Hepatic Encephalopathy

Zviratidzo zvakakomba zvekuvhiringidza kwepakati penheyo system, kureva, kushungurudzika kwechirwere chepfungwa muvanhu vanotambura nekushaya simba kana chirwere chechirwere chechiropa, chinonzi hepatic encephalopathy. Muchiripo chechirwere ichi, kushandiswa kwemagetsi kunokonzerwa nekudzivirirwa kwepfungwa, kusagadziriswa kwechirwere chinokonzerwa nehutano hwehutano uye edema kunogona kuitika.

Kuongororwa kwe "hepatic encephalopathy" kunoisa vanenge 80 muzana yevarwere vane chirwere chekushongedza etiology yakasiyana, uye vanenge 20 muzana yevarwere vakawana rubatsiro rwekuvhiya kuti vagadzire portosystemic shunting, pamwe nevarwere vane chirwere chisina kukwana.

Zvimwe zvikonzero zvakakosha zvekusimudzirwa kwehupenzi husina kukwana, mugumisiro waro unonzi hepatic encephalopathy, ndeyikuti:

- kuparadzanisa zvipembenene zvechiropa (chiropa cirrhosis, chisingagumi uye chakanyanya hepatitis);

- kuderedza (kubviswa) kwe bile ducts;

- zvinoitika pachiropa chezvinhu zvakasiyana siyana zvine chepfu (kushandiswa kwefunguru ine chepfu, mimwe mishonga uye chepfu);

- zvirwere zvinotapukira;

- kukuvara kwakakura kana kupisa;

Acute cholangitis;

- septic, uyewo zvirwere zvepululent;

- thrombosis ye portal hepatic vein.

Chirongwa chekliniki chinoparadzanisa pakati pehuwandu hwehupenzi hunokonzerwa nececelopathy, episodic and persistent. Mukuwedzera, pane zvikamu zvakasiyana zvechirwere ichi:

- zero (latent) gadziriro - kusavapo kwechipatara zviratidzo,

- nharaunda yokutanga - pane kukanganiswa mumhanzi wehope,

- chikamu chechipiri - kuora mwoyo kunozviratidza munguva,

- danho rechitatu - kuvapo kwekumisa uye kuora mwoyo munzvimbo,

- Nharaunda yechina inonzi coma.

Hepatic encephalopathy inokonzerwa nechirwere chechiropa chakasimba, zvakadai sehepatitis yakaoma, uye encephalopathy, inokonzerwa nechirwere chechirwere chisingaverengeki - cirrhosis, yakasiyana maererano nenhau, kuongororwa kwebhroreta uye kuongororwa kwekliniki yakazara. Mumuviri wehepatitis, hepatic encephalopathy syndrome inowanzowedzerwa uye inokura nokukurumidza kudarika nechiropa chinonzi cirrhosis.

Hepatic encephalopathy: zviratidzo

- Kukanganisika, kurasikirwa kwechido kune hama, kubwinya uye humwe humwe hupenyu hunochinja;

- chirwere chekurara nemusingazivi ;

- mhedziso yezwi, kunonoka kutaura, nezvimwe;

- kuvapo kwe "chiropa" kunhuwira kubva mumuromo;

- kuvapo kwe "kurohwa" kudengenyeka;

- mvura mumakumbo emimba (ascites) ;

- jaundice uye chiropa zvinomera paganda;

- dema tarry stool uye kurutsa neropa.

Nzira dzakakosha dzekushandisa iyo inonzi hepatic encephalopathy inosanganiswa ndeyekuti: ultrasound yezvimbamba dzemuviri, nhengo dzesumbu, esophagus uye electroencephalography. Maitiro ekurapa akadai sekuunganidza kuongororwa kweropa (zvinowanzo, biochemical, nokuda kwehupfu, doro uye ammonia), urini nemasese zvinoshandiswa zvakare. Mukuwedzera, kuongororwa kwepfungwa kwepfungwa yevarwere vane mavambo ekutanga echirwere anoitwa.

Hepatic encephalopathy: kurapwa

Kurapa kwechirwere chakadaro, sechiremera chinokonzerwa nepfungwa, inonzi stepwise, umo maitatu mazano makuru anosiyaniswa:

1. Kucherechedza uye kuparadzwa kwekupedzisira kwezvinhu zvakakonzera kukura kwekunetseka kwepfungwa.
2. Ita mabasa aine chinangwa chokuderedza kuumbwa kwezvinhu zvakasiyana-siyana zvinotyisa uye metabolites avo. Pamwe nekuita mabasa anosanganisira kuderedza nhamba yemaprotinete ezvokudya, kugadziriswa kwavo, kumira kwemuviri wemukati uye mumukati mutsvuku, pamwe nekusimudzirwa kwemafupa ekubuda.
3. Kushandiswa kwezvinodhaka zvinoshandura chiyero chevana veuropi.

Mukuwedzera, varwere vanokurudzirwa kuti vatevedzere kudya kunokosha kunosanganisa kudya kwakanyanya uye kwemafuta, pamwe newaini.