Cov kab mob khees xaws (hepatologic diseases) yog ib qho ntawm cov kab mob phem tshaj plaws hauv lub cev. Qhov kev mob ntawm cov kab mob siab ua rau nws lub hlwb yuav hloov cov kev hloov uas yuav ua rau tus neeg tuag. Yuav kom tsis txhob muaj teeb meem, nws yog ib qho tseem ceeb kom paub cov pathologies no raws sijhawm thiab pib ua lawv txoj kev kho mob.
Cov kab mob siab - cov npe
Muaj 10 pawg neeg mob siab, feem ntau yog sib xws rau cov tsos mob thiab cov keeb kwm ntawm tus kab mob. Kev mob nkeeg ntawm lub zais zis thiab nws cov cwj pwm raug kho cais. Cov kab mob siab li cas:
- Lub tsev purulent, inflammatory thiab kev puas tsuaj ntawm cov hlwb parenchyma. Nyob rau hauv pawg neeg no, kis kab mob thiab kis mob kab mob siab , mob platelepatosis, tuberculosis thiab syphilitic tus kab mob, hepatomegaly , fatty hepatosis thiab abscess.
- Kev raug mob - lub kua muag, lub qhov txhab ntawm qhov chaw, qhov chaw mos thiab qhov riam phom raug mob siab.
- Vascular pathologies. Cov no muaj xws li arteriovenous fistulas thiab fistulae, pylephlebitis, Badda-Chiari syndrome, portal hypertension .
- Hloov intrahepatic ducts - cholestasis, Caroli tus kab mob, cholelithiasis, mob chronic siab thiab mob cholangitis.
- Cov hlab ntsha. Nyob rau hauv daim siab, hlwv thiab hemangiomas, sarcomas, intra-cellular thiab mob qog nqaij hlav cellular, metastases los ntawm lwm yam kab mob loj tuaj.
- Parasitic invasions - ascaridosis, alveolar thiab echinococcosis, leptospirosis, opisthorchiasis.
- Teeb meem muaj kab mob. Anomalies muaj xws li hemochromatosis, aplasia thiab hypoplasia, enzymopathies, pigmentary hepatosis thiab atresia.
- Kev puas tsuaj rau pathologies ntawm neighbouring plab hnyuv siab raum. Feem ntau cov tsos mob ntawm daim siab mob siab tiv thaiv kab lig kev cai ntawm lwm cov kab mob - mob plawv (mob plawv), amyloidosis (cov leeg pob txha), hepatomegaly (leukemia). Tsis tas li ntawd, cov kab mob hauv lub cev tsis muaj peev xwm kuj muaj nyob hauv pawg no.
- Kev hloov ntawm lub cev. Lub cev nqaij daim tawv raug rhuav tshem ntawm lub cev muaj tshwm sim nrog thawj biliary cirrhosis, sclerosing cholangitis, autoimmune hepatitis.
- Cov teeb meem, kev ua haujlwm thiab kev hloov pauv - parenchymal jaundice, cirrhosis, coma, tsis muaj txhij txhua.
Cov kab mob ua teb - ua rau
Cov ntaub ntawm qhov piav tau khoom muaj, muaj peev xwm ua kom rov tsim thiab ruaj ntseg rau kev puas tsuaj ntawm ib puag ncig. Vim li no, tus kab mob siab pheejyeeb yeej ib txwm ua rau muaj mob loj:
- kev qaug;
- tus kab mob viral;
- kev quav dej caw;
- kab mob;
- cab;
- txaus ntshai rau lub neej kev raug mob;
- ionizing hluav taws xob;
- ua txhaum cai ntawm kev tiv thaiv;
- mob purulent kev xyuam xim hauv plab kab noj hniav;
- heredity;
- mob lwm cov kab mob ntawm lwm cov kabmob;
- inaccuracies hauv kev noj haus;
- siv cov tshuaj tua kab mob siab thiab lwm tus.
