Chikoro chezvirwere zvevanhu, semotokari, inobatanidzwa nehutachiona hwemagunisi ehurumende uye mabasa ekudzivirira kwezvirwere zvemotokari zvinopesana nehutano hwehutano hwemuviri uye zvinotungamirira kuchinjwa chekuvhiringidza kana kuparadzwa. Izvi zvinogona kuchinja nhengo dzakasiyana-siyana uye zvirongwa, kusanganisira chiropa. Nokudaro, kuvakadzi, kunyanya pazera remakore makumi mana nemakumi mashanu, nheyo yepamusoro yebriary cirrhosis yechiropa inogona kukura, uye muzviitiko zvakawanda mhuri yemurwere inoonekwa (pakati pehanzvadzi, amai nevanasikana, nezvimwewo).
Zvinokonzera uye zvikamu zvepamusoro biliary cirrhosis
Panguva ino, hazvizivikanwi kuti chii chinokonzera kushandiswa kwekutanga kwebriary cirrhosis, panyaya iyi yekudzidza nekukurukurirana zviri kuitika. Pakati pemafungiro pamusoro pezvikonzero zvinokonzera chirwere ndezvizvi:
- hutachiona uye mabhakitiriya (munguva pfupi yapfuura nhoroondo dzehutachiona hwechirwere dzinobvunzwa zvikuru);
- hormonal disorders;
- genetic factors;
- kukanganisa pamuviri wemakemikari;
- zvimwe zvirwere zvinodzivirira (rheumatoid arthritis, chirwere chaRaynaud, Sjogren's syndrome, autoimmune thyroiditis, scleroderma, tubular renal acidosis, nezvimwewo).
Kune zvikamu zvina mukuvandudza kwechirwere ichi:
- Pakutanga kwekutanga, semagumisiro emagadzirirwo emagetsi, kusaputika kwekuputika kuputika kwema-intrahepatic bile ducts kunoitika, kunyangarika kwebibi kunoonekwa.
- Zvadaro pane kuderera kwehuwandu hwe-bile ducts, kubviswa kwegrete ye bile uye kupinda kwayo muropa.
- Iyo maturakiti emasitadhi echiropa anotsiviwa nemaronda akavhara, zviratidzo zvekuvhiringidza kushanda uye necrotic phenomena mu parenchyma zvinowanikwa.
- Chikamu chediki-uye coarse-nodular cirrhosis nezviratidzo zvepachiviri uye nechepakati cholestasis.
Zviratidzo zvekutanga biliary cirrhosis
Kuratidzwa kwokutanga kwehutachiona, uko varwere kazhinji vanonyunyuta, ndevokuti:
- kushaya simba kwakasimba, kuneta zvakaneta, kuwedzera kukurumidza, kuchidzivirira zvikuru basa uye kukanganisa kukwanisa kushanda;
- kupisa kunhuwa (mune dzakawanda zviitiko zvinotaurwa, zvakashata usiku, uye mushure mekushambidza, kubata zvigadzirwa zvemvere);
- kuwedzera kweganda, kusimbisa chiganda cheganda;
- icterus yeganda, mucous membrane, sclera;
- dry eyes ;
- kusagadzikana, unyoro mune zvakanaka hypochondrium.
Uyezve, varwere vanowanzotambudzwa nekuwedzera kuduku kwekushisa kwemuviri, kushaya musoro, kusava nenzara, kushaya kurasikirwa, kuora mwoyo. Mune vamwe varwere, nheyo yepamusoro yebriary cirrhosis mumutambo wekutanga wekubhadhara inenge isingatombozivi.
Zvadaro zviratidzo zvinotevera zvinowedzera kune zviratidzo zvakanyorwa:
- Vascular inomera paganda;
- kubwinya kwechiso, tsoka nemichindwe;
- deformation yezvipikiri ("girazi rekucherechedza"), kuonekwa kwemavara matsvuku echitenderera pamusoro pavo;
- thickening of nail phalanges
Nokuda kwekuvhiringidzwa kwekudya kwevhithamini nemamwe mishonga, osteoporosis, steatorrhea, hypothyroidism, varicose veine ye hemorrhoid uye veophageal veins, ascites, kubuda kweropa uye zvimwe zvinetso zvinogonawo kuumba.
Kuongororwa kwepamusoro biliary cirrhosis
Kubudiswa kweizvi kuongororwa kwakavakirwa paongororo yekuongorora:
- kuongorora kukuru kweropa;
- biochemical blood test ;
- coagulogram;
- hepatic assays;
- lipidogram;
- general analysis of urine
Iva nechokwadi chokuti chirwere chinogoneka chinokwanisika kuburikidza nechiropa chinoputika, chinoitwa pasi pekugadzirisa ultrasound.
Kuchengetedza kwepakutanga biliary cirrhosis
Kunyatsorapwa kwechirwere hakupo, chete nzira dzinoita kuti kuderedza kuoma kwezviratidzo zvechipatara, kurega kufambira mberi kwechirrhosis, kudzivirira kukura kwezvinetso zvakakomba. Zvinonyanya, izvi zvirongwa zvemishonga pamwe nekugadzwa kwemishonga inoshandiswa mumasikirwo emagetsi, glucocorticosteroids, cholagogues, hepatoprotectors, antihistamines, nezvimwewo. Physiotherapeutic nzira dzinoshandiswa zvakare, kudya kwakakosha kunorayirwa. Mune zviitiko zvakakomba, kupindira kwekuvhiya kunoitwa kusvikira kuchiropa chekupemha.