The chikuru zviratidzo cirrhosis. Mabatirwo cirrhosis

Cirrhosis - chakakura mberi chirwere. In hwakanaka mamiriro muviri ane yakatsvukuruka mashava ruvara. Panguva chirwere anova tsvuku. In chiropa cirrhosis Kuchinja kunoitika. Somugumisiro, masero utano vanokanganiswa uye inotsiviwa vanga tishu. Somugumisiro - kuputswa basa muviri ichi, anovandudza chiropa kukundikana uye portal neBP.

Types cirrhosis

Kupatsanura anotora nzvimbo pamusoro etiology kuti cirrhosis (kunokonzera chirwere) uye Morphology (nechitarisiko chavo). Zvichienderana ukuru nodes zviri:

• CKD (dhayamita 3 mm);
• SKD (pamusoro 3 mm);
• hwakakanyiwa (pamwe yakasiyana diameters nodes).

Zvichienderana etiology uye Morphology pamusoro cirrhosis rakakamurwa:

• doro;
• biliary (ari kurega kunotanga kubva bile muna chiropa);
• ndanyarara hangu;
• Postnecrotic;
• decompensated;
• portal;
• pigmentosa.

Common zviratidzo chiropa cirrhosis

Zviratidzo cirrhosis kunoenderana pavaipfuura chirwere. In kwokutanga (Kirasi A) matambudziko asi. Iyi ndiyo nguva yakakwana kubvisa chikonzero chacho. Panguva iyi, unogona kuchengeta chiropa uye kuramba kurarama sezvinongoita, nokuti muviri une patsva zvikuru mikana.

In yemhando cirrhosis yematambudziko dzinotanga (makirasi B uye C). The dumbu anowedzera, pane kuchinja maitiro uye kuziva. Tanga ropa matadza uye mhuno. Zviratidzo cirrhosis vakadzi - zamu akawedzera (gineskomastiya) uye kumira kumwedzi.

Anozviratidza kuneta, uremu, ndisipo kufunga, masikati nehope, kushaya hope. Kurasikirwa kudya. Mudumbu kunzwa bloating. Ita jaundice. Mutsvina yadzo weti uye vari muupenyu ruvara shanduko. Kuzvimba gumbo uye kutanga abdominal kurwadziwa.

Mudumbu iri pamusaka mvura. Pane zvirwere zvinokonzerwa noutachiona. Kurwadziswa kakawanda nomusoro. Zviratidzo cirrhosis nevanhu: zvishomanana kana zvachose haarambi libido uye anowedzera kenza yemazamu. Hair anotanga kuwa muna hapwa uye pubic nzvimbo.

In chiropa cirrhosis inowedzera kana, Ukuwo, kunoderedza. Chero musimboti, zvinova denser. Inosimudzira chirwatata saizi. Pane zviratidzo jaundice uye portal neBP. Kazhinji pane mikukutu uye achirwadza kurwadziwa chiropa nzvimbo. It hunosimba pashure mumuviri basa kana ari kutyora zvokudya.

Aionekwa ganda itchy, kuda kurutsa, uye kurutsa. Kwakakanganiswa chetsoka (manyoka kana kupatira). External zviratidzo - vari vascular "nyeredzi", Hwakatsvuka emichindwe. Language anova tsvuku.

Mabatirwo cirrhosis

Cirrhosis haagoni kurapwa zvakakwana, asi kunogona kutonhora MUKAUMBWA chirwere. Mberi uye kukura zviitiko zvokurapa kuita chinangwa kubviswa zvisingafadzi zviratidzo uye matambudziko.

Hwaro kurapa cirrhosis zvinosanganisira kuchirapa matanho:

• kudya;
• diuretics;
• Antiviral kurapa;
• glucocorticoid mahormone;
• zvinodhaka kuti kudzikisa BP iri portal nzvimbo ( "Nitrosorbide" "Inderal");
• gepatoprotektory kuchengetedza chiropa masero ( "Ademethionine" "Silymarin");
• plasmapheresis;
• chenjera exacerbations ose cirrhosis vanoda muchipatara.

