Chiwindi chotupa (hepatomegaly): ndi chiyani, zizindikiro komanso momwe mungachiritsire

Zamkati

• Momwe mankhwalawa amachitikira
• Zizindikiro zazikulu
• Zomwe zingayambitse chiwindi chotupa

Chiwindi chotupa, chomwe chimadziwikanso kuti hepatomegaly, chimadziwika ndi kukula kwa chiwindi, chomwe chimatha kumenyedwa pansi pa nthiti kumanja.

Chiwindi chimatha kukula chifukwa cha zinthu zingapo, monga matenda a chiwindi, chiwindi chamafuta, kupsinjika kwa mtima komanso, khansa.

Matenda a hepatomegaly nthawi zambiri samayambitsa zizindikiro ndipo mankhwala amachitidwa moyenera. Pankhani ya kukulitsa chiwindi chifukwa cha chiwindi cha steatosis, mwachitsanzo, chithandizocho chimakhala ndi zochitika zolimbitsa thupi komanso kudya chakudya chokwanira. Phunzirani momwe mungadyetse mafuta a chiwindi.

Momwe mankhwalawa amachitikira

Chithandizo cha chiwindi chimafuna kuzindikira ndikuchotsa vutoli ndipo chikuyenera kuchitidwa malinga ndi malingaliro azachipatala. Malangizo ena ofunikira pakuthandizira chiwindi chotupa ndi awa:

• Khalani ndi moyo wathanzi, kukhala ndi kulemera koyenera;
• Chitani zolimbitsa thupi tsiku lililonse;
• Osamwa zakumwa zoledzeretsa;
• Landirani zakudya zokhala ndi zipatso, ndiwo zamasamba, ndiwo zamasamba ndi mbewu zonse;
• Musamamwe mankhwala popanda malangizo akuchipatala;
• Osasuta.

Kugwiritsa ntchito mankhwala kuyenera kuchitika kokha motsogozedwa ndi azachipatala. Onani njira zina zopangira zokhazokha zamavuto a chiwindi.

Zizindikiro zazikulu

Chiwindi chotupa sichimayambitsa zizindikiro, komabe ngati kuli kotheka kumva chiwindi, ndikofunikira kupita kwa dokotala.

Matenda a hepatomegaly chifukwa cha matenda a chiwindi, mwachitsanzo, pakhoza kukhala kupweteka m'mimba, kusowa kwa njala, nseru, kusanza, kutopa ndi khungu ndi maso achikasu. Kutupa kumachitika modzidzimutsa, munthuyo amamva kupweteka palpation. Nthawi zambiri adotolo amadziwitsa kukula ndi kapangidwe ka chiwindi poyika paliponse m'mimba, potha kulosera zamtundu wanji zomwe munthuyo ali nazo.

Pankhani ya kutupa chiwindi pachimake, hepatomegaly nthawi zambiri imatsagana ndi zowawa ndipo imakhala yosalala komanso yosalala, pomwe matenda a chiwindi amatha kukhala olimba komanso olimba ku chiwindi, pomwe mawonekedwe ake amakhala osagwirizana. Kuphatikiza apo, mukulephera kwa mtima, chiwindi chimapweteka ndipo lobe yolondola imakulitsidwa, pomwe mu schistosomiasis chiwindi chimatupa kwambiri kumanzere.

Kuzindikira kwa hepatomegaly kumapangidwa ndi a hepatologist kapena wothandizila kudzera pakuwunika kwakuthupi ndi kuyerekezera kulingalira, monga ultrasound ndi m'mimba tomography, kuphatikiza pakuyezetsa magazi. Onani mayeso ati omwe amawunika momwe chiwindi chimagwirira ntchito.

Ngati mukuganiza kuti mutha kukhala ndi vuto la chiwindi, onani zomwe muli nazo:

1. 1. Kodi mumamva kupweteka kapena kusasangalala kumtunda kwakumimba kwanu?
2. 2. Kodi mumadwala kapena kuchita chizungulire pafupipafupi?
3. 3. Kodi mumadwala mutu pafupipafupi?
4. 4. Kodi mumamva kutopa mosavuta?
5. 5. Kodi muli ndi mawanga angapo ofiirira pakhungu lanu?
6. 6. Kodi maso anu kapena khungu lanu ndi lachikasu?
7. 7. Kodi mkodzo wanu ndi wakuda?
8. 8. Kodi mudamvako kusowa kwa njala?
9. 9. Kodi malo anu ndi achikasu, otuwa kapena oyera?
10. 10. Kodi mukumva kuti mimba yanu yatupa?
11. 11. Kodi mumamva kuyabwa thupi lanu lonse?

Zomwe zingayambitse chiwindi chotupa

Choyambitsa chachikulu cha hepatomegaly ndi chiwindi cha steatosis, ndiye kuti, kuchuluka kwa mafuta m'chiwindi komwe kumatha kubweretsa kutupa kwa limba, chifukwa chake kutupa kwake. Zina mwazomwe zimayambitsa hepatomegaly ndi izi:

• Kumwa mowa kwambiri;
• Zakudya zokhala ndi mafuta ambiri, zakudya zamzitini, zakumwa zoziziritsa kukhosi ndi zakudya zokazinga;
• Matenda a mtima;
• Chiwindi;
• Matenda enaake;
• Khansa ya m'magazi;
• Kulephera kwamtima;
• Kuperewera kwa zakudya, monga marasmus ndi kwashiorkor, mwachitsanzo;
• Niemann-Pick matenda;
• Matenda opatsirana ndi majeremusi kapena mabakiteriya, mwachitsanzo;
• Kupezeka kwa mafuta m'chiwindi chifukwa cha matenda ashuga, kunenepa kwambiri komanso ma triglycerides ambiri.

Chimodzi mwazomwe zimayambitsa kutupa kwa chiwindi ndi mawonekedwe a chotupa m'chiwindi, chomwe chitha kuzindikirika pogwiritsa ntchito mayeso oyerekeza monga m'mimba tomography kapena ultrasound.