Hepatosplenomegaly - akusiyo umusho. ukuphathwa ngendlela efanele ngesikhathi esifanele uyombhubhisa yilesi sifo phakade

Isibindi kanye ubende yiwona asondelene ezihlobene entanyeni vein uhlelo futhi avame izindlela lymph futhi izinzwa supply. Uma inkinga kwenzeka emzimbeni munye, ke nakanjani kuthinta nezinye. Hepatosplenomegaly kuyinto kweNdikimba isibindi ubende, okuyinto eyenzeka ngesikhathi esifanayo.

ukuhlola

Ukuxilongwa yilesi sifo kusekelwe ngesisekelo izikhalazo lesiguli. It has a ukubaluleka engu, ngesikhathi lapho ubuhlungu noma ukungaphatheki, izimbangela, yokuba izici zofuzo eziyingozi.

Khona-ke udokotela cwaningo by eshaywayo kanye palpation. Hepatosplenomegaly ingase ibonise ngesikhathi sokuhlolwa ezibukwayo. Ubukeka sengathi kuba khona ukuvuvukala ngaphansi kwesokudla quadrant engenhla, esishukumisela ngesikhathi umoya.

Ukuze sicacise uphethwe kudinga uphethwe laboratory, olukukhombayo isimo obusebenzayo kwesibindi. Ukuze wenze lokhu, olwenziwa ezihlukahlukene izivivinyo, ezifana ngibheka ezingeni ceruloplasmin, yensimbi serum nezinye izinkomba.

Njengoba i- luhlolo wezinsimbi usebenzisa ultrasound isiqondiso, bese eyabelwe CT. Kodwa ubukhulu inembe kakhulu kunazo zonke isibindi lembula angiography kuphela, futhi ikuvumela ukuba kutholakale ubunjalo lesion futhi ukukhomba izithiyo kungenzeka egazini.

izizathu

Hepatosplenomegaly - a syndrome esakheka eziningi izifo. Ukukhulisa kwesibindi kanye ubende akuzona ukukhathazeka ngokwayo, nakuba ukhathalela nesineke kakhulu. Kungakhathaliseki kungase kubonakale hepatosplenomegaly eziyingozi, izizathu kumelwe kucaciswe kuqala. Kuleli kuncike ukusebenza ngefanelo yokuphathwa. Zonke izimbangela kungenziwa zihlukaniswe ngamaqembu amahlanu:

• Acute isibindi isifo, lapho kwegazi vein portal. Lezi zihlanganisa isifo sokusha kwesibindi, isifo sokuqina kwesibindi, izilonda semithambo.
• izifo ezingelapheki kanye nezifo yisinanakazana. It umalaleveva, mononucleosis ezithathelwanayo, ugcunsula, i-leishmaniasis brucellosis nabanye.
• Iqembu lesithathu lihlanganisa umzimba izifo - hemochromatosis, amyloidosis.
• Iqembu yesine kuhlanganisa letindzala izifo igazi - anaemia, wegazi, isifo Hodgkin sika.
• Eqenjini yesihlanu zihlanganisa izifo esimiso senhliziyo nemithambo yegazi nesifo senhliziyo: umfutho wegazi ophakeme, azalwa naso kanye zamehlo atholwe kwenhliziyo, isifo senhliziyo.

izingane Hepatosplenomegaly

Hepatosplenomegaly ingane zingaphinde zivele noma ubudala, kuhlanganise ezisanda kuzalwa. Ukwanda ngendlela efanayo njengoba abadala, kunqunywa palpation. Gipatosplenomegaliya ngokuvamile izingane ezincane ephelezelwa i-jaundice, ukuntuleka kwegazi emzimbeni, imfiva. Ukuze uphethwe efanele, kufanele uqale ukucacisa uhlobo jaundice (hemolytic futhi parenchymal). Lokhu kuzovumela ukuthuthukisa ilungelo amacebo ukwelashwa.

Esikhathini amahora yokuqala yokuphila, kuhlangene i-jaundice hepatosplenomegaly ngokuvamile ngempela umphumela ukutheleleka intrauterine ngesifo sofuba noma ugcunsula. Hepatosplenomegaly ngokuvamile iba umphumela kwesibindi azalwa naso noma isifo sokusha. Ngakho ebusweni isibindi kuyinto engalingani, ukuvumelana okuqinile. Ukwanda oqinile Izingane ezisencane kakhulu ukubona anomalies ipheshana biliary. Kulokhu, lo jaundice kuyinto zikhula ngempela fast, ephelezelwa melena, ukopha enkabeni. Ngokushesha ukubonisa izimpawu isifo sokusha biliary nge nomfutho wegazi ophezulu portal.

Ezinganeni ezindala kweNdikimba kanyekanye kwesibindi kanye ubende kungenzeka kubangelwa hhayi ekungenweni amagciwane, futhi ukwephulwa zokucathula umsoco ofanele. ukudla okunamafutha ocebile izinto ezibanga umdlavuza kuyinto umthwalo kabi kwezitho zangaphakathi. Eyokuqala kuthatha babekezelela kwesibindi, wenza emzimbeni njengendlela lemifanekiso. Ngenxa yalokho, wehluleka ukubhekana semali izingxenye elimazayo, isibindi luyanda ngobukhulu futhi kuhilela izinguquko ubende.

ukwelashwa

Ngemva ukuhlola ngokucophelela futhi ukunquma izizathu eziyimbangela isifo belashwa. Hepatosplenomegaly - akusona isifo kodwa syndrome. ukuphathwa ngendlela ekhethekile jikelele noma okudingekayo. Ngenxa holespazmolitiki yokwelapha yesondlo enikezwa isibindi (imithi "Papaverine", "Cha-spa", "Platifillin"), izidakamizwa cholagogue ( "holosas" "Xylitol") gepatoprotektory (izidakamizwa "Silibor" "Essentiale" "Geptral "" Karsil "," Riboksin "kanye nabanye). Ngo parallel, ukwelashwa nge-ejenti hormone, njengemoto esebenzisa "Prednisolone" futhi izakhiwo multivitamin.

Ngezinye okuvela into ezifana hepatosplenomegaly, impatho kuhambisana ukuzinza ayimpoqo biocenosis emathunjini. Odokotela angaqoka amalungiselelo equkethe lactobacilli futhi colibacteria, njengokuthi "Linex", "Primadofilus", "Bifiform", "Hilak-Forte" nabanye.

ukudla

ukudla okunamafutha, nezivimbelakuvunda, udayi futhi carcinogens eziqukethwe ngemikhiqizo eminingi, zibulale isibindi, isisu, ubende. Ukusiza ukuhlula isifo izitho zangaphakathi, kubalulekile ahlale edla ukudla okuqinile okungenani phakathi ukwelashwa. Ukudla kufanele libe Ukudla, olunamafutha amancane noma ukudla. Ayikho ayi, chips, yogurt isitoreji eside akufanele kube. Ngesisekelo Ukudla kukhona isobho wezokudla, iphalishi ngaphandle ibhotela, ephansi fat cottage shizi. Itiye, ikhofi kanye juice nge eside ekuphileni eshalofini esikhundleni amanzi elula amaminerali, likhaya kompotik Kiselev. Pies, amakhekhe nezinye kophudingi okunamafutha futhi contraindicated. Kungcono ukuba ayeke amnandi noma ubeke umkhawulo oluhlaza itiye uju nama-crackers. Hepatosplenomegaly - into amenable ukuqeda kuphela imizamo ahlangene Udokotela.