Steatohepatitis - ndichiyani? Zizindikiro ndi mankhwala a steatohepatitis

Mogwirizana ndi deta ambiri matenda chiwindi kugwirizana ndi matenda a kagayidwe mafuta, akukhala zambiri ofala. Ichi ndi anthu makamaka a America ndi Europe, amene nthawi zambiri anapezeka ndi wochititsa mantha "steatohepatitis." Kodi izo ndi momwe mungapewere kudwala izi? Izi ndi zimene timaphunzira.

matenda mafuta ndi steatohepatitis

Chifukwa kagayidwe kachakudya acylglycerols (mafuta) ndi mankhwala oxidized kapepala kakuti m'mimba zimasiyanasiyana kapangidwe ka chiwindi yokha. Koma chinthu choopsa kwambiri n'chakuti kusintha osaoneka mwamtheradi, ndiko kuti, sikumangotikhudza ukupeza wa munthu wodwalayo. Osachepera, bola ngati wodwala safuna pochitika kuona zachipatala. Nkofunika oterewa yake ndi mankhwala woyenera monga maselo chiwindi ukafa m'malo ndi minofu connective. njira amenewa mosasintha kuopseza mavuto monga matenda enaake chiwindi. Munthu ndi matenda ofanana ndi zofunika kumamatira kwa chakudya.

Steatohepatitis - ndichiyani? Matendawa amapezeka maziko ZHZP (mafuta chiwindi matenda), amene amakwiya osiyanasiyana: oopsa, kunenepa, aakulu hyperglycemia matenda, atherosclerosis, etc. Chifukwa maselo chiwindi cluttering triglycerides (ndale mafuta), chifukwa cha zomwe akuphatikizapo kusintha ndipo .. akufotokozera steatosis. M'kupita kwa nthawi, kuyamba ndi hepatocytes njira zobwera chifukwa cha okosijeni kuti kuwononga maselo a chiwindi. Chifukwa cha kutupa, umene ukuchititsa mawonetseredwe statogepatita. Pali mitundu itatu ya matenda: mowa, si mowa ndi mankhwala.

mawonekedwe mowa

Nthawi zambiri stetogepatit mowa kuoneka anthu amene amadwala uchidakwa aakulu, amene ali pafupifupi 35%. Chifukwa 95% ya mizimu anawonongedwa yekha maselo a chiwindi, omwe akupatsidwa amakhudza lidzigwira ntchito zake. Zotsatira poizoni Mowa pa chiwindi mosasintha amachititsa kutupa kwa thupi.

Izi ziri kuwonetseredwa ndi zomverera chowawa m'dera la m'mbali (kumanja), matenda psychopathological, dyspepsia, ndi zizindikiro icteric. Chiwindi ukuwonjezeka ndipo olimba, amene ali bwino amaonekera ndi palpation, zomwe zimabweretsa mukupweteka wosasamala. Kuwonjezera yowonjezera mitsempha kholingo, lomwe likuoneka kuti magazi mkati.

Chifukwa kuchuluka yotupa ntchito transaminases, triglycerides ukuwonjezeka. Kusintha lalikulu zizindikiro njira bilirubin lipophilic mowa, zamchere phosphatase, etc. The chizindikiro odziwika - .. Izi kuchepa transaminase (kwa chiwindi michere) ndi matenda achire.

Oterewa steatohepatitis aakulu n'chotheka ndikatha kumfunsafunsa zonse: zasayansi deta ultrasound, biopsy, palpation, ndi kulankhulana ndi dokotala.

Nkofunika kuteteza maselo chiwindi zisaonongeke ndi kuthetsa kapena kuchepetsa kutupa. Lekani kuchuluka kwa minofu connective mu thupi ndi kuteteza chitukuko cha matenda enaake.

mowa ndi koletsedwa! Apo ayi, chithandizo ndi opanda ntchito.

mawonekedwe Nonalcoholic

Kagayidwe kachakudya steatohepatitis kumachitika chifukwa maselo supersaturation chiwindi ndale mafuta - triglycerides. Ndipo monga chotsatira - njira zobwera chifukwa cha okosijeni ndi yotupa, kuwonongedwa kwa maselo a thupi, kuchuluka kwa minofu connective ndi chitukuko cha matenda enaake. M'zaka zaposachedwapa, milandu mopanda mowa mafuta m'chiwindi kuchuluka.

matenda kumachitika ndi maziko a kulemera muyeso, matenda pancreatic, matenda a zamadzimadzi kagayidwe, kwambiri kuwonda. Komanso, chifukwa zingakhale zakudya m'thupi, ndiko akusowa zakudya zomanga thupi, yafupika antitrypsin mlingo, ndi zina zotero D..

