Hepatic necrosis: Izimpawu kanye Ukwelashwa

Lapho kwenzeka ngaphansi ethonyeni elilimazayo izici zangaphakathi nezangaphandle ukufa kancane kancane hepatocytes ngenxa kwaqedwa liningi igazi, kulesi simo kwakhiwa isibindi necrosis. Lesi sifo ngokuvamile wezwakalisa emizweni ubuhlungu hypochondrium kwesokudla, isicanucanu, ukuhlanza, izinga lokushisa komzimba ephakeme, ukukhula kusho kwesibindi. Ukuze usungule ukuxilongwa "necrosis hepatic", ihlaziya, ochwepheshe batusa ukwenza esiphuthumayo ngenxa ukunemba ukuphathwa kuzoncika nomphumela omuhle yokwelapha.

Kuyini necrosis hepatic

Leli fomu sifo phezu kwesimo ukugeleza kwegazi ezicutshini zomzimba ngenxa mechanical, amakhemikhali noma imiphumela ezishisayo. Necrosis ngokuvamile kwenzeka endaweni futhi kahle kuchazwa emaphethelweni. Ngenxa yalokho yokulimala ukuze izicubu ziqala ukuba kukhule ngokungavumi kancane kancane, noma ukuncibilika zabo lapho kumiswa isibazi sasivumela obukhulu.

necrosis Hepatic has amafomu amabili eyinhloko ukugeleza:

1. Lesi sifo kuthiwa ephelezelwa izinqubo engelapheki, sokucasuka ngokushesha lilokhu libuna we parenchyma.
2. Necrosis kuhambisana isibindi okusheshayo necrosis ezicutshini zomzimba.

Ngokusho kochwepheshe, lesi sifo libhekene umkhuba oqhubekayo wokubuka angabacwasi ngokushesha. Uma isikhathi ayenzi ekwelapheni lesi sifo, kulesi simo, esikhathini esifushane, ukwehla ka isibindi necrosis futhi ingxenye enkulu yaso. Ngenxa ukuqhubeka isiguli enjalo angase awele ikhoma hepatic, okuyinto ezimweni eziningi siholela ekufeni.

izinhlobo akhona

Hepatic necrosis isihlobo zokuhlukanisa izindawo kwezicubu necrosis. Ngenxa yalokho, lezi zinhlobo ezilandelayo sifo:

• Necrosis we izilonda zendawo. Lolu hlobo isifo libhekene izilonda ngabanye kuzo zonke izingxenye zomzimba.
• necrosis Focal kwesibindi. Lesi sifo emangqamuzaneni eba ngqo.
• necrosis gqwa. Ukuthuthukiswa lolu hlobo isifo libhekene izilonda hepatocytes ezindaweni ezihlukahlukene zomzimba.
• Ibhuloho. Inherent kulolu hlobo ukuhlanganisa ku linye bonke abalimele emzimbeni amasayithi, kanjalo zakha isimiso bands necrotic.

necrosis ezinkulu ikhoma hepatic

necrosis Massive kwesibindi Kufanele kugcizelelwe todvwa, ngoba kuyinto uhlamvu esingelapheki futhi ngokuvamile kuholela ekufeni isiguli. Njengomthetho, kwakhiwa lolu hlobo sifo ku isizinda sokusha kwesibindi noma ubuthi enobuthi emzimbeni. Ngokusho kochwepheshe, le necrosis omkhulu ithatha Yiqiniso acute, ifomu jikelele izilonda ngempela.

Ngenxa yezindonga ezinkulu isibindi necrosis, isiguli jaundice evelele, imfiva, nerve ukungasebenzi. Abantu bakholelwa izinto eziningana lapho kuqala kulesi simo: ngokuzenzakalelayo futhi ngokusebenzisa ikhoma kwezinso. Njengomthetho, odokotela 3 ukwahlukahlukana ikhoma:

1. Okuzenzekelayo. Isiguli sinelungelo izitobhi isibindi enza injongo yayo, ngakho-ke ubuthi singene kwezinye izitho, nobuchopho iyathinteka. Ngenxa yalokho, kukhona uphawu main - ukuphazamiseka isimiso sezinzwa.
2. Exogenous. isici okunjalo ukwephula olungaphelele isitho umsebenzi, emzimbeni, ngokuvamile ekuqongeleleni ammonia, okuholela ukudakwa ezinzima.
3. Hypokalemia. Kulesi nesimo somzimba izifo msebenzi wenziwa kancane. Kufanele kuphawulwe ukuthi aphazamiseka kakhulu electrolyte ibhalansi ukuthi kuphakamisa amanzi emzimbeni, futhi ngenxa yalokho, Akukho lutho olusele.

