Lub siab yog ib qho tseem ceeb ntawm tib neeg lub cev. Nws ua ntau lub luag haujlwm tseem ceeb - nws tshem tawm cov co toxins, synthesizes cov tshuaj hormones, cholesterol, qee cov enzymes thiab koom nrog hauv cov metabolism. Kev ua haujlwm tsis zoo hauv kev ua haujlwm ntawm lub cev cuam tshuam rau kev ua haujlwm ntawm lub cev tag nrho. Ib qho ntawm feem ntau pathologies ntawm daim siab yog hepatomegaly. Hauv menyuam yaus, tus mob no mus txog rau ib lub hnub nyoog tej zaum yuav raug suav hais tias yog ib txwm muaj, tab sis muaj cov xwm txheej thaum yuav tsum tau kho mob. Hauv kab lus no, peb yuav xav txog qhov ua rau pathology hauv cov menyuam yaus thiab kho tau.
Definition
Hepatomegaly yog ib yam mob tshwm sim los ntawm kev loj hlob ntawm daim siab vim muaj kab mob. Tab sis hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos, thiab qee zaum muaj hnub nyoog 7 xyoo, cov tsos mob zoo li no tuaj yeem suav tias yog ib qho muaj feem cuam tshuam txog hnub nyoog uas yuav tsum tau khaws cia hauv kev saib xyuas kev kho mob. Nyob rau hauv cov ntaub ntawv no, lub cev protrudes tshaj lub tav los ntawm 2 centimeters. Hauv cov xwm txheej ntawdThaum muaj qhov nce ntxiv hauv daim siab lossis mob, xeev siab, thiab cov tsos mob ntawm lwm yam kab mob ntxiv rau cov kab mob, koj yuav tsum mus ntsib kws kho mob sai li sai tau.
ua rau ntawm pathology
Qhov ua rau hepatomegaly hauv cov menyuam yaus muaj ntau heev, raws li daim siab ua rau ib qho twg, txawm tias muaj kev hloov me me hauv lub cev. Cov yam tseem ceeb hauv kev txhim kho pathology suav nrog:
- Cov txheej txheem mob. Qhov no yog feem ntau ua rau cov menyuam yaus. Cov no muaj xws li rubella, kab mob kis, kab mob siab, intoxication, muaj kab mob hauv lub cev.
- Metabolic disorders vim muaj kab mob los yog kev noj tsis txaus.
- Kev cuam tshuam ntawm cov kua tsib thiab cov ntshav tawm, ua rau muaj kev cuam tshuam ntawm lub gallbladder ducts, vein thrombosis, plawv nres.
- Kev puas tsuaj rau daim siab. Piv txwv li, nrog cysts los yog fibrosis.
- malignant qog.
- Nyob hauv tej thaj chaw uas muaj ecology phem.
- noj tsis zoo, uas yog cov khoom noj muaj roj.
YKev faib tawm ntawm pathology
- Reactive hepatomegaly hauv menyuam yaus, uas tshwm sim los ntawm kev txhim kho cov txheej txheem pathological. Raws li txoj cai, tom qab lub hauv paus ua rau raug tshem tawm, qhov loj ntawm lub cev tau rov zoo li qub.
- Me me hepatomegaly hauv tus menyuam. Lub siab nce 1-2 centimeters. Hauv qhov no, tsis pom cov tsos mob ntawm daim duab. Kev kuaj mob los ntawm ultrasound.
- Nyob rau qee qhov xwm txheejTxheeb xyuas qhov nruab nrab hepatomegaly ntawm daim siab hauv tus menyuam. Nws tshwm sim nyob rau hauv kev twb kev txuas nrog lub cev teb rau tej yam kab mob. Tus mob no tsis ua rau muaj kev hem thawj rau kev noj qab haus huv yog tias qhov tshwm sim raug tshem tawm. Cov tsos mob tsis zoo, feem ntau cov cim qhia ntawm pathology yog tshwm sim thaum lub sij hawm ntev ntawm cov kab mob hauv qab, uas muaj kev ua txhaum ntawm kev ua haujlwm ntawm lub cev. Kev kuaj mob siv cov txheej txheem ntsuas.
- mob siab hepatomegaly ntawm daim siab hauv tus menyuam. Nyob rau hauv cov ntaub ntawv no, lub cev muaj peev xwm protrude tshaj lub tav ntawm ib tug deb ntawm txog 10 centimeters. Kev kuaj mob kom zoo yog xav tau txhawm rau txheeb xyuas qhov laj thawj thiab kho raws sijhawm. Feem ntau, daim ntawv no tshwm sim thaum lub sij hawm oncological txheej txheem.
