Ukuhluleka kwesibindi esiphezulu yisimo lapho kutholakala khona i-lesion enkulu yamaseli wesibindi, okwenza umzimba ulahlekelwe amandla okusebenza ngendlela evamile. Le syndrome ihlukaniswa njengobunzima. Lesi sifo siba imbangela yezinkinga ezinkulu ze-metabolism, ubuthi obuthakathaka bomzimba ngamaphrotheni wemikhiqizo ye-metabolism, ukuphazamiseka kwesistimu ye-central central. Futhi uma isikhathi singaqala ukwelashwa, khona-ke ukugula kungabangela umphumela obulalayo.
Izimbangela zokuhluleka kwesibindi esilula
Kuvunyelwe ukuhlukanisa izinhlobo eziningana eziyisisekelo zalesi sifo:
- engodennaya - ukuthuthukisa ngokuqondile ekunqothulweni kwe-parenchyma ene-hepatic;
- okungajwayelekile - umphumela wokungahlehlisi kwegazi nokusakaza kwegazi ngenani elikhulu lezinto ezinobungozi ohlelweni olujwayelekile lwe-hemodynamic;
- kuxutshwe.
Ngayinye yalezi zinhlobo zingaba ngesiteleka, esilinganiselwe futhi esinzima.
Njengomthetho, bangela ukwehluleka okukhulu kwe-hepatic, izinqubo zokuvuvukala ezivusa ukungaboni kahle kwe-fibrotic, dystrophic noma necrotic. Ngokuvamile, lesi sifo sibhekene nesimo sezinkinga ezifana nalezi:
- i-cirrhosis;
- isifo sofuba semvelaphi ehlukahlukene;
- i-hepatosis ;
- i-blood poisoning;
- ukumpontshelwa kwegazi kwesinye iqembu;
- ukuphazamiseka kokujikeleza okubangelwa ukushisa;
- ubuthi nge-toxin noma ubuthi.
Izici ezithinta ukubonakala kwezibonakaliso zokungaqiniseki kahle kwe-hepatic nazo zibhekwa njengezi:
- ukuphathwa kabi kotshwala;
- ukusetshenziswa ngokweqile kwezidakamizwa ze-hepatotoxic;
- inani eliningi lamaprotheni ekudleni;
- i-anesthesia ngesikhathi sokuhlinzwa;
- isifo sohudo eside.
Abantu abajwayele izifo zesibindi, ngezinye izikhathi bahlushwa isifo, i-peritonitis, i-thrombophlebitis portal vein.
Izimpawu Zokuntuleka Okubuhlungu KwamaHepatic
Cishe njalo, lesi sifo siphuthuma ngokushesha - kungakapheli amahora ambalwa noma izinsuku. Ukubonakaliswa kwayo okuyinhloko kungabhekwa njengokulala, ukushintshana nokujabula nokuhlaselwa ubuthakathaka obukhulu. Ngokuvamile ochwepheshe bahlangana nezikhalazo mayelana:
- i-yellowness;
- ukuvuvukala;
- izimpawu ze-diathesis emangalisa;
- umkhuhlane;
- ascites;
- ukulala;
- izindlu;
- ukwehla kwenkulumo;
- ukuthuthumela kwemikhawulo;
- ukubonakala kwephunga elimnandi emlonyeni;
- ukuphuza kokucabanga;
- ukukhathazeka esibindi;
- isicasuli;
- ukuhlanza okuphindaphindiwe;
- i-hypothermia;
- ukuphuma ephuleni ;
- i-arrhythmia.
Ukuxilongwa nokuphathwa kokuhluleka kwesibindi esikhulu
Lapho kutholakala ukuxilongwa, ochwepheshe bacabangela izimpawu, imiphumela yokucwaninga ngegazi, umchamo, ukuhlolwa kwesibindi, isimo se-asidi-base, electroencephalography.
Kuyinto kuphela ochwepheshe okufanele banikeze usizo oluphuthumayo ekuhlulekeni kwesibindi esibi. Ukuzithokozisa kungathuthukisa inqubo futhi kuholele ekushintsheni okungenakuguqulwa.
Okuyinhloko kuvame ukwelashwa kwe-infusion ye-crystalloids ne-colloids. Ngenxa yalokho, ukuxoshwa kwe-detoxification kwenzeka, izindawo zokugeleza kwegazi zibuyiselwa futhi zithuthukisiwe, ukucindezelwa kwe-plasma kubuyiselwe.
Ngaphezu kwalokho, i-algorithm yokunakekelwa okuphuthumayo ukuhluleka kwesibindi esikhulu
- Ukuvuthwa kwe-gastric ye-sodium nge-hydrocarbonate.
- Ukungenwa kwezidakamizwa ezisekela umsebenzi wamaseli wesibindi aqukethe i-traciol, i-albin, i-sorbitol, i-mannitol.
- Uma isiguli sikhule kakhulu, siboniswa imithi enjengeSibazol, i-Oxibutyrate, i-Relanium.
- Ezimweni ezinzima kunazo zonke, iziguli kufanele zihlale zigqoka ama-mask oksijeni, i-hemo-, i-lympho- noma i-plasmosorption.