Cudur laga cabsado - beerka tsiroz. Sidee baan u hubsan kartaa beerka?

Tsiroz beerka - waa cudur halis ah taas oo ay jirto khasaaro unugyada beerka - hepatocytes - iyo badashada unugyo jirka gudahood. beerka oofin karin ay shaqo aasaasiga ah - dhexdhexaadnimada ah waxyaabo waxyeello leh ee jirka, waa raasamaal. Oo dardaro rabshaysan beerka, wax soo saarka hoos u borotiinada, tus, albumin, iyo sidoo kale xadgudub ku dhacdaa ereygu wuxuu ahaa ee xubno badan oo saameeya xinjirowga dhiigga.

Tsiroz beerka sababaha

fayrusyada hepatitis B iyo C hogaanka horumarinta cirrhosis viral. Kala foomka hore ee cudurka taas oo loo daaweeyaa sida natiijada tooska ah ee hepatitis viral, iyo foomka ka dib taas oo u muuqata ay sabab u tahay muddo-dheer (chronic) hepatitis socodka. tsiroz beerka noqon karaan kuwo raga iyo shalalka hepatitis.

sabab kale oo cirrhosis waa fadhiidka ah ee mareenka biliary. By gaabiso marinnada bile waaweyn, tusaale ahaan, marka la tuujiyaa ay buro ama dhagax, si tartiib tartiib ah uu yeesho xadgudub jirka architectonic.

cirrhosis Qamriga waxaa lagu gartaa in mid ka mid afraad oo dadka si joogto ah u baabbi'in khamriga muddo dheer - in ka badan 10 sano. Xaaladdan oo kale, xaaladda bukaanka ee sii xumeeyay xadgudubka khamriga iyo ku fashilmeen in ay khamriga isagoo horumar calaamadeeyay.

Haddii bukaanka uu leeyahay cudurka wadnaha ama cudur oo ka mid ah xididdada, cagaarshowga, horumarisa beerka tsiroz fadhiya.

Sababaha kale ee cirrhosis:

- isticmaalka muddada-dheer ee daawooyinka qaarkood (methotrexate, dopegita);

- dhaxlo (cudur ku dhacaa sabab u ah enzimopatii lagu dhasho - deficiency ama xad gudub ku ah ereygu wuxuu ahaa ee ensaymes).

Inta badan ay ku horumarineyso cudurka beerka la isku-dar ah arrimo dhowr ah, sida hepatitis viral iyo Khamriga chronic. Xaaladaha qaarkood, sababta ugu weyn ee isbeddel ah ee beerka la go'aamin karaa. Markaasuu helay "cirrhosis cryptogenic".

Eebbe cirrhosis kala duwanaayeen. miisaanka oo yaraada Tani, daciifnimo, saxarada xanaaqsan, cagaarshow, cuncun, dhiig, waxa kordha cabirkooda jirka. Beerku waa la taabto noqdo cufan iyo finan leh. maqaarka midabka bukaanka, icteric, qalalan, oo leh raad badan la xoqay muuqan on qeybta sare ee jirridda "xididdada caaro" (telangiectasias). Muuqaalka caan ku yahay "Timir beerka", ay u noqdaan guduudan oo kulul yahay marka la taabto.

khatarta cudurka The dhibaatooyinka soo koraya in keeni kartaa dhimasho. Maxaa yeelay, marayay socodka dhiigga iyada oo beerka waa la jebiyey, waxay keenaysaa in formation of Waddooyinkiisa socodka dheeraad ah, mid ka mid ah taas oo ah xididada esophageal. Waa qaradhku. From varices dhacdaa dhiig, kaas oo ay calaamada hore ee matag "kafeega".

xadgudub Sababo ee Avv borotiinka horumarinta bararka, addinka horeysay hoose ka dibna raasamaal dheecaanka caloosha (ascites) ah. Liquid, oo caloosha mararka qaarkood oo kaliya lagu ogaan karaa by ultrasound, noqon kartaa barar, peritonitis yeesho.

raasamaal ee alaabta sunta ah ee jirka ku keenaysaa in a qas miyir bukaanka (encephalopathy cagaarshowga), taas oo ah muujinta xad dhaaf ah oo kooma cagaarshowga. Bukaanjiifka qaar waxay yeeshaan kansarka beerka.

Dad badan oo qaba joogitaanka sababaha halista ka walaacsan la su'aasha ah: "Sidee si loo hubiyo beerka?". Waayo Badan Qiimeynta beerka waxaa lagama maarmaan ah in la baaro dhiigga qofka bukaanka ah, samayn falanqaynta dhiig lagmamaarmaanna, si ay u qiimeeyaan awoodda xinjirowga dhiigga. Tiriyaa xogta US, laparoscopy iyo biopsy. Si loo qiimeeyo gobolka oo ka mid ah xididdada esophageal, isticmaali gastroscopy. Sida habka dheeraad ah, loo isticmaalo si raajito loogu xisaabiyaa.

Dadka daawanaya caafimaadkooda, ka eegi kartaa beerka by chemistry dhiigga. Waxaa lagama maarmaan ah si ay u qiimeeyaan heerka phosphatase xumadoodu, falgalka beerka - transaminases, bilirubin, protein total iyo albumin, kolestaroolka. Imtixaan iyo index prothrombin, sameeyo falanqaynta guud ee dhiigga gaddoonka ah.