Chii chakasiyana pakati peHepatitis uye Cirrhosis?
Ndezvipi zvakasiyana pakati pehepatitis uye cirrhosis? Ndezvipi zviratidzo zvezvirwere zviviri, zvinokonzera, uye marapirwo akasiyana uye akafanana sei?
Kufanana uye Kusiyana pakati peHepatitis uye Cirrhosis
Hepatitis uye cirrhosis zvose zvirwere zvinokonzera chiropa. Kune zvakakosha kusiyana, asi kazhinji, hepatitis inogona kana kuti isingadzokerizve (inopora) asi chirwere cheprhosis rinoreva kusagadzikana kwechigarire chechiropa, kazhinji sekuguma kwekuguma kwehepatitis.
Sezvo hepatitis uye cirrhosis zviri munzira dzakawanda pakuenderera kwechirwere, zviratidzo zvingave zvakafanana. Kunyange zvazvo mamwe maitiro ehepatitis angasvika nokukurumidza zvikuru, chirwere chendrhosis chinowedzera kukura zvishoma nezvishoma.
Ngatitarise zviratidzo zvinogona kuitika pamwe nezvirwere zvose, tsanangudzo yezvinyorwa zvezvirwere, uye ojekesa zvimwe zvekufananidzwa kukuru nekusiyana.
Zviratidzo Zvizere zveChiropa Zvirwere
Zviratidzo zvezvirwere zvechiropa zvinogona kunge zviripo nehepatitis, cirrhosis, kana mamwe mimwe mamiriro ezvinhu anokonzera kusakanganiswa kana kukanganisa chiropa. Izvi zvinogona kusanganisira:
- Jaundice - Jaundice , kana kuchena kwechiganda cheganda uye vatsvene vemaziso (the sclera) chiratidzo chinowanzoonekwa chechiropa, asi pane zvakawanda zvinokonzera. Jaundice inoitika nekuda kwekuvakwa kwebilirubin , yeropa pigment, muropa (hyperbilirubinemia.) (Jaundice inowanikwawo mucheche asi iyi inowanzoitika mumamiriro ezvinhu emuviri.) Jaundice inogona kukurumidza kukurumidza uye inoshamisa (sekuita nehutachi hepatitis kana bile duct kuvhiringidzika) kana kuti panzvimbo pacho kuwedzera zvishoma nezvishoma uye zvisiri nyore.
- Mazamu akawedzerwa nevarwere vevarume - Mazamu akawedzerwa, anonzi gynecomastia anozivikanwa nechirwere chinokonzera chiropa nekuda kwekuwedzera kweesrogen inokonzerwa nechiropa chisingaiti.
- Kuchengetedza kweganda rako - Kuora-kutora ( pruritis ) kunojairika nechirwere cheropa, uye kunokonzerwa ne-bile salts iyo inovaka muganda. Izvi zvinowanzoitika pasina rusina.
- Kuvhiringidza kweropa - Kuvhara ropa kunogona kuenderana nehosha yechiropa nenzira dzakasiyana. Imwe yezvinonyanya kuipa isophageal varices. Esophageal varices inonyanya varicose mitsemhere iri mudumbu. Varicose maronda mumakumbo anosimbiswa nekuda kweropa risina kufamba mumakumbo anokonzera ropa kuti ritsigire uye kuvhara, ropa rinopfuurira kusvika panopa rinogona kuderedzwa nekuda kwekukuvadza kwechiropa chinokonzera kuwedzera kwehutachiona hwehutachiona , nekuwedzerwa kweropa mukati muropa. Chirwere chepfungwa chinonyanya kuwirirana ne-cirrhosis pane hepatitis, sezvo kutyisa kunoita se "kink muhomwe" yemidzi yeropa ichifamba muchiropa.
- Kubvambura gums.
