Parenchymal jaundice: tohumate, take, tātaritanga

I teie mahana i reira e maha mate rerekē e te iwi fehangahangai ko kore maha rawa. Ko tonu e hiahia ana koe ki te mōhio o ratou i te iti rawa i te iti. Ko pera te reira, hei tauira, ka taea e te ārai i te takanga o taua raruraru. Ko te aha tenei ra e hiahia ana ahau ki te korero ki a koutou i roto i nui taipitopito e pā ana ki tenei māuiuitanga rite parenchymal jaundice.

kupu

I mua i tatou mahi ki te mate, he mea e tika ana ki te tautuhi aua ariā, e kua whakamahia whānuitia i roto i tenei tuhinga. jaundice Heoi parenchymal - he mate, engari, he tohumate ngā, āhuatanga nei i te poke i roto i te tae jaundiced he kore kiri anake, engari ano hoki o nga kiriuhi mucous (mā karu kanohi). tupu te reira i katoa no te mea i roto i haamata i te manawanui ki te whakaemi āta bilirubin (tenei ate ngarahu). He mea nui hoki ki te mōhio e tenei tohu tohu e kua te manawanui raruraru ate, e hiahia rite hohoro rite taea ki te whakaoti.

Ko e me'a mālie ia i roto i te rongoā i reira he ano he ariā teka o jaundice. I roto i tenei take piki kore bilirubin i roto i te tinana tangata, a ka Peta, he taonga tūturu e puta tika ana ki te poke o te kiri. Na, e taea tupu te reira i roto i te hui e kai maha rawa me i roto i te nui kāreti, paukena, karaka, me beets. kia puta tenei raruraru, ki te te wā roa-kai waikawa picric, me pera me etahi atu rongoā taero.

pikitia haumanu

Kia pehea te ko tenei māuiuitanga rite parenchymal jaundice? Ko te pathogenesis o te mate i muri. Ko te kupu, te tīmatanga me tuhia te reira e i roto i te mahi noa, bilirubin, ate ngarahu, excreted fakanatula. Ki te mea i reira e te tahi mau raruraru i roto i te ate, ia āta tīmata ki te kohikohi i roto i te tinana, tohu e kōwhaitanga o te kiri, me te kiriuhi mucous. Titiro mōhiohio e he parenchymal jaundice, he mea nui ki te mea hoki e he toru ngā wāhanga matua o te whanaketanga i tēnei take.

1. Ko te wāhanga tuatahi. I roto i tenei take, he whakaiti i roto i te mahi o whākōkī, pakaru membrane hepatocytes, bilirubin tika mutu te tikanga hua.
2. I roto i te wāhanga tuarua o te mate i roto i te tūroro i te raruraru pērā i giperfermentiya, piki uruhanga hepatocyte membrane. Te mamae i roto i tona taha puta rite ki te hua o te kōpeketanga o te tōiti.
3. I roto i te toru o taahiraa o te tukanga ko te glucuronidation ngangau o bilirubin puta kore ate. Ano, riro te mimi rawa kanapa, tonu ua mamae i roto i tona taha.

Me kï reira e ko te reira nui ki te timata ki te mahi ki parenchymal jaundice i te wāhanga tuatahi o te mate tupu. Oia mau, i roto i tenei take, mahi ki te raruraru e taea e nui māmā me tere. Ki te te "roa" te timatanga o te tukanga whakaora ki te toru o nga atamira, ka hei te rongoa tino uaua mo te mate.

Pūtake o te raruraru

He aha e taea kitea parenchymal jaundice, he aha e nga take matua mo tona takanga?

• Tuatahi o te katoa kia tuhia te reira e te raruraru matua i roto i tenei take ko te āpiha hopuhopu: he wheori, huakita, tāoke. Nuinga o ngā wā, i roto i tenei take e korero tatou e pā ana ki mate pērā i malaria, pakewakewa, toxoplasmosis me etahi atu.
• paihana gepatotsidov Hinganga e rua organic me inorganic. poisoning paitini o te tinana kia puta tika ki te whakamahi i o harore paitini, iti-te kounga waipiro, i muri i te fariiraa i te ateneke nakahi ranei ngau.
• Ka taea hoki e take o te raruraru tango etahi māngai pharmacological e whai pānga hepatotoxic. I roto i tenei take, tino maha mai te reira ki te waihanga pērā i "Paracetamol" ranei paturopi.

whakapapa

Whakaaro i nga take o te parenchymal jaundice, me hoki ano mea koutou e he ano hoki tenei mate tauwehe tuku. Ko, e taea te tuku i te reira i te taha o te āhua i te mema kotahi o te utuafare ki tetahi.

