Eyona engundoqo impawu ngokoma. Unyango kwesibindi

Ukuqina - isifo kakhulu eqhubekayo. Xa ababephile qete ngayo umzimba umbala obomvu-mdaka. Ngexesha isigulo uba mthubi. Xa isibindi kwesibindi shintsho lwenzeka. Ngenxa yoko, iiseli sisempilweni abachaphazelekayo yaye indawo amabala kwithishyu. Ngenxa yoko - umsebenzi ezaphukileyo kulo mzimba, iphuhlisa ukungaphumeleli isibindi kunye noxinzelelo lwegazi portal.

Types ukuqina

Classification lwenzeka kwi umyalezo kwesibindi (ebangela isifo) kunye morphology (neempawu lwangaphandle). Ngokuxhomekeka kubukhulu iindawo ngayo:

• CKD (ububanzi 3 mm);
• SKD (kuka-3 mm);
• exutywe (ngobubanzi ezahlukeneyo ezalathelwe uphuhliso).

Kuxhomekeka umyalezo kunye morphology kwesibindi wohlulwe:

• kotywala ngendlela engeyiyo;
• biliary (at ekuma of inyongo esibindini);
• ingahlawulwa;
• Postnecrotic;
• decompensated;
• portal;
• pigmentosa.

Iimpawu Common kwesibindi kwesibindi

Iimpawu kwesibindi ixhomekeke ibakala esi sifo. Kwimeko yokuqala (Class A) iingxaki okwangoku. Eli lixesha ogqibeleleyo ukuphelisa unobangela sifo. Ngeli xesha, uyakwazi ukugcina isibindi kwaye aqhubeke ukuphila ubomi obuqhelekileyo, ngenxa yokuba umzimba amathuba amakhulu ngokutsha.

Xa kwesibindi advanced iingxaki ziqala (iiklasi B no-C). Esiswini likhula, kukho utshintsho yokuziphatha nokuphila. Qala nokopha kunye nempumlo. Iimpawu kwesibindi amabhinqa - ukukhula ibele (gineskomastiya) kunye ukumisa sexesheni.

Ivela ukudinwa, ukwehla kobunzima, ndingekhoyo-kwentliziyo, emini, ugwayi. Ukulahleka onombilini. Xa isisu imvakalelo ukuqunjelwa. Hlakulela senyongo. Endleni kunye nomchamo kukho utshintsho umbala eqhelekileyo. Kalanga umlenze kwaye uqale iintlungu esiswini.

Esiswini okongezeleke ulwelo. Kukho ukwanda kwezifo. Yentuthumbo ikhanda njalo. Iimpawu kwesibindi ngabantu: ngokungaphelelanga okanye ngokupheleleyo shwaka yobuntu kwaye kwandisa umhlaza webele. Iinwele iqalisa ukuna kwekhwapha kunye kwindawo zikawonke wonke.

Xa isibindi ukunyuka kwesibindi okanye, icala, kunciphisa. Kuyo nayiphi na ngobuwena, kuba kunakuqala. ubukhulu spleen Ukwandiswa. Kukho iimpawu senyongo kunye noxinzelelo lwegazi portal. Kudla kukho intlungu buthuntu yaye ndiyaqaqanjelwa kwindawo esibindini. Iba ngakumbi emva kokuba umsebenzi ngokwasemzimbeni okanye waphula umthetho ekutyeni.

Imbonakalo isikhumba sakho silume, isicaphucaphu, kunye nokugabha. isitulo kuphazanyiswe (isisu okanye ukuqhina). iimpawu zangaphandle - ezi "nkwenkwezi" semithambo, kwaqapheleka wamasundu. Ulwimi uba nebomvu.

Unyango kwesibindi

Ngokoma ayikwazi sinyangeke ngokupheleleyo, kodwa isantya ngexesha nisaqala esi sifo. Namatyala phambili kwaye obuphambili iinzame zonyango zijoliswe kususwe iimpawu ezingathandekiyo kunye nezigulo.

