He aha ka hepatomegaly o ka ate: nā hōʻailona, ​​nā meaʻai

Hōʻike nā ʻikepili iLive a nā poʻe loea lapaʻau e hōʻoia i ka ʻoi loa e hiki ke kūpono a kūlike me nā ʻike.

He kānāwai koʻikoʻi mākou no ke koho ʻana i nā kumuwaiwai ʻike a ʻike mākou i nā pūnaewele kaulana, nā ʻimi noiʻi noiʻi a inā paha, inā ua hōʻoia ʻia he mau noiʻi olakino. E hoʻomaopopo me ka helu ʻana i nā helu ma nā brackets (,,., A me nā mea a pau).

Inā ʻoe e manaʻo he pololei ʻole kekahi o kā mākou mea waiwai, outdated a i ʻole he nīnau'ē aʻe, e koho iā ia a kaomi Ctrl + Enter.

ʻO ka Hepatomegaly kahi mea hoʻonui i ka pīpī, kahi hōʻailona o nā maʻi like. E noʻonoʻo i nā kumu nui o ka hepatomegaly, nā ʻano, nā ʻano o ka maʻi a me ka mālama ʻana ..

ʻO ka nui ka huina e hele ai i nā kinipona kemika e hoʻohemo i nā meaʻawaʻawa. Hoʻohana ʻia ka puʻuwai ākea hepatomegaly a hiki ke loaʻa i nā hihia o ka nalo ʻana o nā ʻano etiology. ʻAʻole ka ʻepekema ʻepekema i kēia alapine i nā maʻi kūʻokoʻa, akā e wehewehe iā ia i ka maʻi hepatomegaly. ʻO ka manawa pinepine loa, ua hele pū ʻia kēia ʻōpū me ka hoʻonui ʻia o ka manakia.

, ,

ʻO nā kumu o ka hepatomegaly

ʻO Hepatomegaly kahi hōʻailona hōʻailona o ka hōʻino o ka ate, ke ʻano a me ke ʻano o ka mea i hilinaʻi i ka nui o nā mea puna. Loaʻa ia me nā maʻi o ka ʻōnaehana cardiovascular, nā hana pākoki a me nā maʻi hoʻokūkū. ʻO ka hoʻonuiʻana, ka huehue a me ka huhū e hele ana me ka cirrhosis a me ka hepatitis.

Hiki ke hoʻokaʻawale ʻia nā kumu o ka hepatomegaly o ka puʻu i kekahi mau pūʻulu, kēlā me kēia mea i hilinaʻi ʻia i ka maʻi nāna i kumu e piʻi ai.

E noʻonoʻo i nā kumu nui o ka hepatomegaly:

• ʻO ka hepatitis A, B, C, hepatitis paona.
• Nā maʻi maʻi maʻi: malaria,
• Ka hoʻomāleʻa i ka waikahe o ke akeʻa.
• ʻAʻole ka hoʻowalewale a me ka maʻi ʻawaʻawa.
• ʻO nā metastases cancerous i ka ate mai nā kumuwaiwai a me nā cysts e piha me ka wai.
• ʻO ka maʻi gaucher, glycogenosis.
• Nā loli nui i ka pepē.
• Kahi i nā papa o ka bile a me ke kāohi ʻana o nā vepatic hepatic.
• Pericarditis.
• Leukemia
• ʻO nā maʻi hōʻeha o ka ʻōnaehana lymphatic.
• Nā kumulima o nā pepelu: adenoma, hemangioma.
• ʻO ka hōʻemi ʻana o ka protein maʻamau i loko o ka puʻuwai ʻo amyloidosis.
• ʻO nā maʻi ma ka hopena.
• ʻO ka maʻi o Wilson, ʻo ia hoʻi, ka haʻalele ʻana o ke keleawe ma ka puʻuwai.

Nā ʻōpū o Hepatomegaly

Hoʻomaopopo ka hōʻailona o ka hepatomegaly i nā maʻi i kumu i ka hiki ʻana i ka nui o ka puhaka a me kāna mau ʻike loea. Inā ʻōlelo ka hepatomegaly (hiki i ke aniani ke nui nui), a laila hiki ke ʻike ʻia i ka palpation a hiki hoʻi i kahi i waho o ka ʻōpū. I ka palpation, lohe ka mea maʻi i ka ʻeha.

E noʻonoʻo i nā hōʻailona pili i ka hepatomegaly:

• Nā manaʻo hōʻeha a me kahi manaʻo kaumaha i ka ʻaoʻao ʻākau, ʻoiai ke hoʻololi nei i nā ʻano.
• ʻO ka pulupulu o kaʻili, kaʻili.
• ʻO ka ʻohi ʻana o ka wai i loko o ka ʻōpū, ascites.
• ʻO Yellowness o ka ʻili (he mau pinepine ka hele ʻana me ka hepatitis).
• Hōʻalolo ka kahi o nā stool (ʻeha a i ʻole constipation) a me kahi hoʻonui o ka ʻōpū.
• ʻĀpana a me nā halitosis.
• Kahula
• ʻO ka hiʻohiʻona o nā "hōkū hōkū" ma luna o ka ʻili.

Inā hele mai ka hepatomegaly no kahi hepatitis, a laila loaʻa i ka mea maʻi me ka hoʻonui a me ka hoʻopiʻi ʻana o ka parenchyma. Ma muli o kēia, hiki ke hoʻomaha ʻia ka palena haʻahaʻa o ka ʻā ma lalo o ke kumu kūʻai kumu. ʻO ka hoʻāʻo ʻana e manaʻo ai i ke akeʻai e hōʻeha a me kaʻeha. Me ka exacerbation o ka hepatitis, e mau ka ʻeha. ʻO ka hepatitis ke kumu o ke ʻano o ka ʻili a me nā hōʻailona o ka hauoli (nāwaliwali, ke kuni, ke poʻo.

ʻO ka hoʻopiʻi ʻana o ka hepatitis ka cirrhosis, kahi i hui pū ʻia e ka hepatomegaly. I kēia hihia, ua hoʻololi ʻia nā hepatocytes i ke aihue pili. Hoʻomaʻamaʻa ka mea maʻi i ke koko, he ʻano ʻeleʻeleʻeleʻele a me ke ʻano mau ʻana i ka hypochondrium kūpono.

Aia kekahi mau maʻi extrahepatic, ka hōʻailona nui e pili ai i ka nui o ke akeʻa. ʻO kēia mau kaona metabolic o ka hoʻoilina a me ke ʻano kūlohelohe. Ma muli o ka halaʻole o ka catabolism glycogen, hoʻomaka ia e hōʻuluʻulu i loko o ka ate, i alakaʻi ai i kona ulu wikiwiki. Akā i ka hoʻohui ʻana i nā ate, ka ʻeha a me nā mania e hoʻonui nui ai.

ʻO Hematomegaly ma muli o ka ʻaoʻao hema a ʻākau paha ke kumu hemochromatosis, kahi maʻi metabolic e hoʻonāukiuki ai i ka hoʻopōwili ʻana o nā ʻōnaehana ʻoihana e kuleana ai no ka hoʻopili ʻana a me ka hoʻopaʻa ʻana o nā pū hao hao. I kēia hihia, ulu ka nui o nā ʻāpana i kahi cirrhosis. Akā ʻaʻole e ulu wale nā ​​loli i ka minamina, akā, a i loko hoʻi o nā mea lohi. Hoʻomaʻamaʻa ka mea maʻi i ka pākī ikaika me ka pua sputum.

Hiki ke hoʻonui ʻia i ka puʻuwai a nā maʻi o ka ʻōnaehana cardiovascular. Ma muli o ka lawa ʻole o ka hiki ʻana, hoʻomōhala i ka ulu ʻana o ka cardiovascular, ka mea e alakaʻi ai i ka hoʻomohala o ka maʻi hypoxia. A ʻo ka hopena, e hoʻomohala ʻia kahi ʻōpū congestive. Hiki i ka hepatomegaly lōʻihi ke hoʻoluhi i ka necrotization o nā hepatocytes a me kā lākou mea hou me nā mea pili.

Hoʻolaha ka hepatomegaly i ka wā o ka nui o ke akea i ka pākeke ma mua o 12-13 cm. ʻO Streptococcal, staphylococcal a me nā maʻi ʻē aʻe e hoʻoulu ai i nā abscesses i loko o ka ate, kahi e hoʻopiʻi ai i ka hepatomegaly. I kēia hihia, lawe wale ʻia ka hana e ke ala maʻi, ʻo ka lawe ʻana i nā lāʻau lapaʻau ʻaʻole pono ka maikaʻi. Inā hoʻohālikelike ka loli i ka nui a me ke kūkulu ʻana o ka mea maʻi i ka cirrhosis (hoʻomoʻa pū me ka waiʻona a i ʻole nā ​​mea ʻona, nā mea inu), a laila hepatomegaly e hōʻeha pū i ka ʻeha a me ka hoʻonui ʻana i ka mananga.

ʻO ke kumu o nā loli loli i ka hepatomegaly paha ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau a i ʻole ka hōʻino ʻana i nā meaʻai momona. Hōʻike ka mana i kēlā me kēia lā i nā toxins ma ke kino e hana i ka hana aho lēwa, kahi hoʻololi ma ke ʻano a me ka nui o ka huelo. Hiki i kahi mea ʻaina hou ke hoʻonāukiuki i nā loli hoʻohuli ʻokoʻa, ma ke ala, he kumu maʻamau kēia o ka hepatomegaly i nā wahine.

Hoʻālu ʻia kahi ʻōkōla ultrasound e hoʻowalewale i ka hoʻonui ʻia ʻana o ka pūpū. Inā ʻike iki ka liʻiliʻi o ke kino a me ka hoʻopili like ʻana o ka parenchyma, ʻike ʻia ka mea maʻi no ka hepatitis. I ka mea hou aku, ke kūleʻa o ka haunaele i ka hana o ka palaleka o ke akea e hoʻopaʻi ʻia e nā hopena o kahi hōʻike koko biochemical. Inā hoʻololi nā loulou i nā ʻōhumu o ke ʻano, ua ʻike ʻia kahi ʻano palu a i ʻole nā ​​ʻano, a laila e hōʻike ana i ka cirrhosis.

ʻO ka mālama koʻikoʻi no ka hepatomegaly me nā loli ʻē aʻe e ʻai nei. Hoʻohana ʻia kahi mea ʻai no ka mea maʻi, ʻo ia ka mea e hōʻole nei i ka momona, nā ʻalā a me nā meaʻai maikaʻi, a me ka waiʻona a me nā ʻano maikaʻi ʻole ʻē aʻe. No ka hoʻomaʻemaʻe i ka ate, nā lāʻau lapaʻau kuʻuna, a ʻoiaʻiʻo, hiki ke hoʻohana ʻia nā lāʻau lapaʻau. Akā ʻo ka mea nui loa ma ka manawa pono e hoʻoholo i ke kumu o ka pathology a hoʻomaka i ka mālama koke a me ka hopena piha i nā hōʻailona o ka maʻi.

ʻO ka hepatomegaly ʻāpana

ʻO ka hepatomegaly ʻāpana ʻaʻole i hui like ʻole i loko o ka palupalu, ʻo ia hoʻi, he loli i ka nui o nā ʻāpana pākuʻi a ʻāpana paha o ke kumulā. No ka laʻana, hepatomegaly o ka ʻaoʻao hema a ʻākau paha o ka ate, e hōʻike ana i ka nui o ke ʻōpū i ke kino. I nā hanana ka hopena, loaʻa kekahi loli like ʻole i ka ʻaoʻao haʻahaʻa o ka puʻuwai. I ka palpation, ua ʻike ʻia kēia ʻano paleke a me ka tuberous.

Hiki i ka hepatomegaly ʻāpana ke loaʻa i ka ultrasound. ʻO ka maʻi ke ʻano o ka leo: he mau kue ʻole o ka hoʻopili ʻana o nā ʻiʻo o ka huelo. ʻO ka hele ʻana o nā maʻi o nā mea maʻi, cysts a i ʻole mau mea maʻi paha e hōʻike ana i kahi loli o ke kūleʻa a me ka holomua o ka maʻi.

