Hepatic necrosis: Iimpawu and Treatment

Xa kwenzeka phantsi kwempembelelo iimeko eziyingozi yangaphandle nangaphakathi ukufa okuthe hepatocytes ngenxa ekugqityweni igazi; kulo mzekelo kuyilwa isibindi necrosis. Esi sifo sidla wavakalisa ubuhlungu kwi hypochondrium ekunene, isicaphucaphu, ukugabha, ubushushu bomzimba ophakamileyo, ukukhula kwe esibindini. Ukuseka une "necrosis hepatic", hlalutyo lululo, iingcali bacebisa ukuba olungxamisekileyo kuba obubalulekileyo ngokuchaneka unyango iya kuxhomekeka kwisiphumo ezintle unyango.

Yintoni na necrosis hepatic

Olu hlobo esi sifo kwakheka kwi ngokwemvelaphi igazi ukuhamba ngenxa ngomatshini, zeekhemikali okanye iziphumo thermal ukuba nezihlunu umzimba. Necrosis ludla ngokwenzeka apha ekhaya kwaye sele kakuhle echazwe beskrini. Ngenxa yokwenzakala ku inwebu aqale iyabhiqiza ngokungavumi ngcembe, okanye ukunyibilika babo ukuyilwa ibala ngokwanelisayo ashinyeneyo.

necrosis Hepatic uye iintlobo ezimbini eziphambili lokuhamba:

1. Esi sifo ihamba ziinkqubo ayibuyiseki umva, wamqumbisa ngoko nangoko Ukubuna le parenchyma.
2. Necrosis ihamba isibindi olukhawulezayo kwizihlunu zomzimba necrosis.

Ngokutsho kweengcali, esi sifo iphawulwa ngeranti olukhawulezayo ukuqhubela phambili. Ukuba ixesha ayenzi unyango kwesi sifo, kule meko, ngexeshana elifutshane ixesha, ukuncipha kwesibindi necrosis kunye ebalulekileyo yinxalenye yalo. Ngenxa nokuqhubela phambili isigulana olunjalo awele isiqaqa hepatic, nokuthe kwiimeko ezininzi ekhokelela ekufeni.

iintlobo ezikhoyo

Hepatic necrosis isihlobo lokuhlela iindawo esiqwini necrosis. Ngenxa yoko, ezi ndidi zilandelayo sifo:

• Necrosis le izilonda basekuhlaleni. Olu hlobo lwesifo luphawulwa izitshanguba yamalungu omzimba ngamnye.
• necrosis yinqontsonqa yayo esibindini. Esi sifo nesifo ngqo kwinqanaba zeselula.
• necrosis saa. Uphuhliso olu hlobo sifo luphawulwa izitshanguba of hepatocytes kwiindawo ezahlukeneyo zomzimba.
• Bridge. Okuqukiweyo kule hlobo ukuhlanganisa zibe elilodwa zonke iisayithi umzimba owenzakeleyo, ngaloo ndlela bakha bands necrotic.

necrosis Kuku okanye ukuba khokhoma hepatic

necrosis Kuku kwesibindi kufuneka igxininiswe bodwa, ngenxa yokuba umlinganiswa asikuko nokuba kukhokelela ukufa isigulane. Njengomgaqo, olu hlobo sifo kwakheka kwi imvelaphi sohlobo okanye iityhefu ezinetyhefu umzimba. Ngokutsho kweengcali, lo necrosis omkhulu ithatha Kakade etsolo, ifomu jikelele izilonda kakhulu.

Ezinkulu kwesibindi necrosis, isigulana senyongo ngokukhawuleza, ifiva, nemithambo ukungasebenzi. Kukho ukwahlukahlukana eziliqela kokuqala kwalo mqathango: ngokuqhutywa ngumdla kwaye nge isiqaqa kwezintso. Njengomgaqo, oogqirha aba-3 ukwahlukahlukana isiqaqa:

