Vanotyisa chirwere - tsiroz chiropa. Ndingaita sei tarisa chiropa?

Tsiroz chiropa - kwakakomba chirwere umo kurasikirwa chiropa masero - hepatocytes - nekutarisa kushandiswa nekuwanda connective zvinyama mukati mumuviri. Chiropa haagoni kuita yayo inokosha nerevane - neutralization pane zvinokuvadza pamuviri, ndiye kuwanda kwavo. Uye chakaita zvokugadzirwa vachanetseka chiropa basa: kwakaderedza kugadzirwa mapuroteni, semuenzaniso, sealbumin, uyewo kutyora rinowanika kubatana kwetunhu zhinji zvinhu chokuita kweropa.

Tsiroz chiropa zvinokonzera

kuzvimba chiropa nemavhairasi B uye C kutungamirira kukudziri- nemavhairasi cirrhosis. Kusiyanisa mangwanani chimiro chirwere iro sevanhu zvakonzerwa nemavhairasi hepatitis uye pashure chimiro nerinooneka nokuda kwenguva refu (chirwere) nehepatitis chokubuda. tsiroz chiropa kunogona kuurayisa uye autoimmune chiropa.

Chimwe chinokonzera cirrhosis ndiko kurega kunotanga ari biliary turakiti. By kuderedza guru bile ducts Somuenzaniso, kana kusvinwa bundu yavo kana ibwe, zvishoma nezvishoma anovandudza kutyora architectonic muviri.

Doro cirrhosis kunokwanisa kuonekwa mune imwe muzvina vanhu vanogara upise doro kwenguva refu - anopfuura makore 10. Panyaya iyi, murwere mamiriro ezvinhu kuwedzerwa kudhakwa uye kukundikana doro kuva mavara kuvandudzika.

Kana murwere ane chirwere chomwoyo kana chirwere ari hepatic mutsinga, anovandudza mira tsiroz chiropa.

Other zvinokonzera cirrhosis:

- Kushandisa zvimwe mishonga (methotrexate, dopegita)-yakareba;

- enhaka (chirwere kunoitika somugumisiro vachiberekwa enzimopatii - kukanganisika kana kutyora kwetunhu makemikari).

Kakawanda inokudziridza chiropa chirwere ane wemishonga zvinoverengeka, zvakadai nemavhairasi kuzvimba chiropa uye chisingaperi chidhakwa. Mune zvimwe zviitiko, chikuru kukonzera kuchinja chiropa chinogona tsunga. Zvadaro nechirwere "cryptogenic cirrhosis".

Kuratidza cirrhosis zvakasiyana. Izvi uremu, utera, kugumbuka chetsoka, jaundice, kuvaviwa, ropa, kuwedzera kukura mumuviri. Chiropa ndiyo kubata anova gobvu uye nematambudziko. Pigmented ganda varwere, icteric, akaoma, ine vakawanda kungoda scratching aonekwa yokumusoro hafu hunde "dandemutande mutsinga" (telangiectasias). A maitiro chinhu ndiye "chiropa yemichindwe", vanova piriviri uye inopisa kuti ikabatwa.

ngozi Hosha kusimukira nemamwe matambudziko kurufu. nekuti achipfuura ropa kuyerera kubudikidza chiropa raputsika, ichi zvinotungamirira kuti paumbwe dzimwe aibuda makwara, rimwe riri esophageal mutsinga. Ko varicose yavo. Kubva varices kunoitika ropa, chinova chiratidzo kurutsa "kofi nhandare" wokutanga.

Wakakodzera kukanganisa mapuroteni usage kuva edema, kutanga yakaderera muzvidimbu uye ipapo mvura ikwanise kuwanika mudumbu (ascites). Liquid, izvo mudumbu dzimwe nguva chete anogona kuonekwa ne Ultrasound, unogona kuva zvomoto, peritonitis hwapedyo.

Kuunganidza chepfu zvigadzirwa pamuviri kunoita kuti kuvhiringidza pfungwa varwere (hepatic encephalopathy), rinova kuratidzwa zvakanyanyisa pamusoro hepatic pakoma. Vamwe varwere vave kenza chiropa.

Vanhu vazhinji vane kuvapo zvinokonzera njodzi nehanya mubvunzo: "How kuongorora chiropa wako?". For Multilateral Yekuongorora chiropa zvakafanira kuongorora ropa murwere, itai nokukanganisika ropa pachisara rokuongorora pakugwamba mano ropa. Zvawanikwa US data, laparoscopy uye biopsy. Kuongorora mamiriro ari esophageal mutsinga, shandisa gastroscopy. Sezvi- nzira, akashandisa computed tomography.

Vanhu vari kuona utano hwavo, vanogona kutarisa chiropa neropa kemisitiri. Zvakakodzera kuongorora pachiyero alkaline phosphatase, chiropa makemikari - transaminases, bilirubin, zvachose mapuroteni uye sealbumin, remafuta akawandisa. Ongorora uye prothrombin indekisi, vanoitisa kwose kuongorora rirambe richibvira ropa.