NASH angayambe yekha kapena kukhala chifukwa cha matenda ena. Popanda zasayansi kuyezetsa anthu asakhale zindikirani zizindikiro zake. Transaminases adamulowetsa, chiwindi kukula ukuwonjezeka. anthu ambiri anapezeka ndi NASH, pamene iwo anatembenukira kwa dokotala ndi madandaulo a matenda ena.

Pofuna kuchiza kapena kuletsa chitukuko cha matenda, m'pofunika matenda njira makutidwe ndi okosijeni, imathandizira pa mayendedwe a mafuta ndale kwa chiwindi kuchepetsa kudzikundikira mafuta maselo a thupi, ndi kunyoza zobwera chifukwa cha okosijeni a lipids. Oxidants zikuchokera wakwiya zimagwira ntchito zosiyanasiyana, molekezera mitsempha ndi kuphwasula structural unit wa zidulo mkati.

Mbali lamulo la mankhwala - ndi zakudya. Sankhani zakudya zofunikira payekha aliyense case, monga mwa mayendedwe a matenda odwala onse ndi osiyana. Ndipo chifukwa osankhidwa bwino zakudya mankhwala chingaimitse makutidwe ndi okosijeni ndi njira yotupa ndi kusiya kupitirira kwa matenda.

Ndi mpofunikila miyezi sikisi iliyonse pochitika ndi kuvomerezedwa Kupenda mankhwala matenda osasunthika ku mawonekedwe kwambiri.

mawonekedwe mlingo

Mtundu wina - mankhwala steatohepatitis. Kodi ndi chifukwa chiyani kumeneko? chinthu chimodzi ndicho kuti: chifukwa chagona pa kumwa mowa. Monga dzina lake likunenera, mawonekedwe a matenda kumachitika chifukwa mankhwala chiwindi Hour oopsa. Pakuti wotere ali ndi kumwa mankhwalawa mankhwala estrogens kupanga, "ndi chloroquine," "kuchita Lago", mankhwala kuchitira tizilombo immunodeficiency, antifungals ndi ena.

Ngati mumamwa mankhwala pachiopsezo nthawi yaitali, izo zingakhudze magwiridwe a chiwindi. Kutanthauza kuphwanya njira triglyceride makutidwe ndi okosijeni kuti ambiri mitundu OOP (mankhwala steatohepatitis), zizindikiro zimene sizovuta zosasangalatsa chogwirika. N'chifukwa chake ayenera kumamatira njira bwino chithandizo, monga mavuto angayambe. The owopsa kudwala - ndi necrosis maselo chiwindi madigiri zosiyanasiyana mwamphamvu.

Pachiopsezo anthu amene kale kuphwanya ntchito chiwindi. Tengani mankhwala awa zitha kukhala pa umboni wa dokotala kupezeka ndi kulamulira kwambiri. Iwo kwambiri analimbikitsa pamodzi ndi mankhwala owopsa kutenga gepatoprotektory.

Mlingo wa chionongeko

Histology ndi kuchuluka kwa chiwonongeko chiwindi selo zikusonyeza matenda ndi pa siteji zimene chitukuko.

Steatohepatitis digiri kochepa a ntchito ndi maziko a matenda kagayidwe kachakudya ndipo amakhala ndi kutukusira mapapo. 35% ya maselo atengeke kuwonongeka. pa siteji oyambirira chizindikiro matenda umaonetsera mankhwala zambiri.

Inu simungakhoze kunena za mtundu choopsa cha matenda: thovu mafuta anafotokozedwa mu 70% maselo, ndi zonse izi zikuchitika ndi maziko a wonse katundu yotupa ndondomeko.

steatohepatitis chikwiyire zinthu zolimbitsa ndi matenda ena yodziwika ndi choipa pafupifupi 68% ya maselo, munthu amene yotupa si kwambiri, koma noticeable kuposa mu ndime yoyamba.

zifukwa

Chifukwa zakuya za pakutchulidwa za matenda - matenda kagayidwe kachakudya, omwe mwina chifukwa cha kuonekera kwa kulemera owonjezera, kapena, Tikawonetsetsa lakuthwa kuwonda. A zakudya ovuta kapena kudya, nawonso hule chiwindi steatohepatitis.

The chikuchititsa mavuto a matenda:

• Kagayidwe kachakudya matenda.

