Синдром Бадда-Киари

Синдром Бадда-Киари

Синдром Бадда-Киари развивается вследствие тромбоза печеночных вен, которые собирают кровь из печени и выводят ее в общий кровоток через нижнюю полую вену.

Это заболевание примерно с одинаковой частотой развивается у мужчин и женщин, и только идиопатический (без видимых причин) вариант синдрома чаще встречается у лиц женского пола.

Как и у любого синдрома, у данной патологии есть несколько специфических признаков и предрасполагающих факторов.

Причины

Патологии печеночных клеток приводят к нарушению эластичности печени, а поскольку сосуды этого органа практически сливаются с тканями, то уменьшение сократительной способности печени ведет к застою крови в ее венах.

Нарушения портального кровообращения в свою очередь ведут к ухудшению функционального состояния клеток и к их морфологическим изменениям, что снова влияет на кровоток, замыкая, таким образом, порочный круг сочетанных патологий.

Отправной точкой подобного нарушения работы печени могут служить:

  • — врожденные патологии нижней полой вены — анатомическая узость, заращение;
  • — обструкция портальных вен и нижней полой вены в результате воспаления, травмы, операции, глистной инвазии, патологий кишечника;
  • — опухоли и метастазы;
  • — заболевания крови и гематологические расстройства;
  • — ферментопатии, нарушения обмена веществ;
  • цирроз печени; хронические инфекции;
  • — прием некоторых лекарственных препаратов.

Симптомы

Различают острый синдром Бадда-Киари и хронический.

В первом случае вся симптоматика очень выражена, развивается и усугубляется в течение нескольких суток. Хроническая форма протекает чаще всего вяло, симптомы нарастают постепенно, продолжительность заболевания может составлять от полугода до 10 лет.

Для обеих форм характерны боли в животе справа и по верхней половине живота на фоне увеличения печени. Оба симптома появляются практически одновременно, позднее к ним присоединяется асцит — как один из признаков развивающейся портальной гипертензии. Часто отмечаются рвота, желтуха, похудание, петехиальная сыпь.

Состояние может трансформироваться в печеночную недостаточность, синдром нижней полой вены, тотальный тромбоз сосудов.

Диагноз и лечение

Для постановки диагноза важно провести полное обследование с целью исключить другие патологии, протекающие со схожими симптомами.

Анамнез заболевания укажет на печеночные признаки жалоб: боль в правом подреберье, асцит, увеличение видимых сосудов стенки живота и пальпируемых при обследовании. Лабораторные анализы крови не специфичны, но тоже подсказывают локализацию патологического очага.

Первичная оценка состояния печени и кровотока производится с помощью допплер-сонографии сосудов, печеночной ангиографии, гепатоманометрии, МРТ.

В случае сомнений назначается радионуклидное обследование, биопсия печени.

Лечение синдрома Бадда-Киари стационарное, паллиативное, так как воздействовать на патогенетические факторы невозможно. Назначаются препараты, улучшающие реологию крови, симптоматические средства.

Одновременно с консервативным лечением рассматривается вопрос об операции. Это может быть как вмешательство на сосудах с целью восстановления их проводимости, так и трансплантация печени. Показания и объем вмешательства определяется врачом.

Прогноз

Неблагоприятный. Успех консервативного лечения возможен не более чем у пятнадцати  больных из ста, при сочетании лекарственной терапии с операцией выживаемость в течение 10 лет не выше 50%. Синдром Бадда-Киари, протекающий в острой форме, практически всегда заканчивается летально.



01.07.2011 • 2551 просмотр • Комментариев: 11




Комментарии (11)

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    "RE: Синдром Бадда-Киари"
    Williamkic 16.09.2020  #

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    "RE: Синдром Бадда-Киари"
    Tomijg 15.09.2020  #

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    "RE: Синдром Бадда-Киари"
    Justinror 15.09.2020  #

    real real estate as providing credit figures

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    the kinder CFPB? its possible. the savings policy bureau plans to review businesses on top of that rules in administration, supervision, Rulemaking, target audience following as higher education. "advancing, a new institution may well habitually find constructive opinions and moreover anticipate thought processes for many recovery, considered that performing movie director Mick Mulvaney.

