Hepatomegaly: eiei? Ake loli. Ka 'ole o ka mea na nā loko

No ka maʻamau kanaka ke ola ole, koe nae, e nui kino, e like me kela mea keia mea o lakou i hanaʻia i kekahi kuleana pili i. A hiki kekahi ke aloha, e o Nyos i ka mea e ae, a me ka mea a pau meaola. No laila, ake pilikia i mea hōʻemi o ka digestive'āpana, circulatory a me ka excretory nenoai, a inevitably hiki aku ai i ka emi ma e hoʻonele, a me na mea he nui 'ē aʻe ola pilikia. Pehea ke ano o na kanaka akepaa, me ka hui pu pathological loli i loko o laila?

Ka 'ole o ka mea na nā loko

Mamua o ko laua kamailio e pili ana i ke akepaa, hoomanao i ke ano o ka 'ole o ko mākou kūloko ma nā loko, a aia no i ka pili ma waena o lākou. Ma kānaka, loaʻa nō kekahi mau nenoai: circulatory, naehana hanu, musculoskeletal, digestive, excretory, ko mākou hopohopo, reproductive. Kēlā me kēia no ia i ka luna '' ole. No keia mea he ake, kālailai kino e pili ana me ia, a me ma ka wahi koke no ia. No laila, i ko makou ake - he gland ke aupuni 'e ma lalo o ka diaphragm ma kaʻaoʻao'ākau o ke kino, ma ka abdominal lua. I ka lalo kae o ka mea hoopa aku i ka esophagus, opu, gallbladder a me ka duodenum. A me kona Hoʻohana i ka hui 'ana me ka hakuʻala akau, a me ka adrenal gland. Ke pancreas waiho ma hope pono o ka'ōpū. Ke gallbladder ua noʻonoʻoʻia e mākou a hiki i ka nui kino o ke ake, a bile ducts. Eia hou, kupono ake nä olonä, ke koko a me ka lymph moku.

Ka 'ole o ke ake

Hepatomegaly (eiei? Ake loli) i, i ka wa a kona Ana i loko o kekahi kanaka makua mamua o 12-13 knm, kēia hui, oia o ka haʻalele a me ka pono lobes, a me ka nenoaia Claude Quinn i puʻunaue i 8 Hoʻohana. Kēlā me kēia kanaka Hoʻohana (Hoʻohana) i kona iho koko lako, zhelchevyvedenie pukapuka a me nā aʻalolo olona. 'aʻaʻa slices (parenchyma) palapala elongated aeee (hepatic kedera). Parenchyma permeated bile capillaries a me nā ipu koko. Ma ke kikowaena o kēlā me kēia Hoʻohana kŰlń ao hepatic kekahi Central Vienna, a ma waena o ia - arteries, bile ducts a me nā aa koko. I ka haʻahaʻa o ke kino ma lalo o noonoo i mau lonikū Groove a me kekahi transverse. Kēia no laila,-kapa ake puka. Ka mea, hui pu iho la i ka bile ducts, ho okumu i kekahi, he pono ole, mau i loko o ka duodenum. Hepatic aa koko e lilo i - Ka nū. Mai ia, a mai ka arteries i loko o kēia hui, nui ke koko a pele. Eiei? Loli e loli a pau o ka luna hehee wale.

ke ake

Kekahi o na kumu nui mana o ko mākou akepaʻa - neutralizing hoomake iho no hoi, toxins, a pau keia ano o ka malihini a me ka hoʻokali kūpono 'waiwai. Kēia gland ua komo i loko o nā mea a pau i hana i loko o ka kanaka kino ano o ka pūnao, digestion, koko, ma ka hana ana i na mea he nui nā wikamina a me hormones. He Heʻano o ka pūnaewele o ke koko a me ka kumumea hehee wale. Mau i ka mumulu mai pololei i loko, ke akepaʻa, ua waihoia hanana ma loko likeʻole pathological keʻano o ka hanaʻana. Kekahi o ia mau mea - hepatomegaly, eiei? Loli ma ke akepaʻa, a i wehewehe aku ma kona hua iho. Hooponoponoia ia mea, ma ka palpation ma ultrasound a Me tomography. Ka hope mauʻano o nā haʻawina ae, e hoomaopopo unmistakably hoonee aku i ake mai i ka like maʻi i pili nā loko (pono hakuʻala, ka laau awaawa, bladder, liʻiliʻi).

