Isibindi abanesigulo: oonobangela, iintlobo, unyango

Isibindi abanesigulo kukutshintsha yokupasa iiseli zesibindi ngu kwizicwili, nto leyo kwimveliso ngokugqithisileyo collagen. abanesigulo Hepatic kubangelwa igazi flow kakuhle Kwangale hepatic, yaye ngokuchaseneyo kwesibindi luphawulwa ukungabikho ngokupheleleyo weseli kutsha. Isifo phambili ngokucothayo kakhulu, loo nto ayithethi ukuzibonakalisa, okt. E. zesifo. Iimpawu zokuqala kubonakaliswa kuphela emva kweminyaka emithandathu ukuya kwesibhozo.

Okwangoku bathi izinto ezininzi zesibindi abanesigulo. Ezi ziquka: kweziyobisi ixesha elide, netyhefu utywala kunye ityhefu, ilifa, abanesigulo enaso, ezondeleyo hepatitis wentsholongwane egazini, isifo seswekile, ukutyeba, ukuswela elide ezinye iiminerali neevithamini.

Uphuhliso zesibindi abanesigulo kukhokelela kwiziphumo ezisebenzayo beemeko ezifana neenkqubo ukuhlukunyezwa wotshintshiselwano phakathi kwegazi kunye hepatocytes kwi sinusoids, zokushenxisela igazi, ukuququzelela uphuhliso kwesibindi, ukulahlekelwa ukusebenza ukuvala spectrum imisebenzi zonyango.

Kuxhomekeka ngenkqubo kunye kwasendaweni yayo izehlo ukwahlula ezi fom zilandelayo sifo:

- perivenulyarny kunye abanesigulo venular ukuvela kumbindi umdla phezu kweendonga yegazi hepatic kunye. Uphawu uninzi olu hlobo abanesigulo ngenxa esingapheliyo yesifo sentliziyo kunye kohlobo ezinxilisayo;

- abanesigulo pericellular. Kaninzi kubonwa izifo zesibindi ezinxilisayo kohlobo egazini;

- septal kwesibindi abanesigulo elivela necrosis ekuvaleni kwingingqi;

- isinyuko kunye abanesigulo periportal hepatic, nto leyo inkalo uphawu kohlobo lwe imvelaphi ezahlukeneyo: wentsholongwane egazini, samathambo okanye utywala;

- periductal (igazi) isibindi abanesigulo ambona sclerosing cholangitis kwaye ukwanda concentric kwithishyu ezinezikhondo emhlabeni inyongo tubules ukuvuleka ezahlukeneyo;

- Mixed abanesigulo yeyona lolona hlobo luqhelekileyo, apho zithiwe thaca ezinye iintlobo abanesigulo e ngawona ezahlukeneyo.

Iimpawu eziphambili zesibindi abanesigulo zibonakale de emva kokuqala kwesifo iminyaka embalwa zezi:

- phambi opha varices esophageal;

- ukunyusa ubungakanani kwesibindi;

- ukwandiswa udakada;

- thrombocytopenia.

Isibindi abanesigulo kunzima kakhulu ukuba ukunyanga, nto leyo idla ngqo ukulungisa syndromes izifo ezikhoyo. Xa phambi hypersplenism bavakalisa eyenziwa splenectomy kunye kwanyanzeliswa anastomosis splenorenal. Ukuze ukunqanda ukopha ukusuka inimba ngenxa yegazi varicose esiswini kuze kuvuleke iminxunya, endoscopy okanye sclerotherapy of emithanjeni gastrotomy kunye nemithungo.

Uthintelo abanesigulo hepatic na ukulahlwa imikhwa emibi, ukunciphisa amayeza imvelaphi zokwenziwa, ukuba utyebile - amanyathelo ngokuthatha ukuba ayibulale, ukufudukela ekunene ukutya okunezondlo. Kwakhona kucetyiswa nokongezwa izinto zokulanda umkhondo kunye neevithamini. Xa efumanise zesibindi abanesigulo kufuneka kuncitshiswe umthwalo ophezu kwesibindi, enze ulawulo rhoqo lwamachiza inceda yokuhlambulula isibindi idubule ngokubanzi, kwakunye kuqheleke ukusebenza kwawo. Abantu abane kuxhomekeke kakhulu koko uhlobo abanesigulo zaphuhliswa. ifomu abanesigulo azalwa inqabile kakhulu.

Khumbula ukuba abanesigulo hepatic iphuhlise ngaphandle iimpawu iminyaka emininzi, de uphuhliso kwesibindi, ngoko ke ukuba une-"hepatitis" okanye ukuba une ukusilela kwesibindi, kukho amathuba aphezulu ukuthambekela wenkqubo zesibindi abanesigulo.