Yakawedzera chiropa

Kukura kwechiropa kunoreva kuzvimba kwechiropa kupfuura kukura kwaro kwese. Hepatomegaly nderimwe izwi kutsanangura dambudziko iri.

Kana zvese chiropa nechiropa zvakawedzerwa, inonzi hepatosplenomegaly.

Rutivi rwezasi rwechiropa runowanzo svika kumucheto wezasi wembabvu kurudyi. Iko kumucheto kwechiropa kunowanzoonda uye kwakasimba. Iyo haigone kunzwika nezvigunwe zvemunwe pazasi pemucheto wembabvu, kunze kwekunge iwe uchinge watora kufema kwakadzika. Inogona kukudzwa kana mupi wezvehutano achikwanisa kuzvinzwa munzvimbo ino.

Chiropa chinobatanidzwa mumabasa mazhinji emuviri. Iyo inokanganiswa nemamiriro mazhinji anogona kukonzera hepatomegaly, kusanganisira:

• Kunwa doro (kunyanya kushandisa doro zvisina kufanira)
• Cancer metastases (kupararira kwekenza kuchiropa)
• Kuunganidzwa kwemoyo kukundikana
• Glycogen kuchengetedza chirwere
• Hepatitis A
• Hepatitis B
• Hepatitis C
• Hepatocellular carcinoma
• Nhaka fructose kusawirirana
• Inotapukira mononucleosis
• Leukemia
• Niemann-Pick chirwere
• Chekutanga biliary cholangitis
• Reye chirwere
• Sarcoidosis
• Sclerosing cholangitis
• Portal vein thrombosis
• Steatosis (mafuta ari muchiropa kubva kumatambudziko emagetsi senge chirwere cheshuga, kufutisa, uye yakakwirira triglycerides, inonziwo isiri-doroidyo steatohepatitis, kana NASH)

Iyi mamiriro inowanzoonekwa nemupi. Iwe unogona kunge usiri kuziva chiropa kana spleen kuzvimba.

Iye mupi anozokuongorora obvunza mibvunzo yakaita seiyi:

• Wacherekedza kuzara kana bundu mudumbu?
• Ndezvipi zvimwe zviratidzo zvaunazvo?
• Pane chero kurwadziwa kwepamuviri here?
• Iko kune chero kutsvuka kweganda (jaundice)?
• Pane kurutsa here?
• Iko kune chero asina kujairika-ane mavara kana akacheneruka zvituru?
• Wako weti yako yaita kunge yakasviba kupfuura zvakajairwa (brownish)?
• Wakambove nefivha here?
• Ndeipi mishonga yauri kutora inosanganisira pamusoro-the-counter nemishonga yemakwenzi?
• Unonwa doro rakawanda sei?

Miedzo yekuziva chikonzero che hepatomegaly inosiyana, zvinoenderana nechinofungidzirwa chikonzero, asi inogona kusanganisira:

• Abdominal x-ray
• Abdominal ultrasound (inogona kuitwa kusimbisa mamiriro acho kana mupi achifunga kuti chiropa chako chinonzwa chakawedzerwa panguva yekuongorora kwepanyama)
• CT scan yemudumbu
• Chiropa basa bvunzo, kusanganisira ropa rekuvhara bvunzo
• MRI scan yemudumbu

Hepatosplenomegaly; Chiropa chakawedzerwa; Kuwedzera kwechiropa

• Chakakora chiropa - CT scan
• Chiropa chine zvisingaenzaniswi kukora - CT scan
• Hepatomegaly

Martin P. Kusvika kumurwere ane chirwere chechiropa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 146.

Plevris J, Parks R. Iyo yemudumbu system. Mu: Innes JA, Dover AR, Fairhurst K, eds. Macleod's Clinical Kuongorora. 14th ed. Philadelphia, PA: Elsevier; 2018: chits.

Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM. Hepatomegaly. Mu: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, eds. Pediatric Sarudzo-Yekuita Matanho. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 27.