Lub siab yog ib qho tseem ceeb hauv lub cev. Nws yog nyob rau hauv lub plab kab noj hniav nyob rau hauv lub diaphragm. Lub siab yog lub cev tsis sib xws. Nws ua haujlwm ntau yam sib txawv. Hauv particular, nws tiv thaiv lub cev los ntawm kev puas tsuaj los ntawm co toxins, txawv teb chaws tshuaj, allergens thiab lwm yam teeb meem compounds.
Kev tsis ua haujlwm mechanism
Kev tsis ua haujlwm ntawm cov tebchaw yog cov txheej txheem ntawm lawv cov tshuaj hloov pauv. Nws muaj ob theem. Nyob rau hauv thawj theem, lub compound undergoes oxidation (electrons yog detached). Nyob rau theem thib ob, cov khoom siv hydrolysis los yog txo qis (electron ntxiv). Nyob rau theem thib ob, lwm yam tshuaj koom nrog cov tshuaj active pawg. Raws li qhov tshwm sim, cov teeb meem sib xyaw yog hloov mus rau hauv cov tshuaj lom neeg tsawg lossis tsis muaj mob thiab yooj yim tawm ntawm lub cev. Tab sis qee zaum, lub cev tsis kam tiv nrog nws txoj haujlwm.
Ua rau tus kab mob toxic hepatitis
Daim siab puas yuav yog vimntau yam. Nws tuaj yeem tshwm sim los ntawm kev tswj hwm parenteral lossis noj tshuaj lossis tshuaj tshuaj, nqus pa. Ntawm cov tshuaj lom neeg, muaj tshuaj lom thiab qee hom fungi yog qhov txaus ntshai. Pharmacological cov neeg ua haujlwm siv los kho ntau yam pathologies muaj zog rau lub siab. Tshuaj lom neeg tuaj yeem tshwm sim, dhau los, vim muaj ntau yam laj thawj. Ib qho ntawm cov tseem ceeb yog lawv qhov kev tswj tsis tau.
Yam tshuaj lom lom
Txhais qhov txawv ntawm qhov cuam tshuam ncaj qha thiab qhov tsis zoo. Nyob rau hauv rooj plaub thib ob, cov nyhuv ntawm cov tshuaj lom yog nyob ntawm qhov koob tshuaj. Nrog rau kev siv tshuaj ntev ntev, kab mob siab mob siab ntev yuav tshwm sim. Kev kho mob nrog ntau yam tshuaj yog ib qho kev hem thawj rau kev noj qab haus huv. Cov tshuaj feem ntau yog metabolized nyob rau hauv daim siab, uas ua rau cov nyiaj puas. Cov khoom uas tshwm sim provoke morphological hloov. Cov tshuaj ntau dua ua rau muaj kev phom sij ntau dua uas ua rau lub siab puas tsuaj loj.
YCov kab mob pathologies
Feem ntau lub sijhawm latent (pob ntseg) luv luv. Qee zaum, nws tsuas yog ob peb teev xwb. Cov tsos mob tshwm sim tshwm sim tom qab ib hnub lossis ob hnub. Mob toxic kab mob tuaj yeem tshwm sim los ntawm cov kab mob hauv lub cev lossis cov khoom lwj uas tsim hauv daim siab. Rau txhua yam tshuaj lomcharacterized los ntawm nws tej yam tsis zoo. Piv txwv li, trichlorethylene, carbon tetrachloride ua rau cov txheej txheem necrotic, thiab daj phosphorus ua rau periportal puas. Nrog kev noj tshuaj txhua hnub ntawm Tetracycline ntawm koob tshuaj ntau dua 1.5 g, cov rog me me tau tsim hauv daim siab. Qee qhov xwm txheej, qhov kev puas tsuaj mus tsis tau pom dua rau qee lub sijhawm kom txog thaum jaundice tshwm.
Idiosyncratic reactions
Kab mob siab yog qhov tsawg thiab tsis tuaj yeem kwv yees hauv cov xwm txheej no. Nws qhov hnyav nyob ntawm qhov ntau npaum li cas. Cov kab mob pathological tuaj yeem tshwm sim txhua lub sijhawm thaum lub sijhawm lossis tom qab noj tshuaj. Cov tsos mob ntawm tus kab mob toxic hepatitis feem ntau yog tib yam. Hauv particular, nrog idiosyncrasy, extrahepatic hypersensitivity tshwm sim tau sau tseg: ua pob liab liab, kub taub hau, mob caj dab. Cov neeg mob muaj eosinophilia thiab leukocytosis nyob rau hauv yuav luag 25% ntawm cov neeg mob. Nyob rau hauv cov chav kawm ntawm ib tug xov tooj ntawm cov kev tshawb fawb, nws tau pom tias cov nyhuv hepatotoxic nyob rau hauv xws li mob yog tshwm sim los ntawm cov kev ua ntawm tsim metabolites ntawm pharmacological agents.
