Izibonakaliso zezifo zesibindi - iimpawu ebusweni nasemzimbeni omele uqaphele

Izifo ze-Hepatologic zibhekwa njengenye yeengxaki eziyingozi kakhulu emzimbeni. Ukuqhubela phambili kwezifo ezithile zesibindi kubangela ukuba iiseli zakhe zitshintshe utshintsho olungakhokelela ekufeni komntu. Ukuze ugweme iingxaki, kubalulekile ukuchonga le pathologies ngexesha elifanelekileyo kwaye ngokukhawuleza uqale unyango lwabo olunzima.

Izifo zesibindi - amagama

Kukho amaqela angama-10 wezilonda ze-hepatological, ngalinye lidibanisa efanayo kwiimpawu kunye nemvelaphi yesi sifo. Izifo ze-gallbladder kunye namacembe ayo aphathwa ngokwahlukileyo. Ziziphi izifo zesibindi:

1. Umonakalo wokuqala, ovuzayo kunye nomsebenzi wee cell parenchyma. Kulo qela, i-viral kunye ne- hepatitis enetyhefu, i-steatohepatosis, isifo sofuba kunye nosulelo lwe-syphilitic, i- hepatomegaly , i-fat hepatosis kunye ne-abscess.
2. Ukulimala - iinyembezi, ukubetha amanxeba, ukutyhoboza kunye nezibonda zesibindi.
3. Pathologies. Ezi ziquka i-fistula ne-fistulae, i-pylephlebitis, i-Badda-Chiari syndrome, i- portal hypertension .
4. Utshintsha i-intrahepatic ducts - i-cholestasis, isifo sikaCaroli, i-cholelithiasis, i-cholangitis enesifo esiqatha.
5. Izidumbu. Kwibindi, i-cysts kunye ne-hemangiomas, i-sarcomas, i-cancer-intla-cellular kunye namaselula, i-metastases ezivela kwezinye izitho ziyakhula.
6. Ukuhlasela kwe-parasitic - ascaridosis, alveolar kunye ne-echinococcosis, leptospirosis, opisthorchiasis.
7. Iingxaki zobungozi. Ii-Anomali ziquka i-hemochromatosis, i-aplasia kunye ne-hypoplasia, i-enzymopathies, i-hepatosis ye-pigmentary kunye ne-atresia.
8. Ukulimala kwiindawo zokuhlala ezingummelwane. Ngokuqhelekileyo iimpawu zesifo sesibindi zikhula ngokusesikweni kwezifo zenye iisistim - i-cirrhosis ye-cardia (izilonda zentliziyo), i-amyloidosis (izifo zentonga yamathambo), i-hepatomegaly (leukemia). Ukongezelela, ukungafezeki kwe-renal-hepatic kufakwe kweli qela.
9. Utshintsha utshintsho. Ukutshatyalaliswa komzimba kwelungu kwenzeka nge-cirrhosis ye-biliary, i-sclerosing cholangitis, i-autoimmune hepatitis.
10. Izixazululo, utshintsho olusesikweni kunye nokusebenza - i-parenchymal jaundice, i-cirrhosis, i-coma, ukungakwazi.

Izifo zesibindi - ezibangela

Isalathiso esilungu esichazwe kuso, sinamakhono okumangalisa ukuhlaziywa kwakhona nokuzinza kwizinto ezilimazayo kwimeko. Ngenxa yesi sizathu, izifo zesibindi zihlala ziphazamisa izizathu ezibalulekileyo:

• utywala;
• ii-viral agents;
• utywala;
• bhaktheriya;
• izidumbu;
• yingozi kwingozi yokuphila;
• i radiation ionizing;
• ukuphulwa kwemisebenzi yokukhuselana;
• iinkqubo ezinobungqina obuqhekezayo kwisisu esiswini;
• ukuzalwa;
• izifo ezingapheliyo kwezinye izitho;
• ukungalungi kokutya;
• ukusetyenziswa kwezidakamizwa ze-hepatotoxic nabanye.

