Beerka oo weynaaday

Beerka balaaran waxaa loola jeedaa bararka beerka oo ka baxsan cabirkiisa caadiga ah. Hepatomegaly waa erey kale oo lagu tilmaamo dhibaatadan.

Haddii beerka iyo beeryarada labaduba weynaadaan, waxaa loo yaqaan hepatosplenomegaly.

Cidhifka hoose ee beerka wuxuu caadi ahaan yimaadaa kaliya cirifka hoose ee feeraha dhanka midig. Cidhifka beerka ayaa caadi ahaan khafiif ah oo adag. Lama dareemi karo farta ka hooseysa cirifka feeraha, marka laga reebo markaad neef qoto dheer qaadato. Way weynaan kartaa haddii bixiye daryeel caafimaad uu ka dareemi karo aaggan.

Beerka ayaa ku lug leh shaqooyin badan oo jirka ka mid ah. Waxaa saameeya xaalado badan oo keeni kara hepatomegaly, oo ay ka mid yihiin:

• Isticmaalka khamriga (gaar ahaan ku xadgudubka khamriga)
• Kansarka metastases (ku faafidda kansarka beerka)
• Wadnaha oo hawl gab ah
• Cudurka kaydinta Glycogen
• Cagaarshowga A
• Cagaarshowga B
• Cagaarshowga C
• Kansarka 'Hepatocellular carcinoma'
• Dulqaad la'aanta fructose-ka dhaxalka
• Cudurka faafa ee mononucleosis
• Leukemia
• Niemann-Pick cudurka
• Cholangitis-ka aasaasiga ah
• Reye syndrome
• Sarcoidosis
• Cudurka 'sclarosing cholangitis'
• Xinjirowga xididka xinjirowga
• Steatosis (dufanka ku jira beerka ee dhibaatooyinka dheef-shiid kiimikaadka sida sonkorowga, cayilnaanta, iyo triglycerides sare, oo sidoo kale loo yaqaan 'steatohepatitis nonalcoholic, ama NASH')

Xaaladdan badanaa waxaa ogaada adeeg bixiye. Waxaa laga yaabaa inaadan ka warqabin beerka ama beerka oo barara.

Bixiyaha ayaa ku baari doona oo ku weydiin doona su'aalo sida:

• Miyaad dareentay buuxis ama buro caloosha ku jirta?
• Maxaa astaamo kale oo aad leedahay?
• Ma jiraa wax calool xanuun ah?
• Ma jiraa wax hurdi ah oo maqaarka ah (cagaarshow)?
• Ma jiraa matag?
• Ma jiraan saxaro midabbo aan caadi ahayn ama midab khafiif ah leh?
• Miyay kaadidaadu u muuqatay mid ka madow sidii caadiga ahayd (midab bunni ah)?
• Qandho ma qabatay?
• Maxay yihiin dawooyinka aad qaadanaysid oo ay ku jiraan dawooyinka miiska lagaa iibsado iyo kuwa dhirta laga iibsado
• Immisa aalkolo ah ayaad cabtaa?

Tijaabooyinka lagu ogaanayo waxa keena hepatomegaly way kaladuwan yihiin, iyadoo kuxiran sababta loo tuhmay, laakiin waxaa ka mid noqon kara:

• Raajo caloosha ku jirta
• Ultrasound-ka caloosha (waxaa loo samayn karaa si loo xaqiijiyo xaaladda haddii bixiyuhu u maleeyo in beerkaagu uu dareemayo ballaadhin inta lagu jiro baaritaanka jirka)
• CT iskaanka caloosha
• Tijaabooyinka shaqada beerka, oo ay ku jiraan baaritaanka xinjirowga dhiigga
• Baadhitaanka MRI ee caloosha

Hepatosplenomegaly; Beerka oo weynaaday; Balaadhinta beerka

• Beerka dufanka leh - CT scan
• Beerka oo leh naaxin aan dheellitirnayn - CT scan
• Hepatomegaly

Martin P. U dhowaanshaha bukaanka qaba cudurka beerka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 146.

Plevris J, Parks R. Nidaamka caloosha. Gudaha: Innes JA, Dover AR, Fairhurst K, eds. Imtixaanka Caafimaadka ee Macleod. 14aad. Philadelphia, PA: Elsevier; 2018: cutubka 6.

Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM. Hepatomegaly. Gudaha: Pomeranz AJ, Sabnis S, Busey SL, Kliegman RM, eds. Istaraatijiyadaha Go'aaminta Carruurta. 2aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 27.