Non-doro nuna chiropa chirwere (NAFLD): zvinokonzera, nezviratidzo, zviratidzo uye kurapwa

Non-doro nuna chiropa chirwere - chirwere kuti pamwe kuunganidza lipid mumate vari hepatocytes. mumwe muitiro akadaro kunokukanganisa kushanda muviri uye kunogona kutungamirira matambudziko ngozi. Sezvineiwo, chiremba mufananidzo kazhinji damerau, uye naizvozvo maperembudzi akaonekwa, sezvo mutemo, atova okupedzisira zvokukura kukura.

Sezvo zvokurwara chaizvo nevakawanda, vanhu vakawanda vari kubvunza mibvunzo pane asiri chidhakwa steatosis chiropa. Zviratidzo uye kurapwa, anoita uye zvakaoma kunzwisisa - zvakakosha pfungwa nezvazvo.

Chii chinonzi chirwere? Brief Description of etiology uye

NAFLD, Non-zvinwiwa nuna chiropa chirwere - a zvokurwara zvakajairika chaizvo kuti kunoratidzwa kuunganidza ari chiropa mumasero (hepatocytes) lipids. Sezvo mafuta mumate vari rakachengetedzwa mukati masero uye extracellular nzvimbo, iyo dzakaona atadze kushanda zvakanaka pamusoro Authority. Untreated chirwere kunotungamirira matambudziko ngozi, kuwedzera ngozi zvemwoyo, cirrhosis kana akaipa bundu inotungamirwa ari chiropa.

Non-doro nuna chiropa chirwere - dambudziko nguva yedu. Maererano Zvidzidzo hwakapararira anenge 25% (mune dzimwe nyika uye kusvika 50%). Ichokwadi kuti nhamba yakaoma mazita chaiwo, nekuti diagnosing chirwere ndiyo Kashoma nenguva. Panzira, zvinoodza nayo, varume navakadzi, uye kunyange vana. Ainyanya sei chirwere munyika dzakabudirira, ndiko chokuita muhofisi, yakatarwa nzira youpenyu, kugara mupfungwa uye kushaya zvokudya zvinovaka muviri.

The kukonzera mafuta chirwere

Mubvunzo nei uye sei kukudziridza non-doro nuna chiropa chirwere, richiri kuitwa akadzidza akawanda tsvakurudzo nzvimbo. Asi mumakore mashoma apfuura, masayendisiti akakwanisa kuziva zvinoverengeka njodzi:

• Kufuta (ruzhinji varwere nechirwere ichi vari vakafutisa).
• Ukuwo, steatosis anogona kuva pamusoro pakanyorwa nokukurumidza uremu, nekuti chiitiko ichi pamwe nokuchinja muviri mafuta yomuropa, uye mafuta acids.
• zvinokonzera njodzi zvinosanganisira chirwere cheshuga, kunyanya rechipiri mhando.
• Mikana yokuita chirwere vari vanhu vane chirwere neBP.
• NAFLD kuonekwe pamusoro dzakakwirira kwevari triglycerides uye remafuta akawandisa muropa.
• Nengozi kushandisa zvimwe mishonga, kunyanya mishonga uye hormone yomuchipatara (yokuronga mapiritsi, glucocorticoids).
• Zvinhu Risk zvinosanganisira murombo zvokudya, kunyanya kana zvokudya rine ndiro kuti akapfuma carbohydrate uye mhuka kwemafuta.
• Hosha ikabuda iri zvomudumbu turakiti zvirwere, kusanganisira goiter, maronda maronda ari muchina, pfungwa nomuviri zvemwana asati, havachanyatsogoni kuitwa muviri pedyo intestinal rusvingo.
• Dzimwe njodzi zvinoita zvinosanganisira gout, pulmonary chirwere, psoriasis, lipodystrophy, oncologic zvirwere, matambudziko mwoyo, porphyria, yakanyanya kuzvimba, kuunganidza yakawanda vakasununguka radicals, connective tishu chirwere.

Non-doro nuna chiropa chirwere: kupatsanura uye padanho kukura

Pane nzira dzakawanda patsanura chirwere. Asi vanachiremba vakawanda kuteerera nzvimbo kwacho. Zvichienderana apo kuunganidza lipid mumate with zvatichiri neakangwara akaratidza neakangwara, diffuse uye zonal zvitarisiko gepatoza.