    A released e mail reportedly processed and dispatched in Mick Mulvaney, actor's overseer of customer economical a security program institution (CFPB), To the staff with organisation previewed a fresh and fewer litigious way of controlling the monetary provider bizz. "with regards to enforcement, i will be devoted to quantifiable and furthermore inescapable difficulties for the, Mulvaney published. "while we discover it rests, you could depend on us to intensely engage in the ideal herbal and organic treatments. when it doesn our company received go interested in lame excuses to take litigation, The memo most likely was leaked out and therefore put out through the surveillance writing socket ProPublica. most of the water st,casual mag revealed an changed model feasible op ed authored by Mulvaney. the prime birthday age populace, individual people 25 as a result of 54, numbers 125 million, which 100 million are working the labor pool. once economist Elliot Eisenberg points out, contemplating 2000 which is carried out done aging 54 comes with gone up in numbers at the hands of 18.5 million that will 35.5 million, slurping up the whole blockage including 17 million word wide web original projects which are made. and as a consequence plenty seem to be buying housing are replacing.

    As was likely said this morning, The master of business administration listing for the last week might have been way up for the 3rd direct week. regardless increased rates of interest, pay for balms gained caused by 6.0%, filling the nation's top instance phase in 8 some time! but yet refinances are prohibiting his or hers and still for the most part 50% among finally exercises. As is alleged for countless years now, most people in most cases claimed broaden as price ranges rise.

    everyone inside learned that December classic asset transactions reduced 3.6 zero per cent to a seasonally adjusted annual premium connected 5.57 million as being the year ended. still 2017 became aware of improve most typically associated with 1.1 to some 5.51 million speed good national association of realtors the best yearly promos considering 6.48 million at the peak of the living bubble in 2006. overall building offers accompanied by expenses well under in addition to similar to $750,000 accounted for 95% of all the revenue. The complain of further reiterated having less to summarize a place to live create, that is 10.3 amount fewer than one year ago, plus low cost difficulties, with unsold products is at the minimum level (3.2 month be taken) offered that administering started in 1999. observed dependable job output plus being created profits home prices superior 5.8 % country wide; double the amount stride created by salaries growing. 32% associated with product or service sales have which will new property or home customers, forward out of 29 percentage points in december. some day-to-day money product or service sales averaged 21 per cent for your year, away from with 23 percentage across 2016.

    searching the stock market, Treasuries inverted style, featuring home tuesday good points the actual 10 year letter carried out a new day glorious 2.65%. most of us Treasury secretary Steven Mnuchin speech about the advantages of a lazy $ whilst in in addition to the Davos recognized government entities persistence for amount 3 gross domestic product extension. currently the FHFA your own house Price index chart released discounts expanded 0.4 portion for november on top of that 6.5 for year; under what believed, most surely teaching nicely housing worth thanks. essential oil continues to creep up after another diminish in weekly inventory and thus converse those OPEC continues to maximum manufacture.

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    "RE: Синдром Бадда-Киари"
    Babeszxp 15.09.2020  #

    number suing Trump adminstration to protect traditional society

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    Cortez together supports for example that is anatomy threatened vietnamese babes while using the boundary wall structure.

    "information on how heinous is actually when the Trump managing wants research and as well as desecrate two old cemeteries? is nothing in fact when holy, Raul Garcia requested.

    Garcia symbolizes Earthjustice, The range suing the Trump maintenance for what gachisites connect with "Real furthermore frightening shocks for communities lifestyle under the edge,

    "for everyone congressmen and senators obtainable which happen to have preached then they the stand by position experienced: unsupported claims is affordable. most of us you can expect you to do something, Garcia further.

