Izifo ze-hepatologic zibhekwa njengenye yezinkinga eziyingozi kakhulu emzimbeni. Ukuqhubeka kwezifo ezithile zesibindi kudlulisa amangqamuzana akhe ukuba ashintshe izinguquko ezingaholela ekufeni komuntu. Ukuze ugweme ukucindezeleka, kubalulekile ukukhomba lezi zifo ngesikhathi esifanele futhi ngokushesha uqale ukwelashwa okuyinkimbinkimbi.
Izifo zesibindi - amagama
Kunezinhlobo ezingu-10 zezilonda ze-hepatological, ngayinye yazo ihlanganisa okufana nezimpawu kanye nemvelaphi yesifo. Izifo ze-gallbladder kanye namadada ayo ziphathwa ngokuhlukana. Ziyini izifo zesibindi:
- Ukulimala okuyisisekelo, ukuvuvukala nokusebenza kwama cell parenchyma. Kuleli qembu, i- hepatitis enegciwane lesandulela ngculaza neyingozi, isifo sofuba, isifo sofuba kanye nokutheleleka kwe-syphilitic, i- hepatomegaly , i-fat hepatosis kanye ne-abscess.
- Ukulimala - izinyembezi, ukulimaza, ukuchoboza izibhamu zesibindi.
- I-pathologies ye-Vascular. Lokhu kuhlanganisa i-fistula ne-fistulae, i-pylephlebitis, i-Badda-Chiari syndrome, i- portal hypertension .
- Kushintsha amathanga we-intrahepatic - i-cholestasis, isifo sikaCaroli, i-cholelithiasis, i-cholangitis enomsoco futhi engapheli.
- Izicubu. Esibindi, ama-cysts kanye ne-hemangiomas, ama-sarcomas, ama-cancers angaphakathi neselula namaselula, ama-metastase avela kwezinye izitho angathuthuka.
- Ukuhlasela kwe-parasitic - ascaridosis, i-alveolar ne-echinococcosis, i-leptospirosis, i-opisthorchiasis.
- Izinkinga ze-Hereditary. Ama-anomalies afaka i-hemochromatosis, i-aplasia ne-hypoplasia, i-enzymopathies, i-hepatosis ye-pigmentary kanye ne-atresia.
- Ukulimala kwamathambo wezitho ezingomakhelwane. Ngokuvamile izimpawu zesifo sesibindi zikhula ngokumelene nesizinda sezifo zezinye izinhlelo - i-cirrhosis ye-heart (izilonda zenhliziyo), i-amyloidosis (izifo zamathambo omnyo), i-hepatomegaly (i-leukemia). Ukwengeza, ukungakwazi ukusebenza kwe-renal-hepatic kufakiwe kuleli qembu.
- Izinguquko zesistimu. Ukubhujiswa kwamagciwane okwenyuka kwegciwane kwenzeka nge-cirrhosis eyinhloko ye-biliary, i-sclerosing cholangitis, i-autoimmune hepatitis.
- Izinkinga, izinguquko zesakhiwo kanye nokusebenza - i-jaundice ye-parenchymal, i-cirrhosis, i-coma, ukungakwazi ukusebenza.
Izifo zesibindi - izimbangela
Isendlalelo esakhiwe kuso isici, sinamakhono amangalisa ekuvuselelweni nasekuqiniseni izimo ezilimazayo zendawo. Ngenxa yalesi sizathu, izifo zesibindi zihlala zidala izimbangela ezinkulu:
- ukudakwa;
- ama-viral agents;
- ukuphuza utshwala;
- amabhaktheriya;
- ama-parasites;
- kuyingozi empilweni yokuphila;
- i-radiation ionizing;
- ukwephulwa kwemisebenzi yokuzivikela;
- izinqubo eziphuthumayo ezingenalutho emgodini wesisu;
- ukufeza;
- izifo ezingapheli zenye izitho;
- ukungalungi ekudleni;
- ukusetshenziswa kwezidakamizwa ze-hepatotoxic nabanye.
