Izimbangela zesifo kwesibindi oludakayo

Lesi sihloko sizosisiza ukukhuluma ngezimpawu ze-isifo sokusha kwesibindi kohlobo uphuzo oludakayo, futhi izizathu udaba lwakhe. Ukusetshenziswa ngokweqile utshwala kubathinta kabi umzimba wonke, kodwa ngokuyinhloko kwesibindi ukuthi unesifo. Kuyo kunezinguquko esiwohlozayo ezingaba ezimweni ezithile ngisho abangele isifo sokusha ukuthi umuntu nokushabalala ngokushesha kungaholela ekugcineni. Yiziphi izici abangela ukusha kwesibindi oludakayo, izimpawu kanye nokwelashwa isifo - zonke lezi izinto, kuzoxoxwa ngakho kulesi sihloko isibuyekezo.

Izimbangela kwesibindi oludakayo

Isizathu esiyinhloko esibangela i-hepatitis oludakayo, isivele kubonakala kakhulu egameni isifo - ukuphuza, kunalokho, kabi. Empeleni lesi sifo zithambekele yotshwala - abantu esitebeleni utshwala. Kunobufakazi bokuthi uma indoda iminyaka eminingi, nsuku zonke kuletha emzimbeni wakho 100g. ETHYL utshwala, khona-ke usengozini. isamba okunjalo Ethanol iqukethe:

• Omunye ingilazi vodka.
• 1.25 l. amandla ezomile noma ephuma kabili amnandi iwayini 9-13 degrees.
• Ngo 2.5 amalitha. ubhiya zakudala.

Ngaphezu kwalokho, izindawo elivela kuzo isifo ayibangelwa le-ethanol, futhi ubuthi esenzelwa ngesikhathi Ethanol ukucutshungulwa emzimbeni. Lokhu ushevu - aldehyde noma acetaldehyde. Kuyinto yalolu ketshezi kwephula zamagama phospholipids esibindini. A phospholipids - lokhu kwakwakhe organic, ukusiza hepatic izakhiwo yeselula ikhumbule umoya-mpilo nezakhi ezibalulekile.

Uma permeability evamile cell ulwelwesi iphazamiseke, siwulimi isibangeli isignali kokuqala ukuvuvukala. Ngo umzimba uqala ukukhiqiza cytokines - amaprotheni nakomaka ukuvuvukala. Ngo ukuvuvukala evamile, omzimba izicubu, kokwamukela umyalo ovela cytokine iqala ukuhlasela amaseli angaphandle (amagciwane). Endabeni kwesibindi utshwala "alien" amasosha omzimba kuthatha amaseli isibindi inqubo nokubhujiswa kwabo.

Isibindi kuyinto lemifanekiso main (kanye nezinso) wegazi ukuhlanzwa umzimba imikhiqizo udoti kusuka ubuthi obukhishwa amagciwane namagciwane lokusakaza e umzimba ngesikhathi ukutheleleka okwenzeka therein izinqubo zayo ukuvuvukala. Uma lemifanekiso ahlahlele futhi iyeke ekwenzeni imisebenzi yawo, kwenzeka self-ubuthi umzimba.

Kwesibindi kohlobo oludakayo: izimpawu

Yilesi sifo esesabekayo kuyinto isifo sokusha kwesibindi kohlobo oludakayo, ezimweni eziningi, eba kancane. Kwaphela isikhathi eside (eminyakeni 5-8 noma ngaphezulu) abantu singase singakuboni ngasiphi kuwukubonakaliswa sifo. Nokho, ngokuhamba kwesikhathi, le ukuqhubeka kwesifo, izimpawu kwesibindi oludakayo sebeqala ikhule. Ukuqapha kufanele sibangele lezi zimpawu zokugula:

• Ukozela, ubuthakathaka, ukucobeka.
• Kwezikamoya ukwehla ekusebenzeni.
• Ukuqunjelwa, ukucanuzela kwenhliziyo, ukungakuthandi ukudla, nokuhlanza.
• ukwehlisa wegazi.
• Yellowing we mucosa ngomlomo kanye isikhumba.
• Ubuhlungu ngaphansi izimbambo kwesokudla.
• Ukwenyuka usayizi kwesibindi, kungatholakala by palpation.
• Ukuvela on the grid ubuso imithambo capillary.
• Ububomvu zezinyawo nezintende zezandla.

