Hepatomegaly: diffuse chiropa kuchinja. Sechivako zvomukati

For vakajaira upenyu hwevanhu pasina chaakasiya, muri miviri inokosha, sezvo mumwe wavo anoita chaizvo basa. Kana munhu akatadza, vamwe vari kwakakanganiswa, uye rose muviri. Saka, matambudziko chiropa kukonzera kuparara zvomudumbu turakiti, kweropa uye excretory enyika, izvo vanotozvikuvadza kunotungamirira kune vasanyanye kutapata, uye nezvimwe zvinetso zvoutano zhinji. Sei vanhu chiropa, pamwe zvinenge Kumwe kuchinja kunotanga mairi?

Sechivako zvomukati

Asati kutaura pamusoro pechiropa, funga kuti maumbirwo edu nhengo dzomukati, izvo pane kubatana pakati pavo. Muvanhu, pane dzakawanda hurongwa: kweropa, kufema, zvetsandanyama nemapfupa, zvomudumbu, excretory, huta, rokubereka. Mumwe nomumwe wavo ane kunzwisisa maumbirwo. Sezvo iri pachiropa, ongorora miviri chokuita nacho, uye munguva pfupi pedyo nayo. Saka, chiropa yedu - a shwanu iri chete pasi diaphragm kurudyi womuviri, ari abdominal mhango. Rezasi pamupendero wayo unobata yegurokuro, dumbu, gallbladder uye duodenum. Uye zvikamu zvaro neVadzidzi rworudyi itsvo uye adrenal shwanu. Rwatata nhema chete shure mudumbu. The gallbladder runoonekwa nesu mukuru muviri chiropa uye bile ducts. Uyezve, zvakakodzera chiropa tsinga, ropa uye node midziyo.

The nemamiriro chiropa

Hepatomegaly (diffuse chiropa kuchinja) kunoitika, kana kukura ayo mukuru kupfuura 12-13 cm. Nhengo iyi inoumbwa kurudyi lobes, uye hurongwa Claude Quinn muzvikamu 8 zvikamu. Mumwe nomumwe chidimbu (chidimbu) ine yayo ropa wedzerai, zhelchevyvedenie nomumbure uye tsinga fibers. Zvinyama zvidimbu (parenchyma) chimiro elongated masero (hepatic matanda). Parenchyma zvapararira bile capillaries nemidziyo ropa. Pakati nomumwe chidimbu kunosvika hepatic imwe nechepakati Vienna, uye pakati pavo - arteries, bile ducts nezvimwe mutsinga. Rezasi Chikamu muviri pasi kufunga ine mbiri longitudinal grooves uye mumwe transverse. vanonzi suwo iri chiropa. Ivo sangana ose bile ducts, pova nevakawanda, achipfuurira kupinda duodenum. Hepatic mutsinga vaite - portal. Pairi, uye kubva arteries iyi inokosha nhengo ropa Rwako. Diffuse kuchinja zvingaita ose pamusoro zvinhu.

chiropa

Chimwe chikuru mashandiro edu chiropa - neutralizing chepfu, muchetura, ose vatorwa uye kufanira zvinhu. shwanu ichi chinobatanidzwa zvose kuitika mumuviri womunhu siyana muviri, kugaya, ropa, riri kugadzirwa mavhitamini zhinji uye mahormone. Zviri rudzi kuchengetera ropa uye chero zvinhu. Nguva imwe ndakabatikana rudzi, chiropa iri pachena chiitiko mairi siyana pathological kwendangariro. Mumwe wavo - hepatomegaly, diffuse kuchinja chiropa, ayo kuburikidza nezvibereko zvayo inozivikanwa. Hunodzorwa palpation kubudikidza Ultrasound uye computed tomography. Okupedzisira marudzi maviri zvidzidzo kubvumira kusiyanisa pachena rakawedzerwa chiropa kubva yakafanana chirwere kune pedyo nhengo (kurudyi itsvo, nduru dundira, ura).

