Kukulitsa chiwindi

Kukulitsa chiwindi kumatanthauza kutupa kwa chiwindi mopitilira kukula kwake. Hepatomegaly ndi liwu lina lofotokozera vutoli.

Ngati chiwindi ndi ndulu zakula, amatchedwa hepatosplenomegaly.

Mphepete yam'munsi mwa chiwindi nthawi zambiri imafika kumunsi kwenikweni kwa nthiti kumanja. Mphepete mwa chiwindi nthawi zambiri imakhala yopyapyala komanso yolimba. Sizingamveke ndi chala chakumunsi kwenikweni kwa nthiti, pokhapokha mutapumira kwambiri. Itha kukulitsidwa ngati wothandizira zaumoyo atha kumvetsetsa m'derali.

Chiwindi chimagwira ntchito zambiri m'thupi. Zimakhudzidwa ndimikhalidwe yambiri yomwe ingayambitse hepatomegaly, kuphatikiza:

• Kumwa mowa (makamaka kumwa mowa)
• Khansa metastases (kufalikira kwa khansa mpaka pachiwindi)
• Kulephera kwa mtima
• Matenda osungira Glycogen
• Chiwindi A.
• Chiwindi B
• Chiwindi C
• Matenda a hepatocellular carcinoma
• Choloŵa cha fructose tsankho
• Matenda opatsirana mononucleosis
• Khansa ya m'magazi
• Matenda a Niemann-Pick
• Pulayimale biliary cholangitis
• Matenda a Reye
• Sarcoidosis
• Kukula kwa cholangitis
• Matenda a portal
• Steatosis (mafuta m'chiwindi ochokera pamavuto amadzimadzi monga matenda ashuga, kunenepa kwambiri, ndi triglycerides, omwe amatchedwanso nonalcoholic steatohepatitis, kapena NASH)

Vutoli limapezeka nthawi zambiri ndi omwe amakupatsani. Mwina simudziwa za kutupa kwa chiwindi kapena ndulu.

Wothandizira adzakufunsani ndikufunsani mafunso monga:

• Kodi mwawona kukhuta kapena chotupa m'mimba?
• Ndi zisonyezo zina ziti zomwe muli nazo?
• Kodi pali kupweteka m'mimba?
• Kodi pali chikasu chachikopa (jaundice)?
• Kodi pali kusanza kulikonse?
• Kodi pali mipando yachilendo kapena yakuda?
• Kodi mkodzo wanu ukuwoneka kuti wakuda kuposa nthawi zonse (bulauni)?
• Kodi mudadwala malungo?
• Kodi ndi mankhwala ati omwe mukumwa kuphatikiza mankhwala owonjezera ndi a zitsamba?
• Kodi mumamwa mowa wochuluka motani?

Kuyesa kudziwa chomwe chimayambitsa hepatomegaly kumasiyana, kutengera zomwe akukayikira, koma atha kuphatikizira:

• X-ray m'mimba
• Mimba yam'mimba ya ultrasound (itha kuchitidwa kuti mutsimikizire izi ngati wothandizirayo akuganiza kuti chiwindi chanu chimakulitsidwa mukamayesedwa)
• CT scan pamimba
• Kuyesa kwa chiwindi, kuphatikiza kuyesa magazi
• Kujambula kwa MRI pamimba

Matenda a mitsempha; Chiwindi chokulitsa; Kukulitsa chiwindi

• Chiwindi chamafuta - CT scan
• Chiwindi ndi mafuta osakwanira - CT scan
• Matenda a hepatomegaly

Martin P. Njira kwa wodwala matenda a chiwindi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 146.

Plevris J, Parks R. Mimba yam'mimba. Mu: Innes JA, Dover AR, Fairhurst K, olemba. Kuyesa Kwachipatala kwa Macleod. Wolemba 14th. Philadelphia, PA: Elsevier; 2018: mutu 6.

Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM. (Adasankhidwa) Matenda a hepatomegaly. Mu: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, olemba. Njira Zopangira Kusankha Kwa Ana. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 27.