Mob khaub thuas - mob tshwm sim
Cov duab saib ntawm cov pab pawg neeg ntawm pathologies cuam tshuam tag nrho lub cev. Cov tsos mob ntawm daim siab kab mob siab pom tau pom txawm tias pom tsis pom, lawv suav cov kab mob dermatological. Yog vim li cas rau qhov kev mob tob tob no nws nyob hauv kev ua haujlwm zoo. Lub siab yog lub luag hauj lwm rau lub hematopoiesis thiab detoxification ntawm lub cev, koom tes hauv cov synthesis ntawm tseem ceeb enzymes, immunoglobulins, hormones thiab antibodies. Nws kev puas tsuaj ua rau cov tsis ua hauj lwm ntawm txhua lub cev.
Lub siab puas siab puas ntsws?
Nyob rau hauv lub cev no, muaj kev xyaum tsis muaj qhov xaus paj. Lawv yog cov txuas ntxiv mus rau ib ntug thiab hauv lub plhaub, li ntawd, qhov mob hauv daim siab qhia tias qhov kab mob no tseem ceeb heev. Cov ntaub so ntswg ntawm lub cev, tsam loj, pib nyem qhov tshuaj ntsiav, ua rau muaj kev ntxhov siab tsis zoo. Hauv lwm cov mob, qhov mob nyob rau hauv txoj cai hypochondrium signals teeb meem nyob rau hauv vaj tse sib txuas, feem ntau yog qhov zis zis los yog nws cov ducts.
Thawj cov cim ntawm kab mob siab
Ib qho kev kuaj mob thaum ntxov nrog feem ntau ntawm cov kab mob siab hepatological tsis tuaj, thiab lub nruab nrog puas tsuaj imperceptibly. Cov tsos mob ntawm cov kab mob hauv lub siab ua ntej yog dab tsi, nyob ntawm qhov xwm txheej thiab qhov teeb meem ntawm kev puas tsuaj. Cov kev xaiv tshaj plaws yog:
- heartburn;
- periodic xeev siab;
- tsis xis nyob tom qab noj mov;
- tsis kaj siab, ntse tsw ntawm hws;
- darkening ntawm zis;
- pauv hauv cov xim ntawm cov quav (lub teeb daj, yuav luag dub, ntsuab);
- deterioration tsis pom kev;
- kev sib ceg;
- poob ntawm tsag, plaub hau;
- mob taub hau;
- o thiab qaug;
- causeless poob phaus;
- lagging ntawm tus nplaig, tawg nyob rau hauv nws;
- nce nyob rau hauv qhov loj ntawm lub plab;
- hais ua tus qauv venous ntawm daim tawv nqaij hauv cheeb tsam epigastric;
- quav tsis ruaj;
- txoj kev los ntshav thiab lwm tus.
Kuj tseem muaj cov tsos mob ntawm cov kab mob hauv siab, cov tsos mob muaj xws li tshwm sim ntawm hypovitaminosis:
- txob taus;
- tsis muaj zog;
- deterioration ntawm daim tawv nqaij thiab plaub hau;
- neuritis;
- txog kev ua tsis taus pa;
- tachycardia;
- pw tsaug zog mob;
- tev daim di ncauj;
- kab nrib pleb rau ntawm qhov chaw ntawm lub qhov ncauj;
- tsim ntawm hematomas thiab lwm tus.
Kev hnov mob ntawm daim siab mob
Kab mob siab kho mob yeej ib txwm muaj kev cuam tshuam rau kev noj qab haus huv. Cov tsos mob ntawm daim siab mob siab yog qhov tsis xis nyob hauv daim duab ntawm lub cev. Muaj kev ntxhov siab, siab, raspiranie thiab mob ib ce. Qee lub sij hawm ib tug neeg zoo li fluttering nyob rau hauv txoj cai tav, raws li yog hais tias tus Tail ntaus lub ntses. Cov kab mob ntawm daim siab - cov tsos mob thiab cov cim qhia ntawm ib tug kab mob ntawm ib qho xeeb ceem:
- khaus ntawm daim tawv nqaij;
- tsis muaj zog, tsis muaj peev xwm ua haujlwm;
- nkees nkees;
- lub cim tias muaj kev tshaib plab thiab nqhis dej;
- plawv palpitations;
- bouts ntawm insomnia thaum tsaus ntuj;
- qhov piam sij ntawm lub hlwb, piv txwv li, ib tug neeg pib confuse cov xim (dawb thiab daj, xiav thiab violet);
- lub siab vam meej;
- ua txhaum ntawm thermoregulation (tej yam kub, ces txias);
- hlwb puas siab puas ntsws, kev muaj peev xwm ntawm hlwb.
