Steatohepatitis - kuyini? Izimpawu kanye nokwelashwa steatohepatitis

Ngokuhambisana idatha Ngokwesilinganiso, izifo zesibindi ezihambisana iziyaluyalu of fat umzimba, beba zigcwele yonk 'indawo. Lena abantu kweqiniso ikakhulukazi Melika naseYurophu, okuyinto bavame ukuthi nginesifo esasibikezela isenzakalo esibi "steatohepatitis." Kuyini futhi kanjani ukuvikela lesi zokugula? Yilokhu okuzoxoxwa ngayo.

isifo okunamafutha kanye steatohepatitis

Ngenxa acylglycerols umzimba (amafutha) kanye nemikhiqizo oxidized e pheshana emathunjini kuyahlukahluka isakhiwo kwesibindi uqobo. Kodwa into eyingozi kakhulu wukuthi lezi zinguquko baqiniseka ongabonakali, okungukuthi, akuphazamisi isimo sempilo yomuntu ogulayo. Okungenani, inqobo nje uma isiguli aluphumeleli ngihlolwa. Kubalulekile ukuhlola ngesikhathi esifanele futhi ukwelashwa abafanelekayo amaseli isibindi ufe esikhundleni ezicutshini. izinqubo ezinjalo njalo esongela yezinkinga ezifana isibindi sibe sesomile. Indoda ukucinana efanayo kubalulekile unamathele ukudla.

Steatohepatitis - kuyini? Lesi sifo kwenzeka ZHZP isizinda (okunamafutha isifo sesibindi), okuyinto kuphakamisa ezihlukahlukene izifo: umfutho wegazi ophakeme, ukukhuluphala, ezingamahlalakhona Hyperglycemia syndrome, isifo sokuqina kwemithambo yegazi, njll Ngenxa yalokho lamaseli isibindi cluttering triglyceride (amafutha hlangothi), ngenxa okuyinto oyiyo izinguquko futhi .. ithuthukisa steatosis. Ngokuhamba kwesikhathi, qala ku hepatocytes izinqubo oxidative ezibhubhisa amaseli kwesibindi. Ngenxa yezinto yisishiso, okuyinto kuphakamisa statogepatita nokubonakaliswa. Kukhona izinhlobo ezintathu zesifo: oludakayo, okungezona wotshwala nezidakamizwa.

ifomu Alcoholic

Ngokuvamile stetogepatit oludakayo ubonakala kubantu abaphethwe utshwala okungamahlalakhona, okuyinto 35%. Ngenxa 95% imimoya ayafa kuphela kumaseli kwesibindi, njalo kuthinta kusebenta kwato. imiphumela Toxic of ethanol kwesibindi njalo okubangela ukuvuvukala komzimba.

Lokhu kuboniswa emizweni ubuhlungu endaweni emaphethelweni (ohlangothini lwesokudla), iziyaluyalu psychopathological, dyspepsia, futhi izimpawu icteric. Isibindi uyanda futhi uya ngokuya uba liqine futhi lisithinte ngokwengeziwe ngokusobala okuyinto lizwakale ngu palpation, elibangela ubuhlungu buthuntu. Ngaphandle ekwandiseni emithanjeni e emphinjeni, okuyinto kusondele ukopha zangaphakathi.

Ngenxa bandisa inkonzo sokuvuvukala transaminases, triglyceride iyakhula. Ushintsho esikhulu indlela bilirubin izinkomba utshwala lipophilic, phosphatase ane-alikhali, njll Uphawu osobala kakhulu - .. Lokhu ukwehla transaminase (enzyme hepatic) ngokumelene ukuhoxiswa syndrome.

Xilonga steatohepatitis ezingamahlalakhona kungenzeka kuphela emva luhlolo ngokugcwele: idatha laboratory, imisindo ephansi, biopsy, palpation, nokuxhumana ne udokotela.

Kubalulekile ukuvikela amaseli isibindi ekulimaleni futhi ukuqeda noma okungenani ukunciphisa ukuvuvukala. Misa ekwandeni ezicutshini emzimbeni futhi kuvimbele ukuthuthukiswa isifo sokusha.

Ukuphuza utshwala akuvunyelwe nakancane! Kungenjalo, ukwelashwa kuyinto engenamsebenzi.

ifomu Nonalcoholic

steatohepatitis umzimba kwenzeka ngoba amangqamuzana supersaturation isibindi amafutha hlangothi - triglyceride. Futhi ngenxa - izinqubo oxidative futhi ukuvuvukala, ukubhujiswa omzimba, ayanda sezicubu zezinzwa futhi ukuthuthukiswa isifo sokusha. Eminyakeni yamuva, amacala non-utshwala okunamafutha isibindi anda.

Ukugula kwenzeka ngokumelene isizinda isisindo okweqile, izifo pancreatic, iziyaluyalu lipid umzimba, ezinqala kwesisindo. Futhi, ngesizathu kungaba ukungondleki kahle, okungukuthi amaprotheni ukuntuleka kwamavithamini, ukungezwani encishisiwe antitrypsin ezingeni, nokunye. D.

Nash singenzeka kuphela noma kube umphumela nezinye izifo. Ngaphandle laboratory hhayi ukuhlolwa abantu ungase uphawule izimpawu zaso. Transaminases ocushiwe, usayizi isibindi iyakhula. Abantu abaningi ukuthi nginesifo Nash, uma ziba kudokotela izikhalo nezinye izifo.

Ukuze ukwelapha noma ayeke ukuthuthukiswa isifo, kubalulekile ukuba kulesetayelekile namachibi izinqubo, ukusheshisa ezokuthutha kwamafutha ongathathi hlangothi kwesibindi ukwehlisa ukunqwabelana fat emangqamuzaneni omzimba, futhi oxidative nokwehliswa kwesithunzi lipids. Oxidants Ukwakheka olimalayo ulwelwesi, kwalapho kuhlangana khona imizwa futhi edwengula iyunithi isakhi acid nucleic.

Ikhomponethi oyisibopho ukuphathwa - kuba ukudla. Khetha ukudla kuyadingeka ngamunye ngamunye Icala, njengoba inkambo sifo zonke iziguli lihlukile. Futhi sibonga ekhethwe kahle ukwelashwa Ukudla okungavimba namachibi nezinqubo ukuvuvukala futhi ukumisa ukuqhubeka kwesifo.

Kunconywa njalo ngemva kwezinyanga eziyisithupha ukuba kudlule luhlolo saziso zokwelapha ukugula akulona iyiswe ifomu ezinzima.

ifomu Isikali

Olunye uhlobo - steatohepatitis kwezokwelapha. Kuyini futhi kungani benayo? Enye into nakanjani: isizathu ayixhomekile ku ukusebenzisa uphuzo oludakayo. Njengoba leli gama lisikisela, lolu hlobo sifo kwenzeka ngenxa isibindi Ihora izidakamizwa eziyingozi. Ngokuba abanjalo bangabaphostoli antibiotic tetracycline, estrogens zokwenziwa, "chloroquine," "ukwenza Lago", izidakamizwa ukuze aphathe viral immunodeficiency, antifungals nabanye.

Uma uthatha imithi engozini isikhathi eside, kungase kuthinte ukusebenza kwesibindi. Okusho ukuthi kuphula umthetho we triglyceride namachibi eziqhubekayo izinhlobo eziningi OOP (izidakamizwa steatohepatitis) Ngokushesha, izimpawu ze okuyizinto ngempela kabi eziphathekayo. Yingakho kudingeka unamathele enkambweni ecacile yokwelashwa, njengoba yezinkinga singenzeka. I esiyingozi kakhulu zokugula - kuyinto necrosis kwamaseli isibindi lamadigri ezihlukahlukene zaba namandla kakhulu.

Engozini abantu asebethole wazibona ukuhlukumeza umsebenzi sesibindi. Thatha lezi imithi kuphela ngokulandela isincomo udokotela ukuba khona futhi belawulwa esiqinile. Kunconywe kanye izidakamizwa eziyingozi ukuthatha gepatoprotektory.

I degree of ukubhujiswa

Histology futhi iphesenti isibindi cell ukubhujiswa kusikisela lesi sifo ngasiphi komqondo nezinga lokukhula kwengane.

Steatohepatitis degree sakugcina umsebenzi ngokumelene isizinda iziyaluyalu umzimba futhi esibonakala ngokuqina ukuvuvukala emaphashini. Mayelana 35% kwamaseli ukungenwa umonakalo. ngendlela efanele usaqala we Identification isifo oluqinisekisa ukwelashwa ngendlela ephumelela kakhudlwana.

Awukwazi ukusho mayelana ifomu ezinzima zalesi sifo: Bubbles amafutha ichazwe 70% amaseli, futhi konke lokhu okwenzekayo ngokumelene isizinda jikelele inqubo esindayo ukuvuvukala.

umsebenzi ngokulinganisela kwabangela steatohepatitis ezinye izifo libhekene ukulimala futhi mayelana 68% amaseli, impendulo ukuvuvukala akuyona olunzulu kakhulu, kodwa lubonakale ezingaphezu kuka esinyathelweni sokuqala.

izizathu

Imbangela esikiselwa okwenziwe ngaleli isifo - ukuphazamiseka umzimba, okungase kube umphumela ukuvela isisindo okweqile, noma, Ngakolunye uhlangothi, ehlome kwesisindo. Ukudla okuqinile noma ukudla ngokweqile, futhi, kungase kubangele isibindi steatohepatitis.

Ziyini izimbangela eziyinhloko zalokhu lesi sifo:

• disorder umzimba.

Lokhu kuhlanganisa nokulahlekelwa ukhuluphele noma okungazelelwe esisindo ngenxa yokungondleki kahle. izifo ze-endocrine, ukuphazamiseka umzimba, okwaphumela kashukela liphume kakhulu. Ukushintsha ratio lipids (izinto amafutha-like) amazinga. Administration glucose egazini by indlela emthanjeni. Inguquko yokudla egcwele kokubeletha.

• Izidakamizwa ukudakwa.

Abanye imithi kungabangela steatosis, eliphumela a glut ka isibindi cell amafutha. Cishe le ndlela yokusabela kungabangela hormone steroid, izidakamizwa okuyinto zivimbela noma wokufihla ngokuphelele cell division. Kanye imithi ukwelapha izifo ezithathelwanayo, futhi abanye ejenti eqeda ukuvuvukala ezinciphisa imfiva nobuhlungu.

• Ukusebenza endaweni pheshana emathunjini.
• wamathumbu diverticulosis (ziboya saccular odongeni emathunjini).
• Gepatotserebralnoy sokuwohloka. Lena esiwufuzo libhekene iziyaluyalu zethusi umzimba emzimbeni.

symptomatology

Njengoba sekushiwo, kuncike izizathu ezibangela ukuvuvukala kumaseli hepatic, kukhona izinhlobo ezintathu zesifo: utshwala, izidakamizwa kanye steatohepatitis non-utshwala. Izimpawu, izimbangela zezifo nezindlela zokwelashwa esimweni ngasinye zihlukile.

Utshwala uhlobo lesi sifo has izici ezifana:

• Ubukhulu ukwanda isibindi, kuba ayazika, okuyinto kakhulu ngesikhathi palpation.
• Soreness e emaphethelweni (ohlangothini lwesokudla).
• iziyaluyalu wokugaya ukudla, kukhona ngenxa uhudo noma ukuqunjelwa.
• I nokujuluka nesineke kakhulu futhi njalo womile.
• Umuzwa ukukhathala nobuthakathaka.
• Ukungakuthandi ukudla, umuntu ulahlekelwa isisindo ngokushesha.
• Isiguli njalo ogulayo, ukuhlanza Ngokuvamile ubonakaliswa isimo sengqondo.
• Nesikhumba noma namehlo abe phuzi luhlaza.

Izimpawu umthamo amafomu lesi sifo:

• ubuhlungu izinhlelo (ahlekise) isibindi.
• Ukwephula Bile uketshezi.
• Isikhumba is ababethi abe luhlaza ehlukile ophuzi.
• Kukhona ukucasuka kuya isikhumba.

