Unyango sohlobo samathambo: iindlela, amayeza, ziziphumo ebezingalindelekanga, uqikelelo

Abaninzi kuthi baye beva ngezifo ezifana hepatitis sokuhlasela. Yintoni na le zokugula? Sisifo esingapheliyo, nto leyo umtshiso ezingenakunyibilika in an ilungu ebalulekileyo yobukho bethu esibindini. Beka bemvelo, eli ngezifo akuzange.

Kuthekani ukuba oku kuyenzeka?

Ukuba uphethwe "hepatitis samathambo", oku kuthetha ntoni? Le leengxaki kakhulu a yezizathu ezingaziwayo ngokupheleleyo, ngokuthe ngcembe siyitshabalalise iiseli zesibindi. Kwaye kule nkqubo inceda amajoni omzimba ezizezayo sifo yakhe. Inxaxheba kwinqanaba lokuqala sifo kukho ukudumba parenchyma, oko kukuthi kwindawo engundoqo ye yomzimba. Le nkqubo iqhubeka ngokukhawuleza kwaye kunokukhokelela kwesibindi.

Oku kuhambisana weseli ukufa kwiqumrhu ebalulekileyo kuthi - hepatocytes. indawo yazo nangoko ezalise inyama baberhabaxa kwaye inelastic nokuqina. Ngenxa yoko, isibindi nje akwazi ngokomgangatho ukwenza imisebenzi yazo.

Ungafumana amagama ahlukeneyo esi sifo. Nangona kunjalo, lo leengxaki zixhaphakileyo kuncwadi yezonyango ngaloo ndlela: esebenzayo kohlobo sokuhlasela. Sisifo inqabile ixhaphake kakhulu emantombazaneni ezindala ngaphezu kweminyaka eli-10 kwaye nabafazi abangazange uwagqibile amashumi amathathu.

iimpawu

obubonakala lwezonyango zezifo ziyahluka. Umzekelo, ikota zonke izigulane kungekho iimpawu sohlobo samathambo ayikho. Yaye ihlala nje umntu akanayo naziphi na iingxaki. Kwiimeko ezinjalo, isifo ngesiquphe iyafika kunye nabantu okanye ebonisa zonke iimpawu sohlobo egazini, okanye ezinye iimpawu lidiza nomonakalo wesibindi. Xa uhlobo lokuqala iziganeko yabantu iqala ukuphazamisa buthathaka. neencindi zomzimba yakhe emnyama. Isikhumba kunye imifinya yangaphakathi, yellowing, ukungabi namdla. Kwimeko yesibini, kukho uhlobo extrahepatic ezi mpawu. Kungenxa yoko le nto oogqirha bathi ubukho kumzimba zizifo ezahlukahlukeneyo systemic ezifana isifo samathambo, lupus, njl

Kodwa ngokubanzi, izifo obubonakala kukho ukudinwa njengoko kakhulu, ifiva, ukunyuka lobushushu emzimbeni ukuya degrees 39, lymphadenopathy, amaqhakuva, iintlungu esiswini, ingakumbi ikota yesangqa ephezulu ngasekunene, waphula umthetho amalunga, kwakunye ekukhuleni esebenzayo kweenwele onke amalungu omzimba . Ukuba isifo iqalisa ukuba bawaphikise Yindibanisela iihomoni adrenal, leyo ziveliswa kwemfuneko, isiguli zifumana ukuhla isicwili kwezihlunu iinyawo nezandla, isantya yokudayala umzimba, imbonakalo amanqaku luya phezu kwamathanga kunye bahlazeke liqaqambileyo nesibeke nemihlathi.

Ngamanye amaxesha sifo izigulane kwenzeka ngesiquphe, kubonakala babazi azifihle nzima kakhulu. Konke oku ukhatshwa nasisihlo sohlobo fulminant, nto leyo ebangela ukufa ngokukhawuleza ezininzi iiseli hepatic. Oku kukhokelela ekubeni kusekwe ngokukhawuleza ityhefu, esilimaza, uze ingahlasela ingqondo. Kunzima kakhulu, ukuba sele wabonakala hepatitis samathambo (iimpawu), unyango. Abantu abane kwiimeko ezinjalo, oogqirha ukunika olungathandekiyo kakhulu umguli.

iintlobo zezifo

Unyango sohlobo samathambo kuxhomekeke ngqo kwiintlobo yayo. A uhlobo oluthile lwesifo kuxhomekeke kubukho egazini serum ye uhlobo oluthile lomzimba. Kulo mzekelo, kukho iintlobo ezintathu samathambo kohlobo B:

1. Kwimeko uhlobo yokuqala ukuchonga izilwa sifo-actin kwiiproteni, iiproteins, iiseli zezihlunu agudileyo, izilwa-buhlungu antinuclear.