- Chiropa chakawedzerwa - Nehepatitis chiropa kazhinji chinova nyoro uye chakawedzerwa uye chinogona kunzwika pasi pemakwenzi ari kumusoro kwepamusoro quadrant yemudumbu. Nevirrhosis, chiropa chinowanzova chiduku uye chakasimba, uye chinogona kunzwa sedombo kana chinonzwika mudumbu repamusoro.
- Edema kana kupfugama kwemakumbo ako.
- Bhakteria peritonitis - Peritonitis inoreva kutapurika mumudumbu.
- Ascites kanawo anozivikanwa semvura inenge iri mudumbu - Ascites inogona kukonzera kubwinya kwepamuviri uye kubhururuka, uye kana kwakanyanya, kunogona kukonzera kupfupika kwefema nekuda kwekumanikidzwa kwemuviri kusvetera kumusoro pamusoro pechifuva.
- Kurara kuchinja uye zvimwe zvinetso zvehope.
- Kurasikirwa kwekuziva.
- Kushungurudzika mupfungwa kana kukanganwa - Chimwe chezvinhu zvinokosha zvechiropa ndezve "kubudisa" ropa, kureva, kubvisa tsvina nemamwe zvinhu kubva muropa. Apo basa rechiropa rinopesana, izvi zvinokonzera zvinogona kuvaka muropa. Hepatic encephalopathy ndiyo mamiriro ezvinhu anozivikanwa nekunyengera, kuvhiringidzika, kusagadzikana kwemafudzi, amnesia, uye kazhinji kushanduka kweunhu hunoshamisa. Iko dzimwe nguva kukanganisa sechirwere cheAlzheimer, asi pane zvimwe zviitiko, zvimwe chikamu chekudzoka.
- Kuneta - Kusapera kuneta, rudzi rwekuneta rwusingaiti kune humwe husiku hwakanaka hwekuzorora, runowanzozara nehepatitis uye cirrhosis.
Iyo huru yakanyorwa yeAacute hepatitis zviratidzo inokurukura zvimwe zvinogoneka zviratidzo zvehepatitis.
Hepatitis vs Cirrhosis
Kuti uchinzwisise kufanana kwakakosha uye kusiyana pakati pehepatitis uye cirrhosis, zvinobatsira kutanga kurondedzera nekutsanangura iyi mamiriro maviri. Pane chinhu chakakura pakati pemamiriro maviri aya, izvo zvicharatidzwa pasi apa.
Hepatitis
Hepatitis ndiko kuputika kwechiropa uye kunogona kukonzerwa kwete chete nemavhidhiyo anozivikanwa zvakadai saHepatitis B, asi zvimwe zvinhu zvakawanda. Mafomu ehupatitis anosanganisira:
Utachiona hwehutachiona hweHIV - Kune zvikonzero zvinotapukira zvinokonzera hepatitis. Izvi zvinosanganisira hepatitis A, B, C, D, uye E, uyewo zvirwere zvinokonzerwa nehutachiona sehutachiona hunopisa (Epstein-Barr virus) uye cytomegalovirus.
Zvinodhaka-induced hepatitis - Kune mishonga yakawanda inogona kukonzera chiropa kusimba.
Dorosilic hepatitis - Doro rinogona kukanganisa chiropa nenzira dzakawanda dzakadai sedorokwa hepatitis, mafuta echiropa, uye cirrhosis.
Kuwedzerwa kwehupfumi - Kwete-doro mafuta ane chirwere chechiropa chirwere chiri kuwedzera muUnited States chinogona kufambira mberi chirwere chinozivikanwa seNASH kana kuti chisina kudha steatohepatitis. Sezvimwe nemamwe marudzi akawanda ehepatitis, NASH inogona kufambira mberi kutyora (cirrhosis) yechiropa.
Autoimmune hepatitis - Zvirwere zvekuzvidzivirira ndezviya umo miviri yedu inoita zvirwere zvinopesana nemaviri edu.
