Parenchymal jaundice: symptoms, kumu,ʻike,

I kēia lā ua nui na maʻi he nui i kanaka maka mea,ʻaʻole he pinepine. Akā nō 'oe pono e e ike no ia i ka liʻiliʻi loa o ka apana uuku na. He pela, no ka laʻana, ke pale aku i ka hanana o ia mau pilikia. I mea no ke aha la i keia la aʻu e makemake e hai aku oe i ka nui au mamuli e pili ana i keia pathology like parenchymal jaundice.

terminology

Mua mākou e hana i ka maʻi, he mea pono e hoakaka ia mau manaÿo, a i hoʻohana nui i loko o kēia 'atikala. A parenchymal jaundice - he maʻi, akā, e aho, he hana symptom, a ua wehewehe aku ma ka i hookohu aku i loko o jaundiced ano mea ole waleʻili, akā, kekahi o ka mucous membranes (maka sclera). Ia a pau ka hana, no loko o ka hoʻomanawanui hoʻomaka e loaa i nā bilirubin (keia bile pigment). Ua mea i nui, e hoailona oukou i keia symptom Hōʻike i ka hoʻomanawanui i ake pilikia, ka poe pono e like me ka 'āwīwī i hiki ai i ke hoʻoponopono.

He hana hoihoi 'ia ma ka lapaau he mea no hoi he manaʻo wahahee o ka jaundice. Ma keia hihia ole bilirubin accumulates i loko o ke kino o ke kanaka, a me ka carotene, he ano maoli waiwai i ia lŘlŘ no e hookohu aku i o ka ili. No laila, ka mea, ke hiki i ka hanana iʻoi aku ko lākou nui, a me ka nui na mea ai carrots, kaʻuala, na alani, a me beets. Kēia pilikia ke'ākoʻakoʻa ina ka lōʻihi-manawa e ai picricʻakika, e like me kekahi'ē aʻe lapaʻauʻia ai '.

lapaʻau kiʻi

Pehea o kēia pathology like parenchymal jaundice? Ke pathogenesis o ka maʻi e hiki mai ana. Penei, initially mea pono e kaulana ia iloko maʻamau hana, bilirubin, bile pigment, excreted maoli ai. Inā loaʻa nō kekahi pilikia ma ke akepaʻa,ʻo ia i nā helu kuhi puke i loaa i loko o ke kino, ka hōʻailona o ka yellowing o ka ili a me ka mucous membranes. Ke huli nei 'ikepili i mea parenchymal jaundice, ia mea nui, e olelo aku no hoi i keia mea hilo i ka papa kuhikuhi kahua o ka hoʻonaʻauao ekolu o? Acaeoey.

1. Ka mua ke kahua. Ma keia hihia, he ka ho'ēmiʻana i loko o ka ha awina o nā'ūhū,ʻili lahilahi poino hepatocytes, pololei bilirubin i pau ka moni maʻamau i lawe.
2. Ma ka lua o ke kahua o ka maʻi i loko o nā mea maʻi i ka pilikia e like me giperfermentiya, hepatocyteʻili lahilahi permeability, piʻi pū. Ka eha ma konaʻaoʻao akaka like me ka hopena o ka mīkini'opihia o na capillaries.
3. I ke kolu o ka mua o ka kaʻina mea he haunaele glucuronidation o bilirubin ia lŘlŘ hepatic ole. Nō hoʻi, i ka mimi lilo loa alohilohi, mau manaʻoʻeha i loko o konaʻaoʻao.

It E e kaulana ia ia mea nui ke hoʻomaka i ka hana me ka parenchymal jaundice ma na kahua o ka hoʻonaʻauao mua o ka maʻi hanana. No, ma keia hihia, hana me ka pilikia hiki e nui maʻalahi a me ka wikiwiki. Inā ka "lohi" i ka hoʻomaka o ka e olaʻi kaʻina hana i ke kolu o ke kahua, ma ka laau e loa paʻakikī no ka maʻi e.

Kumu o ka pilikia

No ke aha la e ikea parenchymal jaundice, aha mea i ke kumu nui no kona hanana?

• Mua o nā mea a pau ia e hoʻomaopopo i ke kumu nui pilikia i loko o keia hihia e ka infectious konohiki: i nā mea hoʻomaʻi, koʻohune, toxins. Loa pinepine, i keia hihia mākou e kamaʻilio e pili ana i maʻi e like me malaria, syphilis, toxoplasmosis a me na mea e ae.
• Make gepatotsidov hoomake iho no hoi o ke aloha a me ka'okanikaʻole. ʻawahia kaʻapu kōheoheo o ke kino ke hana ku pono i ka hana o ka make Fish, ano haʻahaʻa a i ka waiʻona, ma hope o ka loaa ana arsenic a me ka nahesa nahu.
• Kumu o ka pilikia hiki no hoi e lawe kekahi pharmacological Luna a i hepatotoxic loa. Ma keia hihia, ka hapanui pinepine ka mea, hele mai no ia i ka hoʻomanaʻo i "Paracetamol" a antibiotics.

nā kūpuna mai

E noonoo pono i na kumu o ka parenchymal jaundice, e pono e olelo aku nei no hoi kekahi i keia maʻi mea i hereditary ololi. Ia mea, ka mea hiki ke pū i hiki ma keʻano, mai kekahi 'ohana i kekahi.

• Paha ole ligandinov-ho'ākāka nā polokina mea i kauʻia ma luna o ke ake ili honua.
• Ke kumu ke lilo i hereditary deficiency o ka kekahi'ūhū, kapa UDP-glucuronyl.
• He hereditary, a me Wilson ka maʻi, i ka wa aole mea i hoʻomāhuahua i loko o nā hepatocytes o ke keleawe, no ka mea, o keia aaiaoe kina ua Nyos functionality o ke kino.

