Cirrhosis

Cirrhosis waa nabar ku dhaca beerka iyo shaqada beerka oo liidata. Waa marxaladda ugu dambeysa ee cudurka beerka ee joogtada ah.

Cirrhosis badanaa waa natiijada ugu dambeysa ee dhaawaca beerka ee joogtada ah ee ay keento cudurka beerka ee muddada dheer (daba dheeraaday). Sababaha ugu badan ee cudurka beerka ee joogtada ah ee Mareykanka waa:

• Cagaarshowga B ama cagaarshowga C.
• Ku xadgudubka khamriga
• Kordhinta dufanka beerka ee AANAN sababin cabbitaanka aalkolo aad u badan (oo loo yaqaanno cudurka beerka dufanka badan ee aan dufan lahayn [NAFLD] iyo nonalcoholic steatohepatitis [NASH]) Waxay xiriir dhow la leedahay miisaanka culus, dhiig-karka sarreeya, sonkorow ama kaadi-macaan kahor, iyo kolestarool badan.

Sababaha ugu yar ee keena cirrhosis waxaa ka mid ah:

• Marka unugyada difaaca jirka ay ku khaldamaan unugyada caadiga ah ee beerka duulaanka waxyeellada leh oo ay weeraraan
• Cilad-darrada qalliinka wadnaha
• Daawooyinka qaarkood
• Cudurada beerka waxay ku gudbeen qoysaska

Ma jiri karaan calaamado, ama astaamuhu waxay u imaan karaan si tartiib tartiib ah, iyadoo ku xiran hadba sida beerku u shaqeeyo. Badanaa, waxaa lagu ogaadaa si kadis ah marka raajo lagu sameeyo sabab kale.

Calaamadaha hore waxaa ka mid ah:

• Daal iyo tamar la’aan
• Cunto xumo iyo miisaan lumis
• Lalabbo ama calool xanuun
• Yar, cas sida xididdada dhiiga u sida caarada oo kale

Maaddaama shaqada beerku sii xumaanayso, astaamaha waxaa ka mid noqon kara:

• Kordhin dheecaan ah oo lugaha ah (edema) iyo caloosha (ascites)
• Midab jaalle ah maqaarka, xuubka xabka, ama indhaha (cagaarshow)
• Guduudasho calaacasha gacmaha
• Ragga, kacsi la'aan, xiniinyaha oo yaraada, iyo bararka naaska
• Nabarro fudud iyo dhiig bax aan caadi ahayn, badanaa badiyaa xididdada bararsan ee habka dheef-shiidka
• Jahwareer ama dhibaatooyin xagga fikirka ah
• Saxaro midabkeedu yahay cirro ama dhoobo
• Dhiig ka yimaada mareenka xiidmaha sare ama hoose

Bixiyaha xanaanada caafimaadkaaga ayaa sameyn doona baaritaan jireed si loo eego:

• Beerka ama beerka oo weynaaday
• Nudaha naaska oo siyaado ah
• Calool bararsan, oo ka dhasha dheecaan badan
• Timir casaan
• Xididdada dhiigga u eg caarada sida maqaarka
• Xiniinyaha yaryar
• Xididdada waasac ee derbiga caloosha
• Indho jaalle ah ama maqaar (cagaarshow)

Waxaa laga yaabaa inaad leedahay baaritaanka soo socda si aad u cabirto shaqada beerka:

• Tirinta dhiigga oo dhammaystiran
• Waqtiga Prothrombin
• Tijaabooyinka shaqada beerka
• Heerka albumin dhiigga

Tijaabooyinka kale ee lagu hubinayo waxyeelada beerka waxaa ka mid ah:

• Cudurka 'Comography' (CT) ee caloosha
• Sawir-qaadista 'Magnetic resonance imaging' (caloosha)
• Endoscopy si loo hubiyo xididdada aan caadiga ahayn ee hunguriga ama caloosha
• Ultrasound ee caloosha

Waxaad u baahan kartaa baaritaanka beerka si loo xaqiijiyo cudurka.

ISBEDELKA NOLOSHA

Waxyaabaha aad sameyn karto si aad uga caawiso daryeelka cudurkaaga beerka waa:

• Khamri ha cabin
• Cun cunto caafimaad leh oo milixdu ku yar tahay, dufanku, iyo karbohaydraytyo fudud.
• Iska tallaal cudurada sida hargabka, cagaarshowga A iyo B, iyo oof-wareenka oof-wareenka.
• Kala hadal daryeel bixiyahaaga dhammaan daawooyinka aad qaadato, oo ay ku jiraan dhirta iyo waxyaalaha lagu kabo iyo daawooyinka aad iska iibsato.
• Jimicsi.
• Xakamee dhibaatooyinkaaga dheef-shiid kiimikaadka hoose, sida dhiig karka, macaanka, iyo kolestaroolka sarreeya.

