Hepatomegaly: E ruia ana huringa ate. Ko te hanganga o nga whekau

Hoki te ora tangata noa kaore he aweretanga, he tinana nui, pera ia o ratou mahi i te mahi motuhake. A, no te kore tetahi, e fakahohaasi nga etahi, me te rauropi katoa. Na, meinga raruraru ate ino o te wahi kūnatu, pūnaha circulatory me puha, e arata'i ki te hekenga i roto i te mate, a he tokomaha atu nga mate hauora. Nahea te ate tangata, ki te huringa pathological hāngai i roto i reira?

Ko te hanganga o nga whekau

I mua i korero e pā ana ki te ate, whakaaro pehea te hanganga o to tatou whekau, i reira te mea he hononga i waenganui i a ratou. I roto i te tangata, i reira e rave rahi pūnaha: circulatory, romahā, musculoskeletal, kūnatu, puha, io, uri. Ia o ratou kua he hanganga matatini. Mai te mea te ate tenei, tātari tinana hono ki taua mea, a roto i te takiwā tonu o reira. Na, i to tatou ate - he repe kei tika i raro i te HWM i te taha ki matau o te tinana, i roto i te kōhao puku. pa te mata o raro o reira te pū kai, puku, gallbladder me duodenum. Na ona wāhanga i roto i te whakapā ki te tākihi matau me te repe adrenal. Te repe taiaki takoto tika i muri i te puku. whakaaro te gallbladder e tatou ki te tinana whānui o te ate, me te ate aerodynamics. I tua atu, ka raru ko ate, toto me te te tīpona oko e tika ana.

Ko te hanganga o te ate

Hepatomegaly (haaparare i huringa ate) puta, ka nui ona āhuatanga i roto i te pakeke 12-13 cm. Kei tenei okana o mahue me tika matamata, ka wehea te pūnaha Claude Quinn ki 8 wāhanga. Ia wāhanga takitahi (wāhanga) he ona ake supply toto, whatunga zhelchevyvedenie me te karere muka. poro kiko (parenchyma) puka elongated ngā pūtau (kurupae ate). î Parenchyma tōiti ate me oko toto. I roto i te pokapū o ia wāhanga whakawhānui ate kotahi pokapū Vienna, a i waenganui ia ratou - pera, aerodynamics ate, me te tahi atu uaua. E rua ngā awaawa ahopou me te kotahi hake te wahi o raro o te tinana i raro i te whakaaro. Tenei kuwaha ate pera-ka karanga. ngā ratou nga aerodynamics katoa ate, hanga he noa, tonu ki te duodenum. uaua ate ki te hanga i te - tomokanga. Mai i reira, a i te pera i roto i tenei rerenga nui okana toto. pā ai huringa ruia katoa o te huānga runga ake.

te ate

Ko tētahi o nga mahi matua o to tatou ate - neutralizing paihana, tāoke, nga mea katoa o matū ke, me te tikanga. whai wāhi ana tēnei repe kei roto i puta katoa i roto i te puka tinana tangata o te pākia e, nakunaku, toto, i roto i te hanga o te maha huaora me hormones. Ko te ahua o te rokiroki o toto, me te wahi huānga. Tonu i roto i te aratau pukumahi, kitea te ate te takanga ki reira ngā tukanga pathological. Ko tētahi o ratou - hepatomegaly, huringa E ruia ana i roto i te ate, e kua āhuatanga e tona hua. Whakaritea e te palpation i ultrasound me tomography computed. Ko te momo whakamutunga e rua o rangahau tukua ki te wehewehe ate nuitia whakanui i te mate rite ki whēkau pātata (whatukuhu matau, au tōngāmimi, whēkau).

Ko te take o te mate

Ko te ariā he huringa E ruia ana puta noa i te tinana, he wahi e kore e tika o reira, pera i roto i te māuiuitanga rahi. A, no te whakawhanake hepatomegaly? kitea huringa ate E ruia ana i roto i te mate e whai ake nei:

• cirrhosis;
• rahunga ngakau;
• mārire, me te mārere (pukupuku) pukupuku;
• hemangioma;
• cysts Parasitic me kore-pirinoa;
• mate helminth;
• abscesses;
• kohi, a ētahi atu hinga sifilisnoy hopuhopu;
• haurangi;
• maroketanga;
• Metastasis i whēkau tata;
• kakā paitini, me te hopuhopu;
• adenoma;
• mate pukupuku;
• hyperplasia.

I roto i ētahi wā, i reira te mea he hepatomegaly ngawari, i te mea he tohumate te rere o te matao noa, etahi mate hopuhopu, pohokore.

tohu

Kei te tino whakakitea tohu huringa ate E ruia ana i roto i te tīmatanga o tenei mate. kia ite i te manawanui etahi hūhi i roto i te hautahi o runga tika, kino i muri i te fatty me ngā kai raukikini, waipiro. Heoi, i reira he tūroro kore e nei ite tetahi noa te mate e kore e hepatomegaly meinga haere ki ngā puka whakapeka, a kore e tupu hua nui i roto i te ate i te katoa. Tohu whakawhirinaki i runga i te mate whāriki. ngā Common:

• mamae i roto i tona taha matau, tautautefito ki he taimi koi kōpeketanga aunoa;
• whakapairuaki, i roto i ētahi wā e haere ana i roto i te ruaki;
• tokopā;
• hiahia whakaiti;
• tae jaundiced o te kiri;
• kakara kino i te kōhao-waha;
• ētahi wā he hunga ponana tahi e minamina;
• kinonga katoa.

