Kwa chiwindi Encephalopathy

Zovuta zizindikiro za matenda a dongosolo chapakati mantha, mwachitsanzo. E. Neuropsychiatric matenda anthu akuvutika ndi matenda a chiwindi kapena matenda a chiwindi imatchedwa kwa chiwindi encephalopathy. Mu kukhalapo kwa matenda angakhale kusintha kagayidwe kachakudya encephalopathy, sizingasinthe matenda a dongosolo ubongo ndi edema aakulu.

The matenda a "kwa chiwindi encephalopathy" aikidwa pafupifupi 80% odwala ndi matenda a etiology osiyana, ndipo pafupifupi 20% odwala likufa popanga munthu opaleshoni kuti apange portosystemic shunt, komanso odwala matenda kulephera chiwindi.

Zimayambitsa zazikulu kulephera chiwindi, lomwe ndi zotsatira za kwa chiwindi encephalopathy amaonedwa:

- akakufunsani zotupa a chiwindi (matenda enaake, aakulu ndi pachimake chiwindi);

- kuchepetsa (kutsekeka) thirakiti biliary;

- mmene chiwindi zinthu zosiyanasiyana poizoni (ntchito bowa chakupha, ena mankhwala ndi poizoni);

- matenda opatsirana;

- kuvulala yaikulu kapena amayaka;

- pachimake cholangitis;

- septic ndi purulent matenda;

- thrombosis ya m'mitsempha zipata chiwindi.

Chipatala gulu kusiyanitsa kochepa kwa chiwindi encephalopathy, episodic ndi kulimbikira. Komanso allocated magawo angapo a matenda:

- ziro (zobisika) Chinthu - popanda zizindikiro matenda

- gawo loyamba - pali kugona zipolowe za mungoli,

- gawo lachiwiri - limapezeka disorientation mu nthawi,

- gawo lachitatu - pamaso pa wokambirana ndi disorientation,

- gawo lachinayi - chikomokere.

Kwa chiwindi encephalopathy chifukwa cha matenda pachimake chiwindi, monga chiwindi pachimake, encephalopathy ndipo anapanga pamaziko a matenda aakulu chiwindi - matenda enaake zosiyanasiyana malinga ndi mbiri zachipatala mayesero zasayansi ndi zonse matenda bwino. Mu matenda a chiwindi pachimake, kwa chiwindi encephalopathy syndromes zambiri kutchulidwa ndi kusintha mofulumira kuposa matenda enaake chiwindi.

Kwa chiwindi encephalopathy: Zizindikiro

- irritability, kusowa chidwi mu banja, childishness, ndi zinthu zina umunthu;

- tulo chisokonezo chisokonezo cha chikumbumtima ;

- popanda kusintha mphamvu ya mawu, kuti akuchedwa wa kulankhula, etc.

- pamaso pa "kwa chiwindi" fungo ku M'mimbamo m'kamwa;

- pamaso pa 'akum'tundudza' ndi kugwedeza;

- madzimadzi mu pamimba (ascites) ;

- matenda a chikasu ndiyo ndi mitsempha kwa chiwindi pa khungu;

- wakuda dikira chimbudzi ndi kusanza magazi.

Akuluakulu malangizo njira, ndi amene anapezeka kwa chiwindi encephalopathy ndi: m'mimba ultrasound, endoscopy m'mimba, kum'mero ndi electroencephalography. Komanso ntchito njira zasayansi monga kutolera zitsanzo magazi (okwana amuzolengedwa, kukonza ziphe, mowa ndi amoniya milingo), mkodzo ndi ndowe. Komanso, imachitika kuyezetsa psychometric odwala ndi magawo oyambirira a matenda.

Kwa chiwindi Encephalopathy: Chithandizo

Chithandizo cha matenda monga kwa chiwindi encephalopathy, ndi sitepe limene pali mbali zitatu:

1. Kudziwika ndi wotsatira Kupha zinthu zimene zinathandiza kuti chitukuko cha encephalopathy kwa chiwindi.
2. Pogwira ntchito umalimbana kuchepetsa mapangidwe mankhwala osiyanasiyana a poizoni ndi metabolites awo. Komanso, chochitika kasamalidwe, kuphatikizapo kuchepetsa kuchuluka kwa mapuloteni chakudya, kusinthidwa intraintestinal malo awo ndi normalization wa microflora matumbo, ndi kukondoweza kayendedwe matumbo.
3. Kugwiritsa ntchito mankhwala kuti kusintha kwa chiŵerengero cha timene.

Komanso, mtima kutsatira akulimbikitsidwa kudya zakudya zapadera zimene amakonda zakudya pachimake ndi mafuta, ndi mowa.