Hepatomegaly: yaxuwa hanta canje-canje. A tsarin da kayan ciki

Ga al'ada adam rayuwa ba tare da togiya, suna da muhimmanci jikinsu, kamar yadda kowane daga cikinsu ya aikata wani takamaiman aiki. A lokacin da daya ta kasa, da wasu suna lalace, kuma dukan kwayoyin. Saboda haka, hanta matsalolin sa deterioration na narkewa kamar fili, Sistem da excretory da tsarin, wanda babu makawa take kaiwa zuwa wani karu a rigakafi, da kuma wasu masu kiwon lafiya matsaloli. Ta yaya mutum hanta, da Associated pathological canje-canje a cikin shi?

A tsarin da kayan ciki

Kafin magana game da hanta, la'akari da yadda tsarin mu ciki gabobin, wanda akwai wani connection tsakanin su. A cikin mutane, akwai da dama da tsarin: Sistem, na numfashi, musculoskeletal, narkewa kamar, excretory, juyayi, haihuwa. Kowace daga cikinsu yana da wani hadadden tsarin. Tun da yake wannan ne hanta, bincika jikuna da alaka da shi, kuma a nan da nan kusanci da shi. Saboda haka, mu hanta - a gland shine yake located kawai a kasa da diaphragm a gefen dama na jiki, a cikin kogon ciki. Ƙananan gefen shi ya shãfe da esophagus, ciki, gallbladder da duodenum. Kuma ta segments a lamba tare da dama koda da adrenal gland shine yake. A pancreas ya ta'allaka kawai a baya da ciki. A gallbladder yana dauke da mu zuwa ga general jiki na hanta da bile ducts. Bugu da kari, m hanta jijiyoyi, jini da kuma Lymph tasoshin.

A tsarin da hanta

Hepatomegaly (yaxuwa hanta canje-canje) ya auku, idan ta girma a wani adult wuce 12-13 cm. Wannan sashin jiki kunshi hagu da dama lobes, da kuma tsarin Claude Quinn ya kasu kashi 8 segments. Kowane mutum kashi (kashi) na da jini wadata, zhelchevyvedenie cibiyar sadarwa da kuma jijiya zaruruwa. Nama yanka (parenchyma) form elongated Kwayoyin (hanta bim). Parenchyma Ribar bile capillaries da jini. A tsakiyar kowane sashi kara hanta daya tsakiyar Vienna, da kuma tsakanin su - arteries, bile ducts da sauran jijiyoyinmu. Ƙananan sashi na jiki a karkashin shawara yana da biyu a tsaye GROOVES kuma daya mai gangara. Wannan ake kira hanta ƙofar. Sun hada da dukan bile ducts, kafa na kowa, ci gaba a cikin duodenum. Hanta jijiyoyinmu samar da wata - portal. Daga shi, da kuma daga cikin jijiyoyi a cikin wannan muhimmanci zuciya da sauransu jini gudana. Yaxuwa canje-canje na iya shafar duk na sama abubuwa.

da hanta

Daya daga cikin manyan ayyuka na mu hanta - neutralizing poisons, gubobi, kowane irin hanya, kuma ba dole ba abubuwa. Wannan gland shine yake da hannu a cikin duk abin da ke faruwa a jikin mutum siffofin metabolism, narkewa, da jini, a yi da yawa bitamin da kuma ji ba gani. Yana da wani irin na ajiya na jini da kuma alama abubuwa. Kullum a wani aiki yanayin, da hanta ne fallasa abin da ya faru a cikinta daban-daban pathological tafiyar matakai. Daya daga cikinsu - hepatomegaly, yaxuwa canje-canje a cikin hanta, wanda aka halin da karuwa. Ƙaddara da palpation da duban dan tayi da kuma lissafta tomography. A karshe iri biyu nazarin damar rarrabe unmistakably kara girman hanta daga irin wannan cuta ga m gabobin (dama koda, gall mafitsara, hanji).

A Sanadin cutar

A ra'ayi ne yaxuwa canje-canje a ko'ina cikin jiki, ba kawai wani ɓangare na shi, kamar yadda a mai da hankali Pathology. Lokacin tasowa hepatomegaly? Yaxuwa hanta canje-canje da aka lura a wadannan cututtuka:

• cirrhosis.
• zuciya rashin cin nasara.
• benign da m (ciwon daji) marurai.
• hemangioma.
• parasitic da kuma wadanda ba parasitic cysts.
• helminth cututtuka.
• abscesses.
• da tarin fuka, da kuma sauran cututtuka sifilisnoy sha kashi;
• maye.
• dehydration.
• Metastasis daga kasashen gabobin.
• mai guba da kuma dauke da kwayar cutar hepatitis.
• adenoma.
• sankara.
• hyperplasia.

A wasu lokuta, akwai wani m hepatomegaly, wanda shi ne mai concomitant alama na kowa sanyi, wasu cututtuka, tamowa.

cututtuka

ÃyõyinSa yaxuwa hanta canje-canje a farkon matakai na wannan cuta ana bayyana muhimmanci. A haƙuri iya jin wasu rashin jin daɗi a dama babba quadrant, m bayan wani m da yaji abinci, barasa. Duk da haka, akwai marasa lafiya da suke jin cewa ba wani abu a duk har da cutar da ta haifar hepatomegaly ba ya shiga cikin m siffofin, kuma ba zai faru gagarumin karuwa a hanta. Alamun dogara ne a kan tamkar cuta. Common sun hada da:

• zafi a gefen dama, musamman a lokacin da kaifi inji matsawa.
• tashin zuciya, a wasu lokuta wucewa a amai.
• ƙwannafi.
• ci raguwa.
• jaundiced launi daga cikin fata.
• m wari daga baka rami.
• wani lokacin wani kurji tare da itching.
• total rage daraja.

