Parenchymal jaundice: cututtuka, haddasawa, ganewar asali

Yau akwai mutane da yawa daban-daban cututtuka cewa mutane fuskanci ne ba ma sau da yawa. Amma har yanzu kana bukatar ka zama sane da su a kalla kadan. Yana da haka, misali, za a iya hana abin da ya faru na wannan matsaloli. Wannan shi ne dalilin da ya sa a yau ina so in gaya maka a babban daki-daki game da wannan Pathology kamar yadda parenchymal jaundice.

terminology

Kafin mu magance cutar, wajibi ne a ayyana wadanda Concepts, wanda ake amfani da baje a cikin wannan labarin. Saboda haka parenchymal jaundice - wata cuta, amma a maimakon haka, wani musamman alama, wanda aka halin batawa a jaundiced launi ne ba kawai fata, amma kuma na mucous membranes (ido sclera). Yana duk ya faru saboda a cikin haƙuri fara tara hankali bilirubin (wannan bile pigment). Yana da muhimmanci a lura da cewa wannan alama ya nuna cewa haƙuri yana da hanta matsalolin, wanda bukatar da sauri don warware.

Yana da ban sha'awa cewa a magani a can ne ma wani ƙarya mas'ala ta jaundice. A wannan yanayin babu bilirubin accumulates a cikin jikin mutum, kuma carotene, da wata halitta abu wanda ya auku saboda batawa na fata. Saboda haka, zai iya faru a cikin taron cewa ma sau da yawa, kuma a cikin manyan yawa ci karas, pumpkins, lemu, da kuma beets. Wannan matsalar na iya faruwa idan dogon lokacin cin abinci picric acid, kazalika da wasu sauran magunguna kwayoyi.

asibiti hoto

Ta yaya ne wannan Pathology kamar yadda parenchymal jaundice? A pathogenesis da cutar gaba. Saboda haka, da farko, dole ne a lura da cewa, a lokacin al'ada aiki, bilirubin, bile pigment, excreted ta halitta. Idan akwai wasu matsaloli a cikin hanta, ya hankali zai fara zuwa tara a cikin jiki, ya yi ishãra zuwa yellowing na fata da kuma mucous membranes. Neman bayanai da cewa shi ne parenchymal jaundice, yana da muhimmanci a ce ma wannan batu yana da uku main matakai na raya kasa.

1. A mataki na farko. A wannan yanayin, a rage a cikin ayyuka na enzymes, membrane lalace hepatocytes, kai tsaye bilirubin tsaya a nan ba kullum samar.
2. A cikin mataki na biyu na cuta a cikin marasa lafiya da matsala kamar giperfermentiya. Hepatocyte membrane permeability ƙaruwa. A zafi a gefe bayyana a sakamakon matsawa na capillaries.
3. A cikin uku mataki na tsari ne mai tashin hankali glucuronidation na bilirubin auku hanta gazawar. Har ila yau, da fitsari zama sosai mai haske, kullum ji zafi a gefe.

Ya kamata a lura da cewa yana da muhimmanci a fara magance parenchymal jaundice a farko matakai na cuta ya faru. Lalle ne, a cikin wannan harka, da yawa tare da matsalar iya zama mafi sauki da kuma sauri. Idan "jinkirta" farkon waraka tsari zuwa uku mataki, magani zai zama da wuya sosai ga cutar.

Source na matsalar

Me iya bayyana parenchymal jaundice, abin da su ne manyan dalilan da ya faru?

• Da farko ya kamata a lura da cewa babban matsala a wannan yanayin ne dauke da kwayar cutar jamiái: ne da ƙwayoyin cuta, kwayoyin, gubobi. Mafi sau da yawa, a cikin wannan harka muna magana ne game da cututtuka kamar cizon sauro, syphilis, toxoplasmosis da sauransu.
• Kaye gepatotsidov poisons biyu kwayoyin da inorganic. Mai guba guba na jiki na iya faruwa saboda amfani da guba namomin kaza, low quality-barasa, bayan samun arsenic ko cizon maciji.
• Hanyar matsalar kuma iya shan wasu pharmacological jamiái wanda da hepatotoxic effects. A wannan yanayin, mafi sau da yawa ya zo da irin wannan halitta kamar "Paracetamol" ko maganin rigakafi.

gadar hali

Idan akai la'akari da Sanadin parenchymal jaundice, dole ne ka kuma ce ma cewa wannan cuta ne ma hereditary factor. Wannan shi ne, shi za a iya daukar kwayar cutar ta hanyar yanayi daga wani daga cikin iyalin zuwa wani.

• Zai yiwu gazawar ligandinov-takamaiman sunadaran da aka sanya a kan hanta surface.
• A dalilin iya zama wani hereditary rashi na wani musamman enzyme, kira UDP-glucuronyl.
• Shi ne hereditary, kuma Wilson ta cuta, a lokacin da akwai wani jari a cikin hepatocytes na jan karfe, saboda wannan kayyade aibi ne disrupted ayyuka na cikin jiki.

