Zviratidzo nezviratidzo zvekenza yeropa zvinowanzokonzerwa nekukuvara kwechiropa uye zvinogona kusanganisira kuchena kweganda (jaundice), kurudyi-kumativi emimba kana mapepa emakumbo, kana bundu riri mudenga repamusoro. Zvisinei, dzakawanda zvezviratidzo zvinonyevera hazvisi izvo zvakadai, sekurema kwekuora uye kuneta. Dzimwe nguva zvinetso zvekenza yeropa, zvakadai se-bile duct kudzivisa, anemia, kana kubuda ropa ndiyo yekutanga zviratidzo.
Sezvo pasina kuongororwa kuongororwa nekenza yeropa, kuva nekuziva kwezvinogona zviratidzo uye zviratidzo ndiyo nzira chete yekuwana chirwere ichi mangwanani.
Zvakakosha kuparadzanisa muchidimbu chirwere chinokonzera chiropa-icho chinobva muchiropa-kubva pachiropa chemasastases, iyo ndiyo kupararira kwekenza (mukomana kana mapapu, somuenzaniso) kubva kune imwe nzvimbo yomuviri kusvika pachiropa. Chirwere chechiropa kazhinji kemukari imwe chete huru, apo masitasase (kupararira) kazhinji ari maduku uye akawanda.
Chirwere chepachiropa chepabonde kazhinji chinokonzera zviratidzo zvakatangira, asi chiropa chemasastases (icho chinonyanyozivikanwa) chinogona kuita chikamu chikuru chechiropa chisati chaonekwa.
Zviratidzo zvakafanana nehepatocellular carcinoma (kansa yeropa) uye cholangiocarcinoma (bile duct kanzera), asi kanzvadzi yekaridha yekenza inowanzokonzera zviratidzo zvekudzivirira (zvakadai se jaundice) kupfuura mamwe kanzira dzechiropa.
Zviratidzo Zvakare
Kufanana nemhando dzakawanda dzekenza, kenza yeropa inowanzo ine zviratidzo zvishomanana kana zviratidzo mumatanho ekutanga echirwere.
Sezvo chirwere ichi chichipfuurira, zviratidzo zvayo zvinotanga kuonekwa, zvichiita kuti munhu atsvake kurapwa. Pamusana pekutanga kunonoka kwezviratidzo, kenza yechiropa inowanzoongororwa mune imwe yepamusoro-soro (kunze kwekuti tumarara inotanga pedyo neB bile duct uye inokonzera kudzivirira pakutanga).
Zviratidzo zvinogona kuitika zvinosanganisira:
Misa yemimba kana Lump
Iwe unganzwa uine bundu rakaoma kwazvo kana kupfugama munharaunda iri pasi pechibhakera chako purobhoro kurudyi rwako. Kazhinji, uwandu huno husuruvara, uye kana uine marwadzo, unganzwa uchinetseka zvikuru munzvimbo dzakapoteredza uwandu.
Dzimwe nguva kenza yeshupiti inokonzera kuwedzera kwepleen zvakare, izvo zvingaguma nokurwadziwa kana kuwanda kunonzwa mucheche kuruboshwe mudumbu.
Kurudyi-Yakagadzirwa Nemarwadzo Emimba
Nhamo, kusagadzikana, kana kuputika kurudyi kwemuviri pasi pemibvu kunogona kuitika nekuda kwekudzvinyirira kwechiropa chechiropa pane zvimwe zvivako kana mitsipa munharaunda ino. Tora mumhepo yakanyorofema uye fungidza zvishoma zvichikwira pasi pechibhakera chako padivi rorudyi-izvi zvinenge paine chiropa chako chizere. Kana uine chiropa chakawedzerwa (kune zvikonzero zvakawanda), muganhu wechiropa chako unogona kunzwa wakadzika mudumbu rako.