Specific ãyõyin hepatomegaly

Staphylococcal, streptococcal da pneumococcal cututtuka zai iya sa abscesses (suppuration) a cikin mafi girma da mutum prostate gland shine yake kuma a sakamakon, kara girma daga cikin hanta. Alamun wannan sun hada da: rawan jiki, tachycardia, wuce kima sweating, aching jin zafi a gefen dama na jiki, na fi son ko da ruwa da kuma hannu. Jiyya a cikin wannan yanayin ne kawai m. A wasu na kowa cututtuka - ciwon daji na hanta, wanda a kowace shekara ya kashe fiye da miliyan rayukan - hepatomegaly, da zuwa sama siffofin, tare da ban mamaki nauyi asara, wani rauni, hanji tabarbarewa, flatulence. Cirrhosis na hanta (babban dalilin ne shan barasa) da kuma concomitant hepatomegaly halin da zafi a dama babba quadrant, a cikin gidajen abinci, portal hauhawar jini, kara girma daga cikin baƙin ciki. A hepatitis hanta kara girma ma tare da jin zafi a gefen dama, an muhimmanci inganta a lokacin da jiki danniya (msl, a lokacin azumi tafiya), tashin zuciya, janar rauni.

bincikowa da

Idan haƙuri tanã kai ƙãra jin zafi a dama babba quadrant, abu na farko da likita zai yi palpation da yiwu gane asali hepatomegaly. Yaxuwa Hanta canje-canje za a iya gano (ko ƙi yarda) ta amfani da ƙarin kima. A ka'ida, palpation iya kawai sanin iyakoki na ƙãra jiki, da mataki na zafi, da kuma a wani mataki da yawa daga parenchyma. Kuma domin kara ganewar asali nada ta duban dan tayi, CT, MRI, kuma da dama daga samfurori. Wadannan sun hada da:

• tabbatar da dalilin da bilirubin, kuma jimlar gina jiki a cikin jini.
• stercobilin kafiya a cikin stool.
• samfurori da kaya zhelchevyvodimymi abubuwa (bromsulfoftalein, galactose).
• radioisotope nazarin.
• hanta biopsy.

Bilirubin aka bayyana a cikin free kuma mamaye jihar. A wani m mutum ne ba kawai free (0.4-1 MG / dl). Munanan lura a jaundice, kumburi da kuma cunkoso na hanta tubules, wasu iri cirrhosis. Amfani da samfurori da aka ƙaddara kamar yadda ya kwarara furotin-metabolism a cikin hanta. Bromsulfoftaleinovaya samfurin ba ka damar sanin ko akwai wani take hakkin excretory gland (secretory) aiki. A m mutane a lokacin da minti 45 bayan gabatarwar da fenti a cikin jini yana kasa da 5%. Gabatarwa galactose ya sa ya yiwu a gano yadda za a carbohydrate metabolism. A biopsy ne da za'ayi a karkashin awon yanayi da ake zargin hepatitis a wani latent mataki, cirrhosis, da ciwon daji, fibrosis, da kuma sauran cututtuka. An contraindicated a abscesses, ascites, shafe tsawon obstructive jaundice, hemorrhagic ciwo. radioisotopes Research (gabatarwar Bengal tashi jini) da aka yi a da yawa hanta cututtuka. A lafiya mutane da jini rabin-barrantar da Paint for 8 da minti.

Pathology na pancreas

A hanta ne a hankali alaka da sauran gland - pancreas. Pathology daya babu makawa take kaiwa zuwa rushewa daga cikin sauran, don haka lokacin da na ganewar asali, wadannan biyu jikuna a lokaci guda rajistan shiga. Yaxuwa canje-canje pancreas (hanta ba damuwa) za a iya gano kawai ta wajen duban dan tayi. Palpation ba a bayyana. Duban jarrabawa ya nuna girma, yawa da kuma uniformity na nama echogenicity da (nuna sauti) cewa muhimmanci jiki shan aiki bangare a cikin narkewa da sha na glucose (insulin mugunya). Yaxuwa canje-canje suna lura a pancreatitis, fibrosis, da kuma dangane da shekaru. Samun canje-canje a kan duban dan tayi, haƙuri iya mayar da ƙarin gwaje-gwaje (jini kyauta, endoscopy na duodenum).

magani

Idan pancreas saukar yaxuwa canje-canje, amma haƙuri yana da wani gunaguni, magani ba bukata. Kuma bi da m hepatomegaly. Yawancin lokaci, wannan yanayin tattare da kansa bayan an daidaita ikon da bacewar opportunistic cututtuka. Lokacin da hanta hepatomegaly dole ci gaba da lura da tamkar cuta, da Pathology sa. Bugu da kari, da mãsu haƙuri ta jefa a kan wata tsananin rage cin abinci cewa zame duk da menu soyayyen, yaji, gishiri, da mai da kuma barasa. Folk magani bada shawarar shan infusions na tashi kwatangwalo, chokeberry, wasu ma'adinai ruwa, ci low-mai gida cuku da zuma. Marasa lafiya da mutum shawarar sunã rãyar da regimen, motsa jiki da aka haramta.