Ukuphelelwa amandla kwe-hepatic

Isibindi senza umsebenzi wesihlungi emzimbeni, siwukhipha ubuthi kanye ne-ammonia. Ngokwehluleka okuqhubekayo kokusebenza kwayo, i-encephalopathy eyingozi iqala-i-syndrome ye-neuropsychic disorder ehlotshaniswa nobuhlungu bobuchopho nezinto ezinobungozi.

Ukucindezeleka kwe-hepatic - izimbangela

Phakathi kwezici eziyinhloko ezibangela isifo esicutshungulwayo, okuvame kakhulu ukuthi:

• i-hepatitis yegciwane (uhlobo B, C, okungajwayelekile - D, A no-E);
• izifo ezithathelwanayo (mononucleosis, yellow fever, leptospirosis);
• ukulimala kwesibindi esingapheli ngenxa yokusebenzisa kabi utshwala;
• i-portocaval shunting;
• I-Badda-Chiari syndrome;
• isifo sofuba esibangelwa izidakamizwa;
• uketshezi ngamakhemikhali anobuthi;
• ukubola kwesibindi kwesibindi;
• Isifo sikaWilson-Konovalov .

Ukuphefumula kwe-hepatic - izimpawu

Kuze kube manje, kuvamile ukuhlukanisa izimpawu zesifo esibhekene naso, kuye ngokuthi ubuhlungu bobuchopho bubuchopho nobunobuthi.

Izibonakaliso ze-encephalopathy enobungozi ngokusho kwesiteji sesifo:

1. Isigaba seZero. Eyaziwa ngokuba khona kwezimpawu, ngezinye izikhathi kungase kube nokuphazamiseka ekuphatheni nasekuphenduleni kwesiguli ezimweni ezimbi kakhulu;
2. Isigaba sokuqala. Kubonakala ekuqwashweni noma ezinye izinkinga zokulala. Kuba nzima ukuba umuntu agxile, kunomthelela ojulile wokwenza kahle nokunakwa. Ngokuhamba kwesikhathi, ukungazinzi ngokomzwelo kuphawulwe ngendlela yokucasula, ukukhathazeka okungenangqondo, ukucindezela , ukucindezeleka ;
3. Isigaba sesibili. Kulesi simo, kukhona ukwephulwa kwenkulumo, motor imisebenzi. Isiguli asikhathaleli, sihlukumezeka, ngezinye izikhathi sisesimweni se-delirium, senza izenzo ezingenasisekelo. Kukhona ukudideka kwesikhala nesikhathi, i-dysgraphia, ukuzamazama;
4. Isigaba sesithathu. Lesi sigaba sibonakala ngezwi elikhulayo lazo zonke izicubu zomzimba. Ngaphezu kwalokho, kukhona ukugubha okukhulu, ukuqhuma, ukuphazamiseka kwemisebenzi yemoto;
5. Isigaba sesine yi-encephalopathy enkulu ye-hepatic. Ukuphendulela ekukhanyeni nasebuhlungu abukho, umsebenzi wobuchopho uyancipha ngokunciphisa okufanayo ngesikhathi esisodwa, futhi i-coma ehlabayo ihlelwe ngaphakathi.

I-encephalopathy ye-hepatic - ukuxilongwa

Ukuxilongwa kwenziwa ngesisekelo semiphumela yesifundo sezinhlangothi ezimbili. Ekuqaleni, kuhlaziywa kabanzi ukuhlolwa kwengculaza kwegazi lesiguli, lapho kufanele kube khona ukunakekelwa okhethekile ekubaleni kwegazi elimhlophe, isilinganiso se-erythrocyte sedimentation, indices ye-bilirubin kanye nokuhlushwa kwama-ammonium compounds. Ngesikhathi esifanayo, kuyadingeka ukuthi ufunde ukubunjwa kwegesi kwegazi. Khona-ke i-electroencephalography yenziwa, evumela ukucacisa ushintsho esibindi, kanye ne-biopsy yegciwane elimele.

Ukwelashwa kwe-encephalopathy ye-hepatic

Ukwelashwa kwezifo kuqukethe ukuqeda izimbangela eziholela ekuthuthukiseni ukungakwazi ukusebenza, ukudakwa komzimba, ukunciphisa inani le-ammonia nezinye izinto ezixubile egazini. Ezimweni ezingavamile, ama-antibiotics nama-corticosteroids asetshenziselwa ukukhululeka kwenqubo yokuvuvukala. Okubaluleke nakakhulu ukudla okunomsoco we-hepatic encephalopathy. Kubalulekile ukunciphisa ukusetshenziswa kokudla okuqukethe amaprotheni ngangokunokwenzeka, futhi ukwandisa inani lama-carbohydrate ekudleni. Esikhundleni seshukela evamile kuyadingeka ukusebenzisa isakhi - lactulose. Kuyasiza ukuvuselela i-microflora yamathumbu, ukukhipha ubuthi emzimbeni nokunciphisa amandla okubamba ammonia.

Ngasekugcineni, isigaba sesine se-encephalopathy ye-hepatic, kufanele kunakekelwe ukunakekelwa okuphuthumayo, lapho ukuhlanza okuphindaphindiwe kwamathumbu kwenziwa khona, i-glucocorticosteroids nemithi elwa namagciwane ijojowe ngaphakathi.