Yoopsa matenda - tsiroz chiwindi. Kodi ndafika chiwindi?

Tsiroz chiwindi - ndi matenda aakulu omwe pali imfa ya maselo chiwindi - hepatocytes - ndi kuchuluka kwa minofu connective mwa thupi. Chiwindi sangathe ntchito yake zofunika - neutralization zinthu zoipa m'thupi, ndi kudzikundikira awo. Ndipo kupanga kusokonezedwa ntchito chiwindi: yafupika kupanga mapulotini, mwachitsanzo, albumin, komanso kuphwanya kumachitika kaphatikizidwe wa zinthu zambiri zokhudza magazi clotting.

Tsiroz chiwindi zimayambitsa

chiwindi mavairasi B ndi C patsogolo kwa chitukuko cha matenda enaake tizilombo. Kusiyanitsa mawonekedwe oyambirira a matenda amene ankachitira chifukwa mwachindunji za matenda tizilombo, ndi mawonekedwe kenako lomwe limapezeka chifukwa yaitali (aakulu) chiwindi otaya. tsiroz chiwindi akhoza chakupha ndi autoimmune chiwindi.

Chinthu china ndi matenda enaake ndi stagnation kapepala kakuti biliary. Ndi kuchepetsa lalikulu ya ndulu ducts Mwachitsanzo, pamene cholizira chotupa awo kapena mwala, pang'onopang'ono akufotokozera kuphwanya architectonic thupi.

matenda enaake mowa matenda yachinayi mmodzi wa anthu amene nthawi zonse zimawononga mowa kwa nthawi yaitali - oposa zaka 10. Pankhaniyi, alili zikuchitika kumwa mowa ndi kulephera mowa kukhala amalembedwa kusintha.

Ngati wodwalayo matenda a mtima kapena matenda a mitsempha kwa chiwindi, akufotokozera patsogolo tsiroz chiwindi.

Zina ndi matenda enaake a:

- kugwiritsa ntchito nthawi yaitali mankhwala ena (methotrexate, dopegita);

- kumtundu (matenda kumachitika chifukwa cha kobadwa nako enzimopatii - akusowa kapena kulakwila kaphatikizidwe wa michere).

Nthawi zambiri akufotokozera chiwindi matenda ndi osakaniza zinthu zingapo, monga chiwindi tizilombo ndi uchidakwa aakulu. Nthawi zina, chinthu chachikulu chomwe kusintha mu chiwindi zingadziŵike. Kenako anapezeka ndi "cryptogenic matenda enaake".

Mawonetseredwe matenda enaake zosiyanasiyana. Izi kuwonda, kufooka, kukhumudwa chopondapo, matenda a chikasu ndiyo, kuyabwa, magazi, kuwonjezera kukula thupi. Chiwindi ndi kukhudza amakhala wandiweyani ndi vuto. Inki khungu odwala, icteric, wouma ndi kuda zambiri za kukanda awonekere theka kumtunda kwa thunthu "mitsempha kangaude" (telangiectasias). Mbali khalidwe ndi "chiwindi kanjedza", iwo amakhala ofiira owala ndi otentha kukhudza.

The matenda chiopsezo cha matenda oyamba osauka zimene zingachititse kuti imfa. chifukwa kudutsa magazi kudzera chiwindi ndi wosweka, izi zimabweretsa mapangidwe njira zina otaya, mmodzi amene ali esophageal mitsempha. Kodi varicose awo. Kuyambira varices amapezeka magazi, ndilo chizindikiro choyamba cha kusanza "malo khofi".

Chifukwa kuphwanya kaphatikizidwe mapuloteni kukhala edema, choyamba m'munsi nthambi ndipo kudzikundikira ndiye madzimadzi pamimba (ascites,). Madzi, zomwe pamimba zina zitha wapezeka ndi ultrasound, angakhale chofuna, peritonitis akufotokozera.

Kudzikundikira mankhwala poizoni m'thupi kumayambitsa ndi chisokonezo cha chikumbumtima odwala (kwa chiwindi encephalopathy), chimene chiri mawonetseredwe kwambiri ya chikomokere kwa chiwindi. Odwala ena kukhala khansa chiwindi.

Anthu ambiri pamaso pa mfundo zoopsa nkhawa ndi funso lakuti: "Kodi kuonanso chiwindi wanu?". Pakuti Multilaterial lowunikira la chiwindi ndi tifunika kufufuza magazi wodwalayo, kuchita amuzolengedwa magazi kusanthula kuti aone clotting luso la magazi. Kudawerengedwa kwa deta US, laparoscopy ndi biopsy. Kuwunika boma la mitsempha esophageal, ntchito gastroscopy. Monga njira zina, ntchito yopangidwa tomography.

Anthu amene akuona thanzi lawo, angaletse chiwindi ndi umagwirira magazi. Iwo ayenera kuwunika mlingo wa phosphatase zamchere, michere chiwindi - transaminases, bilirubin, ndi albumin, okwana mapuloteni, mafuta m'thupi. Ndisanthuleni ndi prothrombin index, kuchititsa kusanthula wonse wa magazi capillary.