Isifo sesibindi - iimpawu

Umfanekiso weklinikhi wale qela leentsholongwane lichaphazela umzimba wonke. Izibonakaliso zezifo zesibindi zibonakala nakubonakala, ziquka ukubonakaliswa kwe-dermatological. Isizathu salolu hlobo olunzulu lweempawu sisemsebenzini we-hepatological. Isibindi sinoxanduva lwe-hematopoiesis kunye ne-detoxification yomzimba, ibandakanyeka kwi-enzymes ebalulekileyo, i-immunoglobulins, i-hormone kunye ne-antibodies. Umonakalo walo kubangela ukungaphumeleli kwazo zonke iinkqubo zomzimba.

Ingaba isibindi singalimaza?

Kulo mzimba, akukho nto iphela yokuphela kwesigulane. Zilandela kuphela emaphethelweni omnye kunye nekhebhile, ngoko intlungu kwisithili sesibindi ibonisa ukuba sele i-pathologies enzima kakhulu. Izicubu zelungu, likhulu ngokukhululeka, liqala ukucwenga i-capsule yalo, ivuselele ukuvakalelwa. Kwezinye iimeko, intlungu kwi-hypochondrium ekunene ibonakalisa iingxaki kwizakhiwo ezingumakhelwane, ngokukodwa i-gall bladder okanye i-ducts yayo.

Impawu zokuqala zesifo sesibindi

Umfanekiso weklinikhi wangaphambili kunye nesininzi sezifo ze-hepatological asikho, kwaye iqumrhu libhujiswa ngokungenakuqonda. Ziziphi iimpawu zesifo sesibindi kuqala, kuxhomekeka kwimeko kunye nobukhulu bomonakalo. Iindlela eziqhelekileyo zikhethiweyo:

• ukuguquka;
• isicupunu sexesha;
• ngantoni emva kokutya;
• ukungcola, ubukhali obukhulu bokukhupha;
• kumnyama komchamo;
• utshintshe ngombala wezilwanyana (uluphuzi okhanyayo, phantse omnyama, oluhlaza);
• ukuwohloka kombono;
• zixhala;
• ukulahlekelwa kweelishi, iinwele;
• intloko;
• ukuvuvukala nokukhupha;
• ukulahlekelwa ubunzima;
• ukugqithiswa kolwimi, ukutyhoboza kuyo;
• ukwandiswa ngobukhulu besisu;
• Iprothem ye-venous ebizwa ngokuba yi-venous kwesikhumba kwisithili se-epigastric;
• izitishi ezingaqinisekanga;
• ukutyekela ukuphuma kwegazi kunye nabanye.

Kukho iimpawu ezingekho ngqo malunga nesifo sesibindi, iimpawu ziquka ukubonakaliswa kwe-hypovitaminosis:

• ukucaphuka;
• buthathaka;
• ukungonakaliswa kwesikhumba kunye neenwele;
• neuritis;
• ukuphefumula okufutshane;
• tachycardia;
• izifo zokulala;
• ukukhawuleza komlomo;
• ukutyhalwa emacaleni omlomo;
• ukubunjwa kwama-hematomas nabanye.

Ukujonga ngesifo sesibindi

Iimpiliso ze-Hepatologic zihlala ziphazamise impilo. Iimpawu eziphambili zezifo zesibindi azihlaziyiyo kwi-organ. Kukho uvakalelo obunzima, uxinzelelo, uxinzelelo kunye nentlungu ebuhlungu. Ngamanye amaxesha umntu uziva ehluthwa ngaphantsi kombhobho olungileyo, njengokungathi umsila uyabetha intlanzi. Izifo zesibindi - iimpawu kunye nezibonakaliso zesifo sobunzima:

• ukukhanda kwesikhumba;
• i-malaise, amandla aphantsi okusebenza;
• kulala;
• umva wokulambela nokunxanwa;
• ntliziyo;
• ukuphazamiseka ebusuku;
• ukungonakaliswa kwengqondo, umzekelo, umntu uqala ukudibanisa imibala (emhlophe nephuzi, eluhlaza okwesibhakabhaka kunye ne-violet);
• ukuguquka kwemizwelo;
• ukuphulwa kwe-thermoregulation (into eshushu, ishushu);
• iingxaki zengqondo, iingqondo.

