Hepatic Encephalopathy

Isakhiwo izimpawu sifo kohlelo sezinzwa, isb. E. Neuropsychiatric iziyaluyalu e kubantu abaphethwe yokwehluleka kwesibindi noma isifo sokusha kwesibindi libizwa hepatic encephalopathy. Ephambi kwezinduna sifo kungaba esethola umzimba encephalopathy, engelapheki iziyaluyalu njalo isakhiwo ubuchopho kanye edema.

Sitholakele "hepatic encephalopathy" ibekwe cishe 80% eziguli kokuba isifo sokusha omsakazo ezahlukene, futhi abangaba ngu-20% eziguli othola izinqubo kuhlinzwa ukuze yakha shunt portosystemic, kanye iziguli yokwehluleka kwesibindi.

Ziyini izimbangela eziyinhloko zalokhu yokwehluleka kwesibindi, okuyinto is phetho hepatic encephalopathy ezibhekwa:

- ngokukhukhumala kwentamo izilonda kwesibindi (isifo sokuqina kwesibindi -hepatitis chronic acute);

- olugcwele (isimiso) ipheshana biliary;

- nemiphumela kwesibindi izidakamizwa ezahlukene anobuthi (ukusetshenziswa amakhowe anobuthi, eminye ke imithi namakhemikhali ayingozi);

- izifo ezithathelwanayo;

- ukulimala olunzulu noma ukusha;

- cholangitis acute;

- ukonakala futhi ubovu izifo;

- thrombosis ka vein portal kwesibindi.

ngezigaba Clinical ukuhlukanisa sakugcina hepatic encephalopathy, episodic eziphikelelayo. Ngaphezu kwalokho, abelwe izigaba eziningana sifo:

- oholayo (esicashile) Isinyathelo - akukho izimpawu zokwelashwa

- esigabeni sokuqala - kukhona ubuthongo thuthuva isigqi,

- esigabeni sesibili - livela disorientation ngesikhathi,

- esigabeni sesithathu - nokuba khona ngesivalo futhi disorientation,

- esigabeni sesine - ikhoma.

Hepatic encephalopathy kubangelwa acute isifo sesibindi, ezifana ne-hepatitis acute, encephalopathy futhi, kwakhiwa ngesisekelo isifo sesibindi esingelapheki kubantu - isifo sokusha buyehluka kuye nemlandvo wetekwelashwa kwakhe, ukuhlolwa laboratory neluhlolo umnyuziki emtholampilo. Ngo-hepatitis acute, hepatic syndromes encephalopathy ngokuvamile evelele futhi ziphenduke ngokushesha kunokuba e isibindi sibe sesomile.

encephalopathy Hepatic: Izimpawu

- ukucasuka, ukungasathandi emndenini, childishness, kanye nezinye izinguquko ubuntu;

- unenkinga nge ukuphazamiseka ukwazi ;

- ngephimbo elifanayo izwi, uyephuza yokukhuluma, njll;.

- khona "hepatic" iphunga kusukela ngalo ingaphakathi ngomlomo;

- khona "ngempama" eliqhaqhazelayo;

- uketshezi esiswini (ascites) ;

- jaundice kanye emithanjeni hepatic esikhumbeni;

- black hlalani indle futhi igazi ukuhlanza.

Izindlela eziyinhloko wezinsimbi, ngawo sitholakale hepatic encephalopathy yilezi: ultrasound besisu, isisu Endoscopy, emphinjeni kanye electroencephalography. izindlela Futhi esetshenziswa laboratory ezifana lokuqoqa amasampula egazi (inani, kwamakhemikhali, ukugcinwa ubuthi, utshwala kanye ammonia amazinga), umchamo kanye endleni. Ngaphezu kwalokho, kwenziwa ukuhlolwa kwengqondo kweziguli kusaqalwa isifo.

Hepatic Encephalopathy: Ukwelashwa

Ukwelashwa kwezifo ezifana hepatic encephalopathy, kuyisinyathelo lapho kukhona izindawo ezintathu eziyinhloko:

1. Ezinqala ekutholeni nokuqeda okwalandela zezici nomthelela ekuthuthukiseni encephalopathy hepatic.
2. Ekufezeni imisebenzi okuhloswe ngazo ukunciphisa ukwakheka imikhiqizo ehlukahlukene esinobuthi metabolites yabo. Futhi, ukuphathwa umcimbi, kuhlanganise kuncishiswe inani amaprotheni ukudla, ukuguqulwa wabo imvelo intraintestinal futhi ukuzinza of microflora emathunjini, futhi ukukhuthazwa wamathumbu ukunyakaza.
3. Ukusetshenziswa kwezidakamizwa ukuthi iguqule ratio neurotransmitters.

Ngaphezu kwalokho, ukunamathela isiguli Kunconywa olukhethekile lokudla ukuthi akufaki ukudla oyingozi futhi okunamafutha, kanye notshwala.