Zvinokonzera chirwere

Pfungwa iri diffuse kuchinja yose muviri, kwete chikamu charo, sezvo iri musimboti wokuzadzika zvokurwara. Kana dzichiri hepatomegaly? Diffuse chiropa kuchinja kuchengetwa zvinotevera zvirwere:

• cirrhosis;
• mwoyo kutadza;
• benign uye nyanyisa (kenza) anomera;
• hemangioma;
• parasitic uye non-parasitic cysts;
• helminth noutachiona;
• abscesses;
• tibhii, uye zvimwe zvirwere sifilisnoy kukundwa;
• kudhaka;
• kupera muviri;
• Metastasis kubva pedyo nhengo;
• chepfu uye rwarisa chiropa;
• adenoma;
• carcinoma;
• hyperplasia isiri yekenza.

Mune zvimwe zviitiko, pane munyoro hepatomegaly, inova concomitant chiratidzo nevakariri chando, vamwe zvirwere zvinotapuriranwa, kushaya zvokudya zvinovaka muviri.

zviratidzo

Signs diffuse chiropa kuchinja tanga chirwere ichi zvinozarurwa yekudyidzana. Murwere vangafunga vamwe kusagadzikana zvakarurama yokumusoro quadrant, kuipa pashure imwe mafuta uye Spicy zvokudya, doro. Zvisinei, pane varwere vakanga havanzwi chinhu kusvikira chirwere hepatomegaly kuti akaita kupinda chakasimba siyana, uye haangazvidembi kuitika kuwedzera chiropa. Zviratidzo kuvimba runotikurudzira chirwere. Common dzinosanganisira:

• marwadzo murutivi rwake rworudyi, kunyanya kana inopinza zvokuimba compression;
• kuda kurutsa, mune zvimwe zviitiko vanopfuura vari kurutsa;
• chirungurira;
• Nzara rutapudzo;
• jaundiced Ruvara ganda;
• kusingafadzi kwakanaka kubva nomumukanwa mhango;
• dzimwe nguva mumwe mapundu achiperekedzwa kuvaviwa;
• zvachose kudzikisirana.

Dzinenge zviratidzo hepatomegaly

Staphylococcal, streptococcal uye pneumococcal zvirwere zvinogona kukonzera abscesses (suppuration) ari kupfuura dzevanhu kweprostate gland uye somugumisiro, akawedzera chiropa. Zviratidzo izvi zvinosanganisira: vaidedereswa nemvura yainaya, tachycardia, kunyanya vangadikitira, vachirwadziwa marwadzo ari kurudyi muviri, chemumwe kunyange chipande uye ruoko. Treatment muchiitiko ichi chete zvomusejari. Mune dzimwe nevakawanda zvirwere - kenza yechiropa, iro gore negore kunouraya zvinopfuura miriyoni hwevanhu - hepatomegaly, pamwe kune pamusoro features, achiperekedzwa kunoshamisa uremu, utera, bowel dysfunction, flatulence. Cirrhosis chiropa (mukuru chikonzero ndiyo udhakwa) uye concomitant hepatomegaly inozivikanwa uchirwadziwa zvakarurama repamusoro quadrant, majoini, portal neBP, akawedzera chirwatata. In nehepatitis chiropa akawedzera uyewo aine marwadzo ari kurudyi, ari yekudyidzana kunowedzerwa kana panyama kushushikana (semuenzaniso, panguva kutsanya kufamba), kuda kurutsa, mukuru utera.

