Inkqubo yezilwanyana emzimbeni kaninzi ihamba kunye nokunyuka kwintsholongwane yesibindi. Ngokuqhelekileyo imbangela yale nzekayo isifo kunye neenkqubo zokuvuvukala. Ekugqibeleni, oogqirha babhala "i-hepatomegaly", yiyiphi - ayisoloko ichazela izigulane.
I-Hepatomegaly - yintoni na?
Ukubona phakathi kweengcamango i-term efanayo, yiyiphi i-hepatomegaly-izigulane zizama ukufumana ukuphuma kwidokotela oya kwii-dental. Eli gama lisetyenziselwa ukubhekisela kwinguqu ebukhulu besibindi. Le nkqubo ihlala ihamba kunye neenguqu ezahlukileyo kwiisisipha zelungu. Ngelo xesha, isibindi ngokwawo sinokusetyenziswa lula kwi-hypochondrium (ngokuqhelekileyo oku akunakwenzeka).
I-hepatomegaly ayithathwa njengesifo esahlukileyo, kodwa yinto ebonakalayo kuphela okanye uphawu lweprogram ye-pathological body. Kubalulekile ukuba uqaphele ukuba isibindi sinamalungu amabini, ngoko ke oogqirha bangabonisa ukuba ngubani na ochaphazelekayo - ngakwesobunxele okanye ngakwesokudla. Imilinganiselo echanekileyo ingaqwalaselwa yi-ultrasound. Ngokuqhelekileyo i-lobe elungileyo inebukhulu be-12 cm, kunye nekhohlo eli-7 cm. Ukugqithisa kwezi nqobo kuthiwa yi-hepatomegaly.
I-Hepatomegaly - Izizathu
Xa kukho ukwanda kwebindi, izizathu ezingabonakali kumgqirha, uviwo olubanzi lubekwe. Isekelwe kwiindlela ze-hardware, ezongezelelweyo ngophando lwebhubhoratri. Phakathi kwezinye izinto ezibangela ukutshintsha utshintsho kubukhulu besibindi, oogqirha bathi:
- Izifo zesibindi - isifo se- cirrhosis , i- hepatitis , izinto ezinobuthi, isifo sesibindi sokunxila. Kwiimeko ezinjalo, umzimba uqala ukuvuvukala, utshabalala. Nangona kunjalo, ngokuqhubela phambili kwe-pathology, ukufa kweeseli ze-hepatocyte kwenzeka. Emva koko, ilungu lithatha ubunzima balo bexesha elide, kodwa ke ukutshintshwa kwe-fibrotic yeeseli ezifileyo ze-voids ezenziwe kwindawo. Izicubu ze-collagenous zikhula ngokukhawuleza, ezibangela ukunyuswa okuphindaphindiweyo kwesibindi.
- Izifo ezibangelwa yiCongital of metabolic processes - glycogenesis, hemochromatosis. Kwisifo sokuqala kukho ukuphulwa kwe-glycogen synthesis, ebonakaliswa yimpumelelo kwi-assimilation yensimbi. Ngenxa yoko, i-microelement iqokelela kwi-parenchyma kwaye ikhokelela ekuvupheni kwayo.
- Izifo zesimo senhliziyo. Ngenxa yokwephulwa okunjalo, ukuxinana okubangelwa yintlungu ebusweni kubonakala, ngenxa yeso sigqeba esiba sisigxina.
Phakathi kwezi zizathu:
- ukuhlutha kwamanzi;
- ukubonakala kweemitha zesithintelo kwiqumrhu kwiinkqubo ezixubileyo;
- ukutyalwa kwemifuno ye-hepatic;
- ukuphulwa kweenkqubo zeempawu;
- ukulawulwa kweetekisi.
I-hepatomegaly
Xa sisebenzisana nezizathu zokuphulwa okunjalo njenge-hepatomegaly, yintoni na, kuyimfuneko ukuhlukanisa iindidi zayo. Ukuxilongwa kwe-hepatomegaly yenxalenye yesibindi kuboniswa xa i-scanning ultrasound ibonisa ukwanda okungalinganiyo kwilungu. Utshintsho luchaphazela kuphela indawo okanye izabelo ezithile. Ngokomzekelo, i-hepatomegaly ye-lobe efanelekileyo yesibindi inokuthi ithatyathwe indawo ngokuthi igama elithi "ukwanda okwenyuka" kwilungu. Ukugxeka ukuphulwa kogqirha kunakho ukutyhutyha - kubandakanywa ubuso obungafaniyo, obunobunzima bomzimba obanzi.