Nash has zimpawu ezilandelayo:

• Njalo emizweni ubuhlungu isibindi.
• Isiguli uzizwa ukusinda njalo esiswini.
• Ukukhathala nokuphelelwa amandla.
• Ukoma nomjuluko kunethonya elisezingeni elifanele ngokweqile.

ekuxilongweni

Ingozi iba ukuthi ezimweni eziningi lesi sifo kancane futhi alinaso izimpawu ezisobala. The main isignali ingozi - lokhu ubuhlungu kwesibindi, izithelo zawo futhi ukuhlanganisa.

imithi yesimanje ngezindlela eziningi ukuxilonga izindlela ezihlukene zokubiza isifo. Eminyakeni yamuva, iningi kangakanani steatohepatitis obhalisiwe oludakayo, ukwelapha okuyinto - inqubo eyinkimbinkimbi kakhulu futhi kanzima. Yingakho kwasekuqaleni uya umlando oludakayo.

izigaba Survey:

• Ultrasound kwesibindi okwanda yayo kanye nezinguquko zangaphandle.
• Ukuhlolwa uzingela izinga le-cholesterol, hydrolysis enzyme, amaprotheni globular, Bile sombala, amafutha hlangothi futhi t. D. Lezi idatha lizosiza ukukhomba lokho esiteji ukuthuthukiswa isifo.

Uma isikhathi ukuxilonga steatohepatitis omnene, ithuba ukuba ngokushesha inyuka yokutakula.

Uma imiphumela yocwaningo izibonakaliso utshwala hhayi gepatoza ezikhonjwe, ucwaningo kwenziwe kufomu non-utshwala lesi sifo:

• Biopsy, okubandakanya amaseli intravital kocingo isibindi isiguli.
• Ultrasound ukuhlonza izifo ukhuluphele noma endocrine. Lolu cwaningo kwenziwe umcimbi ukuthi akunakwenzeka ukuba afeze biopsy.

Ifomu Isikali lesi sifo kungase kwembule udokotela ngubani ebekiwe izidakamizwa isiguli engozini. Izindlela sokunquma: ultrasound ukuhlolwa-CT scan, ukuhlolwa laboratory noma ukuhlola nge biopsy.

Inketho ekahle - ke indlela eyinkimbinkimbi ukuhlola sokusebenza.

Ukwelashwa kanye nezinkinga

Kubalulekile ukuqeda imiphumela anobuthi kwesibindi, ukwandisa ukuzwela somzimba esenzweni insulini. Kanye kulesetayelekile umzimba kwamafutha amaseli bese ubuyisela esimweni izivikeli mzimba. Lena inkinga enkulu udokotela kanye nesiguli yakhe. Steatohepatitis degree sakugcina msebenzi engcono esilaphekayo.

Kulokhu, isiguli kudingeke qiniseka ukulandela izincomo uchwepheshe. Okubalulekile ukugwema umsebenzi ngokweqile. Ezemidlalo kudingeka zixazululwe, kodwa ngokulinganisela: avunyelwe ukubhukuda, pilates kanye emizileni nokuhamba. Lokhu kuyiqiniso ikakhulukazi abantu abakhuluphele ngokweqile.

Ukudla yokwelapha kuboniswa isiguli ngayinye. It is kakhulu belulekwa ukuba oyingozi futhi ukudla okunamafutha, nomqwayiba, ezihlukahlukene marinades ne-caffeine. Kungakhathaliseki imiphumela yokwelashwa, ekudleni kuyadingeka ukugcina unaphakade. It is nhlobo ukusebenzisa (ngisho nengcosana) imimoya, njengoba isifo ucala kutfutfukisa izikhandle kakhudlwana ekufuneni.

Kuye uhlobo lwesifo ukwelashwa (ezidakayo nezinto zokuhlanza nonalcoholic steatohepatitis izidakamizwa) Kwenziwa izindlela ezahlukahlukene, babelwa imithi ehlukile.