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    "RE: Синдром Бадда-Киари"
    PrestonSem 15.09.2020  #

    Gawman william George Bill

    william George (charge) GAWMAN

    bill George (cost) Gawman m. d., FRCP, DABR March 18, 1930 July 20, 2017 Bill died on saturday, July 20, 2017, In the Freeport palliative unit of Grand River hospital in Kitchener. His careful passing eased our pain. Bill appeared at home on Grant Street, In gta, Eighty seven common, One of eight siblings. His beloved ones was poor, But he worked hard at school and various part time jobs and thanks to scholarships achieved great success. on the inside 1955, Bill graduated from the University of Toronto school of medicine. His babyhood ambition "to help people" Was became aware that. While girl in spanish operational at a TB sanitorium in Sudbury, He learned all about Radiology. As he would tell us "The best specialty on the earth, After four many study at Hurley Hospital in Flint, mich, He wrote his specialization exams (Canadian and u. s citizens) And turned into a radiologist. gradually, He practised with Hamilton, Kitchener Waterloo and Fergus and out of production at 81. Bill had two great loves during his life, Radiology great family. He was gotten married for 60 years to his wife Ann. Every day he declare it clearly that she was beautiful. In their date in spanish 60 years in unison, They made a Gawman dynasty. They had four kids and one son: Catherine (tim Dean), Audrey (kim Hill), Ruth, eva and Eric (Beverly Sauer). Bill adored his children and was wildly like to show off them. A next building of five grand daughters arrived: Teresa, Rachel, Alice, Christina and amanda. gladly, Bill had enough love to encircle "most of the darlings"and they also loved him back. Bill's love grew as could be great grandchildren grew. might be eight: Lily, Kobe, Desmin, Jayden, Jahtay, Anessa, Maddix and consequently Maverick. Bill celebrated life. He played football, the game and pickleball. He studied Spanish and French up to the end. A voracious book lover, He was always buying the latest mystery novel and the new book on radiology. We skip our Dad, But we know he did not want to live an increasingly confined life, And we are happy that he is now free from these confines. Bill was fortunate that his final days were spent in Freeport's palliative unit an elegant and restful place. The staff are astounding: nature, Caring and specialised. cheers. with thanks. A memorial wedding reception will be held in the Fireside Room of the Erb Good Family Funeral Home, 171 king St.

    "RE: Синдром Бадда-Киари"
    JoshuaKaw 14.09.2020  #

    Army recruiter from Newington accused of assaulting POP Squad founder in Bristol

    Home About Us Contact Us Advertise Subscribe entry Forms Weather

    News prospects Bristol Forestville General News Plainville Plymouth Terryville Southington Herald

    Sports Bristol Central Bristol eastern side St. Army recruiter has been accused of assaulting the founder of an area group that goes after predators preying on underage children, After allegedly finding himself at the center of one of the brought on.

    the air jordan Malmstrom, 33, with regards to Newington, Allegedly punched the POP Squad's founder in the face multiple times and hit him with a car while speeding out of the Planet Fitness parking lot on Farmington Avenue on Aug. The 33 year old was not charged in the attack until immediately.

    The victim told police he had gone to Planet Fitness to confront Malmstrom, Who allegedly thought he would be meeting a 14 year old girl who ended up being an adult posing as a minor. POP Squad has been responsible for the arrest of a number of individuals in the area after they allegedly arranged meetings with who they believed were underage girls or boys.

    The victim of the episode, Who often moves "Incognito, Told officers he received a message from Malmstrom on July 27 on MeetMe a dating app. Using an account with the make believe name "patricia, Which was accompanied by a photo of a young looking girl. Incognito said he got a message from an account claiming to be a 16 year old named James.

    Incognito, Whose profile said he was a 14 years old girl, Replied to the russian woman touch upon July 29, And their talking continued from there. while using warrant, Malmstrom said he was actually 19 years old and known as the girl in the photo "lovable, After chatting backward and forward, Malmstrom purportedly asked that Incognito send him a "naughty" pics, The assure said. When he rejected, Malmstrom said he wanted to check that he wasn't being set up by police.

    After allegedly expressing his desire that you perform oral sex on who he thought was a teenage girl, Malmstrom and Incognito agree with meet on Aug. 1 at Planet well-being, in accordance with the warrant. During the encounter away from gym, The document continuing, Incognito told Malmstrom that he has been set up and that he was recording their exchange with a GoPro camera.

    in the end during the encounter, Malmstrom presumably started walking toward Incognito, Who began backing away and feared his camera will be stolen. He then lunged at him and tried to take the camera, But Incognito slapped his hands away and struck him in the face, police arrest allege.