Nangona kunjalo, ukuxilongwa kokugqibela kwenziwa ngokusekelwe kwidatha ye- ultrasound . Xa i-hepatomegaly ekhethiweyo ikhula (yintoni echazwe ngasentla), i-echo ebonakalayo yobuso bayo kukuphazanyiswa kwe-homogeneity yamathambo. Ngoviwo olunzulu, i-cysts, i-abscesses, kunye ne-tumors ziyakwazi ukufunyanwa, ezibonakalisa ngokuthe ngqo ukuba utshintsho oluthile kwi-gland, uphawu lokuqhubela phambili kwenkqubo ye-pathological.
Ukusasazwa kwandisa isibindi
Ukwanda kwebindi zesibindi ukuya ku-12-13 cm kumntu omdala kuboniswe ligama elithi "ukusabalalisa i-hepatomegaly". Kule meko, utshintsho lunokugcinwa kuyo nayiphi na isakhiwo seburhulumenteni: i-lobe ekhohlo okanye ekunene, inkqubo yokunikezelwa kwegazi, i-bile ducts. Ukutshintsha iinguqu kunokwenzeka nakwezinye zezi zakhiwo zomzimba. Kuphuhliso lwolu hlobo lwesifo, amayeza asetyenziswayo aqhelekileyo asetyenziswa, njenge-staphylococcus kunye ne-streptococcus. Ubonakaliso obuninzi bentsholongwane buhlungu buhlungu kwinqanaba elungileyo, linikezela kwingingqi ehamba phambili kunye nesandla.
I-hepatomegaly ngohlobo lwe-hepatosis
Kwezinye iimeko, ukwanda kwesibindi kubonakala njengoluhlobo lwe-hepatosis enamafutha. Kuba le fomu yesifo ibonakaliswe ukutyhafa kweeseli zesibindi zibe ngamafutha. Ingxaki iya kwenzeka xa inani elikhulu lamafutha alula liqokelela kwi-hepatocytes. I-pathology yiphumo lokutya ixesha elide lokutya okunamafutha, kwaye kuya kuvela nokusetyenziswa kwamachiza.
Ngokuqhelekileyo, zonke iibhox ezangena emzimbeni zidlula esibindi, zithintela kumafutha alula. Nangona kunjalo, ngenxa yokuba inani elikhulu lokutya okunamafutha lingene emzimbeni, amaninzi amaninzi aqala ukuqokelela kwiiseli ze-hepatocytes, ezikhokelela ekuphuhliseni i-hepatomegaly. Esi sifo sinenkqubela. Ukukhathazeka ngokugqithisileyo koogqirha kukubeka ingozi ephezulu yokuhlaselwa kwezi seli. Ukungabikho kolwaphulo olufanelekileyo lwe-hepatosis enamafutha kuqukunjiswe ukuphuhliswa kwe-cirrhosis kunye ne-foster fibrosis.
Ukwandiswa kwesibindi - iimpawu
Iimpawu ze-hepatomegaly zifihliwe kwinqanaba lokuqala. Ukwanda kancinci kwilungu kunokuhlala kungabonakali ixesha elide. Ukongezelela, iimpawu ze-hepatomegaly (yintoni - echazwe ngasentla) zidla ngokuba ngenxa yokugula, okwabangelwa ukwanda kobukhulu belilungu (i-hepatomegaly kwaye yintoni). Ngekliniki ekhankanyiweyo, ingxaki iyakwazi ukufunyanwa ngokubamba, ngesimo sesisu. Ukuqala ukuxilongwa, oogqirha basebenzise i-palpation (ukuphonononga) kunye neengcambu (ukubetha). Nangona kunjalo, ukukhuliswa kwesibindi esilinganiselweyo ngeendlela ezinzima kunokuzifumanisa.
Xa uxoxisana nesigulane, ukuqokelela i-anamnesis, oogqirha baqwalasela ubukho beempawu ezilandelayo ze-hepatomegaly:
- Ukuvakalelwa kwintlungu, umvakalelo wento yangaphandle, inkunzi kwicala elifanelekileyo, ephakanyiswa ngokutshintsha isikhundla somzimba.
