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*د.عادل الحسامي..استشاري الأمراض الباطنية والجهاز* *الهضمي بمستشفيات الحمادي يحدد الأسباب الأكثر شيوعاً في أمراض الكبد،والتشخيص وطرق العلاج* – Asynat
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من فضلك اختار القائمة العلويه من القوائم داخل لوحة التحكم

*د.عادل الحسامي..استشاري الأمراض الباطنية والجهاز* *الهضمي بمستشفيات الحمادي يحدد الأسباب الأكثر شيوعاً في أمراض الكبد،والتشخيص وطرق العلاج*

الكبد أكبر عضو داخلي في الجسم وهو بمثابة مصنع لتنقية السموم من الجسم.
– *تقوم خلايا الكبد* التالفة أو الملتهبة بإطلاق أنزيمات في الدم بكميات أعلى من الطبيعي وأهم الانزيمات الترانسامينيز، والفوسفاتاز القلوية،والغاما غلوتاميل. كثيرًا ما تكتشف إرتفاع الأنزيمات أثناء فحص الدم الروتيني وتكون بشكل طفيف ومