Kwa chiwindi necrosis: Zizindikiro ndi Chithandizo

Pamene amapezeka ukutitsogolera zoipa kunja ndi mkati zinthu pang'onopang'ono imfa ya hepatocytes chifukwa akamaliza kotunga magazi, mu mulandu anapanga chiwindi necrosis. Matendawa zambiri zimaonekera zomverera chopweteka mu hypochondrium lamanja, nseru, kusanza, kutentha okwera thupi, kukula zikutanthauza chiwindi. Kukhazikitsa matenda a "kwa chiwindi necrosis" limafotokoza, akatswiri amalangiza kuti mwamsanga chifukwa cha kulondola kwa chithandizo kumatengera ndi zotsatira zabwino za mankhwala.

ndi kwa chiwindi necrosis Kodi

Izi mawonekedwe a matenda aumbike pa mkhalidwe wa magazi kwa zimakhala za thupi chifukwa cha mawotchi, mankhwala kapena zotsatira matenthedwe. Necrosis zimachitikira kwanuko ndipo bwino chikhalire m'mphepete. Chifukwa cha kupweteka minofu anayamba fester ndi kukanidwa pang'onopang'ono, kapena limatsogolera awo ndi mapangidwe chipsera mwachilungamo wandiweyani.

Kwa chiwindi necrosis ali m'mitundu iwiri waukulu otaya:

1. matenda limodzi ndi njira sizingasinthe, chikwiyire yomweyo lifotabe wa parenchyma lapansi.
2. Necrosis limodzi ndi mofulumira chiwindi necrosis thupi zimakhala.

Akatswiri amanena matendawa amakhala ndi kupitirira mwachilungamo mofulumira. Ngati nthawi sizikupanga chithandizo cha matenda, mu nkhani iyi, mu nthawi yochepa, kuchepa kwa chiwindi necrosis ndi mbali zofunika kwambiri za izo. Chifukwa kupitirira zoterozo wodwala akhoza chikomokere kwa chiwindi, amene nthawi zambiri limadzetsa imfa.

alipo a mitundu

Kwa chiwindi necrosis wachibale m'kagulu m'madera a minofu necrosis. Choncho, izi matenda ndi:

• Necrosis ya zotupa za lokolo. Mtundu wa matenda amakhala ndi zotupa ziwalo payekha.
• Mogwirizana necrosis a chiwindi. matenda akufotokozera mwachindunji pa mlingo ma.
• Omwazikana necrosis. Kukula kwa mtundu wa matenda amakhala ndi zotupa za hepatocytes m'madera zosiyana za thupi.
• Bridge. Chibadidwe mu mtundu uwu wa merging mu lonse limodzi onse anavulala malo thupi, potero kupanga magulu necrotic.

Chachikulu necrosis ndi kwa chiwindi chikomokere

Chachikulu necrosis a chiwindi ayenera anatsindika kwayekha, chifukwa ndi khalidwe osachiritsika ndipo nthawi zambiri kumayambitsa imfa ya wodwala. Monga ulamuliro, mtundu wa matenda aumbike pa maziko a chiwindi kapena ziphe poizoni thupi. Malinga ndi akatswiri, ndi necrosis chachikulu amakhala pachimake Inde, mawonekedwe akukhudzidwira ndi zotupa ndithu.

Ikuluikulu necrosis chiwindi, wodwalayo kutchulidwa matenda a chikasu ndiyo, malungo, mitsempha wonongeka. Pali Kusiyana angapo isanayambike chikhalidwe ichi: zokha ndipo kudzera chikomokere ndi aimpso. Monga ulamuliro, madokotala 3 Kusiyana kwa chikomokere:

1. Lachibadwa. Wodwalayo chiwindi oyima kuchita cholinga chake, kotero poizoni kulowa ziwalo zina, ndipo ubongo yotero. Chifukwa, pali chisonyezo chachikulu - matenda ya ubongo.
2. Exogenous. Chotero khalidwe la tsankho kuphwanya ntchito limba, mu thupi, zambiri kudzikundikira amoniya, imbaenda kuledzera kwambiri.
3. Hypokalemia. Mu mawonekedwe a thupi matenda opareshoni imagwiridwa pang'ono. Iwo ayenera kukumbukira kuti anawawidwa mtima kwambiri electrolyte mosamala ukuchititsa kuti madzi m'thupi, ndi chifukwa, ndi zatha.

mitundu ya matenda

Wachibale otaya matenda matenda ali zosiyanasiyana. Kwambiri anakumana ndi:

• Coagulation. Mbali A fomu iyi ya matenda makamaka chiwonongeko hepatocytes Polemeretsedwa mapuloteni. Chifukwa cha kuvulala amakhala maselo chitayiko imene kashiamu ayoni, komanso kuchuluka kwambiri ntchito enzymatic za thupi. Akatswiri kusiyanitsa subtypes fomu iyi ya matenda: tsankho ndiponso wathunthu. Tsankho yodziwika kuti pali mwadongosolo kusinthidwa zipolopolo limba maselo. Full, nayenso amakhala ndi choipa kwathunthu kwa hepatocytes. Zizindikiro Ndi kunja kwa maselo kuonongeka kuwasandutsa matumba osasamba ndi maso mu mawonekedwe a kachigawo a. Monga ulamuliro, iwo ndi matenda provocateurs matenda.
• Kollivaktsionnaya. Izi mawonekedwe a matenda amakhala nthenda zosiyanasiyana za hepatocytes ndi okhutira otsika mapuloteni. khalidwe la kapangidwe ka kanthu popanda phata selo chiri. Akatswiri kuona kuti maselo necrotic yodziwika ndi miyeso ndithu ndi malire zodziwika bwino. Monga ulamuliro, iwo zili kutali kuchokera mwa kundipatsako magazi magwero limba. Mu nthawi yomalizira ya mapangidwe angathe collimation focal necrosis. Wachibale mphamvu anaonetsa, ndi malo makhalidwe mu lobules kwa chiwindi izi necrosis subtypes: focal, zonal tsentrolobulyarny, submassive ndi chachikulu.
• Liwiro. Izi mawonekedwe a matenda amakhala kulongosola necrosis a hepatocytes, wapafupi ukusunthira zipata mtsempha. Provocateur mapangidwe matenda ndi kuwonongeka lakuthwa m'kupita kwa chiwindi, ndi matenda enaake.
• Fulminant kwa chiwindi necrosis ndi ovuta kwambiri mtundu wa matenda. Akatswiri kunena zikuluzikulu choipa cha hepatocytes, ndi foci yomweyo kufika kukula ndithu. Fulminant kwa chiwindi necrosis amakhala ndi chiwerengero chachikulu cha Kuuma kutali kwa zinthu mphezi, amene kumaonjezera ngozi ya imfa.
• mawonekedwe Panjira aumbike pa maziko yolimbikitsa akufa danga parenchymal limba. fomu iyi ndi khalidwe kwa pachimake. Akatswiri kuona kuti mawonekedwe matenda kwambiri kumaonjezera ngozi ya magazi Popanda kuchitapo kanthu adalowa ziwalo mkati.

causation matenda

Akatswiri amanena zomwe zimayambitsa kuti lingachititse mapangidwe necrosis chiwindi, kwambiri. zimayambitsa chapadera cha necrosis chiwindi - choipa limba. Zodabwitsa ndi n'chinthu chofunikira zinthu kunja kwa matendawa. Komanso, malo akunja akhoza pachikhalidwe ndi kuwonongeka cheza. Akatswiri kuona kuti zimakonda matenda ndi matenda tizilombo. Matenda amene n'chinthu chofunikira chiwindi B, C, D. Mu odwala ambiri ndi matenda monga a chiwindi B, pachimake chiwindi necrosis anati. Ntchito yaitali kapena mwadongosolo gepatos mowa mtima anapanga chomwe pambuyo amalowa matenda enaake mowa a chiwindi, amene nawonso, mwamsanga likunyonyotsoka mu necrosis a.

Komanso n'kofunika maziko chitukuko matenda ndi kuledzera. Poizoni angayambe chifukwa cha mowa yaitali mowa pa nthawi ya mankhwala, ka zinthu chomwa mankhwalawa. Ndi ndemanga akatswiri, chiwindi necrosis Mwina imfayo masoka m'mawa matenda mu amayi apakati pa theka lachiwiri la mayi.

kupanga necrosis m'munsi kungakhale sepsis. Bwaloli ndithu kusalekerera Oncology, kuyambira pa matenda a chiwindi matenda kumachititsa mantha ndithu. Madokotala amanena kuti chiwindi akhoza si kupirira ntchito ndi kusuntha yoposa gawo la kuwonongeka.

Palinso chiopsezo mapangidwe necrosis chifukwa cha kumuika limba. Monga zimachitika ngati kuti chitsulo alibe mizu, chifukwa cha kukana izi ndi ndondomeko ndi inali kuwola. Zikatero, wodwalayo kovuta kupulumutsa chifukwa pali mphezi magazi poizoni.

Chifukwa chitukuko cha necrosis akhoza zazing'ono pa Koyamba, matenda kagayidwe.

zizindikiro

Monga madokotala, kwa ndithu nthawi yaitali, zizindikiro za necrosis chiwindi ndi "chete." Choncho, zizindikiro loyamba la mawu ndi nonspecific.

zizindikiro kwa chiwindi necrosis mu sitepe yoyamba ya kupanga limapangidwa:

• Nseru.
• Kusafuna kudya.
• Kukhumudwa mpando.
• Kusanza.
• kuwonda.
• Matenda a chikasu ndiyo.

Pa chilungamo necrosis kugonana angayambe kusokonezeka kusamba, ndi amuna, nawonso, pangakhale mavuto ndi potency.

Mu chitukuko zizindikiro chiwindi necrosis anayamba kufotokoza owala kwambiri. Njira wotsatira kudwala matenda a yodziwika ndi kuwonjezeka mu malo m'mimba, kutupa kwa mapazi.

Zizindikiro izi zingachitike mu gawo loyamba la kudwala matenda a:

• Mantha, ulesi.
• Kukana kudya.
• Achezera kumverera kwa nseru.

mawonetseredwe yeniyeni matenda zikhoza kuganiziridwa:

• Zachilendo mtundu wa mkodzo ndi ndowe.
• Varicose mitsempha.
• Kuopa mu manja ake.

Kamodzi m'thupi kumachitika lalikulu thupi kusinthidwa, mu Zikatero n'zotheka kusiyanitsa zizindikiro zotsatirazi:

• Kukula kukula kwa pamimba. Monga ulamuliro, chifukwa cha kusinthidwa ili ndi madzi anadzadza.
• ululu Spazmiruyutsya mu lamanja nusu chapamwamba.
• Entrainment miyeso chiwindi ndi ndulu.
• Mphwayi, kuyerekezera zinthu m'maganizo.

Matenda a chiwindi necrosis

Pa mapangidwe pang'ono amaganiziridwa matenda wodwala ayenera kuonana ndi akatswiri amenewa:

1. Gastroenterologist.
2. Dokotala.
3. Resuscitator.

Popeza kwa chiwindi necrosis (zizindikiro ndi chithandizo zingadziŵike okha ndi oyenerera katswiri) matenda oopsa, madokotala musati amalangiza kudziletsa medicate. Chifukwa popanda kudziwa matenda zitha kukulitsa matenda.

diagnoses ndi njira izi:

1. US.
2. Kujambula, CT mapanga sikani ya pa limba ovulalawo ndi kapepala biliary.
3. Single fotoni umuna CT.

Pamene mwachindunji parenchymal choipa zotupa anatsimikiza ntchito imeneyi matenda. Kuti mudziwe zambiri za wokhulupirika mwachindunji otaya ndi chikhalidwe cha kuvulala kwa minofu, kawirikawiri ntchito singano biopsy.