, , ,

ʻO Hepatomegaly a me splenomegaly

ʻO kēia nā ʻōlelo ʻelua i ke alapine pinepine pinepine a hiki i kekahi ke hoʻonāukiuki i ka ʻano o ka lua. ʻO ka Hepatomegaly kahi mahuahua o ka pūpū, a ʻo ka splenomegaly ka nui o ka spleen. He hepatolienal syndrome, ʻo ia hoʻi, kahi hui pūwili a me ka loli i ka nui o ka manamana a me ka ate.

ʻO Hepatomegaly a me splenomegaly e pili ana i ia mau maʻi o ke kino:

1. ʻO nā leʻaleʻa a me nā maʻi palu (focal, diffuse), a me nā maʻi e hoʻoiho ai i nā maʻi puni i ka pūnaehana maʻi hepatic a me splenic.
2. Hemochromatosis, amyloidosis, maʻi Gaucher, hepato-cerebral dystrophy a me nā maʻi ʻē aʻe.
3. ʻO nā maʻi pākēlau a me nā maʻi hopohopo: nā maʻi ʻōpū o ka maʻi, nā maʻi maʻi, ke alveococcosis, mononucleosis hopohopo a me nā mea ʻē aʻe.
4. ʻO nā maʻi o ka kiko lymphoid a me ke koko: leukemia, lymphogranulomatosis, hemolytic anemia.
5. ʻO nā maʻi o ka ʻōnaehana cardiovascular, ka mea i hele pū me ka pilikia ʻole i hoʻopalike ʻia: ka maʻi naʻau coronary, nā puʻuwai naʻau, pericarditis.

ʻO ka hoʻopili ʻana i ke kaʻina pili o ka spleen e wehewehe ʻia e ka pili kokoke o nā hana o nā kino. He maʻi maʻamau ka maʻi Hepatolienal i nā maʻi maʻi pediatric ma mua o nā pākeke. ʻO kēia no nā hiʻohiʻona anatomical a me ke kino o ka nui o nā mea ulu. Nā maʻi maʻi maʻi, nā maʻi maʻi maʻi a me nā malenue congenital hiki ke hoʻonāukiuki i ka hepatomegaly a me ka splenomegaly.

Ma ke kānāwai, ʻaʻole paʻakikī ka maʻi a lawe ʻia e nā kamaʻilio ʻana a me ka palpation. ʻO ka pilikia nui e hoʻonā ai i ke kumu, ʻo ia hoʻi, kahi maʻi lalo i hōʻino ai i ka hepatomegaly a hōʻino ʻia i ka spleen.

, ,

ʻO ka pilina o ka hepatomegaly a me ka metabolism

Hoʻopilikia kekahi mau maʻi i ka hōʻeha ʻana o nā kaʻina kūlohelohe maʻamau i loko o ke kino, a ma muli o ke hopena i ka piʻi ai o ka ate. Nā hiʻohiʻona o kēlā mau maʻi:

1. ʻO ka glycogenosis kahi maʻi hoʻoilina i hoʻohālikelike ʻia ai ke ʻano o ka glycogen.
2. ʻO ka hemachromatosis kahi kūlana i komo ʻole ai ka hao i loko o ka wahie a me kona hōʻiliʻili ʻana ma hope o nā mea kino, me ka pūpuna. Ke hopena, e māhuahua ana kona nui,
3. momona momona - ka hōʻiliʻili o ka nui o ka momona i ke kino.

ʻO Hepatomegaly ma ke kua o ka hepatosis momona

ʻO ia kahi kahi i hoʻonuiʻia i ka ate i kumu e ka hoʻoneʻe ʻana o nā huelo i nā momona. ʻO ka pinepine, ʻo kēia maʻi e loaʻa i ka wā e hōʻiliʻili ai nā lipids i nā ʻāpana o nā pepeka (hepatocytes). Hoʻoulu ka pathology ma muli o ka hōʻike o ke kino o ka waiʻona, nā momona momona, nā mea kanu a me nā mea maikaʻi ʻole.

Hoʻololi ʻia ka hema hema, momona ka hepatosis i nā fibrosis a me ka cirrhosis o ka nui ole. Aia kekahi mau helu o kēia maʻi:

• I ka papa mua, loaʻa nā foci o nā pūpū me ke koikoi kiʻekiʻe o nā momona maʻalahi. Inā he nui o nā foci, a laila hiki iā lākou ke hōʻōla i nā loli i ka ʻili o ka puʻu.
• I ka lua o ka lua, hoʻonui ʻia ka nui o nā pūpū momona, a ma waena o nā kelepona pili ʻana e hoʻomaka ka ulu.
• I ka ʻina hope, hōʻike ʻia nā ʻāpana o ka pili pili, kahi e alakaʻi ai i ka fibrosis a me ka hepatomegaly koʻikoʻi.

ʻO kekahi o nā kumu o ka hepatomegaly kū'ē i ke kua o ka hepatosis momona a me nā maʻi metabolikōlō a me ka momona. Akā aia kekahi mau mea e hiki i ke kumu o ka maʻi, e noʻonoʻo iā lākou:

• ʻO nā maʻi e hoʻoiho ai i nā lipid metabolid lip: type 2 diabetes mellitus, obesity, hypertriglyceridemia a me nā mea'ē aʻe.
• Hoʻopilikia waiʻona i ka palau. Ma muli o ka hana mau ʻana o nā mea o nā mea make, ua pau ka hana i ka hana pono i kāna mau hana, kahi e alakaʻi ai i kona huhū a hoʻonui. Aia kahi mea like me ka hepatosis momona kūlohelohe ma muli o ka hoʻohana pono ʻana i ka waiʻona.
• ʻO nā maʻi a me nā maʻi kūlike. Lawe ka papa i ka hana ikaika i ke kaʻina hana ʻana, akā inā loaʻa kahi hewa o ka hoʻopili ʻana o nā momona a i ʻole ka pau ʻana o nā molika bile, a laila e pili ana i kēia mau ʻōkuhi koʻikoʻi.
• ʻO nā maʻi o ka pūnaehana endocrine. ʻO ka hepatosis momona e kū pono me ka hana o ka nui o nā hormones o ka cortex adrenal a me ka nele o ka hormone thyroid.
• ʻO ka hānai kūpono hiki ke hoʻopilikia lipid, ka mea e alakaʻi ai i ka hepatomegaly a me ka hepatosis momona. Nā ʻai maʻamau, kahi palena o ka protein, ka hookeai maʻamau, nā loli pinepine i kaʻai ʻana. Ke alakaʻi nei kēia mau mea i ka hoʻohaʻahaʻa ʻana i ke kino a me ka maopopo o ka neʻe ʻana o nā pūpuna o nā ate e hana i kā lākou hana.
• ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau a i ʻole probiotics, a me ka radiation, e hoʻoikaika ai i nā maʻi o ka ate

ʻO ka hōʻailona nui o ka hepatomegaly e kū i ke kua o ka hepatosis momona ʻo ia ka nausea, luaʻi, ke ʻeha i ka hypochondrium kūpono. Hoʻomohala ka mea maʻi i ka dysbiosis, nui aʻe ke ʻano o ka ʻili, a hiki paha ke emi o ka ʻike ʻike. Hōʻike nā hōʻailona hōʻailona i ka maʻi ma ka la hope loa o ka hepatosis momona.

, , , ,

ʻO Hepatomegaly i nā keiki

Hiki i nā Hepatomegaly ke hele i nā keiki i kēlā me kēia makahiki, i nā keiki hou a i nā ʻōpio a i ʻole nā ​​keiki ʻokoʻa makua. ʻO ka hoʻonāukiuki i nā meaʻai, nā kaʻina autoimmune i loko o ke kino a me nā mea ʻē aʻe e hiki ke hōʻeha i nā poloka o ke akeʻa a me nā pōpoki. No ka laʻana, i nā keiki he 5-7 a mau makahiki, ʻo ka hoʻonui ʻia o ka ate he mea pili pono o ka makahiki, no laila he mod hepatomegaly. Kēia ʻano hanana physiological e koi ai i ka lawena a me ka mālama ʻana. Akā inā loaʻa kēia i nā keiki kahiko, a laila paha ke kumu i loko o nā maʻi kino a i nā maʻi paha.

ʻAʻole wale ka pōpilikia i kahi pepeha ākea, akā nā hōʻailona pili pū. Inā ʻōpiopio ka pēpē i ka ʻeha ma lalo o nā iwi kuʻi, rashes a me nā loli i ka pigmentation o ka ʻili, ka hiʻohiʻona o nā spider veins ma luna o ka ʻōpū, nausea a me ka auwaʻi, nā wikiwiki wikiwiki a me ka nalowale o ka makemake, hōʻike ʻia kēia mau pilikia olakino koʻikoʻi. Loaʻa kekahi o nā hōʻailona o luna ma ke ʻano me ka ake nui i kumu e ʻimi koke ai i ke kōkua olakino. Kaukau aku kāu kauka i nā hoʻokolohua e hōʻoia ai a hoʻoholo i ka hōʻino kino.

He ʻokoʻa nā kumu o ka hepatomegaly i loko o nā keiki, akā ua ʻike ka poʻe kauka 6 i nā mea nui e hiki ai ke alakaʻi i nā pilikia, e noʻonoʻo iā lākou:

• Nā maʻi mumū - nā maʻi koena (herpes, cytomegalovirus, rubella), nā mea make a me ka hōʻino ʻana i ka lāʻau, ke pani ʻana i ka lumen o ka tractary tract, hepatitis A, B, C, nā maʻi parasit.
• ʻO ka hōʻaha o ka metabolic - hanaʻole i ka hana a me ka metabolism o ka glycogen, metabolic disorder o ka protein, ka maʻi a Wilson, ka huina metabolabula o lipids, mucopolysaccharidoses, porphyria a me nā mea'ē aʻe.
• Nā kino make (infiltrative) - nā maʻi hemolytic o nā pēpē, lymphoma, leukemia, hepatoma, metastases, hematopoiesis i nā "atypical" kino, histiocytosis.
• ʻO ka hōʻino ʻana o ke kahe o ka bile a me ke koko - cirrhosis, stenosis, thrombosis, atresia, hōʻeha naʻau, maʻi ʻo Wilson.
• ʻO ka poʻokela mua o ka ate ka multixystosis, congenital fibrosis o ka ate, cirrhosis biliary a me nā mea ʻē aʻe.
• ʻO Hyperplasia o nā seleka Kupffer e hoʻopili ana a hoʻōla i nā mea make - granulomatous hepatitis, sepsis, hypervitaminosis.
• ʻO ka hepatomegaly hewa - hoʻomohala ma muli o nā ala o ke ʻōnaehana pēpē, me ka laʻana, me ka emphysema. Hoʻokomo ʻia nā ʻiʻo e hoʻonui i nā palu mai lalo o nā iwi

No ka hoʻokolohua, hana ke keiki i ke kamaʻilio ʻana o ka ʻōpū o ka ʻōpū a me ka palpation. Hoʻouka ka nānā pono i ka network vous vascular network i loko o ka ʻōpū, ka hoʻololi i ka pigmentation o ka ʻili a me nā membous mucous, nā hōʻailona o ka hoʻomāʻeha, ʻeha a me ka ʻeha. Inā haʻo hepatomegaly, a laila hele ʻole nā ​​hōʻailona kikoʻī.

No ka hōʻoiaʻiʻo ʻana i ka hōʻino kino ʻana, e hana ʻia kahi scan ultrasound. Hōʻoia ʻia kēlā maʻi me ka haʻalele ʻana o nā hōʻike waho o ka hepatomegaly. ʻ allowslelo i ka mākeke ke ʻike i nā ʻano like ʻole o ka maʻi, e ʻike i nā kolohe i ke ʻano o ke ʻano o ke kino. Wahi a nā hopena o ke hoʻokolokolo, koho ʻia ke ʻano kūpono kūpono. Akā, ʻaʻole mālama ʻia ka hepatomegaly iā ia iho, ka maʻi lalo o ka mea i hoʻokumu ai i kēia ʻano pili ma ke ʻano o ka mālama ʻana.