Ka papa kuhikuhiE symptoms

E noonoo pono i na maʻi like parenchymal jaundice symptoms - i ka mea i pono, e e hai aku. No laila, aha mea i ka hoike ana o ka maʻi?

1. Ka mua maopopo o ka pilikia yellowing o ka ili a me ka mucous membranes,ʻano nui na maka sclera.
2. Nō hoʻi, i ka hoʻomanawanui i e mehana maneo.
3. I kekahi manawa headache, kuni, headache.
4. Pinepine hoʻomanawanui iki mai ohumu o ka lilo o ka ikaika loa ka makemake, kūpono ana ma ke kaupaona poho ia lŘlŘ.
5. Nō hoʻi, ma laila nō Muscleʻeha a me ka mau nawaliwali.

Nā hoailona kālailai pū ĸokoĸa ana nä pane.

• Feces i alohilohi, iki tinted. All poho ia lŘlŘ pono stercobilin, kekahi cholic pigment.
• Mimi kekahi hoʻololi waihoʻoluʻu. Ua hiki ke lilo pu no hoi ka malamalama, a me ka nui poeleele.
• Ma ke koko o nā mea maʻi maoli ka maʻiʻo o ka pololei a me kaʻauhau'ēʻaʻe bilirubin.

lapaʻau '

E like me ka hiki ke hoʻomaopopo i ke kanaka ka parenchymal jaundice? Lapaʻau '- e hōʻike ana i ke ola o ka maʻi. E hana i kēia.

1. E lawe mai i kekahi mau Ikepili o ka mimi, feces a me ke koko.
2. Ka auhau o ka pono lapaʻau kiʻi.
3. Biochemical Ka Ikepili o ke koko.
4. kekahi vocal ho'āʻo ai i hiki ke hāʻawi.

lapaʻau ho'āʻo ma

Inā ua laweʻia ka hoʻomanawanui Ka Ikepili o feces a me ka mimi, ma keia hihia, i ka wa a ka maʻi bilirubin a me ka urobilin nā hoailona, a mahuahua nui me ka nui loa, oiai o ka helu o ka stercobilin haule ana, i ke kumu nawaliwali ana i nā pōpō kanaka lepo.

Nō hoʻi, ke koko e ho'āʻo ai e e pono ai. Ma keia hihia, aole e e leukocytosis a me ka anaemia. Inā ka hoʻomanawanui parenchymal jaundice, ke koko biochemistry - i ka mea i nui. Here hana nakinaki aku la ia, a MAKAHIKI MDCCCXVI NU bilirubin a me ka urobilin e e hoalaia mai.

Ma kekahi mau hihia, i ka hoʻomanawanui, e koho a 'ē aʻe hou noiʻi. Kēia hiki e:

• Hoʻoholo 'ana o folicʻakika a me ka wikamina B12 pae i loko o ke koko.
• Hoʻoholo 'o kaʻeho hōʻailona.
• Coprogram: Ka Ikepili no parasites a me na ilo.

vocal haʻawina

Ke akamai artisan hiki, me kekahi mau pilikia e hoomaopopo parenchymal jaundice maʻi pale mai piha maʻi. Naʻe, i loko o kekahi mau hihia a pau, a hiki i ke pookela malamalama o ka lapaau e hōʻoia i kaʻike, hana hou haʻawina e pono mea paahana. Ma keia hihia, ke hoʻomanawanui hiki ke lawelawe:

1. Radiography. E kuhikuhi i na pilikia a me ka opu, a me ka naʻau liʻiliʻi esophagus.
2. Cholecystography. He mea pono e ike, ina paha he mea i loko o ke au bladder pohaku.
3. Ultrasound hiki i 'ike e pili ana i ka moku'āina o ke ake, a me nā loko nui.
4. HI a MRI.

Loa kākaʻikahi, e hoomanawanui i lawelawe i ake biopsy.

lapaʻau

It E e kaulana i keia pathology loaʻa paha kekahi mau aoao o ka hoʻolilo. Ua hilinaʻi nui ma ke degere o ka ole ka nń ku maʻi. Loa pinepine, kauka i hoakaka ia ai 'e wehe i oi bilirubin mai ke kino. Eia naʻe,ʻaʻole i ka lapaʻauʻia e kokua. Ma keia hihia, ke kauka i hoakaka ia ke kaʻina hana e like me phototherapy. A pau no ka malamalama ultraviolet mea hiki ke koke uhai i ka bilirubin nā lātoma, a kōkua lākou ka hikiwawe wehe '. Ma keia maʻi ia mea i nui, e lawe eiiieaen nā wikamina, o ka oi aku B a me C, lipoicʻakika'amino a me nāʻakika.

Kāohiʻana a me ka Complications

Mai parenchymal jaundice - he symptom e ia lŘlŘ ma luna o ke kāʻei kua o nā maʻi (mea hoʻomaʻi hepatitis B a me C, bladder pohaku, etc.), ia mea koʻikoʻi manawa e hoʻomaka i ka pakele ana o kēia mau maʻi. Ma hope o nā mea a pau, ua pono no ia ina manawa 'aʻole e hoʻolako ahonui malama, ua hiki ka hopena i loko o kekahi mau complications. ʻo ia, i ka hoʻomanawanui i paʻa ma loko o ka ake a me ka laau awaawa, bladder. Ma keia hihia, no ka mahuahua lehulehu o ka bilirubin ke kumu intoxication, i mea loa hopena maikaʻi 'ole i ka hana o nā mea a pau kona nā loko, a nenoai.