Hepatomegaly: kwentamo utshintsho zesibindi. Ubume izibilini

Kuba ubomi obuqhelekileyo yabantu ngaphandle kokukhetha, imizimba ezibalulekileyo, njengoko ngamnye kubo ezisebenza umsebenzi ethile. Xa umntu uyasilela, ezinye miseka, kwaye yonke eziphilayo. Ngoko ke, iingxaki zesibindi abangele ukonakala kweendlela wokugaya, iinkqubo yokujikeleza kunye excretory, nto leyo ekugqibeleni kukhokelela ekuncipheni sifo, kunye nezinye iingxaki ezininzi zempilo. wenza njani isibindi oluntu, kunye notshintsho zophendlo lwezifo ezinxulumeneyo kuso?

Ubume izibilini

Ngaphambi kokuba uthethe kwesibindi, cinga indlela isakhiwo wamalungu ethu angaphakathi, apho kukho unxibelelwano phakathi kwabo. Xa abantu, kukho iinkqubo ezininzi: yokujikeleza, izifo, musculoskeletal, wokudla, excretory, luvo, okuzala. Ngamnye kubo isakhiwo ezintsonkothileyo. Ukusukela ukuba oku isibindi, ukuhlalutya imizimba enxulumene nayo, yaye kufutshane nayo. Ngoko ke, isibindi wethu - indlala ibekwe ngezantsi nje uvalo kwicala lasekunene lomzimba, kwi kwisisu. Ungqameko olungezantsi yarweca kuvuleke iminxunya, isisu, senyongo kunye duodenum. Kunye namacandelo ayo ukuqhagamshelana kidney ekunene kwaye ingaba adrenal. Le injeke ilale emva isisu. Senyongo kuthathwa sithi, ukuze umzimba jikelele kwesibindi kunye inyongo imibhobho. Ukongeza, imizwa isibindi, igazi kunye nkovu kwiinqanawa ezifanelekileyo.

Ubume kwesibindi

Hepatomegaly (kuyenye utshintsho kwesibindi) yenzeka, xa imilinganiso yalo ngendlela omdala ngaphezulu 12-13 cm. Eli lungu iqulathe isithinzi ekhohlo nasekunene, kunye nenkqubo Claude UQuinn yahlulwe amacandelo 8. Isigaba ngasinye (ingxenye) iye igazi, uthungelwano zhelchevyvedenie nemithambo yayo imicu yayo. izilayi zeethishu (parenchyma) Ifom side iiseli (imiqadi hepatic). Parenchyma ezele emithanjeni duct imithambo yegazi. Kumbindi kwilungu ngalinye efikelela hepatic eyodwa eVienna, kwaye phakathi kwabo - imithambo, bile duct ne nezinye mithambo. Inxalenye esezantsi umzimba ethathelwa ingqalelo uye vee ezimbini longitudinal kunye enqamlezileyo omnye. Oku kubizwa ngokuba yi-esangweni esibindini. Xa zizonke zonke bile duct, wakha eqhelekileyo, nokuqhubeka ukungena duodenum. imithambo Hepatic ukwenza i - portal. Kulo, kwaye ukusuka imithambo kule ebalulekileyo nokuphuma kwegazi omzimba. utshintsho kwentamo ezinokuchaphazela zonke izinto ngasentla.

kwesibindi

Omnye wemisebenzi ephambili yethu kwesibindi - iityhefu lwaze, buthi, zonke iintlobo kwezinto ezingafunekiyo kunye engeyomfuneko. Le ndlala libandakanyeka zonke ibakho iifom wobuntu ukutya, ukwetyisa, igazi, ekwenziweni iivithamini ezininzi iihomoni. It is a uhlobo yokugcina igazi sihlaziye iziqalelo. Rhoqo kwi indlela exakeke, isibindi usekuhleni nasisihlo kuyo iinkqubo ezahlukeneyo zophendlo lwezifo. Omnye wabo - hepatomegaly, utshintsho kwentamo esibindini, obubonakala ngokuba yincwadi evuliweyo indyebo yalo. Ikhethwa yi Ngokucofa ultrasound kunye Itomography ngekhompyutha. Iintlobo ezimbini zokugqibela izifundo ukuvumela ukuba ukwahlula kwesibindi bha lulingane sisifo efanayo amalungu ezimelene (ekunene kidney, inyongo isinyi, emathunjini).

Ezibangela isifo

Ingcinga na utshintsho kwentamo wonke umzimba, kungekhona nje inxalenye yawo, njengoko kwi ngezifo focal. Xa ekuphuhliseni hepatomegaly? utshintsho isibindi kwentamo babonakala kwezi zifo zilandelayo:

• ukuqina;
• Ukungaphumeleli intliziyo;
• (Umhlaza) nangezilonda ebubonisayo nesibuhlungu;
• hemangioma;
• cysts olwaye lwamfimfitha and non-olwaye lwamfimfitha;
• izifo helminth;
• mathumba;
• isifo sephepha, kunye nezinye ukoyiswa sifilisnoy esosulelayo;
• ukunxila;
• emzimbeni;
• Ukudlulela emazikweni ekufutshane;
• hepatitis ziyityhefu kwaye esosulelayo;
• adenoma;
• carcinoma;
• hyperplasia.

Kwezinye iimeko, kukho hepatomegaly wobulali, nto leyo luphawu ehamba ingqele eqhelekileyo, ezinye izifo ezosulelayo, ukungondleki.

iimpawu

Iimpawu utshintsho isibindi ehlasela kwi zigaba ekuqaleni kwesi sifo zibonakalaliswe kakhulu. Isigulane banokuziva ezinye kabi kwi ikota yesangqa ephezulu ngasekunene, mbi emva okunamafutha kunye nokutya okuneziqholo, utywala. Nangona kunjalo, kukho izigulane musa nto konke konke de sifo kwabangela hepatomegaly ukuya kungena iintlobo etsolo, yaye akuyi kwenzeka ukwanda okubonakalayo esibindini. Iimpawu zixhomekeka sifo ngxabano. Common ziquka:

• Intlungu ngasekunene kwakhe, ingakumbi xa ucinezelo mechanical zitsolile;
• isicaphucaphu, kwezinye iimeko labona ukugabha;
• heartburn;
• zokunciphisa emnyama;
• umbala senyongo kwesikhumba;
• ivumba elibi ukusuka kwisisu somlomo;
• ngamanye amaxesha nerhashalala kunye ukurhawuzelela;
• ewisa iyonke.

Iimpawu ezithile hepatomegaly

Staphylococcal, streptococcal kunye nosulelo Pneumococcal kunokubangela amathumba (suppuration) kwi prostate enkulu yabantu kwaye ngenxa yoko, wawandisa isibindi. Iimpawu le ziquka: kukungcangcazela, tachycardia, ukubila ngokugqithiseleyo, iqaqamba intlungu kwicala lasekunene lomzimba, ukukhetha nokuba yakudubula kunye nengalo. Unyango kulo mzekelo utyando kuphela. Ngamanye izifo eziqhelekileyo - umhlaza wesibindi, leyo kunyaka ngamnye ubulala ngaphezu kwesigidi ubomi babantu - hepatomegaly, kunye iimpawu ngentla, ehamba ilahleko kakhulu ubunzima, ubuthathaka, kwesisu kwekhono, flatulence. Ukuqina kwesibindi (unobangela iphambili butywala) kunye hepatomegaly ezihamba luphawulwa intlungu ikota yesangqa eliphezulu ekunene, kwamalunga, portal lwegazi, wawandisa udakada. Xa hepatitis isibindi ukukhula kwakhona sikhatshwe intlungu kwicala lasekunene, ngakumbi kakhulu xa uxinezeleko ngokwasemzimbeni (umz, ngexesha ukuhamba ekhawulezayo), isicaphucaphu, ubuthathaka jikelele.