izinhlobo isifo

Isihlobo ukugeleza isifo lesi sifo has izinhlobo ezihlukene. I ihlangabezane kakhulu yilezi:

• Coagulation. Isici yaleli fomu lesi sifo ngokuyinhloko ekubhujisweni hepatocytes ahlanganiswe amaprotheni. Imbangela yokulimala iba amaseli inzika lapho calcium ion, kanye nokwanda okuphawulekayo umsebenzi enzymatic of emzimbeni. Ochwepheshe ukuhlukanisa phakathi subtypes yaleli fomu lesi sifo: ngokwengxenye futhi ephelele. Kwengxenye ungachazwa ukuthi kukhona ehlelekile ukuguqulwa amagobolondo isitho amaseli. Okugcwele yena, elinesimo ukulimala ephelele hepatocytes. izimpawu kuqhathaniswa kwangaphandle amaseli ezilimele jikisa emaphaketheni ngendlela, yommbila wase ngesimo inhlendla. Njengomthetho, zingabantu provocateurs Isifo.
• Kollivaktsionnaya. Le ndlela lesi sifo bathambekele kwamangqamuzana okungavamile hepatocytes nge ongaphakeme amaprotheni wokuqukethwe. Kuyini nobuntu nesakhiwo nalutho ngaphandle kuyi-nucleus yengqamuzana. Ochwepheshe uqaphele ukuthi amaseli necrotic zinezikhathi Ubukhulu elikhulu imingcele ecacile. Njengomthetho, ukuthi akuphi ukude kusuka igazi eligciniwe emithonjeni isitho. Esikhathini esiyiminyaka lokugcina ukwakheka ingaqala collimation necrosis ebalulekile. Isihlobo amandla ukubonisa, futhi indawo izici e lobules hepatic kukhona necrosis subtypes ezilandelayo: ebalulekile, tsentrolobulyarny zonal, submassive futhi omkhulu.
• Speed. Le ndlela lesi sifo zivame ukuqondisa necrosis of hepatocytes, etholakala eduze uhamba vein portal. Provocateur kumiswa isifo kuyinto ukuwohloka abukhali ngokuhamba kwesibindi, isifo sokuqina kwesibindi.
• Fulminant necrosis hepatic kuyinto ifomu olunzima lesi sifo. Ochwepheshe bathi kokulimala emikhulu of hepatocytes, kanye foci ngokushesha ukufinyelela babebaningi kakhulu. Fulminant necrosis hepatic libhekene inombolo enkulu esiqedayo kude izakhi umbani, okwandisa ingozi yokufa.
• kwakhiwa ukuma endleleni is on isizinda yokubuthanela efile isikhala parenchymal isitho. Leli fomu sici for oyingozi. Ochwepheshe uqaphele ukuthi leli fomu lesi sifo kakhulu kwandisa ingozi igazi ingelashwa bengena izitho zangaphakathi.

causation yesifo

Ngokusho kochwepheshe, izimbangela engabangela kumiswa isibindi necrosis, okuningi. izimbangela abalulekile isibindi necrosis - isitho ukulimala. Uthuthumele zibekwa njengoba izici zangaphandle lesi sifo. Futhi, kungenzeka ngezizathu yangaphandle zibalwa futhi umonakalo ngemisebe. Ochwepheshe uqaphele ukuthi yezimbangela ezivame kakhulu izifo yilezi izifo ezibangelwa amagciwane. Ukuze lezo zifo zibalwa njengesifo sokusha kwesibindi kohlobo B, C, D. iziguli abaningi abanale ezifana ne-hepatitis B, acute isibindi necrosis uyalandelwa. Ukuze ukusetshenziswa isikhathi eside noma esihleliwe nesineke oludakayo gepatos kwakhiwa, okuyinto kamuva agelezela isifo sokusha oludakayo kwesibindi, okuyinto yena, ngokushesha lukhumuzeka ibe necrosis.