Non-doro nuna chiropa chirwere anova mumatanho mana:

• Nuna chiropa umo kuunganidza yakawanda lipid mumate ari hepatocytes uye intercellular nzvimbo. Zvinonzi varwere vazhinji, chiitiko ichi haitungamiriri zvakakomba kuvadza chiropa, asi pamberi isakarurama kukanganisa chirwere zvinhu kungaita kuti inotevera Danho okukura.
• Nonalcoholic steatohepatitis, umo kuunganidza mafuta anenge kuzvimba.
• Fibrosis ndiye mugumisiro yakareba kushoma. Masero Functional chiropa zvichipera zvishoma ne connective okunze. Mavanga wakaumba, kukanganisa kushanda muviri.
• Cirrhosis - kwokupedzisira padariro kukura fibrosis, muya inowanzotorwa chiropa rinenge scarring kuchiiswa. Kwakakanganiswa mamiriro uye nokushanda muviri, izvo zvinowanzoita kuti hepatic insufficiency.

Ndezvipi zviratidzo zviri pamwe zvakawanda zvive?

Vanhu vazhinji nemamiriro chirwere "dzisiri doro chiropa steatosis." Zviratidzo uye kurapwa - nyaya kuti varwere vakawanda vafarire. Sezvambotaurwa, kune kumwe mufananidzo chirwere lubricated. Kazhinji kufutisa chiropa rinenge haisi achiperekedzwa kwazvo zvinetso, izvo zvinoomesa zvikuru nenguva chirwere nekuti varwere havambokwanisi kutsvaka rubatsiro.

Ndezvipi zviratidzo pamwe non-doro nuna chiropa chirwere? Zviratidzo zviri chirwere zvinosanganisira:

• Nokuda hadzina kufambiswa zvakanaka vari chiropa, varwere kazhinji chokunyunyuta pamusoro nomudumbu, zvikurukuru, kuda kurutsa uye uremu mudumbu, kunoitika pashure zvokudya, zvinetso pamwe chair.
• Zviratidzo zvingasanganisira kuneta, idzokororo nomusoro, zvakanyanyisa utera.
• In akazotevera nzendo nokuwedzera kukura chiropa uye chirwatata. Varwere vanotsutsumwa waziya uye marwadzo zvakarurama hypochondrium.
• Inenge 40% wevarwere zvinogona kuchengetwa hyperpigmentation ganda pamutsipa uye underarms.
• Zvichida chitarisiko dandemutande mutsinga (dilated capillaries afoot) pamusoro yemichindwe.
• Kushoma kunowanzoguma yellowness ganda kana maziso.

Adipose chirwere muvana

Zvinosuruvarisa Non-zvinwiwa nuna chiropa chirwere zvinowanzooneka chirwere muvana uye kuyaruka. Uyezve, pamusoro mashomanana apfuura, nhamba nyaya akadaro kwakawedzera zvikuru, nokuda kuwedzera kufutisa prices pavarwere yokupara.

chirwere kunokosha. Ndokusaka munguva purogiramu chikoro zvokurapa bvunzo, vanachiremba uyere parameters muviri wemwana, kuyera BP, tarisa pachiyero triglycerides uye lipoprotein. Matanho aya kuti tikwanise kuziva chirwere nenguva. Non-doro nuna chiropa chirwere muna vana varege zvinoda vamwe marapiro (kunyanya kana iri dzakaonekwa vachiri Danho). Kururamiswa zvataidya uye kurovedza muviri nguva dzose kubatsira normalization chiropa.

Chirwere matanho: Laboratory Miedzo

Kana uchifungidzira kuti zvokurwara ichi inoitwa rabhoritari miedzo ropa mimwe murwere. Apo kudzidza pakuongororwa vanofanira kuteerera zvinotevera zviratidzi:

• Varwere vakachengeta kuwedzera chiropa makemikari. Kuwedzera mwero, vanenge 3 - 5 nguva.
• Pane kutyora carbohydrate muviri - varwere vanenge vakadhakwa shuga kushivirira, izvo unoenderana zviratidzo mhando II cheshuga.
• Chimwe chinhu - the dyslipidemia iyo kunoratidzwa vakawedzera kwevari remafuta akawandisa uye triglycerides muropa.
• Kukanganisa mapuroteni muviri uye kuwedzera bilirubin iri kuchengetwa chete yemhando zviitiko.