Isiseko yonyango kwesibindi ziquka amanyathelo zonyango:

• yokudla;
• womchamo;
• therapy Antiviral;
• iihomoni glucocorticoid;
• iziyobisi ukunciphisa uxinzelelo lwegazi kummandla Portal ( "Nitrosorbide" "Inderal");
• gepatoprotektory ukukhusela iiseli zesibindi ( "Ademethionine" "Silymarin");
• plasmapheresis;
• exacerbations etsolo kwesibindi kufuneka esibhedlela.

Xa unyango ngotyando eyenziwa ukuhlatywa ummandla esiswini ukususa fluid lwasemoyeni. imisebenzi ukudlula Made (ukudala iindlela ezintsha kwemali kwegazi). Okanye ukuvelisa esinye isibindi.

Unyango ngabona kwesibindi

Ngokoma Unyango zinditye kucetyiswa, kodwa isetyenziswa kuphela phantsi kweliso zonyango. Ekubeni imfuneko yokuba kubekwe iliso rhoqo ubume igazi yomguli kunye neempawu ngokoma. I ngaphambili unyango kuqalile, kuya kuba ngcono isiphumo.

Inkqubo enye efunekayo rhorho-4 ukuya kwi-8. Ngokusisiseko, yahlulwe attachments eziliqela. Ngokukhawuleza baqale uLeech owanyayo yokuzikhethela, ziyasuswa. Le nkqubo yenziwa kabini ngeveki. Ke iseshoni enye zonke 7 iintsuku. Zonke babelwa zonyango 12.

izifundo ephindiwyo zibanjwa qho emva kweenyanga 2-3. Ikhondo lilonke unyango kakhulu elide. Ngoko ke, ezityiwa isigulane kufuneka ibandakanye ukutya kunye nesiqulatho yentsimbi ophezulu (ngaphandle inyama).

ukuqina portal

ukuqina Portal - lolona hlobo luqhelekileyo kwesi sifo. Izizathu kungaba hepatitis, ukuphazamiseka yokujikeleza, utywala kunye ukugaywa amahlwempu. Abachaphazelekayo phantse lonke esibindini. Isikakhulu sifo abantu bangenwe emva kweminyaka engama-40.

Iimpawu zokuqala kwesibindi - ubuthathaka, nentliziyo. Kummandla esiswini kukho mizwa ekhathazayo. Ayikwazi ukuqala ukuqhina okanye ukurhuda. Ukuba kwesibindi kwaye kwenziwa butywala, kwanciphisa drive ngesondo. Ezinye yellow ngenwebu yangaphakathi kunye nesikhumba.

Kakhulu uphawu Uphawu - imbonakalo kumzimba ongentla ngemithambo isigcawu isisu, umbala obomvu neminwe namasundu. Kwangaxeshanye fluid esiswini iqalisa ukuba yande. Kudla kuphuhliswa gastritis.

Iimpawu kwesibindi kwesibindi kwi nisaqala - lo ubuzaza kunye neentlungu ikota yesangqa ephezulu ngasekunene, ukungabi namdla, isicaphucaphu sizingise. Kukho sokulibala, ukudinwa, yaye kukwaphula esitulweni. Ngokuthe ngcembe, isibindi ubunjwe, ukunyuka ubukhulu. iinyawo dumbe, amathanda namhlophe umboniso angavela ulwimi.

Kukho izigaba ezithathu ngokoma. Iimpawu kuqala - ukuba zandiswe. Xa ezinxamnye yesibini, oko kunciphisa. Ke ngomhla wesithathu iba amancinane kakhulu kwaye eshinyeneyo ukuya ngaphandle kwebala.

Unyango kwesibindi portal

Xa unyango kwesibindi isigulane portal kufuneka alale. Nawuphi na umsebenzi umzimba kufuneka ngaphandle. Unyango kwesibindi ijolise ikakhulu yokunqanda oonobangela sifo. Kananjalo ukunqanda iingxaki ezinokuvela.

Xa unyango kwesibindi portal kufuneka ngokupheleleyo uyeke utshwala. Esi sesinye sezizathu eziphambili sifo. Kuyimfuneko ukuba yokuhlambulula esibindini.

Ukuba kwesibindi portal uqale ngenxa kwesibindi, unyango kufuneka ejoliswe ikakhulu ekulweni kuyo. iziyobisi ngokuyimfuneko ngaphandle, nika iingxaki esibindini.