Kub nyob rau hauv kab mob siab
Inflammatory pathologies yog nrog nws kub taub hau. Cov kev ntsuas ntawm tus pas ntsuas kub rau kab mob siab thiab lwm cov kab mob zoo li 39-40 degrees. Lwm yam, tsis kub ib ce. Ntau zaus feem ntau muaj cov kab mob subfebrile hauv kab mob siab, txog 37.2-37.5 degrees. Hauv qee tus neeg, nws nyob tsis zoo (kwv yees li 36.6) ua ntej cov teeb meem tshwm sim thiab qhov kev hloov ntawm lub cev yog qhov puas.
Sab nraud cov paib ntawm daim siab mob siab rau tib neeg
Lub deterioration nyob rau hauv kev ua tau zoo ntawm kev haus tshuaj lom neeg ua rau ua rau tsub zuj zus ntawm teeb meem tshuaj nyob rau hauv cov ntshav. Thawj cov cim thiab cov tsos mob ntawm tus kabmob sab nraud muaj xws li hloov hauv daim tawv nqaij:
- yellowness;
- o;
- tsis ua haujlwm;
- ntes;
- tev;
- khaus thiab khoom siv ntawm khawb;
- tawm hws;
- tshwm sim ntawm striae.
Cov kab mob ntawm daim siab - tshwm sim ntawm daim tawv nqaij
Tiv thaiv tom qab ntawm kev ua txhaum ntawm kev pom thiab ua kom lub cev muaj peev xwm ntawm lub cev, qhov txo qis ntawm cov tshuaj tiv thaiv kab mob hauv immunoglobulins, muaj cov tsos mob ntawm cov kab mob hauv lub siab:
- Ulcers. Daim tawv nqaij yog nquag mus rau tsim ntawm follicles thiab boils, lub slightest kev puas tsuaj yog inflamed.
- Ua xua rau cov kab mob hauv siab. Txuam nrog cov co toxins contributes rau cov tsos ntawm khaus me thiab papules.
- Hemorrhagic (petechial) pob ua pob. Vim yog qhov ua txhaum ntawm cov txheej txheem ntawm cov ntshav khaus, ntau cov kab mob subcutaneous hemorrhages, me hematomas me.
Cov kab mob ntawm daim siab - pom nyob rau ntawm lub ntsej muag
Cov neeg uas raug cov kab mob no tau raug ntau los ntawm pob txuv, tsis hais hnub nyoog li cas. Cov tsos mob ntawm cov kab mob hauv daim siab muaj peev xwm muaj kev ua pa tawv heev. Ntxau siab yog tob thiab subcutaneous. Thaum palpation, muaj ib tug piercing mob thiab throbbing. Ntawm no, cov tsos mob hauv daim siab li cas yog tseem pom ntawm lub ntsej muag:
- kaw comedones;
- "Cov ntsiab lus dub";
- milium;
- purulent ntxau.
Kab mob ntawm daim siab - txoj kev kuaj mob
Ntau cov kab mob hepatological ailments tau yooj yim txiav txim siab los ntawm cov tsos ntawm ib tug neeg, yog li tus kws kho mob thawj zaug kuaj tus neeg mob, sau cov tsos mob, sau cov ncauj lus kom ntxaws. Tom qab kev sojntsuam, kev tshuaj ntsuam ntxiv yog teem sijhawm. Kab mob ntawm daim siab - mob:
- kuaj ultrasound ntawm lub cev;
- kuaj ntshav rau bilirubin , albumin thiab daim siab enzymes;
- ntsuam xyuas biochemical;
- tshuaj ntsuam mob hepatic;
- kawm txog cov metabolism hauv pigment;
- urinalysis rau bilirubin;
- kev txiav txim siab txog theem ntawm bile acids hauv bile;
- kev tshawb xyuas ntawm cov txheej txheem coagulation.