Chiwindi fibrosis: zimayambitsa, mitundu, chithandizo

Chiwindi fibrosis ndi m'malo pang'onopang'ono maselo chiwindi ndi minofu connective, chifukwa kupanga kwambiri a kolajeni. Kwa chiwindi fibrosis amayamba ndi makutu magazi mu mtsempha kwa chiwindi, Mosiyana ndi matenda enaake wofanana ndi anasiya kusinthika selo. Matendawa akufotokozera pang'onopang'ono, zilibe kuonekera, mwachitsanzo. E. Asymptomatic. Zizindikiro yoyamba akuwonetseredwa patapita zaka zisanu mpaka eyiti.

Panopa m'kagulu zinthu zingapo fibrosis chiwindi. Zikuphatikizapo: yaitali mankhwala, poizoni mowa ndi poizoni, kumtundu, kobadwa nako fibrosis, aakulu chiwindi tizilombo, matenda a shuga, kunenepa, akusowa yaitali ena mchere ndi mavitameni.

Kukula kwa fibrosis chiwindi kumabweretsa mavuto amenewa zinchito ndi structural monga njira kuphwanya kuwombola pakati magazi ndi hepatocytes mu sinusoids ndi, shunting magazi, zomwe chitukuko cha matenda enaake, imfa ya dzuwa ndi kuchepetsa sipekitiramu za ntchito achire.

Malinga ndondomeko komanso zochitika zake kutanthauzira kusiyanitsa mitundu zotsatirazi matendawa:

- perivenulyarny ndi venular fibrosis kuti akufotokozera pakati chidwi ndi mwa mpanda wa mitsempha kwa chiwindi. Khalidwe ambiri a mtundu umenewu fibrosis kwa aakulu matenda a mtima ndi aakulu mowa chiwindi;

- pericellular fibrosis. Nthawi zambiri m'zimene mowa chiwindi matenda ndi matenda a chiwindi aakulu tizilombo;

- septal chiwindi fibrosis amene amapezeka m'dera lanu Kuthana necrosis;

- ndi zipata ndi periportal kwa chiwindi fibrosis, lomwe ndi mbali khalidwe la chiwindi aakulu a ochokera m'madera: tizilombo autoimmune kapena mowa;

- periductal (mtima) chiwindi fibrosis anamuona matenda cholangitis ndipo concentric kuchuluka kwa minofu fibrous mozungulira ya ndulu tubules osiyana likungosonyeza;

- obwerawa fibrosis ndi mawonekedwe ambiri, amene ali anapereka njira zina fibrosis mu magawanidwe zosiyanasiyana.

Zizindikiro zazikulu za fibrosis chiwindi kuwonetseredwa mpaka zaka zingapo pambuyo isanayambike matenda ndi:

- kukhalapo kwa magazi kuchokera varices esophageal;

- kukula kukula kwa chiwindi;

- patsogolo ndulu ya;

- thrombocytopenia.

Chiwindi fibrosis zovuta kuchiza, amene zambiri amalandira kukonza alipo syndromes matenda. Mu kukhalapo kwa hypersplenism anasonyeza anachita splenectomy ndi imposition wa anastomosis splenorenal. Kuti magazi asiye kutuluka kuchokera dilated chifukwa cha mitsempha varicose za m'mimba ndi kum'mero, endoscopy kapena sclerotherapy ya mitsempha gastrotomy ndi stitching.

Kupewa fibrosis kwa chiwindi ndi kutaya zizolowezi zoipa, kuchepetsa mankhwala chiyambi kupanga, ngati onenepa - kutenga njira kuchotsa izo, kusamukira ku zakudya bwino moyenera. Analimbikitsanso supplementation a kufufuza zinthu ndi mavitamini. Pa kudziwika fibrosis chiwindi kuchepetsa katundu pa chiwindi, achite makonzedwe zonse za mankhwala amathandiza kuyeretsa chiwindi ndi excreted ambiri, komanso normalization ntchito zake. Kulosera tsogolo la matenda kumadalira zotani fibrosis otukuka. Kobadwa nako fibrosis mawonekedwe chosowa kwambiri.

Kumbukirani kuti kwa chiwindi fibrosis akufotokozera popanda zizindikiro kwa zaka zambiri, mpaka chitukuko cha matenda enaake, choncho ngati muli ndi matenda ndi "chiwindi" kapena ngati muli kulephera chiwindi, pali Mwina mkulu wa kumakhala kutengera za ndondomeko chiwindi fibrosis.