Izi zikuphatikizapo imfa wonenepa kapena mwadzidzidzi thupi chifukwa cha kuperewera kwa zakudya m'thupi. matenda Endocrine, kagayidwe kachakudya chisokonezo, zomwe zinachititsa shuga magazi limatuluka zikuchepa. Kusintha chiŵerengero cha lipids (zinthu mafuta ngati) misinkhu. Administration shuga m'magazi ndi njira mtsempha. The kusintha kwa zakudya zonse akalandire chithandizo.

• Mankhwala kuledzera.

Ena mankhwala zingachititse steatosis, zomwe zimachititsa kuchuluka kwa mafuta chiwindi selo. Zimenezi zingachititse mahomoni steroid, mankhwala amene ziletsa kapena kubisa kwathunthu magawano selo. Komanso mankhwala amene amachiza matenda opatsirana, ndi zina wothandizila odana ndi yotupa kuti achepetse kutentha thupi ndi ululu.

• Opaleshoni m'dera la kapepalako m'mimba.
• matumbo diverticulosis (saccular protrusions matumbo khoma).
• Gepatotserebralnoy dystrophy. Izi ndi matenda otengera yodziwika ndi matenda a kagayidwe mkuwa thupi.

symptomatology

Monga tanenera kale, malingana zifukwa zimene zimachititsa kutupa mu maselo kwa chiwindi, pali mitundu itatu ya matenda: mowa, mankhwala ndi mopanda mowa steatohepatitis. Zizindikiro, zimayambitsa matenda ndi njira mankhwala pa nkhani iliyonse zosiyana.

Mowa mawonekedwe a matenda ali ziwalo:

• Makulidwe a ukuwonjezeka chiwindi, kumakhaladi zambiri wandiweyani, amene kwambiri pa palpation.
• Soreness mu m'mbali (kumanja).
• matenda m'mimba, ndi chifukwa m'mimba kapena kudzimbidwa.
• The Thukuta mtima kwambiri ndipo zonse ludzu.
• Maganizo kutopa ndi kufooka.
• Kusafuna kudya, munthu wotaya kulemera mofulumira.
• Wodwala zonse odwala, nthawi zambiri akuwonetseredwa kusanza.
• Khungu ndi diso sclera kukhala chikasu hue.

Zizindikiro za mitundu mlingo wa matenda:

• Mwadongosolo ululu (pachimake ululu) chiwindi.
• Kulakwila ya ndulu katulutsidwe.
• Khungu utoto mu chosiyana chikasu hue.
• Pali kuyabwa khungu.

NASH ali ndi zizindikiro zotsatirazi:

• Pafupipafupi chowawa zomverera chiwindi.
• Wodwala akumva ndi kulemera zonse mmimba.
• Kutopa ndi kufooka.
• Ludzu ndi thukuta kwambiri.

Kupeza Vuto

Kuopsa ndi kuti nthawi zambiri matenda wosakwiya ndipo alibe waledzera. Waukulu ngozi mbendera - kuwawa mu chiwindi, kuchuluka kwake ndi kuphatikiza.

mankhwala amakono ali njira zambiri oterewa zosiyanasiyana za matenda. M'zaka zaposachedwapa, ambiri a iwo ndi mayina mowa steatohepatitis, mankhwalawa omwe - ndondomeko zovuta ndi zovuta. N'chifukwa chake mu malo oyamba ati mbiri mowa.

masiteji Survey:

• Ultrasound a chiwindi zikuchuluka ake ndi kusintha kunja.
• Laboratory mayesero kwa kupeza mafuta msinkhu, hydrolysis enzyme, mapuloteni globular, ya ndulu pigment, mafuta ndale T. D. deta Izi zingathandize kudziwa zimene siteji ya chitukuko cha matenda ndi.

Ngati nthawi matenda steatohepatitis wofatsa, mpata kwa ukuwonjezeka othamanga kuchira.

Ngati zotsatira za kafukufukuyu zizindikiro za mowa gepatoza sakudziwika, kafukufuku ikuchitika mawonekedwe mopanda mowa matendawa:

• Biopsy, imene imakhudza intravital maselo mpanda chiwindi wodwala.
• Ultrasound kudziwa matenda wonenepa kapena endocrine. phunziro ili ikuchitika kukachitika kuti n'zosatheka kuti achite biopsy.

Mlingo mawonekedwe a matenda angasonyeze dokotala amene Kwalamulidwa mankhwala wodwala pangozi. Njira kudziwa: ultrasound mosamala kuti mapanga sikani CT mayesero zasayansi kapena diagnostics ndi biopsy.