ekuxilongweni

Ukuba isigulane ikhalazela iintlungu kwi ikota yesangqa engasentla ekunene, into yokuqala ugqirha uza kwenza Ngokucofa mhlawumbi nokuxilonga hepatomegaly. utshintsho kwesibindi kwentamo kungabonwa (okanye ukuphikisa) usebenzisa zePCR ezongezelelweyo. Enyanisweni, Ngokucofa nga ukufumanisa kuphela imida umzimba landa, iqondo intlungu, yaye ukusa kumlinganiselo othile lexinene parenchyma. Kwaye moshilongo ngakumbi otyunjwe ultrasound, CT, MRI, kunye nenani iisampuli. Ezi ziquka:

• nokuzimisela yibilirubin, neprotini iyonke egazini;
• ukuzimisela stercobilin kule isitulo;
• iisampulu nge izinto umthwalo zhelchevyvodimymi (bromsulfoftalein, galactose);
• izifundo radioisotope;
• isibindi biopsy.

Yibilirubin lichazwa kwi imeko simahla, wabopha. Xa umntu nempilo kuphela mahala (0.4-1 mg / DL). Ukungaqheleki esiyibona senyongo, ukudumba kunye ingxinano of tubules hepatic, ezinye iindidi ngokoma. Ukusebenzisa zesampulu wayezimisele njengoko flow protein-yokucolwa esibindini. Bromsulfoftaleinovaya isampuli ikuvumela ukuba ubone enoba kukho lunyhasho unamadlala excretory (secretory) function. Xa abantu enempilo ngethuba lemizuzu engama-45 emva kokuba ukuqaliswa idayi egazini ngayo ngaphantsi kwe-5%. Intshayelelo galactose yenza kube lula ukufumana indlela nethe ekudleni. Le biopsy lwenziwa phantsi kweemeko elebhu hepatitis kurhanelwa kwinqanaba afihlakeleyo, ukuqina kwesibindi, umhlaza, abanesigulo, kunye nezinye izifo. Oku contraindicated e mathumba, ascites, senyongo elide obstructive, ukopha syndrome. radioisotopes Research (ukuqaliswa Bengal rose igazi) lwenziwa izifo ezininzi zesibindi. Xa abantu okunempilo igazi isiqingatha-lususiwe ipeyinti imizuzu-8.

Pathology zepancreas

Isibindi ngokusondeleyo kwamanye amadlala - pancreas. Pathology enye nakanjani kubangela ukuphazamiseka enye, ngoko ke ixesha loxilongo, la maqela mabini ngexesha itshekhi efanayo. utshintsho kwentamo nepancreas (isibindi ayikho elichaphazelekayo) kungenziwa ezichongiweyo kuphela ngokusebenzisa ultrasound. Ngokucofa ayichazwanga. zoviwo ultrasound ibonisa dimensions lexinene ukufana esiqwini echogenicity kunye (isandi kubonakala) ukuba umzimba ebalulekileyo ukuthatha inxaxheba yokwetyiswa nokufunxwa glucose (insulin secretion). utshintsho kwentamo kuvandlakanywa pancreatitis, abanesigulo, kwaye ngokunxulumene yobudala. Ukufumana utshintsho ultrasound, isigulana ukuze uthunyelwe iimvavanyo ezongezelelweyo (donation igazi, endoscopy le duodenum).

unyango

Ukuba injeke yatyhilwa utshintsho kwentamo, kodwa isigulana akukho zikhalazo, ingafuneki unyango. Kananjalo ngayo hepatomegaly wobulali. Ngokuqhelekileyo, le meko usombulula ngokwayo emva kokuba kuqheleke ngamandla yokuduka zizifo ezingenelelayo. Xa isibindi hepatomegaly ngokuyimfuneko uqhubeke kunyango kwesi sifo engundoqo, lo ngezifo yabangela. Ukongeza, yomguli gangalala ukutya ngokungqongqo ukuba ayibandakanyi yonke menu eqhotsiweyo okuneziqholo, ezinetyuwa, amafutha kunye notywala,. amayeza Folk icebisa ukuba ukusela infusions rose iinyonga, chokeberry, ezinye amanzi izimbiwa, nidle ephantsi-fat cottage itshizi kunye nobusi. umntu ogulayo Kucetyiswa ungayekwa irejimeni, umthambo akuvumelekanga.