Hepatomegaly pachiwindi ndi kuwonjezeka kwa kukula kwa chiwalo ichi, chokhudzana ndi njira zosiyanasiyana za matenda. Zambiri za chiwindi zimatsimikiziridwa ndi computed tomography, matenda a ultrasound, palpation.
Kawirikawiri, chiwindi ndi chofewa, chopanda phokoso pansi pa mtengo wamtengo wapatali. Chiwindi chokhudzidwa chimakhala ndi mphamvu, kutupa kwa ziphuphu, kukula kwa ziphuphu, kusonkhanitsa zinthu zosiyanasiyana m'maselo ake. Mankhwala a hepatomegaly amatha kuchitika ndi chimfine, matenda osokoneza bongo, koma izi sizikusowa chithandizo.
Zifukwa za hepatomegaly
Hepatomegaly si matenda okhaokha, koma matenda omwe amabwera pafupifupi matenda onse a chiwindi, komanso matenda ena a ziwalo ndi machitidwe ena. Zomwe zimayambitsa matendawa zingagawidwe m'magulu atatu.
Matenda a chiwindi
Matenda a chiwindi, komanso matenda opatsirana ndi zakumwa zoledzeretsa, pamene chiwindi chimakhudzidwa ndi:
- chiwindi;
- fibrosis;
- chiwindi ;
- hepatosis;
- mphukira;
- mapulotisti a chiwindi;
- carcinoma ya chiwindi;
- mavitamini a ziwalo zoopsa za ziwalo zina m'chiwindi;
- liwu;
- adenoma wa chiwindi;
- matenda aakulu a bakiteriya, mavairasi ndi a parasitic;
- kumwa mowa (mankhwala, chidakwa), ndi zina zotero.
Matenda a chiwindi amadziwika ndi kuwonongeka kwa maselo ake, chifukwa cha minofu yomwe imakhalapo kapena kubwezeretsedwa kumayamba. Pachiwirichi, pakupanga mapangidwe atsopano, chiwindi cha chiwindi chikuwonjezeka, chiwalo chimapeza mawonekedwe a knobby.
Endocrine pathologies
Matenda a m'madzi:
- mafuta;
- amyloidosis;
- hemochromatosis;
- hepatolenticular degeneration;
- Matenda a Gaucher.
Zina mwa matendawa ndizomwe zimayambitsa matenda komanso zimakhala zosiyana ndi zomwe munthu amakhala nazo. Zina zimayambitsidwa ndi zinthu monga kunenepa kwambiri, kumwa mowa mopitirira muyeso, kumwa mankhwala osokoneza bongo nthawi yaitali, ndi zina zotero.
Chifukwa cha matenda a chiwindi mu chiwindi, mitundu yambiri yamagetsi imasonkhanitsa, zomwe zimapangitsa kusintha kwa kayendedwe kake ndi mphamvu.
Matenda a mtima
Matenda a mitsempha ya mtima ndi mtima:
- kupweteka mtima kwa mtima ;
- Matenda a Badda-Chiari;
- kukondweretsa pericarditis;
- kugonjetsedwa kwa valvatic heart valve, etc.
Matendawa amachititsa kuti magazi asapitirire, kuchepa kwa mpweya wa oxygen, komanso chifukwa cha kusintha kwa ziwalo zosiyanasiyana. Chiwindi chimadwala kwambiri kuchokera ku izi, chifukwa cha kutupa ndi kuwonongeka kwa maselo ake - hepatocyte - chifukwa cha edema. Zilonda za chiwindi zimapangidwanso pang'onopang'ono ndi minofu yomwe imayambitsa.
Zizindikiro ndi zizindikiro za hepatomegaly
Nthaŵi zambiri, ndi hepatomegaly, pali zotsekula m'mimba: kupweteka kwa mtima, kunyowa, kusinthana kwa mpando, kupuma koipa. Odwala nthawi zambiri amamva kuti chiwindi chofutukuka ndi "mtanda wolimba". Pamatendawa angasonyeze zizindikiro za chiwindi: khungu la jaundice ndi sclera, kuyabwa kwa mucous membrane ndi khungu, petechial rashes ("ziwindi za chiwindi").
Kuchiza chiwindi hepatomegaly
Pamene hepatomegaly ikupezeka, ma laboratory angapo ndi maphunziro apadera amapatsidwa kuti adziwe chomwe chimayambitsa matendawa. Deta yodalirika imalola kuti mupeze laparoscopy yodalirika ndi mpanda wa biopsy.
Mankhwalawa amadalira chifukwa cha vutoli. Ngati n'kotheka, mankhwala opatsirana kapena opaleshoni ya matendawa akuchitidwa. Monga lamulo, hepatoprotectors, diuretics, mavitamini, othandizira omwe amathandiza osmotic
Apo ayi, chithandizo chodziwitsa ndi cholumikizira chimaperekedwa, cholinga chake ndi mpumulo wachangu, kusintha kwa umoyo wa moyo ndi kupitiriza kwake.
Chofunika kwambiri pakuchiza chiwindi hepatomegaly ndi zakudya zomwe cholinga chake ndi kuchepetsa kulemetsa thupi, kusunga ntchito zake zofunika. Maziko a zakudya ndi kuchepetsa kudya kwa mafuta ndi mafuta. Ngati hepatomegaly imayamba chifukwa cha matenda osokoneza bongo, ndiye kuti chakudya chosachokera ku zakudya sichitha kutengeka bwino ndi thupi.