I-Hepatomegaly ayikho isifo esahlukileyo, luphawu lwezifo ezininzi. Sifunda uluvo lweengcali malunga nokuba luhlobo luni lwesifo sesifo sengqondo, nendlela yokunyanga eso sifo.
Kuthetha ukuthini i-hepatomegaly?
I-Hepatomegaly - ukwanda kwetholo kwintsholongwane yesibindi, ihamba kunye noshintsho kwiiscuphe zelungu. Utshintsho kwisibindi ludibene nokuphuhliswa kweenkqubo ezivuthayo, ukusuleleka komzimba, ukuchithwa kwezidakamizwa. Isiphumo kukuba:
- ukufa kweeseli ezinempilo;
- i-edema yesibindi;
- ukuphulwa komsebenzi we-glycogen - i-carbohydrate, ukuzalisa ukungabikho kwe-glucose.
Izizathu zokubangela isibindi
Ukwandiswa kwesibindi kubonisa ukuba kukho indawo yokuhlala (kunye nosuleleko) okanye ukusabalalisa (kunye nokukhula kweetekisi).
I-hepatomegaly yenzeka ngenxa yezifo ezininzi. Siyaqaphela izizathu eziqhelekileyo ezibangela ukwanda kwindwangu yesibindi:
- Ukungaphumeleli kwintliziyo kunye ne-Bad-Chiari syndrome, ebonakala ngokuxhatshazwa kwegazi eliphambene nesibindi;
- umonakalo wesibindi ongenasifo - i-cirrhosis enobuhlungu kunye ne-hepatitis;
- ukuphazamiseka kwesisombululo kwisibindi kunye nokuthunyelwa kwamafutha kunye nezinye izinto;
- izifo ezibangelwa ukukhutshwa kwe-bile duct, izifo ze-pancreatic;
- Izifo ezithathelwanayo ezibangelwa ziintsholongwane, iibhaktheriya, i-helminths, i-fungi kunye neprotozoa;
- iifomu ezinobungozi esibindi.
Iimpawu ze-hepatomegaly
Ukufumana i-hepatomegaly, ezi zilandelayo zibonakaliso:
- umbala we-icteric wesikhumba;
- isikhumba;
- kubetha kakhulu;
- intlungu kunye neentlupheko zeemvumba kwicala lasekunene;
- isicefe
- ukuguquka;
- ukuphefumula okubi ;
- ukuphazamiseka kwesifo;
- ukuqokelela umkhuhlane kwisisu esiswini;
- ukubonakala "kwintsholongwane yesibindi" elukhumbeni.
Iindlela zokusebenza zeemviwo (i-ultrasound, i-MRI, i-X-ray, i-biopsy) zibaluleke kakhulu ekuxilweni kwezifo zesibindi kunye neendlela eziqhelekileyo zeklinikhi kunye neebhoratri. Ngexesha lokuhamba kwe-ultrasound kunye ne-MRI, i-echoes ephawulekayo ye-hepatomegaly ibonakala:
- ukwandiswa kunye nokuhlanganiswa kwe-parenchyma kwisifo esiyingozi esingapheliyo;
- ukuchithwa kwe-echostructure kwi-hepatosis enamafutha, i-cirrhosis;
- ukwandiswa kwelo lungu ngelixa ugcina u-homogeneity we-echostructure kwi-hepatitis ekhangelekile, izifo zesibindi ze-etiology kunye nokuhluleka kwentliziyo;
- ubukho be-foci kwiimfucu kunye nokuphulwa kwe-echogenicity kwi-abscesses, i-cysts kunye ne-tumors.
Indlela yokuphatha i-hepatomegaly yesibindi?
Ukunyangwa kwe-hepatomegaly yinkqubo eyinkimbinkimbi, equka iinkalo ezininzi. Phakathi kwazo:
- Ulwaphulo olulodwa. Kuphela ngesiseko seziphumo zoviwo, ingcali inquma ukuba iziphi iibhilethi zokuphatha kwi-hepatomegaly. I-antibiotics imiselwe ukuba i-hepatitis, i-antibiotics isetyenziselwa ukuphatha unyango lwe-bacteria, i- echinococcosis iyaphathwa ngama-anthelmintic agents. Ngokwehluleka kwentliziyo, i-cardiac glycosides isetyenziselwa unyango. Izakhiwo ezinobungozi zidinga ukuqeshwa kwee-chemotherapeutic agents.
- Utyando lwempawu lujoliswe ekupheliseni imbonakalo
izifo (isicasuliso, ukuguquka, njl njl) - Ingenelelo yokuphanda inokumiselwa kuye kuxhomekeke kwiimpawu.
Ukongezelela, kwiimeko ezininzi, isigulane sinconywa ukuba utshintshe ukutya kunye nokutya kwimijimi. Ngokudibanisa kwesibindi, okubangelwa ukuhluleka kwentliziyo, ukutya okungekhotywa kusetyenziswa. Ukuphulukiswa kwesibindi kunokuxiliswa okungapheliyo akunakwenzeka ngaphandle kokusetyenziswa kweetekisi, ngokukodwa utywala. Ukuba i-metabolism iphazamisekile, ukutya kunye nokunciphisa inani le-carbohydrate kunye neenqatha kuboniswa.