I-hepatorenal syndrome: iyini, izimbangela kanye nokwelashwa

-Delile

• Izinhlobo ze-Hepatorrenal Syndrome
• Izimbangela ezingaba khona
• Ziyini izimpawu
• Yelashwa kanjani

I-Hepatorenal syndrome iyinkinga ebucayi evame ukuzibonakalisa kubantu abanezifo zesibindi esezithuthukile, ezinjenge-cirrhosis noma ukwehluleka kwesibindi, okubuye kubonakale ngokuwohloka kokusebenza kwezinso, lapho kwenzeka khona i-vasoconstriction eqinile, okuholela ekwehlisweni okuphawulekayo kwezinga le-glomerular ukuhlunga futhi ngenxa yalokho ukwehluleka okukhulu kwezinso. Ngakolunye uhlangothi, i-vasodilation eyengeziwe ye-renal iyenzeka, iholele ku-hypotension yohlelo.

I-Hepatorenal syndrome yisimo esivame ukubulala abantu, ngaphandle kwalapho kwenziwa ukufakelwa kwesibindi, okuyindlela yokwelashwa oyikhethayo yalesi sifo.

Izinhlobo ze-Hepatorrenal Syndrome

Izinhlobo ezimbili ze-hepatorrenal syndrome zingenzeka. Uhlobo 1, oluhlotshaniswa nokwehluleka kwezinso okusheshayo nokukhiqiza ngokweqile i-creatinine, nohlobo 2, oluhambisana nokuhluleka kwezinso okuhamba kancane, okuhambisana nezimpawu ezicashile.

Izimbangela ezingaba khona

Ngokuvamile, i-hepatorrenal syndrome ibangelwa ukuqina kwesibindi, ingozi yayo engakhuphuka uma kuphuzwa iziphuzo ezidakayo, ukutheleleka kwezinso kwenzeka, uma umuntu enengcindezi yegazi engazinzile, noma uma esebenzisa isisu.

Ngokungeziwe ku-cirrhosis, ezinye izifo ezihambisana nokuhluleka kwesibindi okungamahlalakhona futhi okunzima nge-portal hypertension, okufana ne-hepatitis yotshwala nokuhluleka kwesibindi okunamandla nakho kungadala i-hepatorrenal syndrome. Funda ukuthi ungasibona kanjani isifo sokuqina kwesibindi nokuthi lesi sifo sitholwa kanjani.

Lezi zinkinga zesibindi ziholela ku-vasoconstriction eqinile ezinso, okuholela ekwehlisweni okuphawulekayo kwezinga lokuhlunga kwe-glomerular kanye nokwehluleka okukhulu kwezinso.

Ziyini izimpawu

Izimpawu ezivame kakhulu ezingabangelwa i-hepatorrenal syndrome yi-jaundice, ukwehlisa ukuphuma komchamo, umchamo omnyama, ukuvuvukala kwesisu, ukudideka, i-delirium, isicanucanu nokuhlanza, ukuwohloka komqondo nokuzuza kwesisindo.

Yelashwa kanjani

Ukufakelwa kwesibindi ukwelashwa okukhethwa kukho kwe-hepatorrenal syndrome, okuvumela izinso ukuthi zilulame. Kodwa-ke, i-dialysis kungadingeka ukusimamisa isiguli. Thola ukuthi kwenziwa kanjani i-hemodialysis nokuthi ziyini izingozi zalokhu ukwelashwa.

Udokotela angaphinde anikeze ama-vasoconstrictors, afaka isandla ekunciphiseni umsebenzi ongapheli we-vasoconstrictors, okwandisa ukugeleza kwegazi okusebenzayo. Ngaphezu kwalokho, zisetshenziselwa ukulungisa umfutho wegazi, ovame ukuba phansi ngemuva kwe-dialysis. Okusetshenziswa kakhulu ama-analogs we-vasopressin, njenge-terlipressin, ngokwesibonelo, ne-alpha-adrenergics, efana ne-adrenaline ne-midodrine.