Chinodhakwa chiropa chirwere

Chirwere chechiropa chinokanganisa chiropa uye mashandiro ayo nekuda kwekunwisa doro.

Chirwere chechiropa chinodhakwa chinoitika mushure memakore ekunwisa zvakanyanya. Nekufamba kwenguva, scarring uye cirrhosis zvinogona kuitika. Cirrhosis chikamu chekupedzisira chechirwere chechiropa chinodhakwa.

Chinodhakwa chiropa chirwere hachiitike kune vese vanonwa zvakanyanya. Iyo mikana yekuwana chirwere chechiropa inokwira iyo yakareba iwe wanga uchinwa uye yakawanda doro iwe yaunonwa. Haufanire kudhakwa kuti chirwere chiitike.

Chirwere ichi chinowanikwa muvanhu vari pakati pemakore makumi mana kusvika makumi mashanu ekuberekwa. Varume vanowanzova nedambudziko iri. Nekudaro, vakadzi vanogona kukura chirwere mushure mekuratidzwa kushoma nedoro pane varume. Vamwe vanhu vanogona kuve nenjodzi yekugara nhaka yechirwere ichi.

Panogona kunge pasina zviratidzo, kana zviratidzo zvinogona kuuya zvishoma nezvishoma. Izvi zvinoenderana nekuti chiropa chiri kushanda zvakadii. Zviratidzo zvinowanzo kuve zvakaipisisa mushure menguva yekudhakwa.

Zviratidzo zvekutanga zvinosanganisira:

• Kupera simba
• Chido chisina kunaka uye kuonda
• Nausea
• Belly kurwadziwa
• Diki, tsvuku dandemutande-seropa tsinga paganda

Sezvo chiropa chinoshanda chichiwedzera, zviratidzo zvinogona kusanganisira:

• Fluid buildup yemakumbo (edema) uye mudumbu (ascites)
• Yeruvara rweganda mune ganda, mucous membranes, kana maziso (jaundice)
• Kutsvuka pamaoko emaoko
• Mune varume, kushaya simba, kudzikira kwemachende, uye kuzvimba kwemazamu
• Kupwanya kuri nyore uye kubuda kweropa zvisina kujairika
• Kuvhiringidzika kana matambudziko kufunga
• Pale kana chevhu-chitsvuku zvituru

Mutapi wako wezvehutano achaita bvunzo dzepanyama kutsvaga:

• Yakawedzera chiropa kana spleen
• Yakawandisa chipfuva chechifu
• Dumbu rakazvimba, semhedzisiro yemvura yakawanda
• Akatsvuka mapende
• Tsvuku tsvuku-senge mitsipa yeropa paganda
• Machende madiki
• Yakawedzera tsinga mumadziro edumbu
• Yero maziso kana ganda (jaundice)

Miedzo iwe yaungave unayo inosanganisira:

• Yakazara kuverenga ropa (CBC)
• Chiropa basa bvunzo
• Coagulation zvidzidzo
• Chiropa biopsy

Kuyedza kutonga kunze kwezvimwe zvirwere kunosanganisira:

• Abdominal CT scan
• Kuongororwa kweropa kune zvimwe zvikonzero zvechiropa chirwere
• Ultrasound yemudumbu
• Ultrasound elastography

UPENYU HUCHINJA

Zvimwe zvinhu zvaunogona kuita kuti ubatsire kutarisira chirwere chako chechiropa ndeichi:

• Reka kunwa doro.
• Idya chikafu chine hutano chine munyu mushoma.
• Wana jekiseni rezvirwere zvakadai sefuruwenza, hepatitis A uye hepatitis B, uye pneumococcal pneumonia.
• Taura nemupi wako nezve yese mishonga yaunotora, kusanganisira mahebhu uye zvinowedzera uye nepamusoro-e-counter mishonga.

