I-hepatomegaly - iyini, nokuthi ingasindisa kanjani isibindi?

Izinqubo zokuphila emzimbeni ngokuvamile zihambisana nokukhula kwesibindi. Ngokuvamile imbangela yalesi simo yizifo kanye nezinqubo zokuvuvukala. Ekuphetheni, odokotela babhala "i-hepatomegaly", yikuphi - akuchazi ngaso sonke isikhathi iziguli.

I-Hepatomegaly - iyini?

Ukubona phakathi kweziphetho igama elifanayo, yini i-hepatomegaly - iziguli zizama ukuthola udokotela oya khona. Leli gama lisetshenziselwa ukubhekisela ekuguquleni ngobukhulu besibindi uhlangothi olukhulu. Le nqubo ivame ukuhambisana nezinguquko ezishintshayo ezicukwaneni zelungu. Ngesikhathi esifanayo, isibindi ngokwawo singasetshenziswa kalula endaweni ye hypochondrium (ngokuvamile lokhu akunakwenzeka).

I-hepatomegaly ayithathwa njengesifo esihlukile, kodwa kuphela ukubonakaliswa noma isibonakaliso senqubo yokwelapha emzimbeni. Kufanele kuqaphele ukuthi isibindi sinezingxenye ezimbili, ngakho odokotela bangabonisa ukuthi yikuphi kulabo abathintekayo - kwesokunxele noma kwesokudla. Ubukhulu obuqondile bungenziwa yi-ultrasound. Ngokuvamile i-lobe elungile inesayizi yobubanzi obuyi-12 cm, futhi ngakwesobunxele - i-7 cm. Ukudlula kwalokhu kwamanani kubizwa ngokuthi i-hepatomegaly.

I-Hepatomegaly - Izimbangela

Uma kukhona ukwanda kwesibindi, izizathu ezingabonakali kudokotela, ukuhlolwa okuphelele kunqunywe. Isekelwe ezindleleni ze-hardware, ezisekelwa yi-laboratory ucwaningo. Phakathi kwezici eziyinhloko ezenza ushintsho ngobukhulu besibindi, odokotela bayabiza:

  1. Izifo zesibindi - i- cirrhosis , i- hepatitis , izinto ezinobuthi, izifo zesibindi sokudakwa. Ezimweni ezinjalo, umzimba uqala ukuvuvukala, usuke uvutha. Nokho, ngokuqhubeka kwe-pathology, ukufa kwama-hepatocyte amaseli kwenzeka. Emva kwalokho, isitho sithatha ukulinganisa kwangaphambili okwesikhashana, kepha ukushintshwa kwama-fibrotic amangqamuzana afile e-voids akhiwe endaweni. Izicubu ezinama-collagenous zikhula ngokushesha, okubangela ukukhuliswa kwesibindi ngokuphindaphindiwe.
  2. Ukuphazamiseka okubangelwa yi-congenital yezinqubo zokuxuba umzimba - i-glycogenesis, i-hemochromatosis. Esigabeni sokuqala kukhona ukwephulwa kwe-glycogen synthesis, ebonakala ngokuhluleka ekukhonjisweni kwensimbi. Ngenxa yalokho, i-microelement iqoqa ku-parenchyma futhi iholela ekuvupheni kwayo.
  3. Izifo zesimiso senhliziyo. Ngokuhlukunyezwa okunjalo, ukungqubuzana kwe-venous esibindi kubonakala, ngenxa yalokho isitho iba yinto enhle.

Phakathi kwezizathu kukhona futhi:

I-hepatomegaly ehlukile

Ngemva kokubhekana nezimbangela zokuphulwa okunjalo njenge-hepatomegaly, kuyini, kubalulekile ukuhlukanisa izinhlobo zayo. Ukuxilongwa kwe-hepatomegaly kwesibindi kuboniswe lapho ukukhishwa kwe-ultrasound kubonisa ukunyuka okungalingani kwisitho. Izinguquko zithinta kuphela izindawo ezithile noma amasheya. Isibonelo, i-hepatomegaly ye-lobe efanele yesibindi ingashintshwa yigama elithi "ukukhushulwa okuncane" kwesitho. Ukusola ukuhlukumeza udokotela kungenza nge-palpation - ebusweni obungenalutho, obunzima bomzimba wesitho esikhulisiwe.

Kodwa-ke, ukuxilongwa kokugcina kwenziwa ngokusekelwe kwedatha ye- ultrasound . Uma i-hepatomegaly eyingxenye iqala (okuyiyona ekhulunywe ngenhla), i-echo enkulu yokukhona kwayo ukuphazanyiswa kwe-homogeneity yezicubu. Ngokuhlolwa okuningiliziwe, ama-cysts, ama-abscesses, nama-tumor angatholakala, okuwukuthi ubufakazi obuqondile bokushintshwa okuyingxenye emgodini, uphawu lokuqhubeka kwenqubo ye-pathological.

