Kodi hepatic encephalopathy, mitundu ndi chithandizo

Zamkati

• Zizindikiro za encephalopathy ya hepatic
• Zoyambitsa zazikulu
• Kuchiza kwa encephalopathy ya hepatic

Hepatic encephalopathy ndi matenda omwe amadziwika ndi kusokonezeka kwa ubongo chifukwa cha mavuto a chiwindi monga chiwindi kulephera, chotupa kapena chiwindi.

Imodzi mwa ntchito zomwe chiwindi chimagwira ndikusefa magazi omwe amabwera kuchokera ku chimbudzi chifukwa ndi omwe amachititsa kuti zinthu zina ziwonongeke. Chiwindi chikakanika kusefa magazi awa moyenera, zinthu zina za poizoni monga ammonia zimafikira kuubongo komanso dongosolo lamanjenje lomwe limayambitsa matenda encephalopathy.

Gawo la encephalopathy ya hepatic ndi:

• Type A hepatic encephalopathy: ndi pachimake chiwindi kulephera;
• Type B hepatic encephalopathy: ndi matenda opatsirana pogonana omwe amagwirizana ndi doko-systemic bypass;
• Mtundu wa C hepatic encephalopathy: ikalumikizidwa ndi matenda a chiwindi ndi portal hypertension.

Nthenda ya hepatic encephalopathy imatha kudziwonekeranso pang'ono ndi pang'ono, mosalekeza kapena pang'ono. Kukhala kuti:

• Kuchuluka kwa chiwindi cha encephalopathy: mothamanga, mowirikiza komanso mobwerezabwereza;
• Kulimbikira kwa encephalopathy: wofatsa, wovuta, wodalira chithandizo;
• Kuchepetsa kuchepa kwa chiwindi: Mawonetseredwe asanakwane kuchipatala omwe amafunikira njira zapadera zodziwira Amatchedwa encephalopathy obisika komanso matenda opatsirana pogonana.

Zizindikiro za encephalopathy ya hepatic

Zizindikiro za hepatic encephalopathy zitha kukhala:

• Kuchedwa kuganiza;
• Kupweteka;
• Kugwedezeka;
• Kusagwirizana kwamagalimoto;
• Khalidwe losokonezeka;
• Khungu lachikaso ndi maso;
• Kutupa pamimba;
• Mpweya woipa;
• Kuiwala pafupipafupi;
• Kusokonezeka maganizo;
• Akukulira mwa kulemba.

Zizindikirozi zimatha kuwonekera pang'onopang'ono ndipo zimawonekera modzidzimutsa, mwa anthu omwe ali ndi vuto la chiwindi.

Pozindikira kuti matenda a hepatic encephalopathy amayesedwa, pamafunika kuyesa magazi angapo, kuwerengera tomography, kujambula kwamagnetic ndi electroencephalogram.

Zoyambitsa zazikulu

Zomwe zimayambitsa matenda encephalopathy okhudzana ndi chiwindi ndizokhudzana ndi kuwonongeka kwa chiwindi. Zina mwazomwe zitha kuyambitsa matenda encephalopathy ndi awa:

• Kugwiritsa ntchito kwambiri mapuloteni;
• Kudya osakwanira okodzetsa;
• Kusintha kwa ma electrolyte am'magazi monga momwe zimakhalira ndi bulimia kapena kutaya madzi m'thupi;
• Kutuluka magazi kuchokera kummero, m'mimba kapena m'matumbo;
• Kumwa mowa kwambiri;
• Matenda a impso.

Kugwiritsa ntchito mankhwala molakwika kumayambitsanso matendawa, makamaka kwa anthu omwe ali ndi vuto la chiwindi.

Kuchiza kwa encephalopathy ya hepatic

Chithandizo cha hepatic encephalopathy ndicho kuzindikira chomwe chimayambitsa ndikuchichotsa. Zitha kukhala zofunikira kuti muchepetse kudya kwanu kwamapuloteni ndipo mankhwalawo ayenera kumwa moyenera. Mankhwala ena omwe angagwiritsidwe ntchito ndi: Lactulose, neomycin, rifaximin. Dziwani zambiri komanso momwe chakudya choyenera cha matendawa chilili.