Hepatorenal syndrome: chimene chiri, zimayambitsa ndi chithandizo

Zamkati

• Mitundu ya Hepatorrenal Syndrome
• Zomwe zingayambitse
• Zizindikiro zake ndi ziti
• Momwe mankhwalawa amachitikira

Matenda a Hepatorenal ndi vuto lalikulu lomwe nthawi zambiri limadziwika ndi anthu omwe ali ndi matenda opitilira chiwindi, monga chiwindi kapena chiwindi kulephera, komwe kumadziwika ndi kuwonongeka kwa impso, komwe vasoconstriction yamphamvu imachitika, zomwe zimapangitsa kuti muchepetse kuchuluka kwa glomerular kusefera ndipo chifukwa cha kulephera kwamphamvu kwa impso. Kumbali inayi, kuphulika kwamankhwala owonjezera aimpso kumachitika, kumabweretsa dongosolo la hypotension.

Matenda a Hepatorenal nthawi zambiri amapha, pokhapokha ngati kuikidwa chiwindi kuchitidwa, komwe ndi chithandizo chazovuta zamatendawa.

Mitundu ya Hepatorrenal Syndrome

Mitundu iwiri ya matenda a hepatorrenal syndrome imatha kuchitika. Type 1, yomwe imalumikizidwa ndi kufooka kwa impso mwachangu komanso kuchulukitsa kwa creatinine, ndi mtundu wachiwiri, womwe umalumikizidwa ndi kuchepa kwa impso, komwe kumatsagana ndi zizindikilo zobisika.

Zomwe zingayambitse

Kawirikawiri, matenda a hepatorrenal amayamba chifukwa cha matenda a chiwindi, omwe amatha kuwonjezeka ngati zakumwa zoledzeretsa zimamwa, matenda a impso amapezeka, ngati munthuyo ali ndi kuthamanga kwa magazi, kapena ngati akugwiritsa ntchito diuretics.

Kuphatikiza pa matenda a chiwindi, matenda ena omwe amabwera chifukwa cha chiwindi chosatha komanso chiwopsezo chachikulu cha matenda oopsa, monga matenda a chiwindi cha chiwindi komanso kulephera kwa chiwindi, amathanso kuyambitsa matenda a hepatorrenal syndrome. Phunzirani momwe mungazindikire matenda a chiwindi komanso momwe matendawa amapezeka.

Matenda a chiwindiwa amachititsa kuti vasoconstriction ikhale yolimba mu impso, zomwe zimapangitsa kuti kuchepa kwa glomerular kuchepa kwambiri komanso kulephera kwa impso.

Zizindikiro zake ndi ziti

Zizindikiro zofala kwambiri zomwe zimayambitsidwa ndi matenda a hepatorrenal syndrome ndi jaundice, kuchepa kwa mkodzo, mkodzo wamdima, kutupa m'mimba, kusokonezeka, delirium, nseru ndi kusanza, matenda amisala komanso kunenepa.

Momwe mankhwalawa amachitikira

Kuika chiwindi ndimankhwala osankhidwa a hepatorrenal syndrome, omwe amalola impso kuti zibwezere. Komabe, dialysis itha kukhala yofunikira kuti wodwalayo akhazikike. Dziwani momwe hemodialysis imagwiridwira komanso kuopsa kwa mankhwalawa.

Dokotala amatha kuperekanso ma vasoconstrictors, omwe amathandizira kuti achepetse ntchito zamkati za vasoconstrictors, ndikuwonjezera kuthamanga kwa magazi kwa impso. Kuphatikiza apo, amagwiritsidwanso ntchito kuthana ndi kuthamanga kwa magazi, komwe nthawi zambiri kumakhala kotsika pambuyo pa dialysis. Zomwe zimagwiritsidwa ntchito kwambiri ndizofanana ndi vasopressin, monga terlipressin, mwachitsanzo, ndi alpha-adrenergics, monga adrenaline ndi midodrine.