Chii hepatologist inobata? Hepatology - davi wemishonga kuti vanodzidza chiropa, gallbladder, biliary turakiti

Zvirwere chiropa uye bile ducts - zvose kuti anobata hepatologist, iyo inokosha zvikuru uye zvakakodzera utano mushandi. Kazhinji, murwere kashoma anouya rubatsiro kune nyanzvi yakadaro nomumwe. Nokuti chiremba ichi, kazhinji gastroenterologist kana chiremba anorayira.

Kana uchida kureva hepatologist

Chiropa iri kumbonyanya zvakananga muviri chikonzero, Chaizvoizvo, vari kusimudzira nyanzvi rakamanikana chikamu. Kazhinji chiremba-gastroenterologist arege kupa mhedziso yakarurama, nokuti chirwere pamusoro chiropa chirwere kuoma nezvimwe zvirwere zviri mudumbu. Sam hepatologist kare kubvunza vamwe mibvunzo murwere pamusoro zviratidzo ake, achaita rokuongorora uye kupa mirayiridzo anodikamwa pakutsvakurudza. Kusanganawo chiremba kuti nezviratidzo dzakadaro:

• kurasikirwa havi;
• kuvaviwa;
• neb uremu;
• Kugara kudhaka;
• kurwadziwa chiropa;
• rima denderedzwa pasi meso;
• fivhiri;
• changed mu weti ruvara kuti shava;
• chetsoka ruvara - chiedza mashava;
• hope yakaipa;
• yellowing of eyeballs uye mucous membranes.

Uyewo zviripo kufunga kana murwere nguva kuona zviratidzo izvi uye zvakarurama akavapindura, kazhinji zvichiita yakanaka weboka chirwere.

Vamwe zviratidzi zvirwere

A mhando rume zviratidzo zvimwe zvinoratidza dambudziko chiropa, ndiye kuwedzera mudumbu, izvo kutanga kufanana "doro parutivi", uye vasanyanye kurara inoshanda. Vakadzi, vakawedzera mammary shwanu. Uye zvinoreva kuti hepatologist inobata chiropa.

Varwere cirrhosis muviri vachiri kutambura ropa uye kuzvimba matadza, panowanikwa marwadzo mudumbu, uyewo vamwe kutikanganisa nekusagona kutarisa basa kana zvimwe kurovedza refu yakafanira zvisingaperi vakawanda kunzwa kuneta.

Kazhinji, mukutanga zvokukura chiropa chirwere, varwere anongoti kufuratira pamusoro zviratidzo. Zvisinei, kana mamiriro kuneta anoenderera mberi kwevhiki kana zvakatonyanya, uyewo nomudumbu kurwadza, pane kudiwa kwokukurumidzira kunyoresa kuna chiremba.

How kugadzirira kushanya nyanzvi

Provider ichi kuti kunyatsofunga kunzwisisa zvose zvisungo murwere, tinyatsoziva hwake uye basa. Tinofanira kufunga zvose vaitama chirwere murwere (semuenzaniso, akabatwa chimiro) kutsanangura chirwere chisingaperi, kudzidza mishonga inoshandiswa varwere (kunyanya avo vakashandisa zano neshamwari kana hama). Kune vamwe zvokukura wokugadzirira kukurukura nachiremba.

1. Zvinodikanwa kugeza uye kupfeka mbatya dzakachena.
2. Tora pakutsvakurudza zvakabudiswa uye yapfuura zvokurapa bvunzo.
3. Regai kudya zvokudya kwemaawa 5-7 risati ratanga yokubvunza kuti chiropa bvunzo, uyewo nedzimwe nhengo.
4. Zvinonzi rambidzwa kunwa doro (kunyange zvishoma), mafuta, zvakakangwa uye wakawanda zvokudya (nayo kunyanya zvarinoita panowanikwa chiropa zvirwere).
5. Unofanira kugadzira kadhi zvokurapa.

kubvunza hepatologist

Pamabiko, chiremba ari fanira kuti kusava pamusoro pamberi zviratidzo uye kuteerera zvose zvichemo murwere. Mukuwedzera, nyanzvi achaita kudzidza kwacho palpation kuziva kukuvadza pemvura chiropa, kana ani. Uyewo hepatologist assays anogona kunan'anura uye kana zvakakodzera kunoita kuti murwere kuenda kuchipatara chaiwo kuongorora. Mumwe chiremba ndichapa mazano mararamiro uye taurira mishonga.