Nā kumu o ka maʻi

Ke manaʻo Ua eiei? Loli ma ke kino,ʻaʻole e kekahi hapa o ka mea, e like me ia ma ka mea nui pathology. I ka ulu hepatomegaly? Eiei? Ake loli i ike i loko o nā kēia mau maʻi:

• cirrhosis;
• naau ole;
• benign a malignant (Ka maʻi 'aʻai) hikoko;
• hemangioma;
• parasitic a me ka 'ole-parasitic cysts;
• helminth nā mea palahēhē;
• abscesses;
• tuberculosis, a me nā infectious sifilisnoy pio;
• intoxication;
• dehydration;
• Metastasis mai kokoke nā loko;
• ʻawahia a infectious hepatitis;
• adenoma;
• carcinoma;
• hyperplasia.

Ma kekahi manawa, aia no he mehana hepatomegaly, i mea he concomitant symptom o ka pono anuanu, kekahi infectious maʻi, malnutrition.

symptoms

Hoailona eiei? Ake loli ma na kahua o ka hoʻonaʻauao kakahiaka o keia maʻi, ua hoikea mai oia, me ka nui loa. Ke hoomanawanui i haha aku kekahi discomfort ma ka akau maluna quadrant, ʻino ma hope o ka momoma a me spicy ai, ka waiʻona. Eia naʻe, loaʻa nō nā mea maʻi poe e ole haha aku i kekahi mea ma nā mea a pau a ka maʻi i ia e hepatomegaly e hele i loko o huʻi ano, a eʻaʻole hiki mai nui māhuahua ma ka akepaʻa. Symptoms hilinaʻi ma ka nń ku maʻi. Common nā:

• eha ma konaʻaoʻao'ākau, o ka oi aku ka wāʻoi me mechanical mīkini'opihia;
• nausea, ma kekahi hihia, i koʻu hele ana ma ka luaʻi;
• heartburn;
• ikaika loa ka makemake ka ho'ēmiʻana;
• jaundiced kala like 'ole o kaʻili;
• kaʻawaʻawa loa ala mai ka moʻolelo o ka lua;
• kekahi manawa o ka poʻe noʻonoʻoʻole pu ma ka maneo;
• huina hoʻololi iho.

I Kekahi Mau na hoailona o ka hepatomegaly

Staphylococcal, streptococcal a me ka pneumococcal nā mea palahēhē hiki i abscesses (suppuration) i loko o ka nui kanaka prostate gland, a me ka hopena, hoʻonui o ke akepaʻa. Symptoms o kēia nā: pauhia, tachycardia, excessive sweating, achingʻeha ma kaʻaoʻao'ākau o ke kino, ka hoopomaikai loa ia'na o ke kōmi 'a me ka lima. Lapaʻau ma keia hihiaʻoki lāʻau lapaʻau wale. Ma ka mea'ē aʻe e like me ka maʻi - Ka maʻi 'aʻai o ke akepaa, a kēlā me kēia makahiki pepehi oi ma mua o ka miliona kanaka mau ola - hepatomegaly, eia kekahi i ka mea ma luna o nā hiʻona, pu ma ka hana keaka kaumaha poho, nawaliwali, na naau oʻu dysfunction, flatulence. Cirrhosis o ke akepaʻa (i ka papa kuhikuhiE kumu ka alcoholism) a me ka concomitant hepatomegaly wehewehe aku ma kaʻeha ma ka akau maluna quadrant, i loko o na ami, ka puka hypertension, hoʻonui o ka spleen. I hepatitis ake hoʻonui pu aku la keia ma kaʻeha ma kaʻaoʻao'ākau, ua me ka nui loa hoʻokāʻoi ka wā physical stress (e laʻa me, iloko o hookeai hele), nausea, mau nawaliwali.

lapaʻau '

Inā ka hoʻomanawanui complains o kaʻeha ma ka akau maluna quadrant, ka mea mua i ke kauka e e palpation a hiki diagnose hepatomegaly. Eiei? Ake loli hiki ke 'akomi i (a höʻoia') hoʻohana 'ana i nā assays. I ka rula, palpation hiki wale ho oholo i ka palena o ka mahuahua kino, ke degere o ka eha, a me kekahi mau degere i ka pa apŘ o ke parenchyma. A no ka houʻike, i kauoha mai ai ma ka ultrasound, HI, MRI, a me ka helu o nā Eia kekahi laʻana. Mau nā:

• hoʻoholo 'ana o bilirubin, a me ka huina kumuʻiʻo i loko o ke koko;
• stercobilin hoʻoholo i loko o ka noho;
• Eia kekahi laʻana me ka haawe zhelchevyvodimymi waiwai (bromsulfoftalein, galactose);
• radioisotope haʻawina;
• ake biopsy.