Kusintha chiwindi necrosis - njira zoyambirira

Palibe katswiri sitinadzere mwa matenda sadzafunanso matenda "necrosis a chiwindi." Mankhwalawa makamaka akuyamba ndi kuwonongedwa kwa zimayambitsa mapangidwe matenda. Malinga ndi akatswiri, mbali yapadera ya zimayambitsa matenda ndi tizilombo matenda a chiwindi. Choncho zimene mankhwala monga mankhwala mavairasi oyambitsa. chiwerengero Izi zikutanthauza achilendo makhalidwe yosungirako, choncho mogwira awo mungaone kuti pakapita kanthawi.

Ndi kuvomerezedwa kulolerana wa mankhwala kwa chiwindi kuti ntchito kulimbikitsa mwachindunji wa chitsitsimutso chirichonse cha ntchito thupi ndi choipa yaing'ono. Komanso, akatswiri kunena kuti odwala amasiya zizoloŵezi onse, mwinamwake mankhwala Sindizakubweretsanso zotsatira zabwino.

Ngati chifukwa cha matenda ndi mapangidwe kuledzera a chamoyo, mu nkhani iyi, chithandizocho limapangidwa miyeso detoxification wachibale.

Ngati chiwindi necrosis (matenda Photo anapereka m'nkhani) anali amayamba ndi matenda enaake, zimene zinachitikira Njira yofunika ya machiritso ndi kusiya kumwa mowa ndi gepatoprotektory zimathandiza kuti ntchito yokonza thupi.

odwala mwakayakaya

Direct kusintha odwala pachimake necrosis chiwindi imagwiridwa mu Dipatimenti ya mankhwala mwakayakaya.

mankhwala tima kwa necrosis kwa chiwindi yomweyo amalandira Kupha ndi, makamaka chiwindi kulephera.

mfundo:

• Chithandizo amachitira kuthetsa matenda chikwiyire zikamera matenda.
• Machiritso ayenera kuyamba pomwepo.
• Kuvomerezedwa mtima m'chipatala.
• Machiritso umalimbana kukhalabe kagayidwe mwachindunji ndi thupi lonse.
• Mogwirizana ndi ndemanga zambiri akatswiri, ngati inu kuchotsa chimene chimayambitsa mapangidwe kulephera chiwindi mu nyengo 10-day, pokhalabe wodwalayo moyo thandizo akubwera kusinthika kwa hepatocytes, chomwe chimathandiza munthu, poyamba pa zonse, kuti apulumuke.

mankhwala wowerengeka

Njira zochiritsira zosagwiritsidwa kuchiza matenda palibe. Koma maphikidwe ndi prophylactic cha mankhwala ndi zotheka kugwiritsa ntchito. Kusintha chiwindi magwiridwe angagwiritsidwe ntchito ananyamuka m'chiuno, calendula maluwa ndi Helichrysum. Mukhoza kukonzekera kulowetsedwa kuchiritsa zitsamba izi.

Zakudya chiwindi necrosis

Pamene matenda a "necrosis chiwindi," wodwala ayenera aleke mowa. Dokotala nawo ayenera kukhala ndi kujambula moyenera zakudya menyu.

Childs, mu matenda amenewa ntchito № tebulo 5, amene adzatenge Kupha wathunthu wa mchere. zakudya wodwalayo zikhazikitsidwe mankhwala awa:

• Masamba.
• Zipatso.
• Kashi.
• Brown mkate.
• Zakudya nyama.

M'pofunikanso kulabadira njira kuphika. Zakudya bwino kuwira, kuphika kapena kuphika pa kusamba nthunzi.

Kislomolochku akhoza m'gulu chakudya, koma zedi yaing'ono. Nsomba saloledwa kuwonjezera zakudya zakudya, popeza ndiye gwero ambiri kufufuza zinthu.

Koma tiyenera kukumbukira kuti mankhwala a matenda aliwonse udzakhala wogwira mtima kwambiri kudziwika oyambirira ndi mankhwala. Choncho, mawonetseredwe zizindikiro za matenda ayenera kuonana ndi katswiri.