Toxin / makemikari anojekesa - Kune huwandu hwezvinokonzerwa nehuputi kune chiropa kubva kunezvipembenene kusvika pamakemikari anowanikwa mune vanhu vanogara mumba vanochenesa.
Cirrhosis yeChiropa
Kurwara kwechirwere ndiko kuora kwechiropa. Chiropa chakasiyana zvakakwana mukukwanisa kwayo kuchinjazve mushure mekukuvara, asi nekukuvara kwakanyanya kana kusingaperi kwezvirwere zvakadai sechirwere chehepatitis, izvi zvinoparadzaniswa. Pakupedzisira, chiropa hachigone kushanda zvakanaka uye kupera kunotanga kukura.
Zvimwe zvinokonzera chirwere cheprhosis ndizvo zvinokonzera zvose izvo zvinokonzera hepatitis, asi kukurira kukwanisa kwechiropa kuzviraramisa pachavo, zvakadai apo apo kutuka kuchiropa kunodzokororwa kana sekune zvirwere zvisingaperi. Zvinonyanya kukosha muUnited States zvinosanganisira chirwere chinodhaka chechiropa uye hepatitis C.
Kurwisana kunogonawo kukonzerwa nemamiriro ezvinhu kunze kweshepatitis inokonzera hemochromatosis (iyo inowanikwa sedare inowedzera simba,) alpha-1-antitrypsin kukwana, kusagadzikana kweine enzyme, uye yakachengetwa mabhodha, sezvinonzi congenital biliary atresia (apo bile ducts vasipo.)
Sezvo chirwere chetrhosis chinowedzera, basa rechiropa rinorasika uye, panguva imwechete, nhengo inova duku uye inosimbisa. Kana uine chiropa chisina kunaka, mvura inonaya inowedzera mumakumbo uye mudumbu. Siri yemafuta inogona kushandiswa nyore nyore muganda iyo inogona kutungamirira kune jaundice nekucheka. Kubvisa kubva mumaketani makuru muGI tract yako uye inophagus inogonawo kuitika. Uturu hunogonawo kuwedzera muropa iyo inogona kuguma mukuvhiringidzika uye kupera kwepfungwa. Kune avo vane chirwere chakanyanya, chechokwadi bedzi, mhedziso, kurapwa kwechirwere ichi chiropa chekuisa . Zvinosuruvarisa, kune dzakawanda zvinetso zvinogona kuitika zvekushongedzeka kusanganisira chiropa kusakundikana nekenza yeropa.
Cirrhosis inosanganisira chirwere chepachiviri chetachiona chinoshandiswa uye chisina kushandiswa. Izvi zvinowanzoitika kune vanhu vasingagoni kudzora doro ravo rekudhakwa. Maererano nekutsvakurudza, hapachina mushonga wemishonga wepirrhosis. Kunyange zvakadaro, kurapa kwakanaka kunoderedza kuoma kwezviratidzo uye kunonoka kufambira mberi kwechirwere chacho. Nhanho yekutanga yaunofunga kuti inoderedza zviratidzo zvekushongedzera ndeyokurega kunwa doro. Kana iwe uchiramba uchinwa doro, zvinogona kutungamirira kukuvadza kwechiropa nekufa kusati kwasvika. Kutsvakurudza kutsva kuri kutarisa kune dzimwe nzira dzokudzivirira kufambira mberi kwehepatitis kusvika kuhutrhosis uye kuwedzera kwechirrhosis. Semuenzaniso, mitemo inogona kuderedza dambudziko rekushongedzwa kwechirwere mukati mevanhu vane chirwere chechiropa. Kana uine hepatitis kana kuti wakagadzirisa chirwere chepirhosis, zvakakosha kuwana chiremba anoziva nezvidzidzo izvi.