Right Shoulder Blade Pain
Urombo hwepaupa hunova chiratidzo chinonyengera, sechiitiko icho chirikukurudzira kuti urege kunge uri pedyo nepamapfudzi (zvichienderana nenzira inoita kuti mishonga inofamba mumitumbi yedu).
Izvi ndizvo zvakaitika nekenza yeropa. Chirwere (kana kupararira kubva mumarara) chinogona kutsamwisa mitsipa inoudza uropi hwako marwadzo ari kuuya kubva pamafudzi ako paanobva pachiropa.
Iyi kurwadziwa inowanzoonekwa muhombodo yakarurama, kunyange inogona kuitika kune rumwe rutivi. Iyo kurwadziwa kunogona kuwedzerawo kumushure mako.
Kana iwe ukaona izvi, kunyanya kana iwe usati wamboita mune chero basa razvino rekuita rinogona kuzvitsanangura, ona chiremba wako.
Jaundice
Jaundice inoreva mamiriro ayo ganda, pamwe chete nechechena chemaziso, rinoita serima. Inokonzerwa nekuvaka-up ye bile bile mumucheka.
Zvinonyanya kuonekwa mu chiedza chechisikigo, chakadai sekunze, kunze kwechiedza chemukati. Mukuwedzera kune ruvara rweganda, vamwe vanhu vanocherechedza kuti hutachiona hwavo hunoonekwa hwakachena uye hwakachena panzvimbo pevaravara.
Panguva imwechete, urinhi inogona kuonekwa yakasviba kupfuura yakasarudzika, kunyange isina mvura yakaoma.
Itching
Kuvaka-ye bile bile munyama, iyo inokonzera jaundice, inogonawo kukonzera. Isu hatiwanzofunga nezvekucheka sechiratidzo chakakomba, asi kuchenesa kunobatanidza nechiropa chinokanganisa kunogona kuva kwakanyanya.
Bloat uye Short Breath
Kuwedzera kwemvura mumimba kunonzi ascites kunogona kuratidza kanzera yechiropa. Icho chinogona kunzwa sechisvetuka pakutanga; vamwe vanhu vanocherechedza kuti mbatya dzavo hadzina kukodzera zvakanaka mumucheto kana kuti mabhanhire awo akashanduka kuchinja kunyange zvazvo vasina kuwana kuyerwa. Nokufamba kwenguva, kuwedzera kwemvura mukati mamuviri kunogona kukwira kumusoro kumapapu zvichikonzera kufema kufema.
Unintentional Weight Loss or Gain
Kurasikirwa kunorema kunogona kuve kwakagamuchirwa nevamwe, asi kana isingabatanidzi kuchinja mune zvekudya kana zvekurovedza muviri, nguva dzose inofanirwa kushanya kune chiremba. Kusanzwisiswa kuora kurasikirwa kunotsanangurwa se kurasikirwa kwe5 muzana yehuremu hwemuviri kana kupfuura kudarika mwedzi mitanhatu kusvika kune gumi pasina kuedza. Muenzaniso ungadai uri munhu 200-pound achirasikirwa mapaundi gumi pane imwe nguva yemwedzi mitanhatu asina kushanduka muitiro.
Kurasikirwa kwekurema kwekuzvipira kwakawanikwa kwakabatana nechirwere chepachidiki mune chetatu chevanhu vanocherechedza mukuongorora kwe 2017 kwekuongorora, kusanganisira kenza yeropa. Kune zvimwe zvikonzero zvakakosha zvakare, saka zvakakosha kuona chiremba nokukurumidza iwe unoziva kuchinja kwakadaro.
Kukurumidza uye kusatarisira kuwedzera kuwanda kunogonawo chiratidzo chekenza yeropa. Izvi zvinowanzoitika nekuda kwekukurumidza kuvaka-up yemvura mumimba (ascites).
