Kwa chiwindi kulephera

Chiwindi kulephera ndi chikhalidwe cha nthenda, kuimira chomaliza matenda. matenda amagwirizana ndi kukanika ndi matenda limodzi ndi khalidwe neuro-maganizo osiyanasiyana mwamphamvu, mwa zina, ngakhale chikomokere.

Chiwindi kulephera ingayambe matenda a chiwindi (matenda), aakulu chiwindi, pakubwezeretsa mu matenda enaake, alveococcosis, zotupa aakulu kapamba obturation (occlusion) wa ya ndulu ritsa. Chifukwa cha matenda ndi wachisokonezo hemodynamic pa maziko kwa chiwindi mtsempha occlusion, bowa poyizoni, zinthu hepatotropic (kutsogolera, phosphorous ndi zina) kwambiri zinthu chikoka (njira ntchito, zilonda zamoto, mabala). Matenda akufotokozera ndi nkhanza za mankhwala (wotsutsa-ashuga mankhwala, chlorpromazine, etc), matenda limodzi ndi cholestasis extrahepatic.

Mu ubwana chiwindi kulephera nthawi zambiri zimakhala za matenda B.

Popeza limagwirira kulephera chiwindi lagawidwa pawiri.

Choyamba ndi amkati. fomu iyi akufotokozera chifukwa cha zotupa mu parenchyma chiwindi ndi hepatocytes liziyenda matenda.

mawonekedwe Exogenous chifukwa inflow magazi zimalimbikitsa ammonia mu m'magazi a mtsempha zipata ndi anastomoses portacaval.

Monga mmene kumapeto, kwa chiwindi insufficiency akufotokozera nthawi zambiri mu mawonekedwe losanganikirana. Pa nthawi yomweyo chogwidwa ndi zinthu amkati.

Chiwindi kulephera. zizindikiro

matenda angayambe mphezi, aakulu ndi pachimake. Ambiri ndi chitukuko cha matenda aakulu. Poyamba ndi wapezeka mawonetseredwe hepatocellular insufficiency. Limanena okhudza kudya, khungu youma, utachepa turgor mu zimakhala ndi, mapangidwe mitsempha kangaude, ndiponso kukha magazi pakhungu. Gynecomastia angayambe chifukwa kuwonjezeka kawopsedwe. Komanso, mwina ponso kapena kuchepa kwa chiwindi, ascites chitukuko, kukulitsa a ndulu ya. Kuwonekera kwa matenda aakulu yodziwika ndi kugonjetsedwa lolemera. Odwala boma anati fungo achilendo kuchokera mkamwa, malungo, kupweteka pa palpation.

Komanso chitukuko cha matenda yodziwika ndi matenda a chikhalidwe mantha ndi maganizo a anthu odwala. asinthire amaonedwa kukhala zinthu zikuluzikulu poona kukula kwa matenda. Popeza zizindikiro za matenda amenewa ali lophatikizana ndi ubwamunalo linagawanika mu magawo atatu.

The zolemba woyamba wa usiku tulo, kusakhazikika maganizo, tulo masana, kukumbukira kuwonongeka, zina, nkotheka mutu kapena chizungulire.

Gawo lachiwiri amakhala ndi matenda a ubongo, matenda chidziwitso, mpaka pakutchulidwa wa kwa chiwindi (encephalopathy) gepatargii. Wodwalayo kugwedeza milomo, manja, zikope, ataxia, maso zosokera, musanaganizire defecation ndi pokodza. Mwinanso chitukuko cha matenda delirious, limodzi ndi malemeredwe ndi kusintha retardation lapansi. Pamene chikhalidwe izi zimachitika kusintha kutchulidwa kwambiri kuwerenga akugwirira.

Pakuti gawo lachitatu (a chikomokere) amakhala ndi aakulu chisokonezo. Atafa kuima screeching kenako - chikomokere.

Pamene fulminant kwa chiwindi kulephera, imfa angayambe patangotha maola ochepa.

Pachimake chitukuko cha matenda amakhala ndi lakuthwa kapena subacute (pang'onopang'ono) isanayambike, chimakhala cha masiku angapo milungu. Kudwala zikhoza kusiya akafike sitepe yoyamba kapena yachiwiri, koma, monga ulamuliro, izo m'kati imfa.