DAAWO KA YIMID DHAKHTARKAAGA

• Kiniiniyada biyaha (durayaasha) si looga takhaluso dheecaanka soo kordha
• Faytamiin K ama waxyaabaha dhiigga laga sameeyo si looga hortago dhiig bax badan
• Daawooyinka jahwareerka maskaxda
• Antibiyootikada caabuqa

DAAWEYNTA KALE

• Daaweynta Endoscopic ee xididdada ballaaran ee hunguriga (varices)
• Ka saarida dheecaanka caloosha (paracentesis)
• Meeleynta shuntada transjugular intrahepatic portosystemic shunt (TIPS) si loo hagaajiyo socodka dhiigga ee beerka

Markuu cirrhosis-ka u gudbo heerka ugu dambeeya ee cudurka beerka, beerka beerka ayaa loo baahan karaa.

Badanaa waad yareyn kartaa culeyska jirrada adoo ku biiraya kooxda taageerada cudurada beerka oo xubnahoodu ay wadaagaan khibrado iyo dhibaatooyin caadi ah.

Cirrhosis waxaa sababa nabarrada beerka. Xaaladaha badankood, beerku ma bogsan karo ama kuma soo laaban karo shaqadiisii ​​caadiga ahayd markii waxyeelladoodu aad u daran tahay. Cirrhosis wuxuu kuu horseedi karaa dhibaatooyin daran.

Dhibaatooyinka waxaa ka mid noqon kara:

• Ciladaha dhiig-baxa
• Soosaarida dheecaanka caloosha (ascites) iyo infekshinka dheecaanka (bakteeriyada peritonitis)
• Xididada balaaran ee hunguriga, caloosha, ama xiidmaha oo si fudud u dhiig baxa (varices esophageal)
• Cadaadiska ku kordhay xididdada dhiigga ee beerka (hypertension portal)
• Kelyaha oo shaqo gab (hepatorenal syndrome)
• Kansarka beerka (hepatocellular carcinoma)
• Jahwareerka maskaxda, isbeddelka heerka miyir-qabka, ama miyir-beelka (cagaarshowga cagaarshowga)

Wac takhtarkaaga haddii aad isku aragto calaamadaha cudurka cirrhosis.

Hel caawimaad caafimaad oo deg-deg ah isla markiiba haddii aad:

• Calool xanuun ama feedho xanuun
• Bararka caloosha ama kacsiga oo cusub ama si lama filaan ah uga sii dara
• Qandho (heerkul ka weyn 101 ° F ama 38.3 ° C)
• Shuban
• Jahwareer ama isbeddel feejignaan ah, ama way ka sii xumaaneysaa
• Dhiigbaxa kaadiheysta, matagida dhiigga, ama dhiig ku jira kaadida
• Neefta oo kugu yaraata
• Matagid wax kabadan hal jeer maalintii
• Jaale maqaarka ama indhaha (cagaarshow) oo cusub ama si dhakhso leh uga sii daraya

HA cabin aalkolo. La hadal adeeg bixiyahaaga haddii aad ka walwalsan tahay cabitaankaaga. Qaad tallaabooyin si aad uga hortagto qaadista cagaarshowga B ama C ama aad u gudbinaysid dadka kale.

Beerka cirrhosis; Cudurka beerka ee joogtada ah; Cudurka beerka ee heer-dhamaadka ah; Beerka oo xumaada - cirrhosis; Ascites - cirrhosis

• Cirrhosis - dheecaan

• Xubnaha habka dheefshiidka
• Nidaamka dheefshiidka
• Beerka cirrhosis - CT scan

Garcia-Tsao G. Cirrhosis iyo taxaneheeda. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 144.

Singal AK, Bataller R, Ahn J, Kamath PS, Shah VH. Tilmaamaha Caafimaadka ee ACG: Cudurka beerka ee khamriga. Am J Gastroenterol. 2018; 113 (2): 175-194. PMID: 29336434 pubmed.ncbi.nlm.nih.gov/29336434/.

Wilson SR, Withers CE. Beerka. Gudaha: Rumack CM, Levine D, eds. Ultrasound Baarista. 5aad. Philadelphia, PA: Elsevier; 2018: cutubka 4.