Uma umuntu amawashi lezi izimpawu akuzona konke ndawonye, kepha okungenani ezinye zazo, kube yithuba ukubona udokotela wokuthi yadalwa noma uqinisekise uphethwe - ukusha kwesibindi kohlobo oludakayo. Izimpawu e abesifazane futhi amadoda wadalula umlutha wotshwala, noma kunjalo baba akufanele ishalazelwe.

Amazinga emabangeni lokuqala isifo ayikwazi ukukhushulwa noma ebibanjelwe subfebrile ezingeni. Zikhona izimpawu kwesibindi, okuyinto ziboniswe ubulili namandla: sebethule fat emathangeni, iqothukile emzimbeni, ukuthuthukiswa Erectile Dysfunction, ngokuhlanganyela izimpawu ngenhla main - izimpawu zokuba umlutha wotshwala isifo sokusha kwesibindi kohlobo amadoda.

Ingabe kukhona umehluko izifo isifo sokusha kwesibindi kohlobo oludakayo ngobulili

Abesifazane akuzona lutho ngokuthi abobulili buthaka, ngoba babuthakathaka kunamadoda ngezindlela eziningi. Lokho isifo, okuyinto okuxoxwe ngazo kulesi sihloko, Kutfutfukisa iqhubeka ngokushesha kubo. Into wukuthi enzyme ekhethekile iwukudambisa utshwala, aqukethe kancane kakhulu kunamadoda emzimbeni yabesifazane. Kodwa izimpawu eziyinhloko ethize kwesibindi oludakayo e abesifazane iyafana amadoda.

izigaba ezintathu zesifo

Kunezigaba ezintathu oyinhloko utshwala isifo sesibindi.

Okokuqala, steatosis, noma okunamafutha ukonakala komzimba. Lokhu uphawu kwenzeka e-90% abantu ababusebenzisa kabi utshwala isikhathi eside. Ngokuvamile, kulesigaba, abantu ungazizwa ogulayo futhi musa usola ukuthi zisongelwa kwesibindi oludakayo. Izimpawu, izimpawu isifo incipient kabi wazwakalisa. Lezi zihlanganisa:

• Kwehliswe iphango.
• Nokukhathala kanye nokulahlekelwa wamandla.
• Ukwanda izicubu adipose.
• Kumiswa nemihuzuko esikhumbeni, ngisho ne ingcindezi kancane.

Kulesi sigaba, ngaphakathi amaseli isibindi kuyinto amafutha asebenzayo semfenisha, kungani sikhukhumale sikhukhumale like.

Okwesibili, - esigabeni zokusha kwesibindi. izinguquko sokugembula e isibindi kancane kancane ethuthuka. Isebenzisa inqubo cystic lapho izicubu evamile esikhundleni ngokuxhuma izibazi. Izimpawu kwesibindi oludakayo, sekuqala ukuvela. Ohlangothini lwesokunene, ngaphansi nesineke izimbambo bangezwa ubuhlungu kakhulu, isibindi luyanda, okuyinto kahle obuzwiwa palpation. Umuntu uqala ukulahlekelwa isisindo somzimba, uzizwe ubuthakathaka njalo. Ngo isinyathelo-hepatitis kungenzeka yezinkinga ezifana peritonitis noma ukopha emithambo yegazi.

Futhi esigabeni yokugcina - isifo sokusha. ukusha kwesibindi kohlobo Alcoholic futhi ziphathwe yisifo sokuqina, kungase kuphakame izimpawu izifo ezinzima, kuvame ukulandela omunye komunye, isb. E. Lenza ku isifo sokusha ukusha kwesibindi kohlobo isinyathelo. Kulokhu, iziguli waphawula:

• Ukuwohloka Sinzima.
• Ascites (inqwaba oketshezini ingaphakathi lesisu, okubangela esiswini ususuthi ubukeka ezingezona ezemvelo).
• Lapho umuntu isibindi palpation uyazwelana nathi ebuhlungwini kakhulu.
• jaundice kuthiwa, hhayi kuphela isikhumba kodwa futhi sclera iso.
• nomfutho wegazi ophezulu Portal.
• Bad igazi oyisazi samakhemikhali ezinto eziphilayo.

Umzimba kuyinto ukufa mass kwamaseli isibindi ukwakha izindawo ezinkulu ezicutshini, ukuma isakhiwo kwesibindi kanye ukusebenza walo. Liphinde ebonwe iziguli umkhuhlane encephalopathy (ubuthi yezinzwa imikhiqizo ye hepatic izakhiwo kwamazinyo).

