Muscat chiropa: anatomi, histology, patomorfologija

Muscat chiropa - migumisiro chirwere congestive venous plethora kuti nhengo dzomukati. Ichi chirwere kunooneka kwete zvomudumbu ino, asi mwoyo, mapapu, itsvo uye uropi.

kupatsanura

Morphologically pane matanho matatu kuchinja kuitika chiropa sezvo chirwere mberi:

1. Muscat chiropa: pamusoro pakanyorwa masero mafuta (tsvuku) kuonekwa vasodilatation (rima tsvuku).
2. Mira fibrosis: chinokosha zvikuru gobvu nokuda connective zvinyama kuti imere. Ropa soaks ari parenchyma ari nhengo uyewo kuonekwa maronda kuoma dzimwe nhengo dzomuviri.
3. Cardiac cirrhosis: muviri pamusoro anova gogonera chitarisiko.

etiology

Kukanganisa ropa kuyerera kubva portal gadziriro zvabuda pakugadzirwa mananara akadai Muscat chiropa. The zvinokonzera kurega kunotanga - kutyorwa ventricular nerevane zvinoderedza venous kudzoka. kuratidzwa uku congestive mwoyo kukundikana, uye vari kunowanzoguma nechirwere chemwoyo. Yakawedzera kuomesa ari venous ino, uyewo kuzara uye kurega kunotanga ropa nemidziyo ropa kuchidzivisa chinobudirira ropa riyerere munzira nhengo.

epidemiology

The chirwere haisi ukama chechikadzi kana zera. Asi statistically yakawanda zvinokanganisawo varume uye penga nokuda kokuchembera vakwegura. Kakawanda, chete kuvhuya chitunha anogona kuona kuti murwere ane chiropa Muscat. Necropsy anogona kupa mhinduro dzemibvunzo kuti kufarira chiremba. Kuti aite izvi, masangano kwete chete nemaziso dzinoongororwa, asiwo akatuma histological kuzviongorora.

Zvinhu ngozi chiropa chirwere vari kushaya muviri, murombo zvokudya, dzakaipa tsika, kuvapo chemwoyo munhau, uyewo munhu mukuru zera.

kiriniki

Kazhinji, mwoyo kukundikana zviratidzo vakawanda vari kurapwa mufananidzo maperembudzi, saka murwere angasava ziva kuti ane matambudziko chiropa. Muscat chiropa, uyewo mimwe cirrhosis, kwakaratidzwa marwadzo zvakarurama yokumusoro quadrant, jaundice ganda uye mucous membranes, kuzvimba makumbo pakupera kwezuva, ascites (kuunganidza mvura iri abdominal mhango). Asi nemamiriro ezvinhu zviratidzo zvose. Isa imwe zana muzana kunogona chirwere chete pashure kuvhuya chitunha, nekuti hapana ano kuri mitoo haagoni kuratidza kuti muviri chakafanana nutmeg. Chiropa palpation riri gobvu, pamuuyo iri vakagumisa uye protruded kubva costal chematenga.

Diagnostics

Kuti chirwere "chirwere pusa venous kuzara", iwe unofanira:

1. Kuti kuzosimbisa kuvapo mwoyo nokukundikana (instrumentally kana kuongororwa chaiko):

• X-ray pechipfuva (zvichiratidza kuchinja mwoyo, venous kuzara mumapapu, kana kuvapo pleural effusion);
• Doppler kuzviongorora mwoyo, uye muduku vena cava (kuziva zvinokonzera mwoyo chirwere);
• CT kana MRI;
• ECG.

2. Itirai rabhoritari miedzo, akadai ropa kemisitiri uye chiropa shanda miedzo :

• ropa bilirubin yakawedzera;
• mwero kwakawedzera transaminase (alt, AST);
• Zvakawanikwa alkaline phosphatase;
• kuderera mune sealbumin uye nezvishoma pakugwamba nguva.

3. Resort kune paku Diagnostics, kuti chigaro chokwadi pamusoro morphologically degeneration chiropa. Zvidzidzo izvi zvinosanganisira:

• laparocentesis (vakasununguka aspirating mvura kubva abdominal mhango) kuona zvinokonzera ascites;
• tsono biopsy (kuzosimbisa chirwere "chiropa Muscat" masiraidhi zvinogona kuitwa uye murwere upenyu).

Okufananidza chirwere zvinosanganisira zvirwere zvakadai chidhakwa cirrhosis, kenza, chirwere chomwoyo, hemochromatosis, thrombosis ari muduku vena cava uye portal neBP. Usakanganwa pamusoro nemavhairasi chiropa zvirwere - chiropa A, B, C, D, E. Uyezve, pane mukana parasitic chirwere.

yematambudziko

Muscat chiropa uye kukonzera cardiac cirrhosis wake haana kuchinja mamiriro mwoyo kukundikana. Nyaya apo chenjera chiropa kutadza yaiva mhosva yerufu, hadziwanzowaniki uye haagoni kunzi INDICATIVE. Ropa zvinetso - zvakare zvisinganyanyi kuitika, kunyange asina kumboitika. Dzimwe nyanzvi vanofungidzira kuti pane kubatana pakati chiropa cirrhosis uye panowanikwa nyanyisa anomera izvozvo, asi dzidziso iyi haisati zvakaratidza.

mabatiro

Drug mushonga zvinofanira zvainanga kugadzirisa runotikurudzira chirwere, kureva mwoyo kukundikana. A cirrhosis pachayo haina marapiro. Mukuwedzera, murwere achaudzwa kutevera zvokudya pamwe akavarambidza yomunyu uye zvakavanzika kushandura hurongwa zuva rako kurara zvakanaka, kuva panze uye zvakakwana. Izvi manipulations nyore kunogona kubatsira kuderedza BP nemidziyo makuru, kusanganisira zviri portal tsinga.

Symptomatic kurapa ndiko diuretics (yokuderedza uwandu kuti mvura mudumbu), uye Beta-blockers uye ACE FIs (nokuti normalization mwoyo).

Kuvhiya kurapwa Kazhinji kuita. Rinobatanidzwa zvikuru ngozi murwere uye asingauyi acharuramisira pacharo. Dzimwe nguva chiremba angasarudza yokunzvenga chikamu intrahepatic portal tsinga, asi izvi zvinogona kukonzera zvikuru mwoyo kukundikana rworudyi ventricular mhando uye pulmonary edema nokuda zvikuru kuwedzera venous kudzoka.