I-hepatomegaly ihlale ibonisa ukuthi isitho sinesifo esithile. Ngakho-ke, indima ebalulekile idlalwe ukuxilongwa okufanelekile, uma kunesibindi sesibindi - izimbangela zesifo somzimba zingaba sína kakhulu futhi zisongele ngezinkinga ngendlela yokuguqula i-parenchyma enezicubu ezixhumeneyo noma ukufa kwamaseli kancane kancane.
Isibangela sokwandiswa kwesibindi kubantu
Zonke izici ezenza i-hepatomegaly ingahle ibe ngaphansi kwemibandela ibe ngamagatshana amathathu:
- Uhlobo lokuqala luhlanganisa izifo zelungu kanye nombhede wayo wamathambo. Ziyakwazi ukusabalalisa nokugxila, zithinte zombili izicubu kanye nezingxenye zayo.
- Uhlobo lwesibili luyisifo sokugaya umzimba nokugcina umzimba. Ngokujwayelekile kubhekisela ekusebenziseni ukukhiqizwa kwama-enzyme, ukumiswa okungalungile kanye nokufana.
- Iqembu lesithathu lezifo libhekene nokuntuleka kokujikeleza (njengomthetho, ngokusho kwesokudla kwesisu esiswini). Igeleza ngokufana nezifo zenhliziyo eziningi.
Ake sicabangele ngokuningiliziwe.
Izimbangela zokwanda kwe-lobe kwesokudla nesobunxele besibindi
Ekuhloleni akukhathaleki ukuthi iyiphi ingxenye yomzimba eyedlula usayizi ovumelekile. Noma yikuphi ukwanda kwesibindi kungabonakalisa izinhlobo ezihlukahlukene ze-pathologies.
Kusukela ezihlukahlukene zokuqala:
- i-steatosis;
- isifo sofuba semvelaphi ehlukahlukene;
- i-echinococcosis ;
- i-cirrhosis;
- izicubu ezinonya noma ezinobungozi;
- i-tuberculoma;
- i-alveococcosis;
- isifo sofuba granulomatosis;
- i-cysts yesibindi yesimo esingenasimanga.
Kumele kuqashelwe ukuthi nge-hepatitis engapheli futhi engapheliyo isifo sofuba, isilwane sanda kancane.
Izifo zohlobo lwesibili:
- ukuhlukunyezwa okuzalwa kwangempela kwe-biology of glycogen;
- i-hemochromatosis (ukungenwa ngokwanele kwensimbi).
I-Pathologies evela engxenyeni yesithathu:
- ukuphefumula kwamathambo kwezikebhe ezinkulu;
- ukuhluleka kwenhliziyo;
- angina pectoris.
Izizathu eziqondile zokuthi kungani isibindi sanda kakhulu siboniswa nge-ultrasound. Uma kuhlolwa, lolu cwaningo lubalulekile, ngoba luvumela ukucacisa ngisho ne-hepatomegaly yamanga (ukuhamba komzimba kancane kancane ngenxa yokwanda kwephaphu elilungile). Ngaphezu kwalokho, le ndlela inikeza incazelo ecacile yobukhulu besibindi, izinga lokudlula kwemingcele evamile, ukuba khona kwezinqubo zokuvuvukala kanye nokufakwa kwamaseli we-parenchymal anezicubu ezixhunyiwe.
Izizathu zokwanda kwesayizi sebindi nesipere
Ukuhlanganiswa kwe-hepatomegaly kanye ne-splenomegaly kwenzeka kaningi, ngoba lezi zitho zihlangene nombhede wamasongo, futhi ukukhubazeka kwesibindi ngokuvamile kuvusa izinqubo ze-pathological epleen.
Inkinga echazweyo ivela ezifweni ezinjalo:
- i-thrombosis ye-portal noma i-vein splenic;
- i-thrombophlebitis;
- ukuchithwa kwezitsha;
- endophlebitis;
- izifo ezitholakalayo noma ezingenasifo sangasese zokujikeleza kwegazi emithanjeni ye-hepatic;
- i-hepatocerebral dystrophy;
- amyloidosis;
- Isifo se-Gaucher;
- i-malaria;
- i-syphilis;
- i-mononucleosis esithathelwanayo;
- isifo sofuba esiswini;
- i-leishmaniasis ye-visceral;
- endocarditis ye-septic yenkambo ende;
- i-brucellosis;
- i-hemoblastosis ye-paraproteinemic;
- i-hemolytic anemia;
- lymphogranulomatosis ;
- i-leukemia;
- isifo senhliziyo;
- isifo se-ischemic esingapheli;
- i-pericarditis eyakhayo.
Ngesifo sofuba, ngokuvamile i-spleen ayikhulumi ngosayizi, ngaphandle kokucindezeleka kwesifo esingapheli uhlobo C kanye nokuhluka kwezidakamizwa. Ngezinhlobo ezinjalo zokukhubazeka, ukudakwa komzimba kunamandla kakhulu, okuholela ekutheni i-splenomegaly, ngezinye izikhathi ihlangene nokuvuvukala kobuso bezingcubu zomuncu zomzimba.