Kodwa ungakwazi ukuhlukanisa imithi elwa ne izimpawu eziyinhloko zesifo:

• ejenti hypoglycemic ukuthuthukisa insulini ukuzwela.
• I ukwakhiwa of Bile acid okuyinto wehlise umsebenzi transaminases futhi bavikele amaseli isibindi.
• Hepatoprotectors ( "Essentiale Forte") ngesimo amaphilisi noma ampoules. umphumela wabo ukuqeda lemali enganele phospholipids emzimbeni wesiguli.
• Gipolidimicheskie izidakamizwa (ama-statin) ukuthi ukunciphisa amazinga egazi cholesterol.
• Nanoma yiluphi uhlobo lesi sifo, steatohepatitis ngisho umsebenzi ongatheni, zidinga ukwelashwa inpatient ngaphansi ebhekiwe ongoti. Njengoba ukwelashwa futhi bengafundile kuphakamisa ingozi isifo sokusha asathuthuka, isibindi cystic, ngisho yokwehluleka kwesibindi.

ukudla

Iningi labantu abaphethwe FH, unenkinga ukhuluphele, kodwa ngoba ezemidlalo kanye nokudla okudlayo hypocaloric - ke yithuba lokuthola i. Phela, ukuze unciphise ukuvuvukala esibindini, kubalulekile ukuba ulahlekelwe isisindo. Ukugula kakhulu, okuyinto uyala wena, - konke lokhu steatohepatitis. Ukudla - ngalokhu kuyisici esibaluleke kakhulu isenzo. Uhlu imikhiqizo ezingase futhi idle: inkukhu (Isikhumba asikwazi ukudla), inyama sethole, unogwaja, inhlanzi abilisiwe (umfula), a imikhiqizo amaprotheni-amafutha yobisi ubuncane. amaprotheni yezilwane, okuyinto equkethwe la ukudla, okunamafutha ukonakala kwamaseli ayeke pecheni.Chego akunjalo ezilwane: iwundlu, ingulube, yenkomo, okunamafutha ukhilimu, njll Esikhundleni mikhiqizo kungcono ukusebenzisa yemifino noma amafutha omnqumo ...

carbohydrate ayinkimbinkimbi, ezifana okusanhlamvu ezimhlophe, ufulawa amnandi, kufanele ngaphandle kusukela ekudleni. Ukudla imifino, izithelo, amakhambi, izithelo, okusanhlamvu kanye bran kusiza ekwehliseni amazinga cholesterol egazini.

Kungakhathaliseki ukuthi isimo izifo kubantu: utshwala, izidakamizwa, noma steatohepatitis non-utshwala, ukudla kumelwe!

zokuvimbela

Ukuze avimbele lesi sifo kubalulekile ukuba uyothuma amabutho ekwelapheni pathologies ezinkulu kotoryo angase amenze: ukukhuluphala, izifo endocrine, njll Izinyathelo ziyasetshenziswa ukugwema izimbangela ukuthi kumkhathaze ke ..:

• Utshwala ziphele ngokulinganisela.
• A ukudla olinganiselayo.
• Kuyadingeka ngokushesha ngangokunokwenzeka bakwazi ukwelapha izifo anomthelela ekuthuthukiseni okunamafutha isibindi.
• Ukusetshenziswa kwesivuno ngokuqikelela imithi ukuthi ingozi kwesibindi. Belingana kubo, udinga ukuthatha gepatoprotektory.

Kungakhathaliseki ukuthi uhlobo lesi sifo sitholakale nesineke: ukudla - ke kungokudingekayo. Lokhu kusho kuvinjelwe ethosiwe, okunamafutha, okubabayo, ngibhema futhi ezihlukahlukene ukhukhamba. ukudla kuphela amaprotheni, zemifino amafutha, izithelo kanye nemifino.

Kubalulekile futhi ukuba ahole yokuphila asebenzayo, isheduli efanele kosuku, ubuthongo evamile (okungenani amahora angu-7), inhlanzeko yomuntu siqu futhi, yebo, umsebenzi. Ngokulandela lokhu imithetho ncamashi inkinga kusongelwa. Ngaphezu kwalokho, kukhuphuke amasosha omzimba ukuba umzimba evamile, futhi ngokuvamile umzimba usebenza kahle.