Kuyimfuneko ukuba sigcine ukutya engqongqo. Ngaphandle ezityiwa okuneziqholo, okunamafutha kunye nokutya eqhotsiweyo. Isixa isinongo kufuneka incitshiswe ukuba ubuncinane. Ku aluvumelekanga ukusebenzisa, iimveliso enkonkxiweyo etshaya kunye iisoseji. Ukususela ukutya yimfuneko ukuba akhutshwe chocolate, ikonofile, iitumato kunye juice zabo, amakhowa. ityuwa inani Kuyancomeka ukunciphisa.

Kucetyiswa ukuba adle iintlobo isuphu yemifuno ngaphandle zazharki. Nawuphi wokudla, imidumba kunye nokutya okuziinkozo. Ukutya ezisezantsi-fat zobisi, wayipheka inyama yenkukhu, Turkey kunye umvundla. Kufuneka utye apile kunye crackers.

Ukutya kufuneka kube amaxesha 5-6 ngosuku. Kodwa izabelo ezincinane. Ngelo xesha linye ngexesha ukutya kufuneka usele iti esintu, iintlawulo zesibindi. Xa iziyobisi ukuphatha simiselwe isityalo gepatoprotektory. Bakhusele ijwabu isibindi nokubuyisela umsebenzi wayo.

Ngaphezu koko, womchamo babelwa, kunye nokudumba zokucoca ezikhokelela ngaphandle ivela emzimbeni kulwelo ukugeleza kwemfuneko. Njengoko kwakunye iziyobisi, iimpawu ngokoma.

Ukuba oku akuloncedo, kusetyenziswa uqhaqho. Kwaye uvelisa esinye isibindi. Kuba unyango kwesibindi portal ngoku iindlela zokusebenzisa iiseli stem.

ukuqina Postnecrotic

ukuqina Postnecrotic kwakhona uhlobo eliqhelekileyo kwesi sifo. Eyona zidla ngokuvela emva hepatitis wentsholongwane egazini kunye nokusetyenziswa kakubi kotywala. Ubuncinane - emva yityhefu ityhefu iziyobisi ezithile, izifo ezihlasela zosulele esosulelayo. Xa kwesibindi postnecrotic iqala ukufa zesibindi kwithishyu. Kukho zixela zangaphakathi, imilo ephazamisayo kunye nomzimba.

Iimpawu kwesibindi kusekwangoko kubonakala kakhulu. Ngequbuliso iqala limele isisu, unesisu esihambisayo kunye nokugabha. ngenwebu yangaphakathi isikhumba tyheli. Isibindi yaligqiba ubukhulu. Xa ukuziva ubuhlungu. Isicaphucaphu, ukungabi namdla kunye nobunzima.

Xa exacerbation iqalisa ukurhawuzelelwa, ukwanda kakhulu lobushushu. Endleni uba umchamo sakuba kwaye kumnyama. Kuyabonakala ascites, ianemia, ukusilela intliziyo. Nokuqashwa leyo kakhulu lifinyele. Olu luhlobo eyingozi kakhulu kwesibindi, njengoko ibangela umhlaza wesibindi. isiphumo esibi kunokwenzeka nakweliphi na inqanaba kwesi sifo.

Treatment ukuqina postnecrotic

Unyango ijolise kubunzima kwesibindi postnecrotic evela lwegazi portal. ascites kuqala. Yokudla yanciphisa protein. Kuphephe iziyobisi ukubangela isiqaqa hepatic. Ukuba kukho imfuneko - yabanjwa unyango elwa.

Ukuba iingxaki hayi kuyagcinwa, kwanele ukuba uhlolo ngamaxesha kunye nokuhlolwa kwizigulane. Ukuba kwesibindi sibangelwa izifo iphathwa kanye oko (ukuba efanele unyango).

ukuqina utshwala

Enye uhlobo oluxhaphakileyo lwe isifo - kwesibindi ezinxilisayo. Impawu wayo zomlomo wakhe, yaye ngamanye amaxesha kwaphela ixesha elide. TAnokuvela ngokuxhomekeke iqondo nomonakalo wesibindi. Kukho izigaba ezithathu:

• Yembuyekezo. Ngokoma iphantse apho kodwa isibindi eyandisiweyo. Ngamanye amaxesha kubonakale isicaphucaphu okungephi. Kukho ubuthathaka jikelele emzimbeni nokudinwa.
• Subindemnification. Maxongo awuzali kabukhali ukwehlisa umzimba ubunzima, isicaphucaphu nokugabha.
• Decompensation. luya elipheleleyo umzimba, ukuqala ukusilela isibindi kunye senyongo. Kukho zonke iingxaki isifo kunye noxinzelelo lwegazi portal. Kwisisu oluhlala ulwelo (ascites). Yena nzima ukunyanga. Ine- ukopha ukwanda. Kusenokubakho ezikwenza tremens. Amaxesha amaninzi kukho usuleleko eyongezelelweyo amagciwane. Kuzo zonke izigulane, kukho hepatomegaly, ikota - splenomegaly.

Xa phambili kwesibindi ezinxilisayo, iimpawu eziqaqambileyo kunye neempawu nangaphandle. iimpahla Kukho impumlo ulwandiso. glands Parotid kakhulu ukwanda ubukhulu. iimpawu zobuso zibe puffy.

Ngenxa impembelelo ethanol uqala i umonakalo ilungu lwangaphakathi. Kubonakale neuritis, pancreatitis, mastopathy, Encephalopathy kunye nezinye izifo. Kukho yoma kwemisipha, ingakumbi umbhinqo emagxeni.

Unyango kwesibindi ezinxilisayo

Iimpawu kwesibindi kwesibindi ngabantu zifumaneka rhoqo ngaphezu abafazi. Ekubeni utywala sebenzisa ngakumbi "isiqingatha strong". Xa kwesibindi ezinxilisayo, eyayibanjelwe ingakumbi iintetho, ngexesha apho isigulane apha naphaya ukuba balahle ubuhlobo embi.

Emva koko sabelwa ukutya okhethekileyo. Ukutshatyalaliswa kweeseli kwesibindi, esele indawo izihlunu ezinezikhondo, ayikwazi wachacha. Ngoko ke, unyango sijoliswe kwabo nangoku zisebenze shiyana. Ukuba kuyimfuneko ukusebenzisa unyango antiviral.

Ukuba kukho ukurhoxiswa, ngoko wasebenzisa nadlamkisayo Nokubuyiselwa kwityala lamanzi-electrolyte. Xa iingxaki ezinxilisayo kwesibindi hepatic Encephalopathy elimisiweyo ikhondo glyukokortisteroidy leentsuku ezingama-30. Kwaye ursodeoxycholic acid, engakuvumeliyo ukufa kweeseli nokuba nefuthe anti-ukudumba.

Njengoko Antioxidants wasebenzisa acids duct, kunye novithamini E. Bona ezifunekayo ukuze nokusetyenziswa ethanol apho excess oluhlala esibindini kwi kwesibindi ezinxilisayo.

ukuqina Biliary

ukuqina Biliary ingaphantsi eqhelekileyo ngaphandle kwemilo ezichazwe apha ngasentla. Le yimeko apho waphula umsebenzi wayo kunye nesakhiwo. Ngenxa ngokunqunyanyiswa nencindi inyongo, kwaye utshintsho kwisakhiwo imibhobho yayo.

Xa izifo iintlobo ezifana kwesibindi biliary, iimpawu kunye oonobangela nangoku kufundwe ngokupheleleyo. Kukholelwa ukuba ukuze uqale ngenxa yofuzo. Kananjalo waphula sifo okanye izifo. ukuqina Biliary yohlulwe eziziprayimari nezizisekondari.

ukuqina Primary biliary

Ekubeni uhlobo ezifana kwesibindi ephambili biliary, iimpawu kunye nemiqondiso kukhula kancinci. Indoda ixesha elide wayengazi nokuba uyazi ngesi sifo. Yaye imeko yakhe ixesha elide ukuvuka mandundu. Kukho nezigaba ezibini.

Ngelo ukuqala ukurhawuzelela ekuqaleni. Ngaphezu koko, lo msebenzi osemqoka livela kudala ngaphambi senyongo. Le uphawu ngaphambi kuye iinyanga ezintandathu ukuya kwiminyaka 1.5. Kodwa ngamanye amaxesha ukurhawuzelela kunye senyongo zenzeka ngexesha elinye. Kuyabonakala ukudinwa, buthathaka kakhulu, ukudakumba, ukozela.

