Ukuhluleka hepatic

yokwehluleka kwesibindi kuwumbandela walesi normal, emelela isigaba sokugcina lokugula. Ukugula lihlotshaniswa ukungasebenzi neziyaluyalu ephelezelwa uhlamvu Neuro-ngokwengqondo kobukhulu obuhlukahlukene, kwezinye izimo, ngisho ikhoma.

yokwehluleka kwesibindi kungase kubangelwe isifo sokusha kwesibindi kohlobo ezithathelwanayo (isifo esithathelwanayo), ukusha kwesibindi kohlobo okungamahlalakhona, ekuzigingqeni ngokoma kwesibindi, alveococcosis, izimila, ezingamahlalakhona pancreatitis obturation (occlusion) we imbobo Bile. Imbangela sifo futhi wesiyaluyalu hemodynamic ku ngemuva vein hepatic occlusion, amakhowe elinobuthi, izinto hepatotropic (phambili, phosphorus kanye nezinye) kakhulu ithonya izici (nezinqubo zokusebenza, ukusha, amanxeba). Ukugula eba nokungabekezelelani kwemithi (elwa ne-sikashukela, chlorpromazine, njll), izifo ephelezelwa cholestasis extrahepatic.

Esengumntwana yokwehluleka kwesibindi ukusebenza kaningi kuwumphumela ukusha kwesibindi kohlobo B.

Banikezwe indlela yokwehluleka kwesibindi ihlukaniswe izinhlobo ezimbili.

Esokuqala endogenous. Leli fomu eba ngenxa izilonda ku parenchyma isibindi hepatocytes ukusebenza iziyaluyalu.

umumo Exogenous ngenxa inflow wegazi ayegcwele ammonia esegazini we vein portal nge anastomoses portacaval.

Njengoba umkhuba ubonisa, esingamahlalakhona hepatic yenzeka ezimweni eziningi ifomu okuxubile. Ngesikhathi esifanayo ubuswa izici endogenous.

Isibindi ukwehluleka. izimpawu

Lesi sifo kungavuka umbani, chronic oyingozi. Okuvame kakhulu ukuthuthukiswa njalo lesi sifo. Ekuqaleni itholwa ukubonakaliswa esingamahlalakhona hepatocellular. Uthi izinkinga zokudla, isikhumba esomile, kwehle turgor emisipheni, kumiswa spider emithanjeni, nokopha esikhumbeni. Gynecomastia singenzeka ngenxa ubuthi okwandisa. Ngaphezu kwalokho, cishe isicelo sokukhuphula noma ukwehlisa kwesibindi, ukuthuthukiswa ascites, kweNdikimba ubende. Izenzo ezifweni ezimbi elinesimo ukunqotshwa esindayo. Iziguli kulolu isimo waphawula iphunga eyinqaba okomlomo, imfiva, ubuhlungu ku palpation.

ukuthuthukiswa kwaleso sifo libhekene iziyaluyalu yokwehluleka kwemizwa, yengqondo iziguli. Izinguquko ezinjalo, ngakho abhekwa eziyinhloko ekuhloleni kobukhulu isifo. Banikezwe izimpawu zalezi ukuphazamiseka kwempilo okuthile ngezigatshana ezintathu.

Amanothi lokuqala ebusuku ukuqwasha, ukungahlaliseki ngokomzwelo, emini, inkumbulo ukungakhuli, kwezinye izimo, ikhanda kungenzeka noma isiyezi.

Isigaba sesibili libhekene iziyaluyalu esithinta izinzwa, iziyaluyalu engqondweni yethu, kuze okuvela hepatic (encephalopathy) gepatargii. Isiguli sinelungelo eliqhaqhazelayo sezindebe, izandla, amajwabu amehlo, ataxia, amehlo ezidukayo sokuzikhulula okungalindelekile futhi ukuchama. Mhlawumbe ukuthuthukisa delirious syndrome, ephelezelwa excitation nge ushintsho retardation. Lapho lesi simo kwenzeka izinguquko kakhulu okukhulu ukufundwa Bheka.

Ukuze esigabeni sesithathu (coma) libhekene ezinzima ukudideka. Ngemva kwalokho eza nse msindo bese - ikhoma.

Lapho fulminant ukwehluleka hepatic, ukufa, zingaba khona ngemva kwamahora ambalwa.

ukuthuthukiswa okukhulu lesi sifo libhekene (kancane kancane) ukuqala abukhali noma subacute, Uthatha izinsukwana kuya emasontweni. Pathology ungalenza kume ukufinyelela isinyathelo sokuqala noma sesibili, kodwa, njengoba umthetho, iqhubeka ize ife.