Hepatic encephalopathy

Chiropa chinoshandisa basa rehuputa mumuviri, kuchibvisa chepfu uye ammonia. Nokuramba kusinganzwisisiki kwekushanda kwayo, hepatic encephalopathy inokura-a syndrome ye neuropsychic disorder inobatanidza nehuputi hwehupi nezvinhu zvinokuvadza.

Hepatic encephalopathy - zvinokonzera

Pakati pezvinhu zvikuru zvinokonzera chirwere chinenge chichiongororwa, chinowanzoitika ndeichi:

• viral hepatitis (rudzi B, C, kazhinji - D, A uye E);
• zvirwere zvinotapukira (mononucleosis, yellow fever, leptospirosis);
• kusingaperi kwechiropa kukuvara nemhaka yekudhakwa doro;
• portocaval shunting;
• Syndrome Badda-Chiari;
• chinodhaka-induced hepatitis;
• kutyisa nekemikisi mishonga;
• kuora muviri kwechiropa;
• Chirwere cheWilson-Konovalov .

Hepatic encephalopathy - zviratidzo

Kusvika iye zvino, zvakajairika kusiyanisa zviratidzo zvechirwere chiri mubvunzo, zvichienderana nekuoma kwehupi hwehupi nehupfu.

Zviratidzo zvekudzivirira kwepfungwa zvakanyanyisa maererano nesiteji chechirwere ichi:

1. Zero danho. Anozivikanwa nokusavapo kwezviratidzo, pane dzimwe nguva kungave nekuvhiringidzika mune mufambiro nekuita kwemurwere mumamiriro ezvinhu akaoma;
2. Nzvimbo yekutanga. Inoratidzwa mukurara kana mamwe matambudziko nehope. Zvinowanzoomera kuti munhu afunge, kune kuora kwakakosha mukubudirira uye kutarisa. Nokufamba kwenguva, kusagadzikana kwepfungwa kunoonekwa nenzira yekutsamwa, kusazvidya mwoyo kusina musoro, utsinye, kuora mwoyo ;
3. Chikamu chechipiri. Muchiitiko ichi, kune kukanganisa kwekutaura, motokari mabasa. Murwere ane hanya, ane hanya uye ane utsinye, dzimwe nguva ari munharaunda yekurima, anoita zvinhu zvisina maturo. Pane kuora mwoyo mukati uye nguva uye nguva, dysgraphia, kudengenyeka;
4. Chikamu chechitatu. Chikamu ichi chinoratidzwa nezwi rinowedzera yezvisikwa zvose zvemuviri. Mukuwedzera, kune kubatwa kwakakomba, kubata, kwakaratidzwa kudengenyeka uye kusina simba motokari basa;
5. Chikamu chechina ndechepfungwa yehepatic encephalopathy. Kugadziriswa kune chiedza uye kurwadziwa hakusipo, basa reuropi rinoderera pamwe chete kucheneswa kwekufungidzira, uye coma inofadza inogara mukati.

Hepatic encephalopathy - kuongororwa

Kuongororwa kunoitwa pamagumisiro emigumisiro yekudzidza kwemashure maviri. Pakutanga, kuongororwa kwakawanda kweraatori yeropa romurwere inotungamirirwa, apo kunyatsotarisirwa kunofanira kubhadharwa kuchena kwechiyero cheropa, erythrocyte sedimentation rate, bilirubin indices uye kuongororwa kweammonium makundi. Panguva imwecheteyo, inofanirwa kuongorora kuumbwa kwegesi kweropa. Ezvo electroencephalography inogadzirwa, inobvumira kutsvaga kuchinja kwechiropa, uyewo bhiopsy yenhengo yakakuvadzwa.

Kurapa kwehepatic encephalopathy

Chirwere chetachiona chinokonzera kubvisa zvikonzero zvakakonzera kukura kwekusakwanira, kudhakwa kwemuviri, kuderedza uwandu hweammonia uye zvimwe zvinokonzerwa nemagetsi muropa. Muzviitiko zvisingawanzoitiki, ma antibiotics uye corticosteroids zvinoshandiswa kusunungurwa kwezvokuvhiringidza. Zvinonyanya kukosha kudya mu hepatic encephalopathy. Zvakakosha kuderedza kushandiswa kwezvokudya zvine mapuroteni zvakanyanya sezvinobvira, uye kuwedzera huwandu hwemakhahydrates muzvokudya. Panzvimbo peyo shuga inowanzodiwa zvinoshandiswa kushandisa maitiro - lactulose. Inobatsira kuisa chimiro chemuviri wemukati, kubvisa tsvina kubva mumuviri uye kuderedza kuwanda kwekudya kweammonia.

Pakupedzisira, danho rechina re hepatic encephalopathy, kuchengetedzwa kwekukurumidzira kunofanira kupiwa, panguva iyo kucheneswa kwebumbo kunowanzoitwa, glucocorticosteroids uye antibiotics inorohwa mukati.