Kev kuaj mob
Cov kws kho mob tshwj xeeb sau tseg tias tsis yog txhua yam kev mob siab uas tshwm sim thaum noj qee yam tshuaj raug cais raws li idiosyncratic lossis tshuaj lom. Piv txwv li, cov tshuaj tiv thaiv qhov ncauj (gestagens, estrogens) tuaj yeem ua rau lub siab ua haujlwm tsis zoo, thiab qee qhov mob daj ntseg. Tab sis cov tshuaj no tsis ua rau cov txheej txheem necrotic lossisrog hloov. Hauv qhov no, qhov tshwm sim ntawm cov tshuaj tiv thaiv hypersensitivity tuaj yeem suav tias yog kev txiav txim siab ntawm caj ces. Vim lub fact tias qhov kev kuaj mob yog presumptive nyob rau hauv feem ntau, thiab tawm tsam keeb kwm ntawm lwm yam pathologies muaj ib tug zoo xws li cov kev kho mob daim duab, tej zaum nws yog ib qho nyuaj rau ib tug kws kho mob los tsim kom muaj kev sib raug zoo ntawm kev siv cov tshuaj tshwj xeeb thiab tom qab lub siab puas tsuaj. Qee zaum, cov tsos mob ntawm tus kab mob siab mob siab tuaj yeem rov ua dua. Nyob rau tib lub sijhawm, provocation nrog cov tshuaj xav tias tom qab lub sijhawm latent ua rau muaj ntau yam cim, biochemical thiab morphological hloov. Txawm li cas los xij, hom kev dag ntxias no yog nyob rau hauv ntau qhov tsis tuaj yeem ua kom zoo nkauj, nrog rau kev pheej hmoo ntawm kev tsim teeb meem loj. Toxic tshuaj-vim kab mob siab, kev kho mob uas yuav tsum tau txhawb nqa, feem ntau tshwm sim los ntawm kev tsis zoo rau cov tshuaj. Thaum kuaj pom cov tshuaj uas xav tias yuav tsum tau muab tso tseg tam sim ntawd. Nyob rau tib lub sijhawm, thaum kuaj xyuas, tus kws kho mob tshwj xeeb yuav tsum tsis txhob cuam tshuam los ntawm kev puas tsuaj rau lub raum thiab lwm yam kabmob. Nrog rau kev hloov pauv hauv daim siab, kev puas tsuaj rau lwm yam kabmob tuaj yeem ua rau tuag taus.
Kev cuam tshuam kho mob
Cov tsos mob ntawm tus kab mob siab mob siab muaj xws li los ntawm kev mob siab me me mus rau cov mob hnyav. Nyob ntawm daim duab kho mob, cov kev kho mob kuj tau sau tseg. Yog li, piv txwv li, nrog ntuav thiab mob hnyavKev kho mob anorexia ntawm cov kab mob toxicosis suav nrog kev tso dej ntawm cov kua nplaum (tsib lossis kaum feem pua) ntawm qhov koob tshuaj txog li 500 milliliters. Yog tias pom cov tsos mob ntawm coma lossis daim siab congestion, plasmapheresis loj heev tau ua. Nrog kev pab los ntawm ib tug separator los yog centrifuge, 1.5-2 litres ntawm cov ntshav uas twb muaj lawm raug tshem tawm thiab ob litres ntawm khov plasma yog txhaj intravenously. Thaum tsis muaj kev txhim kho, kev nce qib ntawm prothrombin, kev khaws cia ntawm kev tsis nco qab, cov txheej txheem rov ua dua. Ua ntej normalization ntawm coagulation system, 1-2 litres ntawm cov ntshav khov tshiab tau txhaj txhua hnub rau 2-3 hnub. Kev ntsuas kho muaj xws li kev noj haus. Nrog rau kab mob siab, cov khoom noj uas muaj cov carbohydrates, cov kua txiv hmab txiv ntoo hauv cov khoom loj yog pom zoo. Tus neeg mob yuav tsum txwv tsis pub noj rog.
