Muscat isibindi: anatomy, histology, patomorfologija

Muscat isibindi - ngenxa yezifo yemo congestive lwemithambo ngamalungu zangaphakathi. Le meko kubonakala nje kuphela kwinkqubo yokwetyisa, kodwa intliziyo, imiphunga, izintso kunye nobuchopho.

ngezigaba

Morphologically kukho amanqanaba amathathu ezenzeka esibindini njengokuba isifo siqhubeka:

1. Muscat kwesibindi: kwisiqalo weeseli olunamafutha (esimthubi) wabona vasodilatation (ebomvu emnyama).
2. abanesigulo amileyo: i laphu esixineneyo ngakumbi ngenxa kwizicwili ingantshuli. Igazi zemvula parenchyma welungu, ngokunjalo ukubonakala izilonda sclerosis.
3. Wentliziyo kwesibindi: umphezulu umzimba inkangeleko olungalinganiyo.

umyalezo weimeyile

Ukophulwa yokumpompoza kwegazi ukusuka kwinkqubo portal iziphumo ekubunjweni iziganeko ezifana Muscat esibindini. Izinto ezibangela ekuma - ephula umsebenzi ventricular kunye nokuncipha imbuyekezo lwemithambo. Oku kubonisa ukusilela intliziyo congestive, kwaye soloko ilandelwa lutshintsho lwemithetho nesifo sentliziyo. Ukwanda koxinizelelo kwindlela lwemithambo, kwakunye kwingxinano mihla le nangenxa yokudodobala igazi imithambo yegazi ethintela igazi ukuhamba ngempumelelo kumalungu.

lwezifo

Isifo akazalani ngokwesini okanye ubudala. Kodwa Mani Loyi uninzi kuchaphazela abantu abadala saka. Amaninzi, yotyando kuphela ukubona ukuba isigulana umntu Muscat isibindi. Necropsy zinganika iimpendulo kwimibuzo umdla ugqirha. Ukuze wenze oku, ii-arhente azikho abangaboniyo kuphela zivavanywe, kodwa wathumela ukuba iimviwo histological.

imiba yesifo kwesibindi ikukulabalaba umzimba, ukungatyi ukutya okunesondlo, imikhwa emibi, phambi isifo sentliziyo kwimbali, kwakunye ubudala umntu omdala ngayo.

ikliniki

Kwiimeko ezininzi, iimpawu ukusilela intliziyo ngabona kumfanekiso bezonyango sifo, ngoko ukuze bazi ukuba iingxaki zesibindi isigulane. Muscat isibindi, kwakunye naziphi na ezinye kwesibindi, sikubonise intlungu ikota yesangqa ephezulu ngasekunene, senyongo ulusu kunye uxakaxa imifinya, ukudumba kwi imilenze ekupheleni kosuku, ascites (ukuqokelelana ulwelo kwi kwisisu). Kodwa yonke imiqondiso circumstantial. Beka ekhulwini ikhulu kwenye kwafunyaniswa kuphela emva kokuba yotyando, ngokuba akukho ndlela umfanekiso yanamhlanje ayikwazi ukubonisa ukuba umzimba ufana nutmeg. Isibindi Ngokucofa esixineneyo, enyeleni lirhangqwa kwaye protruded ukusuka Arch costal.

ekuxilongweni

Ukuze wenze isifo "esingapheliyo ukuxinana isixando lwemithambo", kufuneka:

1. Ukuqinisekisa ubukho sisifo sentliziyo (instrumentally okanye uviwo emzimbeni):

• X-reyi yesifuba (ebonisa utshintsho kwentliziyo, ingxinano lwemithambo emiphungeni, okanye ubukho effusion pleural);
• iimviwo Doppler wentliziyo, kwaye Vena cava obuphantsi (ukuba oyena nobangela wesifo sentliziyo);
• CT okanye MRI;
• ECG.

2. Qhuba iimvavanyo elebhu, ezifana chemistry igazi iimvavanyo umsebenzi wesibindi :

• yibilirubin yegazi eyonyukileyo;
• abangaxhalabisiyo ukwanda transaminase (ALT, AST);
• ukwanda phosphatase obrak;
• ukuncipha albumin kunye kululwa ixesha ekunqandeni.

3. Babhenele kuxilongo negalelo, ukuseka ubunyani yamehlo morphologically kwesibindi. Ezi zifundo ziquka:

• laparocentesis (free aspirating ulwelo kwisisu) ukumisela ezibangela ascites;
• biopsy ngenaliti (ukuqinisekisa uxilongo "Muscat isibindi" zingenziwa izilayidi kunye nobomi yesigulane).

diagnosis lokuthelekisa kuquka izifo ezifana kwesibindi ezinxilisayo, umhlaza, isifo sentliziyo, hemochromatosis, thrombosis le cava Vena kunguhata kunye noxinzelelo lwegazi portal. Musa ukulibala malunga izifo viral isibindi - hepatitis A, B, C, D, E. Ukongeza, kukho amathuba isifo ekumfimfitheni.

ukungaphili

Muscat isibindi kwaye ibangele kwesibindi yakhe kwentliziyo akazange kuchaphazela ngesiphumo ukusilela kwentliziyo. Kwiimeko apho sisibindi yaba unobangela wokufa, azixhaphakanga kwaye azisayi kuqwalaselwa abonakalisa. Ukopha ukuphazamiseka - nazo kakhulu ezinqabileyo, nangona akukho nanto. Ezinye iingcali ukrokrela ukuba kukho unxibelelwano phakathi isibindi ukuqina nasisihlo yamathumba amabi, kodwa iye yaba lo mbono hayi.

unyango

therapy Drug kufuneka lujoliswe ekujonganeni isifo engundoqo, okt ukusilela intliziyo. A ukuqina kukodwa akukho unyango oluthile. Ukongeza, isigulane luyacetyiswa ukuba ukulandela lokudla luthintelo ityuwa kunye iingxaki ukutshintsha umyalelo imini yakho ukulala kakuhle, abe ngaphandle kwaye umzimba ngokwaneleyo. Ezi zazo ezilula kunokunceda ukunciphisa uxinzelelo lwegazi nasezimpahleni ezinkulu, kuquka Kwangale portal.

Unyango lingaze yi womchamo (kukunciphisa isixa kolwelo esiswini), kunye beta-blocker kunye ACE inhibitors (ukuba kuqheleke intliziyo).

unyango Surgical kuvame ukwenziwa. Oku kuhambisana basengozini enkulu yokuba umguli kwaye kumgwebela ngokwayo. Ngamanye amaxesha ugqirha isigqibo uzakufun aukugqithisa yinxalenye portal umthambo intrahepatic, kodwa oku kunokukhokelela ukusilela intliziyo kakhulu lwe uhlobo ventricular ekunene kunye nokudumba pulmonary ngenxa kakhulu ukwandisa ukubuyiselwa lwemithambo.