- Diffuse. Lub siab tshaj qhov ntsuas los ntawm ntau tshaj 10 centimeters. Kev hloov pauv tuaj yeem pom hauv txhua qhov ntawm lub cev. Feem ntau, tus mob no tshwm sim thaum raug staphylococcus thiab streptococcus. Nws yog yus muaj los ntawm ib tug mob nyob rau hauv lub siab. Yog hais tias qhov ua rau ntawm tus kab mob pathological yog ib qho mob lom ntawm lub cev, cov tsos mob ntxiv yuav yog tus kab mob loj. Cov mob no yog kev phom sij rau lub neej thiab yuav tsum tau kho tam sim ntawd, uas yog ua phais. Raws li kev kho mob ntxiv, kev noj zaub mov tshwj xeeb uas tsis muaj cov zaub mov muaj rog tau pom zoo.
- Ib nrab hepatomegaly hauv tus menyuam. Kev kuaj pom qhov tsis sib xws hauv lub cev. Qhov no tshwm sim thaum muaj qog los yog cyst. Qee zaum tus mob no tau kuaj pom los ntawm palpation, uaslub qhov txhab ntawm daim siab loj yog palpable.
- Hepatomegaly los ntawm hom kab mob siab. Muaj cov xwm txheej nyob rau hauv uas txoj kev loj hlob ntawm ib tug pathological mob tshwm sim los ntawm kev noj ib tug loj npaum li cas ntawm fatty zaub mov thiab kev siv ntawm tej pawg ntawm cov tshuaj. Vim yog noj cov rog ntau dhau, lawv cov khoom txuam hauv daim siab tuaj yeem tshwm sim, uas ua rau hepatomegaly. Cov mob no tshwm sim qeeb heev, tab sis yog tias tsis kho, nws tuaj yeem ua rau mob fibrosis thiab cirrhosis.
- False hepatomegaly. Nws yog pom nyob rau hauv emphysema, nyob rau hauv uas lub siab yog "tshem tawm". Tus kab mob no tau kuaj pom zoo los ntawm kev siv hluav taws xob.
Symptomatics
Qhov tshwm sim ntawm pathology ncaj qha nyob ntawm qhov ua rau ua rau nws. Feem ntau cov tsos mob ntawm tus mob hepatomegaly me me yog:
- Nyob zoo ib tsoom phooj ywg.
- Nyob tsis muaj zog.
- Apathy.
- Kev nyuaj siab.
- Kev qab los noj mov.
- daj ntawm daim tawv nqaij.
- plab hnyuv.
- Mob lub plab sab sauv thiab sab xis ntawm lub plab.
- Ib los ntshav.
- Capillary hnub qub tshwm rau ntawm tus menyuam lub plab.
- Qhia los yog ntuav.
- Tshuaj tsw qab nyob hauv qhov ncauj.
- plab plab.
Nws tsim nyog sau cia tias nrog hom kab mob nruab nrab, cov paib yuav pom me ntsis qhov muag plooj, thaum muaj hom kab mob sib txawv, cov tsos mob tau hais.
ThaumYog tias koj muaj cov tsos mob saum toj no, koj yuav tsum mus ntsib kws kho mob sai li sai tau.
ntsuas ntsuas
Yog tias tus menyuam xav tias muaj tus kabmob, tus kws kho mob yuav kuaj pom qhov pom, uas nws yuav palpate daim siab thiab ua tib zoo saib xyuas ntawm daim tawv nqaij. Tom qab ntawd, cov kev ntsuas tsim nyog tau raug sau tseg los pab txheeb xyuas tus kab mob provoking. Kev kuaj mob suav nrog cov chav kuaj thiab ntsuas ntsuas, uas suav nrog:
- Kev tshuaj ntsuam zis thiab ntshav.
- Biochemical ntshav kuaj.
- Coagulogram.
- kuaj mob siab.
- Immunogram.
- Kev kuaj quav thiab ntshav kom pom muaj helminths.
- kuaj lub siab ntawm lub siab. Thaum kuaj pom tus kab mob hepatomegaly hauv tus menyuam, ncha cov cim ntawm kev nce hauv qhov loj ntawm lub cev yog qhov tseem ceeb hauv kev kuaj pom kab mob.
- Magnetic resonance lossis xam tomography.
- X-ray.