    Malmstrom began try to throw punches and continued after Incognito, Who eventually tripped and lost control down. good warrant, Malmstrom, Who also fell into, Landed on top of him and allegedly punched him in the face many times. He then retreated to his used car or truck, And Incognito chased after him and tried to block him from leaving the parking area.

    Incognito's thigh was then hit by the front bumper of the automobile, Causing him to go to the floor. your truck sped off. It was then that the POP Squad founder realized his camera had been taken. He suffered a cut to his elbow and side of the head, And felt pain to his thigh, But had no visible marks where the passenger truck hit him.

    He later posted screenshots of his russian chat alleged chitchats with Malmstrom on social media, And incorporated the profile photo. A user on Facebook identified the person in the photo as Malmstrom and said he worked at north america Army Recruiting Station in Middletown.

    During the investigation, Local police spoke to officials from the Army Criminal researching Division, Who said they would frequently not pursue their own charges, Provided Bristol police that will make an arrest.

    In the assure, Local police said they could actually confirm Malmstrom was the assailant by viewing surveillance footage in the area of Planet Fitness. moreover, The warrant went on, Tied his IP address to the account that were chatting with the POP Squad.

    Malmstrom was involved in with third degree assault, Second college degree larceny, Third degree robber, tempting a minor by computer and misrepresenting age to entice a minor. He costs nothing on $10,000 be, And is expected to be arraigned on Feb. 20 in Bristol remarkable Court.

    According to court papers, Malmstrom listed his discipline as an army recruiter in Middletown. a representative from the office told The Bristol Press on Thursday "there's no one here by that name, During an inquiry about Malmstrom's career status. The symbolic did not elaborate.

    "RE: Синдром Бадда-Киари"
    Williamkic 14.09.2020  #

    3 secrets to Attracting Women

    You saw this really hot woman and most importantly you just want to know how to attract her and get her to notice you. You want to give it a shot so after giving your pep talk you decided to approach her.

    She was nice enough and she seems sincerely interested in having a conversation with you. i hear you ask her where she's from, the thing she does, All the typical and normal questions. You mention about yourself. You're feeling confident and think to yourself that learning how to get her may not be so hard. But then you notice that she starts losing interest in the conversation and shortly, She's excusing herself to go to the lavatory. You're left standing there mind what went wrong.

    When you discussion on yourself, Did you keep mentioning how you felt awful or just had the flu last week hoping that you would get some sympathy from her? Take note that you're still a stranger to her and really, She's not really keen on knowing your health issues. If you were her boyfriend then yes she would give a damn and would go out her way to keep up you. But since you're still a stranger you're going to have to do better than that.

    Instead of mentioning how tired you feel from work, Tell her stories about funny ideas that happened to you when you were in the gym. That would get her attention and impress her since a man that moldova dating sites goes to the gym is way moldova ladies hotter than a man that's always tired from work.

    She may not like being surveyed

    this isn't an interrogation and like most women, She doesn't like being sat down with. Asking her where she's from and what she does are harmless enough and they are typical questions in a dialogue. But they're also boring. what you can say instead are things like "you need to definitely be a businesswoman" or perhaps even "you just aren't from around her, at this time?or,--"

    If you want to attract her and refrain from going to the potty and never coming back, You need to make sure the conversation is interesting. That means you should stop the boring interviews and instead practice tactic.

    She's switched off by your bragging and lack of mystery

    When she asked you things, Did you end up telling her detailed answers? Did you tell her about your chariot, Your lift, Your great job having high salary, Your great house, for example? this means that, Did you end up bragging and telling her everything and not leave anything for the imagination?

    When it comes to how to get her and get her to notice you, It's better to be a little mysterious and avoid telling her all the wonderful landmarks you have. Women may be drawn to wealth, But it's not important to them and they definitely don't want you to brag about it. Instead of declaring that everything about yourself, Give her hints and clues and allow her to find things out. That would make her interested in you.

    "RE: Синдром Бадда-Киари"
    Askerleaxy 29.08.2020  #

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