Isifo sesibindi - izimpawu
Isithombe sesitholampilo salesi sigaba se-pathologies sithinta wonke umzimba. Izimpawu zesifo sesibindi zibonakala ngisho nokubukeka, zifaka ukubonakaliswa kwe-dermatological. Isizathu salezi zimpawu eziningi ezisebusweni zikhona emisebenzini ye-hepatological. Isibindi sinomthwalo wempilo ye-hematopoiesis nokuxoshwa komzimba, kuhileleka ekuqaliseni ama-enzyme abalulekile, ama-immunoglobulins, ama-hormone nama-antibodies. Ukulimala kwalo kubangela ukwehluleka kwazo zonke izinhlelo zokuphila.
Ingabe isibindi singalimala?
Kulo mzimba, akusikho ukuphela kwezinzwa. Zilandela kuphela emaphethelweni owodwa nakwegobolondo, ngakho ubuhlungu esifundeni sesibindi bubonisa ukuthi sekukhona amagciwane amakhulu kakhulu. Izicubu zelungu, ezikhulisiwe ngosayizi, ziqala ukucindezela i-capsule yayo, okwenza izinzwa ezingathandeki. Kwezinye izimo, ubuhlungu ku-hypochondrium obufanele bubonisa izinkinga ezakhiweni ezingomakhelwane, ikakhulukazi isilonda senyongo noma amadokodo.
Izibonakaliso zokuqala zesifo sesibindi
Isithombe sokuqala esitholakala emtholampilo esiningi kakhulu sezifo ze-hepatological asikho, futhi isitho sibonakala singabonakali. Ziyini izimpawu zesifo sesibindi kuqala, kuncike ekutheni isimo kanye nobukhulu bomonakalo walo. Izinketho ezivame kakhulu ziyi:
- i-heartburn;
- ukucabangela kwesikhashana;
- ukungakhathazeki ngemva kokudla;
- iphunga elibi, elihlabayo lokuthuthumela;
- ukumnyama komchamo;
- shintsha umbala wezinhlanzi (ukukhanya okuphuzi, okumnyama, okuhlaza);
- ukuwohloka kombono;
- ukuxubha;
- ukulahlekelwa amashiya, izinwele;
- ikhanda;
- ukuvuvukala nokujuluka;
- qinisekisa ukulahlekelwa isisindo;
- ukungena kolulwimi, ukuphonswa kuwo;
- ukwanda ngobukhulu besisu;
- Iphethini elibizwa ngokuthi i-venous isikhumba esikhumbeni esifundeni se-epigastric;
- izitshalo ezingazinzile;
- ukuthambekela kokuphuma kwegazi kanye nabanye.
Kunezibonakaliso ezingaqondile zezifo zesibindi, izimpawu zifaka ukubonakaliswa kwe-hypovitaminosis:
- ukucasula;
- ubuthakathaka;
- ukuwohloka kwesikhumba nezinwele;
- i-neuritis;
- ukuphefumula;
- i-tachycardia;
- ukuphazamiseka kokulala;
- ukubheka izindebe;
- ukuphuka emaceleni omlomo;
- ukwakheka kwe-hematomas nabanye.
Ukuzwa kwesifo sesibindi
Izifo ze-hepatologic zihlala ziphazamisa inhlalakahle. Izimpawu eziyinhloko zezifo zesibindi azihambisani nokubonakala kwesitho. Kunomzwelo wokucindezeleka, ukucindezelwa, ukuxilonga nokuhlunguphazeka. Ngezinye izikhathi umuntu uzizwa ehlwitha ngaphansi kombundu olungakwesokudla, njengokungathi umsila ushaya inhlanzi. Izifo zesibindi - izimpawu nezibonakaliso zesifo sohlobo lokuzithoba:
- ukushaya isikhumba;
- malaise, amandla okusebenza aphansi;
- ukulala;
- umzwa olambile wokulamba nokoma;
- izinhliziyo zomzimba;
- izinkinga zokulala ubusuku ebusuku;
- ukuwohloka kobuchopho, ngokwesibonelo, umuntu uqala ukudidanisa imibala (emhlophe nephuzi, eluhlaza okwesibhakabhaka ne-violet);
- isimo sengqondo siyashintsha;
- ukwephulwa kwe-thermoregulation (into eshisayo, bese ibanda);
- ukuphazamiseka kwengqondo, amakhono engqondo.
