Muscat akepaa:'anatomia, histology, patomorfologija

Muscat ake - heʻilihune o ka maʻi congestive venous plethora o na nā loko. Keia ano i ka lewa,ʻaʻole wale nō i loko o ka digestive'ōnaehana, akā, ma luna o ka naʻau, maʻiʻaʻai, puʻupaʻa a me ka lolo.

Mea Maluna

Morphologically, he ekolu kahua o ka hoʻonaʻauao o ka loli 'ia i loko o ke akepaʻa, me ka maʻi progresses:

1. Muscat akepaa: ma luna o ka kāʻei kua o ka momoma aeee (yellow) ike vasodilatation (ʻula).
2. Stagnant fibrosis: ka lole Ua oi ke kaumaha o no o ka mea connective'aʻaʻa o germination. Koko aloha `ia ka parenchyma o ka hui, kēia, e like me ka pono me ka ikeia lesions sclerosis.
3. Cardiac cirrhosis: kinoʻilikai i haoʻa i kona helehelena.

etiology

'Aʻe' ana i ke koko pele, mai ka nū'ōnaehana i nā hualoaʻa ma ka kahua o kaʻike manaʻo like muscat akepaʻa. Nā kumu o ka stagnation - he 'aʻe' ana o ventricular hana a me ka ho'ēmiʻana i loko o venous hoʻi. Keia hoike ana o ka congestive naʻau ole, a me ka mea, e pinepine pu e coronary naʻau maʻi. Mahuahua puʻe i loko o ka venous'ōnaehana, like hoʻi me congestion a me stagnation ana o ke koko i loko o ka ipu koko alalai mai i ka hoʻokō koko i loko o nā loko.

epidemiology

Ka maʻi ua i pili i ka hoohanau paha makahiki. Akā, statistically ka hapanui o ka mea e loli ai na kanaka a me senile kūpuna. Loa pinepine, wale autopsy ke hooholo i ka hoomanawanui i ke akepaʻa Muscat. Necropsy e hoomakaukau i pane i ka nīnau e hoihoi i ke kauka. E hana i kēia, lapaʻau nāna e ole wale visually loiloi ', akā, i hoouna ia no histological ninaninau.

kamepiula kumumea no ka ake maʻi, ua nele o ka hoʻokō ', huneʻai, inoʻano, imua o ka naau maʻi i loko o ka moʻolelo Hawaiʻi, e like me ka mua kanaka o ka makahiki.

? aaieou

Ma ka hapanui o hoopii, naau hoʻokō 'ole' symptoms predominate i loko o ka lapaʻau kiʻi o ka maʻi, no laila, i ka hoʻomanawanui i ole e makaala i ka mea i ake pilikia. Muscat akepaa, e like me kekahi 'ē cirrhosis, hoikeia ma kaʻeha ma ka akau maluna quadrant, jaundice o ka ili a me ka mucous membranes, haanou ana ma nā wāwae ma ka pau' ana o ka lā, ascites (hoʻomāhuahua o ka loli ma ka abdominal lua). Akā, 'o ka mea a pau circumstantial hoailona. E kau hoʻokahi haneri pakeneka hiki e diagnosed ma hope o ka autopsy wale, no ka mea, o ka mea kēia kiʻi 'ana i kūpono hiki ole hōʻike paha i ke kino kohu he nutmeg. Ake palpation mea anuanu, ke kaʻe ua ua hoʻokōʻia, a nei iluna, mai ka costal e pio.

lapaʻau '

I mea e hana i kaʻike, "maʻi OE venous congestion", oe e:

1. No hoʻokūpaʻa i ke alo o ka naau ka hoʻokō 'ole (instrumentally ole physical ninaninau):

• X-Ray o ka pahu (e hoike ana i ka loli o ka naau, venous congestion i loko o nā maʻiʻaʻai, a me ke alo o pleural effusion);
• Doppler hookolokolo ana o ka naau, a me ka emi vena cava (e kuhikuhi i na kumu o ka naau maʻi);
• HI a MRI;
• ECG.

2. E lawe mai keʻena hoʻokolohua ho'āʻo ma, e like me ke koko kemika a me ka ake kuleana pili i ho'āʻo ai i :

• koko bilirubin mahuahua;
• moderately mahuahua transaminase (Alt, AST);
• mahuahua ana o kona'ākilikai phosphatase;
• emi ma ka albumin, a hooloihiia mai clotting manawa.

3. Resort i vocal lapaʻau 'ana, e hookupaa aku i ka oiaio o morphologically degeneration o ke akepaʻa. Kēia mau haʻawina nā:

• laparocentesis (noa aspirating loli mai ka abdominal lua) e ho oholo i nā kumu o ka ascites;
• kui kele ma biopsy (e hōʻoia i kaʻike, "muscat ake" ho one ei hiki ke i, a me ka hoʻomanawanui ka ola).

Me nāʻike, nā maʻi e like me kanakaʻona mau cirrhosis, Ka maʻi 'aʻai, naau maʻi, hemochromatosis, thrombosis o ka emi vena cava a me ka puka hypertension. Mai poina e pili ana i ka mea hoʻomaʻi ake maʻi - hepatitis A, B, C, D, E. I hou, aia no he manawa kūpono o ka parasitic maʻi.

complications

Muscat ake a me ka hookonokono ana ia cardiac cirrhosis i i pili i ka neʻeʻana o ka naʻau ole. Hihia huʻi ake hoʻokō 'ole' ua ma ke kumu o ka make, ua pohihihi keia, aʻaʻole hiki ke noʻonoʻo pono hōʻike. Kahe ana ke koko kāna hana - e hoi loa ai pohihihi keia, aole nae i launaʻole. Kekahi poe akamai i hāʻupu aʻe i loaʻa i ka pili ma waena o ake cirrhosis a me ka hanana o malignant hikoko ia, akā, i kēia kumumanaʻo i ole, ua hoao aku au ia.

lapaʻau

Uluwehi O Inc E e nona ma kamaʻilio akula i ka nń ku maʻi, oa naʻau ole. A cirrhosis i loko iho, aole kekahi kanaka. Eia hou, i ka hoʻomanawanui ua i ka manao e hahai i kaʻai me ka palena o ka paakai a me ka confidante e hoʻololi mea ana i kou lā e hiamoe maikaʻi, e ke ao o waho, a e lawa hoʻokō. Kēia mau mea manipulations ke kōkua ho'ēmi i ke koko, i loko o nā ipu nui, a me ma ka nū aa koko.

Symptomatic Inc mea diuretics (e emi ka nui o ka loli ma ka abdomen), a me ka Hoʻokolohua-blockers a me ACE nā mea kūpale (no ka normalization o ka naau).

ʻoki lāʻau lapaʻau lapaʻau ua IeAUPIIe, IAa IO i hana. Ua Ua pili me ka oi pilikia no ka hoʻomanawanui, a aole i hoapono ia. I kekahi manawa, i ke kauka e hoʻoholo i ka holo alaʻokoʻa hapa o ka intrahepatic ka puka aa koko, akā, i kēia hiki alakai i loa naau ole o ka pono ventricularʻano a me ka pulmonary edema ku e ikaika hoʻonui i ka venous hoʻi.