1. Ahlale. Ogulayo kwesibindi zokumisa ukwenza injongo yaso, ngoko ke ubuthi ukungena nezinye izigqeba, kwaye ingqondo kungekho ngaphandle. Ngenxa yoko, kukho uphawu eziphambili - kukho ukuphazamiseka kwenkqubo luvo.
2. Angaphandle. Loo uphawu yokuhlukunyezwa kwenxenye umsebenzi omzimba, emzimbeni, ngokuqhelekileyo ekufumbekeni ammonia, nto leyo ekhokelela ukunxila kakhulu.
3. Hypokalemia. Kule fomu izifo zomzimba operation lwenziwa ngokuyinxenye. Kufuneka kuqatshelwe ukuba imali eseleyo electrolyte nomsindo kunene kudale emzimbeni, kwaye ngenxa yoko, olusele.

iintlobo zezifo

Relative ukugeleza wezifo esi sifo ngeendlela ezahlukeneyo. Kakhulu nazo zezi:

• Coagulation. A phawu yale ndlela esi sifo ngokuyintloko hepatocytes intshabalalo bacebisa protini. Unobangela yokulimala iba iiseli intlenga apho ion calcium, kwakunye ukwanda okubonakalayo umsebenzi enzymatic komzimba. Iingcali bahlule phakathi iintlobo zeHPV zingonobangela yale fomu esi sifo: buso nangokupheleleyo. Partial ungachazwa ukuba kukho indlela ukulungisa namaqokobhe omzimba iiseli. Full, ke, iphawulwa njengokonzakala epheleleyo hepatocytes. iimpawu kakhulu kwangaphandle iiseli ezonakeleyo Tyhila imali rhoqo kunye kernels ngendlela Crescent. Ngenxa umthetho, ukuba usuleleko lwezifo yokuxhokonxa.
• Kollivaktsionnaya. Olu hlobo isifo badla iyantlukwano okungaqhelekanga of hepatocytes kunye protein eliphantsi. Yintoni uphawu ngesakhiwo a blank ngaphandle nucleus iseli. Iingcali qaphela ukuba iiseli necrotic luphawulwa nemilinganiselo kakhulu nemida ezichazwe ngokucacileyo. Ngenxa umthetho, ukuba ibekwe ukude igazi unikezelo emithonjeni omzimba. Kweli xesha lokugqibela ekwakhiweni uyakwazi ukuphuhlisa collimation necrosis focal. Relative amandla ukubonisa, kunye nendawo iimpawu lobules hepatic ezi iintlobo zeHPV zingonobangela necrosis ilandelayo: focal, tsentrolobulyarny lommandla, submassive ezibanzi.
• Speed. Olu hlobo isifo badla ukwalathisa necrosis of hepatocytes, kufuphi lihamba portal emthanjeni. Provocateur ukubunjwa sifo ukonakala kweendlela elibukhali kwi ikhosi kwesibindi, ukuqina.
• necrosis Fulminant hepatic lolona hlobo kakhulu kwesi sifo. Iincutshe zithi ukulimala elikhulu-isikali hepatocytes, kwaye nakujoliso olutsha ngokukhawuleza kufika ubungakanani obukhulu. necrosis Fulminant hepatic iphawulwa linani elikhulu babebona kude lweziqalelo umbane, nto leyo eyandisa amathuba yokufa.
• imilo yokuhamba ukhandwa kwi imvelaphi ekuxhaseni efile parenchymal isithuba omzimba. Le fomu uphawu ngenxa yondele. Iingcali uqaphele ukuba le fom kwesi sifo kakhulu kwandisa umngcipheko igazi alunyangwanga engena izibilini.

causation kwezifo

Ngokutsho kweengcali, oonobangela engabangela ukuyilwa zesibindi necrosis, lukhulu. ezibangela ebalulekileyo kwesibindi necrosis - ilungu ukuzilimaza. Uyothuka baza kufakwa kudidi njengoko iimeko zangaphandle zesi sifo. Kwakhona, amabala benkangeleko kufuneka ubalwe kunye nomonakalo radiation. Iingcali uqaphele ukuba ezingunobangela eziqhelekileyo izifo ezi amagciwane. To ezo zifo zichongwe hepatitis B, C, D In izigulane ezininzi izifo ezifana hepatitis B, etsolo zesibindi necrosis waphawula. Ngokuba ukusetyenziswa elide okanye kweenkqubo gepatos isigulane ezinxilisayo wabumba, apho kamva lungena ngokukhululekileyo ukuqina utywala kwesibindi, nto leyo, ngokukhawuleza bazale ibe necrosis.