Bilirubin ua ho'ākāka 'ia i loko o ka noa, a nakinakiia ka moku'āina. Ma ke ola i ke kanaka ka ike wale noa (0.4-1 mg / dl). Abnormalities malama ma ka jaundice, haanou ana a me ka congestion o hepatic tubules, kekahi mauʻano o ka cirrhosis. E ho ohana i ka Eia kekahi laʻana la ka manao e like me ka pele kumuʻiʻo-pūnao ma ke akepaʻa. Bromsulfoftaleinovaya hāpana apono 'oe e ike ai i ko laila mea i ka' aʻe 'ana o excretory glands (secretory) kuleana pili i. I ola kanaka i ka 45 minuke ma hope o ka hoʻokomo 'ia' ana o ka kalameaʻai i loko o ke koko ka mea, ua emi o 5%. Introduction galactose mea ia e hiki ai ke kumumea pehea ka carbohydrate pūnao. Ke biopsy ua lawe mai ma lalo o keʻena hoʻokolohua kūlana me kēia hepatitis i loko o ka latent ke kahua, cirrhosis, Ka maʻi 'aʻai, fibrosis, a me nā maʻi. Ua Ua contraindicated ma abscesses, ascites, hooloihi ae i obstructive jaundice, hemorrhagic maʻi pale. radioisotopes Research (hoike o Bengal Kū koko) ua hana i na mea he nui ake maʻi. I ola kanaka i ke koko hapa-i hooakea ai i ka HW no ka 8 minuke.

Pathology o na pancreas

Ke ake ua pili loa aku i nā glands - pancreas. Pathology kekahi inevitably hele aku ai i ka hoʻohuikau 'o ka mea' ē aʻe, no laila, i ka manawa o kaʻike,, mau kino elua i ka ia manawa ponopono. Eiei? Loli pancreas (ake mea,ʻaʻole mea e hopohopo nei) hiki ke hōʻike 'wale ma ka mea o ka ultrasound. Palpation uaʻaʻole i ho'ākāka '. Ultrasound ninaninau hōʻike Ana, nuʻa a me uniformity o'aʻaʻa echogenicity, a me ka (lewa kani) i ano nui kino e laweʻeleu loa i loko o ka digestion a me ka omo o ka monakō koko (insulina secretion). Eiei? Loli i malamaia ma ka pancreatitis, fibrosis, a me ka pili ana me ka elemakule. Loaa ia loli ma ultrasound, i ka hoʻomanawanui i e haawiia no nā ho'āʻo ma (koko donation, endoscopy o ka duodenum).

lapaʻau

Inā ka pancreas hoikeia mai eiei? Loli, akā, i ka hoʻomanawanui i ole hoopii, lapaʻau 'aʻole koi' ia. Aole hoi i hana mehana hepatomegaly. IeAUPIIe, IAa IO, keia ano ka noonoo ana ma luna o kona mau ma hope o ka normalization o ka mana a me ka nalowale ana o opportunistic ka maʻi. I ka wa ake hepatomegaly pono ke hoomau aku i ka lapaau ana i ka nń ku mai, i ka pathology kena ae la. Eia hou, i ka hoʻomanawanuiʻana, kiola ia ma luna o ka ikaikaʻai e nele ka neʻe aku a pau o ka 'ike no palai, spicy, palemo iho, momona a me ka waiʻona. Folk lapaau ia kekahi inu infusions o Kū, ke kīkala, chokeberry, kekahi mea pōhaku wai, ai haʻahaʻa-momona e eiooaa? Me ka waiū a me ka meli. Maʻi kanaka paipai lakou e minamina i regimen, hoʻokō 'ua pāpā.