ʻO Hepatomegaly i loko o ka pūpū e hōʻike ana o ka nū o ka embryo ma mua o ka maʻamau. Ua maʻalahi ke ʻano o ia neʻe, me ka hoʻonui ʻia ʻana o ke kino i ka hoʻonui ʻana i loko o ka ʻōpū, hiki ʻole ke nānā pono iā ia i ke wā ka ultrasound o ka wahine hāpai. ʻO ka hana nui a ke kauka ke hoʻoholo i nā kumu i loaʻa i ka pathology ma ke keiki hānau ʻole. Hoʻokumu ʻia nā hana pili me ka prognosis e pili ana i kēia.

Aia nā kumu he nui e hoʻoiho ai i ka hepatomegaly i ka pūpū, e noʻonoʻo pono iā lākou i nā kikoʻī:

• ʻO ka hopena o ka intrauterine - nā hopena maikaʻi ʻole o ka toxoplasmosis, cytomegalovirus, chickenpox, rubella, Coxsackie virus, syphilis a me ka hakakā pū Rh, hiki ke alakaʻi i ka nui o ka puuwai.
• Nā ʻōmole puka āpau.
• ʻO nā maʻi ma ka hopena.
• Haki puʻuwai.
• Hemolisis.
• ʻO Syndrome Datsna, Beckwith - Wiedemann, Zellweger.

Inā hepatomegaly e kū kūʻē i ke kua o ka maʻi o ka intrauterine, a laila alakaʻi kēia ʻaʻole wale i ka hoʻonui ʻana o ke io, akā i nā hiʻohiʻona o nā mea hoʻohālikelike o ka hyperechoic liʻiliʻi. ʻO nā mea hoʻopiʻi neoplastic i loko o ke ake o ka pūpū, hiki ke hemangioma, hepatoblastoma, adenoma, mesenchymal hamartoma, a me nā mea'ē aʻe.

Hoʻohui pinepine ʻia, hoʻohui ʻia ka naʻau me nā pathologies o ka manakia. Ma ke ʻano he kānāwai, ʻike ʻia ka hepatomegaly i ka lua o ka hapai. Akā ʻo ka mea nui a ʻike i ka nānā ʻana i kēia mau pilikia, ʻo ia ka hoʻopau ʻana i kahi maʻi Down. Hoʻokomo ʻia nā ʻaoʻao o ka hoʻolaha ʻana i ka hapai i nā kumu o nā patology, no ka mea he nui ka loaʻa ʻana o ka hepatomegaly i loko.

ʻO Hepatomegaly i nā keiki hou

Ua manaʻo ʻia he mea maʻamau inā he ʻano kīnā ʻole ʻia, he emi iho i ka 2 cm. He laulaha ka papa inoa o nā maʻi, no ka mea ʻaʻole i ʻike ʻia ka hepatomegaly o kāna iho, akā hōʻailona ke ʻano o nā maʻi o kahi meaola a meaola paha. ʻO ka Hepatomegaly syndrome e pili ana me ka pilikia ʻana i ka ʻai ʻana, nā kaʻao autoimmune, a i ʻole kahi ʻano ma hope o ka hoʻōla ʻana.

ʻO nā kumu nui o ka patology e waiho ana i nā kaʻina maʻi a me nā dystrophic i loko o ka parenchyma ate. Hiki i ke Hepatomegaly i loko o nā keiki hou ke ʻano koʻikoʻi. E noʻonoʻo i nā kumu nui o ka palaleka o nā pēpē i nā pēpē:

• Nā maʻi maʻi e kokoke loa i nā maʻi ākea āpau i ka pēpē me ka hoʻopiʻi a hoʻonui i nā ʻāpana.
• ʻO nā maʻi o ka pūnaehana cardiovascular a me ka hanu - hiki i kahi pathology ke hoʻomohala ma muli o ka maikaʻi o ka ventricular kūpono.
• Hoʻokiʻoki i nā kumu o nā bile a me nā popo o ka punawai bile - ua loaʻa kēia ʻano maʻi, akā ke kumu kekahi i ka piʻi ʻana o ka ate. ʻO nā maʻi nui ka maʻi, a i ka wā e hoʻāʻo ai i ka palpate i ka ʻōpū, hoʻomaka ke keiki e uē.
• ʻO Cholangitis - ʻike ʻia hepatomegaly ma muli o ke kūwaho o nā kumu o ka hua bile. Hoʻopiʻi ʻia ka maʻi maʻi me ka ʻeha a me ka ʻeha ma ka hypochondrium kūpono.
• ʻO Debreu Syndrome - ke hele mai kahi ala ma nā keiki i ulu maikaʻi ʻole. Ma muli o ka lohi ʻana o ka hoʻomohala i ka ate, ka glycogen a me ka momona i hōʻiliʻili, i hiki ai i ka maʻi hepatosis.
• ʻAno nā maʻi o ka lipid metabolism - i kēia hihia, ua hānau nui ka pēpē i ka maʻi paleka, huʻu a me ka ʻili.
• ʻO ka Echinococcosis kahi maʻi i hoʻoiho ʻia e ka hoʻomaka ʻana o nā palaki tapeworm i loko o ka ate. Hoʻopilikia ka ʻatikala i ka hoʻonui ʻia o ka pīpī. ʻO ke kumu nui o ka echinococcosis ka pilina me nā holoholona, ​​ʻoi loa nā ʻīlio.
• ʻO ka maʻi Voringer - maʻi hepatomegaly i nā keiki me nā hōʻailona autonomic a me ke kaumaha kino kino.
• ʻO ka maʻi Moriak kahi hoʻopiʻi i ka maʻi mellitus o ka maʻi mellitus, kahi e hōʻemi ai i ka hōʻemi o ka momona i ka puʻuwai o ke pēpē.
• ʻO nā mea ʻeha o ka naʻau - ua loaʻa ʻo ka hepatoblastomas a me nā maʻi o ka hoʻokaʻawale ʻana, akā hiki ke metastasize a pāpaʻi ʻia kekahi a me nā ʻalopua ʻelua o nā ate.
• ʻO kahi maʻi ka maʻi o Girke ka maʻi maʻi o ka hōʻiliʻili glycogen. Ma kahi o ka hoʻonui i ka ate, e hoʻonāukiuki i ka mea hoʻokūkū, ka nui o nā kiko o ka waikawa lactic i loko o ke koko a me ka huna ʻana o ka acetoacetic acid i loko o ka urine.

ʻOiai ke ʻano o nā kumu like a me nā mea e kumu ai ka hepatomegaly i loko o nā keiki hou, aia kekahi mau hōʻailona maʻamau e hōʻike ana i kahi maʻi, e noʻonoʻo iā lākou:

• ʻO Jaundice o ka ʻili - ʻike mau ka jaundice me nā maʻi maʻi he nui. ʻO ka nānā pono e uku ʻia i ke kala o nā feces o ke keiki. Inā loaʻa ʻole ka palu poloka ʻo ka pēpē, ʻimi koke koke i ka lapaʻau.
• Nā ʻatikala hua pipi i ka ʻōpū.
• ʻAno, hui, ʻona maikaʻi ʻole.
• Lethargy, ʻeha.
• Ka huehue o Navel - e hana wale kēia i nā maʻi koʻikoʻi o ka pūpū a me ka ʻōpū o ka ʻōpū. Ua hoʻonui nui ʻia ka ʻōpū o kahi keiki ma muli o ka hōʻuluʻulu ʻana o ka wai.

Hoʻouka pono ka nānā ʻana i nā pēpē i hoʻopilikia ʻia e ka maʻi me ka hepatomegaly. I kekahi mau hihia, ʻo ia ka mea e hoʻonui ai i ka leʻā e hana e like me ka hoʻomaka ʻana o ka maʻi maʻi maʻi HIV. I loko o kēlā mau keiki, ke piʻi aʻe ka spleen, nā maʻi ʻōpū o ka hanu kiʻekiʻe, dermatitis, nā puʻupuʻu, a me ka hoʻonui ʻia nā lymph node. Inā maʻi ka maʻi i ke ʻano he maʻa, hiki i ka pēpē ke hoʻomanawanui i ka candidiasis waha lōʻihi, ka maʻi hepatitis, nā maʻi ʻomaʻomaʻi, ʻomaʻika, maʻi anemia, meningitis a sepsis hoʻi.

Hepatomegaly i ka wā hāpai

Hele pinepine ia. E like me ke kānāwai, holo mai nā pilikia o ka ate i ka trimester hope loa. Ma muli o ka hoʻonui o ka ʻōpū, e piʻi ka leʻa i ka ʻākau, e lilo loa ke ʻala i nā puʻupuʻu piha a piha. I ka manawa like, ua hoʻemi ʻia nā huakaʻi o ka diaphragm, kahi e hoʻoneʻe ai i nā pilikia i ka hoʻopau ʻana i ka hua bile. Eia kekahi, i ka wā hāpai, aia kekahi mau loli e pono ai e noʻonoʻo i ka wā e hoʻokolokolo ai i kahi huina. No ka laʻana, ka hiʻohiʻona o nā veins spider ma luna o ka ʻili, kahi i hoʻonui ʻia o nā momona momona, triglycerides i loko o ka serum koko a i ʻole kolamu. ʻO kēia a pau kēia ma muli o ka mana o ke estrogen a me ka progesterone a me ka hoʻonui ʻana i ka nui o ke koko kahe.

ʻO nā maʻi āpau āpau e kū mai i ka wā hāpai a hoʻoili i ka hepatomegaly i māhele ʻia i ʻekolu hui:

• Hoʻokomo pū ka hui pili ʻana i ka wahine hāpai (e loaʻa wale i nā wahine hāpai).
• ʻO ka cholestasis Intrahepatic i nā wahine hāpai he maʻi ka mea i hōʻike ʻia ma 20% o nā wahine. Hoʻokumu ʻia ka pathology i kahi predisposition he hua iho i kahi hopena cholestatic hiki ʻole i ka estrogens a me nā progesterones i hana ʻia i ka wā o ka hōʻea.
• Hōʻino ka pōpilikia ma muli o nā hōʻike o ka toxicosis (me ka make nui). Hōʻike kekahi hanana like i 2% o nā wahine hāpai a ulu a ma waena o 4 a me 10 mau hebedoma o ka uluʻana, ke pani ʻia e ka wiki he 20 o ka hapai. Ke hele nui nei ka luaʻiʻai i ka dehydration, protein catabolism, hoʻopilikia electrolyte a me ka pohō kaumaha.

Eia kekahi i nā kumu i luna aʻe, hiki i ka hepatomegaly i ka wā hāpai a hiki ke hele mai ma muli o ke ʻano vascular, hepatosis momona, ka maʻi maʻi, ka maʻi leʻaleʻa, nā maʻi maʻi, nā neoplasms tumor a me nā cysts.

,

He aha kēia

ʻO ka Hepatomegaly kahi nui o ka nui o ka ate. ʻAʻole kēia maʻi he maʻi kūʻokoʻa, akā e hōʻike nei me kahi hōʻailona o nā maʻi āpau. I kekahi manawa hiki i kēia ʻanuʻu ke ulu i kahi nui like a ʻike ʻia ma luna o ka ʻōpū o ka ʻōpū.

I ka hihia o ka metabolic, hoʻomaka ka puʻuwai e hōʻiliʻili i nā kao, nā momona a me nā huahana metabola ʻē aʻe, i mea e hoʻonui ai iā ia.

Nā maʻi lahilahi maʻamau i nā pākeke

Ke kamaʻilio e pili ana i ka nui o ke kino, pono ia e kāpae ʻia e nā ʻano o ka loiloi i loiloi ʻia. I ka hoʻoholo ʻana i nā ʻāpana ma ke kaomi ʻana (percussion), kā lākou mau kumu maʻamau he 9x8x7 cm. Hiki iā lākou ke hoʻololi i ka kiʻekiʻe o ka mea maʻi. Ma mua o ka kiʻekiʻe, e ana paha ka lika o ka ate i ka 1 cm nui. Me ka ulu liʻiliʻi, e emi ana i ka 1 cm.

