GEPATITI ALKOGOLi

GEPATITI ALKOGOLi, bemorie, ki binobar az tasiri sharob oseb yoftani jigar paydo meshavad. G. a. chun istiloh s. 1995 qabul shudaast. On dar barobari fibrozi alkogoli davrai avvali sirrozi jigar mahsub meshavad.
G. a. bemorii tuloni buda, badi 5 – 7 sol muntazam istemol namudani mashrubot sar mezanad. Darajai vazninii bemori ba miqdor va sifati mashrubot, inchunin ba muddati istemoli on vobasta ast.
G. a. ustuvor va afzoyanda meshavad. Dar mavridi G. a.-i ustuvor agar mariz az istemoli mashrubot khuddori kunad, pas ravandi bemoriro peshgiri namudan imkon dorad. Dar surati khuddori nakardan va az pai muolija nashudan, bemori avj girifta, nishonahoi on tezutund meshavand; dar jigar manbahoi nekroz paydo gashta, marizi ba sirrozi jigar tabdil meyobad.
Dar mavridi sabuk budani jarayoni bemori muolijai G. a. natijai dilkhoh medihad. Onro bo rohi sanjishi laboratori muayyan mekunand. G. a. alomathoi makhsus nadorad: goh-goh dar zeri qaburgai rost dard paydo shuda, bemor orug mezanad, dil andake behuzur meshavad, ehsosi pur budani meda ba vujud meoyad. Dar surati avj giriftani bemori mariz qay karda, darunrav (ishol) meshavad; nishonahoi zardparvin ba vujud meoyand; az darun khun meravad; miqdori bilirubin dar khun afzuda, bemor mumkin ast binobar nuqsi jigar favtad.
Jarayoni G. a. shadid va muzmin meshavad. Suiistemoli mashruboti spirtdor dar 60 – 70 fisadi holatho boisi paydoishi G. a.-i shadid megardad. Farjomi bemori ba darajai ikhtiloli faoliyati jigar vobasta ast. On khususan hangomi mavjudiyati sirrozi jigar vaznin jarayon megirad. Baroi tasdiq namudani tashkhisi bemori biopsiyai jigar zarur ast. Mariz sustu beholat va kharob gashta, zeri qaburgai rost dard mekunad; dilbehuzuri, qay, ishol, zardparvin rukh menamoyad (zardparvin boisi khorishi pust nameshavad); taqriban dar nisfi bemoron tablarza ba mushohida merasad. Hamzamon bo in pnevmoniya, peritoniti bakteriyavi, septisemiya niz ba vujud meoyand.
Alomathoi G. a.-i muzmin niz ba nishonahoi G. a.-i shadid monand meboshand. Tashkhisi G. a. dushvoriho dorad, zero dar borai bemor malumoti purra ba dast ovardan mumkin ast. Binobar in dukhtur boyad donad, ki mafhumhoi «sharobmandi» va «suiistemoli sharob» chiro darbar megirand. Meyorhoi sharobmandi chunin meboshand: bisyor nushidan va khohishi hameshagi doshtan ba istemoli sharob; vaqti bisyori khudro sarfi sharobkhori kardan; dar joyhoi baroi salomati khatarnok istemol namudani sharob; az masti ba pasti zadan; ba vujud omadani nishonahoi abstinensiya (parhezgori); bo maqsadi furu nishondani nishonahoi abstinensiya sharob istemol kardan.
Baroi tabobati hama guna navhoi G. a. az istemoli sharob dast kashidan lozim ast. Muolijai G. a. vazifai dukhturoni gepatolog va narkolog meboshad.

G.Q. Mirojov.