazi inodziya yakabikwa mvura.

35 magiramu kuti upfu mukaka thistle - iri pamwero nezuva nokuda kuzoita chiropa. Yawapiwa anofanira kugara mazuva anenge 40, pashure yamuchakwanisa kuona sei kuti anzwe zviri nani. The chiropa ipfupi kune nomumhu, izvozvo haazombotaurwi kujairika nokuda kwake chisimbiso, anovandudza mafuta muviri uye zvichingodaro. D.

Sami vanachiremba varayire zvinodhaka izvi, sezvo ivo vari dzinongoitika uye dzisina ngozi chepfu zvinoumba murwiyo. Pamwe havaiti kuratidza migumisiro nokukurumidza zvakadaro, zviri zvachose wakachengeteka nokuda muviri.

Chokwadi, kuti atange pasina chiremba wako atifarire iri zvachose wairambidza! Nokuti kunzwisisa kunokwanisa kugadza chete vakakodzera pashure zvizere kuongororwa uye akataura weboka chirwere.

Kuderedza kuzvimba chiropa anogona kuravidza uye mari yakadaro:

• mafuta Almond kana apirikoti.
• Mishonga tii kubva St. Johani mhanga, calendula, chicory uye helichrysum.
• Aizomupa somuzivi, knotweed, horsetail, uye tabapi.
• Michero cranberry Viburnum.

Mari zvose izvi zvine kunobatsirawo chiropa basa, kunyanya mukutanga nzendo chirwere. Asi mamwe yepamusoro mishonga vari kushandiswa chete akabatana mishonga kwakajairika. Uye chete pashure akabvumirwa kurapa chiremba.

Steatohepatitis - chii? chirwere ichi ane mazita mazhinji: "ari zvokurwara kuti wenzanga yakabudirira", "Muurayi Anouraya Chinyararire", mafuta chiropa, etc. Asi chero iwe vanouti, chirwere chakakomba kuti inofanira kurwiwa zvakanyatsorongwa, nguva uye nokushingaira ... Kuita pasina murefu, kutsunga uye kurangwa. Hongu, pamwe zvakaoma, asi upenyu anodhura, uye zviri zvakakodzera. Chinhu chikuru - kutevera yachiremba audzwa, uye kuramba dzichiita nemirayiridzo yake. Chete nenzira iyi tinogona kukurira chirwere ichi anotyisa!