Abantu ne FH ezingamahlalakhona kufanele ibhekane Inkambo yokwelashwa minyaka yonke. Ngakho bazokwazi zokugwema izinkinga kungenzeka.

Ukwelashwa nokuvikelwa amakhambi abantu

isifo esiyingozi okusongelayo yezinkinga eziyingozi - kuyinto steatohepatitis. Ukwelashwa yalesi sifo kungenziwa kusekelwa nemithi non-bendabuko. Ngaphezu kwalokho, indlela yokwelapha kuhlanganiswe vumela odokotela yesimanje.

Omunye ethandwa nemithi somkhaya kuyinto imbiza elibuyisela amaseli isibindi futhi ngaleyo ndlela kuzole ukusebenza yayo. Abaningi imikhiqizo yemvelo esophe le ekwelapheni okunamafutha isibindi, yakhiwa sicashunwa imbewu ubisi somkhaya.

Indlela ukupheka powder somkhaya ngokumelene steatohepatitis

Ukulungisa izidakamizwa udinga izithelo (35 g). imbewu Gaya in a blender ukwakha powder futhi kudle 1 isipuni izikhathi 6 ngosuku nge ingilazi yamanzi abilisiwe afudumele anosawoti.

35 amagremu powder ubisi somkhaya - kuyinto izinga nsuku zonke nokuvulwa isibindi. Inkambo yokwelashwa kufanele kuhlale okungenani izinsuku ezingu-40, ngemva kwalokho uzobona ukuthi kufanele bazizwe kanjani kangcono. Isibindi kuyehla kube ubukhulu evamile, iphele engokwemvelo uphawu wakhe, kuthuthukisa fat umzimba nokunye. D.

Sami odokotela linqume lezi izidakamizwa, njengoba nje kuvamile namanje yemvelo futhi awaqukethe izingxenye eziyingozi anobuthi kokuqanjiwe. Mhlawumbe ungabonisi Imiphumela enjalo okusheshayo, kuba ngokuphelele ephephile emzimbeni.

Yiqiniso, ukuba athathe isinyathelo ngaphandle kwemvume udokotela wakho akuvumelekile! Ngoba impatho eziyinkimbinkimbi ingaqoka abaqeqeshiwe kuphela emva luhlolo umnyuziki nokuqaphelisisa Yiqiniso lesi sifo.

Ukuze kuncishiswe ukuvuvukala esibindini ukunambitha futhi lezo zimali:

• uwoyela Almond noma ibhilikotsi.
• itiye herbal kusukela St John sika wort, calendula, Chicory futhi helichrysum.
• Ukumnika esikweyoku, knotweed, horsetail, futhi itheniphu.
• Izithelo kanye cranberry viburnum.

Zonke lezi zimali nethonya elihle ku-kokusebenza kwesibindi, ikakhulukazi ezikhathini zokuqala zalesi sifo. Kodwa ukuze uthole olunye amafomu eziphambili imithi yokwelashwa asetshenziswa kuphela lihambisana imithi ezivamile. Futhi kuphela emva imvume kudokotela ekwelapheni.

Steatohepatitis - kuyini? Lesi sifo unamagama amaningi: "lo zokugula we umphakathi ophucukile", "i-umbulali obulala buthule", okunamafutha isibindi, njll Kodwa noma ngabe ukubiza ngokuthini, isifo esiyingozi ukuthi kumele walwa ehlelekile, njalo nangenkuthalo ... Ayikwazi ukwenza ngaphandle ukubekezela, ukuzimisela isiyalo. Yebo, mhlawumbe kunzima, kodwa ukuphila kuyabiza, futhi angizisoli nakancane. Into esemqoka - ukulandela izincomo udokotela, futhi njalo ukufeza iziyalezo zakhe. Kuphela ngale ndlela singakwazi ukuzinqoba yilesi sifo esesabekayo!