Izindlela kwesibindi kohlobo oludakayo

Lesi sifo kungavuka enye yezindlela ezimbili:

1. ifomu emuva. Endabeni bashabalala ngokuphelele utshwala kanye nokwelashwa akhethwe kahle angase alungise wonke nemisebenzi izimpawu isibindi kanye ne-hepatitis utshwala ngokuphelele ke.
2. ifomu Progressive. Ngeshwa, kulesi simo, izimpawu kancane kancane kwandisa futhi isimo lesiguli usufinyelele kancane. Lokhu kungenxa yokuthi amaseli isibindi siguqulelwa ezicutshini, isb. E. Ngo izitho ezibalulekile akhiwa izindawo efile ukuthi musa ukwenza noma yimuphi umsebenzi. Isibindi luyanda kakhulu ngobukhulu, ngaleyo ndlela izama isinxephezelo nokulahlekelwa umsebenzi walo.

Ngezinye ukwenqaba egcwele utshwala, impatho akuqhubeki futhi ukuqaliswa zonke izincomo udokotela wakho ngisho noma kukhona uhlobo okuqhubekayo lesi sifo, sisengakwazi ukufeza sinjalo. Uma ehluleka ukwenza kanjalo, khona-ke ngeshwa, isifo sokusha kwesibindi kohlobo oludakayo ifomu okuqhubekayo, ekugcineni liphenduka sibe sesomile noma isibindi umdlavuza.

Olunamandla-hepatitis oludakayo: izimpawu

Isimo ukuthi kuyingozi kakhulu ekuphileni - ukusha kwesibindi kohlobo utshwala ngendlela oyingozi. Ezimweni eziningi, lesi sifo kubonakala ngendlela ngemva kweminyaka kabi uphuzo equkethe utshwala. Kodwa umzimba sabantu anezici yabo, ngakho zikhona izikhathi lapho i-hepatitis acute kwenzeka ngosuku olulandelayo ngemva idili eside kunothile utshwala (isib, amaholide).

Nasi uhlu izimpawu kokuqala acute ukusha kwesibindi kohlobo oludakayo:

• Umunyu ukunambitheka ukuzwa emlonyeni.
• Ukucanuzela kwenhliziyo nokuhlanza wawulandelisa.
• The Jump elibukhali lokushisa (degrees 38).
• Ukuvuvukala.
• Ubuhlungu ilungelo quadrant engenhla.
• izigqiki Okuxekethile.
• Ukungabi namizwa izinyawo nolimi.
• Ukwandisa ebuthakathakeni.
• isifo sokuphazamiseka kwengqondo, ebonakaliswa ukuziphatha okungalungile ubudlova unmotivated, nokunye. D.
• A usuku olulodwa noma ezimbili emva izimpawu ngenhla, isikhumba livele libe tint aphuzi.

Kufanele kuqashelwe ukuthi sibi isifo sokusha kwesibindi kohlobo oludakayo singenzeka ngeendlela ezihlukeneko, anikeza izimpawu ezahlukene. Isimo sina ingahlala kusuka emavikini amathathu noma amahlanu.

amafomu Abane isifo

1. ifomu Icteric. Ngokwezibalo, isikhathi esiningi siye sitholakale. Kuzibonakalisa, kokunye icteric ibala lesikhumba, ubuthakathaka namandla, kwesisindo, isifiso ukunciphisa (kufika ukuqedela ukwehluleka ukudla), isicanucanu nokuhlanza, imfiva, kweNdikimba ubende. Ngezansi ungabona ukuthi kubukeka kanjani jaundice, elibangela lesi-hepatitis oludakayo. Izimpawu esithombeni libonisa ngokucacile kakhulu.
2. Ifomu esicashile lesi sifo. Kuthathwa kuyingozi kakhulu, t. Ukuze. Ukuqhutshwa cishe kungekho zimpawu zokugula. Isiguli azizwa ngakwesokudla quadrant engenhla ubuhlungu ezincane (ngaso sonke isikhathi), futhi angafuni kudla. Isibindi zingandiswa (hhayi kuzo zonke izimo). Lapho ukuhlolwa igazi kuvame Kutholwe sokuntuleka kwegazi kanye leukocyte anda.
3. ifomu Cholestatic. Ezimweni eziningi, kwayo kamuva kuyizindlela zokufa. It is obonwa izimpawu ezilandelayo: indle ukukhanya, umchamo onombala izinhlungu, ukulunywa, isikhumba Uthola tint evelele yellow bilirubin egazini noma umchamo idlula umkhawulo.
4. ifomu Fulminatnaya. Libhekene ngokwemvelo lezivakashi kanye netuthuko okusheshayo lesi sifo. isimo wesiguli liwohloka, isikhumba iphendula aphuzi, izinga lokushisa likhuphuka, isiguli ngokuphelele enqaba ukudla uyakhononda yokukhathala ezinzima futhi ubuhlungu ngaphansi izimbambo ngakwesokudla, ingaqala nokwehluleka ukusebenza kwezinso. Ngenxa ukuqhubeka ngokushesha lesi sifo ngemva kwamasonto amabili umuntu angafa ngalo.

