Ate kakakīrehe: take, momo, maimoatanga

Ate kakakīrehe Ko te whakakapinga māmālie o ngā pūtau ate i kiko tūhonohono, hua i roto i te hanga nui o te collagen. meinga kakakīrehe ate e rere toto waimaero i roto i te rua ate, me i roto i te rerekē ki te cirrhosis āhuatanga e te ngaro oti o te mahi whakaora i te pūtau. Ko te mate whakawhanake rawa pōturi, e kore e whakaatu i te reira iho, ie. E. Asymptomatic. E whakakitea ana te tohu tuatahi i muri anake e ono ki te waru tau.

I tēnei wā whakarōpū te maha o ngā āhuatanga o te ate kakakīrehe. Ko ētahi o ēnei: tarukino wā roa-, waipiro poisoning me paitini, tuku, kakakīrehe congenital, ma'i kakā viral, mate huka, te mōmona, hē auroa o te tahi mau kohuke me huaora.

Ko te whanaketanga o te ate kakakīrehe arata'i ki taua hopearaa mahi, me te hanganga rite utu tukanga ofatiraa i waenganui i te toto, me te hepatocytes i roto i nga sinusoids, whakanekeneke o toto, ngä te whanaketanga o te cirrhosis, mate o te kakama, me te whāiti te tūāwhiorangi o ngā mahi whakaora.

Tei runga i te tukanga, me tona localization pā wehewehe te momo e whai ake nei o te mate:

- perivenulyarny me kakakīrehe venular e whakawhanake i te pokapū o te moni, me te mo te taiepa o te uaua ate. Ko te āhuatanga tino o tenei momo o te kakakīrehe mo ma'i mate Cardiovascular me kakā waipiro;

- kakakīrehe pericellular. Nuinga o ngā wā i kite i roto i te mate ate waipiro, me te kakā viral;

- septal ate kakakīrehe e puta rohe tūhonoa necrosis;

- he tomokanga me te kakakīrehe ate periportal, i te mea he āhuatanga huru o te kakā o takenga rerekē: viral, autoimmune waipiro ranei;

- periductal (cardiac) ate kakakīrehe kitea i sclerosing cholangitis me he tini concentric o kiko kaiota huri noa te ate rerekē tubules ërä;

- kakakīrehe Mixed ko te puka tino noa, i roto i nei e te aroaro te tahi atu mau huru o te kakakīrehe i ngā ōwehenga.

Ko te tohu matua o te ate kakakīrehe kitea noa i te tau torutoru i muri i te tīmatanga o te mate e:

- te aroaro o toto i varices esophageal;

- te whakanui ake i te rahi o te ate;

- roha o te kōateate;

- thrombocytopenia.

Ko te tino uaua ki te hamani, te tikanga kei te i whakahaua i whakatikatika ngā syndromes mate ate kakakīrehe. I roto i te aroaro o te hypersplenism faaite whakamana splenectomy ki te whakapanga o anastomosis splenorenal. Hei mutu toto i dilated rite ki te hua o uaua tīponapona o te puku, me te pū kai, endoscopy ranei sclerotherapy o uaua gastrotomy ki tuitui.

Prevention o kakakīrehe ate ko te tukunga o peu kino, whakaiti rongoā takenga waihanga, ki te taumaha - tango mehua ki te pehea e o reira, neke ki te kai tōtika tautika tika. Hoki supplementation o ngā huānga wahi me huaora tūtohutia. Ki runga ki te rapunga o ate kakakīrehe kia whakaiti i te pikaunga ki runga ki te ate, te kawe i roto i whakahaere auau tauturu o taero pure te ate, me excreted i roto i te whānui, me te māori o tona mahi. Tei te nuinga waitohunga runga aha te momo o te kakakīrehe whakawhanakehia. Ko te tino onge puka kakakīrehe congenital.

A haamana'o na e whakawhanake kakakīrehe ate kahore tohu mō ngā tau e maha, tae noa ki te whanaketanga o te cirrhosis, kia ki te e pāngia koe ki "kakā" ki te whai koe i kore ate, i reira te mea he tūponotanga nui o predisposition o tukanga ate kakakīrehe ranei.