Kurasika kweAppetite
Kurasikirwa nechido kunogona kuitika nematambudziko mazhinji, asi kunogona kunge kwakanyanyisa nezvinetso zveropa. Izvi zvinogona kuendeswa nepfungwa yekuzadza zvakakurumidza zvikuru, kunyange kana uchidya zvokudya zviduku chete. Sezvo zviratidzo izvi zvingava zviratidzo zvekuchenesa kwete kenza yemukondombera chete asi mamwe kanzira, kushanya kune chiremba kunofanirwa.
Nausea uye Kuedza
Pane zvikonzero zvakawanda nei kenza yechiropa inogona kutungamirira kunononoka uye kurutsa, uye ichi chiratidzo chinowanzoonekwa pamatanho ose echirwere. Pane huwandu hunokonzera kushungurudza uye kurutsa, asi kana hukaitika kakawanda, kana kana uri kuipa, taura nachiremba wako.
Kuneta uye / kana kushaya simba
Zvinoratidzika kuti munhu wose aneta mumazuva ano, asi kuneta kunokonzerwa nekenza kunotora zvinhu kune imwe nhanho itsva. Kurwara kwekenza kunopesana nekuneta kunowanzoitika, uye harusi rudzi rwokuneta runovandudza nousiku hwakanaka hwekurara. Dzimwe nguva chiratidzo ichi chiri nyore kuona kana iwe uchitarisa kumashure kwemwedzi mitanhatu kusvika kune gumi uye uchienzanisa simba rako nhasi pamusoro pezvaive panguva iyoyo.
Fever
Chirwere chisingaverengeki, asi chinoramba chiripo, chimwe chinhu chiremba vanorati "sefivha isingazivikanwi yakabva" kana FUO, chiratidzo chakakurumbira chekenza yeropa. An FUO inotsanangurwa sechando chakakura kudarika madigiri 101 iyo inopera kwemavhiki matatu kana kupfuura uye iyo isingagoni kusungirirwa nechikonzero chakajeka mushure mokushanyira katatu kana kupfuura kwechiremba (kana kuti mazuva matatu muchipatara). Pane humwe humwe hunokonzera kukonzera kupisa, asi kuva nechimwe chikonzero chakanaka chekuona chiremba wako.
Kazhinji Kunzwa Kusava Noutano
Zvakaoma kurondedzera intuition sechiratidzo, asi zvidzidzo zvinotitaurira-kazhinji pakudzoka-izvo vanhu vanowanzoziva kana chimwe chinhu chiri "kunze" mumuviri wavo. Kana iwe uine pfungwa yakawanda yokuti iwe hauna kunaka, ona chiremba wako. Dzimwe nguva, zviratidzo zvinogona kuva zvakaoma kurondedzera mumashoko akafanana neaya akanyorwa pamusoro apa. Mitumbi yedu inowanzoita basa rakanaka re "kutitaurira" kana chimwe chinhu chisina kunaka kana tikangotora nguva yekuteerera.
Kazhinji Zviratidzo
Zvimwe zvirwere zveropa zvinokonzera mahomoni anogona kukonzera zviratidzo zvakare. Izvi zvinogona kusanganisira shuga shoma yeropa ( hypoglycemia ) iyo inogona kuguma nekuchena uye kupera, kunyanya kune vanhu vasina kudya kwenguva yakati; chifu chekuwedzera ( gynecomastia ); testicular atrophy; uye yakakwirira yeropa rekuverenga masero.
Matambudziko
Kanzera yechiropa inogona kukonzera matambudziko akawanda. Zvinogona kuguma nekudzvinyirira kwechirwere pane bile duct kana zvimwe nhengo, mahomoni anobudiswa nekenza masero, kusvibiswa kwechiropa zvinokonzera kuvaka-up kweukisi mumuviri, kana dzimwe nzira.