Diagnostics

Kana murwere anonyunyuta kurwadziwa zvakarurama yokumusoro quadrant, chinhu chokutanga chiremba achaita palpation uye zvichida rokuongorora hepatomegaly. Diffuse Fígado kuchinja zvinogona kuonekwa (kana kusaratidza) kushandisa mamwe assays. Pfungwa, palpation anogona chete kuona miganhu chichiwedzera muviri, ukuru marwadzo, uye pamwero wakati ari arambe achirema pakati parenchyma. Uye kuti mamwe chirwere akagadzwa Ultrasound, CT, MRI, uye vanoverengeka ivhu. Idzi dzinosanganisira:

• Kutsunga bilirubin, uye zvachose mapuroteni muropa;
• stercobilin kutsunga iri pachituru;
• mimwe vane mutoro zhelchevyvodimymi zvinhu (bromsulfoftalein, galactose);
• radioisotope zvidzidzo;
• chiropa biopsy.

Bilirubin chinorondedzerwa muna vakasununguka uye vakasungwa nehurumende. In hwakanaka munhu aripo chete vakasununguka (0.4-1 MG / KE). Abnormalities kuchengetwa jaundice, kuzvimba uye kuzara pamusoro hepatic tubules, dzimwe mhando cirrhosis. Uchishandisa mienzaniso akanga akatsunga aibuda mapuroteni-muviri ari chiropa. Bromsulfoftaleinovaya yokuenzanisira unokubvumira kuona kana pane kutyora excretory mumasero (secretory) ushande. In utano vanhu panguva maminitsi 45 pashure pakatanga dhayi muropa yazvinofanira asingasviki 5%. Nhanganyaya galactose zvinoita kuti kuronda sei carbohydrate muviri. The biopsy rinoitwa pasi Murabhoritari mamiriro pamwe vanofungidzirwa chiropa mune Isimba rakadini rinogona kubudiswa danho, cirrhosis, kenza, fibrosis, uye zvimwe zvirwere. Zvinonzi contraindicated mu abscesses, ascites, kwenguva refu obstructive jaundice, Hemorrhagic syndrome. radioisotopes Research (okusuma Bengal akamuka ropa) rinoitwa munyika zvirwere zvakawanda chiropa. In vanhu utano ropa hafu-rinocheneswa nependi 8 kwemaminitsi.

Zvokurwara pakati rwatata

The chiropa hwakada kufanana nevamwe mumasero - rwatata. Zvokurwara imwe vanotozvikuvadza inotungamirira nokuvhiringidzirwa mumwe, saka nguva nechirwere, mitumbi izvi zviviri panguva imwe chete cheki. Diffuse kuchinja rwatata (chiropa hakusi hanya) vangazivikanwa chete pachishandiswa Ultrasound. Palpation haina kunorondedzerwa. Ultrassom ongororo inoratidza kukura, arambe achirema uye kufanana kwakaita zvinyama echogenicity uye (zvinoratidzwa ruzha) kuti muviri zvinokosha kutora basa mugove kugaya uye Absorção de Água kuti shuga (jekiseni secretion). Diffuse kuchinjai kuchengetwa pfungwa nomuviri zvemwana asati, fibrosis, uye maererano zera. Kuwana nokuchinja Ultrasound, murwere anogona kunzi okuwedzera miedzo (mupiro ropa, endoscopy pamusoro duodenum).

mabatiro

Kana rwatata kwakaratidza diffuse kuchinja, asi murwere asina zvichemo, kurapwa haisi kuzvireva. Kana zvakaipa munyoro hepatomegaly. Kazhinji, izvi ezvinhu inotsidza mumwoyo pamusoro yayo pashure normalization simba uye kunyangarika mikana zvirwere. Kana chiropa hepatomegaly hazvo mberi kurapwa chaicho chirwere, ari zvokurwara kunokonzerwa. Mukuwedzera, murwere akakandwa pasi kuomesa kudya kuti inosiya ose Muterere zvakakanyiwa namafuta, Spicy, wakawanda, mafuta uye doro. Folk mushonga rinokurudzira doro infusions pamusoro vakasimuka muhudyu, chokeberry, vamwe chicherwa mvura, mudye yakaderera-mafuta yokurenda chizi nouchi. Sick munhu yakarumbidza nyasha zvaiitwa, maekisesaizi hakubvumidzwi.