- Qee zaum, yuav tsum tau kuaj ntshav biopsy, uas feem ntau yog ua raws li tshuaj loog los ntawm laparoscopy. Nws yog ib qho kev paub txog kev kuaj mob, tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv ntawm cov txheej txheem qog thiab fatty degeneration.
- Tumor markers.
Kev kho tau zoo
Qhov kev txiav txim siab yuav kho tus mob hepatomegaly hauv tus menyuam li cas yog ua los ntawm tus kws kho mob uas tuaj koom raws li cov txiaj ntsig ntawm txhua qhov kev xeem. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj qhov tshwm sim tsis zoo. Rau qhov no pathology,ib qho kev sib koom ua ke uas suav nrog kev saib xyuas kev noj qab haus huv, kev kho noj zaub mov thiab tshuaj ib txwm siv, uas yog siv los ntawm tus kws kho mob saib xyuas.
Tshuaj suav nrog:
- Tshuaj uas pab tiv thaiv kab mob hauv qab. Cov no suav nrog cov tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj tua kab mob, thiab tshuaj tiv thaiv kab mob. Cov tshuaj Antihelminthic tuaj yeem raug sau.
- Hepatoprotectors tau sau los txhawb lub siab. Cov no suav nrog tshuaj xws li Essentiale, Heptral.
- Enzymatic npaj - Creon, Mezim.
- Anspasmodics. Piv txwv li, "No-shpa".
- Vitamin complexes muaj vitamin C.
- Sorbents los tawm tsam kev qaug cawv.
- Hauv daim siab tsis ua haujlwm, kev kho diuretic yog siv, suav nrog kev noj "Furasemide" lossis, yog qhia, "Laparocentesis".
Kev Noj Qab Haus Huv
Nyob rau hauv kev kho mob hepatomegaly hauv cov menyuam yaus, kev ua raws li kev noj zaub mov tshwj xeeb yog ib kauj ruam tseem ceeb uas txo cov load ntawm daim siab. Kev noj zaub mov ntawm tus menyuam yuav tsum tau tswj hwm los ntawm cov zaub mov cog, thiab kev noj cov rog, cov zaub mov haus luam yeeb thiab cov uas muaj ntau cov carbohydrates yooj yim yuav tsum raug txo kom tsawg. Cov khoom tso cai muaj xws li:
- zaub.
- Fruits.
- Cov khoom noj muaj roj tsawg.
- Jelly.
- qe dawb.
Cov khoom noj hauv qab no txwv tsis pub:
- Spicy.
- Bold.
- Smoked.
- S alty.
- Mushrooms.
- Chocolate.
- dej qab zib.
- yuav haus dej cawv.
- Spices.
- Icecream.
- Tshuaj yej thiab kas fes.
Nws pom zoo kom noj fractionally thiab hauv me me.
Kev kho mob phais
Nyob rau qee kis, kev saib xyuas kev kho mob tsis zoo. Nyob rau hauv rooj plaub no, tus kws kho mob txiav txim siab txog kev siv txoj kev phais kev kho mob. Qhov no tshwm sim hauv cov xwm txheej hauv qab no:
- Nrog rau kev txhim kho cov txheej txheem purulent hauv lub siab. Ua li no, qhib thiab ntws cov abscesses ntawm lub cev.
- Nyob rau hauv cov txheej txheem oncological kom tshem tawm cov qog.
- Rau ligation ntawm cov hlab ntsha thaum muaj kev puas tsuaj rau cov ntaub so ntswg ntawm lub cev.
kev kho neeg zoo
Kev siv cov tshuaj ib txwm siv yog ib txoj hauv kev pabcuam kev kho mob, uas yuav tsum tau pib tsuas yog tom qab sab laj nrog koj tus kws kho mob thiab tshem tawm qhov ua rau muaj kev fab tshuaj. Nws yog ib qho tsim nyog sau cia tias tsis yog txhua yam tshuaj ntsuab siv tau txij thaum ntxov.
Nws pom zoo kom siv cov zaub mov hauv qab no:
- Nqaij npuas nrog me ntsis txiv qaub kua txiv thiab dej.
- Pumpkin, uas tso cai rau noj txhua daim ntawv.
- Beets. Koj tuaj yeem siv nws boiled los yog nyem kua txiv tawm ntawm nws.
- Decoction ntawm qus sawv, motherwort, mint, St. John's wort.
- Cranberry kua txiv.