Zvimwe zvingave zvinetso zvinosanganisira:
Anemia
Anemia , ine tsvuku yakawanda yeropa rekuverengera, inowanzobatana nekenza yeropa uye inogona kuitika nekuda kwezvishoma nzira, kusanganisira kusakosha kwezvinhu mukati meropa rinotungamirira kubuda ropa. Anemia inogona kunge inonyengedza pakutanga, uye inowanzokonzera zviratidzo zvakadai sokuneta, kupera kwekufema, kukurumidza kwemwoyo, ganda rinenge riripo, uye kuchena. Sezvo kenza yemuropa dzimwe nguva inokonzera erythrocytosis (yakawedzerwa tsvuku tsvina yemutokisi yeropa) zvakare, izvi zvinogadzirisa dzimwe nguva kurambana.
Bhuku Rakavhara Kuvharwa
Bhiri rinogadzirwa muropa. Ducts anoverengeka anovimbisa kuti inotakurwa kuenda kumucheche muduku, zvichibva mumaronda kana zvakananga. Zvironda zvepachiviri kana bile bika tumarara zvinogona kukura mukati mezvikwata kana kuedza kuswedera pedo, zvichiita kuti duct isakanganiswe.
Kana chikwata chichidzivirirwa nekuda kwechikonzero, kazhinji chinoguma nekukurumidza kukurumidza kwekutambudzika kwakasimba uye kunogara kuri mudumbu rakarurama kumusoro, kushungurudza, kusuruvara, jaundice, uye kuchenesa.
Bleeding
Chiropa chinokonzera kugadzira mapuroteni (kubvisa zvinhu) izvo zvinobatsira ropa rako. Kana chikamu chikuru chechiropa chako chave chichibatwa nekenza, zvinhu izvi hazvisati zvabudiswa muhuwandu hwakakwana. Chigumisiro ndechokuti kubuda ropa kunogona kuitika (kunyange nehamba yakawanda yeplatelets) uye chirwere chemafuro chinogona kuwanikwa. Chiratidzo chekutanga chinowanzobuda ropa apo iwe unobvarura mazino ako kana kuti nguva dzose mapepa. Kuwedzera kubuda ropa kwakakomba, kwakadai sekumukira kwemukati, kunogona kuitika kana kenza iri mberi.
Portal Hypertension
Chirwere chechiropa (nezvimwe zvirwere zvechiropa) zvinogona kutungamirira kubuda ropa kubva mumugwagwa wekudya mune imwe nzira zvakare. Chirwere mukati mechiropa chinogona kuita kuti zvive nyore kuti ropa riyerere kuburikidza nemakumbo maduku ari munhengo iyo inotungamirira kuhombe huru yemasuo. Izvozvo zvinokonzerwa nemhino ( portal hypertension ) inokonzera kuwedzera kuwedzera mumidziyo yeropa kumucheto, zvakadai seiyo iri panoputi.
Iyi mitsetse yakakosha kudarika mhanho yakakura yemasuo uye inogona kukura kuva muricose mutsvo, zvakadai seunoona pamakumbo evanhu, kana pamimba pane dzimwe nguva nechiropa chechiropa. Kana aya varicosity apera, zvinogona kukonzera kubuda kukuru kweropa muwesophagus ( esophageal variceal kubuda ropa , iyo inogona kutyisidzira upenyu kana isingarapwa nokukurumidza.) Kusveta kunogona kuitika mudumbu uye mumatumbo pamwe chete nenzira imwechete.
High Blood Calcium (Hypercalcemia)
Chirwere chechiropa chinogona kukonzera kukwirira kwe calcium muropa ( hypercalcemia of malignancy) kuburikidza nenzira shomanana dzakasiyana. Izvi zvinogona kukonzera kushungurudza uye kurutsira, kunyanya kusuruvara kusimba, uye kuvhiringidzika, izvo zvinogona kufambira mberi kusvika ku coma uye kunyange rufu kana isingarapwa.
Hepatorenal Syndrome
Hepatorenal syndrome chirwere umo chirwere chechiropa chinotungamirira kuchirwere chepfungwa nekuda kwekuchinja mumidziyo yeropa uye kuderedzwa kweropa kunopinda kune itsvo. Hepatorenal syndrome inowanzozara nekenza yeropa uye mamwe maitiro echiropa chirwere, uye inofungidzirwa kuti makumi mana kubva muzana yevanhu vane chirwere chepirrhosis vachakurira chirwere mukati pemakore mashanu.
