Chiwindi cha munthu ndi 60% chophatikiza ndi maselo otchedwa hepatocytes, omwe amachititsa ntchito zofunika. Ali ndi matenda monga chiwindi cha hepatosis, pali matenda opatsirana m'magazi a hepatocytes, omwe amachititsa kusintha kwawo kwakukulu - kusonkhanitsa zinthu zomwe nthawi zambiri zimakhala mu maselo a chiwindi sikuyenera.
Hepatosis ya chiwindi imagawidwa mu pigment ndi mafuta. Yoyamba ndi matenda obadwa nawo ndipo ndi osowa, kotero poyankhula za chiwindi cha hepatosis, ndi mafuta a hepatosis (steatosis).
Zimayambitsa matenda a chiwindi cha hepatosis
Zomwe zimayambitsa matendawa sizitanthauza. Komabe, tingathe kuzindikira zifukwa zingapo zomwe zikugwirizana ndi zomwe zikuchitika:
- Matenda a shuga (shuga, kunenepa kwambiri, etc.);
- kumwa mowa, mankhwala oopsa, mankhwala osokoneza bongo;
- Njala yochuluka (njala, kususuka, zamasamba, zakudya zopanda chakudya), zomwe zimayambitsa kusamvana kwa mapuloteni, mafuta ndi chakudya;
- kusokonezeka mu dongosolo lakumadya;
- helminthic invasions, ndi zina zotero.
Pathogenesis ndi zizindikiro za mafuta chiwindi hepatosis
Ndi matendawa mu ma hepatocytes omwe amapezeka mafuta - triglycerides ngati madontho akuluakulu ndi aakulu. Zotsatira zake, chiwindi chimachepetsedwa, sichikulimbana ndi kuchotsedwa kwa zinthu zosafunikira zomwe zimapezeka (thupi, poizoni, matenda), thupi, ndipo maselo "opulumuka" amataya mofulumira chifukwa cholemera. Ngati njira yotupa ikulowa, zotsatira zake zingakhale fibrosis kapena cirrhosis ya chiwindi.
Matenda a hepatosis ndi matenda osatha, omwe nthawi zambiri samatsatiridwa ndi zizindikiro za zizindikiro. Choncho, imapezeka kawirikawiri, ndi ultrasound. Pankhaniyi, pali chiwindikidwe mu chiwindi, "kuwala" kwa minofu yake. Komabe, odwala ena omwe ali ndi chiwindi cha hepatosis amafotokoza zizindikiro zotsatirazi:
- kupweteka, zovuta kumverera kumtunda kwa kumanja kwa mimba, zomwe zimakula ndi kuyenda;
- kutopa, kutopa;
- kunyoza.
Zochitikazi zikhoza kuwonjezeka ndi maganizo, matenda, matenda opatsirana, kumwa mowa. Kuti apeze matenda a hepatosis, njira monga chiwindi cha chiwindi, kompyuta ndi maginito ojambula zithunzi amagwiritsidwanso ntchito.
Kuchiza kwa mafuta a hepatosis
Chithandizo cha matendawa ndi chovuta komanso chimaphatikizapo njira zingapo:
- zakudya;
- thupi;
- mankhwala osokoneza bongo.
Kukonzekera kuchiza chiwindi cha hepatosis:
- omwe ali ndi phospholipids (Essentiale, phosphoglue, Essler forte);
- sulfoamino acid (taurine, methionine, ademethionine);
- hepatoprotectors ya zomera zinayambira (hofitol, karsil, etc.).
- mavitamini PP, B2 ndi ena.
Tiyeni tiyesetse kudziwa ngati chiwindi cha chiwindi chikhoza kuchiritsidwa mpaka kumapeto. Hepatocytes amatanthauza maselo omwe angathe kukonzanso. Koma ndikofunika kupanga zinthu zomwe mankhwala omwe amachititsa kuti chiwindi chibwezeretse chiwindichi chidzapitirira zotsatira za zomwe zatsogolera ku matenda. Izi zikutanthauza kuti chikhumbo chimadalira chilakolako cha wodwalayo, ndipo ngati zonsezi zikugwiritsidwa ntchito mokhulupirika, matenda a hepatosis amachiritsidwa. Kupatulapo ndi mawonekedwe osanyalanyazidwa ndi njira zosasinthika. Pachifukwa ichi, mankhwala okhawo angathe kukonzedwa kuti asatuluke kupita ku cirrhosis.
Chiwindi cha chiwindi cha mimba
Pali chizoloŵezi chochepa cha mimba, yotchedwa mafuta oopsa a hepatosis a amayi apakati. Pali nthendayi yokhala ndi vuto lopanda mphamvu komanso lopanda mphamvu, kuphwanya magazi coagulability. Zizindikiro za mafuta oopsa a chiwindi pamene ali ndi pakati:
- kuyabwa;
- ululu wamimba;
- kunyoza, kupweteka kwa mtima;
- jaundice - masabata 1 mpaka 2 chiyambireni matendawa, ndi zina zotero.
Ndiye pali magazi kuchokera pachiberekero ndi ziwalo zina, pangakhale mpweya m'mimba. Matendawa ndi ovuta kwambiri ndipo amafunika kuti pakhale mimba yowonongeka kapena kuthetsa mimba. Kenaka mankhwala opanga mankhwala akuchitika.
Pazifukwa zomwe zimayambitsa matendawa, sizinakhazikike, koma pali lingaliro lachibadwa. Pambuyo pa chiwopsezo chachikulu chaposachedwapa, kutenga mimba kwatsopano kumaloledwa, ndipo chiopsezo cha matenda ochiritsika ndi ochepa.