Txoj kev ntawm tus kab mob hauv cov menyuam yug tshiab
Lub siab me me ntawm cov menyuam yug tshiab yog qhov qub thiab tsis tas yuav kho. Nws tuaj yeem txaus tsuas yog ua kom tus mob no tswj tau. Tab sis nrog kev nce ntxiv hauv lub cev, qhov ua rau yuav tsum tau txheeb xyuas sai li sai tau thiab kev kho tsim nyog yuav tsum pib. Feem ntau ua rau mob hepatomegaly hauv cov menyuam mos yog:
- Congenital TORCH infections.
- kab mob npaws.
- Metabolic ntshawv siab.
- Pathology ntawm daim siab kev loj hlob.
- Tumor processes.
- Kab mob ntawm cov hlab plawv.
- Ntau ntau cov vitamin A hauv lub cev.
- Congenital daim siab fibrosis.
- YKev cuam tshuam ntawm lipid metabolism.
- Tshuaj mob siab vim kev kho tshuaj.
Cov tsos mob hauv qab no tuaj yeem pom:
- Tsis qab los noj.
- Cry tus me nyuam.
- Vim.
- ntshav txhaws.
- -yellowing ntawm daim tawv nqaij thiab cov yeeb yaj duab zoo.
Koj tsis tuaj yeem kho tus kheej, vim koj tuaj yeem ua mob rau tus menyuam. Ua ntej ntawm tag nrho cov, nws yog ib qhov tsim nyog los txheeb xyuas tus kab mob uas provokes nce nyob rau hauv lub siab thiab coj tag nrho cov kev ntsuas rau nws cov kev kho mob. Cov tshuaj kuj raug sau tseg los kho cov kab mob siab. Yog tias tus menyuam tau pub niam mis, niam tau qhia kom hloov nws cov zaub mov tsis suav nrog cov zaub mov txwv tsis pub muaj hepatomegaly. Cov no suav nrog fatty, ntsim, haus luam yeeb,s alty tais.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv kev txhim kho ntawm hepatomegaly, nws yog ib qho tsim nyog yuav tsum ua raws li ntau yam kev tiv thaiv, uas suav nrog:
- Khawv kev noj qab nyob zoo.
- khoom noj kom raug.
- Ua raws kev haus cawv.
- Txoj kev tiv thaiv kab mob.
- kev tawm dag zog.
- Kev kho mob raws sijhawm thiab tiv thaiv lawv txoj kev hloov mus rau theem ntev.
- Kev tu tus kheej kom huv.
- Kev tiv thaiv kab mob sib kis.
- Tsis tas li, txhawm rau tiv thaiv kab mob siab hepatomegaly hauv menyuam yaus, kev mob hlwb yog qhov tseem ceeb heev. Kev ntxhov siab tuaj yeem ua rau muaj teeb meem metabolic thiab tsis qab los noj mov, uas, dhau los, cuam tshuam rau qhov tsis txaus ntawm cov kab mob thiab cov vitamins.
- Tsis txhob overeat.
- Ntau yam sab nraum zoov.
Huab cua
Qhov kev cia siab rau tus mob no ncaj qha nyob ntawm tus kab mob provokes thiab qhov hnyav ntawm nws cov kev kawm. Nrog rau kev kuaj mob raws sij hawm thiab kev kho mob raws sij hawm, txoj hauv kev ntawm kev kho kom tiav rau daim siab yog siab heev, tshwj xeeb tshaj yog vim cov txheej txheem inflammatory ntawm tus kab mob. Nrog rau cov kab mob uas provoked intoxication, cov kev kwv yees rau ib tug tag nrho rov qab yog me ntsis qis. Qhov kev tshwm sim hauv qhov no yuav nyob ntawm seb qhov kev puas tsuaj rau lub cev. Hepatomegaly tshwm sim los ntawm kev loj hlob ntawm cov qog muaj peev xwm txaus ntshai. Nyob rau tib lub sijhawm, kev kuaj mob ntxov thiab kev kho mob raws sijhawm yog qhov tseem ceeb heev.
Zoo kawg
Hepatomegaly hauv menyuam yaus tuaj yeem yog qhov cim ntawm cov kab mob txaus ntshai heev uas, tsis muaj kev kho kom raug, ua rau muaj teeb meem loj. Yog tias tus mob no tsis yog lub cev nqaij daim tawv, yog tias muaj cov tsos mob tshwm sim, koj yuav tsum hu rau tus kws kho mob lossis tus kws kho mob gastroenterologist uas yuav sau tshuaj ntsuam xyuas thiab, raws li cov txiaj ntsig tau txais, kev kho mob zoo tshaj plaws rau txhua kis tshwj xeeb.