Njira yabwino - ndi njira zovuta za diagnostics zinchito.

Kuchiza ndi mavuto

Nkofunika kuthetsa zotsatira poizoni pa chiwindi, kuwonjezera tilinazo thupi insulin kanthu. Komanso matenda kagayidwe kunyama maselo ndi kubwezeretsa chitetezo cha m'thupi. Izi ndi vuto lalikulu kwa dokotala ndi mtima wake. Steatohepatitis digiri kochepa wa ntchito bwino mankhwala.

Pankhaniyi, wodwala ayenera kukhala Tsatiraninso malangizo a katswiri. N'kofunika kupewa kuchita masewera olimbitsa thupi kwambiri. Sports ayenera kuthetsedwa, koma pang'ono: kuloledwa kusambira, pilates ndi kuyenda kudutsa. Izi zili choncho makamaka kwa anthu amene ali onenepa kwambiri.

Zakudya mankhwala akusonyeza kuti wodwala aliyense payekha. Iwo mwamphamvu analangiza kuti pachimake ndi mafuta zakudya, nyama kusuta zosiyanasiyana marinades ndi tiyi kapena khofi. Kaya zotsatira za mankhwala, chakudya ndi zofunika kusunga zonse. Izo kutiletsa ntchito (ngakhale ndalama zochepa) mizimu, monga matenda akuyamba kukhala kumufotokozera.

Malinga mtundu wa matenda (mowa ndi nonalcoholic steatohepatitis mankhwala) mankhwala ikuchitika mwa njira zosiyana, amapatsidwa mankhwala osiyana.

Koma amatha kusiyanitsa mankhwala amene amalimbana ndi zizindikiro zazikulu za matenda:

• wothandizila Hypoglycemic kusintha insulin tilinazo.
• The formulations zidulo ya ndulu omwe kuchepa ntchito transaminases ndi kuteteza maselo chiwindi.
• Hepatoprotectors ( "Essentiale forte") mu mawonekedwe a makapisozi kapena ampoules. mmene kuchotsa osakwanira kuchuluka kwa phospholipids mu thupi la wodwalayo.
• mankhwala Gipolidimicheskie (statins) kuti kuchepetsa milingo magazi mafuta.
• mtundu uliwonse wa matenda, steatohepatitis ngakhale ntchito kochepa, amafuna chithandizo inpatient kuyang'aniridwa zonse akatswiri. Popeza mankhwala osaphunzira amakwiya kusamala angathe kukhala ndi matenda enaake, chiwindi fibrosis, ndipo ngakhale kulephera chiwindi.

zakudya

Anthu ambiri akuvutika FH, ndi vuto onenepa, koma chifukwa masewera ndi zakudya hypocaloric - ndi mwayi kuchira. Ndipotu, kuti tichepetse kutupa mu chiwindi, m'pofunika kuonda. Matenda aakulu, amene amalanga inu, - steatohepatitis zonse izi. Zakudya - ichi ndi chinthu chofunika kwambiri mu ndondomeko kuchira. Mndandanda wa mankhwala akhoza ndi kudya: nkhuku (khungu sangathe kudya), nyama ya ng'ombe, kalulu, yophika nsomba (mtsinje), mapuloteni mafuta mkaka osachepera. Animal mapuloteni, zomwe zili zakudya izi, mafuta alibe maselo kusiya pecheni.Chego siziri choncho ndi nyama mafuta: nkhosa, nkhumba, ng'ombe, mafuta kirimu, etc. M'malo mankhwala ndi bwino ntchito masamba kapena mafuta ...

Zovuta chakudya, monga dzinthu woyera, ufa ndi okoma, Tisawasale chakudya. Kudya masamba, zipatso, masamba, zipatso, dzinthu ndi chinangwa kumathandiza kuchepetsa milingo mafuta m'thupi m'magazi.

Ziribe kanthu chomwe mtundu wa matendawa anthu: mowa, mankhwala, kapena steatohepatitis mopanda mowa, zakudya ndi ayenera!

kupewa

Pofuna kuteteza matenda ndi yofunika kutumiza asilikali kuti mankhwalawa pathologies lalikulu kotoryo mwina kuutsa: kunenepa, matenda endocrine, etc. zodzitetezera ali akuyendera kupewa matenda imfayo izo ..:

• mowa ayenera kudyedwa pang'ono.
• A chakudya chamagulu.
• M'pofunika posachedwapa zakuchiritsa nthenda zimene zimachititsa chitukuko cha mafuta m'chiwindi.
• Kusamala ntchito mankhwala angabweretse chiopsezo chiwindi. Pa ndime nawo, muyenera gepatoprotektory.

