Chii chinonzi hepatic encephalopathy, mhando uye kurapwa

Zvemukati

• Zviratidzo zvehepatic encephalopathy
• Zvinokonzera
• Kurapa kwehepatic encephalopathy

Hepatic encephalopathy chirwere chinoonekwa nekusashanda zvakanaka kwehuropi nekuda kwechinetso chechiropa chakadai sekutadza kwechiropa, bundu kana cirrhosis.

Rimwe remabasa echiropa kusefa ropa rinouya kubva mukuzeya nekuti iro rinokonzera kugaya zvinhu zvinoonekwa zvine chepfu kune dzimwe nhengo. Kana chiropa chisingakwanise kusefa zvakanaka iri ropa, zvimwe zvinhu zvine chepfu zvakaita seammonia zvinosvika muuropi uye nehurongwa hwekutyaira hunokonzera hepatic encephalopathy.

Kupatsanurwa kwehepatic encephalopathy ndeiyi:

• Tora A hepatic encephalopathy: neakanyanya chiropa kutadza;
• Rudzi B hepatic encephalopathy: nececephalopathy inosangana ne port-systemic kupfuura;
• Rudzi C hepatic encephalopathy: kana ichinge yakabatana necirrhosis uye portal hypertension.

Hepatic encephalopathy inogona zvakare kuzviratidza zvishoma nezvishoma, zvichiramba kana zvishoma. Kuva izvo:

• Sporadic hepatic encephalopathy: inokurumidza, inongoitika uye inowanzoitika;
• Kuenderera mberi hepatic encephalopathy: nyoro, yakaoma, kurapwa-kunoenderana;
• Minimal hepatic encephalopathy: pre-clinical kuratidzwa kunoda nzira dzakakosha dzekuongororwa. Yaimbove inonzi latent encephalopathy uye sub-clinical encephalopathy.

Zviratidzo zvehepatic encephalopathy

Zviratidzo zvehepatic encephalopathy inogona kunge iri:

• Kunonoka kufunga;
• Somnolence;
• Kudengenyeka;
• Uncoordination yemotokari;
• Matambudziko ekuzvibata;
• Ganda reyero nemeso;
• Dumbu rakazvimba;
• Kufema kwakaipa;
• Kakawanda kukanganwa;
• Kuvhiringidzika kwepfungwa;
• Inowedzera mukunyora.

Zviratidzo izvi zvinogona kuoneka zvishoma nezvishoma uye zvichizongoerekana zvaitika, muvanhu vane hutachiona husingaite.

Zvekuongororwa kwe hepatic encephalopathy, kuongororwa kwakawanda kweropa, computed tomography, magnetic resonance imaging uye electroencephalogram inofanirwa kuitwa.

Zvinokonzera

Zvinokonzera hepatic encephalopathy zvine chekuita nechiropa kusashanda. Mimwe mamiriro ezvinhu anogona kukonzera hepatic encephalopathy ndeaya:

• Kuwedzeredza protein yekushandisa;
• Kudya kwakakwana kwe diuretics;
• Shanduko mune ma electrolyte eropa sezvingaitwe mune bulimia kana kupera mvura;
• Kubuda ropa kubva mudumbu, mudumbu kana ura;
• Kunwisa kudhakwa;
• Itsvo chirwere.

Kushandisa zvisina kunaka mishonga kunogona kukonzera chirwere ichi, kunyanya kune vanhu vane matambudziko echiropa.

Kurapa kwehepatic encephalopathy

Mushonga we hepatic encephalopathy ndeyekutsvaga iyo chikonzero uye wozoibvisa. Zvinogona kunge zvichidikanwa kudzikisa kudya kwako kweprotein uye mushonga unofanirwa kutorwa nemazvo. Mimwe mishonga inogona kushandiswa ndeiyi: Lactulose, neomycin, rifaximin. Tsvaga zvimwe zvakawanda uye sei chikafu chakakodzera chechirwere ichi.