Ukwehliswa kwesibindi

Ukwanda kwesibindi ukuya ku-12-13 cm kumuntu omdala kukhonjiswe yigama elithi "dispersion hepatomegaly". Kulokhu, izinguquko zingabonwa kunoma yiluphi uhlobo lwesakhiwo: i-lobe kwesobunxele noma kwesokudla, isimiso segazi, ama-bucts. Izinguquko ezishintshayo zingenzeka kunoma iyiphi yalezi zakhiwo zomzimba. Ekuthuthukiseni lolu hlobo lwe-pathology, ama-agent aphefumulayo asetshenziswa kakhulu, njenge-staphylococcus ne-streptococcus. Ukubonakaliswa okuyinhloko kwe-pathology kuyisifo esibuhlungu ngakwesokudla, sinikeza esifundeni nesandla.

I-hepatomegaly ngohlobo lwe-hepatosis

Kwezinye izimo, ukwanda kwesibindi kubonakala sengathi uhlobo lwe-hepatosis enamafutha. Ngalesi simo sesifo sibonakala ukuwohloka kwamangqamuzana e-isibindi sibe ngamafutha. Isiyaluyalu senzeke lapho inani elikhulu lamafutha alula liqoqa kuma-hepatocytes. I-pathology iyimbangela yokusetshenziswa isikhathi eside kokudla okunamafutha, futhi ingavela nokusetshenziswa kwemithi.

Ngokuvamile, yonke into enobuthi engena emzimbeni idlula esibindi, ayitholakali kumafutha alula. Nokho, ngenxa yokuthi inani elikhulu lokudla okunamafutha lingena emzimbeni, amafutha amaningi aqala ukubuthelwa emaseleni we-hepatocytes, okuholela ekuthuthukiseni i-hepatomegaly. Lesi sifo sinenkambo encane. Ukukhathazeka ngokukhethekile odokotela ingozi enkulu yokwehla kwamaseli. Ukuntuleka kokwelashwa okufanele kwe-fatty hepatosis kugcwele ukuthuthukiswa kwe-cirrhosis ne-fibrosis yesibindi.

Ukwandiswa kwesibindi - izimpawu

Izimpawu ze-hepatomegaly zifihliwe ekuqaleni kwesigaba. Ukunyuka kancane kwesigungu kungase kungabonakali isikhathi eside. Ngaphezu kwalokho, izimpawu ze-hepatomegaly (yikuphi - ezichazwe ngenhla) zivame ukuba ngenxa yokugula, okwaholela ekwandeni ngobukhulu besigungu (i-hepatomegaly nokuthi yini). Ngomtholampilo owaziwayo, lesi sifo singatholakala nge-palpation, ngokuma kwesisu. Ukuze uthole ukuxilongwa kokuqala, odokotela basebenzisa i-palpation (ukuhlola) kanye ne-percussion (ngokushaya). Noma kunjalo, ukukhuliswa kwesibindi esilinganiselwe ngezindlela ezinjalo kunzima ukuyihlolisisa.

Lapho ukhuluma ngesiguli, ukuqoqa i-anamnesis, odokotela banakekele ukutholakala kwezibonakaliso ezilandelayo ze-hepatomegaly:

  1. Ukuzwa okunomunyu, umuzwa wento yangaphandle, inhlama ngakwesokudla, okukhulunywa ngayo ngokushintsha isimo somzimba.
  2. Ukubonakala kwesikhumba se-asterisks, ukuvuza.
  3. Ukuqoqa uketshezi emgodini wesisu.
  4. Ukuphuziza kwesikhumba (ngokuvamile kaningi nesifo sofuba).
  5. Ukuphazamiseka kwezinqubo zokugaya ukudla ( ukuqothulwa ).
  6. Ukwanda okwenzeka ngokungazelelwe ngobukhulu besisu.
  7. Ukuphuza njalo nokubonakala kokuphefumula okubi.
  8. I-nausea.

I-hepatomegaly ephakathi

Ukwanda kancane kwesibindi kungatholakala kuphela ngosizo lomshini we-ultrasound. I-hepatomegaly esilinganiselwe ivame ukungabi nhlobo, futhi izimpawu zokukhubazeka ezikhona azihlanganiswa kahle nesithombe somtholampilo wesifo, isibindi esenyukile kuso. Ifomu elifanayo lesi sifo litholakala kubantu abahlukunyezwa utshwala. Isikhalazo esiyinhloko ubuhlungu ku-hypochondrium enhle yomlingiswa ongeyona unomphela. Ezinye izibonakaliso ze-hepatomegaly esilinganiselwe ngokuvamile azikho. Ukuxilongwa kusekelwe emiphumeleni ye-ultrasound ne-CT.

Kubizwa ngokuthi i-hepatomegaly

Indlela evezwe ngayo i-hepatomegaly iyisibonakaliso sokuthi i-pathological, kodwa ishintshashintsha ukuguquguquka kwesibindi. Lokhu kulungiswe ukwephulwa okunjenge-hemoblastosis, i-leukemia, lapho kunomthelela oqinile wezicubu zesibindi ngamangqamuzana amabi. Ngenxa yezinguquko ezinjalo, i-foci yokwandisa kwezicubu ezixhunyiwe, i-necrosis. Isibindi sifinyelela usayizi omkhulu, sithatha umthamo omkhulu emgodini wesisu.

