Hepatitis komzimba. picture clinical

Komzimba kwesibindi ngo kwiimeko ezininzi uvela ngesiquphe, kunye obubonakala lonyango akukho ezahlukileyo iimpawu sohlobo ahlekise. Xa lokuqala sifo ephawulwe ubuthathaka umntu uziva. umchamo Dark, senyongo olukhulu - ezi miqondiso eziyelelene sokuhlasela hepatitis. Iimpawu zibonakala oqaqambileyo ngokwaneleyo nokuba isanda. Kwaqengqeleka iinyanga eziliqela, kufuneka abeke umfanekiso opheleleyo ngakumbi clinical.

Kwiimeko ezinqabe kakhulu, hepatitis samathambo lubonakala ngokuba amanzi ngokuthe ngcembe. Noko ke, kule meko, esilawulwa intlungu ubunzima hypochondrium elungileyo, umntu uziva ukungakhululeki, senyongo ibonakala kancinci. A Inani lezigulane hepatitis samathambo uqala ukuphuhlisa nefiva, kwakunye ekubonakalisweni extrahepatic.

picture lwezonyango eneenkcukacha luphawulwa buthathaka kakhulu, pruritus, isicaphucaphu, lymphadenopathy. Kuba sifo linophawu senyongo (njalo, kodwa ukonyuka ngexesha exacerbations), ukwanda ubukhulu udakada wesibindi. Isinye kwisithathu kwabafazi hepatitis samathambo lukhatshwa amenorrhea (ukungabikho exesheni) kunye hirsutism (ukukhula iinwele njengoko namadoda). Ngabantu, i ngezifo esinxulunyaniswa ne gynecomastia (uphuhliso unamadlala mammary kwabasetyhini). Phakathi reactions isikhumba ezinkulu kufuneka kuqatshelwe amaqhakuva, emithanjeni kunye lupus palmarnuyu erythema kunye nezinye izilonda.

hepatitis komzimba i sisilonda esidumbileyoesingaphakathi okuqhubekayo ezingapheliyo umlinganiswa kunye nobukho kwesibindi-ezinxulumene, autoantibodies serum. Le nkqubo ithatha indawo umtshiso ngokwanelisayo ebanzi, hypergammaglobulinemia.

hepatitis komzimba. unyango

therapy Pathogenetic le sifo kwanonyango glucocorticosteroid. unyango Immunosuppressive ukunciphisa umsebenzi iinkqubo zophendlo lwezifo ibakho esibindini, ngokwenjenjalo kuphuculwe umsebenzi T-suppressors, kunciphisa ngobunzulu esisabela igalelo kwintshabalalo hepatocytes.

Ngokuqhelekileyo, uthomalaliso kusetyenziswa iziyobisi ezifana "Methylprednisolone" okanye "prednisolone". Yokuqala idosi yemihla ngemihla - milligrams mathandathu - kwiveki yokuqala, mane - yesibini, amashumi amathathu - nangowesithathu-ngekota. Kamva, umthamo liye lancitshiswa milligrams amabini, nto leyo idosi yesondlo. unyango noncedo wenziwa logama nje kuqheleke lwezonyango, elebhu kunye histological iparameters.

Ukunciphisa isixa iziyobisi bafumana kwenziwa ngokuthe ngcembe. Oku kuthatha ingqalelo ngobunzulu kwekhosi lwezonyango kunye neqondo amakishayo serum.

hepatitis komzimba nga mayilungiswe phakathi kwisiqingatha sonyaka. Nangona kunjalo, kwiimeko ezininzi, unyango ihlala ixesha elide, maxa wambi ebomini. Kwimeko ukusilela monotherapy olunikiweyo utshintsho amalungiselelo yesekethe "delagil", "Azathioprine", "Ciclosporin".

Ukuba unyango immunosuppressive zange ukuveza iziphumo ezilindelekileyo iminyaka emine, ubukho sisifo ezininzi, iziphumo ebezingalindelekanga ezivela ngokulinganayo kungaba kuvuswa umbuzo esinye isibindi.