Weliweli maʻi - tsiroz akepaʻa. Pehea e hiki ai au e kaha i ke ake?

Tsiroz ake - mea i kāna hana nui i loko i loaʻa ka lilo o ke ake keena - hepatocytes - a me ka hoʻonuiʻana o connective'aʻaʻa i loko o ke kino. Ke ake hiki ole hana kona kumu o hana - neutralization o nā palapala 'ona i loko o ke kino, o ko lakou hoʻomāhuahua. A me ka kemikala pilikia ake papa: hoemi? Iecaianoaaiiie o nā polokina, e laʻa me, albumin, e like me ka 'aʻe' ia lŘlŘ ka hoʻololi kemikala o na oihana mua i aloha ia i ke koko clotting.

Tsiroz ake kumu o

hepatitis nā mea hoʻomaʻi B a me C alakai i ke kūpono 'ana o ka mea hoʻomaʻi cirrhosis. Hoomaopopo kakahiaka ano o ka maʻi i ua malamaia lakou nei, me ka ma muli o ka mea hoʻomaʻi hepatitis, a ma hope ano a akaka no i ka loa-makahiki (maʻi) hepatitis pele. tsiroz ake hiki e ona a me ka autoimmune hepatitis.

Kekahi kumu o ka cirrhosis mea stagnation i loko o ka biliary'āpana. Ma ka hou o ka nui bile ducts, no kekahi laʻana, ka wā'ōpā pū lākouʻeho a me ka pohaku, i nā hoʻomōhala i ka 'aʻe' architectonic kino.

Kanakaʻona mau cirrhosis ua diagnosed i loko o kekahi hapaha o na kanaka i mau hoopau ka waiʻona no ka lōʻihi manawa - oi ma mua o 10 makahiki. Ma keia hihia, ke hoʻomanawanui i ka ke ano ua ano hoomainoino ma ka hainā o ka waiʻona a me ka ole i ka waiʻona i kaha hou.

Inā ka hoʻomanawanui i naau maʻi a maʻi o ka hepatic aa koko, e hoʻomōhala ana i stagnant tsiroz akepaʻa.

Other kumu o ka cirrhosis:

- lōʻihi-makahiki hoʻohana o kekahi lapaʻauʻia (methotrexate, dopegita);

- hereditary (maʻi ia lŘlŘ like me ka hopena o congenital enzimopatii - deficiency 'ole' aʻe 'ana o ka hoʻololi kemikala o nā'ūhū).

Loa pinepine ia e hoʻomōhala ana i ake maʻi me ka hui malu pu ana o kekahi mau aʻe, e like me mea hoʻomaʻi hepatitis a me ka maʻi alcoholism. Ma kekahi mau hihia, i ka papa kuhikuhiE kumu o ka loli ma ke akepaʻa hiki ke nānā '. A laila, diagnosed me "cryptogenic cirrhosis".

Hoike ana mai o ka cirrhosis e lauwili. Kēia ke kaupaona poho, nawaliwali, kōkua noho, jaundice, ka ohane, kahe ana ke koko, mahuahua ma ke kino nui. Ke akepaa o ka hoʻopā i anuanu a me ka bumpy. Pigmented ili o nā mea maʻi, icteric, maloo, a me ko läkou 'lehulehu, o scratching ikeia ma ka hoaka o ka hapalua o ke kumu "punawelewele, aa koko" (telangiectasias). A ano hiʻona o ka "ake poho", e lilo na pahikaua a ulaula a me ka wela i ka hoʻopā.

Ka maʻi pilikia o ka ulu complications e hiki alakai i ka make. no ka mea, hele koko ma ke akepaʻa mea i haki, keia hele aku ai i ke kahua o nā pele alanui, kekahi o i mea esophageal aa koko. Ua lākou varicose. Mai varices ia lŘlŘ kahe ana ke koko, i mea o ka mua hoailona o ka luaʻi "kope kai".

Manawa kue o ke kumuʻiʻo hoʻololi kemikala ulu edema, mua haʻahaʻa lala, a laila, i ka loli hoʻomāhuahua i loko o ka abdomen (ascites). Wai, a ma ka abdomen kekahi manawa hiki wale ke 'akomi i ka ultrasound, ke lilo i wela ai, peritonitis e hoʻomōhala ai.

Ke hoʻomāhuahua oʻawahia huahana ma ke kino,ʻo ia a hiki i ka haunaele o ka ike paka i nā mea maʻi (hepatic encephalopathy), a o ka lōʻihi hoike ana o hepatic coma. Kekahi e hoomanawanui i hoʻomōhala ake maʻi 'aʻai.

He nui nā kanaka me ke alo o ke kamepiula kumumea i hopohopo i ka nīnau: "Pehea e nānā i kou akepaʻa?". No kaʻaoʻao nui ka loiloi o ke akepaʻa mea e pono e nana i ke ahonui o ka koko, hana biochemical koko Ka Ikepili, e Loiloi i ka clotting hiki o ke koko. Manaoia no ka US aeaiiua, laparoscopy a me ka biopsy. No ka Loiloi i ka moku'āina o ka esophageal aa koko, e hoʻohana gastroscopy. E like me ka hou iaoia, hoʻohana Me tomography.

People ka poe e kiai ana i ko lakou ola, ke kaha i ke akepaʻa, ma ke koko kemika. He mea pono e Loiloi i ka kiʻekiʻe o kona'ākilikai phosphatase, ake nā'ūhū - transaminases, bilirubin, huina kumuʻiʻo a me ka albumin, naʻokoko. Huli a me ka prothrombin inideka, hoʻomaka ka pono Ikepili o ka capillary koko.