2. Kuba udidi lwesibini lwesifo luphawulwa ubukho antibodies microsomes, ukuba iiseli nezintso, nomhlehlo wesibindi.

3. Uhlobo lwesithathu leengxaki banesifo kwiimeko silubone antibodies into elinoxanduva protein yokuqaphela, ngamanye amazwi ukuba iantigens hepatic emanzini.

Kubanga zokugula

kohlobo komzimba - isifo apho inkqubo yomzimba yokuzikhusela iqala umzabalazo esebenzayo kunye kwinyama zabo usempilweni ngokupheleleyo kunye neeseli. Yintoni simile ezibangela le meko? Kulo mbuzo, amayeza yanamhlanje ayikwazi ukuphendula okwangoku. Noko ke, izazinzulu ziye zacebisa ukuba ndingungantweni yeendlela zokuzikhusela zomzimba ukunika izifo ezahlukeneyo ebemzele ngaphambili egazini, ezifana hepatitis A and B no-C, i-herpes, Epstein-Barr yintsholongwane.

Abanye abaphandi baye bavakalisa nembono, nokuba kuphuhliso zizifo ezahlukahlukeneyo samathambo, indima ephambili idlalwa isakhi ethile. Nangona kunjalo, kubalulekile ukuqaphela ukuba esi sifo kubantwana abangaphantsi kweminyaka 10 phantse zange andibhaqwa.

ekuxilongweni

Unyango sohlobo samathambo iya kuba nempumelelo ngakumbi kakhulu ukuba sifo ibanjiwe kudala baqalisa lwalo lokukhawulelana nophuhliso. Noko ke, zokugula uphethwe nzima kakhulu. Ngokuqhelekileyo, a oogqirha isifo onjalo wabeka kuphela xa ngokuthe ngcembe ngaphandle ubukho nezinye izifo. Ukuze benze oku, ugqirha ngokuhlalutya iimpawu yomguli kunye imbali yezonyango yobomi bakhe. Konke oku kwenzeka ebudeni incoko. Kulo mzekelo, ingcali athole into ntoni na umntu, ibe elide kangakanani ihlala.

Okulandelayo, ukuxilongwa ngokwasemzimbeni eyenziwa, apho ugqirha wasikhangela ulusu kunye inwebu yangaphakathi, ulinganisa lobushushu emzimbeni wakhe, kwaye rattles uchukumisa kwesibindi kungona intlungu yakhe kunye nokwanda ubukhulu. Xa ifumaneka ekucingelwa ukuba izifundo ngezifo elebhu kuqhutywa. Ezi nkundla ke zenzelwe ukuqinisekisa inqanaba yokubopha globulin kunye nomsebenzi we-AST enzyme. Inika umkhomba kunye nohlalutyo ngumzimba igazi. Khawufanise kwaye kohlobo A and B no-C Ugqirha unika ulwalathiso coprogram. Esi sifundo ngetsheki njengesihlalo ubukho ngamasuntswana ukutya undigested.

Uxilongo ikhutshwa phandle xa kuyimfuneko. Oku kuquka ukuphononongwa ultrasound esiswini, kuvuleke iminxunya kunye duodenum 12 kunye nokusetyenziswa kwezixhobo endoscopic. Olu phando yenzelwe ngaphandle ubukho yamathumba of umyalezo ezahlukeneyo. Isigulane sithunyelwa kumnini biopsy isibindi, apho isampuli inyama encinane kuthathwa lomzimba olusa histology wayo.

Xa ezichongiweyo komzimba hepatitis sifo, kwaye unyango amiselwe ngugqirha, zonke iingcebiso ezifunyenwe kufuneka ziqwalaselwe nakanjani. Kuphela kule meko ke sithethe kuqikellelo ezifanelekileyo zophuhliso sifo.

Elisebenzayo zokugula

Xa hepatitis komzimba (iimpawu) zichongwa, kunye nonyango lwesi sifo iye kubalulekile, ugqirha unokusebenzisa iindlela eziliqela. Zezi zilandelayo:

- ukuthobela ukutya ngokungqongqo;

- in kunyango lwezempilo;

- ukuqhuba uqhaqho.

Cinga zonke ezi ndlela ngokweenkcukacha.

yokudla

Unyango kohlobo samathambo, ngubani na kwinqanaba etsolo, olwenziwa phantsi ukuphumla engqongqo kwebhedi. Phezu okuvela kwesigaba uxolelo isigulane ngokwaneleyo ukuba uhlanganise umsebenzi wakho kwaye abanye, uphambuke ezintethweni zonke hlobo (emotional and physical) nokudinwa. Ngaphezu koko, kubalulekile ukuba kupheliswe ifuthe ophezu kwesibindi kwezinto ezahlukeneyo ityhefu, kuquka utywala kunye nokunyanga iziyobisi, sirhoxisiwe elo gunya. Xa ithuba kuxolelwe akuyomfuneko ukuba ndifundise kwaye unyango physiotherapy echaphazela indawo isibindi. Ezingavumelekanga kunye balneotherapy.

Bunjani imeko isigulana isondlo kakhulu efanelekileyo. Esebenzisa unyango lwe kohlobo samathambo, gastroenterologists bacebisa ukusetyenziswa zokutya (itheyibhile № 5). Oku kuquka isuphu yemifuno kunye nenyama ezinqinileyo (iinkuku, inyama yenkomo). Nokutya izigulane iintlanzi ukutya zifakwe kwi wapheka okanye ebilisiweyo. Ukutya, nekucetyiswa kwiimeko apho unyango elifunekayo kohlobo samathambo, kuquka iimveliso ezifana iyogathi ephantsi-okunamafutha kunye netshizi, kwaye ukuba akunjalo ukubanyamezela, ngoko ke ubisi kunye nobisi. Xa upheka abantu abanezifo kwesibindi samathambo, kubalulekile ukusebenzisa ibhotolo kunye ne-oli yemifuno kuphela hi mpimo lowutsongo. Kufuneka isenokupheleliselwa kunye nokusetyenziswa amaqanda. Zingakotshwa ziqukwe ekutyeni-2 okanye ezi-3 kuphela amaxesha kwiveki kwamaqanda 1-2 ngosuku.

Akukho ukudla kobudala akujongwa ngokunxulumene imifuno non-asidi kunye neziqhamo. Noko ke, ukusebenzisa kwabo, kwakunye nazo zonke ezinye ukutya kuvunyelwe, kufuneka nakanjani babe kuluhlu elifanelekileyo.

Ukutya, kucetyiswa ngumntu elulolwakhe unyango sohlobo samathambo, ngaphandle ukusuka nokutya ukutya eqhotsiweyo, inyama okunamafutha, amashwamshwam ezinetyuwa kunye okuneziqholo, nangwevu kunye isipinatshi, ekoko nekofu onamandla, utywala, nempahla okugcinwe. Amandla kufuneka kusoloko iqhezu. Kubalulekile ukuba zidle ubuncinane kane ngemini, kwaye kungcono ukuba isidlo ukuba ukuveliswa izihlandlo ezintandathu. Kubalulekile kwakhona ukuba ukuhlonipha ukutya okunempilo ukuze umzimba sifumana zonke izinto eziyimfuneko ukuze kuyo.

Ukusetyenziswa kweziyobisi

Ukuba unyango sohlobo samathambo, ukulandelelana ugqirha yezenzo ziya kuxhomekeka eqongeni kunye ikhondo izifo. Kodwa nayiphi na imeko, ukongeza ukusetyenziswa yokudla, izigulane zaye elawulwa amayeza ayimfuneko. Kuxhomekeke uyaqapheleka umguli unesifo "hepatitis samathambo" eklinikhi, ingcali unyango linokukwenziwa kwiziyobisi ezahlukeneyo.

Ngenxa yokuba esona sizathu sokuba esi sifo ehleliyo ukusebenza kunye ukungasebenzi zokuzikhusela zomzimba, ukuqala ngokunzima kutshabalalisa iiseli sempilweni kwesibindi, xa kunyango ugqirha kufuneka ibandakanye iziyobisi ezijoliswe ingcinezelo omzimba. It imunosupressivnye amachiza hormone anti-ukudumba. Ezi ikakhulu ziquka iziyobisi ezifana 'Prednisolone "yaye" Azathioprine ". La machiza ezimbini zisetyenziswa kuloo iimeko apho unyango sohlobo sokuhlasela. Ekuhambeni unyango ukuze kumisela nokuba ngokwahlukeneyo okanye kunye.

Ke ukuba i "prednisolone", eli chiza spectrum ezibanzi umsebenzi. Kuye nempembelelo entle zonke iintlobo inkqubo metabolic, yaye inika isiphumo ndisaxomoloza anti-ukudumba. Phantsi yempembelelo ichiza kunciphisa umsebenzi inkqubo yezifo. Oku kungenxa zombini impembelelo ngqo-arhente immunosuppressive kwi K-iiseli kwaye abashukumisele nempembelelo yayo umsebenzi suppressor ka-T-lymphocyte.

ngeedosi eziphezulu kuphela ichiza abakwaziyo ukunika ukusebenza, unyango xa kwafunyaniswa ukuba hepatitis samathambo (iimpawu). Abantu abane kwesifo kwezi meko, oko kukholekileyo. Ngoko ke, ngokwenene na kwiimvavanyo zeklinikhi ngexesha kuyo ikhosi kusetyenziswa iindlela amayeza "Prednisolone" wazibona ukuhla ngobunzulu kunye nezihlandlo abasabela immunopathological iqatshelwe inwebu esibindini.

Olunye unyango ngamachiza sohlobo samathambo - "Azathioprine". I omzimba kuchaphazela ngokuthi abathintela mechanism ngenkuthalo ekuphuhliseni clones leeseli omzimba, kwakunye nokuphelisa ye ekupheliseni iiseli arhabaxa.

Drug "Azathioprine" ichaphazela zombini eziziiprayimari kunye omzimba eziziisekondari. Noko ke, unyango olu nyango ngenxa iingcali ezininzi bathi ukusebenza ayonelanga. Oku kubangelwa lunyhasho iziyobisi isebenze, kwakunye ekukhawuleziseni inkqubo ngentshabalalo kwiimeko izifo zesibindi. Ukusombulula lo mba ngethuba uthomalaliso ngaxeshanye babelwa kwelinye ichiza kwamadlala - "Prednisolone". Uyakwazi ukwenza isiphumo "azathioprine". Ngaphezu koko, iziphumo ebezingalindelekanga emva unyango sohlobo samathambo kwi esebenzisa amachiza amabini kumaxesha ezine ezincinane xa kuthelekiswa nalawo waphawula xa kuphela omnye "prednisolone". Oku kubonisa ngokucacileyo imfuno yokuba ndlela kunyango.

Ukusetyenziswa kweziyobisi ezimbini ngaxeshanye abangaphangeliyo uphuhliso ukudumba kwaye ivumela imikhosi ibakhusela eziphilayo ngokuzimeleyo ukuphelisa sizilindele ezikhoyo. Ngelishwa, ukuthatha la machiza, izigulane bayanyanzelwa ukuba ukususela kwiinyanga ezintandathu ukuya kwiminyaka-4. Noko ke, oogqirha abacingi isiqinisekiso ukuba le khosi iya kuba nguye yedwa. Izigulane ezininzi kufuneka phinda ngaphezu kanye ebomini babo.

Le algorithm isicelo unyango kwaye kwiimeko apho kukho unyango sohlobo samathambo ebantwaneni.

Ukuze ukuphelisa kofermentativnye ngezifo kwaye zingasetyenziswa iziyobisi metabolic. Basimisela vitamin kunye izakhiwo afikelelekayo, njengoko "kokarboksilazu", "Riboksin" kunye nabanye abaninzi. Xa unyango zisetyenziswa yaye gepatoprotektory eziqulethe kumafa babo phospholipids. Ezi iziyobisi ezifana "Livolin", "Esentsiale", "Geptral" kunye nabanye abaninzi. Ngokutsho kweengcali, injongo yale mali kufuneka zenziwe kuphela xa nqanaba kuxolelwe, xa kungekho komtshiso oko ngokukhawuleza.

Ukuze zigutyula ezona mveliso zinetyhefu pathways zezo ngayo isibindi ayikwazi ukumelana, amagqirha ukumisela unyango ukumnika efakwa. Ngokuqhelekileyo, kwiimeko ezinjalo, ichiza "Reosorbilakt" okanye saline. Lenquba yenzelwa phantsi kolawulo rhoqo of wegazi kunye nomchamo output.

scheme unyango

Unyango usebenzisa indibanisela iziyobisi ezifana 'prednisolone "yaye" Azathioprine "lisetyenziswa ngempumelelo yezonyango phantse ezintlanu engamashumi. unyango olunjalo luya kwandisa ngokubonakalayo ixesha lokuphila kwezigulane hepatitis sokuhlasela.