Ngelo seladlula Inqanaba sifo njengoko kwesibindi ephambili, iimpawu kubonakala ngokucacileyo. ascites kwenzeka. Nguwo lo umqondiso lokuqala sisibindi. Imbonakalo olujikeleza "nkwenkwezi", Encephalopathy. Ezinye - xanthomas kunye xanthelasma (umonakalo kufutshane namehlo). Ikota izigulane kubonakale hyperpigmentation ulusu.

Unyango kwesibindi ephambili biliary

Unyango kwesibindi biliary isekelwe phezu ekunciphiseni amandla iimpawu kwaye sehlise ukuqhubela phambili kwesifo. unyango Iveliswe wabonakala iingxaki kunye nokuthintelwa kwazo.

Okokuqala zonke isigulane kufuneka anike yonke imikhwa emibi kunye namayeza ukuthatha ukuba atshabalalise isibindi. Imfuneko Umxhesho engqongqo kunye umthambo abavumelekanga. Ngexesha unyango kwesibindi waphatha ngaxeshanye zonke izifo ezihlobene esosulelayo.

Ukuba wenza angenelele weentambula (iinkqubo lwamazinyo, njalo njalo), ngoko antibiotics ukuthintela usulelo. kwesibindi Primary biliary, iimpawu apho kungabonisa utshintsho kwinqanaba dekompensatsionnuyu kufuna alale kunye-izigulane unyango. izifundo ukuyifundisa Contraindicated xi iimvavanyo kunye balneotherapy.

Ngethuba intlawulo kufuneka ukulungelelana yokutya kunye nenombolo ukutya 5. Xa Encephalopathy yenzekile kufuneka ukunciphisa izinga protini. Ukuba bekukho ascites - ngaphandle ukusuka ezityiwa yetyuwa. Akubandakanyi umthwalo yomsebenzi ngokwasemzimbeni kwiqondo lobushushu eliphantsi. Kukhuthazwa inani ukuhamba kunye imithambo lweembaleki.

iziyobisi Icandelo ngaphandle: ezinye iintlobo-ntsholongwane, aminoglycosides kunye nearhente nonsteroidal nokuba amanyathelo antiinflammatory. isicelo:

• immunosuppressives;
• glucocorticoids (ngeedosi ezincinane);
• ursodeoxycholic acid;
• D-penicillamine;
• antihistamines.

Ukuba isigulane sele iqalile kwinqanaba lokugqibela, okutshabalalayo kwesibindi, iimpawu kunye iimpawu zibonisa ngokucacileyo kwimfuneko yokungenelela ngoncedo yotyando. Umzekelo, ukunyuka okukhulu ukusilela esibindini. Kulo mzekelo, isigulane ke onokusindiswa kuphela xa isibindi. Abantu abaninzi emva msebenzi, ungaphila phantse-10 iminyaka. Ubuya emva abohlukeneyo kwabonwa kuphela ngo-15% yezigulane.

ukuqina Secondary biliary

ukuqina Secondary biliary ikhula iindlela isithintelo buso okanye epheleleyo kukukhupha inyongo. Abasetyhini bayahlupheka ukusuka kabini ngokufuthi kangangoko abantu. Ngokuqhelekileyo kukho uhlobo yesibini emva kotyando ukususa senyongo, i-pancreatitis esinganyangekiyo elide okanye ithumba.

Xa isifo efana kwesibindi lwesibini biliary, iimpawu ezinxulumene ikakhulu ne unobangela kokuphazamiseka. Kwaye ke kuvela efanayo kule fom yokuqala.

Unyango kwesibindi secondary biliary

Xa unyango kwesibindi zasesekondari biliary ekuqaleni nya unobangela sifo. Ukusebenzisa Iinkqubo zotyando (elitsolo ekujongeni, utsalo yamatye, ukwanda imibhobho, njalo njalo). Emva kotyando, kunokwenzeka ukuba sandise ubomi lomguli.