• Pea te kore pūmua ligandinov-motuhake e kua whakanohoia ki runga ki te mata ate.
• Ka taea e te take hei te hē tuku o te paru ngā, ka karanga UDP-glucuronyl.
• He tuku reira, me te mate o Wilson, ka reira he he haaputuraa i roto i te hepatocytes o parahi, no te mea o tenei koha ira fakahohaasi te taumahinga o te tinana.

Ko te tohu matua

Whakaaro pērā mate rite tohu parenchymal jaundice - e te aha hoki me ki kia korerotia. Na he aha e te faaiteraa ko te mate?

1. Ko te taunakitanga tuatahi o te kōwhaitanga raruraru o te kiri, me te mucous kiriuhi, te nuinga i nga kanohi mā karu.
2. Hoki, kia te manawanui minamina ngawari.
3. I te tahi taime ānini, kirika, ānini.
4. E mea pinepine tūroro amuamu o mate o te hiahia, hua i roto i puta mate taimaha.
5. Ano, i reira he mamae uaua, me te ngoikore whānui.

Tohu tātari hoki rerekē.

• Feces tau ana kanapa, paku kauruku. puta te ngaronga katoa stercobilin tika, tetahi ngarahu cholic.
• taui hoki mimi tae. Ka taea e riro te reira i rua marama rawa, me te pouri rawa.
• I roto i te toto o te tūroro faarahi te ihirangi o te bilirubin hāngai, me te autaki.

tātaringa

Ka rite ki taea te matau e te tangata he parenchymal jaundice? Tātaritanga - e korero o te oraraa o te mate. Ki te mahi i tenei:

1. Te whakahaere i te tātaritanga whānui o mimi, feces me te toto.
2. Aromatawai o te pikitia haumanu whānui.
3. tātari matüora o toto.
4. Ka taea te whakaritea etahi whakamātautau mauhaa.

whakamātautau haumanu

Ki te tangohia te manawanui i tātari o feces me mimi, i roto i tenei take, ka nui haere tino te mate bilirubin me urobilin tohu, i taka te tau o stercobilin, e ai tae ngoikore paru tangata.

Ano, ka kia hiahiatia whakamātautau toto. I roto i tenei take, i reira kia kia leukocytosis me anemia. Ki te te jaundice parenchymal manawanui, mataora toto - he nui ano hoki e. Here herea mahi a ka bilirubin herekore me te urobilin kia whakaarahia.

I roto i ētahi wā, ka whakarite i te manawanui, me te tahi atu rangahau atu. Ka taea e kia tenei:

• Whakatau i o folic waikawa me te huaora B12 taumata i roto i te toto.
• Whakatau i o tohu puku.
• Coprogram: Analysis hoki te werau me kutukutu.

akoranga mauhaa

Ko te kaimahi mohio ai, kahore tetahi raruraru ngā ki te wehewehe syndrome jaundice parenchymal i mate tonu. Heoi, i roto i ētahi wā, ara nga whakamarama tino o te rongoa ki te whakaū i te whakahaere tātaritanga kua hiahiatia akoranga atu taputapu. I roto i tenei take, ka taea te whakahaere i te manawanui:

1. Radiography. Ki te tautuhi i te raruraru ki te puku, pū kai me paru.
2. Cholecystography. Ko reira e tika ana ki te matau ranei reira kei roto i te kohatu au tōngāmimi.
3. Ka taea e Ultrasound whakarato mōhiohio e pā ana ki te āhua o te ate, me ētahi atu whekau nui.
4. CT MRI ranei.

Tino uaua, whakahaere tūroro ara unuhanga ate.

maimoatanga

Me kï reira e He maha ngā huarahi o te tikanga tenei māuiuitanga. Tei te reira i runga i te tohu o te tau'a ore te mate whāriki. Nuinga o ngā wā, tākuta whakahau taero e tango bilirubin te taikaha i te tinana. Heoi, tauturu kore rongoā katoa. I roto i tenei take, kia whakahau i te tākuta he tukanga pērā i kūmanu. A no te mea katoa e taea ana ki te te wahi i hohoro te rāpoi bilirubin me te āwhina i to ratou tango ohorere ko te marama katinga. I roto i tenei mate ko reira nui hoki ki te tango i huaora matatini, rawa B ko C, waikawa lipoic me waikawa amino.

Ārai me pōauautanga

Mai parenchymal jaundice - he tohu e puta i runga i te whakamārama o ētahi atu mate (viral kakā B me C, kohatu tōngāmimi, me ētahi atu), he reira wa tino nui ki te tīmata ki te pehea e o enei mate. I muri i te katoa, e ti'a ia tatou mahara e ki te kore e wa whakarato i te atawhai manawanui, e taea hua tenei i roto i etahi pōauautanga. Ara, tūturu ai te manawanui whakapōrearea i te ate, me te kawa tōngāmimi. I roto i tenei take, i te nui haere kukū o bilirubin ai haurangi, i te mea pānga tino kino i runga i te mahi o ona whekau, me ngā pūnaha katoa.