ImpiloIzifo nemibandela

Parenchymal jaundice: izimpawu, izimbangela, uphethwe

Namuhla kukhona izifo eziningi ezahlukene ukuthi abantu bakwenze akuvamile kakhulu. Kodwa namanje udinga uqaphele wabo okungenani kancane. Kuyinto ngakho, isibonelo, kungavimbela nesenzakalo zalezi zinkinga. Lokho Ngifuna ukukutshela ngokuningiliziwe enkulu ngalokhu zokugula njengoba parenchymal jaundice kungani namuhla.

amagama

Ngaphambi esibhekana ngayo isifo, kubalulekile ukuchaza labo imiqondo, ezisetshenziswa kakhulu kulesi sihloko. jaundice Ngakho parenchymal - isifo, kodwa kunalokho, uphawu oluthile, esibonakala by staining ngombala jaundice akuyona isikhumba kuphela, kodwa futhi nolwelwesi lwamafinyila (iso sclera). Konke lokhu kwenzeka ngoba isiguli siqala buthelela kancane kancane bilirubin (lokhu sombala Bile). Kubalulekile futhi ukwazi ukuthi lesi uphawu ibonisa ukuthi isiguli izinkinga isibindi, abadinga ngokushesha ngangokunokwenzeka ukuxazulula.

Kuyathakazelisa ukuthi imithi kukhona umbono ongamanga jaundice. Kulokhu akukho bilirubin aqoqana umzimba womuntu, futhi carotene, into engokwemvelo okuyinto eyenzeka ngenxa staining kwesikhumba. Ngakho, kungase kwenzeke uma kwenzeka ukuthi ngokuvamile kakhulu futhi inqwaba udle izaqathe, amathanga, amawolintshi beet. Le nkinga kungenzeka uma eside edla picric acid, kanye namanye imithi izidakamizwa.

emitholampilo isithombe

Kanjani lo zokugula njengoba parenchymal jaundice? I pathogenesis lesi sifo esilandelayo. Ngakho, ekuqaleni kumele baphawule ukuthi phakathi operation evamile, bilirubin, Bile lesi sakhi, excreted ngokwemvelo. Uma kukhona izinkinga ezithile esiphezu kwesibindi sona kancane kancane iqala buthelela emzimbeni, uphawu nge yellowing kwesikhumba futhi nolwelwesi lwamafinyila. Ufuna ulwazi parenchymal jaundice, kubalulekile ukusho futhi ukuthi le nkinga has izigaba ezintathu eziyinhloko yentuthuko.

  1. Isigaba sokuqala. Kulokhu, nokuncipha umsebenzi enzyme, ulwelwesi ezilimele hepatocytes, bilirubin oqondile uyayeka ngokuvamile kukhiqizwa.
  2. Esikhathini nesigaba lesi sifo ezigulini yesibili unenkinga efana giperfermentiya, hepatocyte ulwelwesi permeability iyakhula. Ubuhlungu ohlangothini lwakhe livela ngenxa yokucinana ka-capillary.
  3. In the isinyathelo sesithathu senqubo kuyinto glucuronidation ukuphazamiseka bilirubin kwenzeka ukwehluleka hepatic. Futhi, umchamo uba elikhanyayo kakhulu, ubuhlungu njalo wazizwa ohlangothini lwakhe.

Kufanele kuqashelwe ukuthi kubalulekile ukuqala ukubhekana parenchymal jaundice ngesikhathi izigaba zokuqala isifo nesenzakalo. Ngempela, kulesi simo, wazisingatha inkinga kungaba lula kakhulu futhi ngokushesha. Uma ngokuthi "ukulibala" ekuqaleni inqubo ukuphulukiswa esigabeni sesithathu, ikhambi kuyoba nzima kakhulu lesi sifo.

Umthombo inkinga

Kungani ingavela parenchymal jaundice, iziphi izizathu esiyinhloko ivela khona?

  • Okokuqala kufanele kuphawulwe ukuthi inkinga eyinhloko kulesi simo kukhona izinto ezithwala izifo: kukhona amagciwane, ubuthi. Ngokuvamile, kulesi simo sikhuluma izifo ezifana nomalaleveva, ugcunsula, toxoplasmosis nabanye.
  • Ukunqotshwa gepatotsidov ubuthi kokubili organic wezinto ezingaphili. ubuthi Toxic komzimba kungenzeka ngenxa ukusebenzisa amakhowe anobuthi, yekhwalithi ephansi utshwala, ngemva kokwamukela i-arsenic noma yokulunywa yizinyoka.
  • Imbangela yenkinga Ungase futhi ukuthatha ejenti ezithile kwemithi okuyinto nemiphumela hepatotoxic. Kulokhu, avame kuziwa ekwakhiweni ezifana "paracetamol" noma imithi elwa namagciwane.

ufuzo

Uma ucabangela izimbangela parenchymal jaundice, uthi futhi ukuthi lesi sifo futhi isici sitholwa njengefa. Okungukuthi, kungashiwo wadluliselwa uhlobo kusuka ilungu elilodwa lomkhaya kwenye.

  • Mhlawumbe ukwehluleka amaprotheni ligandinov eqondene ezibekwe phezu kwesibindi.
  • Isizathu bangaba nokuntuleka lezinceku enzyme ethile, ngokuthi UDP-glucuronyl.
  • Kuyinto ngofuzo, futhi isifo Wilson, lapho kukhona inqwaba kule hepatocytes zethusi, ngenxa le nkinga zofuzo iphazamisekile ukusebenza emzimbeni.

