Cudurka beerka ee khamriga

Cudurka beerka ee khamrigu wuxuu waxyeelo u geystaa beerka iyo shaqadiisa khamriga dartiis.

Cudurka beerka ee khamriga wuxuu dhacaa kadib sanado badan oo cabitaan badan. Waqti ka dib, nabar iyo cirrhosis ayaa dhici kara. Cirrhosis waa wajiga ugu dambeeya ee cudurka beerka ee khamriga.

Cudurka beerka ee aalkolada kuma dhaco dhammaan dadka cabba khamriga. Fursadaha inuu kugu dhaco cudurka beerka ayaa kor u kacaya mudadaad cabtay iyo khamri badan oo aad cabtay. Khasab kuguma aha in aad khamri cabto si cudurku u u dhaco.

Cudurku wuxuu ku badan yahay dadka da'doodu u dhexeyso 40 ilaa 50 sano. Ragga ayay u badan tahay inay ku dhacaan dhibaatadan. Si kastaba ha noqotee, haweenku waxaa laga yaabaa inay ku dhacaan cudurka ka dib markay ku yaraadaan aalkolada marka loo eego ragga. Dadka qaar ayaa laga yaabaa inay leeyihiin halista dhaxalka ee cudurka.

Malaha calaamado, ama astaamuhu si tartiib tartiib ah ayey u soo bixi karaan. Tani waxay kuxirantahay hadba sida beerku u shaqeeyo. Astaamuhu waxay u muuqdaan inay sii xumaanayaan ka dib muddo khamri cabbid badan.

Calaamadaha hore waxaa ka mid ah:

• Tamar la'aan
• Cunto xumo iyo miisaan lumis
• Lallabbo
• 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 (barar) 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
• Jahwareer ama dhibaatooyin xagga fikirka ah
• Saxaro midabkeedu yahay cirro ama dhoobo

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)

Tijaabooyinka laga yaabo inaad qaaddo waxaa ka mid ah:

• Tirinta dhiigga oo dhameystiran (CBC)
• Tijaabooyinka shaqada beerka
• Daraasada xinjirowga
• Cad ka-qaadista beerka

Tijaabooyinka laga saarayo cudurada kale waxaa ka mid ah:

• Sawirka CT-ga ee caloosha
• Baadhitaanada dhiiga ee sababaha kale ee cudurka beerka
• Ultrasound ee caloosha
• Elastography Ultrasound

ISBEDELKA NOLOSHA

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

• Jooji cabitaanka aalkolada.
• Cun cunto caafimaad leh oo milixdu ku yar tahay.
• Iska tallaal cudurada sida hargabka, cagaarshowga A iyo cagaarshowga 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.

DAAWO KA YIMID DHAKHTARKAAGA

• "Kiniinnada biyaha" (durayo) si looga takhaluso dheecaanka ku sii kordhaya
• 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 (kala duwanaanta hunguriga)
• 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. Beerista beerka ee cudurka beerka ee khamriga waxaa loo tixgeliyaa oo keliya dadka gebi ahaanba iska ilaaliyay aalkolada muddo 6 bilood ah.

Dad badan ayaa ka faa'iideysta ka mid noqoshada kooxaha taageerada khamriga ama cudurka beerka.

Cudurka beerka ee khamriga waa mid la daaweyn karo haddii la qabto ka hor inta uusan u geysan waxyeello daran. Si kastaba ha noqotee, sii wadida cabitaanka xad dhaafka ah ayaa gaabin kara noloshaada.

Cirrhosis ayaa sii xumeynaya xaaladda waxayna u horseedi kartaa dhibaatooyin daran. Haddii ay dhacdo waxyeello daran, beerku ma bogsan karo ama kuma laaban karo shaqadiisii ​​caadiga ahayd.

Dhibaatooyinka waxaa ka mid noqon kara:

• Ciladaha dhiig-baxa (coagulopathy)
• 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)

La xiriir bixiyahaaga haddii aad:

• Samee calaamadaha cudurka khamriga ee beerka
• Samee astaamo kadib mudo dheer oo aad cabaysay khamri
• Aad ka walwalsan tahay in cabitaanka ay waxyeelo u geysan karto caafimaadkaaga

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 cusub ama isbeddel ku yimaada feejignaanta, ama way ka sii daraysaa
• 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

Si furan ugala hadal adeeg bixiyahaaga waxyaabaha ku saabsan qaadashada khamriga. Bixiyuhu wuxuu kugula talin karaa inta khamri ee kuu badbaado kuu yahay.

Cudurka beerka ee khamriga awgood; Cirrhosis ama cagaarshow - aalkolo; Cudurka cirrhosis ee Laennec

• Cirrhosis - dheecaan

• Nidaamka dheefshiidka
• Anatomy beerka
• Beerka dufanka leh - CT scan

Carithers RL, McClain CJ. Cudurka beerka ee khamriga. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 86.

Chalasani NP. Steatohepatitis khamriga iyo kuwa aan khamriga lahayn. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 143.

Haines EJ, Oyama LC. Cilladaha ku dhaca beerka iyo marinka biyo-mareenka. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 80.

Hübscher SG. Cudurka beerka ee khamrigu keeno. Gudaha: Saxena R, ed. Cudurka Cudurka Cudurka Cagaarshowga: Qaab Baaritaan. 2aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 24.