kho mob cuam tshuam yam tsis muaj exacerbations
Kev kho mob tseem ceeb hauv kev xaiv cov kev ntsuas uas tsim kho cov kab mob siab mob siab rau lub sijhawm ntev yog qhov ua rau muaj qhov tshwm sim ntawm cov kab mob pathological. Nrog rau lub siab ua kom ntev ntev, cov kab mob hauv nruab nrab hais tau tias fibrosis thiab feem ntau khaws cia lobular qauv ntawm lub cev tau sau tseg. Thaum tsis muaj exacerbation, kev kho mob ntawm cov kab mob siab toxicity muab kev noj zaub mov tshwj xeeb. Cov txuj lom, ntsim lauj kaub tais diav, kib zaub mov, cov roj refractory tsis suav nrog cov khoom noj. Pom zoo noj txhua hnub ntawm tsev cheese (txog 100-150 g), boiled ntses tsis muaj rog, cheese me. Kev kho kab mob siab mob siab rau qee kis yog ua ke nrog kev kho dej cawv (nrog rau cawv lom). Nws yog ib qho tseem ceeb heev los xyuas kom meej meejKev txiav tawm ntawm kev sib cuag nrog cov tshuaj lom.
Kev kho mob rau exacerbations
Nyob rau hauv cov xwm txheej zoo li no, kev mus pw hauv tsev kho mob tau pom zoo, noj zaub mov nruj dua. Nrog rau tus kab mob toxicosis, pw so yog tsim nyog. Cov neeg mob tau sau cov vitamins feem ntau ntawm pawg B, nrog rau folic, nicotinic, ascorbic acid. Txhawm rau txhim kho cov txheej txheem ntawm cov txheej txheem anabolic, cov tshuaj steroid yog siv (qhov ncauj - methandrostenol ib hnub twg, 15-20 mg, nrog kev txo qis hauv cov tshuaj, lossis intramuscularly retabolil ib zaug txhua ob lub lis piam, 20-50 mg). Hauv cov mob hnyav dua, cov tshuaj hormones corticosteroid raug pom zoo (Prednisolone 20-40 mg / hnub), cov tshuaj tiv thaiv kab mob - ntev, tab sis nyob rau hauv ib qho me me.
Toxic hepatitis. Kev kho mob nrog pej xeem tshuaj
Txhawm rau txo qhov mob, muaj ntau yam zaub mov txawv uas siv cov khoom xyaw tshuaj ntsuab. Yog li, kua txiv sauerkraut yog qhov zoo. Nrog rau qhov ntev ntawm tus kab mob, nws raug nquahu kom haus ib nrab khob ib hnub. Duration ntawm kev nkag - tsis tsawg tshaj li ib hlis. Lwm txoj hauv kev zoo tshaj plaws yog horseradish tincture. Rau nws cov kev npaj, noj 2 tbsp. l. grated raw cov ntaub ntawv, ncuav mis nyuj. Cov sib tov yuav tsum tau rhuab mus rau ib tug boil, tshem tawm los ntawm tshav kub, txias. Noj thaum nruab hnub hauv me me sips. Duration - kom txog thaum tus mob zoo. Mint (nplooj) tincture pab txo cov tsos mob. 2 tbsp. l. cov nroj tsuag yog nchuav nrog 2 khob ntawm boiling dej. Cov tshuaj yog infused rau ib hnub. Haus cov tshuaj txog peb zaug ib hnub twg.
ntsuas kev tiv thaiv
Qhov kev ntsuas tseem ceeb los tiv thaiv kev txhim kho ntawm cov kab mob pathological yog ua tib zoo saib xyuas cov cai ntawm kev nyiam huv. Tsis txhob noj zaub mov tsis zoo lossis noj tsis tau, tab sis cov nceb qub lossis lwm yam khoom noj uas tau tas sijhawm. Raws li tau sau tseg saum toj no, ib qho ntawm cov laj thawj tseem ceeb ntawm kev mob siab rau lub siab yog kev noj cov tshuaj ntau ntau. Thaum sau cov tshuaj muaj zog, kev siv uas cuam tshuam nrog kev pheej hmoo ntawm cov tshuaj tiv thaiv hypersensitivity thiab lwm yam teeb meem, yuav tsum ua raws li tus kws kho mob cov lus qhia thiab ua raws li cov lus pom zoo hauv cov lus qhia rau cov tshuaj. Nws tsis pom zoo kom hloov cov kev kho mob ntawm koj tus kheej. Nrog rau kev txhim kho ntawm cov kab mob pathological cuam tshuam nrog lub siab ua haujlwm tsis zoo, nws yog qhov yuav tsum tau mus ntsib tus kws kho mob tam sim ntawd thiab tau txais kev pab tsim nyog.