Miedzo nemazamanishoni

Chiremba, hepatologist anogadza zvidzidzo zvichienderana murwere ezvinhu. Vanogona chizadzikiswe

• Ultrassom chiropa;
• encephalography;
• computed tomography of mudumbu ;
• Ongororo uye ropa nemakemikari omuviri;
• urinalysis;
• Kuponjesa biopsy chiropa ;
• Chizenga;
• bvunzo kuziva nemavhairasi uye dzavo efficacy.

Dzakananga kuongorora yakasarudzwa hepatologist - ndiko esophagoscopy (pakuongorora yegurokuro kuburikidza ebetsero chubhu) uye colonoscopy (rectal kuongororwa uchishandisa colonoscope). Ose pamusoro Diagnostics kubatsira kuziva mamiriro eutano muviri wose uye chiropa.

To musi, varwere "yepamusoro" munotoziva kuti unofanira kuenda kuna chiremba pasina migumisiro huru Analyses.

Kudzidza "chiropa Profile"

Kuti usarudze chiropa chirwere vanofanira kuita izvi chaiwo bvunzo ropa nemakemikari omuviri, izvo zvicharatidza pachiyero;

• bilirubin (icterus inowedzera pa - kukanganisika bile kuyerera);
• aspartate (kutungamirira tiwedzere inobereka chiropa erythrocytes, ane basa zvakananga chokuita anogumbura kuitika mune nhengo);
• alanine aminotransferase (chiropa enzayemu pamwero rinokwira mu chiropa cirrhosis);
• kuvapo C-reactive mapuroteni (ayo vasabatwa mukuparadza munyama pachake kunogona kusimbisa cirrhosis);
• wegamma-glutamyl (mapuroteni zvinoberekwa chiropa uye yekudyidzana kunowedzera ropa kubva enderana uye mazhinji doro kushandiswa).

kazhinji chiremba Hepatologist rinogadza miedzo ropa usina chawadya mangwanani. 2 maawa pamberi chidzidzo hakubvumidzwi kunwa kofi, tii kana muto, kutsenga chingamu, kana utsi. Zvinokoshawo kuti mazuva 3 pamberi bvunzo kudzivisa yaunodya doro, dzakakudzingai rinonetesa muviri uye overexertion.

Kuti anobata hepatologist

Kuziva zviratidzo murwere, chiremba wacho hunounza nechirwere uye kugadza zvakare kurapwa. Chiremba anobata zvirwere zvakadai:

• cholangitis;
• Enterovirus chiropa;
• cirrhosis;
• jaundice;
• Gilbert Syndrome ;
• Gallstone chirwere;
• hemochromatosis;
• kutapuriranwa mononucleosis (Epstein-Barr chirwere);
• Hepatitis C uye B (chakasimba uye chisingaperi);
• Leptospirosis (Weil-Vasileva chirwere);
• steatosis;
• toxoplasmosis (Kutamiswa nemakonzo).

Most popular chiropa chirwere

A shoma apfuura zvakanga kuti anobata hepatologist, uye ikozvino unogona kuwana zvinhu zvikuru zvirwere chiropa vanhu kazhinji kurwara.

Chiropa mumuviri womunhu kunobereka kutsanangura chinhu rabhoritari uye hematopoietic nhengo kugaya. waivako kwayo revatema zvakananga navamwe nhengo yose yomuviri hurongwa. Kuziva kukundwa wayo dzisingaverengeki, zvakasiyana-siyana uye atypical. Kazhinji, zviratidzo izvi zvirwere zvakavigwa pasi mumwe, uye murwere ane kunonoka inoshandisa mabasa ane utano nyanzvi.