Okwangoku ke, ngakumbi kunokutshiseka ingxoxo phezu ukusetyenziswa kwezinye izikim eziye ixesha ngaphantsi kwizigulane kwaye zinokubanga iziphumo ebezingalindelekanga ezimbalwa. Umzekelo, iingcali ukucinga ngokuba unyango ukuze kwenziwa hepatitis samathambo "Budenofalk". Kuyinto ichiza ngoweqela of glucocorticosteroids sizukulwana 2. Ngaphezu koko, oko lineziphumo ebezingalindelekanga oluncinane anamanci asithoba lepesenti ezetyiswa ngayo sisibindi sele therethrough sicatshulwa yokuqala. Oku kunceda ukubuyisela impilo izigulana kwesibindi sokuhlasela.

Iziphumo zophononongo wabonisa kwacaca ukuba ichiza "Budenofalk" lisetyenziswa nodibaniso 'azathioprine "zokuqhuba kunye nokugcina noxolelo kwezo abantu hepatitis samathambo abaye engakabi iimpawu zesibindi kwesibindi. Kulo therapy phezu ukuvela ezincinci, kunokuba emva kokuba isicelo of "Prednisolone" iziphumo ebezingalindelekanga.

Ngokutsho kwabaphandi, ichiza uyakwazi ukuba umgangatho omtsha kwezonyango unonophelo esetyenziswa nokuchithwa sohlobo sokuhlasela.

unyango ngotyando

Kwezo meko apho ukusetyenziswa unyango kweziyobisi iminyaka emine akazange ukuphucula imeko yomguli yaye akukho bunjani igazi layo pokazatelt kwemichiza, isigulane wenziwe uqhaqho.

Lo msebenzi lokususa ilungu umnikelo lowo. Njengomgaqo, oku kuthatha inxalenye kwesibindi omthonyama igazi labantu.

amayeza abantu

Ukusetyenziswa kwemali, nto leyo yokuwenza wadalwa bengenalo esekelwe izithako zemvelo, esivumela ngobungxamo inyongo, ukuphelisa isicaphucaphu, kunye iimpawu ukunxila, kwakunye ukususa intlungu.

Kufuneka ikhunjulwa into yokuba xa umntu elibhaqiweyo hepatitis samathambo, unyango amayeza intsomi kuzisa isiqabu kuphela iimpawu zesi sifo, kodwa ayibulale kuwo ayivumeli ngokupheleleyo. iindlela ezinjalo zisebenza kuphela xa ezimbi ukuba aphathwe lula. Oku kusebenza kwesibindi A okanye uhlobo ityhefu.

umiselwe kakuhle ekulweni ukudumba esibindini womfuno ezahlukeneyo kuba nesiphumo choleretic. Kubo ukulungiselela infusions kunye decoctions. imifuno ezinjalo:

- iingcambu umba kunye namagqabi;
- zetyeleba nedile;
- Yarrow;
- imbewu zasePilippi of fennel;
- Wort St. kaYohane;
- ezinde amagqabi.

Ukususela namakhambi azotywe namacala ngaphambi izidlo. An nokubandakanywa kweti rose esinqeni kuguquliwe. Selani nge straw kuba le arhente kuba nefuthe elibi izinyo lwawo.

vuyelo lebyinene eka isibindi kunye juice imifuno ezahlukeneyo, kuba iqulathe izixa ezikhulu iivithamini kunye nezinto kwezimbiwa. Juice ingasetyenziswa ukuba unyango sohlobo B ekhaya:

- artichoke eYerusalem;
- amazambane ekrwada;
- iikherothi, exutywe ngamanzi;
- celery edandelion amagqabi;
- beet ekrwada, yaze yangxenga ifuthe lomanyano ngamanzi.

Outlook

Survival of izigulana kwesibindi samathambo, elizimeleyo ngokupheleleyo ubunzulu inkqubo yokukrala ezenzeka esibindini. Kwiimeko inobulali,-80% abantu ukuba uneminyaka engaphezu kwe-15. Nangona kunjalo, xa lingekho kwanonyango epheleleyo kwaye ukugula kakhulu kuphela abambalwa ezisindayo kwiminyaka engaphezu kwemihlanu.