Mishonga PANYAYA YAKO DOCTOR

• "Mapiritsi emvura" (diuretics) kubvisa huwandu hwemvura
• Vitamin K kana zvigadzirwa zveropa kudzivirira kubuda kweropa kwakawanda
• Mishonga yekuvhiringidzika kwepfungwa
• Mishonga inorwisa mabhakitiriya yezvirwere

MIMWE MIRAPO

• Endoscopic mishonga yemitsipa yakawedzerwa mu esophagus (esophageal varices)
• Kubviswa kwemvura kubva mudumbu (paracentesis)
• Kuiswa kweiyo transjugular intrahepatic portosystemic shunt (MAZANO) kugadzirisa kuyerera kweropa muchiropa

Kana cirrhosis ichifambira mberi kusvika kumagumo-danho rechiropa chirwere, chiropa chinotapukira chingangodiwa. Chiropa kuisirwa kwechiropa chirwere chechiropa chinongotariswa kune vanhu vakanyatso dzivirira doro kwemwedzi mitanhatu.

Vanhu vazhinji vanobatsirwa nekubatana nemapoka ekutsigira kudhakwa kana chirwere chechiropa.

Chirwere chechiropa chinodhakwa chinorapika kana chikabatwa chisati chakonzeresa zvakanyanya. Nekudaro, kuenderera uchinwa zvakanyanya kunogona kupfupisa hupenyu hwako.

Cirrhosis inowedzera kuwedzera mamiriro uye inogona kutungamira kumatambudziko akakomba. Mukana wekukuvara kwakakomba, chiropa hachigone kupora kana kudzokera kune chaicho basa.

Zvinetso zvinogona kusanganisira:

• Kubuda ropa kusagadzikana (coagulopathy)
• Kuvaka kwemvura mudumbu (ascites) uye hutachiona hwemvura (bacterial peritonitis)
• Mitsipa yakawedzerwa mukati medu, mudumbu, kana ura hunobuda ropa nyore (esophageal varices)
• Kuwedzera kumanikidzwa mumidziyo yeropa yechiropa (portal hypertension)
• Itsvo kutadza (hepatorenal syndrome)
• Kenza yechiropa (hepatocellular carcinoma)
• Kuvhiringidzika kwepfungwa, shanduko padanho rekuziva, kana coma (hepatic encephalopathy)

Bata mupi wako kana iwe:

• Gadzira zviratidzo zvechiropa chirwere chechiropa
• Gadzira zviratidzo mushure menguva yakareba yekudhakwa
• Uri kunetseka kuti kunwa kunogona kukuvadza hutano hwako

Tora rubatsiro rwekukurumidzira kurapwa kana iwe uine:

• Dumbu kana kurwadziwa pachipfuva
• Kuzvimba kwepamuviri kana kukwirisa kuri kutsva kana kamwe kamwe kunova kwakaipisisa
• Fivha (tembiricha yakakura kupfuura 101 ° F, kana 38.3 ° C)
• Manyoka
• Nyonganiso nyowani kana shanduko mukusvinura, kana zvinowedzera
• Rectal kubuda ropa, kurutsa ropa, kana ropa mune weti
• Kufema kwekufema
• Kusvipa kanopfuura kamwe pazuva
• Ganda rinopenya kana maziso (jaundice) izvo zvitsva kana kuwedzera kukurumidza

Taura pachena kune wako mupi nezve yako yekumwa doro. Iye mupi anogona kukuraira nezve kuti yakadii doro rakachengeteka kwauri.

Chiropa chirwere nekuda kwedoro; Cirrhosis kana hepatitis - chidhakwa; Kurwara kwechirwere kwaLaennec

• Cirrhosis - kubuda

• Kugaya chirongwa
• Chiropa anatomy
• Chakakora chiropa - CT scan

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Chalasani NP. Zvinodhakwa uye zvisina kunwa doro steatohepatitis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 143.

Haines EJ, Oyama LC. Kushushikana kwechiropa uye biliary turakiti. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 80.

Hübscher SG. Doro-inokonzerwa nechiropa chirwere. Mune: Saxena R, ed. Inoshanda Hepatic Pathology: Iyo Yekuziva nzira. 2nd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 24.