Muscat ate: anatomy, histology, patomorfologija

Muscat ate - he putanga o ma'i āhua venous congestive o whekau. kitea ana tēnei huru i roto i te pūnaha kūnatu kore anake, engari i runga i te ngakau, pūkahukahu, whatukuhu, me te roro.

whakarōpū

Morphologically reira e toru ngā wāhanga o huringa puta i roto i te ate rite te mate kauneke:

1. Muscat ate: i runga i te papamuri o ngā pūtau fatty (kōwhai) kite vasodilatation (whero pouri).
2. kakakīrehe whakaroau: ko atu mātotoru te papanga no o te kiko tūhonohono o te germination. Toto soaks te parenchyma o te okana, me te putanga pāpaka sclerosis.
3. riro mata tinana ahua pāhiwihiwi: cardiac cirrhosis.

etiology

Tūkinotanga o rere toto i te hua pūnaha tomokanga i te hanganga o taua ari rite Muscat ate. Ko te take o te stagnation - he takahi o ventricular mahi me te whakaiti i roto i te hoki venous. Tenei faaiteraa o te kore ngakau congestive, a kei te maha haere tahi ratou i te mate ngakau coronary. pēhanga Nui ake i roto i te pūnaha venous, me te popoketanga me stagnation o toto i roto i te oko toto arai atu te rere toto whai hua i roto i whēkau.

mātai tahumaero

E kore e pā ana te mate ki te ira tangata tau ranei. Ko tauanga te nuinga o taua mea pānga tangata, me te taipāpā kaumātua. Nuinga o ngā wā, ka taea e tūpāpaku anake te whakatau e te manawanui he Muscat ate. kia Kārewa, whakarato whakautu ki ngā pātai e moni i te rata. Ki te mahi i tenei, e kore e ngā anake arotakea pokapū, engari tonoa ano hoki mo te whakamātautau histological.

āhuatanga mōrearea mō te mate ate he kore o te mahi, kai rawakore, peu kino, aroaro o te mate ngakau i roto i te aamu, me te tau o te tangata pakeke.

whare hauora

I roto i te nuinga o te wā, mua roa tohu kore ngakau i roto i te pikitia haumanu o te mate, na e kore ai e mōhio e kua e ia ngā raruraru ate te manawanui. Muscat ate, me te tetahi atu cirrhosis, whakakitea e mamae i roto i te hautahi o runga matau, jaundice o nga kiriuhi kiri, me te mucous, pupuhi i roto i te waewae i te mutunga o te ra, ascites (haaputuputuraa o te wai i roto i te kōhao puku). Ko te reira tohu circumstantial katoa. Hoatu taea te pāngia i muri noa i te tūpāpaku ōrau kotahi rau, no te mea e kore e taea e tetahi o nga tikanga atahanga hou whakaatu ranei i te tinana rite te Aropi. He mātotoru ate palpation, häunga te mata te ka protruded i te kikorangi costal.

tātaringa

I roto i te tikanga ki te hanga i te tātaritanga "ma'i popoketanga venous hāngū", me koutou:

1. Ki te whakaū i te aroaro o te kore ngakau (instrumentally whakamātautau tinana ranei):

• X-ray o te pouaka (tohu i te huringa o te ngakau, popoketanga venous i te pūkahukahu, ranei te aroaro o te effusion pleural);
• whakamātautau Doppler o te ngakau, me te iahoki vena cava iho (ki te tautuhi i te take o te mate ngakau);
• CT MRI ranei;
• ECG.

2. Kawea atu whakamātautau taiwhanga, pērā i te toto matū me ngā whakamātautau ate mahi :

• nui haere bilirubin toto;
• tika nui haere transaminase (ALT, AST);
• hua o te phosphatase kawakore;
• iti i roto i te albumin, me te tawharara te wā upoo-.

3. Resort ki tātaritanga mauhaa, ki te whakatū i te meka o e hōloa morphologically o te ate. Ēnei akoranga ngā:

• laparocentesis (inu aspirating noa i te kōhao puku) ki te whakatau i nga take o te ascites;
• unuhanga ngira (ki te whakaū i te tātaritanga "ate Muscat" Ka taea te hanga kiriata, me te ora o te manawanui).

tātaritanga whakataurite ngā mate pērā i cirrhosis waipiro, mate pukupuku, mate ngakau, hemochromatosis, Thrombosis o te iahoki vena cava iho, me te takawhita tomokanga. Kaua e wareware e pā ana ki te mate viral ate - kakā A, B, C, D, E. I tua atu, i reira ko te pea o te mate Parasitic.

pōauautanga

Muscat ate me te meinga tona cirrhosis cardiac kihai i pā i te putanga o te kore ngakau. Kēhi te wahi i kore ate whakapeka te take o te mate, he onge, me te kore e taea te whakaaro tohu. Toto disorders - he hoki rawa onge, ahakoa e kore e ta'ehanotatau. Ētahi tohunga whakapae e reira ko te hononga i waenganui i te ate cirrhosis me te takanga o mārere pukupuku reira, otiia e kore i tenei ariā i mohiotia.

maimoatanga

kia hāngai Drug therapy i whakatutuki i te mate e whāriki ana, arā, te kore ngakau. He cirrhosis i roto iho e kore maimoatanga motuhake. I tua atu, tohutohu te manawanui e ki te whai i te kai ki te rāhuitanga o te tote, me te confidante ki te huri i te raupapa o koutou ra ki te pai moe, kia waho, ka whiwhi nui mahi. Ka taea e ēnei whawhe ohie te āwhina whakaiti pēhanga toto i roto i te oko nui, tae atu i roto i te rua tomokanga.

therapy symptomatic he Diuretics (ki te whakaiti i te nui o inu i roto i te puku), me beta-blockers me inhibitors ACE (mo māori o te ngakau).

Kei te nuinga o te wā e kore e whakamana i maimoatanga hāparapara. Kei te whai pānga te reira ki te mōrearea nui mo te manawanui, me te kore e whakatika iho. I te tahi taime e whakatau i te tākuta ki te hipa wahi o te rua tomokanga intrahepatic, engari tenei e taea e arahi ki te kore te ngakau nui o te momo ventricular matau me te edema pūkahukahu tika ki te whakapiki ake koi te hoki venous.