In kuvhiya kurapwa akaita punctures kuti abdominal nzvimbo kubvisa pamusaka Urume. Made yokunzvenga akavhiyiwa (kusika makwara itsva ropa chokubuda). Kana kubereka chiropa.

Mabatirwo cirrhosis zvikwevaropa

Cirrhosis Treatment zvikwevaropa inokurudzirwa, asi rinoshandiswa chete pasi zvokurapa achitarisirwa. Sezvo aifanira kuramba kuongorora mamiriro murwere ropa uye zviratidzo cirrhosis. Kwokutanga kurapwa iri vatangisa, nani uchava mugumisiro.

For chete nzira kunodiwa kubva 4 kusvika 8 zvikwevaropa. Zvikurukuru, vari rakakamurwa pakapfava akawanda. Nokukurumidza vanotanga chikwevaropa yakayamwa akasununguka, vari kubviswa. Matanho aya kunze kaviri pavhiki. Zvino mazuva imwe neimwe 7. All basa kurapwa 12.

Akadzokorora kosi inoitwa pamagungano zvikamu zviri 2-3 mwedzi. The zvachose yawapiwa ndiyo rebei. Saka, zvokudya murwere unofanira zvinosanganisira zvokudya dzakakwirira simbi kugutsikana (kunze nyama).

portal cirrhosis

Portal cirrhosis - vakawanda chimiro chirwere. Zvikonzero aigona kuva chiropa, kweropa zvirwere, doro uye murombo kugaya. Kwakaitwa rinenge rose chiropa. Most kazhinji chirwere muvamwe varume pashure pemakore 40.

Zviratidzo zvokutanga cirrhosis - utera, uye svoto. Munzvimbo mudumbu varipo hachifadzi nezvekufadza. Anogona kutanga kupatirwa kana manyoka. Kana cirrhosis kwakakonzerwa ne udhakwa, akaderedza zvepabonde tikachirega. Vamwe yeyero mucous membranes uye ganda.

Zvikuru maitiro chiratidzo - pakuonekwa yokumusoro muviri uye dumbu dandemutande mutsinga, mutsvuku Ruvara minwe nemichindwe. Panguva imwe chete abdominal Urume anotanga kuunganidza. Kazhinji dzakabudirira gastritis.

Zviratidzo chiropa cirrhosis pakutanga mumatanho - ndiye kwokuomerwa uye marwadzo zvakarurama yokumusoro quadrant, kurasikirwa kudya, kuramba svoto. Kune kushaya hope, kurukutika, uye kutyora chair. Zvishoma nezvishoma, chiropa riri nekuumbanidzwa, kunowedzera ukuru. tsoka kuzvimba, makatsemuka uye firimu chena kuonekwe parurimi.

Kune matanho matatu cirrhosis. Zviratidzo pakutanga - ndiko kuti ngazviwedzerwe. In kechipiri Zvakatosimbisa kunoderedza. Uye pazuva retatu zvinova duku chaizvo uye gobvu kuti ikabatwa.

Mabatirwo portal cirrhosis

In pakurapa portal cirrhosis murwere kunoda mubhedha zororo. Chero basa rinoda anofanira dziripowo. Mabatirwo cirrhosis nechinangwa zvikurukuru kubvisa zvinokonzera chirwere. Uyewo kudzivisa matambudziko angamuka.

Pakurapa cirrhosis zviri portal kunofanira chose kurega doro. Uyu ndiwo mumwe chikuru zvinokonzera chirwere. Zvakakodzera kubvisa chiropa.

Kana portal cirrhosis akaita nokuda chiropa, kurapwa zvinofanira zvainanga zvikurukuru pane kurwisana nayo. Hako kunze zvinodhaka, ipai yematambudziko ari chiropa.

