Hepatosplenomegaly - ayikho isivakalisi. konyango olufanelekileyo kunye ngexesha lokubhangisa le syndrome ngonaphakade

Kwesibindi kunye udakada na inkqubo entanyeni umthambo ngokusondeleyo ziyadlelana kwaye aqhelekile iindlela nkovu kunye nonikezelo luvo. Ukuba ingxaki kwenzeka mzimbeni mnye, yiyo kuchaphazela enye. Hepatosplenomegaly ke wawandisa wesibindi kunye udakada, nto leyo eyenzeka ngexesha elinye.

ekuxilongweni

Uxilongo yale sifo isekelwe sisiseko izikhalazo yesigulana. It has a ixabiso ubudala, ixesha xa nayiphi na intlungu okanye ukungakhululeki, ebangela, imiba njengelifa.

Ke ugqirha oqhuba uphando nge yesandi kunye Ngokucofa. Hepatosplenomegaly ukuze ubonise ngexesha uhlolo olubonakalayo. Yena ikhangeleka ukudumba phantsi ikota yesangqa eliphezulu ekunene, apho sihamba khona umoya.

Ukucacisa uxilongo kufuna uxilongo elebhu, echaza imeko olusebenzayo esibindini. Ukwenza oku, wayeqhuba iindidi zovavanyo, ezifana ekutshekisheni umgangatho ceruloplasmin,-serum intsimbi kunye nakwezinye iimo ezalathayo.

Njengoko i uviwo instrumental esebenzisa isikhokelo ultrasound, uze emva koko babelwa CT. Kodwa ke ubukhulu lichaneke kwesibindi utyhila angiography kuphela, kwakhona ikuvumela ukuba ukujonga uhlobo sisilonda esidumbileyoesingaphakathi kunye nokuchonga imiqobo kunokwenzeka egazini.

izizathu

Hepatosplenomegaly - a syndrome ukuvela eziliqela izifo. Ukwandiswa kwesibindi kunye udakada aba inkxalabo ngokwayo, nangona uxhalela isigulane kakhulu. Enoba kubonakala hepatosplenomegaly yingozi, izizathu kufuneka kucaciswe kuqala. Kwi oku kuxhomekeke ukwanela kunye nokusebenza unyango. Zonke izinto lungahlulwa-hlulwa ibe ngamaqela amahlanu:

• isifo sisibindi, apho igazi kwegazi Kwangale portal. Ezi ziquka hepatitis, ukuqina kwesibindi, izilonda nemithambo.
• izifo ezingapheliyo kunye nosulelo olwaye lwamfimfitha. It imalariya, mononucleosis ezosulelayo, negcushuwa, leishmaniasis, sokuphunza kunye nabanye.
• Iqela lesithathu kuquka izifo pathways - hemochromatosis, amyloidosis.
• Iqela lwesine luquka izifo zenkqubo igazi - anaemia, wegazi, isifo Hodgkin kaThixo.
• Xa iqela yesihlanu ziquka izifo nemithambo yegazi kunye nophuhliso ezingapheliyo sisifo sentliziyo: lwegazi, bekhubazekile kunye ezifunyenwe wentliziyo, isifo sentliziyo.

abantwana Hepatosplenomegaly

Hepatosplenomegaly umntwana zisenokuvela nanini na ubudala, kubandakanya kuzalwa. Ukunyuka ngendlela efanayo kubantu abadala, ugqibe Ngokucofa. Gipatosplenomegaliya ngokuqhelekileyo kubantwana abancinane kunye senyongo, igazi, ifiva. Moshilongo efanelekileyo, kufuneka kuqala kucacisa uhlobo senyongo (hemolytic kunye parenchymal). Oku kuya kuvumela ukuphuhlisa unyango amaqhinga ekunene.

Xa iiyure yokuqala yobomi, kudityaniswe senyongo hepatosplenomegaly kakhulu kaninzi ngenxa yosulelo intrauterine nesifo sephepha okanye negcushuwa. Hepatosplenomegaly kaninzi iba ngenxa sohlobo naso okanye ukuqina. Ngaloo kumphezulu isibindi obungalinganiyo, ukuvumelana okuqinileyo. Ukwanda kakhulu kubantwana abaselula kakhulu zinyangwa mgaqweni ye phecana biliary. Kulo mzekelo, i senyongo lukhula kakhulu fast, ephelekwa melena, ukopha yosana. zibonisa Ngokukhawuleza iimpawu kwesibindi biliary kunye lwegazi portal.

Xa abantwana abadala tshintsho ngaxeshanye wesibindi udakada ezinokufuneka ukuba igciwane lohlobo okanye yintsholongwane, kunye waphula eziziziqalelo isondlo esifanelekileyo. ukutya okunamafutha osisityebi izinto umhlaza ke umthwalo kakhulu enyama yangaphakathi. Eyokuqala ithatha wolu kwesibindi, ekusebenzeni omzimba lokucoca ulwelo. Ngenxa yoko, abakwazi ukumelana isixa esikhulu yeekhomponenti olonakalisayo, isibindi yaligqiba ubukhulu kwaye ibandakanya utshintsho kwi udakada.

unyango

Emva kokuba kugqitywe uviwo ngenyameko uze ungqinisise izizathu ezidala izifo liphathwa. Hepatosplenomegaly - akukho isifo kodwa sifo. unyango olulodwa jikelele okanye kuyafuneka. Njengoko holespazmolitiki unyango yesondlo eyabelwe esibindini (amayeza "Papaverine", "No-Spa", "Platifillin"), iziyobisi cholagogue ( "holosas" "Xylitol") gepatoprotektory (iziyobisi "Silibor" "Essentiale" "Geptral "" Karsil "," Riboksin "kunye nabanye). Ngokuhambelana, unyango kunye arhente hormone, ezifana njengendlela "Prednisolone" kunye nezakhiwo afikelelekayo.

Xa ukwenzeka into efana hepatosplenomegaly, unyango sikhatshwa ukuzinza ekunyanzelekileyo biocenosis emathunjini. Oogqirha angaqesha amalungiselelo eziqulathe lactobacilli kunye colibacteria, ezifana "Linex", "Primadofilus", "Bifiform", "Hilak-Forte" kunye nabanye.

yokudla

ukutya okunamafutha, kwisigcinakaliso, idayi kunye carcinogens equlethwe iimveliso ezininzi, kuchaphazela kakubi isibindi, isisu, udakada. Ukunceda litshitshiswe sifo enyama yangaphakathi, kubalulekile ukuba esitya ukutya engqongqo ubuncinane ngexesha unyango. Adla kufuneka luqulathe igama ukutya, libya-amafutha kunye nokutya amatsha. Akukho ayi, iitshiphusi, asimele iyogurt yokugcina ixesha elide. Isiseko le ekudleni isuphu ukungondleki, ipapa ngaphandle ibhotolo, libya-fat cottage sisi. ITi, ikofu kunye isiselo nge elide ezikhabhathini ithathwa ngulo amanzi elula ngezimbiwa, indlu kunye kompotik Kiselev. Ophaya, iikeyiki kunye nezinye dessert okunamafutha nazo contraindicated. Kulungile ukuba bayeke amnandi okanye ukunciphisa eluhlaza leti zobusi kunye crackers. Hepatosplenomegaly - into efanele ukuphelisa kuphela iinzame odibeneyo ugqirha kunye nomonde.