Muscat hanta: Anatomy, histology, patomorfologija

Muscat hanta - wani sakamako na kullum congestive venous plethora na ciki gabobin. Wannan yanayin da aka nuna ba kawai a cikin narkewa kamar tsarin, amma a kan zuciya, huhu, kodan da kuma kwakwalwa.

rarrabuwa

Morphologically akwai matakai uku na canje-canje faruwa a cikin hanta a matsayin cutar progresses:

1. Muscat hanta: a kan bango na m sel (yellow) gani vasodilatation (duhu ja).
2. M fibrosis: masana'anta shi ne mafi m saboda connective nama na germination. Jini soaks da parenchyma na sashin jiki, kazalika da bayyana raunuka sclerosis.
3. Cardiac cirrhosis: jiki surface zama m bayyanar.

etiology

Take hakkin jini ya kwarara daga portal tsarin sakamako a cikin samuwar irin mamaki a matsayin Muscat hanta. A Sanadin stagnation - wani take hakkin na ramin zuciya aiki da kuma raguwa a venous sama. Wannan alama ce ta congestive zuciya rashin cin nasara, kuma sũ, sau da yawa tare da jijiyoyin zuciya da cututtukan zuciya. Karuwan matsa lamba a cikin venous tsarin, kazalika da cunkoso da kuma stagnation na jini a cikin jini impede da tasiri jini ya kwarara a cikin gabobin.

epidemiology

Cutar da ake ba alaka jinsi ko shekaru. Amma ilimin kididdiga mafi shi rinjayar da maza da kuma na tsufa tsofaffi. Mafi sau da yawa, kawai autopsy iya sanin cewa wani haƙuri yana da wani hanta Muscat. Necropsy iya samar da amsoshin tambayoyi cewa amfani da likita. Don yin wannan, hukumomin ba kawai gani kimanta, amma kuma aika ga histological jarrabawa.

hadarin dalilai na cutar hanta ne rashin motsa jiki, matalauta rage cin abinci, miyagun halaye, gaban zuciya cuta a cikin tarihi, kazalika da wani mazan mutum ta shekaru.

asibitin

A mafi yawan lokuta, zuciya rashin cin nasara cututtuka fi yawa a cikin asibiti hoto da cutar, saboda haka haƙuri ba a san cewa yana da hanta matsaloli. Muscat hanta, kazalika da wani cirrhosis, bayyana ta jin zafi a dama babba quadrant, jaundice na fata da kuma mucous membranes, kumburi a kafafu a karshen ranar, ascites (jari na ruwa a cikin kogon ciki). Amma shi ke na hali da ãyõyinMu. Saka xari bisa dari za a iya bincikar lafiya ne kawai bayan da autopsy, saboda babu wani daga cikin zamani Dabarar dabaru ba zai iya nuna ko jiki yayi kama da nutmeg. Hanta palpation ne m, gefen da aka taso keya kuma protruded daga costal baka.

bincikowa da

Domin yin ganewar asali "kullum m venous cunkoso", dole ku:

1. Don tabbatar da kasancewar zuciya rashin cin nasara (instrumentally ko ta jiki jarrabawa):

• X-ray daga cikin kirji (isharar canji na zuciya, venous cunkoso a cikin huhu, ko gaban pleural effusion).
• Doppler jarrabawa na zuciya, da kuma na baya vena cava (don gano musabbabin cututtukan zuciya).
• CT ko MRI.
• ECG.

2. Gudanar dakin gwaje-gwaje gwaje-gwaje, kamar jini sunadarai da hanta aiki gwaje-gwaje :

• jini bilirubin ya karu.
• moderately ya karu transaminase (Alt, AST).
• karuwa da alkaline phosphatase.
• rage a cikin albumin da kuma tsawon kwanakinka clotting lokaci.

3. Resort zuwa instrumental ganowa, ya tsayar da hujja da morphologically degeneration na hanta. Wadannan nazarin sun hada da:

• laparocentesis (free aspirating ruwa daga kogon ciki) domin sanin Sanadin ascites.
• allura biopsy (don tabbatar da ganewar asali "Muscat hanta" nunin faifai za a iya sanya da kuma haƙuri da rayuwa).

Comparative ganewar asali hada da cututtuka kamar giya cirrhosis, da ciwon daji, cututtukan zuciya, hemochromatosis, thrombosis na baya vena cava kuma portal hauhawar jini. Kada ka manta game da kwayar hanta cututtuka - hepatitis A, B, C, D, E. Bugu da kari, akwai yiwuwar a parasitic cuta.

rikitarwa

Muscat hanta da kuma haddasa ta cardiac cirrhosis ba zai shafi sakamako ne na zuciya rashin cin nasara. Lokuta inda m hanta gazawar ne dalilin mutuwar, suna rare da ba za a dauke nuni. Zub da jini cuta - ne ma quite rare, ko da yake ba a taba gani ba. Wasu masana zargin cewa akwai wani connection tsakanin hanta cirrhosis da kuma abin da ya faru na m marurai da shi, amma wannan ka'ida ba a tabbatar.

magani

Drug far ya kamata a da nufin magance tamkar cuta, watau zuciya rashin cin nasara. A cirrhosis a kanta tana da babu takamaiman magani. Bugu da kari, da haƙuri da aka rika bi a rage cin abinci tare da ƙuntatawa na gishiri da kuma confidante canza domin na rana barci da kyau, a waje da kuma samun isasshen motsa jiki. Wadannan sauki jan iya taimaka wajen rage jini a cikin babban tasoshin, ciki har da a cikin portal jannayẽnsa.

Symptomatic far ne diuretics (don rage adadin na ruwa a cikin ciki), kuma beta-blockers da ACE hanawa (ga daidaita da zuciya).

M magani ne yawanci ba a yi. An hade da mafi hadarin ga mãsu haƙuri kuma ba ya gaskata kansa. Wani lokaci likita iya yanke shawara su kewaye ɓangare na intrahepatic portal jijiya, amma wannan zai iya kai wa ga m zuciya gazawar da dama na ramin zuciya irin da na huhu edema saboda sharply kara da venous sama.