Instrumental kuzviongorora murwere

In mamwe kuitwa zvimwe miedzo, kunyanya Ultrasound chiropa kuzviongorora uye abdominal zvomukati. Nyanzvi munguva nzira ungacherechedza migove lipid deposits, uye nani echogenicity. Sezvineiwo, US zvikuru akakodzera nechirwere ose diffuse mafuta chirwere.

Uyezve vaiitisa rinobva resonance uye computed tomography. Matanho aya vanobvumira mufananidzo rakazara murwere ezvinhu uye rwakadini chirwere kunoita. Sezvineiwo, achishandisa tomography nyore rokuongorora yomunharaunda foci kuti mafuta chiropa.

Dzimwe nguva unofanira kuva chiropa biopsy. Laboratory kuongorora mifananidzo munyama zvinobatsira kumisa kana kuina kushoma, kana vakagovera fibrosis zvikuru zvakaitwa fungidziro wevarwere. Zvinosuruvarisa, nzira iyi zvikuru kwakatooma uye ane nhamba yematambudziko, saka kuipedzera chete muzviitiko.

Drug nokurapa nonalcoholic gepatoza

Non-doro nuna chiropa chirwere, pasinei anononoka aibuda, kune ngozi, uye saka kunoda kurapwa pakarepo. Chokwadi, mishonga zano yakaitwa nomumwe, napo zvinhu zvakawanda.

Kazhinji, kutanga ushandiswe varwere kugamuchira hepatic uye antioxidants, zvikurukuru, kugadzirira rine betaine, tocopherol acetate, silibinin. Ezvemutauro izvi zvinodzivirira masero hepatic pamusoro zvakakanganisika uye kuderedza kukura chirwere. In pamberi insulin irambe iri murwere kushandisa zvinodhaka zvinowedzera jekiseni utetsa receptors. Kunyanya, Migumisiro kuonekwa thiazolidinediones uye biguanide. Kana pane kutyorwa ve- lipid muviri anoshandiswa zvinodhaka lipid-richikwidibira.

Non-doro nuna chiropa chirwere: audzwa varwere

Sezvo kakawanda hosha inobatanidzwa kufutisa uye metabolic nenyonganiso, murwere inokurudzirwa kuchengeta zvakarurama kudya uye uremu. Tinogona kubvumira nokukurumidza uremu - zvose zvinofanira kuitwa zvishoma nezvishoma.

Panyaya zvokudya, ipapo unofanira kutanga kutanga zvishoma nezvishoma kuderedza zuva caloric ukoshi zvokudya. Mafuta nezuva kudya haafaniri kupfuudza 30%. Zvakakodzera asava zvigadzirwa kuti kuwedzera remafuta akawandisa, vasiye fried zvokudya uye doro. The daily Muterere kuti unosanganisira zvokudya pamwe yakawanda faibha, vhitamini E uye polyunsaturated mafuta acids.

Part of mishonga iri uye muviri. Unofanira kutanga nyoreka muviri (kunyange kufamba) 30 - maminitsi 40 3 - 4 pavhiki, kuwedzera zvishoma nezvishoma kusimba uye nguva kudzidziswa.

Zvinoita kurapa vanhu vake nzira?

mushonga Traditional inopa zvakawanda zvokushandisa anogona kuvandudza kushanda chiropa uye kubvisa chitunha muchetura. Somuenzaniso, Zvinokurudzirwa kusanganisa pakaoma plantain mashizha uye uchi ari nhamba 3: 1. Tora guru chipunu pakati kudya 2 - 4 nguva pazuva. The mushonga haasi akakodzera kuti kunwa mvura uye, chokwadi, kuti vadye kwemaminitsi 40 pashure ingestion.

Positive kukanganisa mamiriro chiropa decoction pakati O mbeu. Sezvo zvichikosha kudzosa microflora murwere, Zvinokurudzirwa kudya zvakawanda iwe handigoni yakavira mukaka zvigadzirwa. Zvinofanira kunzwisiswa kuti vaizviita panguva gepatoze chiropa kunogona kuva nengozi. Chero nzira inogona kushandiswa chete mvumo kupinda chiremba.