Zvakakosha kuchengeta yakaoma kudya. Kunze zvokudya Spicy, mafuta uye zvakakangwa zvokudya. Yakawanda omesa anofanira kuderedzwa kushoma. It hakubvumidzwi kushandisa zvomumagaba, aisvuta zvinhu uye Sausages. Kubva Kudya zvakafanira kuti asava chocolate, gariki, madomasi vavo muto, howa. munyu yaunodya chinhu chinodiwa kuti kuderedza.

Varumbidzwa kudya zvakasiyana siyana miriwo soups pasina zazharki. Chero nechipo, bhinzi uye zviyo. Dairy pasi-mafuta zvokudya, yakabikwa huku, Turkey uye nembira. Unofanira kudya maapuro uye tika.

Meals vanofanira kuva 5-6 kanomwe pazuva. Asi zvikamu zviduku. Panguva iyoyo panguva kudya unofanira kunwa mishonga tii, chiropa mhosva. Kana kurapa zvinodhaka vanogadzwa gepatoprotektory chirimwa. Inokuchengetedza chiropa rinenge nokudzosa ayo ushande.

Uyezve, diuretics vanotumirwa, uye rokuchenesa edema kutungamirira kubva mumuviri vaunganidza zvakawandisa mvura. Uyewo zvinodhaka, chokubvisa zviratidzo cirrhosis.

Kana izvi hazvirevi kubatsira, kuvhiya inoshandiswa. Uye pave chiropa. Nokuti pakurapa portal cirrhosis ava nenzira yokushandisa hunde masero.

Postnecrotic cirrhosis

Postnecrotic cirrhosis racho zvakanga zvakajairika chimiro chirwere. Most dzichitaridzika pashure nemavhairasi kuzvimba chiropa uye kudhakwa. Kanenge - pashure uturu chepfu zvimwe zvinodhaka, chenjera zvirwere. Kana postnecrotic cirrhosis anotanga kufa chiropa tishu. Kune dzakawanda mavanga, anonetsa uye muviri chimiro.

Zviratidzo cirrhosis chiropa achiri Danho kuonekwa zvinoshamisa. Pakarepo akatanga kurwadzisa mudumbu, vane manyoka uye kurutsa. Mucous membranes uye ganda kutendeukira tsvuku. The chiropa yakawanda kukura. Kana manzwiro ari marwadzo. Kuda kurutsa, kurasikirwa kudya uye uremu.

Kana exacerbation atanga kuvaviwa, kwazvo tembiricha. Mutsvina yadzo anova rakacheneruka uye rima weti. Rinooneka ascites, kupererwa neropa, mwoyo kukundikana. Employability ari zvinoshamisa ipfupi. Ichi chimiro cirrhosis ngozi zvikuru, sezvo kwahunokonzera kenza chiropa. Zvinouraya zvingangoitika kuitika chero pavaipfuura chirwere.

Treatment postnecrotic cirrhosis

Treatment nechinangwa postnecrotic cirrhosis yematambudziko kunobva portal neBP. ascites First. Zvokudya akaderedza puroteni kugutsikana. Dzivisa zvinodhaka vanotsamwisa hepatic pakoma. Kana paine chikonzero - wakaitwa inorwisa utachiona kurapa.

Kana matambudziko hadzina kuchengetwa, zvakakwana nguva nenguva inspections uye richiona wevarwere. Kana cirrhosis hwapedyo pazvirwere kuti vabatwe chaizvo nayo (kana zviri amenable mushonga).

chidhakwa cirrhosis

Chimwe zvakajairika chaizvo chimiro chirwere - chidhakwa cirrhosis. Zviratidzo nayo ringava, uye dzimwe nguva asina kwenguva refu. Ivo sevanhu zvichienderana mwero kukuvara chiropa. Kune matanho matatu:

• Muripo. Cirrhosis ndiye anenge ikoko asi awanda chiropa. Dzimwe nguva zvinogona kuoneka zvishomanana svoto. Pane vakawanda simba mumuviri uye kuneta.
• Subindemnification. Ndirasikirwe Nzara iri zvikuru akaderedza muviri uremu, kuda kurutsa uye kurutsa.
• Decompensation. Full Kuparadzwa muviri, kutanga chiropa kukundikana uye jaundice. Pane matambudziko ose cirrhosis uye portal neBP. The abdominal mhango rinoungana Urume (ascites). Iye chinonetsa kurapa. It ane wakawedzera ropa. Pangava tichibatwa delirium. Kazhinji pane chimwezve noutachiona. Varwere zvose, pane hepatomegaly, kota - splenomegaly.

Kana mberi chidhakwa cirrhosis, inopenya zviratidzo uye zviratidzo uye externally. Ikoko mhino ekisitenjeni midziyo. mumasero Parotid yekudyidzana kuwedzera kukura. Chiso zvinhu kuva puffy.

Nokuda matambudziko panyaya iyi rinotanga ane womukati kukuvara nenyere. Kuonekwe neuritis, pfungwa nomuviri zvemwana asati, mastopathy, encephalopathy nezvimwe zvirwere. Pane atrophy tsandanyama, kunyanya pamafudzi nebhanhire.

Treatment doro cirrhosis

Zviratidzo chiropa cirrhosis nevanhu vanowanikwa kakawanda kupfuura vakadzi. Sezvo doro zvakanyanya "hafu simba". In chidhakwa cirrhosis, kunyanya yakaitwa hurukuro, panguva iyo murwere kugadziridzwa kubvisa ukama zvakaipa.

Zvadaro basa rinokosha kudya. Kuparadzwa chiropa masero, izvo kare ne fibrous zvinyama, haagoni akapora. Naizvozvo, kurapwa nechinangwa vaya vachiri kushanda pakawanda. Kana zvakakodzera kushandisa antiviral kurapwa.

Kana paine kushaya, akabva ashandisa sedatives nekuona mvura-electrolyte mwero. Kana matambudziko doro cirrhosis hepatic encephalopathy yakatarwa glyukokortisteroidy kwapera mazuva 30. Uye ursodeoxycholic acid, izvo kunotadzisa sero rufu uye tine Anti-anogumbura mugumisiro.

Sezvo antioxidants vaishandisa bile acids, uye vhitamini E. Vari zvaidikanwa Utilisation panyaya iyi umo doro rinoungana iri chiropa mu doro cirrhosis.

Biliary cirrhosis

Biliary cirrhosis iri ishoma pane pezvakaita-pamusoro apa. Ichi chimiro apo vakakanganisa ayo mashandiro uye marongerwo. Mugumisiro kugumiswa ari water drainage enduru, uye kuchinja chimiro ducts ayo.

In zvirwere zvakadai siyana sezvo biliary cirrhosis, zviratidzo uye zvinokonzera dzichiri kwete aizvinzwisisa. Zvinofungidzirwa kuti iye anogona kutanga nokuda nemagene kubatwa. Uyewo zvaipesana kutapata kana chirwere. Biliary cirrhosis rakakamurwa nesekondari.

Primary biliary cirrhosis

With chimiro akadai chikuru biliary cirrhosis, zviratidzo uye nezviratidzo kukura zvishoma nezvishoma. Man kazhinji kwenguva refu nguva havana kutomboziva pamusoro chirwere. Uye ezvinhu ake kwenguva refu nguva kunyange kuipa. Pane matanho maviri.

Vachiri kutanga kuvaviwa. Uyezve, chikamu ichi rinowanikwa refu asati jaundice. chiratidzo ichi ndiyo mberi kwake kubva mwedzi mitanhatu makore 1.5. Asi dzimwe nguva kuvaviwa uye jaundice kuitika panguva imwe chete. Rinooneka kuneta, zvikuru simba, mwoyo, hope.