Ziribe kanthu chomwe mtundu wa matenda wapezeka wodwalayo: zakudya - ndi choyambilira. Zimenezi zimatanthauza kuletsa yokazinga, mafuta, zokometsera, kusuta ndipo zosiyanasiyana Nkhaka. zakudya Only mapuloteni, mafuta masamba, zipatso ndi ndiwo zamasamba.

M'pofunikanso kukhala ndi moyo yogwira yoyenera ndandanda wa tsiku, aonekera kugona (osachepera 7 maola), ukhondo ndipo, ndithudi, thupi. Mwa kutsatira malamulo amenewa inu chimodzimodzi kunenepa si pangozi. Komanso kuchuluka asanazolowere kagayidwe wabwinobwino, ndipo ambiri thupi likugwira bwino ntchito.

Anthu aakulu FH ayenera kukumana ndi njira ya chithandizo chaka chilichonse. Choncho iwo sadzatha kupewa mavuto zotheka.

Chithandizo cha mankhwala wowerengeka

Akuluakulu matenda amene agonjetsa mavuto oopsa - ndi steatohepatitis. Chithandizo cha matenda akhoza imayendetsedwa ndi mankhwala atsopano. Komanso, ophatikizana mankhwala amavomereza madokotala amakono.

Mmodzi wa wotchuka mankhwala nthula ndi therere limene limabwezeretsa maselo chiwindi chotero limakhazikitsa magwiridwe ake. Ambiri ogwira mankhwala achilengedwe umalimbana ndi mankhwala a mafuta m'chiwindi, ndi lopangidwa ndi Tingafinye wa mbewu mkaka nthula.

Kodi kuphika ufa nthula ndi steatohepatitis

Kuti akonze mankhwala muyenera zipatso (35 g). mbewu akupera mu blender ndi kupanga ufa ndi kunyeketsa supuni 1 Nthawi 6 tsiku ndi kapu ya madzi otentha yophika.

magalamu 35 a ufa mkaka nthula - ndi mlingo tsiku ndi tsiku kuti ayambe chiwindi. The njira ya mankhwala ayenera masiku osachepera 40, kenako mudzaona mmene kumva bwino. chiwindi yafupika kwa mwakale, izo Mwamsanga zobwera chifukwa chisindikizo ake, bwino kagayidwe mafuta ndi zina zotero D..

Sami madokotala mankhwala mankhwala, monga iwo chilengedwe ndipo mulibe woopsawo zigawo poizoni wa zikuchokera. Mwina iwo satchula chonchi mofulumira tikhoza mwamtheradi thupi.

Kumene, ayambitse popanda chilolezo dokotala ndi koletsedwa! Chifukwa mankhwala zovuta akhonza kusankha oyenerera okha ndikatha kumfunsafunsa zonse ndi zimene ananena njira ya matenda.

Kuchepetsa kutupa mu chiwindi akhoza kulawa ndi ndalama amenewa:

• Amondi mafuta kapena apurikoti.
• Mankhwala tiyi St. John wa liziwawa, calendula, chicory ndi helichrysum.
• Kulowetsedwa wa tchire, knotweed, horsetail, ndi mpiru.
• Zipatso ndi kiranberi viburnum.

ndalama zonse izi ndi zotsatira zabwino pa ntchito chiwindi, makamaka magawo oyambirira a matenda. Koma likamanena kwambiri kufika wa mankhwala ntchito kokha limodzi ndi mankhwala ochiritsira. Ndipo ndi pokhapokha movomerezedwa ndi dokotala amachitira.

Steatohepatitis - ndichiyani? Matenda ali maina ambiri kuti: "kudwala wa chitukuko", "wakupha chete", mafuta m'chiwindi, etc. Koma chirichonse chimene inu mumachitcha icho, ndi matenda amene ifunika mwadongosolo, zonse ndiponso mwakhama ... Simungakhoze kuchita popanda chipiriro, mphamvu ndi chilango. Inde, mwina ndi zovuta, koma moyo zodula, ndipo ndi ofunika izo. Chinthu chachikulu - potsatira malangizo dokotala, ndipo nthawi zonse kutsatira malangizo ake. Mwa njira iyi tingathe kugonjetsa matenda oopsa!