Ukushisa kwezifo zesibindi
I-pathologies evuthayo ihambisane nomkhuhlane. Izinkomba ze-thermometer ye-hepatitis nezinye izifo ezifanayo zifinyelela ezingeni lika-39-40. Kwezinye izimo, imfiva ayitholakali. Ngokuvamile kunesimo sokushisa esincane esibhedlela sesibindi, cishe ama-degrees angu-37.2-37.5. Kwamanye abantu, ihlala ingavamile (cishe 36.6) ngaphambi kokuba kuvele izinkinga futhi i-parenchyma yelungu ibhujiswe.
Izimpawu zangaphandle zesifo sesibindi kubantu
Ukuwohloka kokusebenza kwemisebenzi ye-detoxification kuholela ekubutheni izinto ezinobungozi egazini. Izimpawu zokuqala zangaphandle zesibindi ezigulayo zihlanganisa izinguquko esikhumbeni sesikhumba:
- i-yellowness;
- ukuvuvukala;
- isomiso;
- ukuphoqa;
- ukuhlunga;
- ukucheka nokulandelana kokuklahla;
- ukuthuthumela;
- isenzakalo se-striae.
Izifo zesibindi - ukubonakaliswa esikhumbeni
Ngokumelene nesizinda sokuhlukumeza amakhono namandla okwenza igazi egazini, ukwehla ekuhlanganiseni kwe-immunoglobulins, kunezibonakaliso ze-dermatological zesifo sesibindi:
- Izilonda. Isikhumba sithatha ukwakheka kwe-follicles nama-amathumba, umonakalo omncane kakhulu uvutha.
- I-allergen ihlaselwa esibhedlela sesibindi. Ukuqoqwa kwe-toxin kunomthelela ekubukeni kwamachashazi kanye nama-papules.
- I-Hemorrhagic (petechial) iyaqhuma. Ngenxa yokuphulwa kwezinqubo zokweqa igazi, ama-hemorrhages amaningi angaphansi, ama-hematomas amancane ayabonakala.
Izifo zesibindi - izimpawu ebusweni
Abantu abathintekayo kuleli qembu le-pathologies bavame ukuhlupheka ngenduna, kungakhathaliseki ubudala. Izimpawu zanoma yisiphi isifo sesibindi singabandakanya izikhumba ezinzima zokuvuza. Ama-pimples aphansi kakhulu futhi aphansi. Uma i-palpation, kukhona ubuhlungu bokubhoboza nokubhoboza. Lapha, yiziphi izimpawu zesifo sesibindi namanje ezibhekwa ebusweni:
- ama-comedones avaliwe;
- "Amaphuzu amnyama";
- i-milium;
- amapululent purulent.
Izifo zesibindi - izindlela zokuxilongwa
Izifo eziningi ze-hepatological zingenziwa kalula ngokubonakala komuntu, ngakho-ke ochwepheshe kuqala uhlola isiguli, abhalise izimpawu, uqoqa anamnesis eningiliziwe. Ngemuva kokuhlola, ukuhlolwa okweziwe kuhlelwe. Izifo zesibindi - ukuxilongwa:
- ukuhlolwa kwe-ultrasound yelungu;
- ukuhlolwa kwegazi nge-bilirubin , i-albin kanye ne-enzyme yesibindi;
- ukuhlolwa kwezinto eziphilayo;
- izivivinyo ze-hepatic;
- ukutadisha umzimba we-pigment metabolism;
- ukuguqulwa kwe-bilirubin;
- ukuzimisela kwezinga le-bile acid nge-bile;
- uphenyo lwesistimu ye-coagulation.