Yintoni encephalopathy hepatic, iintlobo kunye nonyango

Umxholo

• Iimpawu ze-hepatic encephalopathy
• Izizathu eziphambili
• Unyango lwe-hepatic encephalopathy

I-hepatic encephalopathy sisifo esibonakaliswa kukungasebenzi kakuhle kwengqondo ngenxa yeengxaki zesibindi ezinje ngokusilela kwesibindi, ithumba okanye ukuqina.

Omnye wemisebenzi yesibindi kukucoca igazi elivela ekucoleni komzimba kuba linoxanduva lokucola izinto ezithathwa njengezinetyhefu kwamanye amalungu. Xa isibindi singakwazi ukulicoca ngokufanelekileyo eli gazi, ezinye izinto ezinetyhefu ezinjenge-ammonia zifikelela kwingqondo kunye nenkqubo ye-nervous system ebangela i-hepatic encephalopathy.

Ukwahlulahlula i-hepatic encephalopathy yile:

• Uhlobo lwe-hepatic encephalopathy: kunye nokungaphumeleli kwesibindi;
• Uhlobo lwe-B hepatic encephalopathy: nge-encephalopathy enxulunyaniswa nokudlula kwenkqubo yezibuko;
• Uhlobo lwe-C hepatic encephalopathy: xa inxulunyaniswa ne-cirrhosis kunye ne-portal hypertension.

I-hepatic encephalopathy inokuthi ibonakale ngokuthe gca, ngokuzingisileyo okanye kancinci. Ukuba yile:

• I-encephalopathy ye-hepatic enqabileyo: ngokukhawuleza, ngokukhawuleza kunye nokuphindaphindiweyo;
• Ukuqhubeka kwe-hepatic encephalopathy: ithambile, ibukhali, ixhomekeke kunyango;
• Ubuncinci be-hepatic encephalopathy: ukubonakaliswa kwangaphambili kweklinikhi okufuna iindlela ezizodwa zokuchongwa. Kwakubizwa ngokuba yi-latent encephalopathy kunye ne-sub-clinical encephalopathy.

Iimpawu ze-hepatic encephalopathy

Iimpawu ze-hepatic encephalopathy inokuba:

• Ukucotha kwengcinga;
• Ubuthathaka;
• Iinyikima;
• Ukulungelelaniswa kwemoto;
• Iingxaki zokuziphatha;
• Isikhumba esimthubi namehlo;
• Ukudumba kwesisu;
• Umphunga ombi;
• Ukulibala rhoqo;
• Ukudideka kwengqondo;
• Worsens ngokubhala.

Ezi mpawu zinokubonakala kancinci kancinci kwaye zibonakale ngesiquphe, kubantu abanokukhubazeka kwe-hepatic.

Ukufumanisa isifo se-hepatic encephalopathy, kufuneka kwenziwe uvavanyo lwegazi oluninzi, ikhompyuter yecomputer, imaging resonance imaging kunye ne-electroencephalogram.

Izizathu eziphambili

Izizathu ze-hepatic encephalopathy zihambelana nokungasebenzi kakuhle kwesibindi. Ezinye zeemeko ezinokubangela i-hepatic encephalopathy zezi:

• Ukusetyenziswa kakhulu kweprotein;
• Ukungenwa ngokwaneleyo kwe-diuretics;
• Utshintsho kwii-electrolyte zegazi njengoko zinokwenzeka kwimeko ye-bulimia okanye yokuphelelwa ngamanzi emzimbeni;
• Ukopha kumpinya, isisu okanye amathumbu;
• Ukusela kakhulu iziselo ezinxilisayo;
• Isifo sezintso.

Ukusetyenziswa gwenxa kwamayeza nako kunokubangela esi sifo, ngakumbi kubantu abaneengxaki zesibindi.

Unyango lwe-hepatic encephalopathy

Unyango lwe-hepatic encephalopathy kukufumanisa unobangela kwaye ulususe. Kunganyanzeleka ukuba unciphise ukutya kwakho kweeprotein kwaye amayeza kufuneka athathwe ngokuchanekileyo. Amanye amayeza anokusetyenziswa ngala: Lactulose, neomycin, rifaximin. Fumana iinkcukacha ezithe vetshe kwaye ukutya okufanelekileyo kwesi sifo kunjani.