Matenda a chiwindi opweteka omwe sadziwika, omwe ali ndi matenda aakulu, amatchedwa chifuwa chachikulu cha chiwindi. Mwamwayi, matendawa si osowa, ndipo amakhudza makamaka amayi ali aang'ono. Choopsa chachikulu ndi chakuti matendawa amachititsa kuti chiwindi chiwonongeke kwambiri, chiwindikitsiro komanso kusakwanira.
Zizindikiro za Kutsekula kwa Chiwindi Chakudzidzimutsa
Mu nthawi ya thanzi labwino ndi thupi, matendawa amatha kuchitika popanda mawonetseredwe am'chipatala, kawirikawiri matenda a chiwindi amapezeka pa siteji ya kusintha kwakukulu mu mliri wa parenchyma ndi cirrhosis.
Komabe, matendawa amadzidzimva mwadzidzidzi, ndi chizindikiro chodziwika bwino.
Zizindikiro za matenda a chiwindi:
- mdima wa mkodzo mpaka mtundu wa tiyi wakuda kapena mowa wamdima;
- icterus wa khungu, sclera;
- kufooka, kugona, kutopa nthawi zonse;
- kusowa kudya;
- ululu mu hypochondrium yolondola , kuuma;
- kusokonezeka m'dera lakumtunda kwa epigastric;
- malungo;
- khungu la khungu.
Kuonjezera apo, mawonetseredwe a extrahepatic ndi kusokonezeka pa kayendetsedwe ka machitidwe ena a thupi angayambe:
- hirsutism ;
- chithunzi;
- ulcerative colitis;
- vitiligo;
- chithandizo;
- hemolytic anemia;
- iridocyclitis;
- myocarditis;
- pleurisy.
Kuzindikira matenda a chiwindi
Ziri zovuta kudziwa ndendende mtundu uwu wa matenda, chifukwa zizindikiro zonse ziri zofanana ndi mitundu ina ya tizilombo toyambitsa matenda a chiwindi.
Pofuna kudziwa momwe matendawa aliri, ma laboratory apadera, mayeso a zachilengedwe ndi a ultrasound, a biopsy, amachitidwa.
Malingana ndi zomwe amavomereza m'mayiko ena azachipatala, matenda a chiwindi amadziwika ndi zizindikiro zotero:
- m'magazi mulibe zizindikiro za matenda opatsirana a tizilombo a hepatitis A, B, C;
- ntchito yowonjezera ya ALT ndi ASAT;
- anti antibody kupitirira 1:80;
- mlingo wa y-globulins ndi oposa 1.5 kapena kuposa;
- mu anamnesis palibe chidakwa, kudalira mankhwala osokoneza bongo.
Mu chiwopsezo choterechi chotchedwa hepatitis type 1 chimapezeka chifukwa cha kukhalapo kwa ma antibodies m'magazi a SMA kapena ANA, mitundu 2 - anti-LKM-I, mitundu 3 - SLA.
Chifukwa cha ultrasound, n'zotheka kufotokoza mlingo wa kuperewera kwa parenchyma ndi chiwindi cha chiwindi, ndikuwonjezerapo. Chidziwitso chimapangidwira kafukufuku wamatsenga, kudziwika kwa matenda ndi ntchito yake.
Kuchiza kwa matenda a chiwindi
Kwenikweni, mankhwalawa akugwiritsidwa ntchito pogwiritsa ntchito mahomoni a corticosteroid, omwe amachititsa kuti pang'onopang'ono chitetezo cha chitetezo cha mthupi chitetezeke.
Kawirikawiri, Prednisone (prednisone) yautali imaperekedwa ngati mawonekedwe osokoneza bongo. Pambuyo pa miyezi ingapo yothandizidwa, mlingo wa mankhwalawo wafupika, ndipo mankhwalawa amapeza chithandizo chothandizira. Kuonjezera apo, chiwembucho chimapanganso mankhwala ena - Delagil. Kutha kwa maphunzirowo kungakhale kwa miyezi 6-8, pambuyo pake m'pofunikira kuyang'anitsitsa nthawi zonse matenda a hepatologist ndi mankhwala othandiza.
Momwemo matenda omwe amachititsa kuti mankhwalawa asapangidwe komanso kutsekula kwa chiwindi kumatuluka mobwerezabwereza, ndibwino kuchita opaleshoni ya chiwindi.
Kudya mu matenda a chiwindi
Mofanana ndi mitundu ina yokhudza matenda, zakudya zimalimbikitsidwa malinga ndi malamulo ndi ndondomeko ya tebulo nambala 5 ya Pevzner.
Sizimaphatikizapo mankhwala aliwonse ochotsera choleretic, zakudya zamtengo wapatali komanso zokazinga, zophika, maswiti, makamaka chokoleti ndi kaka.
Kumwa mowa sikuletsedwa.
Nthanga, pasitala, mkate wophika, mkate wa 1 ndi 2 mutenge ufa (dzulo), masamba, zipatso ndi zipatso (zokoma zokha) zimaloledwa.