Hepatic Encephalopathy
Hepatic encephalopathy inogona kunge iri kutyisa kwekenza yeropa asi chaizvoizvo chikonzero chinogadziriswa chezviratidzo zvingaita sechirwere cheAlzheimer.
Apo chiropa hachikwanisi kubvisa tsvina, vanoenda kune uropi. Izvi zvinogona kukonzera kurasikirwa mupfungwa, kusavhiringidzika, hupenyu hunochinja, uye kuvhiringidzika kukuru. Zviratidzo zvinogona kutanga zvinyoro uye zvakaoma kuita mabasa anowanikwa mumasvomhu, kufanana nekuenzanisa cheki. Zvimwe zviratidzo zvinogona kusanganisira kufema kune kunhuhwirira kwakanaka uye kuputika kwemaoko pavanenge vakananga zvakananga pamberi pevanhu. Pane nzira dzokubata nadzo chirwere chinonzi encephalopathy, asi chirevo chinowanzoenderana nehupamhi hwechirwere.
Nguva Yokuona Chiremba Wako
Kana iwe ukanyora chimwe chezviratidzo nezviratidzo pamusoro apa kana chero zvausingazokwanisi kutsanangura, ona chiremba wako. Kunyange zvazvo vakawanda vachiratidza zvirwere zvisingaiti, kana kenza yeropa ichipo, kufungidzira kunowanzova nani pane yapfuura chirwere chinowanikwa. Vanhu vasina mungozi yekenza yeropa uye vanogona kukudziridza chirwere pane dzimwe nguva-chimwe chinhu chakakosha kuchengeta mupfungwa kana usina chokwadi nezvekutaura nachiremba wako.
Kana iwe uine mungozi yekenza yeropa, yakadai se-cirrhosis, mamiriro ako akaoma zvakaoma. Iwe unogona kunge uchitove uine zviratidzo zvakafanana sechikonzero chehutano huripo huripo. Muchiitiko ichi, chinhu chinokosha ndechokutarisa kuchinja kwezviratidzo zvako.
Chimwe chidzidzo chakawana kuti zviratidzo zvakaratidza vanachiremba kuvapo kwekenza yechiropa mune vanhu vane chirwere chisingaperi chechiropa chinosanganisira kurudyi kwepamusoro quadrant kurwadziwa, kuwedzera kwechiropa (cirrhosis inowanzoita kuti iwedzere), kunyanya kuneta, kuchinja mafungiro, kuwedzerwa kwechivako hypertension, hemorrhoids, ropa, uye chirwere cheshuga chakange chakaoma kuedza. Kana ukacherechedza chimwe chezviratidzo izvi, taura nachiremba wako pakarepo panzvimbo yekumirira sarudzo yako inotevera.
> Sources:
> American Society of Clinical Oncology. Cancer.Net. Chiropa Cancer: Zviratidzo uye Zviratidzo. Updated 05/2017. https://www.cancer.net/cancer-types/liver-cancer/symptoms-and-signs
> Bosch, X., Molclus, E., uye Escoda, O. et al. Kuda Kurasikirwa Kwekusazvipira: Clinical Characteristics nemigumisiro muProspective Cohort ye 2677 Varwere. .PLoS One . 2017. 12 (4): e0175125.
> Mazzanti, R., Arena, U., uye R. Tassi. Hepatocellular Carcinoma: Tiripi? World Journal of Experimental Medicine. 2016. 6 (1): 21-36.
> National Cancer Institute. Munhu Mukuru Mukuru Chiropa Chirwere Chirwere (PDQ) -Patient Version. Updated 12/07/17. https://www.cancer.gov/types/liver/patient/adult-liver-treatment-pdq