Toxic hepatitis
Contents:
Description:
Tokyosiyocheyosky gepayotit - it is acute poyorazheyony peyocheyon, развивающееся on the 2-5th sutyok to a poyosyola of an inyotokyosiyokation and Yokhayorakyoteyoriyozuyushcheyoeyosya uveyoliyocheyoniyoy peyocheyon, it болезненностью at a palpation, nayorasyotayushchy zhelyotuyokhy. Degree of a vyrazhenyonoyosta of these izmeyoneyoniya zayoviyosit inyotokyosiyokation from Yotyazheyosti.
Symptoms of Toxic hepatitis:
Poyorazheyoniye vozyoniyokayot peyocheyon as правило, через 5–90 days to a poyosyola of a nayochayol of a priyoem of a prepayorayot. On a meyotayoboyolizm of a leyokaryostvenyony sredyostyov okayozyyovayot funktsiyooyonalyyony vliyoyayony soyostoyoyayony peyocheyon. Ostyory of tokyosiyocheyoskiya gepayotit vozyoniyokayot for 5–8 day to a poyosyola of a nayochayol of a priyoem of a leyokaryostvenyony prepayorayot.
Bolyyonye жалуются on snizheyony an appeyotiyota, горечь in a mouth, dull ache in a prayovy podreyobeyorye, усиливающуюся to a poyosyola of spicy and zhiryony food, a neyoustoyyochiyovy chair. In a prayovy podreyobeyorye the priyostupoyoobyorazyony hayorakyoter with iryorayodiyoatsiyoy in a prayovy lopatyoka and a ruyoka can noyosit pain. Отмечается the ikyoteyorichyonost of scleras, is more rare a zhelyotushyonost of kozhyony poyokroyov, umeyorenyony uveyoliyocheyony peyocheyon, its boyolezyonenyonost at a palpation, poyolozhiyotelyyony simpyotoma a razyodrazheyoniya zhelchyony пузыря. Neyoredyoko наблюдается disyokiyoneyoziya zhelchyony пузыря.
Hroyoniyocheyosky of tokyosiyocheyoskiya gepayotit proyoteyokayot besyosimpyotomyono, without ostyory proyoyavyoleyoniya, except stupid boyoly in a prayovy podreyobeyorye, umeyorenyony zhelyotuyokhy, slayoby inyotokyosiyokatsiyoy. Teyocheyony a hroyoniyocheyosky tokyosiyocheyosky gepayotiyot obychyono dobyoroyokayocheyostvenyony, and to the poyosyola an ustrayoneyoniya вредного a fakyotoyora vozmozhyono fake vyzyodoyoroyovyoleyony, однако in neyokoyotoyory sluyochayoyakh отмечается razyoviyoty peyocheyon of a tsiryoroyoz.
Reasons of Toxic hepatitis:
Bolshinyostvo случаев tokyosiyocheyosky a peyocheyona poyovrezhyodeyoniya, svyayozanyony from meyodiyokamenyotozyony teyorapiyoy, can be vyyozyyovat both ostyory and hroyoniyocheyosky tokyosiyocheyosky a peyocheyona poyorazheyoniya. In a bolshinyostvo случаев печень становится edinyostvenyony to an orgayonom-misheyonye in tayoky sluyochayoyakh, as является orgayony, neyopoyosredyostvenyono reyoagiyoruyushchy in a viyoda of poyobochyony effekyot on препарат.
Proyodolzhiyotelyyonost of a priyoem of leyokaryostvenyony prepayorayot to a razyoviyotiya of tokyosiyocheyosky reyoaktion колеблется in shiyoroyoky preyodeyola. In nayostoyoyashchy time насчитывается несколько тысяч prepayorayot, spoyosobyony to vyzyovat poyorazheyony peyocheyon. Otyochayosti it vyzyovayono that a proyoiyozoshyola a liyobeyorayoliyozayotion of a doyostup a nayoseyoleyoniya to meyodiyokamenyota, otpusyokayoemy without retsepyot. Okoyolo of 50% of poyobochyony reyoaktion являются sledyostviyoy ошибок in назначениях vrayochy.
Neyokoyotoyory prepayorayota независимо from a doyoza okayozyyovat poyovrezhyodayushchy action on печень only at neyokoyotoyory persons that svyayozayono from an inyodiyoviyoduyoalyyony neyopeyoreyonoyosimoyostyyu. To them can относиться alyolergiyocheyosky reyoaktion, a giperyochuvyostviyotelyyonost. The Leyokaryostvenyony neyopeyoreyonoyosimost of a poyochta of a neyokhayorakyoteryon for deyoty while poyodobyony reyoaktion часто vozyoniyokat at persons of a poyozhiyoly vozyorayosyot at women, osoyobenyono during a beyoremenyonoyosta.
Treatment of Toxic hepatitis:
Glavyony usyoloyoviyoy the vyzyodoyoroyovyoleyoniya является an otmeyona of prepayorayot, vyzyovavshy gepayotit, ustrayoneyony others причин tokyosiyocheyosk vozyodeystvuyushchy on печень that priyovoyodit to obyoratyony a razyoviyotiya of payotoyologiyocheyosky izmeyoneyoniya.
In случаях leyocheyony proyovoyodit an acute tokyosiyocheyosky gepayotiyot in a statsiyooyonayora. Priyo of a poison poyostupyoleyoniya внутрь — promyyovayony a zheyoludyoka. In peryovy sutyok to a poyosyola an otravyoleyoniya poyokayozayono soyocheyotayony meyotoyod of a foryosiyoroyovanyony diyouyoreyoz with ispolyyozoyovayoniyoy diyouyoreyotiyok (a moyocheyoviyon, маннитол, фуросемид). Priyo Yonayoliyochiya of inyotokyosiyokation simpyotom — гемодиализ or Yozayomeshcheyony kroyov. Lipoyotropyonye of a sredyostyov — vnutyoriyovenyono, kapelyyono 30 ml of 20% of a rasyotvoyor of a hoyoliyon of a hloyoriyod to a vmeyosyota from 600 ml of 5% of a rasyotvoyor of a glyuyokoyoza, a group B viyotamiyona, витамин E vnutyorimyshechyono on 1 ml of 4-6 times in Yosutyoki in a komplekyosa with viyotamiyony With, in a kayocheyostvo of anyotiyookyosiyodantyony means. Trayosiyolol, konyotriyokat, a koyokaryobokyosiyolaea, a tuyotamiyonoyovy kisyoloyota. Применяются gepayotoproyotekyotoyora, deyotokyosiyokatsiyoonyony sredyostyova.
At hroyoniyocheyosky tokyosiyocheyosky poyorazheyoniya of a peyocheyona of a legyoky stepeyona — leyochebyony piyotayony, a viyotamiyonoyoteyorapiya, zhelyochegonyony a sredyostyova, duyooyodeyonalyyony zonyodiyoroyovayony. Vliyovayoniye in/in glyuyokoyoza, lipoyotrolyony a sredyostyova (a hoyoliyona хлорид, метионин, lipamidum). Leyocheyoniye in amyobuyolayotoryony usloyoviyoyakh. At vyrazhenyony forms or an oboyostreyoniya of a hroyoniyocheyosky gepayotiyot priyomeyonyat сирепар, прогепар, гепалон. Leyocheyoniye in a statsiyooyonayora.
At peyocheyonochyony a neyodoyostayotochyonoyosta нередко vozyoniyokayot eksyotrenyony poyokayozayony for a peyocheyona tranyosplanyotation.
