Hepatic Encephalopathy

Le oluntsonkothileyo impawu ze sigulo kwenkqubo luvo, okt. Ukuphazamiseka E. Neuropsychiatric kubantu abanengxaki ukusilela kwesibindi okanye ukuqina kwesibindi kuthiwa hepatic Encephalopathy. Phambi kwesi sifo inokuba pathways Encephalopathy ingathityazwa, ukuphazamiseka ayibuyiseki umva ezingapheliyo lobume ebuchotsheni kunye nokudumba.

Lokufunyaniswa "hepatic Encephalopathy" obekwe nama-80% ezigulane ukuba kukudumba umyalezo ezahlukeneyo, yaye malunga ne-20% ezigulane kokwenziswa utyando ukuze zenze shunt portosystemic, kwakunye izigulana sisibindi.

Eyona eziphambili ezibangela ukusilela kwesibindi, nto leyo ngenxa hepatic Encephalopathy iyaqwalaselwa:

- kwentamo izitshanguba kwesibindi (kwesibindi, kohlobo kunye oyingozi);

- ukuvala (isithintelo) iphecana biliary;

- iziphumo kwesibindi kwezinto ezahlukeneyo ityhefu (ukusetyenziswa ukudliwa, amanye amayeza kunye izinto eziyityhefu);

- izifo ezosulelayo;

- yokulimala okanye ukutsha;

- cholangitis olunamandla;

- izifo yokubolisa ubovu;

- thrombosis le portal umthambo kwesibindi.

Ukuhlelwa lwezonyango umahluko encinci hepatic Encephalopathy, episodic nengapheliyo. Ngaphezu koko, abelwe zigaba ezininzi sifo:

- zero (efukamileyo) inyathelo - akukho zimpawu clinical

- kwinqanaba lokuqala - kukho ukuphazamiseka kokulala kwesingqisho,

- sesibini isigaba - ivela nokudideka ekuhambeni kwexesha,

- isigaba sesithathu - ubukho ngesiciko nokudideka,

- sigaba sesine - isiqaqa.

Hepatic Encephalopathy okubangelwa sisifo sisibindi, ezifana hepatitis etsolo, Encephalopathy kunye, kwakheka kwi isiseko isifo sesibindi - ngokoma ziyahluka ke imbali yezonyango, iimvavanyo zaselebhu zoviwo ezipheleleyo clinical. Xa hepatitis etsolo, syndromes hepatic Encephalopathy ngokuqhelekileyo kubi yaye bathungelane ngokukhawuleza kunokuba zesibindi ukuqina.

Encephalopathy Hepatic: Iimpawu

- nochuku, ukulahlekelwa umdla kwintsapho, useto, kunye nezinye iinguqulelo zobuntu;

- yokulala kunye ukuphazamiseka lokuqonda ;

- monotone ilizwi, iyalibala intetho, etc;.

- ubukho ivumba "hepatic" ukusuka kwisisu somlomo;

- ubukho "ngempama", nokungcangcazela;

- fluid kwi esisu (ascites) ;

- senyongo kunye ngemithambo hepatic apha esikhumbeni;

- indle nihlale emnyama kunye negazi ukugabha.

Iindlela ezinkulu negalelo, apho banesifo hepatic Encephalopathy zezi: ultrasound esiswini, isisu endoscopy, kuvuleke iminxunya kunye electroencephalography. iindlela laboratory basebenzisa ezifana ngokuqokelela iisampulu igazi (ewonke, kwemichiza, Ityhefu ulondolozo, utywala kunye ammonia amanqanaba), umchamo kunye ngendle. Ukongeza, ukuba kuqhutywa uvavanyo kwengqondo kwizigulane kunye kumanqanaba okuqala sifo.

Hepatic Encephalopathy: Treatment

Unyango lwezifo ezifana hepatic Encephalopathy, linyathelo apho kukho iinkalo ezintathu ezingundoqo:

1. Bangabonwa kunye ukuphelisa kwe ezenza ukuba negalelo kuphuhliso Encephalopathy hepatic.
2. Ekuqhubeni imisebenzi ejolise ekunciphiseni ukuyilwa iimveliso ezahlukeneyo namachiza metabolites zabo. Kwakhona, ulawulo isiganeko, kuquka ukunciphisa ubungakanani iiprothini ukutya, ukulungisa imeko yabo intraintestinal kuqheleke microflora isisu, nokukhuthazwa ukuhamba kwesisu.
3. Ukusetyenziswa kweziyobisi ukuba uguqule kancincane ratio neurotransmitters.

Ukongeza, ukubambelela nomonde ukuba livume ukutya eyodwa akubandakanyi ukudla etsolo uyadinga, kunye notywala.