Kwakhona qho kubalulekile kuphuhliso sifo ukunxila. Ityhefu kwenzeka ngenxa yokusebenzisa utywala elide ngexesha unyango, ulawulo kwezinto ezidakumbisayo. Kakhulu kwakhona iingcali, isibindi necrosis inokude bamqumbise kwisifo kusasa endalo abasetyhini abakhulelweyo kwisiqingatha sesibini ngumama.

ukwakha isiseko necrosis inokuba nokudumba. Limele kakhulu ubucaka Oncology, ekubeni ngexesha unyango lwesifo zesibindi angene umothuko omkhulu. Oogqirha bathi isibindi ngokulula ukumelana imisebenzi kwaye ngaphezu kwisigaba yokubola.

Kukho kwakhona ingozi ukuyilwa necrosis nje ngenxa yotyando nofakelo lwamalungu omzimba. Njengokuba kwenzeka yokuba intsimbi akuthethi kwendelisela iingcambu, nto leyo ligatya le iinkqubo kunye ukubola. Kwiimeko ezinjalo, isigulana kunzima ukugcina kuba kukho umbane igazi ityhefu.

Izizathu uphuhliso necrosis lunokwamkeleka engenamsebenzi xa uqala, isifo emzimbeni.

iimpawu

Njengoko oogqirha, kuba ixesha elide, iimpawu kwesibindi necrosis yi "cwaka." Ngenxa yoko, imiqondiso yokuqala yokuthetha ezi nonspecific.

Iimpawu necrosis Hepatic kwi kwinyathelo lokuqala zokubumba uhlanganisa:

• Isicaphucaphu.
• Ukulahleka onombilini.
• USatyo esitulweni.
• Ukubuyisa.
• umzimba.
• Senyongo.

Xa necrosis ngesondo elilungileyo kwenzeka ukuphazamiseka exesheni, kunye namadoda, neliya, kusenokuba kukho iingxaki amandla.

Kuphuhliso iimpawu necrosis kwesibindi aqale ukuvakalisa lubeka phi. La manyathelo alandelayo ekuphuhliseni esi sifo ebalasele ukwanda kwindawo esiswini, iindumbisa kwamaqatha.

Ezi mpawu zilandelayo kunokwenzeka kwinqanaba lokuqala yokuqulunqa sifo:

• Ubuthathaka, silale.
• Ukwala ukuba adle.
• Elibala ukuziva isicaphucaphu.

obubonakala ezithile izifo kungathathwa:

• umbala okungaqhelekanga umchamo kunye ngendle.
• mithambo Varicose.
• Bengcangcazela ezandleni zakhe.

Kanye emzimbeni kwenzeka kwako umzimba kakhulu, kwityala enjalo kunokwenzeka ukwahlula ezi mpawu zilandelayo:

• Ukwandisa ubungakanani esiswini. Njengoko umthetho, isizathu sokuba le ukuguqulwa yi ulwelo ukugeleza.
• ubuhlungu Spazmiruyutsya kwi ikota yesangqa ephezulu ngasekunene.
• Entrainment zobukhulu isibindi kunye udakada.
• Nokunganaki, nemibono.

Uxilongo kwesibindi necrosis

Ngelo ukuyilwa nakancinane isigulane sifo olukrokrelwayo kufuneka kuthetha-thethana neengcali ezifana:

1. Gastroenterologist.
2. Ugqirha.
3. Resuscitator.

Ekubeni necrosis hepatic (iimpawu yaye nonyango lunakho kumiselwa kuphela abaqeqeshiweyo specialist) isifo esiyingozi, oogqirha azilukhuthazi self-medicate. Ngenxa ngaphandle kokwazi Uxilongo kuphela mandundu sifo.

iSifo kukho iinkqubo eziphambili:

1. US.
2. MRI, CT scan welungu woniweyo and Tract biliary.
3. photon wokunciphisa Single CT.

Xa parenchymal ngqo kukwenzakala izitshanguba isigqibo ngokuthi kusetyenziswe le diagnostic. Ukuze ufumane inkcazelo engakumbi malunga othembekileyo ngqo ukuhamba kunye nohlobo yokwenzakala ku esiqwini, ngokuqhelekileyo wasebenzisa inaliti biopsy.