Futhi isisekelo kubalulekile ekutfutfukiseni sifo ukudakwa. Ubuthi singenzeka ngenxa nokunwetshiwe utshwala ngesikhathi zokwelapha, ukuphatha izinto kwezidakamizwa. Ngokulinganiswa libuyekeza Ochwepheshe, isibindi necrosis angase avuse ngisho yemvelo ekuseni ukugula kubantu besifazane abakhulelwe phakathi nengxenye ngumama yesibili.

ukwakha isizinda necrosis kungenzeka sepsis. Limelela eside kobukhulu Oncology, kusukela ngesikhathi ekwelapheni isifo sesibindi incurs ukushaqeka okukhulu. Odokotela bathi kwesibindi akunakuba yokubhekana nezinselele imisebenzi ukudlulela ngale esigabeni yokubola.

Kukhona ingozi kumiswa necrosis ngenxa i ukufakelwa isitho. Njengoba kwenzeka yokuthi insimbi ingahlangani imile izimpande, okuholela kwenqatshwa zalokhu izinqubo kanye elibi. Ezimweni ezinjalo, isiguli kunzima ukulondoloza ngoba kukhona umbani yegazi elinobuthi.

Izizathu sokuthuthukiswa necrosis ingathiwa eziwubala Uma unganakile, ukuphazamiseka umzimba.

izimpawu

Njengoba odokotela, u-Adalberto isikhathi eside, izimpawu isibindi necrosis kuyinto 'ithule. " Ngenxa yalokho, izimpawu zokuqala inkulumo kukhona nonspecific.

Hepatic izimpawu necrosis esinyathelweni sokuqala ukwakha zihlanganisa:

• Isicanucanu.
• Ukungakuthandi ukudla.
• Ukukhungatheka ngezinsimbi zesihlalo.
• Ukuhlanza.
• kwesisindo.
• Jaundice.

Ngesikhathi fair ubulili necrosis singenzeka ukuphazamiseka kokuya esikhathini, futhi amadoda, esikhundleni salokho, kungase kube nezinkinga nge potency.

Ngo ukuthuthukiswa isibindi izimpawu necrosis baqala ukuveza licace okuningi. Izinyathelo okwalandela ekuthuthukiseni lesi sifo libhekene i ukwanda endaweni besisu, ukuvuvukala emaqakaleni.

Izimpawu ezilandelayo kungenzeka esigabeni sokuqala ekuthuthukiseni lesi sifo:

• Ubuthakathaka, ukucobeka.
• Ukwenqaba udle.
• Ubuhlungu umuzwa isicanucanu.

ukubonakaliswa Specific izifo ingathiwa:

• umbala elingavamile umchamo kanye endleni.
• varicose emithanjeni.
• Ukwesaba ezandleni zakhe.

Uma emzimbeni kwenzeke ezinye umzimba ukuguqulwa sina, Kulezo zimo kungenzeka ukuhlukanisa lezi zimpawu ezilandelayo:

• Ukwandisa Usayizi esiswini. Njengomthetho, isizathu salokhu ukuguqulwa awuketshezi zanqwabelana.
• Spazmiruyutsya ubuhlungu ngakwesokudla quadrant engenhla.
• Entrainment Ubukhulu isibindi ubende.
• Nokunganakwa, ukusangana.

Ukuxilongwa isibindi necrosis

Ngesikhathi kumiswa kancane esolwa isifo nesineke kufanele uthintane ochwepheshe ezifana:

1. Gastroenterologist.
2. Surgeon.
3. Resuscitator.

Njengoba necrosis hepatic (izimpawu kanye nokwelashwa kungaba azimisele kuphela abaqeqeshiwe Uchwepheshe) isifo esiyingozi, odokotela musa batusa self-medicate. Ngoba ngaphandle kokwazi uphethwe kungaba kuyonezela sifo.

izifo yilezi izinqubo ukhiye:

1. US.
2. MRI, ama-CT scan isitho olimele futhi ipheshana biliary.
3. Single-albhamu yezithombe ekushayweni CT.

Lapho parenchymal oqondile ukulimala izilonda kunqunywa ngokusebenzisa le zokuxilonga. Ukuze uthole ukwaziswa okwengeziwe mayelana abathembekile oqondile ukugeleza kanye nohlobo ngukulimala izicubu, ngokuvamile ezisetshenziswa inaliti biopsy.