Izimpawu main

Uma ucabangela izifo ezifana izimpawu parenchymal jaundice - yilokho udinga ukutshelwa. Ngakho iziphi ukubonakaliswa iyona isifo?

  1. Ubufakazi lokuqala yellowing inkinga kwesikhumba futhi lwamafinyila ulwelwesi, ikakhulukazi amehlo sclera.
  2. Futhi, nangesineke kungase kube ukulunywa omnene.
  3. Ngezinye izikhathi ubuhlungu bekhanda, imfiva, ikhanda.
  4. Ngokuvamile iziguli esekhala ukungakuthandi ukudla, okuholela kwesisindo kwenzeka.
  5. Futhi, kukhona imisipha ubuhlungu nokuphelelwa amandla jikelele.

Izinkomba ihlaziya futhi ziyahlukahluka.

  • Indle kuba elikhanyayo, kancane anombala. Zonke ukulahlekelwa kwenzeka stercobilin ngenxa, omunye sombala cholic.
  • Umchamo Kushintsha umbala. Kungaba kokubili ukukhanya futhi kumnyama kakhulu.
  • Egazini iziguli kwandisa okuqukethwe kwe-bilirubin nenkhulumombiko.

ukuhlola

Njengoba kungaqondakala ukuthi umuntu parenchymal jaundice? Ukuxilonga - akutshela bokuba khona kwalesi sifo. Ukuze wenze lokhu:

  1. Feza ukuhlaziya jikelele umchamo, indle kanye igazi.
  2. Ukuhlola kwe-jikelele isithombe emtholampilo.
  3. ukuhlaziywa kwamakhemikhali kwegazi.
  4. ezinye izivivinyo wezinsimbi angabelwa.

ukuhlolwa emitholampilo

Uma isiguli sathathwa ukuhlaziya indle kanye nomchamo, kulesi simo, lapho isifo bilirubin futhi urobilin izinkomba ikhuphuke kakhulu, kuyilapho inani labantu okufanele stercobilin uwela, elibangela ababuthakathaka Umbala indle yomuntu.

Futhi, ukuhlolwa kwegazi kuyodingeka. Kulokhu, kungase kube leukocytosis futhi igazi. Uma isiguli parenchymal jaundice, igazi oyisazi samakhemikhali ezinto eziphilayo - ukuthi nalo libalulekile. Lapha ukusebenza beboshiwe futhi bilirubin olukhululekile futhi urobilin bayovuswa.

Kwezinye izimo, isiguli uyomisa kanye nezinye ucwaningo olwengeziwe. Lokhu kungaba:

  • Ukunqunywa folic acid kanye vitamin B12 amazinga egazini.
  • Ukunqunywa isimila iziphambano.
  • Coprogram: Ukuhlaziywa for izimuncagazi nezibungu.

izifundo wezinsimbi

Ingcweti onekhono kungenzeka, ngaphandle kwezinkinga ethile ukuhlukanisa parenchymal jaundice syndrome yisifo egcwele. Nokho, kwezinye izimo, ngisho izinkanyiso ovelele kakhulu ekwelapheni ukuqinisekisa ukuziphatha uphethwe izifundo ezengeziwe kudingeka ithuluzi. Kulokhu, isiguli ingasatshenziswa:

  1. X ray. Ukuhlonza izinkinga esiswini, emphinjeni kanye namathumbu.
  2. Cholecystography. Kuyadingeka ukuqonda ukuthi ikhona yini amatshe nenyongo sesinye.
  3. Ultrasound anganikeza ulwazi mayelana nesimo kwesibindi kanye nezinye izitho ezinkulu.
  4. CT noma i-MRI.

Kakhulu akuvamile, iziguli iqondiswa ngisho biopsy isibindi.

ukwelashwa

Kumele kuqashelwe ukuthi le zokugula has izindlela eziningana ukulahlwa. It kuncike degree ngokunganaki sifo ecashile. Ngokuvamile, odokotela linqume izidakamizwa ukuthi ususe bilirubin okweqile kusukela umzimba. Nokho, akubona bonke imithi esiza. Kulokhu, lo Udokotela angase anikeze isiguli nenqubo efana phototherapy. Futhi sonke ngoba ultraviolet uyakwazi ukuphula ngokushesha amangqamuzana bilirubin nokusiza ukususwa kwabo okusheshayo. Kulesi isifo kubalulekile ukuthatha amavithamini eziyinkimbinkimbi, B ikakhulu no-C, lipoic acid nama-amino acid.

Izinhlelo ezivimbayo futhi Izinkinga

Njengoba parenchymal jaundice - uphawu okwenzeka kwi zasemuva zezinye izifo (viral isifo sokusha kwesibindi kohlobo B no-C, isinye amatshe, njll), sekuyisikhathi kubaluleke kakhulu ukuqala ukuqeda lezi zifo. Phela, kufanele sikhumbule ukuthi uma isikhathi alinikezi ukunakekelwa nesineke, lokhu kuholela ekutheni nezinkinga ezithile. Okungukuthi, isiguli zingaphazamisa unaphakade sesibindi nenyongo sesinye. Kulokhu, lo lokuhlushwa anda bilirubin kubangela ukudakwa, okuyinto nomthelela omubi kakhulu emsebenzini zonke izinhlaka zayo kanye izinhlelo.

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