Enpphaphapathy

Isibindi senza umsebenzi wecebo lokucoca emzimbeni, ukucima i-toxins kunye ne-ammonia. Ngenxa yokungaqhelekanga kokusebenza kwayo, i-encephalopathy ye-hepatic ikhula-i-syndrome ye-neuropsychic disorder ehambelana nobuhlungu beengqondo kunye nezinto ezinobungozi.

I-hepatic encephalopathy - izizathu

Phakathi kwezinto eziphambili ezibangela isifo esicatshungulwayo, into eqhelekileyo yile:

• i-virus ye-hepatitis (uhlobo B, C, ngokungafanekiyo-D, A kunye no-E);
• Izifo ezithathelwanayo (i-mononucleosis, i-yellow fever, i-leptospirosis);
• umonakalo wesibindi ongapheli ngenxa yokusetyenziswa kakubi kotywala;
• i-portocaval shunting;
• Isifo se-Badda-Chiari;
• i-hepatitis eyenziwa yiziyobisi;
• utyhefu ngeekhemikhali ezinobuthi;
• ukuhlutha okunamafutha kwesibindi;
• Isifo sikaWilson-Konovalov .

I-hepatic encephalopathy - iimpawu

Okwangoku, kuqhelekile ukuhlukanisa iimpawu zesifo esibhekiselweyo, kuxhomekeka kububungqina bobutyhefu beengqondo kunye neetekisi.

Imiqondiso ye-encephalopathy ye-hepatic ngokwemigangatho yesifo:

1. Isigaba seZero. Eyona nto ibonakalisa ukungabikho kweziphi izimpawu, ngamanye amaxesha kukho ukuphazamiseka ekuphatheni nasekuphenduleni isigulane kwiimeko ezimbi;
2. Isigaba sokuqala. Ibonakaliswa ngongqumbo okanye ezinye iingxaki zokulala. Kuba nzima ukuba umntu agxininise, kukho ukwehla okuthe ngqo ekusebenzeni kunye nokuqwalasela. Ngexesha elide, ukungazinzi kwengqondo kuphawulwe ngolu hlobo lokugwenxa, ukuxhalaba okungenangqiqo, ukunyaniseka, ukudandatheka ;
3. Isigaba sesibini. Kule meko, kukho ukuphulwa kwentetho, imisebenzi yemoto. Isigulane asikhathazeki, sisigxina, ngezinye iimeko kwisimo se-delirium, senza izinto ezingenanto. Kukho ukuphazanyiswa kwithuba kunye nexesha, i-dysgraphia, inyikima;
4. Isigaba sesithathu. Eli nqanaba libonakaliswe ngethoni eyongeziweyo yazo zonke izihlunu zomzimba. Ukongezelela, kukho ukulala okukhulu, ukuxhamla, ukuphawulwa komsebenzi kunye nokukhubazeka kwemoto;
5. Isigaba sesine sisisigxina esikhulu se-hepatic encephalopathy. Ukuphendulela ekukhanyeni nasezintlungwini azikho, umsebenzi wengqondo uyanciphisa ngokukhawuleza ukucatshulwa kweengcamango, kunye ne-coma ephahlayo.

I-hepatic encephalopathy - ukuxilongwa

Ukuxilongwa kwenzelwa kwisiseko seziphumo zesifundo esiphakathi kwamatye amabini. Ekuqaleni, uhlalutyo olunzulu lwebhoratri luqhutyelwa, apho ingqalelo ekhethekileyo kufuneka ihlawulwe kwi-white cell count, i-yerythrocyte sedimentation rate, ii-bilirubin indices kunye ne-concentration ye-ammonium compounds. Ngelo xesha, kufuneka ukuba ufunde ukubunjwa kwegesi egazini. Emva koko i-electroencephalography eyenziwa, evumela ukucacisa utshintsho kwisibindi, kunye ne-biopsy yecandelo elimele.

Unyango lwe-hepatic encephalopathy

Ulwaphulo lwezifo luquka ukuphelisa izizathu ezibangele ukuphuhliswa kokungakwazi, ukuxiliswa komzimba, ukunciphisa inani le-ammonia kunye nezinye izinto ezixutywayo kwigazi. Kwiimeko ezinqabileyo, ii-antibiotics kunye ne-corticosteroids zisetyenziselwa ukukhululeka kwenkqubo yokuvuvukala. Kubaluleke kakhulu ukutya kwi-encephalopathy ye-hepatic. Kubalulekile ukunciphisa ukusetyenziswa kokutya okuqukethe iiprotheni kangangoko kunokwenzeka, kwaye ukwandisa inani le-carbohydrates ekudleni. Esikhundleni seswekile evamile kuyimfuneko ukusebenzisa i-lactulose. Inceda ukulungelelanisa i-microstlora yamathumbu, isuse i-toxins evela emzimbeni kwaye unciphise ubunzulu bokubamba i-ammonia.

Ekupheleni, isigaba sesine se-encephalopathy ye-hepatic, kufuneka kubekwe unyango olungxamisekileyo, ngexesha lokuhlanjululwa ngokuphindaphindiweyo kwamathumbu, i-glucocorticosteroids kunye ne-antibiotics zijojowe ngaphakathi.