Ukonakaliswa isibindi necrosis - izindlela eziyisisekelo

Ayikho Uchwepheshe ngaphandle kokudabula uphethwe ngeke wafaka le uphethwe "necrosis kwesibindi." Ukwelapha ngokuyinhloko iqala ukuqedwa izimbangela ukwakheka isifo. Ngokusho kochwepheshe, ingxenye ekhethekile zezimbangela izifo kuyinto isifo sokusha kwesibindi ezibangelwa amagciwane. Ngenxa yalokho, inkambo yokwelapha ihlanganisa imithi elwa namagciwane. Le nombolo kusho izici eyinqaba isitoreji, ngakho-ke, impumelelo yabo ungase uphawule emva kwesikhashana.

Kuyinto ukufakwa esiyisibopho zokwelapha hepatic asetshenziswe ukwesekwa ngqo kwanoma iyiphi ukuvuselelwa kwemisebenzi umzimba nge ukulimala ezincane. Futhi, ochwepheshe siphikelele ngokuthi akuyona ingozi nesineke uye sazilahla zonke izinto ezake, kungenjalo ukuphathwa ngeke nilingenise nomphumela omuhle.

Uma imbangela isifo Ukwakheka lokudakwa i umzimba, kulesi simo, therapy yakhiwa izinyathelo isihlobo ngokukhishwa kobuthi egazini.

Uma isibindi necrosis (izifo Photo okusesihlokweni esithi) kwaba senziwa sibe sesomile, kuleso simo ngendlela ayisihluthulelo ngokuphilisa ukulahla ukusetshenziswa kotshwala kanye gepatoprotektory neqhaza nokugcinwa emzimbeni.

labagula kakhulu

Direct iziguli ukonakaliswa nge acute isibindi necrosis wenziwa uMnyango yokwelapha olunzulu.

ukwelashwa okunzulu necrosis hepatic ngokushesha sibhekiswe nokuqedwa, ngokuyinhloko yokwehluleka kwesibindi.

izimiso:

• Ukwelashwa sibhekiswe izimbangela ukuthi wayithukuthelisa ukuvela isifo.
• Ukuphulukisa kufanele uqale ngokushesha.
• Okuphoqelekile esibhedlela nesineke.
• Ukuphulukisa kuhloswe ekunakekeleni umzimba ngqo nomzimba iyonke.
• Njengoba kufakazelwa izibuyekezo eziningi ochwepheshe, uma imbangela kumiswa yokwehluleka kwesibindi ukusebenza esikhathini sezinsuku ezingu-10, ngesikhathi esifanayo ulondoloze isimo nokusekela ukuphila kwakhe lesiguli iza ukukhishwa hepatocytes, okuyinto eyenza umuntu, okokuqala kunakho konke, ukuze usinde.

amakhambi abantu

Izindlela imithi ehlukile ukwelapha lesi sifo alikho. Kodwa njengoba zokupheka prophylactic of imithi yendabuko kungenzeka ngempela ukusebenzisa. Ukuze uthuthukise isibindi ukusebenza kungasetshenziswa rose okhalweni, calendula izimbali kanye Helichrysum. Ungakwazi ukulungiselela ukumnika ephulukisa la makhambi.

Ukudla isibindi necrosis

Lapho sitholakele "isibindi necrosis," isiguli kufanele makalahle utshwala. Udokotela ukuba khona kumele ngempela ukuthuthukisa futhi achaza olinganiselayo Ukudla imenyu.

Ngokuvamile, isifo ezifana isicelo № ithebula 5, okuyinto eqala ukuqedwa ngokuphelele kasawoti. Ukudla lesiguli kufanele esekelwe mikhiqizo:

• Imifino.
• Izithelo.
• Kashi.
• isinkwa Brown.
• inyama zokudla.

Kuyadingeka ukuba banake izindlela zokupheka. Ukudla kangcono ubilise, amakhekhe noma ukupheka phezu okugeza umusi.

Kislomolochku kungafakwa ekudleni, kodwa izinto eziningi ezincane. Izinhlanzi bavunyelwe ukwengeza imenyu wezokudla, ngoba ungumthombo iningi izakhi trace.

Kodwa kufanele sikhumbule ukuthi ukwelapha yisiphi isifo zizosebenza kakhulu i-masinya futhi ukwelashwa. Ngenxa yalokho, izimpawu ukubonakaliswa ukugula kufanele uthintane onguchwepheshe.