Ke waiho palpating (ma ka palpation) i ka haʻalele ʻana o nā maʻi, aia kēia ʻano parenchymal i loko o ka hypochondrium kūpono a ʻaʻole i pākaʻi aku ma mua o nā palena o ka papa lāʻau. Inā loaʻa ka ʻaoʻao i lalo, a laila hiki i kēia ke lawelawe me ka hōʻailona o ka hepatomegaly a i ʻole ʻole ke kala ʻana i nā mea maʻi no ka enteroptosis a i ʻole nā ​​maʻi o nā umauma umauma (emphysema, etc.). I mea e wehewehe ai i nā kumu i ke kaʻe o ka lehelehe o ka ipo ma lalo o nā iwi liʻiliʻi, pono e hoʻohana i ka percussion, ultrasound a i ʻole x-ray.

ʻO nā hiʻohiʻona maʻamau o ka mea i ka wā e nānā ana iā ia me kahi mea ultrasound ma ke anteroposterior direction he 12.5 cm i ke ana ʻana i ka pahu ʻākau a me 7 cm - ka pahu hema. ʻO ka nui ʻōpiopio o 20 - 22 cm.ʻO ka nui o ke ana o ka pūnao vascular e pili pū kekahi.

ʻO nā kumu no ka hoʻomohala bolohy

Nā kumu āpau e alakaʻi i ka hoʻomohala ʻana i ka hepatomegaly pepeke i ʻekolu mau pūʻulu:

1. Maʻi maʻi. I kēia hihia, aia kekahi lesi o nā hepatocytes (nā selia o ka nui), kahi e hoʻowalewale i ka ʻano o ka punia o ka punia a i ʻole kāna hoʻoponopono. ʻO ka hoʻonui ʻia o ke ate ma muli o ka edema e nalowale ma hope o ka neʻe ʻana o ke aʻa. Me ka hoʻonui hou ʻana o ka hepatocytes, paʻakikī iki nā mea āpau. Ma kēia kaʻina hana, hoʻihoʻi wale ʻia nā māhele o nā ʻāpana o ke ate, a ke hoʻololi ʻia ke koena e ka huakaʻi (scar). Ke hopena o ia mea, e piʻi pinepine ka naʻau i loko o ka nui a lilo i hawewe, pohū. Hiki i nā maʻi o ke ake i ke kumu o ka hepatomegaly: autoimmune a me ka hepatitis viral, echinococcosis, polycystosis, cirrhosis a fibrosis, neoplasms malignant, etc.
2. ʻO nā maʻi o ka hōʻuluʻulu. Ma muli o nā hopena o ka metabola o nā puʻuwai, glycogen, hao, nā kākoi, nā momona a me nā mea waiwai ʻē aʻe e hōʻuluʻulu i luna, alakaʻi i kahi nui o ka nui o ke kō. ʻO kēia mau maʻi me ka hoʻōla o ka hepatolenticular, amyloidosis, hepatosis momona, hemochromatosis. He nui nā mea o lākou he hoʻoilina. Akā ʻo kekahi, e like me ka hepatosis momona, hiki ke hele mai ma muli o ka ʻūhā maʻamau, ka inu ʻona, ka hoʻohana ʻana i nā lāʻau lapaʻau lōʻihi.
3. ʻO nā maʻi Cardiovascular i hele pū me ka pana ʻole o ke alapine a alakaʻi i ka pololi oxygen i nā hepatocytes a me ka stagnation i loko o ka ate. ʻO ke kumu o ka hepatomegaly i kēia hihia ke make o nā pūpuna o nā nāu a me ke kūkulu hou ʻana o ka ʻili hoʻohui ma ko lākou wahi.

Nā ʻano hoʻonohonoho

He nui nā ʻano o ka holo ʻana o Hepatomegaly, ka mea i hoʻokaʻawale ʻia e ka nui o ke ʻano:

1. Hōʻike ʻole ʻike ʻia - nui ka ate e 1-2 cm, ua hala ʻole ke kiʻi hōʻailona. Hiki ke ʻike ʻia ka maʻi ma o ka diagnostics ultrasound wale nō.
2. ʻĀpana ʻāpana - ua hoʻonui ʻia kekahi mau wahi o ka wahī. ʻO ka pinepine, ʻike ʻia nā ka ʻole ʻana o ka homogeneity o ke ʻano o ka ate. ʻO kēia kūlana he mea pōʻino e hoʻonāukiuki ai i nā hiʻohiʻona o nā oncological tumors, cysts, formul purulent.
3. ʻO ka hepatomegaly maʻalahi ka liʻiliʻi o ka hōʻemi o ka naʻau, hiki ke hoʻoulu ʻia e ka meaʻai kūpono ʻole, hoʻohana pinepine ʻia nā mea inu ʻaka. Eia kekahi, ʻike pinepine ʻia kēia ʻano maʻi i nā pēpē.
4. ʻO ke ʻano nui o ke kaʻina pathological - ʻoi aku ka hoʻonui ʻia o ke kino hoonui. Aia kekahi kiʻi hōʻailona hōʻailona e hōʻike i ka wikiwiki o ka hoʻomohala ʻana o nā ona pathology. Inā ʻinoʻino ka maʻi ʻole me ka hana kūpono, hiki i ka ate ke noho i ka ana o peritoneal holoʻokoʻa. ʻO ke kumu no ka hoʻomohala ʻana i kēia kūlana, ʻo ke kaʻina oncological.
5. Hoʻololi i ka hepatomegaly - ʻo ka nui o ka nui o ke akea he 12 cm a ʻoi aʻe paha i mua o ka mea maʻamau. Loaʻa ka hoʻokumu ʻana o nā papahū he nui. I kēia ala, hiki ke hoʻōla ʻia ka maʻi ma o ke komo ʻana.

ʻO nā ʻōnaehana i loaʻa ma mua o ka hoʻomohala ʻana o ke ala hōʻino o nā maʻi e hoʻihoʻi a hiki ke hoʻoponopono ʻia e ka lāʻau lapaʻau a me ka loli.

ʻO ke ʻano ākea o ka maʻi he paʻakikī pathological paʻakikī e kū mai i ka wā o ke cirrhosis, nā puka kiʻekiʻe o ka hepatitis, ʻo ka hele ʻana o ka maʻi maʻi. ʻAʻole hiki ke mālama ʻia ma muli o ka hiki ʻole e hoʻopau i ka maʻi i hoʻonāukiuki i ka nui o ka puhio.

ʻO ka pae nui o ka hepatomegaly i hilinaʻi i ka maʻi a i ʻole ke kumu i kumu.

ʻO ka hōʻike nui o ka hepatomegaly:

• ka ʻeha ʻana i ka hypochondrium kūpono - ʻo ka ulu ʻana i ka nui, e hoʻoulu ana ma hope o ka lawe ʻana i kahi mea momona a ʻai paha,
• ʻeha i ka wahi like, e hoʻonui ana i ke kūlana ma ka ʻaoʻao ʻākau, i kekahi manawa - hōʻeha ma ka ʻāina lumbar.

Me ka hepatomegaly koʻikoʻi, hiki i ka ʻeha ma ka ʻaoʻao ʻākau ke kū me nā neʻe.

• hoʻonui ʻōpū
• ʻeha nā huakaʻi,
• nā hōʻailona o ke hoʻoulu ʻana o nā ʻanā o kēia ʻaoʻao, i hōʻike ʻia e ka hōʻino ʻana i nā hana o kēia mau kino.

ʻO nā maʻi dyspeptic i nānā ʻia me ka hepatomegaly he mau hoʻololi ia no ka ʻaoʻao o ke kaomi. E pili ana kēia:

• ka ʻawa ʻawa i ka waha
• mea hanu
• ka hoʻowahāwahā ʻole ʻana me ka ʻaʻa o kahi hua stale,
• puʻuwai
• ninini
• nāliʻi a i ʻole ka constipation
• kaūū a me ka ālai ʻia.

Ua ʻike ʻia nā hōʻailona hoʻohuli o ka hepatomegaly (ʻaʻole lākou he hopena pololei o ka hoʻonui ʻana i ke ake a ulu kūʻokoʻa ʻole ʻia o ia, akā pili nā kumu o nā hepatomegaly):

• hua laikē ʻalani ma ka lehelehe,
• ascites - nā manu kao i loko o ka ʻōpū o ka ʻōpū,
• ʻili kino ʻili,
• ʻili "wīwī" - ke ʻano hiʻohiʻona vascular,
• kaʻiliʻili
• ʻohi ʻana i ka ʻili o nā palma, lae a me nā lipu nasolabial,
• ʻāpana kukui o ka ʻili, ʻike ʻia nā membrane a me nā sclera. Me kekahi mau maʻi, kahi ʻōlohelohe ʻano ʻōpiopio,
• kahi kikoʻī i kūpaʻa ma nā pāpālina - kaomi pinepine ʻoi i nā pōpoki, i ʻā ʻia me nā "hōkū" vascular.
• pīʻalo ʻia ka hoʻāhu ʻana o kekahi ʻōiwi,
• nā maʻi palaka (palmar erythema) - ʻulaʻula o ka ʻili o ka palmar palaki o nā lima,
• i kekahi manawa - ʻulaʻula ʻia o nā ʻalā (e like me nā maʻi hepatic),
• ka ʻaʻa ʻana o nā kōpili palalike.

ʻO nā hōʻailona maʻamau e hiki ke kū mai me ka hepatomegaly:

• hiki ke hiʻona koke o ka hana hana a me nā ʻoihana hana ma nā lula maʻamau,
• nā mea ʻike ʻole ʻike ʻole
• lohi ma hope o kahi lohi iki a ʻoiai hoʻi ma ka hoʻomaha.
• hiamoe ka hiamoe - he manaʻo ʻole o ka hiamoe.

ʻO ka pinepine, ʻo ka poho i loko o ke kūlana maʻamau i mālama ʻia me ka hoʻoluhi, e ulu pū me ka hōʻeha kino o ka puʻū - me ka poʻe i hoʻonāukiuki i ka hepatomegaly.

He aha ka hépatomegaly haʻahaʻa?

ʻO ka hepatomegaly moder ka mea i manaʻo ʻia he hoʻonui liʻiliʻi ma nā ʻāpana metric o ke akeʻa, ʻaʻole iʻoi aku ma mua o 20 mm, hiki ke loaʻa wale i ke ʻano o ka hoʻohana ʻana i nā ala e pili ana. ʻO nā hōʻailona maʻamau o ka hepatomegaly maʻalahi, he liʻiliʻi ka mea, e hoʻopiʻi i ka hoʻomaka mua ʻana o kēia ʻano. Hōʻike ʻia nā haukapila o ka hepatomegaly moderate me kahi papa lōʻihi a me ka lesion manuahi o ka parenchyma, i ukali pū me ka hana maʻi impaired. Pēlā, ʻo ka hepatomegaly moderate e hele i ka holomua a hoʻonāukiuki i kahi maʻi olakino koʻikoʻi o ka mea maʻi.

ʻO nā hōʻailona maʻamau o ka hepatomegaly hōʻemi ke hōʻike nei i nā mea hoʻohālikelike maʻamau i ke ʻano o ka nāwaliwali ʻole unmotivated, ka hoʻoluhi, ka mea ʻole i ka hana pilikino o ke kanaka.Hapa ʻo ka hepatomegaly aneane ʻaʻole loa e hoʻoulu i ka ʻeha nui i loko o ka ʻōpū o ka ʻōpū, akā naʻe, ʻo kekahi mau mea maʻi e loaʻa nei i kēia pathology e hōʻike ana i kahi manawa maʻamau o nā manaʻo ʻino ʻole o ke kaumaha ma ka epigastrium ma ka ʻākau, heartburn a me ka nalowale i ka momona ma ke ʻano o ka hoʻoemi. ʻO ka haunaele o kēlā mau ʻike nonspecific o ka hepatomegaly moderate e pono ai e hana hou i ka instrumental examination o ka mea maʻi i mea e hoʻopau ai i ke kumu o kāna hiki ʻana mai. ʻO ka pilina mua i ka maʻi ʻo ka hepatomegaly o ka maʻi he scan ultrasound o ka ʻōpū o ka ʻōpū, akā naʻe, pono e noʻonoʻo ʻia i kekahi mau mea maʻi, hiki i ka ultrasound ke paʻakikī, a no laila, pono e hana ʻia kahi loiloi hou o ka ʻōpū o ka ʻōpū.