ukuhlola

Njengoba singabona kusukela ngenhla, i-hepatitis oludakayo - isifo esinzima futhi ngokuvamile ebizwa usongo ngqo ukuphila komuntu. On ngokushesha kanjani lapho ethola ukuthi unesifo, kanye nokwelashwa uqalise, incike umphumela omuhle lesi sifo. Ngakho unganqikazi banxuse udokotela uma ithola at oludakayo izimpawu kwesibindi.

Sifo kungafaka ukuhlolwa ezilandelayo kanye nezinqubo:

• Igazi ukuhlaziywa (kwabiwa). On ke lwembula ukuba khona sokuntuleka kwegazi kanye igazi leukocyte.
• ultrasound besisu. Ultrasound ivumela ukubona izinguquko okungavamile kwesibindi, ukukhomba izinqubo ukuvuvukala futhi ukukala ububanzi we vein portal, ukubona uma ekhona ingaphakathi lesisu kanye nama-liquid ekuqongeleleni t. D.
• Igazi ukuhlaziywa (kwamakhemikhali). It ikuvumela ukuba ubone ukuthi ingakanani walondoloza kokusebenza kwesibindi.
• Coagulation.
• Lipidogram.
• Izifundo ukucacisa kuphele isikhathi utshwala ukungenisa.
• Urinalysis (kwabiwa).
• Coprogram.
• MR.
• Isibindi biopsy. Ngesikhathi inqubo cwaningo kuthatha obuncane emzimbeni.
• Elastography. Ngesikhathi inhlolovo uhlolwa isimo isakhiwo isibindi.

imithi

Ukuqhubeka ingxoxo mayelana ne-hepatitis oludakayo, izimpawu kanye nokwelashwa yalesi sifo, singasho ukuthi impumelelo ixhomeke ukuziphatha lesiguli, okumele ngempela bayenqaba ukwamukela ngisho ngemithamo ubala kakhulu utshwala. Lapho indlela yokwelashwa isiguli liyadingeka ekuhambisaneni imiyalelo reception imithi. Lapho odokotela linqume ukusha kwesibindi kohlobo oludakayo:

• Izidakamizwa ekulondolozeni futhi zikhuthaza isibindi cell umsebenzi, bebizwa gepatoprotektory ( "Essentiale" "Karsil" "Geptral", njll).
• Ukwakhiwa cholagogue futhi zokuyithena ezinobuthi kanye nemphumela ukunciphisa.
• Vitamin izakhiwo ( "Duovit" "Undevit" "Dekamevit" "Oligovit", njll).
• Glucocorticoids.
• Ukwakhiwa ukuthi ungayeki zezicubu zezinzwa esibindini.
• Ngo amafomu ezinzima zalesi sifo aqokwa izifundo kwama-antibiotic.

ukwelashwa kuhlinzwa

Endabeni kwesibindi oludakayo, odokotela iphendukele kokungenela kuhlinzwa, kuphela uma izilonda esibindini likhulu kangangokuthi yokwelapha izidakamizwa ayinamandla.

Ezimweni ezinzima zingasiza kwesibindi ukufakelwa ingxenye kwesinye sezihlobo lesiguli. Kodwa ngisho lokhu akuhlali bakwazi ukusiza, ngoba ngezinye izikhathi emzimbeni wesiguli iqala ukuzenqaba izitho ezivela ngaphandle.

Yini okufanele ibe Ukudla lesiguli?

Usuvele ukuthi kuningi ezingamahlalakhona ne-acute ukusha kwesibindi kohlobo oludakayo. Izimpawu kanye nokwelashwa ziye ngani esihlokweni. Kodwa kukhona esinye isakhi esibalulekile ekulweni kwesibindi. Iziguli compulsorily inikezwa Ukudla ngangokunokwenzeka zingawuhawukeli isibindi futhi ivumela ukuba baphule emzimbeni. Yiqiniso, into yokuqala udinga ukuba ngokuphelele utshwala ukuwakhipha kusuka Ukudla ukudla okunamafutha. Khona-ke udinga ukugcina imithetho elandelayo:

• Kunezici okungenani izikhathi 5-6 ngosuku, izingxenye ezincane, bezama ukuhambisana ngezikhawu elilinganayo phakathi ukudla.
• Kubalulekile bazogcwalisa ekudleni nsuku kalula amaprotheni digestible.
• Ukondla isiguli kuzomele sifake imali eyanele amavithamini namaminerali, edingwa umzimba.