Babban bayyanar cututtuka

Ganin irin wannan cututtuka kamar parenchymal jaundice cututtuka - wancan ne abin da kuma bukatar a gaya. To, abin da suke bayyanuwar ne cuta?

1. A farko shaida daga cikin matsalar yellowing na fata da kuma mucous membranes, yafi da sclera idanu.
2. Har ila yau, haƙuri iya zama m itching.
3. Wani lokaci ciwon kai, zazzabi, ciwon kai.
4. Sau da yawa marasa lafiya koka asarar ci, sakamakon nauyi asara faruwa.
5. Har ila yau, akwai tsoka zafi da janar rauni.

Manuniya na nazarin ma bambanta.

• Tumbi ta wãyi gari mai haske, dan kadan tinted. All asarar faruwa a saboda stercobilin, wani cholic pigment.
• Fitsari kuma canza launi. Yana iya zama duka biyu ma haske da kuma duhu.
• A jinin marasa lafiya qara da abun ciki na kai tsaye da kuma kai tsaye ba bilirubin.

bincikowa da

Kamar yadda na za a iya gane cewa wani mutum ne parenchymal jaundice? Bincikowa da - da cewa gaya na da wanzuwar cutar. Don yin wannan:

1. Gudanar da wani janar da bincike na fitsari, tumbi da jini.
2. Ƙimar, na] aukacin asibiti hoto.
3. Biochemical bincike na jini.
4. wasu instrumental gwaje-gwaje za a iya sanya.

asibiti gwaje-gwaje

Idan haƙuri aka dauka bincike na tumbi da fitsari, a wannan yanayin, lokacin da cutar bilirubin da urobilin Manuniya ƙara muhimmanci, yayin da yawan stercobilin da dama, wanda ya haddasa rauni canza launi mutum makewayi.

Har ila yau, jini gwaje-gwaje za a bukata. A wannan yanayin, akwai iya zama leukocytosis da anemia. Idan haƙuri parenchymal jaundice, jini Biochemistry - cewa shi ne ma muhimmanci. Ga yi daure da kuma bukatuwa izuwa bilirubin da urobilin za a tãyar da su.

A wasu lokuta, da haƙuri zai sanya da kuma sauran ƙarin bincike. Wannan na iya zama:

• Tabbatar da dalilin da folic acid da kuma bitamin B12 matakai a cikin jini.
• Tabbatar da dalilin da ƙari saka alama.
• Coprogram: Analysis for parasites da tsutsotsi.

instrumental nazarin

A gwani artisan iya, ba tare da wani matsaloli rarrabe parenchymal jaundice ciwo daga full cuta. Duk da haka, a wasu lokuta, har ma ya fi mashawarta manyan malaman na magani don tabbatar da ganewar asali hali ƙarin karatu da ake bukata kayan aiki. A wannan yanayin, da mãsu haƙuri za a iya gudanar:

1. Radiography. Don gane da matsaloli tare da ciki, esophagus da hanjinsu.
2. Cholecystography. Wajibi ne a fahimci ko akwai a cikin gall mafitsara duwatsu.
3. Duban iya samar da bayanai game da jihar na hanta da kuma sauran manyan gabobin.
4. CT ko MRI.

Sosai da wuya, marasa lafiya gudanar ko da hanta biopsy.

magani

Ya kamata a lura cewa wannan Pathology yana da hanyoyi da dama na zubar. Ya dogara da mataki na sakaci tamkar cuta. Mafi sau da yawa, likitoci rubũta kwayoyi da cire wuce haddi bilirubin daga jiki. Duk da haka, ba duk magani taimaka. A wannan yanayin, likita zai iya rubũta a hanya kamar phototherapy. Kuma duk saboda ultraviolet da haske mai iya sauri warware bilirubin kwayoyin da kuma taimakawa su speedy kau. A wannan cuta shi ne kuma muhimmin dauki hadaddun bitamin, musamman B da C, lipoic acid da kuma amino acid.

Yin rigakafi da Matsalolin

Tun parenchymal jaundice - wani alama da ya auku a kan wani bango da sauran cututtuka (kwayar hepatitis B, kuma C, mafitsara da duwatsu, da dai sauransu), yana da muhimmanci sosai lokacin da za a fara a rabu da wadannan cututtuka. Bayan duk, dole ne mu tuna cewa idan lokacin bai samar da haƙuri kula, wannan zai iya haifar da wasu rikitarwa. Wato, da haƙuri iya abada rushe da hanta da kuma gall mafitsara. A wannan yanayin, da ƙara maida hankali bilirubin sa maye, wanda yake shi ne musamman mummunan tasiri a kan aikin na duk ta gabobin da kuma tsarin.