Izimpawu zokukhushulwa kwesibindi ziyabonakala futhi zamehlo: isisu sikhulu, singalingani. Ukwanda kukhulunywa kakhulu ngakwesokudla. Njengoba i-hepatomegaly eqinile ku-ultrasound, odokotela bahlola:

Echo izimpawu ze-hepatomegaly

Lapho ehlola izitho zomzimba wesisu, enza i-ultrasound, udokotela ngokushesha ubona ukwanda kwesibindi. Ngesikhathi esifanayo unakekele ama-echoes we-pathology, okubonisa ukuthi kungabangela imbangela yalesi sifo. Lapho i-hepatomegaly ingumphumela wokushisa kwesifo sofuba, izifo ezithathelwanayo, isakhiwo se-esibindi sesibindi sinamaphethini afanayo. Nge-hepatosis enamandla, i-cirrhosis, ifomu elingapheli lesifo se-hepatitis, i-ehostruktura i-heterogeneous: i-epotic of compaction, isifo sofuba, ukwephulwa kwemigqa kanye nokucaciswa kwesigungu, izinguquko ekuloleni kwazo zizinzile.

I-Hepatomegaly - yiziphi izivivinyo okufanele ngizithathe?

Ukuba khona kwezimpawu zokukhula okwenziwe esibindi kuyisibonakaliso sokuqhubeka nokuhlolwa kwesiguli. Ngakho, i-hepatomegaly yesibindi esilinganiselwe ingaqinisekiswa ngesisekelo semiphumela:

I-Hepatomegaly - indlela yokuphatha ngayo?

Ekuphetheni kwe-"hepatomegaly" ukwelashwa kwenziwa ngabanye, ngokusho kwesizathu sokuphulwa. Ukwelashwa kuhloswe ekuqedeni okuphelele kwezinto eziphathelene nokugula kanye nokulwa nokubonakaliswa kwemitholampilo. Ukwelashwa okunzima kwe-hepatomegaly kuhlanganisa:

I-hepatomegaly - yimiphi imithi okufanele isithathe?

Noma imiphi imithi ene-augmentation of isibindi kufanele ikhethwe ngokuqondile futhi kuphela udokotela. Isisekelo sokuphathwa kwezidakamizwa ze-hepatomegaly yi-hepatoprotectors. Phakathi kwemithi eyaziwayo yaleli qembu:

Lapho i-hepatomegaly ibangelwa ukuvezwa kwe-toxin emzimbeni, odokotela bahlinzeka ama-detoxification agents:

Uma isibindi sikhuliswa ngenxa yesifo, ukwelashwa kwe-antibacterial kunqunywe:

Njengezindlela ezingeziwe zokugcina izivikelo zomzimba, izivikeli ze-immunomodulator kanye nama-immunostimulants asetshenziswa:

Ukwandisa kwesibindi - ukwelashwa ngamakhambi abantu

Uma kukhona ukwanda kwesibindi, ukwelashwa kufanele kwenziwe kuphela ngaphansi kokuqondiswa kukadokotela, ngokwemigomo yakhe. Njengengxenye yokuthola ukwelashwa okuyisisekelo, odokotela bavunyelwe ukusebenzisa amakhambi omuntu. Ukuphumelela ku-hepatomegaly yilokhu:

Izifo Zemithi

Izithako:

Ukulungiselela, uhlelo lokusebenza

  1. Amakhambi ahlanganiswe, athululelwe ngamanzi futhi agqoke umlilo.
  2. Letha emathunjini bese ubamba ngokushisa okuphansi imizuzu engu-15.
  3. Susa ukugoqa futhi ufune amahora amathathu.
  4. Hlunga bese uthatha phakathi nosuku esikhundleni sokuphuza.

Ukuphuza uju

Izithako:

Ukulungiselela, uhlelo lokusebenza

  1. Konke kuxutshwe ngokucophelela.
  2. Thatha izikhathi ezimbili ngosuku, ekuseni nakusihlwa.

I-hepatomegaly - ukudla

Ukutshela iziguli mayelana nokuxilongwa kwe-hepatomegaly, ukuthi yikuphi, odokotela baqaphela isidingo sokubuyekeza ukudla. Ukudla nesibindi esanda kuphakamisa ukuncipha ekudleni kwamafutha futhi kunzima ukugaya ukudla. Inikeza ukudla okuyisihlanu nomkhawulo ekukhethweni kwemikhiqizo. Lapho isibindi sanda:

Isici sokudla okunomsoco ku-hepatomegaly ukuhambisana nombuso, ikakhulukazi kusihlwa. Ukudla isidlo kufanele kwenzeke kungakapheli ngo-7 ntambama, futhi isikhathi sokudla phakathi kwosuku kufanele sibe amahora angu-2.5-3. Kubalulekile ukukhipha okuvela ekudleni: