Hepatosplenomegaly - nws tsis yog ib tug kab lus. Kom raws sij hawm thiab kev kho mob yuav tau tshem ntawm no syndrome mus ib txhis

Lub siab thiab tus po yog zoo sib xyaw caj dab hlab ntsha system thiab muaj ntau txoj kev qog thiab paj mov. Yog hais tias qhov teeb meem tshwm sim nyob rau hauv ib lub cev, nws inevitably muaj feem xyuam rau lwm yam. Hepatosplenomegaly yog lub o ntawm daim siab thiab tus po, uas tshwm sim nyob rau tib lub sij hawm.

diagnostics

Mob ntawm no syndrome yog raws li nyob rau hauv lub hauv paus ntawm tus neeg mob lub tsis txaus siab. Nws muaj ib tug nqi ntawm lub hnub nyoog, ib lub sij hawm thaum muaj mob los yog tsis xis nyob, ua rau, raws roj ntsha yam.

Ces tus kws kho mob txoj kev ib tug daim ntawv ntsuam xyuas los ntawm percussion thiab palpation. Hepatosplenomegaly tej zaum yuav qhia thaum lub sij hawm kev soj ntsuam. Nws zoo li ib tug o nyob rau hauv txoj cai qaum quadrant, uas tsiv ntawm ib tug ua tsis taus pa.

Yuav kom meej lub mob yuav tsum tau kuaj mob, uas qhia txog tej lub xeev ntawm lub siab. Ua li no, ua ib tug ntau yam ntawm kev ntsuam xyuas, xws li kev kuaj cov theem ntawm ceruloplasmin, ntshiab hlau thiab lwm yam kev ntsuas.

Raws li ib tug instrumental xeem siv ultrasound kev taw qhia, thiab ces muab tso rau CT. Tab sis qhov tseem tseeb me me ntawm lub siab qhia xwb angiography, nws kuj tso cai rau koj los mus txiav txim rau qhov xwm ntawm tus lesion thiab paub nrhiav tau obstacles rau hauv cov hlab ntsha.

yog vim li cas

Hepatosplenomegaly - ib tug syndrome uas tsim nyob rau hauv ib tug xov tooj ntawm cov kab mob. O ntawm daim siab thiab tus po tsis yog ib tug txhawj xeeb nyob rau hauv nws tus kheej, tab sis nws yog feem ntau muaj kev txhawj xeeb txog tus neeg mob. Txawm yuav zoo li txaus ntshai hepatosplenomegaly, yog vim li cas yuav tsum tau clarified thawj. Nyob rau qhov no nyob rau hauv lub efficiency thiab cov hauj lwm zoo ntawm cov kev kho mob. Tag nrho cov ua yuav tsum tau muab faib ua tsib pawg:

• Mob siab tus kab mob, nyob rau hauv uas cov ntshav ncig nyob rau hauv lub portal cov hlab ntsha. Cov no muaj xws kab mob siab, mob npuas paug, vascular txhab.
• Mob mob thiab cab kab mob. Nws malaria, kab mononucleosis, syphilis, leishmaniasis, brucellosis thiab lwm tus neeg.
• Qhov thib peb pab pawg neeg no muaj xws li metabolic cov kab mob - hemochromatosis, amyloidosis.
• Qhov thib plaub pab pawg neeg no muaj xws li mauj cov ntshav kab mob - ntshav liab tsawg, leukemia, Hodgkin tus kab mob.
• Nyob rau hauv lub thib tsib pab pawg neeg xws li kab mob ntawm cov hlab plawv system nrog mob hauv lub plawv tsis ua hauj lwm: tawg, congenital thiab nrhiav tsis xws luag lub plawv, mob hlab ntsha plawv tus kab mob.

Hepatosplenomegaly cov me nyuam

Hepatosplenomegaly tus me nyuam yuav tshwm sim thaum twg los tau muaj hnub nyoog, nrog rau cov me nyuam mos. Qhov nce nyob rau hauv tib txoj kev raws li nyob rau hauv cov laus, yog txiav txim los ntawm palpation. Gipatosplenomegaliya feem ntau nyob rau hauv cov me nyuam yaus nrog daj ntseg, anemia, ua npaws. Rau kom zoo mob, koj yuav tsum xub xyuas seb qhov ntawm daj ntseg (hemolytic thiab parenchymal). Qhov no yuav tso cai rau mus tsim txoj cai tactics kev kho mob.

Nyob rau hauv thawj lub sij hawm ntawm lub neej, ua ke nrog hepatosplenomegaly daj ntseg yog feem ntau heev lub txiaj ntsim ntawm intrauterine tus kab mob mob ntsws los sis mob syphilis. Hepatosplenomegaly feem ntau ua ib tug txim ntawm congenital kab mob siab los yog mob npuas paug. Yog li lub siab nto sis tsis ncaj, cov khoom taub hau. Lub muaj zog nce nyob rau hauv heev me nyuam yaus pom nyob rau anomalies ntawm lub biliary ib ntsuj av. Nyob rau hauv cov ntaub ntawv no, lub daj ntseg yog heev ceev ceev loj hlob, nrog melena, txoj hlab ntshav. Sai sai qhia tej yam tshwm sim ntawm biliary mob npuas paug nrog portal tawg.

Nyob rau hauv cov me nyuam hlob lub simultaneous o ntawm daim siab thiab tus po tej zaum yuav vim tsis rau ib tug kab mob los yog kab mob tus kab mob, thiab ib lub tsev ua txhaum ntawm cov khoom noj kom. Fatty zaub mov nplua nuj carcinogenic tshuaj yog ib tug loj load rau hauv lub hauv nruab nrog cev. Tus thawj yuav siv sij hawm lub Brunt ntawm lub siab, uas ua nyob rau hauv lub cev raws li ib lub lim. Raws li ib tug tshwm sim, tsis tau tiv nrog ib tug loj npaum li cas ntawm noxious Cheebtsam, lub siab yog nce nyob rau hauv loj thiab yuav hloov nyob rau hauv tus po.

kev kho mob

Tom qab meej kev soj ntsuam thiab nrhiav kom paub yog vim li cas peb kho rau lwm tus kab mob. Hepatosplenomegaly - yog tsis yog ib tug kab mob, tiam sis ib tug syndrome. Tshwj xeeb universal los yog kev kho mob uas yuav tsum tau. Raws li ib tug txij nkawm txoj kev kho holespazmolitiki muab rau lub siab (cov tshuaj "Papaverine", "Tsis muaj-spa", "Platifillin"), cholagogue tshuaj ( "holosas" "Xylitol") gepatoprotektory (tshuaj "Silibor" "Essentiale" "Geptral "" Karsil "," Riboksin "thiab lwm tus neeg). Nyob rau hauv parallel, kev kho mob nrog hormonal agents, xws li ib tug txhais tau tias ntawm "Prednisolone" thiab multivitamin ceg.

Thaum tshwm sim ntawm ib tug tshwm sim xws li hepatosplenomegaly, kev kho mob yog nrog yuav tsum normalization plab hnyuv biocenosis. Cov kws kho mob tej zaum yuav taw npaj muaj lactobacilli thiab colibacteria, xws li "Linex", "Primadofilus", "Bifiform", "Hilak-forte" thiab lwm tus neeg.

noj cov zaub mov

Fatty zaub mov, preservatives, dyes thiab carcinogens muaj nyob rau hauv ntau cov khoom, adversely cuam tshuam lub siab, mob plab, tus po. Yuav kom pab tau defeat tus kab mob hauv nruab nrog cev, nws yog ib qho tseem ceeb ua raws li ib tug nruj noj cov zaub mov tsawg kawg yog thaum lub sij hawm kev kho mob. Cov khoom noj yuav tsum muaj xws li ntawm kev noj haus, muaj roj tsawg thiab cov khoom noj tshiab. Tsis sausages, chips, yogurt ntev-lub sij hawm cia yuav tsum tsis txhob yuav. Lub hauv paus ntawm kev noj haus yog kev noj haus kua zaub, porridge yam uas tsis tau butter, muaj roj tsawg tsev cheese. Tshuaj yej, kas fes thiab kua txiv nrog ib tug ntev lub txee lub neej yog hloov los ntawm ib tug yooj yim ntxhia dej, tsev neeg thiab cov kompotik Kiselev. Pie, ncuav thiab lwm yam fatty kis kuj txhob. Nws yog zoo dua rau muab lub qab zib los yog kom tsis txhob ntsuab tshuaj yej nrog koj niam thiab crackers. Hepatosplenomegaly - ib tug tshwm sim amenable mus tshem tawm tsuas yog tus ob leeg dag zog ntawm tus kws kho mob thiab tus neeg mob.