Isifo esibi - isibindi tsiroz. Ngingayithola kanjani ukuhlola isibindi?

Tsiroz isibindi - kuyinto unenkinga enkulu lapho kukhona ukulahleka amaseli isibindi - hepatocytes - futhi ekwandeni ezicutshini ngaphakathi emzimbeni. Isibindi ayikwazi ukwenza umsebenzi walo eziyisisekelo - neutralization of izinto eziyingozi emzimbeni, kuyinto ekuqongeleleni yabo. Futhi zokwenziwa siyabhubha kokusebenza kwesibindi: ukukhiqizwa encishisiwe amaprotheni, isib,-albumin, kanye nokwephula kwenzeka synthesis izakhi eziningi ezithinta ekunqandeni igazi.

Tsiroz izimbangela kwesibindi

isifo sokusha kwesibindi kohlobo B no-C amagciwane phambili ekuthuthukiseni isifo sokusha ezibangelwa amagciwane. Hlukanisa ifomu ekuqaleni kwalesi sifo lapho iphathwa ngenxa ngqo kwesibindi ezibangelwa amagciwane, futhi ifomu kamuva okubonakala ngenxa yesikhathi eside (ezingamahlalakhona) ukusha kwesibindi kohlobo ukugeleza. tsiroz isibindi kungaba isifo sokusha kwesibindi kohlobo elibi kakhulu futhi sokuhlasela kwamasosha omzimba.

Enye imbangela isifo sokusha kuyinto yokujama tsi esiqeshini biliary. Ngu ukuvala Bile Amapayipi amakhulu, isibonelo, uma isibambo isimila zabo noma itshe, kancane kancane eba ukuhlukumeza umzimba architectonic.

isifo sokusha Alcoholic sitholakale yesine abantu njalo kudla utshwala isikhathi eside - eminyakeni engaphezu kuka-10. Kulokhu, isimo lesiguli kubhebhezelwa kabi utshwala kanye ukwehluleka utshwala ekubeni ngcono kumakwe.

Uma isiguli isifo senhliziyo noma isifo se-emithanjeni hepatic, eba amile tsiroz isibindi.

Okunye izimbangela isifo sokusha:

- ukusetshenziswa kwesikhathi eside kunemithi noma amaphilisi owaphuzayo (methotrexate, dopegita);

- lezinceku (isifo kwenzeka ngenxa azalwa naso enzimopatii - ukuntula noma ukwephulwa synthesis enzyme).

Ngokuvamile sibangelwa isifo sesibindi ne inhlanganisela yezici ezimbalwa, ezifana ne-hepatitis viral nokuluthwa utshwala ezingamahlalakhona. Kwezinye izimo, imbangela eyinhloko izinguquko kwesibindi kungaba azimisele. Khona-ke ukuthi nginesifo "isifo sokusha cryptogenic".

Izenzo isifo sokusha nhlobonhlobo. Lokhu ukulahlekelwa isisindo, ubuthakathaka, sezinyawo ecasukile, jaundice, ukulunywa, ukopha, ukwandisa ngobukhulu umzimba. Isibindi yisona touch iba aminyene futhi esingemnandi. isikhumba esikhunjeni iziguli, icteric, ezomile, enokulandelela eminingi ye ukunwaya avele engxenyeni engaphezulu isiqu "spider emithanjeni" (telangiectasias). Sici sici iyona "izintende isibindi", ziba abomvu futhi ashisayo uma uyithinta.

Ubungozi isifo yezinkinga asathuthuka kungaholela ekufeni. ngoba ezidlulayo ukugeleza kwegazi ngokusebenzisa isibindi siphukile, lokhu kuholela ekwakhekeni ezengeziwe ukugeleza izindlela, enye yazo emithanjeni ngomphimbo. Ingabe varicose yabo. Kusukela varices kwenzeka opha, okuyinto kuvela izimpawu zokuqala ukuhlanza "ngezizathu ikhofi".

ukwephulwa Ngenxa wamaprotheni zamagama ukuthuthukisa edema, esitho wokuqala aphansi bese ekuqongeleleni uketshezi esiswini (ascites). Liquid, okuyinto esiswini ngezinye izikhathi kungaba kuphela itholwe ultrasound, bangaba avuvukele, peritonitis eba.

Ukubuthelela imikhiqizo enobuthi emzimbeni kuholela ukuphazamiseka ukwazi iziguli (hepatic encephalopathy), okuyinto ukubonakaliswa ezedlulele zokuphathwa ikhoma hepatic. Ezinye iziguli ziba nomdlavuza wesibindi.

Abantu abaningi nokuba khona engcupheni kwakuphathelene mbuzo: "Indlela ukuhlola isibindi sakho?". Ukuze kubasekeli Ukuhlolwa kwesibindi kuyadingeka ukuze uhlole umthamo wegazi lesiguli, ukwenza kwamakhemikhali igazi ukuhlaziywa, ukuhlola ikhono ekunqandeni ukopha. Zaba US idatha, laparoscopy futhi biopsy. Ukuze ukuhlola isimo ngemithambo ngomphimbo, zisebenzisa gastroscopy. Njengoba indlela ezengeziwe, wasebenzisa computed tomography.

Abantu ababukele impilo yabo, ungabheka kwesibindi ngegazi kwamakhemikhali. Kuyadingeka ukuba ukuhlola ezingeni phosphatase ane-alikhali, enzyme isibindi - transaminases, bilirubin, amaprotheni inani albumin, i-cholesterol. Hlola futhi prothrombin Inkomba, ukuqhuba ekuhlaziyweni isiyonke capillary igazi.