tohu motuhake o te hepatomegaly

Staphylococcal, streptococcal me mate pneumococcal taea meinga abscesses (suppuration) i roto i te nui rawa repe repeure tangata, me te rite ki te hua, whakarahi o te ate. Tohu o tenei ngā: e wiriwiri, tachycardia, sweating nui, ka maru ai te mamae i roto i te taha ki matau o te tinana, kanohi ara mata me te ringa. Treatment i roto i tenei take hāparapara anake. I roto i te tahi atu mate noa - mate pukupuku o te ate, e whakamate ia tau neke atu i te miriona ora tangata - hepatomegaly, me ki nga āhuatanga i runga, tahi e te mate whakaari taimaha, ngoikore, whēkau pōrearea, flatulence. Cirrhosis o te ate (te take matua, ko te waipiro), me te hepatomegaly te rere āhuatanga e mamae i roto i te hautahi runga tika, i roto i te hononga, portal takawhita, whakarahi o te kōateate. I roto i te kakā whakarahi ate hoki tahi e te mamae i roto i te taha ki matau, kei te tino pai ake ka ahotea tinana (hei tauira, i roto i haere nohopuku), whakapairuaki, ngoikore whānui.

tātaringa

Ki te amuamu te manawanui o te mamae i roto i te hautahi o runga tika, te mea tuatahi ka hanga te tākuta palpation me pea whakatau hepatomegaly. Ka taea te kitea huringa Ate E ruia ana (ranei faahapa i) te whakamahi i assays atu. I roto i te parau tumu, e taea palpation anake te whakatau i te rohe o te tinana nui haere, te tohu o te mamae, me ki etahi tohu te kiato o te parenchyma. A mo te tātaritanga anō i whakaritea e te ultrasound, CT, MRI, me te maha o ngā tauira. Ko ētahi o ēnei:

• faaotiraa o te bilirubin, me te pūmua katoa i roto i te toto;
• faaotiraa stercobilin i roto i te kumete;
• tauira ki te matū kawenga zhelchevyvodimymi (bromsulfoftalein, galactose);
• akoranga ehu iratuke;
• unuhanga ate.

tautuhia Bilirubin te i roto i te āhua noa, me te here. I roto i te tangata hauora he hakari anake free (0.4-1 mg / dl). Abnormalities kitea i roto i te jaundice, pupuhi me te popoke o tubules ate, etahi momo o cirrhosis. Mā te whakamahi i te tauira kua takoto rite rere pūmua-pākia i roto i te ate. Bromsulfoftaleinovaya tauira taea ki a koe te whakatau mehemea i reira ko te takahi o repe puha (secretory) mahi. I roto i te mau taata hauora i roto i te meneti 45 i muri i te kupu whakataki o te tae i roto i te toto kua reira iti iho i te 5%. hanga Whakataki galactose reira taea ki te ahu pehea te pākia warowaihā. kawea te unuhanga i roto i raro i ngā āhuatanga taiwhanga ki kakā whakapae i roto i te wā moe, cirrhosis, mate pukupuku, kakakīrehe, me ētahi atu mate. Kei te contraindicated te reira i roto i abscesses, ascites, auroa jaundice taunutia, hemorrhagic syndrome. radioisotopes Rangahau (introduction o Bengal whakatika toto) whakamana i roto i maha mate ate. I roto i te iwi hauora te toto hawhe-whakawāteatia o peita mō te 8 meneti.

Māuiuitanga o te repe taiaki

he whanaunga tata te ate ki ētahi atu repe - taiaki. Māuiuitanga tetahi e arata'i ki te rangirua o te tahi atu, na te wa o te tātaritanga, enei tinana e rua i te haki kotahi te wā. huringa E ruia ana taiaki taea te tāutuhia (kore he āwangawanga ate) anake i te tikanga o te ultrasound. e kore te Palpation tautuhi. E whakaatu ana Ultrasound whakamātautau āhuatanga, mātotoru me te taurite o te kiko echogenicity me te (tangi kitea) e te tinana nui tango wahi kaha i roto i te nakunaku me absorption o te kūhuka (taiāki secretion). E kitea huringa E ruia ana i roto i te pancreatitis, kakakīrehe, a i roto i te hononga ki te tau. Te rapu huringa i runga i ultrasound, kia te manawanui me tuku hoki whakamātautau atu (toto takoha, endoscopy o te duodenum).

maimoatanga

Ki te whakakitea mai te repe taiaki huringa E ruia ana, engari kua kore amuamu te manawanui, e kore te maimoatanga hiahiatia. E kore tukinotia hepatomegaly ngawari. Ko te tikanga, whakaaroaronga tenei huru i runga i ona ake i muri i te māori o te mana, me te ngaro o mate kapo. A, no te tika puta ate hepatomegaly ki te maimoatanga o te mate whāriki, meinga te māuiuitanga. I tua atu, a te manawanui maka ki runga ki te kai tino e katia atu katoa o te tahua parai, raukikini, tote, ngako me te waipiro. E taunaki ana Folk rongoā whakatika infusions inu o hope, chokeberry, etahi wai kohuke, kai tīhi pahī-ngako iti ki te honi. tangata mate tūtohutia e tohu talena, rāhuitia mahi te.