Hepatic coma

Zvirwere zvechiropa, kunyanya chirwere chechirwere uye hepatitis, zvinogona kukanganisa dzimwe nhengo. CNS kukanganisa kunokonzerwa nechiropa chisingawanzoiti chinonzi hepatic coma. Ichi chirwere chakakomba, chinosanganisira nekukurumidza kutsvaga rubatsiro rwezvechiremba, zvisinei kuti rufu hakunzvidziki.

Zvimwe zviratidzo zvekunyanya koma

Zvichienderana nechinokonzera chirwere chacho, vanachiremba vanosiyanisa marudzi akasiyana-siyana e-coma. Izvo zvinokonzerwa nehepatic coma zvinokonzerwa nehupfu hunopisa ne hepatotropic poisons yakawedzerwa semugumisiro we- cirrhosis kana hepatitis. Nhamba yakawanda inowanzokonzerwa nekushandiswa kwefungi inouraya, kushandiswa kwenguva refu kwemishonga, kana kupisa chepfu nehupfu hunopinda mumuviri kubva kunze uye hurova chiropa.

Kubatanidzwa kwekusagadzikana uye kunoshamisa kwechirwere ichi kunonzi "coma hepatic coma". Izvo zvikamu zvinotevera zvevanhu zvinonyanya kunetseka nechirwere ichi:

Nenzira chaiyo iyo mhaka yehutu yakakosha ndiyo kukundwa kwemasero emasero ane uturu hunokonzerwa nechiropa, zvichikonzera kuora kwemaodema uye kurasika kwekuziva. Heanoi zviratidzo zvikuru zvekodha yehepatic:

Zviratidzo izvi zvinowanzoenderana nehutano hwehutachiona, nekuwana kwenguva yakakwana kune chiremba munhu anogona kugoneswa. Zvino inouya danho rekutanga re coma, apo kufema kunenge kwakaoma uye kukanganisa kwechikamu chekuziva kunoitika. Panguva ino yeaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Mushure mokunge chizere chakakwana chinouya, chirwere hachizobatsiri kudzorera munhu kurarama hupenyu uye huchawedzera kwenguva pfupi kushanda kwezvikamu zvemukati zvemukati kwenguva isingagumi.

Zvikamu zvehutano hwehepatic coma

Kana iwe ukazviwana iwe kana mumwe munhu ari pedyo nezviratidzo zvepamberi, iwe unofanira kubva uchitumidza ambulensi. Emergency care for hepatic coma ndeyekuti murwere anoda kuisa zororo rakakwana ndokumuisa parutivi rwake. Izvi ndizvo zvose zvaunogona kuita kuti usunungure mamiriro ake ezvinhu, zvoga zvinongokuvadza chete.

Mishonga inofanirwa kuitwa nevanakwanisa vanachiremba munharaunda yekuchengetedza yakasimba kana kuti huru yekuchengetedza. Chokutanga pane zvose, zvakakosha kuchenesa matumbo kubva ku microflora, uye muviri wose - kubva kune uturu. Nokuda kwechikonzero ichi, vanokonzera zvinogona kuponeswa nemishonga inorwisa mabhakitiriya inotungamirirwa. Uyewo, basa rechiremba nderokudzivirira kudya kweprotein uye kubvisa kubva mumuviri atovapo. Ne edema yehuropi, masimba ose anokandirwa pakugadziriswa kwedambudziko iri, sezvo neminiti imwe neimwe yekuderedza kunzwisisika kwokuti munhu achadzoka pakuziva kunowira zvakanyanya.

Kana chirwere ichocho chichipfuurira uye kurega kudhakwa kunokundikana, kukura kwekukundikana kwechirwere kunogona kunge. Muchiitiko ichi, nzira ye hemodialysis inoitwa.

Pamasumbu makuru eAmmonia Iyo mhuka inotambiswa nekutungamirirwa kweArginine uye glutamic acid. Kuwedzerwa ropa kunoratidzwa, iyo inowanzosvika 5-6 malita pazuva.

Chikonzero chekurapa ndicho chirevo chekudzikisa simba kwemuviri uye kudzoka kwepfungwa dzepfungwa.

Kuti udzivise kukurudzirwa kwemazwi akadai, iwe unofanirwa kutevera mitemo iyi:

  1. Penguva yekurapa zvirwere zvose zveropa.
  2. Usashandisa zvisina kufanira doro.
  3. Usapindira zvinodhaka newaini.
  4. Usadya mabiko emusango, kunyange kana kutaridzika kwawo kusingaiti kukufungira.