Hepatic steatosis - Satellite remesa

Pathological chiropa ezvinhu kunokonzerwa metabolic zvinetso uye kunovaka muviri, iyo pane kuunganidza mafuta inclusions, uyewo mafuta mumate ari hepatocytes pamusoro chiropa steatosis anonzi kana "mafuta chiropa". Hepatic steatosis ( «steatosis hepatis», Greek.) Dai kuva yoga chirwere, uye vane hunhu syndrome. Kana kupfuura 5% kuti chiropa uremu wakakora, kunonzi mafuta.

The pathogenesis chirwere ichi haina kudzidza. The zvikonzero zvisiri pachena chiitiko chacho, zvinofungirwa: nokunyanyisa yaunodya chokuzvisarudzira mafuta acids, vakawedzera kwetunhu uye esterification kuti mafuta acids, akaderedza oxidation dzavo uye ungaderedza mapuroteni usage uye secretion pamusoro lipoproteins kukanganisa.

Huru etiological zvinhu zvinosanganisira: chiropa toxicity, kwemakemikari anobudiswa uye metabolic zvinetso, muviri kusaenzana uye hypoxia. A nzvimbo inokosha pakati hunokachidza hunhu zvinokonzera ndohwavo tsika uye muviri kusaenzana, basa dzimwe chepfu zvinhu zvisinganyanyi kukosha. The mwero chinopedza kuchinja uye kumhanya yawo kukura, dzakanga dziri hombe uwandu doro kuparadzwa. Dzimwe nguva anovandudza mushonga hepatic steatosis, zvakadai asingaurayiwi kurapwa, tuberkulostaticheskoy zvinodhaka, corticosteroids uye zvinodhaka cytotoxic. Chikuru kwemakemikari anobudiswa-metabolic zvinetso zvinosanganisira chirwere cheshuga, thyroid chirwere, Cushing kuti chirwere uye kunopindirana kufutisa.

Hepatic steatosis: zviratidzo.

Kune mhando mbiri inokosha morphological zviratidzo kunyanya kuunganidza mafuta ari chiropa: roga uye macroscopic kuwanda. Globular kana macroscopic kuwanda hunhu udhakwa, kufutisa, uye mhando chirwere cheshuga wechipiri. Kuchinyanya steatosis ichi mhando unoenderana kuwedzera zvachose muviri uremu, asi kana zviri kudzikira (nzara kana yakaderera mafuta kudya) indekisi uyu zvinoderedza, uye chiropa mashandiro kudzokera dzose.

Kazhinji Course chirwere iri kwenguva refu, kwenguva refu, nguva hama kuregererwa rakatsiviwa exacerbations nguva, izvo kazhinji kunokonzerwa mumuviri kana pfungwa overexertion, utachiona, uye doro yaunodya. Kakawanda, chirwere chacho asymptomatic, asi vamwe varwere vanofunga kufundumwara uye nokupararira zvakarurama yokumusoro quadrant, achiine rukuvhute kana epigastric munharaunda mudumbu, bloating uye kusashivirira kuti mafuta zvokudya. Most kubatwa chiropa steatosis vakadzi yakawedzera muviri uremu. Chirwere chirwere rinoitwa kuburikidza Ultrasound, rinobva resonance uye computed tomography. Uyezve zvinogadzirwa nemakemikari miedzo ropa, chokupedzisira zvokuongorora chinosimbiswa pashure tsono biopsy chiropa.

Steatosis chiropa: kurapwa.

Varwere nechirwere hepatic steatosis basa vaitofanira kudya umo vakawanda mapuroteni uye mafuta mishoma. Uyezve prescribers kuvandudza mafuta muviri (folic acid, vhitamini B12, choline chloride, lipoic acid). Also basa kugamuchirwa chiropa kugadzirira zvakadai ripazon, uye progepar Syrepar uye kurovedza muviri zvakakwana.

Kudzivirira hepatic steatosis.

Most kazhinji chirwere kunoitika apo kunyanya kushandiswa kwemafuta mhuka, uyewo zvaipesana mapuroteni muviri, saka, chinokosha mwero kudzivirira hepatic steatosis ndiyo zvinovaka muviri. Uyewo, kuti ekudzivirira steatosis vanokurudzira supplementation pamusoro antioxidants, uye zvinowedzera kuti vane detoxifying ehupfumi. Kunze zvakafanira kudzivisa-yakareba nomudumbu, uye, pasina akamirira kuwanikwa yematambudziko, nounyanzvi uye nenguva kuvabata.