Ukuhluleka kwesibindi

Ukuhluleka kwesibindi esilungileyo yimeko apho i-lesion enkulu yeeseli zesibindi iyabonwa, ebangela ukuba umzimba ulahlekelwe amandla okusebenza ngokuqhelekileyo. Le syndrome ihlelwa njengobunzima. Esi sifo siba sisizathu senkinga yokuxilisa umzimba, ukutyhefuza umzimba kunye nemveliso yeprotheni yemetabolism, ukuphazamiseka kwenkqubo ye-nervous central. Yaye ukuba ixesha aliqalanga unyango, ke ukugula kungakhokelela ekufeni.

Izimbangela zokuhluleka kwesibindi esibi

Iyakwamkelwa ukuhlukanisa iintlobo ezininzi ezisisiseko zesifo:

• engodennaya - ukuphuhlisa ngokukhawuleza ekutshatyalaliswa kwe-parenchyma ye-hepatic;
• ezingaqhelekanga - umphumo wokungcoliswa kwegazi kunye nokukhutshwa kwegazi kunye nenani elikhulu lezinto ezinobungozi kwisistim esiphezulu se-hemodynamic;
• zixutywe.

Inye nganye yeentlobo ingaba kumanyathelo amancinci, aphantsi kwaye anzima.

Njengomthetho, bangela ukungaphumeleli kwe-hepatic ephawulekayo, iinkqubo ezivuthayo ezivusa i-fibrotic, i-dystrophic or necrotic. Ngokuqhelekileyo, isigulo siphumela kwimvelaphi yeengxaki ezifana nale:

• i-cirrhosis;
• i-hepatitis yemvelaphi eyahlukeneyo;
• hepatosis ;
• igazi leetyhefu;
• ukudluliselwa igazi kwelinye iqela;
• ukuphazamiseka kwimijikelezo ejikelezayo ngenxa yokutshisa;
• utyhefu kunye neetyhefu okanye iityhefu.

Iimpawu ezinqumla ukubonakala kweempawu ze-hepatic insufficiency ezicatshulwayo zikwaqwalaselwa nokuba:

• ukusetyenziswa kakubi kotywala;
• Ukusetyenziswa ngokugqithisileyo kwezidakamizwa ze-hepatotoxic;
• inani elingaphezulu kweprotheni ekudleni;
• i-anesthesia ngexesha lotyando;
• isifo sohudo.

Abantu abajongene nesifo sesibindi, ngamanye amaxesha banesifo, isifo se-peritonitis, i-thrombophlebitis portal vein.

Iimpawu zoLungelelwaniso olusisigxina

Phantse njalo, lesi sifo siphuthuma ngokukhawuleza - kwiiyure ezimbalwa okanye iintsuku ezimbalwa. Ukubonakaliswa kwayo okubalulekileyo kunokucingelwa ukulala, ukutshintsha kunye nokuhlaselwa kobuthathaka obunzima. Ngokuqhelekileyo iingcali zihlangana nezikhalazo malunga:

• i-yellowness;
• ukuvuvukala;
• iimpawu zesifo se diathesis;
• umkhuhlane;
• phezulu;
• kulala;
• iingcamango;
• Ukunciphisa intetho;
• ukuyikrakra kwemida;
• ukubonakala kwevumba elimnandi emlonyeni;
• ukulibala kokucinga;
• buhlungu kwi sibindi;
• isicefe
• ukuhlanza okuphindaphindiweyo;
• i-hypothermia;
• ukuphuma kumphunga ;
• i-arrhythmia.

Ukuxilongwa kunye nokunyanga kokungaphumeleli kwesibindi

Xa kusekwa ukuxilongwa, iingcali ziqwalasela iimpawu, iziphumo zophando lwegazi, umchamo, iimvavanyo zesibindi, i-acid-base state, i-electroencephalography.

Nguye kuphela oqeqeshiweyo omele anike uncedo olungxamisekileyo kwintsholongwane yesibindi. Ukuzinyonga kunokunyusa inkqubo kwaye kukhokelela utshintsho olungenakuguquka.

Eyona nto iphambili isifo sokunyuka kwe-crystalloids kunye ne-colloids. Ngombulelo, ukuxutywa kwe-detoxification kwenzeka, iipropati zokuhamba kwegazi zibuyiselwa kwaye ziphuculwe, uxinzelelo lwe-plasma lubuyiselwa.

Ukongezelela, i-algorithm yokunyamekela ngokukhawuleza ukungaphumeleli kwesibindi kuquka imisebenzi enjalo:

1. Ukugcoba isisu nge sodium nge hydrocarbonate.
2. Ukungenwa kweziyobisi ezixhasa umsebenzi weeseli zesibindi ezine-traciol, i-albin, i-sorbitol, i-mannitol.
3. Ukuba isigulane siye sanda ukukhutshulwa, uboniswa ngamachiza afana neSibazol, i-Oxibutyrate, i-Relanium.
4. Kwiimeko ezinzima kakhulu, izigulane kufuneka zihlale zigqoka iimaski zomoya, i-hemo-, i-lympho- okanye i-plasmosorption.