Izifo ezoyikekayo - isibindi tsiroz. Ndiya khangela njani isibindi?

Tsiroz isibindi - yinto kuphazamiseka kakhulu apho kukho ilahleko kweeseli zesibindi - hepatocytes - nonyebeleziso kwizicwili ngaphakathi emzimbeni. Isibindi ayikwazi ukwenza umsebenzi wayo ezisisiseko - neutralization kwezinto ezinobungozi emzimbeni, ukuba abekwe zabo. Nezenziwe kuphazanyiswa umsebenzi kwesibindi: kuncitshiswa imveliso iiprotheni, umz, albumin, kwakunye ukuhlukumeza kubakho Yindibanisela izinto ezininzi ezichaphazela ekunqandeni igazi.

Tsiroz kwesibindi ezibangela

iintsholongwane hepatitis B no C kukhokelela kuphuhliso kwesibindi wentsholongwane egazini. Ukwahlula uhlobo yokuqala esi sifo leyo ithathwa ngenxa ngqo sohlobo wentsholongwane egazini, kunye nefomu kamva ebonakala ngenxa yokuba ixesha elide (chronic) hepatitis kwemali. tsiroz isibindi kunokuba hepatitis enobungozi kwaye sokuhlasela.

Enye imbangela kwesibindi nto ekuma kwisiqwenga biliary. Xa ukuvala bile duct enkulu, umzekelo, xa acudisiweyo ithumba okanye ilitye zabo, ngokuthe ngcembe iphuhlisa umzimba architectonic ukuhlukunyezwa.

ukuqina utywala unesifo kwenye yesine yabantu rhoqo asele utywala ixesha elide - ngaphezu kweminyaka eli-10. Kulo mzekelo, imeko yomguli nokwandiswa kakubi kotywala kunye nokungaphumeleli utywala ekubeni ukuphuculwa amakishiweyo.

Ukuba isigulana onesifo sentliziyo okanye isifo imithambo hepatic phuhlisa amileyo tsiroz esibindini.

Ezinye izinto kwesibindi:

- sebenzisa ixesha elide amayeza athile (methotrexate, dopegita);

- amafa (isifo kwenzeka ngenxa enzimopatii naso - ukuswela okanye ukunyhashwa kuyondelelaniswe enqanda).

Amaninzi uqala isifo ewasusa indibanisela izinto ezininzi, ezifana hepatitis wentsholongwane egazini kunye butywala ezigulo ezondeleyo. Kwezinye iimeko, oyena nobangela utshintsho esibindini ukuba uzimisele. Emva koko kwafunyaniswa ukuba "kwesibindi cryptogenic".

Ezabonakala kwesibindi ohlukahlukeneyo. Le ukwehla kobunzima, ubuthathaka, isitulo enomsindo, nenyongo, ukurhawuzelela, ukopha, ukunyusa ubukhulu emzimbeni. Isibindi lo touch iba exineneyo buhlungu. isikhumba ulwehlo zezigulane, icteric, eyomileyo, kunye nentwana emininzi ukuzikrwempa kuvela sikwisiqingatha eliphezulu buti "spider emithanjeni" (telangiectasias). Uphawu Uphawu i "iintende isibindi", baba eqaqambileyo ebomvu kwaye eshushu ukuya ngaphandle kwebala.

Isifo ingozi kubunzima asakhasayo ezinokukhokelela ekufeni. ngenxa odlula flow yegazi isibindi yaphukile, oku kukhokelela ukuyilwa yomendo flow ezongezelelweyo, enye yazo kukuthi imithambo esophageal. Ngaba varicose yabo. Ukususela varices kwenzeka ukopha, Nguwo lowo umqondiso lokuqala nokugabha "amabala coffee".

iphula Ngenxa protein amagama ukuphuhlisa nokudumba, yalityatya ngokwamathambo kuqala asezantsi kwaye ke nokwanda fluid esiswini (ascites). Ulwelo, nto leyo esiswini maxa wambi kungabonwa kuphela ultrasound, ube asha, peritonitis kuphuhliswa.

I zemali mveliso zinetyhefu emzimbeni ikhokelela kukho ukuphazamiseka osezingqondweni izigulane (hepatic Encephalopathy), yona imbonakaliso kakhulu isiqaqa hepatic. Ezinye izigulane ukuphuhlisa umhlaza wesibindi.

Abantu abaninzi kunye ubukho ubungozi ochaphazelekayo ngalo mbuzo: "Indlela ukukhangela isibindi sakho?". Kuba macala Evaluation of isibindi kuyimfuneko ukuhlola igazi yesigulane, ucazululo igazi kwemichiza, ukuvavanya ukukwazi ekunqandeni ukopha. Ufunyenwe US data, laparoscopy kunye biopsy. Ukuhlola imeko imithambo esophageal, sebenzisa gastroscopy. Njengoko indlela ezongezelelweyo, wasebenzisa Itomography ngekhompyutha.

Abantu ababukele impilo yabo, Ungakhangela isibindi yi chemistry igazi. Kuyimfuneko ukuba ukuvavanya inqanaba phosphatase obrak, enzyme zesibindi - transaminases, yibilirubin, iiproteins iyonke kunye albumin, cholesterol. Vavanya kunye nesalathisi prothrombin, aqhube i Ucazululo ngokupheleleyo igazi capillary.