Yiqiniso, ngisho ekuhambisaneni ekudleni akakwazi ukwelapha lesi sifo, nokudla okufanele kunciphisa kuphela umthwalo emzimbeni futhi usiza uyithole.

ekuvimbeleni izifo

Njengoba singabona kusukela sihloko, isifo sokusha kwesibindi kohlobo oludakayo ongabhubhisa umuntu ngokushesha okukhulu, futhi lesi sifo uyakwazi esikhathini esifushane ukunciphisa ethuneni, ngisho abantu umusha futhi uyingqabavu, uma utshwala.

Ukuze lesi sifo ngesiqinisekiso ngokuphelele ushiye ukhathale, kungcono ukunciphisa utshwala esiphansi, futhi ngisho kangcono ukulahla ngokuphelele. Okuhle Ngomsebenzi impilo isibindi olinganiselayo olinganiselayo Ukudla, Umkhawulo noma uyaphika ngibhema ukudla okugazingiwe okusemathinini kusuka ukudla fat noma kushisa kakhulu.

ukusha kwesibindi kohlobo Alcoholic, izimpawu, izimbangela, futhi imiphumela yabo kukhona Ngohlelo nolimi. Isibindi - uhlaka emangalisayo iyakwazi ukuvuselelwa uma kwenzeka ukuthi akukho izinguquko sokugembula Seledlulise amalawulo. Ngakho-ke, uma umuntu, okokuqala wafikelwa emva edilini neminikelo yakho yokuphuzwa, ukungakhululeki esibindini (ukusinda, ukunsonsotha ngakwesokunene sayo) kanye nazo zonke stop ukuphuza futhi ngeke ahlale edla ukudla ezinengqondo, isibindi kubuyiselwa futhi ngeke lisabafihla uhlupho kuye.

Umehluko phakathi kwesifo sokusha kwesibindi sohlobo utshwala kanye ne-hepatitis viral

Ngokuvamile ku ezikhethekile izinkundla kubantu ukubuza lo mbuzo: "? Yiziphi izimpawu oludakayo sokusha kwesibindi kohlobo C in kokubili amadoda nabesifazane" indlela enjalo kusikisela amanye ukudideka ngoba izifo ezifana ne-hepatitis C, kanye ne-hepatitis A, B, D, E, F, ngokungafani ukusha kwesibindi kohlobo oludakayo (enobuthi), ubangwa amagciwane ahlukene abanjwe emzimbeni. Viral isifo sesibindi singenzeka ngisho nasezinganeni ezincane, nokuthi utshwala ngandlela-thile neze uyakhala.

kuphakama ukudideka ngenxa yokufana of iningi izimpawu kokuqala kokubili ezibangelwa amagciwane kanye ne-hepatitis anobuthi. Lokhu jaundice, ubuhlungu hypochondrium kwesokudla, ubuthakathaka, imfiva, ukuqunjelwa nokunye. D.

Kunezimo lapho umuntu sokusha kwesibindi kohlobo C, luphinde utshwala noma ukuphuza ngokweqile. Kulokhu, lesi sifo yashubisa ngokuphindaphindiwe, t. K. A isibindi imisebenzi zokuzivikela bakhubazekile isifo ezibangelwa amagciwane kanye edonsa Ethanol cishe eqeda isitho onesifo. abe nombono onjalo wokunganaki empilweni kungaholela ekufeni okusheshayo.

inkulumo lokuvala

Awu, lokho kwaphela athikili yethu, lapho etha mayelana chronic acute-hepatitis oludakayo, izimpawu kanye nokwelashwa yalesi sifo esiyingozi. Nokudakwa nokuluthwa utshwala kuletha abantu eningi ehlushwa kokubili zokuziphatha futhi ngokomzimba. Mhlawumbe, it is ukuba bonke abantu abadala ezaziwayo. Kuyamangalisa ukuthi nakuba ayazi yemiphumela eyingozi utshwala emzimbeni womuntu, abantu abaningi basazibuza bayaqhubeka ukuphuza. Kwethenjwa ngokunqoba isizathu. Ake ukuzinakekela ukuze kuzohlala kusebenza futhi unempilo!