Hiki i nā hōʻailona o ka hepatomegaly mau ke hoʻololi i ka kūlohelohe i ke ʻano, ʻo ia hoʻi, ʻo ka hoʻonui ʻana o ka ate ʻaʻole ia e hele a ʻano like ʻole, akā, no ka hoʻololi ʻana i nā wahi palena o ka parintyma hepatic, nā hōʻailona echo kahi e ʻike ai i nā wahi o ka hoʻopilikia ʻana i ke ʻano ma ke ʻano o nā abscesses, tumors, metastases.

Hoʻomaʻamaʻa pinepine ʻia ka hepatomegaly maʻi e kahi maʻi e like me ka hepatosis momona, ʻo ka pathomorphological kumu o ia ka degeneration o hepatocytes i loko o nā loko momona. ʻO ka mea nui etiopathogenetic i ka hoʻomohala ʻana i ka hepatomegaly moderate ma muli o ka momona hepatosis he obimentity alimentary, ʻo ia hoʻi, e hoʻopau ana ke kanaka i ka nui o nā momona maʻalahi. ʻO ka maʻi hepatosis e pili ana i kahi ʻano holomua holomua o ka hepatomegaly a ua hoʻokaʻawale ʻia nā ʻina i ke pathogenesis o kona hoʻomohala ʻana.

Naʻi hoʻolika

ʻAʻole hiki i ka mea maʻi ke hoʻomaopopo i ka hepatomegaly haʻahaʻa ma kāna iho, ʻoiai ʻaʻole i ikaika nā hōʻailona, ​​he paʻakikī nō hoʻi i ka nānā ʻana i ka hoʻonui ʻia o nā puʻu o nā papa.

No kahi hōʻike pololei, ʻike ke kauka i ka mōʻaukala o ka mea maʻi i ka hoʻopiʻi ʻana i kāna hoʻopiʻi, palpates i ka ʻōpū o ka ʻōpū, ʻo ia hoʻi ka hypochondrium. Ma hope o ka hoʻokolohua, kuhikuhi ʻia nā ʻoihana a me nā diagnostics. He mea koʻikoʻi ʻaʻole ia e hōʻoia i ka ʻoiaʻiʻo o ka hoʻonui o ka puʻu o ke ʻolua, akā e ʻike pū ai i ke kumu maoli kahi i loaʻa ai.

Pākuʻi ʻia ʻo Diagnostics kēia hana:

• biochemistry koko
• hōʻike hoʻoliʻi koko
• hōʻike ʻaihue
• immunogram
• coagulogram
• nā hōʻike no nā māka ʻōpū (inā pono),
• loiloi ʻaʻa
• ʻO ka nānā aku ʻana o ka ʻōnaehana i ka ʻōpū o ka ʻōpū,
• radiology
• ka hoʻohui kikoʻī.

Ma hope o ka loaʻa ʻana o nā hopena hōʻike a pau, kākau ke kauka i ka regimen mālama ola ʻoi loa.

Nā kānāwai holoʻokoʻa

Hepatomegaly - He huaʻōlelo e hōʻike ana i kahi neʻoki maoli kuʻuna / hoʻonui i ka nui o nā metric o ke akeʻa. Diagnosed e ke kino (palpation, percussion) a me nā mea nanakia (ultrasound, MR, CT) i ka nānā ʻana i nā ʻōpū o ka ʻōpū. Hoʻohui pinepine me ka spleen i hoʻonui ʻia (hepatosplenomegaly). ʻO ka hoʻonuiʻana o ka pehu i ka nui, ʻaʻole ia kahi maʻi kūʻokoʻa, akā ʻo ia kahi o ka hōʻailona o ka paʻakikī o kekahi mau maʻi. I nā mea maʻamau:

• Maʻi maʻi (maʻi ʻeha pōʻai, hepatitis B a i ʻole Me ka, echinococcosis, maʻiʻehalilo huaʻala o nā ʻano genesis like ʻole). Ma kēia hihia, lilo nā ʻalopelu i mua a hōʻaʻe, eia nō hoʻi, ke make ka nui o nā huina o ke akeʻa, ua hoʻowalewale ʻia nā mea ʻole.
• ʻO ka maʻi maʻamau a me ka ʻike hoʻoilina (hemochromatosis, glycogenesis) a me ka lua - nā maʻi o ka hōʻuluʻulu a me nā maʻi lipid metabolism, e alakaʻi ana i ka hoʻomohala ʻana i ka momona momona.
• Nā maʻi Cardiovascular - kahi ulu koko venous i ulu i loko o ke akeʻa, e alakaʻi ana i ka edema parenchyma, huʻu ka mea aʻai, hoʻonui a hoʻonui i ka nui.

Nā hōʻailona ʻokoʻa me ka nui o ke aniani, e like me ke kānāwai, hōʻike ʻia inā loaʻa ka nui i ka nui. ʻO ka pinepine, ʻike ʻia ka hepatomegaly me ke ʻano o ka kaumaha i ka ʻaoʻao ʻākau me ka hanu hohonu a me ka hoʻololi ʻana i ke kūlana o ke kino a me kahi hōʻohi lima e huki ana. I kekahi mau hihia, hiki ke nānā ʻia nā maʻi dyspeptic - moemoe puʻuwaihōhā hewa, halitosis. ʻO kahi hōʻailona maʻamau o ka hepatomegaly me ka poino i ka parenchyma hepatic a cholestasis ka ʻili a me ke ʻāʻī i ka ʻili.

Ma muli o ke ʻano ma muli o ke kumu kumu o ka nui o ka puʻu. Eia nō naʻe, ʻo ka kumu o ke kumu o ka ʻōlelo, he mea i koho ʻia e ka lā makemake i ka hoʻēmi ʻana i nā luhi ma luna o ka puhi a me ka mea e kaupalena ai i ka hana kino. Kūkulu ʻia me ka puhiki i hoʻonui ʻia ma ke ʻano he therapeutic maʻamau Palapala helu 5 Wahi a Pevzner a nānā i ka mālama i ke kino a hōʻemi i ka hana o ke kaʻina o nā maʻi. ʻO nā pahuhopu nui o ka mālama lapaʻau maʻi:

• ka hoʻohana pono ʻana i ka momona o ka pilikino no ka meaʻai no nā macro / micronutrients āpau,
• malu i ka meaʻai
• ka maʻamau maʻamau a me ka pena ʻole o ka hoʻokomo ʻana i ka meaʻai.

Hāʻawi kēia meaʻai no ka hoʻemi ʻana o nā momona (ʻo ka mea nui ka refractory), ʻo ka sodium klorida i ka pae o 6-10 g / lā, nā extrives a me nā aila kūpono i loaʻa i loko o nā huahana, kahi mea i loaʻa ka hopena irritating. Hoʻololiʻokoʻa loa nā meaʻai uala, ua palena ʻia ka hoʻohana ʻana i nā meaʻai momona i ka ʻeke. (Offal, yeast baker, yeʻoni salmon, ʻoni kai, salmon, sardines, herring, ʻōmole porcini maloʻo, tuna, sprats), ua hoʻohana ʻia ka hoʻohana ʻana i ka hua moa hua manu.

Mākaukau nā ʻaila e ka kuke ʻana, ka ʻikepili a me ka palaoa, ka mea e hāʻawi ai i ka mālama ʻana i ka ate mai nā mea kemika. ʻAi ʻia ka palaoa e ka palaoa a me ka hohonu. ʻAʻole e palapu ʻia nā leʻa, me ka ʻokoʻa ʻole o nā mea kanu uʻi. Hoʻololi ka meaʻai, ka mea e hōʻoia ai ka puka ʻana o ka bile. ʻO ka nui o ka ikehu ma ka huina o ka pae o 2400-2600 kcal (90-100 g o ka protein, 350-400 g o nā kalapika a me 80 g o ka momona). ʻO ka nui o ka wai i hala i loko o 1.5 l / lā.

Ua pāpā ʻia i ka hoʻohui ʻana i ka momona momona, nā mea i ʻoki ʻia, nā meaʻai paʻalapa, nā pēpē, ka ʻū, ka waiʻi ʻana, nā kīʻī ʻana, nā huahana e hoʻonui ai i ka ʻōpala / kāpili, nā ʻōpala, millet), mauʻu, nā iʻa / ʻiʻo a me nā mea ʻā mau ʻono e loaʻa ai ka nui o ka nui. ʻāwili, nā momona momona / momona ʻomaʻomaʻa, kaʻaila, nā huahana me nā aila koʻikoʻi (ʻala ʻolika, ke kāleka, ka ʻōpiopio, nā ʻōpio, nā ʻōpio), nā mea hoʻoulu ʻana i ka wai o ka gastric wai (nā mea ʻala, ka horseradish, ka paʻakai, ʻili a ʻohi i nā huahana, mustard), nā hua ʻai, nā mea ʻala me ka aila, ka mea inu ʻona , Pastries me ka holika, kope, kokoleka, cocoa, hau kalima.

Kuhi ʻia ka mea ʻai no ka hepatomegaly i loko o ka hoʻokomo ʻana i ka ʻai o ka meile iʻa (veal, pipi, moa, moa, peke) a me ka iʻa kai / a i ʻole (3 mau manawa i ka hebedoma), kahi ʻano lau o nā mea kanu, nā ʻano mea kanu, nā hua lua a me nā huaʻai i nā ʻano like ʻole. , laiki, kalwima, oatmeal i kalai ʻia i ka wai a i hoʻoheheʻe ʻia, wai momona, huaʻai wai ʻole, nā momona wai ʻole i ʻaihue, nā mea ʻala like ʻole e loaʻa ana i ka huaʻalā huaʻai huaʻai, nā mea soy, ka meli, kaʻaila, marshmallows, rosehip infusion, nā wai momona a me nā wai ʻole mineral. wai hoʻonaʻā.

Nā ʻĀina huahana

Hoʻokomo ʻia i ka hepatomegaly ate:

• Palapala maʻa / mau a keʻokeʻo keʻokeʻo a i ʻole nā ​​ʻaihue keʻokeʻo.
• ʻO nā mea lau momona a i ʻole nā ​​lau maloʻo i hoʻomākaukau ʻia me ka palupalu nāwaliwali a me nā moʻa lau i hoʻohui ʻia me ka hoʻohui o nā cereal i hoʻolapalapa maikaʻi ʻia a me nā lau ʻai. I ka wā e hoʻomākaukau ai i ka mauʻu, ka wai kaʻu mua, a laila hoʻomoʻa ʻia ka ʻiʻo / iʻa ma kahi hapa o ka wai.
• Nā papaʻai o ka ʻai ʻulaʻula (pipi, veal) a me ka ʻiʻo o ka manu, moa, moa. ʻO ka wā maʻamau, kūʻaʻa puaʻa. Hiki ke ʻai ʻia ka ʻiʻo iʻaʻai.
• ʻO nā ʻano haʻalulu haʻahaʻa loa (pollock, hake pike perch, perch bream, cod) i ka mea i hoʻolapalaha ʻia / kālua ʻia, ʻili ʻia a i ʻole lumpy.
• Nā ʻano ʻano cereals ʻē aʻe, i hoʻomākaukau ʻia me ka hoʻohui o ka waiū a i ʻole ka wai, vermicelli / pasta liʻiliʻi.
• ʻO nā mea kanu (ʻuala, ʻaiā / cauliflower, kāloti, beets, kukama, pala, zucchini, zucchini), i ka ʻano o ka paʻu, a ʻili ʻia / iʻa ʻia ma ke ʻano o nā kīʻaha ʻaoʻao me ka aila ʻaila. Hiki iā ʻoe ke hoʻohui i kekahi mau māla lau / maloʻo hou i kāu mau meaʻai.
• ʻO nā huahana waiū waiū a me nā mea kīkī kākākūkā momona-acidic kākā, ke kākē home.
• Nā hua momona / nā huaʻai: ʻele a me nā hua hou, ka lau o ka paina, ʻawaʻawa, ka lau, nā kuʻuna, nā persimmons, nā cherries, kiwi, quinces, currants, plums, strawberries, figs, date, prunes, apricots maina, pomegranates, watermelons, raisins, melons, vine (inā i ʻae ʻia), nā blueberries, a me kā lākou wai hou i hoʻomākaukau ʻia i hoʻoinu ʻia me ka wai, ʻeliā, ka ʻele a me ka hua kanu.
• Hōʻalo i nā lau aila ʻaila (hoʻoliʻiliʻi, ʻōpala, ka ʻoliva) no ka kuke ʻana a me ka ʻaʻahu. ʻO ka mole he mea hou aku i ka 40 g i kēlā me kēia lā no ka ʻaʻahu ʻana i nā meaʻai mākaukau.
• E like me kahi papa ʻaina - kahi meli liʻiliʻi, kalamona, marmalade, marshmallows, pastille, jam, jam i loko o ka hoʻohuʻahaʻa.
• Ka wai manuahi - a hiki i 2 lita ma ke ʻano o ka wai hou i hoʻomākaukau ʻia i hoʻoheheʻe ʻia me ka wai, teas herbal, fruit / berry teas, rosehip infusion, wai wai. Pono ka wai i ka mahana o ka lumi, mai inu i nā mea ʻala i kuke ʻia.

Pehea e mālama ai i ka hepatomegaly?

Me ka nui i hoʻonui ʻia, hoʻonā ʻia ka mālama ʻana ma muli o nā hopena o ka hopena. I ka manawa e loaʻa ai ka hepatomegaly i ka hepatitis viral, a laila hiki ke hoʻokō ʻia holoʻokoʻa e ka hoʻopiʻi ʻana i nā ʻōlelo a kāu kauka. Hoʻopaʻa ʻia ka Therapy no kekahi manawa. Ma hope o ka hoʻopau ʻia ʻana o ka maʻi maʻi mai ke kino, ʻo ia ka mea nui e pale ai i ka hoʻomaha ʻana.

Ka mālama ʻana o ka hepatomegaly me nā lāʻau lapaʻau.

1. ʻO ka Therapy o ka maʻi lalo. Hepatitis (A, B, etc.) e koi ana i ke koho ʻana i nā ʻoihana antiviral. Hoʻohanaʻia ka Listeriosis a me nā maʻi maʻi ʻē aʻe me nā antibiotics.
2. ʻO Echinococcosis kahi hōʻailona no ka koho ʻana i nā lāʻau anthelmintic (Mebendazole a me nā mea ʻē aʻe).
3. Pono nā maʻi Oncological ke koho ʻana i nā mea hana chemotherapeutic. Hana ʻia ka puʻuwai naʻau me ka glycosides cardiac.
4. hepatoprotectors - nā lāʻau lapaʻau e pale aku ai i ka hōʻeha ʻana i nā ʻāpana o nā aihue a hoʻihoʻi i nā hepatocytes i hoʻopau ʻia. No kēia pahuhopu, e noi: nā phospholipids pono, hoʻomākaukau i ka lāʻau, nā mea paʻakikī o nā huaora a me nā waikawa amino.

Pono pinepine ʻo Hepatomegaly i kahi loiloi piha o ka mea maʻi e wehewehe i ka maʻi maʻi.

I kekahi mau maʻi, hiki ke hoʻōla hou ʻia nā koina ʻōpū. No laila, no ka laʻana, me ka ʻole o nā hana ʻino o ka hepatitis viral, e kū nei kahi ho'ōla holoʻokoʻa, a loaʻa i ka puʻuwai ka nui o kona maʻamau.

ʻO nā maʻi holomua holomua e alakaʻi i ka make o ka nui o nā pūpuna o nā aiki a me ko lākou mea e hoʻopili e nā ʻāpana o nā huina huakaʻi e hoʻopau i ka cirrhosis. ʻAʻole hiki ke hoʻihoʻi piha i ka hana ate ma kēia hihia.

No ka wehe ʻana i nā kumu o ka hoʻohana hepatomegaly:

• wehe a hoʻoheheʻe ʻia o nā heʻe o ka ate - me nā maʻi purulent,
• ka hemo ʻana o nā maʻi ʻoi - me ke kanesa. Hoʻohana ʻia ka hoʻomaʻamaʻi ʻana i nā keaka benign i ka wā e hoʻomohala nui ai ka nui o ka ate.
• ka ʻai ʻana o nā kīʻaha koko i ka wā o ke koko i hoʻoiho ʻia mai ka trauma i ka ʻāpana kino.

Inā hoʻopilikia ʻia ka hepatomegaly e ka trombosis kūlohelohe, hōʻike ʻia kahi hoʻololi o ke ate.

Hoʻopili a wehe ʻole paha i ia mau huahana:

Kahihelu Hepatomegaly

Wahi a ke kiʻekiʻe o ka hoʻonui ʻana i nā hōʻailona a me nā hōʻailona, ​​ua hoʻokaʻawale ʻia kēia mau ʻano:

• unuhi ole ia - hoʻonui ka iwi i ka 1-2 cm.ʻA ʻaʻole i hōʻeha ka ʻeha, no laila hiki ke ʻike ʻia kēia ʻano me ke kōkua o ka ultrasound. Hoʻomaka ka hoʻololi ʻana,
• ʻāpana - hoʻonui ka ʻāpana i nā lehelehe wale, ma nā ʻāpana ʻē aʻe, nā ʻāpana. ʻOi pinepine mau i ka ʻākau a hema paha, ʻoi aku ka loli o ka ʻaoʻao o lalo.
• paʻō - He liʻiliʻi kēia e hoʻonui ai, ʻo ia paha ma muli o nā ʻano e pili ana i nā makahiki. Loaʻa pinepine kēia ʻano i nā keiki i hala o 5-7 makahiki.
• ua haiia - nā ʻōnaehana pathological, ke hoʻoikaika mai nei nā loli i ke kino, akā naʻe ka huli hou ʻana. Hoʻonui pinepine kēia ʻano i ka leukemia, hemoblastosis, i ka manawa he nui nā cell malignant i loko o nā kao. Hōʻike ʻia nā foci o nā necrosis, ulu nui nā aʻa. E nui nui ka paʻakai, paʻa ia ka piha o ka peritoneum holoʻokoʻa, hoʻopili ʻia me ka hana o nā kino āpau,
• huehue - e hele ana inā loaʻa ka nui o ka ate i ka pākeke a hiki i ka 12-13 cm.

Wahi a ke kumu o ka hoʻolālā ʻana, aia nō:

• nā maʻi o kahi ʻano ʻē. ʻO nā pinepine kēia mau leʻaleʻa hopohopo e alakaʻi i nā absseses a hoʻohālikelike i ka hepatomegaly. I ka mea maʻi he mau hōʻeha ʻeha ma ka ʻaoʻao ʻākau ma lalo o nā iwi, tachycardia o ka puʻuwai, e ʻānai ana,
• nā hōʻeha
• kumulepia mea.

Hiki i ka Hepatomegaly ke hanana i ka wā hāpai.

ʻO nā hōʻike hoʻokolohua

ʻO ke ala mua loa e ʻike ai i ka hepatomegaly ʻo ia kou manaʻo. E ʻike koke iā ke kauka i kahi kiʻekiʻe a i ʻole kekahi mea hoʻonui o ka organ. A laila, hoʻonohonoho ʻia kahi hoʻonohonoho o nā hoʻokolokolo. E kōkua i ka hoʻoholo ʻana i ke kiʻekiʻe o ka hepatomegaly, kāna ʻano, kumu.

Aia ia ma kahi maʻi ke kūkulu ʻia ka mālama holomua holoʻokoʻa. Lawe ke kauka i ka palpation, ka percussion, nānā i nā lymph nodes, hōʻiliʻili i kahi anamnesis, ninaninau i ka mea maʻi e pili ana i kāna mau haʻahaʻa kumuhana, hiki i nā hōʻailona like. He mea nui e kāpae i kahi neoplasm benign a malignant paha.

E wehewehe pono ke kauka inā lawe ke kanaka i ka lāʻau lapaʻau, pehea i kona nui e inu ai i ka waiʻona, pehea kāna ʻai ʻana. I ka hoʻoholo ʻana i kahi maʻi kūpono, hiki iā lākou ke kuhikuhi hou

• hōʻike koko no ka biochemistry, hao,
• ʻO ka pōkole o ka ʻōpū o ka ʻōpū (e hiki iā ʻoe ke ʻike i ka echostructure o ke kino),
• CT, MRI o ka peritoneum,
• X-rayā
• ka nānā ʻana o ka ate (hoʻomaʻamaʻa hana ʻōkuhi holo)
• biopsy (i lawe ʻia i kekahi mau hihia, inā pono maoli).

ʻO kēia ma kēia mau hana āpau e hiki ai iā ʻoe ke ʻike pololei i ke kumu o ka pathology. He mea nui e wehe i nā ala me nā hōʻailona like (hepatosis, steatohepatosis, steatosis ate, hepatoptosis).

ʻO ka lāʻau lapaʻau

E noʻonoʻo e kuhikuhi i nā lāʻau lapaʻau e hoʻoikaika i ka membrane cell ((Ursosan, Karsil, Kukui Pono) Aia ke koho ʻana o nā lāʻau ʻē aʻe ma ke kumu. Hoʻohana ʻia nā lāʻau antiviral no ka maʻi maʻi viral, antibiotics no ka maʻi bacterial, a me nā glucocorticosteroids no cirrhosis. Inā heleʻole ka hū a me nā ascites, hoʻohana ʻia nā diuretics.

Me ka hoʻōla ʻana o ka lāʻau lapaʻau, ke ʻano hana kino, ka hoʻolaʻa ʻana, a me ka hōʻole ʻana i nā hana ʻino.

ʻO ka lāʻau lapaʻau koho

Hiki ke hoʻohanaʻia nā lāʻau lapaʻau i kēlā me kēia manawa o ka hoʻomohala ʻana i ka maʻi. Loaʻa lākou ma ka home a lilo i mea hoʻohui maikaʻi.

Hana maikaʻi lākou me ka hoʻohaʻahaʻa ʻana me ka hoʻohanohano ʻana. I kēia hihia, nā mea kanu i koho pono ʻia e kōkua i nā hana o ke kino i ka hana maʻamau.

Hāʻawi mākou iā ʻoe i nā hana kūpono e hōʻoiaʻiʻo loa a hiki ke hōʻoia hou i ka hana ate.

• Pono e hoʻokaʻawale i ka sage, motherwort like, e hoʻopili like i nā aʻa o ka peony, dandelion, chicory. Hoʻohui piha nā mea a pau, hoʻopiha ʻia me ka 500 ml wai. Pono e mālama ʻia ke ʻano i loko o ka wela haʻahaʻa a hiki i 40 mau minuke. E kāwili i ka infusion hopena a waiho i ka palaoa no kekahi mau hola, a laila kānana. Pono e inu i ka hupa i loko o nā lā no 2-3 mau dosis.

• I loko o kahi aniani o ka wai mahana (200 ml), hoʻoheheʻe i 2 mauʻa o ka meli a me ka wai lemon. Pono inu ka inu i ke kakahiaka ma mua o ka moe. E nānā ma ka maʻi diabetes ua contraindicated.

• Kōkua hoʻi ka paukena me ka hepatomegaly. Pono ʻoe e kāpī i ka ʻōpala mata (500 g) a ʻai hoʻi i ka lā. Hiki iā ʻoe ke ʻoki i ka wai o kēia ʻuala, e hoʻolapalapa a ʻaʻa ʻia.

• Hiki iā ʻoe ke 'ai i ka hapalua o ka pīkī i paila (ʻulaʻula) i kēlā me kēia lā a hoʻohui pū paha i nā pā i ka ʻū.

• Hōʻike ʻia e ʻai i ka liʻiliʻi o ka papa mākia i kēlā me kēia lā a inu paha i ka wai mai lākou.

• Me ka ʻeha, ka wai, ka wai o ka huaʻala o nā hua lāʻau, e kōkua nā cranberry. I ka lilo ʻole o contraindications, kahi ʻāpana o ka wai Berry e inu i mua o ka papa i ke kakahiaka.

• E kōkua pū ʻo pickle mai sauerkraut Hiki iā ʻoe ke hoʻohui i kahi kīʻaha o kaʻaila iʻa wai iā ia. Pono e inu ʻia kēia hāpoki ma nā ʻano like ʻole.

• I ke kakahiaka a ma mua o ka hele ʻana o ka moena, hiki iā ʻoe ke inu i ka ʻaila ʻole ʻia: ʻoliva a me nā lā melemele. A laila he mea nui e moe e waiho ma kou ʻaoʻao hema, ke kau nei i kahi papa wela ma lalo. No laila pono ʻoe e moe e moe i kahi hola.

• No ka paleʻana a me ka mālama ʻana, pono e hoʻohana i ka ʻano o ka wīwīnō o nā ʻiole walnut a me ka meli. I mea e loaʻa ai ka hopena therapeutic, lawa e lawe i 5-7 cores a me kahi meli liʻiliʻi.

• Ma mua o ka ʻai ʻana, he mea pono e ʻai i nā hua a juniper (a hiki i ka 15 i kēlā me kēia lā i kekahi mau pākahi).

ʻO ka papaʻai meaʻai no ka hoʻonui ʻana i ka naʻau

Mai hilinaʻi i hoʻokahi pōpoki. Me ka mālama lapaʻau, pono ʻoe e hahai i kahi meaʻai, e haʻalele i nā ʻano maikaʻi ʻole a pau. E wikiwiki kēia i ka hoʻōla.

He mea nui loa ia e hoʻokau ai i ka ʻai kūpono. ʻO nā kānāwai nui:

• nā meaʻai ke kuhi - 6 mau lā i ka lā. I waena o lākou ʻekolu mau papa ʻaina a ʻekolu kīʻaiʻai,
• e lawe i nā wahi liʻiliʻi
• pala piha, ʻaʻala
• kuʻi, hoʻomoʻi, kuke ʻia,
• nā hapa momona o kēlā me kēia lā - a hiki i ka 70 g. Ma kahi o nā momona holoholona, ​​ʻoi aku ka maikaʻi o ka hoʻohana ʻana i nā momona momona,
• ka hoʻokaʻawale loa ʻana o ke kō, nā ʻuʻuku, berena
• ʻAʻole hiki iā ʻoe ke ʻai i ka momona momona, ka momona, ka iʻa, ka meaʻai iʻa, nā mea paʻakai.
• hoʻohui i nā cereals, nā lauʻaina kūlau, nā huaʻai i kāu meaʻai.

Pono ia e mālama i ke kiʻekiʻe o ka hao a me nā mea ʻē aʻe i ke koko. Pono kēia mau koi i ka papa Helu 5.

ʻO nā ʻōhua hiki

ʻO kekahi hōʻeha maikaʻi loa he cirrhosis. Ua luku ʻia nā pili o nā naʻau. Hoʻohui ʻia lākou e nā kiko hono, ʻaʻole i hana i kekahi hana. Kūkulu nā io o nā scars kikoo i nā wahi he nui o ka nekrosis. ʻAʻole hiki i ka puʻuwai ke hoʻopau i kona mau hana.

I loko o ia mau mea maʻi, ʻike ʻia ke koko, loaʻa i ka ʻili ka lepo, a mālama mau ʻia ka pōpoki ma lalo o nā iwi āpau ma ka ʻākau.

Ka hoʻohanohano a me ka pale ʻana i ka hepatomegaly

No ka pale aku, ua kuhikuhi ʻia ke ʻano hepatoprotective.

Pili nā hopena i ka ʻano o ka maʻi a me ke kiʻekiʻe o kaʻino o ke kino. Inā ʻo ka hepatitis ke kumu, a laila alakaʻi ka hana kūpono i kahi ho'ōla piha. A hoʻi hou ka puliki i kona nui maʻamau.

Me ka cirrhosis, ʻaʻole e ola hou ka palu, ʻo ka mea i ke ola ʻana o nā ʻāpana olakino e hoʻololi mau ʻia e nā lāʻau a mai ka kikoo hoʻohui. Hoʻonui mau ʻia ka mea maʻi e nā ʻōpū o ke ʻeha, nā nāwaliwali, nā kūlohelohe. I kēia hihia, hiki iāʻoe ke hoʻemi i ka hōʻike ʻana o ka maʻi.

Pono e hoʻihoʻi i ke kiʻekiʻe o nā enzymes a kākoʻo i ka hana o ke kino. Ke loli nui nei ke kūlana o ka mea maʻi me ka cirrhosis ma muli o ka hepatomegaly. I ka hihia maikaʻi loa, aia ke kūkulu hou ʻana o ka maʻi a me ka make.

No ka paleʻana, he mea nui ke kaohi ʻana i kahi meaʻaiʻai, hāʻawi i ka waiʻona a me nā ʻano pōʻino ʻē aʻe, a mālama i ka maʻi maʻamau i kahi manawa kūpono.

Hepatomegaly: he aha kēia maʻi maʻi?

ʻO ka Hepatomegaly kahi hana e hoʻonui ai i ka naʻau, i hoʻomaka ʻia e nā ʻano hōʻeha ʻeha. Hiki iā ia ke hoʻohālikelike i nā loli o ka palau a i ʻole ka focal, akā e hele mau ana ia no ka maʻi āpau, no ka mea ʻo ia nā maʻi e alakaʻi ai i ka loli nui ʻana o ka nui o ke kūpaʻa ʻaʻole ia he mea maʻamau no ka mea i kahi manawa o ka hoʻonui ʻana o ka hana kau.

Aia ka ate ma lalo o ka diaphragm a nona nā papa ʻelua, kapa ʻia ʻo ia ka "kānana kūlohelohe" ma muli o kona hiki ke hoʻokaʻawale i nā mea ʻino mai ke kino ae hoʻomaʻemaʻe i ke koko. I ke kūlana maʻamau, he pānaʻi kūpono, ʻaʻole ko kāna palpation e hōʻeha i ka ʻeha.

ʻO nā hiʻohiʻona maʻamau o ka mea i ka wā e nānā ana iā ia me kahi mea ultrasound ma ke anteroposterior direction he 12.5 cm i ke ana ʻana i ka pahu ʻākau a me 7 cm - ka pahu hema. ʻO ka nui ʻōpiopio o 20 - 22 cm.ʻO ka nui o ke ana o ka pūnao vascular e pili pū kekahi.

ʻAʻole ka hoʻonui ʻana o ka nui o ka ate i ka ʻike kikoʻī e pili ana i ka maʻi, akā e hoʻolauna nei i kahi hōʻailona maopopo e hoʻomohala ana ka pathology.

He mea nui ia e koi nui i nā hāmeʻa he nui restorative i mālama ʻia, no laila hiki ke hoʻomohala ʻia ka maʻi no ka manawa lōʻihi me ka ʻole o nā hōʻailona.

Mālama kēia mau kino i ke kino e hana i kāna mau hana me ka lesion o 50% a i ʻole. Mahalo ʻo hepatomegaly mau i ka poʻe no nā makahiki he nui.

Wahi a ka palena o ka hoʻonui ʻana i nā mea, aia:

• hepatomegaly modert (kahi loli iki o ka nui a me ke ʻano i kūpono ʻole i ke ʻano)
• haʻi ʻia (ke piʻi ʻana o 10 cm mai ka maʻamau),
• kalalau (ʻoi aku ma mua o 10 kenimita).

ʻO ka hepatomegaly ʻāpana he ʻano kaʻawale, ke piʻi aʻe ka ate i ka pololei ʻole - ʻāpana wale a ʻāpana hoʻokahi.

ʻO nā maʻi o ka ʻōnaehana cardiovascular

ʻAʻole maʻalahi kēia kumu e alakaʻi i ka hepatomegaly i nā pēpē a me nā keiki liʻiliʻi. I ka hapanui pinepine, hōʻike ʻia i ka poʻe waena a i ʻole nā ​​ʻelemakule. I nā kumu no ka hoʻonui ʻana i ke kino i kēia hihia:

• kaʻe lele ʻana
• pericarditis constrictive.

Nā hōʻailona a me nā hōʻailona hōʻailona

ʻO Hepatomegaly o ke ate ka mea nui e hoʻonui i ka maʻi o ke kino a me ka loli i loko o kāna mau ʻiʻo. Me kēia pathology, hiki ke palupalu ʻia ka liʻu ma lalo o nā kīʻaha, aʻo kahi mea ola olakino ka palpate. I ka palpation, lohe ka mea maʻi i ka ʻeha, ʻo ia hoʻi kahi hōʻailona o ka maʻi. ʻO ka Hepatomegaly kahi hōʻailona kahi e hōʻike ai e pono ka mālama ʻana o ka ate.

Hoʻopilikia paha kēia mau hōʻailona i ka mea maʻi:

• Nā ʻeha hōʻeha a i ʻole kahi manaʻo kaumaha i ka ʻaoʻao ʻākau, ʻoiai ke hoʻololi nei i ke kūlana o ke kino.
• ʻO nā pulupulu ʻili e kū pū me ka ʻeha. ʻO kekahi manawa hū nā kala lahilahi ma ka ʻili, like me nā spiders - me nā "wāwae" vascular e haki ana i nā ʻaoʻao. Ua kapa ʻia lākou nō he "atiworms."
• E hoʻopau i ka wai i loko o ka ʻōpū o ka ʻōpū.
• Digestion (ʻaʻole wale nō ka maʻi, akā ʻo ka constipation).
• ʻO ka hoʻonui i ka nui o ka ʻōpū.
• Hoʻopilikia pinepine ʻia nā puʻuwai manu, i hui pū ʻia me ka hanu ʻino.
• Kahula

Loaʻa pinepine ʻia ka lima hema a ʻo ka ʻākau. Aia ka līa hema ma kahi kokoke i nā pancreas, no laila, ʻo ka nui o ka ʻāpana o ka ate ka mea maʻamau e pili pū me ka maʻi gland.

'Oi aku ka nui o ka pahu kūpono o ka pūpū i ka hepatomegaly. Hoʻopau kēia ma muli o ka ukana nui loa i kau ʻia ma luna ona. Eia kekahi, he ʻano maoli paha ka hoʻonui ʻana i ka māka, ʻaʻole ia he hopena o ka maʻi. I ka hōʻike ʻana, ʻo ka hapa nui o ka nānā ʻana i ka ʻaoʻao ʻākau o ka ate, no ka mea e kuleana i ka nui a me ka hana.

ʻO nā hōʻailona o ka maʻi e pili ana i ke kumu o ka hoʻopōʻino i ka nū

Pehea e mālama ai i ka hepatomegaly ate?

Me ka nui i hoʻonui ʻia, hoʻonā ʻia ka mālama ʻana ma muli o nā hopena o ka hopena. I ka manawa e loaʻa ai ka hepatomegaly i ka hepatitis viral, a laila hiki ke hoʻokō ʻia holoʻokoʻa e ka hoʻopiʻi ʻana i nā ʻōlelo a kāu kauka. Hoʻopaʻa ʻia ka Therapy no kekahi manawa. Ma hope o ka hoʻopau ʻia ʻana o ka maʻi maʻi mai ke kino, ʻo ia ka mea nui e pale ai i ka hoʻomaha ʻana.

Ka mālama ʻana o ka hepatomegaly me nā lāʻau lapaʻau.

1. ʻO ka Therapy o ka maʻi lalo. Hepatitis (A, B, etc.) e koi ana i ke koho ʻana i nā ʻoihana antiviral. Hoʻohanaʻia ka Listeriosis a me nā maʻi maʻi ʻē aʻe me nā antibiotics.
2. ʻO Echinococcosis kahi hōʻailona no ka koho ʻana i nā lāʻau anthelmintic (Mebendazole a me nā mea ʻē aʻe).
3. Pono nā maʻi Oncological ke koho ʻana i nā mea hana chemotherapeutic. Hana ʻia ka puʻuwai naʻau me ka glycosides cardiac.
4. hepatoprotectors - nā lāʻau lapaʻau e pale aku ai i ka hōʻeha ʻana i nā ʻāpana o nā aihue a hoʻihoʻi i nā hepatocytes i hoʻopau ʻia. No kēia pahuhopu, e noi: nā phospholipids pono, hoʻomākaukau i ka lāʻau, nā mea paʻakikī o nā huaora a me nā waikawa amino.

Pono pinepine ʻo Hepatomegaly i kahi loiloi piha o ka mea maʻi e wehewehe i ka maʻi maʻi.

I kekahi mau maʻi, hiki ke hoʻōla hou ʻia nā koina ʻōpū. No laila, no ka laʻana, me ka ʻole o nā hana ʻino o ka hepatitis viral, e kū nei kahi ho'ōla holoʻokoʻa, a loaʻa i ka puʻuwai ka nui o kona maʻamau.

ʻO nā maʻi holomua holomua e alakaʻi i ka make o ka nui o nā pūpuna o nā aiki a me ko lākou mea e hoʻopili e nā ʻāpana o nā huina huakaʻi e hoʻopau i ka cirrhosis. ʻAʻole hiki ke hoʻihoʻi piha i ka hana ate ma kēia hihia.

No ka wehe ʻana i nā kumu o ka hoʻohana hepatomegaly:

• wehe a hoʻoheheʻe ʻia o nā heʻe o ka ate - me nā maʻi purulent,
• ka hemo ʻana o nā maʻi ʻoi - me ke kanesa. Hoʻohana ʻia ka hoʻomaʻamaʻi ʻana i nā keaka benign i ka wā e hoʻomohala nui ai ka nui o ka ate.
• ka ʻai ʻana o nā kīʻaha koko i ka wā o ke koko i hoʻoiho ʻia mai ka trauma i ka ʻāpana kino.

Inā hoʻopilikia ʻia ka hepatomegaly e ka trombosis kūlohelohe, hōʻike ʻia kahi hoʻololi o ke ate.

Diet no nā poʻe me ka hepatomegaly

Me hepatomegaly, ua nānā ʻia nā lula o ka pono o ka meaʻai therapeutic e like me M. Pevzner. ʻO ia ka mea i kapa ʻia ʻo ka papa helu 5 - he mau ʻaina palupalu, i ʻōlelo ʻia no nā maʻi āpau i pili pū me ka hoʻonui ʻana i ka poai a me ka pīpī, me ka ʻili o ka ʻōpū. ʻO nā maʻi no kona hoʻohana ʻana he aʻeha a me ka hepatitis, cirrhosis, maʻi ʻeha.

ʻO nā pahuhopu nui o ka mālama lapaʻau maʻi:

• ka hoʻohana pono ʻana i ka momona o ka pilikino no ka meaʻai no nā macro / micronutrients āpau,
• malu i ka meaʻai
• ka maʻamau maʻamau a me ka pena ʻole o ka hoʻokomo ʻana i ka meaʻai.

Ka nui o nā kōʻaiʻai momona e loaʻa i nā ʻano o ka huahana i ʻae ʻia:

• oatmeal, bale, vermicelli, buckwheat a iʻa palaoa paha.
• na ka loko iʻa i hōʻike ʻia e nā ʻano momona ʻokoʻa,
  skim waiū
• nā mea i hoʻomoʻa ʻia me nā pasta, nā mea kanu a me nā kō. ʻAʻole hiki iā ʻoe keʻai i nā papa mua ma ka
• e pili ana i ka waiu momona,
• nā huahana ʻai momona haʻahaʻa. Hiki iā ia ke lilo i ka paila, i ka pahū a i ʻole hoʻi nā nūhou. I nā hanana pinepine
• ʻae ʻia e kuke i ka ʻai i nā ʻāpana nui,
• omelet protein mai hoʻokahi hua,
• nā ʻano mea kanu like me nā kāloti, zucchini, beets, ʻuala a mauʻu. Hiki iā ʻoe ke hoʻohui i ka papa
• nā kīʻaha mai ka palaoa i hoʻomoʻa ʻia, kālua ʻia a kūleʻa paha.
• hua maloʻo
• pata (huila, paleka),
• loiloi i nā huahana i hoʻomoʻi ʻia mai ka hana i hala a i ʻole me ka hoʻohui ʻana i ka muffin,
• meli, jelly, souffle,
• ʻōpala rosehip.

ʻO ka mea ʻai no ka hepatomegaly o ke kōpaʻa e hāʻawi no ka wehe ʻana o nā huahana i lalo mai nā meaʻai.

• ʻO nā momona momona o ka iʻa ʻulaʻula, ka ʻāpala, ka ʻiʻo wai kai, nā iʻa momona, ka lard, confectionery, kīkī, nā pōpoki, pastries, puff / butter palaoa.
• ʻO ka ʻōpala a me nā meaʻai ʻai ʻono, ʻono sauerkraut, ʻohi a me nā pickles.
• ʻO nā mea kanu Culinary / holoholona, ​​ʻoki i ka iʻa, ʻono kai.
• Kāwīwī, ʻumiʻeha, ʻeha, ke kālai, nā ʻalā, ka ʻōpala, ka keleka, mayonnaise, ketchup, pākīhia kōlio, nā pepeke, kōkohu, ka ʻulaʻaha.
• ʻO ka waiū piha, paʻakai ʻia / kuʻi keke. Hoʻohana ʻia ka hoʻohana ʻana i nā mea ʻai momona momona, kaʻailaʻaila, ʻoniʻoni a me nā tiʻala maloʻo.
• Kaʻai palaoa ʻōpala - a ʻekolu mau ʻāpana i ka pule.
• Kāpī ikaika / kofe, kekā, kalaiʻa, kaʻaila.
• ʻAkohola a me nā mea inu ʻona, nā ʻōpū ʻono.

ʻO nā hopena palekana

Hiki i nā mea hoʻoponopono kūlohelohe hiki ke hoʻohana i ka mālama ʻana i ka hepatomegaly o ka ate.

1. ʻO kahi hopena lapaʻau mai ka meli ʻoluʻolu wale nō e hoʻopilikia wale i ka hana o ke kino, akā, ka pūlima wale nō hoʻi. I kēlā kakahiaka a i mua o ka hele ʻana e hiamoe, e inu i kahi inu o 2 punetēhi o ka meli, 200 ml wai wai a me 2 mau punetēpela o ka wai lemon.
2. Hoʻopili malo motherwort me ka sage, hoʻohui i dandelion aʻa me ka peony. Lawe i nā chicory. Kāwili, ninini i ka 500 ml wai. Ke kali nei mākou e hoʻolapalapa. Ka ʻōhū - hapalua hola. Kānana mākou a inu.
3. Pōla ʻAi mākou, kele, kuke i ka paila a iʻa wai ʻia. Loaʻa paha kekahi i makemake i ka ʻōpala mata. A makemake kekahi e hana i ka wai cranberry.
4. Beetroot. Eia kekahi mea kanu ʻona maikaʻi. A ʻōwī ka ʻāpala i ka wai wai, hoʻopaʻa iā ia no 15-20 mau minuke a kāwili iā ia me ka wai momona kālai ʻia i ka pālahalaha o 3:10. 100 inu ka wai o kēia wai i kēlā me kēia lā. Eia kekahi, hiki ke hoʻokomo i nā hua i loko o nā lapalapa a i hoʻolapalapa ʻia.

Hoʻoholo ka prognosis e ke kumu o ka maʻi a me ka pae o ka hōʻino i nā hepatocytes, ke kaʻina o ke kaʻina. ʻO ka Hepatomegaly ka huakaʻi no ka cirrhosis, ka hopena o ka mea make, a me ka hana neoplastic mua. Hoʻonui ʻia ke ʻano o ka maʻi maʻamau i nā maʻi maʻamau, e komo pū me nā maʻi viral, hepatomegaly transient i nā keiki i hōʻike ʻia e ka wikiwiki wikiwiki ʻana.

Hoʻomaopopo kahi dognous prognosis ma ka hihia o ka hepatomegaly no nā mea maʻi me ka pathology oncological ma kahi o ke kaʻina 2-4 o ke kaʻina, a me nā mea maʻi me nā maʻi genetic.

A hoʻi hou ka naʻau i kona mau kaila mua ma mua o ia mau hihia:

• me nā maʻi ʻalaʻi,
• me nā mea i kapa ʻia hepatomegaly transient (hoʻonui i ka wā loli me ka loli ʻana o ka laboratorium) i ka wā kamaliʻi.

Pono e hoʻopau ʻia nā huahana hou i kēia manawa:

Kāohi

Ua hoʻokaʻawale ʻia ka pale mua o ke ʻano ma kahi ʻina i hilinaʻi ʻia ma ke kumu o ka maʻi maʻi. Akā, i ka laulā nui, hiki iā ʻoe ke hana i kēia mau papa kuhikuhi:

1. ʻO kahi ola olakino - ʻaʻohe mea e hōʻino i ka ate (e like me nā ʻokoʻa a me nā ʻōnaehana ʻē aʻe) e like me ka meaʻona, ka uahi a me ka lāʻau lapaʻau. No laila, i mea e pale ai i ka maʻi mai nā maʻi ʻino, pono e hoʻōla ʻia ʻoe i kēia mau mea hoʻohui a maikaʻi ʻole, mai hoʻāʻo iā lākou.
2. Ke pale ʻana i ka maʻi hepatitis viral - nā maʻi hepatitis ʻaʻole hoʻi e hōʻemi ʻia i nā ʻili o ke kino. Hōʻalo nā hana kaʻawale i ka pili ʻana i ke koko o nā poʻe ʻē aʻe, e hōʻike i ka disustection hohonu loa i nā huahana hou i ka pili ʻana i nā mea huna kanaka a hōʻeha hoʻi i ka ʻili, a lawe ʻia nō hoʻi ma nā pilina moekolohe.
3. ʻO ke kaʻina hana e pale ai i ka hepatosis momona: alakaʻi i kahi ʻano hana ola pinepine, e hele pinepine ʻana i ka lewa hou a ʻai maikaʻi.
4. E lawa a kūpono loa i ka lāʻau lapaʻau, no ka mea he nui nā lāʻau lapaʻau, inā ʻaʻole i kīpī pono ʻia, he hopena ʻeha ma ka ate.
5. ʻO ka hoʻokō, nā meaʻai kūpono, ke ʻole ʻana i nā loina holoholona, ​​akā e hōʻike ana i ka mea ʻai i ka papa ʻaina meaʻai No. 5.
6. Mea hana kino hana.

Hoʻomaopopo ka kauka lāʻau lapaʻau no ke ola o nā poʻe maʻi me ka hepatomegaly ma muli o ke kumu o ka hoʻomohala ʻana o kēia ʻano. Inā hōʻike ʻia ke kaʻina ma kahi mua, a laila mahalo ka prognosis.

ʻO nā maʻi ʻike ʻia e alakaʻi ana i kēia kūlana ua mālama maikaʻi ʻia, e komo a he maʻi maʻi hepatitis C. Inā he hoʻomanawanui ka maʻi o ka mea maʻi ma ka pae o ka holomua, ʻoluʻolu ka maikaʻi o ka prognosis.

Hoʻomaopopo kahi dognous prognosis ma ka hihia o ka hepatomegaly no nā mea maʻi me ka pathology oncological ma kahi o ke kaʻina 2-4 o ke kaʻina, a me nā mea maʻi me nā maʻi genetic.