zabolevaniya pecheni

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powerpoint presentation zabolevaniya pecheni mansurova nuriniso woodgrove bank 1. diagnostika i lechenie zabolevaniy pecheni 2. tipi zabolevaniy pecheni 3. zabolevaniya pecheni: obzor plan: woodgrove bank nealkogolnaya jirovaya bolezn pecheni (najbp) najbp porajaet do 25% naseleniya v razvitix stranax, chasto protekaya bessimptomno, chto zatrudnyaet rannyuyu diagnostiku i privodit k pozdnemu viyavleniyu seryoznix oslojneniy, takix kak tsirroz. risk razvitiya najbp vozrastaet pri nalichii takix faktorov, kak ojirenie (imt > 30), insulinorezistentnost i dislipidemiya, chto ukazivaet na tesnuyu svyaz s metabolicheskim sindromom. woodgrove bank tsirroz pecheni stadii tsirroza pecheni klassifitsiruyutsya po sisteme chayld-pyu, ot a (legkaya) do s (tyajelaya), pri etom prognoz i lechenie zavisyat ot stadii zabolevaniya i nalichiya oslojneniy, takix kak astsit ili pechenochnaya entsefalopatiya. bolee 80% sluchaev tsirroza pecheni svyazani s xronicheskim zloupotrebleniem alkogolem, virusnimi gepatitami v i s, a takje nealkogolnoy jirovoy boleznyu pecheni (najbp), privodyashey k znachitelnomu povisheniyu riska razvitiya etogo opasnogo zabolevaniya. woodgrove bank lechenie zabolevaniy pecheni …

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eza v neskolko raz. woodgrove bank autoimmunnie zabolevaniya pecheni lechenie autoimmunnix zabolevaniy pecheni, naprimer, pervichnogo skleroziruyushego xolangita (psk), chasto vklyuchaet immunosupressivnuyu terapiyu glyukokortikoidami, dostigaya remissii u 70-80% patsientov pri soblyudenii sxemi lecheniya. pri autoimmunnom gepatite 1 tipa (aih-1) chasto obnarujivayutsya visokie titri autoantitel, takix kak anti-gladkie mishtsi (asma) i antinuklearnie antitela (ana), pozvolyayushie diagnostirovat zabolevanie u bolee chem 70% patsientov. woodgrove bank alkogolnaya bolezn pecheni bolee 90% sluchaev tsirroza pecheni u mujchin i okolo 50% u jenshin svyazani s dlitelnim i chrezmernim upotrebleniem alkogolya, privodya k znachitelnoy smertnosti. alkogolniy steatogepatit (asg) razvivaetsya u 10-35% lyudey s chrezmernim upotrebleniem alkogolya, chasto progressiruya do tsirroza pecheni i pechyonochnoy nedostatochnosti, trebuya transplantatsii. woodgrove bank nasledstvennie zabolevaniya pecheni bolee 300 genov assotsiirovani s nasledstvennimi narusheniyami metabolizma, vliyayushimi na funktsiyu pecheni; mutatsii v etix genax mogut vizvat shirokiy spektr zabolevaniy, ot fibroza do raka pecheni. defitsit alfa-1-antitripsina, nasledstvennoe zabolevanie, vstrechaetsya u 1 iz 1500-3500 novorojdennix, …

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vlyaetsya jeltuxoy, lixoradkoy i bolevim sindromom v pravom podrebere, lechenie vklyuchaet antibiotiki i drenaj jelchevivodyashix putey. zabolevaniya jelchevivodyashix putey chasto privodyat k obrazovaniyu jelchnix kamney, priblizitelno u 10-20% naseleniya razvivayutsya simptomi xoletsistita, trebuyushie meditsinskoy pomoshi. woodgrove bank anatomiya i fiziologiya pecheni gepatotsiti, osnovnie kletki pecheni, sostavlyayut okolo 80% eyo massi i vipolnyayut bolee 500 funktsiy, vklyuchaya metabolizm belkov, uglevodov i lipidov, detoksikatsiyu i sintez jelchi. pechen poluchaet dvoynoe krovosnabjenie: 75% ot vorotnoy veni, nesushey krov iz pishevaritelnogo trakta, i 25% ot pechyonochnoy arterii, obogashennoy kislorodom, obespechivaya intensivniy metabolizm. woodgrove bank diagnostika zabolevaniy pecheni uzi pecheni pozvolyaet vizualizirovat razmeri, strukturu pecheni, viyavit nalichie kist, opuxoley i drugix patologicheskix obrazovaniy razmerom bolee 5 mm. pri bioximicheskom analize krovi povishenie urovnya alt i ast bolee chem v 2-3 raza ot normi ukazivaet na povrejdenie gepatotsitov, trebuyushee dalneyshego obsledovaniya. woodgrove bank virusnie gepatiti effektivnost lecheniya xronicheskix virusnix gepatitov dostigaet 95% pri ispolzovanii sovremennix protivovirusnix …

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powerpoint presentation zabolevaniya pecheni mansurova nuriniso woodgrove bank 1. diagnostika i lechenie zabolevaniy pecheni 2. tipi zabolevaniy pecheni 3. zabolevaniya pecheni: obzor plan: woodgrove bank nealkogolnaya jirovaya bolezn pecheni (najbp) najbp porajaet do 25% naseleniya v razvitix stranax, chasto protekaya bessimptomno, chto zatrudnyaet rannyuyu diagnostiku i privodit k pozdnemu viyavleniyu seryoznix oslojneniy, takix kak tsirroz. risk razvitiya najbp vozrastaet pri nalichii takix faktorov, kak ojirenie (imt > 30), insulinorezistentnost i dislipidemiya, chto ukazivaet na tesnuyu svyaz s metabolicheskim sindromom. woodgrove bank tsirroz pecheni stadii tsirroza pecheni klassifitsiruyutsya po sisteme chayld-pyu, ot a (legkaya) do s (tyajelaya), pri etom prognoz i lechenie zavisya...

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