Kufananidzwa pakati peHepatitis uye Cirrhosis
- Zvose hepatitis uye cirrhosis ndizvo zvinosanganisira chiropa chinogona kukonzera chisingawanzo chiropa chekushanda uye zviratidzo zvechiropa chisingaiti.
- Zvose hepatitis uye cirrhosis zvinogona kukonzera kenza yeropa , chiropa kusakundikana, kana chido chekuvhara chiropa.
Kusiyana pakati peHepatitis uye Cirrhosis
Kune zvakawanda zvakakosha kusiyana pakati pehepatitis uye cirrhosis, kunyange zvazvo zvingave zvichikonzerwa nechinhu chimwe chete.
- Reversibility - Nesarudzo (scaring) cirrhosis haigoneki, asi hepatitis inogona kuchinjwa zvachose zvichienderana nechikonzero.
- Kuyera ropa - Enzymes yeropa (yakadai seAST neAlt) inowanzokwirira zvikuru nehepatitis, kunyanya chirwere chehepatitis. Asi ne-cirrhosis, zvisinei, mumatangiro ekutanga, chiropa chinoshanda chekuita chingangodaro zvisiri zvishoma.
- Mimwe mitemo kunze kwehepatitis inogona kutungamirira ku-cirrhosis - Somuenzaniso, hemochromatosis , alpha-1-antitrypsin kukwana, uye zvimwe zvinogona kutungamirira ku-cirrhosis.
- Mishonga - Nehepatitis, chinangwa chinowanzopedza kuderedza chirwere, somuenzaniso, kubata chirwere chacho, kubvisa zvinodhaka zvinokonzera mishonga inokonzera zvinodhaka, kana kuderedza uremu uye kuwedzera metabolism neNASH. Ne-cirrhosis, kutyisa kunogara nekusingaperi uye hakugoni kurapwa. Nokudaro, chinangwa ndechekubata zviratidzo zvakabatana ne-cirrhosis uye kudzivirira chero kuwedzera kukuvadzwa kwechiropa.
- Zviratidzo - Portal hypertension (ona pamusoro) inotungamirira ku-esophageal varices, spleen yakawedzerwa, pasi peplatelet count, uye neproteinini yepamusoro muropa (iyo inotungamirira kune dzimwe matambudziko) yakanyanya kufanana nehutrhosis pane hepatitis.
Pasi Pano pa Kusiyana Kwepakati Hepatitis uye Cirrhosis
Munzira dzakawanda, hepatitis uye cirrhosis zvakafanana nenzira asi pfuuriro. Zvinotenderera kuti zvizhinji zvezvikonzero zvinokonzerwa nechiropa zvinokonzera ku-cirrhosis zvinodzokororwa mumatanho ekutanga nekuchengetwa kwakanaka kweutano. Semuenzaniso, kurega kunwa kunogona kuita kusiyana kwakanyanya mukushushwa kwakasvibiswa newaini uye kurapwa kwechirwere chekushaya chirwere chepachirwere chekare C chingabatsira kudzivirira chirwere chetrhosis uye zvinetso zvakawanda zvechirrhosis. Zvave zvichiwanikwa kuti kurapwa kwehepatitis C kunogona kuguma mukugadzirisa kweanenge 90 muzana yehutachiona, asi vanhu vakawanda havazivi kuti vane chirwere ichi kusvikira vakura chirwere chendrhosis. Iko zvino inokurudzirwa kuti kwete chete vanhu vane ngozi kune hutachivheni vanoedzwa, asiwo ani zvake anoberekwa pakati pa1945 na1955 anofanira kutariswa chirwere cheHpatitis C.
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> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> Li, J., Chaung, K., Nguyen, P., Le, A., Hoang, J., uye M. Nguyen. Nhamba yeKuwedzera yeHurghu kuCirrhosis muHirpatitis Hepatitis B (CHB) Varwere vasina Nhengo Dzakashata Dzavo Firty (FL). Gastroenterology . 2017. 152 (5): Wedzera 1: S1081-1082.