- Ukubonakala kwesikhumba se-skin ngendlela ye-asterisk, itching.
- Ukuqokelelwa kwamanzi emzimbeni kwisisu esiswini.
- Ukuqhwala kwesikhumba (ngokuphindaphindiweyo nge-hepatitis).
- Ukuphazamiseka kweenkqubo zokugaya ( ukumbumba ).
- Ukwanda ngokukhawuleza ngobukhulu besisu.
- Ukutshintsha kwexesha kunye nokubonakala kokuphefumula.
- I sizathu.
Hepatomegaly
Ukwanda kancinci kwesibindi kunokufunyanwa kuphela ngoncedo lomshini we-ultrasound. I-hepatomegaly eqhelekileyo isoloko ibonakala isingqinisiso, kwaye iimpawu ezikhoyo zokukhubazeka zixhunyaniswe ngokuthe ngqo kwi-kliniki yesifo, apho isibindi sande khona. Ifomu efana nesifo sifumaneka kubantu abasebenzisa kakubi utywala. Isikhalazo esona sikhulu intlungu kwi-hypochondrium enelungelo lomntu ongasigxina. Ezinye iimpawu ze-hepatomegaly zihlala zingekho. Ukuxilongwa kusekelwe kwiziphumo ze-ultrasound kunye ne-CT.
Ukubizwa nge-hepatomegaly
Indlela ebonakaliswe ngayo i-hepatomegaly yimiqondiso yentsholongwane, kodwa ishintsho eguqukayo kwisibindi sesibindi. Oku kulungelelaniso lwezophulo ezifana ne-hemoblastosis, i-leukemia, apho kukho ukungena okunamandla kwintsholongwane yesibindi ngamaseli amabi. Ngenxa yolu tshintsho, i-foci yokwanda kweethambo, i-foci ye-necrosis. Isibindi sifinyelela ubungakanani obukhulu, esenza umthamo omkhulu kwisigxina esiswini.
Iimpawu zokunyuka kwesibindi zibonakala kwaye zimeyile: isisu siba sikhulu, singalingani. Ukwanda kwandiswe ngakumbi ngakwesokudla. Ngo-hepatomegaly enamandla kwi-ultrasound, oogqirha bahlola:
- ubukhulu belilungu;
- sakhiwo;
- intonga yesibindi.
Echo iimpawu ze-hepatomegaly
Xa uhlolisisa izitho zesisu esiswini, ukwenza i-ultrasound, ugqirha uyabona ngokukhawuleza isibindi. Ngexesha elifanayo lugxininise i-echoes ye-pathology, ebonisa isizathu esibangelwa yintlupheko. Xa i-hepatomegaly kuba ngumphumo wesifo esibangela i-hepatitis, izifo eziphazamisayo, i-echostructure yesibindi inomfanekiso ofanayo. Nge-hepatosis enamafutha, i-cirrhosis, uhlobo olungapheliyo lwe-hepatitis, i-ehostruktura iyindida: i-foci ye-compaction, i-tuberosity, ukuphulwa kwemida kunye nesicaciso se-organ, ukuguqulwa kwimilo yayo kugqityiweyo.
I-Hepatomegaly - yiyiphi imvavanyo engayifumanayo?
Ubukho beempawu zokunyuka okunokwenzeka kwisibindi bubonisa ukuba uviwo luqhubeka ngakumbi. Ngaloo ndlela, i-hepatomegaly yesibindi isingqinisiso isingqinisiswa ngeziphumo:
- Uvavanyo lwegazi lwe-biochemical (test thymol, bilirubin , ALT, AST, iprotheni epheleleyo);
- i-tomography yesicathulo somzimba;
- i radiography;
- ukuhlalutya iimvavanyo zomsebenzi wesibindi, iimvavanyo zokuqhawula igazi.
I-hepatomegaly - indlela yokunyanga?
Ekugqibeleni "unyango lwe-hepatomegaly" lwenziwe ngokwezizathu, ngokwesizathu sokuphula umthetho. Ulwaphulo lujoliswe ekuphelisweni ngokupheleleyo kwimeko yokugula kunye nokulwa nemiboniso yekliniki. Ukunyanga okunzima kwe-hepatomegaly kubandakanya:
- umsebenzi owenziwe umzimba;
- unyango lwe-hepatoprotective;
- ukunamathela kwisondlo esikhethekileyo.