Imhandoi zvirwere chiropa sei kupfuura? Nyanzvi ziva zvirwere 3:

• cirrhosis;
• chiropa;
• cholecystitis.

cirrhosis

It anonzi wakakura zvikuru uye chakakomba chirwere - unogona kuudza chero chiremba, hepatologist. Moscow ndiro guta zvakarurama, apo siyana zvokuita kuti kurapwa chirwere ichi.

Kazhinji, cirrhosis achiumbwa somugumisiro refu doro kana muviri asisiri rinobatana pamwe maberekero kuti chepfu. Zvisinei, kwete tisisina anokwanisawo kuunza chiropa kuti cirrhosis. Panzvimbo utano matsvuku masero ari chiropa, iyo vari akadzorerwa, kuumba anonzi connective tishu. Haikwanise, nokuti mamiriro ayo kuti avo kugadza kuti dzinopiwa chiropa. Nhengo panyaya iyi kutanga zvinokosha disruptions.

chiropa

Kubva yakadaro chirwere unogona kuponeswa, kana ukatevera shoma utsanana ezvinhu uye haana kunwa tsvina zvokunwa. Hepatitis chinhu anogumbura chirwere: muviri anopiwa utachiona hunokonzera chirwere. Chimwe chirwere chinogona kuumbwa nokuda yaunodya doro. Izvi nechivimbo anogona kuudza chero chiremba, hepatologist. Zvisiri kushandiswa zvimwe mishonga anogona kutsamwisa chiropa (pane chepfu simba muviri).

cholecystitis

chirwere ichi kazhinji kunoitika pamusana kuzvimba gallbladder. Pamuviri chiri metabolic chirwere, biliary ducts kuva tsinga, uye nokuti kunonoka bile anotowedzera kumukomborera kuzvimba.

Chii mutengo kubvunza muRussia

Kushanya kune hepatologist muguta guru paavhareji, achaita mari vanenge 2500-3000 rubles. Tevera kurapwa wayo mutengo kwava zvakakodzera kuti vaenzanise aine nyanzvi pamabiko pachavo. Zvinofanira kufungawo kuti hepatologists inokurukurwa navanachiremba isingawanzowanikwi basa, uye ndokusaka mitengo kunorapwa ivo kutsanangura pachavo. Uye chiremba Hepatology uye mukuru nhasi mari paavhareji munhu zvinodhura zvikuru.

Tips hepatologist

1. Nokuti kudzivirira hepatitis C uye B Mapato havafaniri kunwa mvura kubva pombi, asina kushambwa michero nemiriwo.
2. Usakanganwa kuti nguva dzose unofanira kugeza maoko avo vasati vachidya uye pashure kushandisa chimbuzi.
3. Hazvibviri pabonde pasina kondomu ine nemumwe chirwere nehepatitis upi boka, uyewo kushandisa neshure. Kana paine mazuva dzinonetsa vakadzi.
4. Pfekai magirazi (somuenzaniso, zvomusejari, mazino kana mishonga mukoti) asati kushandiswa nekuti ropa utachiona, chichipinda mucous Kamudzira yeziso, pakarepo anoisa kuzvimba chiropa.
5. Kana murwere vachirwara cirrhosis chiropa, zvichaita vanofanira kuongorora nguva dzose pamusoro cheya, izvo zvinofanira kuva kaviri pazuva.
6. Mumwe hepatologist, wongororo iyo siya varwere ringavakurudzira kuongorora zvemaBhaibheri Urume ukanwa uye akadzora. Kana ukashandisa zvishoma, uye kunosiya nguva yakawanda zvinodiwa kugadzirisa nokukurumidza kwachiremba.

kudzivirira Universal zvirwere chiropa uye biliary turakiti, zvokudya ane akaderedzwa mafuta kugutsikana, Spicy, yakagochwa uye duku kunwa doro kana zvavo zvachose kusavapo (kunze kungava waini tsvuku - 1 girazi ose 7 days).