At kunonoka pavaipfuura chirwere sezvo chikuru cirrhosis, zviratidzo kuonekwa zvakajeka. ascites kunoitika. Uye ichi ndicho chiratidzo chiropa kukundikana rokutanga. Kuoneka vascular "nyeredzi", encephalopathy. Vamwe - xanthomas uye xanthelasma (plaques akapoteredza maziso). A kota varwere pachena ganda hyperpigmentation.

Mabatirwo chikuru biliary cirrhosis

Mabatirwo biliary cirrhosis kunobva kuderedza kusimba zviratidzo uye tava kuderera kuchiita chirwere. Yakabudiswa kurapa akazviratidza yematambudziko uye kudzivirira chiitiko chavo.

Chokutanga murwere unofanira kurega miitiro yose yakaipa uye nokutora mishonga kuti kuparadza chiropa. Kudiwa zvachose kudya uye muviri hazvibvumidzwe. Panguva Mabatirwo cirrhosis kubatwa panguva zvose chokuita chirwere chisingaperi zvirwere.

Kana akaita paku kupindira (mazino dzokuvhiya, etc.), ipapo mishonga kuti hutachiwana. Primary biliary cirrhosis, zviratidzo izvo yava kuchinja mune dekompensatsionnuyu Danho zvinoda mubhedha zororo uye-murefu kurapwa. Contraindicated physiotherapy zvidzidzo vanosimbisa nemiedzo uye balneotherapy.

Panguva muripo inofanira kunengaidzwa kudya uye zvokudya nhamba 5. Kana encephalopathy yakaitika vanofanira kuderedza mwero mapuroteni. Kana paiva ascites - kubvisa kubva zvokudya munyu. Inosiya mumuviri basa mutoro uye panguva tembiricha yakaderera. It akataura nhamba kufamba uye mitambo muviri.

Part zvinodhaka kunze: dzimwe mhando inorwisa mabhakitiriya, aminoglycosides uye nonsteroidal mumiririri ane antiinflammatory chiito. anoshanda:

• immunosuppressives;
• glucocorticoids (mu usingashandi mishonga);
• ursodeoxycholic asidhi;
• D-penicillamine;
• antihistamines.

Kana murwere akatanga yokupedzisira pachikuva, izvo anouya cirrhosis, zviratidzo uye zviratidzo zvakajeka zvinoratidza kudiwa kuvhiya kupindira. Somuenzaniso, rakapinza kuwedzera chiropa kukundikana. Panyaya iyi, murwere anogona kuponeswa chete muna chiropa. Vanhu Most pashure vakadaro kuvhiyiwa, anogona kurarama anenge 10 makore. Kuitazve pashure transplantation yaiitwa chete muna 15% wevarwere.

Secondary biliary cirrhosis

Secondary biliary cirrhosis ikabuda kukwana kana zvakakwana mhingaidzo nzira outputting bile. Women vanotambura kaviri kakawanda vanhu. Kazhinji pane chimiro yechipiri pashure pokuvhiyiwa kubvisa gallbladder, refu chirwere pfungwa nomuviri zvemwana asati kana bundu.

Zvakadaro chirwere sezvo yechipiri biliary cirrhosis, zviratidzo zvikurukuru chokuita chinokonzera mhingaidzo. Zvino kuonekwa zvakafanana chepakutanga chimiro.

Mabatirwo yechipiri biliary cirrhosis

In pakurapa yechipiri biliary cirrhosis pakutanga abvisa chacho chinokonzera chirwere. Kushandisa Nzira Dzokuvhiyiwa (inoda kufunga, dzokubudisa mabwe, kuwedzera ducts, etc.). Pashure pokuvhiyiwa, zvinokwanisika kuwedzera upenyu murwere.

