Hepatitis shalalka. sawir clinical

Shalalka hepatitis in kiisaska intooda badan si lama filaan ah uu yeesho, iyo daliilka ay clinical jiraan wax ka astaamaha cagaarshowga ba'an kala duwan. Bilowga hore ee cudurka calaamadeeyay qof tabar uu dareensan yahay. Kaadi madow, joonis daran - kuwani waa calaamadaha in la socon, shalalka hepatitis. Astaamaha ka muuqan dhalaalaya ku filan xitaa marxalad hore. Muddo dhawr bilood ah, waxa ay qaadataa meel sawir dheeraad ah oo buuxda bukaan eegida.

Marar dhif ah, hepatitis shalalka waxa lagu gartaa socodka tartiib ah. Si kastaba ha ahaatee, haddii ay taasi ku, waxaa ku badan xanuun iyo tiiraanyooday in hypochondrium saxda ah, qofka dareensan raaxo, joonis wax yar ka muuqataa. Tiro ka mid ah dadka qaba hepatitis shalalka bilaabmaa si ay u horumariyaan qandho, iyo sidoo kale daliilka extrahepatic.

sawir caafimaad oo faahfaahsan waxa lagu gartaa tabar daran, pruritus, lalabo, Lymphadenopathy. Waayo, cudurka waxaa kale oo lagu gartaa cagaarshow (ma joogto, laakiin kordhay intii lagu exacerbations), la kordhiyo size of the beeryarada iyo beerka. Mid ka mid ah saddex-meelood meel ka mid ah haweenka hepatitis shalalka waxaa ku weheliyay amenorrhea (maqnaanshaha caadada) iyo hirsutism (koritaanka timaha sida ragga). In ragga, cudurada la xiriira waxaa laga yaabaa in la gynecomastia (horumarinta qanjirada caanaha ee haweenka). Waxaa ka mid ah cadaanyo waaweyn ee maqaarka waa in la ogaadaa finan, qalintaanka iyo erythema palmarnuyu lupus iyo lesions kale.

hepatitis shalalka waa dabeecad chronic horusocod ah nabar la joogitaanka beerka-xiriira, autoantibodies serum. Geedi socodka qaadataa meel la caabuq si cadaalad ballaaran, hypergammaglobulinemia.

hepatitis shalalka. daaweynta

therapy Pathogenetic cudurka waa therapy a glucocorticosteroid. therapy jirka yarayn kartaa waxqabad ee geedi socodka bahal dhaca beerka, oon u qaadidda waxqabadka of T-suppressors, hoos u xoogga dareen diidmo ah in ay gacan burburinta hepatocytes.

Sida caadiga ah, daaweynta loo isticmaalo daawooyin sida "Methylprednisolone" ama "prednisolone". The dose hore maalin kasta - lixdan milligram - in toddobaadka ugu horreeya, iyo afartan - labaad, soddon - in ka-quarter saddexaad. Ka dibna, qiyaasta waa la dhimay ilaa labaatan milligram, taas oo ah qiyaasta dayactirka. daryeel taageero ah waa la fuliyay ilaa iyo inta caadi ah ee caafimaad oo, shaybaarka iyo xuduudaheedu histological.

Yaraynta xaddiga daroogada la siiyey si tartiib tartiib ah loo sameeyaa. Tani waxay xisaabta ku xoogga dabcan caafimaad iyo heerka calamado serum.

hepatitis shalalka la sixi karaa bar sanad gudihii. Si kastaba ha ahaatee, kiisas badan, therapy socdaa muddo dheer, mararka qaarkood ee Meyeydaan. In case of failure of biiro monotherapy bixiyo diyaarinta circuit "delagil", "azathioprine", "ciclosporin".

Haddii daaweynta jirka ma soo saaraan natiijada la filayaa muddo afar sano ah, joogitaanka heer badan, waxyeelo ka therapy baa la sara kicin kara su'aasha ah ee beerka ah.