Ukuba uqhaqho akwenzeki, ngoko ke unyango iyafana naleyo esetyenziswa kwesibindi zaseprayimari biliary. Unyango kulo mzekelo kuxhomekeke iqondo isithintelo, izizathu zayo kwaye amayeza kunokwenzeka.

ukuqina ingahlawulwa

Xa kwesibindi ingahlawulwa, ekusenokwenzeka ukuba abantu bazi ngesi sifo, ekubeni akukho iimpawu ezithile. Isibindi lisebenza ngokuqhelekileyo. Isigulane andizange ndinikhathaze ngakufuna nto. Kwaye ke Uxilongo kubekwa kuphela iimviwo ekucwangciselwa yena. Okanye ngesiquphe - ngexesha lokusebenza.

Ekuphela impawu kwesibindi, ezinokuthi zenzeke kule kwesibindi babuyekezwe - ngumkhuhlane, anozizi ezintendeni kunye wopha impumlo. Kodwa nale fomu abantu sifo angaphila eminyaka. Ngaphezu koko, ngaphandle naziphi na iingxaki.

Treatment ukuqina ingahlawulwa

Unyango ingahlawulwa kwesibindi kuxhomekeke ibakala esi sifo. Ukuba kunjalo "ebuthongweni" karhulumente aze nkqubela, unikwe vitamin kuphela kunye nezongezo izimbiwa kunye nenombolo ukutya engqongqo 5. Kuyimfuneko ukuba anikezele ngokupheleleyo icuba notywala. Musa ukuthatha amachiza hepatotoxic.

Ukuba kwesibindi ingahlawulwa iqhubela phambili, inani wabelwa ukuya ukutya 5a phezulu de exacerbation kudambe. iivithamini Essential, folic acid kunye cocarboxylase. Ukusetyenziswa neenkunzana ubisi kunceda ukususa ubuthi emzimbeni. Ukongeza, iye anti-ezithintela ukosuleleka kunye namanyathelo hepatoprotective nokuphelisa aqaqambayo.

Decompensated kwesibindi: Iimpawu and Treatment

Izigulane kwesibindi decompensated ye isibindi kwimilo mbi xa babuyekezwe. Inkqubo ye abanesigulo. Kukho zonke iimpawu ngokoma. Eyona langutana - ngokonakala imeko jikelele, senyongo kunye ascites.

Xa unyango kwesibindi ugxininiso decompensated kwi nokuphelisa ukwenza izinto zasekuhlaleni (ascites, njalo njalo) kunye ezimbi ezikhoyo. Xa isigulo kusetyenziswa izixhobo flow etsolo ekuxhaseni umsebenzi esibindini. Kodwa oku isigulane kufuneka kuthuthwa kumaziko zonyango ezizodwa apho izixhobo ezifakiweyo.

Izigulane kwesibindi decompensated lobukho unyango olusebenzayo hepatitis B isetyenziswa "Lamivudine". Iphucula kakhulu imeko yomguli kunye nempembelelo entle esibindini. Xa Iimpawu zokuqala decompensation ukhetho engcono kungaba esinye isibindi.

Sombala kwesibindi: Iimpawu and Treatment

Sombala kwesibindi babonakaliswa ngaphandle amatshatshazi eluswini kunye ubukho eswekile nomchamo. Elinye igama isifo - seswekile ngobhedu. Amaninzi, yaye bazuze inani sinesiphene enqanda. Ngenxa yoko, xa amalungu amaninzi (kubandakanywa kwesibindi) ezifakwe lipofuscin kunye hemosiderin.

Ke iinkqubo ukudumba kuqala kunye notshintsho sclerotic emithanjeni ezincinane. Oku kukhokelela deformation kwemizimba. ukunyuka isibindi abe ashinyeneyo ngakumbi. Kodwa umsebenzi wakhe ivuke. Ngamaxesha athile kukho iimpawu seswekile: unxano, zokuphila. Umchamo ibonakala iswekile kunye nokwandisa inqanaba layo egazini.

I-ALS kwezimo mbala kwesibindi. Ukufa lwenzeka ukusilela kwesibindi, isiqaqa isifo seswekile okanye ukopha. Xa unyango otyunjwe wokuchitha, uluhlu lwezitofu. Seswekile kunye nobunzima isikiwe unyango nomqondiso.