I-Hepatomegaly - yintoni amayeza athabatha?
Nasiphi na izidakamizwa kunye nokunyuka kwesibindi kufuneka kukhethwe ngokuchanekileyo ngabanye kwaye kuphela ngugqirha. Isiseko sonyango lwemithi ye-hepatomegaly yi-hepatoprotectors. Phakathi kwezilwanyana eziyaziwayo kweli qela:
- Brentzialle forte;
- Lipostabil;
- Resalute Pro;
- Essentiale;
- Phosphogliv .
Xa i-hepatomegaly ibangelwa ukutyhila kwi-toxins emzimbeni, oogqirha babala i-detoxification agents:
- izisombululo zetyuwa kunye neprotheni (i-sodium chloride, Regidron);
- izixhobo zegazi (i-plasma).
Ukuba isibindi sandisiwe ngenxa yesifo, unyango lwe-antibacterial lubekwe:
- Rifampicin;
- Neomycin;
- Metronidazole;
- Vancomycin.
Njengeendlela ezongezelelweyo zokugcina izikhuselo zomzimba, i-immunomodulators kunye ne-immunostimulants isetyenziswa:
- Interferon;
- Immunomax;
- Immunal.
Ukwandiswa kwesibindi - unyango kunye nezilwanyana zomntu
Xa kukho ukwanda kwintsholongwane, unyango kufuneka lwenziwe kuphela phantsi kweliso logqirha, ngokwemiqathango yakhe. Njengokuba uncedisa unyango olusisiseko, oogqirha bavunyelwe ukusebenzisa izigulane zabantu. Ukusebenza kwi-hepatomegaly kukuba:
I ziNyango
Izithako:
- Leonurus - 1 ithisipuni;
- i-sage - 1 ithisipuni;
- iingcambu zeDandelion - 1 ithisipuni;
- i-peony - 1 ithisipuni;
- amanzi - 500 ml.
Ukulungiselela, isicelo
- Iitrob zixutywe, zithanjiswa ngamanzi kwaye zivutha umlilo.
- Yizisa kwi-thumba uze udibanise ngokushisa okuphantsi kwemizuzu eyi-15.
- Ukugqitywa kwe-Decoction kwaye ugxininise iiyure ezingama-3.
- Hlaziya uze uthathe emini endaweni yokusela.
U kuNyuka
Izithako:
- ubusi - 2 tsp;
- ijusi ye-lemon - 2 tsp.
- amanzi - 200 ml.
Ukulungiselela, isicelo
- Zonke zixutywe ngokucophelela.
- Thatha amahlandlo ama-2 ngosuku, ekuseni nakusihlwa.
I-Hepatomegaly - ukutya
Ukuxelela izigulane malunga nokuxilongwa kwe-hepatomegaly, oko kukuthi, oogqirha baqaphela isidingo sokuhlaziywa kokutya. Ukutya kunye nesibindi esandisiweyo kubonisa ukunciphisa ekudleni kwamafutha kwaye kunzima ukugaya ukutya. Inika ukutya okuhlanu ngokuthintela ekukhethweni kwemveliso. Xa isibindi sanda
- iifuno zemifuno;
- iintlanzi ezityebileyo;
- imifuno, imifino, iziqhamo;
- zokutya;
- inyama yenkukhu, inyama yenkomo;
- isobho.
Isici sesondlo kwi-hepatomegaly kukuthobela urhulumente, ngokuhlwa ngokuhlwa. Ukutya isidlo kufuneka kuqhutywe ngaphandle kwe-7 ntambama, kwaye ixesha lokutya phakathi kwexesha kufuneka libe ngama-2.5-3 iiyure. Kubalulekile ukukhuphela ngaphandle kokutya:
- ibhotela;
- igargarini;
- amaqanda (angabi ngaphezu kweebini ngeveki);
- iimveliso zokususa;
- iibhokhwe ezinamafutha;
- imbotyi;
- anyanisi;
- imifuno eluhlaza;
- ukutya okuthosiweyo;
- ijusi yetamatato;
- i-confectionery;
- tshokoleji.