Ukushisa kwizifo zesibindi

Izifo ezivuthayo zihamba kunye nomkhuhlane. Iimpawu ze-thermometer ye-hepatitis nezinye izifo ezifanayo zifikelela kuma-39-40 degrees. Kwezinye iimeko, imfiva ayigcinwa. Ngokuqhelekileyo kukho ubushushu obuncinane kwiibindi zesibindi, malunga nama-37.2-37.5 degrees. Kwamanye abantu, ihlala isesigxina (malunga nama-36.6) ngaphambi kokuba iimeko zibuhlungu kwaye i-parenchyma yelungu iyatshatyalaliswa.

Izibonakaliso zangaphandle zesifo sesibindi kubantu

Ukutshatyalaliswa kokusebenza kwemisebenzi ye-detoxification kubangela ukuqokelela izinto ezinobungozi egazini. Iimpawu zokuqala zangaphandle kunye neempawu zesibindi sokugula zibandakanya utshintsho kwimeko yesikhumba:

• i-yellowness;
• ukuvuvukala;
• owomileyo;
• qhekeza;
• ukucima;
• ukubetha kunye neendlela zokutshiza;
• ukukhupha;
• nzekayo kwe striae.

Izifo zesibindi - ukubonakaliswa kwesikhumba

Ngokuchasene nemvelaphi yokwephulwa kwamanzi kunye nokuxhotyiswa kwegazi kwilungu, ukuncipha kwi-synthesis ye-immunoglobulins, kukho izibonakaliso ze-dermatological zesifo sesibindi:

1. Ulcers. Isikhumba sithandeka ekubunjweni kwamathambo kunye namathumba, umonakalo omncinci utshabalala.
2. Ukuqhaqhazela kweso sifo kwisifo sesibindi. Ukuhlanganiswa kweetekisi kunomthelela ekubonakala kwimibala kunye neepilisi.
3. I-Hemorrhagic (petechial). Ngenxa yokuphulwa kweenkqubo zokugawula igazi, iimbumba ezininzi ezingaphantsi, i-hematomas ezincinci ziyabonwa.

Izifo zesibindi - iimpawu ebusweni

Abantu abachaphazelekayo kweli qela le-pathologies bahlala bexhamla kwi-acne, kungakhathaliseki ubudala. Iimpawu zaso nasiphi na isifo sesibindi singabandakanyeka imvumba enamandla. Iimpuphu zizinzulu kakhulu kwaye zincinci. Xa i-palpation, kukho intlungu yokubhoboza kunye nokuphosa. Apha, ziphi iimpawu zesifo sesibindi zisabonakala ebusweni:

• ii-comedones ezivaliweyo;

• "Amanqaku amnyama";

• i-milium;

• iimputi.

Izifo zesibindi - iindlela zokuxilongwa

Uninzi lwezifo ze-hepatological zinokuqalwa ngokukhawuleza ngokubonakala komntu, ngoko ingcali yokuqala ihlola isigulane, irejista yempawu, iqokelela i-anamnesis eneenkcukacha. Emva kovavanyo, iimviwo ezongezelelweyo zihleliwe. Izifo zesibindi - ukuxilongwa:

• ukuhlolwa kwe-ultrasound yelungu;
• ukuhlolwa kwegazi nge-bilirubin , i-albin kunye ne-enzyme yesibindi;
• ukuhlola i-biochemical;
• iilingo eziphambili;
• ukufundisisa i-pigment metabolism;
• urinalysis ye-bilirubin;
• ukuzimisela kwinqanaba le-bile acid kwi-bile;
• uphando lwenkqubo ye coagulation.