Kana Kuvhiya zvisingaiti, saka kurapa akafanana anoshandiswa chikuru biliary cirrhosis. Kunorapwa iyi kunoenderana mwero mhingaidzo, ayo chinokonzera uye zvichibvira mishonga.

ndanyarara hangu cirrhosis

In ndanyarara hangu cirrhosis, vanhu varege kuziva pamusoro chirwere, sezvo pasina kunyanya zviratidzo. The chiropa iri kushanda zvakanaka. Murwere haana kunetsa. Uye zvokuongorora inogona kuisa chete pamusoro vakaronga kuongorora. Kana pakarepo - panguva oparesheni.

The chete zviratidzo cirrhosis, izvo zvinogona kuitika mu ndanyarara hangu cirrhosis - fivha, akatsvuka nezvanza zvamaoko uye ropa mumhuno. Asi chimiro ichi chirwere vanhu vanogona kurarama kwemakumi emakore. Uyezve, pasina chero matambudziko.

Treatment ndanyarara hangu cirrhosis

Treatment ndanyarara hangu cirrhosis kunoenderana pavaipfuura chirwere. Kana iri "hope" nehurumende uye asingauyi mberi, wanzi chete vhitamini uye chicherwa zvokuwedzera uye kunyatsoomerera kudya nhamba 5. Zvakakosha chose kurega fodya uye doro. Musatora zvinodhaka hepatotoxic.

Kana ndanyarara hangu cirrhosis mberi, nhamba iri kupiwa zvokudya 5a kusvikira exacerbation aserera. Essential mavhitamini, folic acid uye cocarboxylase. Kushandiswa mukaka thistle kunobatsira kubvisa tsvina kubva mumuviri. Uyezve, ane Anti-anogumbura uye hepatoprotective matanho anobatsira kwetsandanyama.

Decompensated cirrhosis: Zviratidzo neMarapirwo

Varwere decompensated cirrhosis chiropa uri kwakaipa chimiro pane kana ndanyarara hangu. Pfungwa fibrosis. Pane zvose nezviratidzo cirrhosis. The kupfuura chinozikamwa - kuderera kwezvirongwa zvavo ezvinhu, jaundice uye ascites.

In pakurapa decompensated cirrhosis Kumikidzo kuchaitwa kuratidzwa zveko (ascites, etc.) uye huripo pathologies. In chenjera chirwere akashandisa zvinoyamura aibuda vanotsigira chiropa chaitika. Asi nekuda kwaizvozvi murwere zvinofanira kutakurwa mune zvokurapa chaiyo nzvimbo apo Namano vari iiswe.

Varwere decompensated cirrhosis kuvapo basa nehepatitis B kurapa rinoshandiswa "Lamivudine". It yekudyidzana anovandudza ezvinhu omurwere uye kunobatsirawo chiropa. Kana zviratidzo decompensation zvakanaka pfungwa yokutanga yaizova chiropa.

Ruvara cirrhosis: Zviratidzo neMarapirwo

Ruvara cirrhosis kwakaratidzwa externally ikaona pamusoro ganda uye kuvapo shuga iri weti. Chimwe zita nokuti chirwere - wendarira cheshuga. Kakawanda, iye nhaka chakaremara nhamba makemikari. Somugumisiro, mune nhengo dzakawanda (kusanganisira chiropa) vari rakachengetedzwa lipofuscin uye hemosiderin.

Zvadaro anogumbura pezvakaitwa kutanga uye sclerotic kuchinja capillaries diki. Izvi zvinotungamirira deformation miviri. Chiropa kunowedzera uye anova batana. Asi basa rake riri hakukanganiswi. Nguva nenguva pane zviratidzo cheshuga: nyota, vakawedzera kudya. The weti rinowanika shuga uye kuwedzera ayo dhigiri muropa.

The fungidziro kumuvengi ruvara cirrhosis. Rufu kunoitika kubva chiropa kukundikana, chirwere cheshuga pakoma kana ropa. In marapirwo akagadzwa Kubudisa ropa, mararamiro majekiseni. Chirwere cheshuga uye zvakaoma kunzwisisa yakasvikawo symptomatic kurapa.