Ukonakaliswa isibindi necrosis - iindlela ezisisiseko

Akukho specialist ngaphandle kokudlula uxilongo akayi kubeka uxilongo "necrosis kwesibindi." Unyango kakhulu iqala kunye nokuphelisa oonobangela lokusekwa sifo. Ngokutsho kweengcali, inxalenye eyodwa ezibangela izifo na kwesibindi wentsholongwane egazini. Ngenxa yoko, ikhondo unyango ziquka amayeza antiviral. Eli nani kuthetha ukugcina neempawu abayinqobo kuye, apha, impumelelo yabo uqaphele emva komzuzwana.

Kuyinto ukubandakanywa olusisinyanzelo zonyango hepatic ukuba asetyenziswe ekunikeni inkxaso nayiphi ukuvuselelwa umzimba kunye yokwenzakala encinane. Kwakhona, iingcali bathi isigulana iye nethe zonke nobukhoboka, kungenjalo unyango abusayi ukusebenza kakuhle.

Ukuba unobangela sifo ukuyilwa ukunxila ye ephilayo, kulo mzekelo, uthomalaliso liquka amanyathelo ubuthi isalamane.

Ukuba isibindi necrosis (izifo Ifoto thaca kweli nqaku) kwaba senziwa kwesibindi, apho ngendlela isitshixo yokuphilisa ukuba bashiye ukuselwa kotywala gepatoprotektory igalelo ekugcinweni lomzimba.

labagula kakhulu

izigulane ukonakaliswa ngqo kunye acute isibindi necrosis lwenziwa kwiSebe unyango olunzulu.

Unyango okunzulu necrosis hepatic nangoko wayalela ekupheliseni, ikakhulu ukusilela isibindi.

siseko:

• Unyango sibhekiswe Ngokuphelisa izinto esamcaphukisayo ukuvela sifo.
• Ukuphila kufuneka uqale ngoko nangoko.
• esibhedlela olugunyazisiweyo nomonde.
• Ukuphila ijolise nokugcina ukutya ngqo kunye umzimba uphela.
• Njengoko sinokungqinelwa nokubuyekezwa ezininzi titshala, ukuba utho- unobangela ukuyilwa sisibindi kwixesha leentsuku ezingama-10, lo gama kugcinwe yomguli inkxaso ubomi iza nokuhlaziya ngokutsa hepatocytes, nto leyo eyenza umntu, kuqala kwiinto zonke, ukuba asinde.

amayeza abantu

Iindlela angakhetha ukuba kunyanga esi sifo akakho. Kodwa zokupheka umbala we amayeza emveli Kuyinto kunokwenzeka ukuba isicelo. Ukuphucula kwesibindi functionality ingasetyenziswa wavuka iinyonga, iintyatyambo calendula kunye Helichrysum. Wena sikulungisele nokubandakanywa aphilisayo ezi imifuno.

Ukudla isibindi necrosis

Xa lokufunyaniswa "zesibindi necrosis," isigulane kufuneka ukulahla ukusela utywala. Ugqirha abaya kufuneka nakanjani ukuphuhlisa ulipeyinte i menu ukutya okunezondlo.

Ngokuqhelekileyo, xa isifo eso isicelo № itheyibhile 5, ethi ukupheliswa ngokupheleleyo yetyuwa. yokudla yomguli kufuneka kusekelwe phezu kwezi mveliso:

• Nemifino.
• Fruits.
• Kashi.
• isonka esimdaka.
• inyama nokudla.

Kuyimfuneko ukuba banikele ingqalelo iindlela lokupheka. Foods engcono sethumba, ukubhaka okanye sipheke sokuhlambela zomphunga.

Kislomolochku enokufakwa kwi ekutyeni, kodwa hi mpimo lowutsongo. Iintlanzi bavumelekile ukuba ukongeza i menu ukungondleki, ekubeni umthombo ezininzi izinto, azafunyanelwa ndawo.

Kodwa simele sikhumbule ukuba unyango lwe nasiphi na isifo iya kuba sisebenzayo ukubhaqwa kunye nonyango. Ngenxa yoko, iimpawu ngokubonakala yokugula kufuneka bajonge yincutshe.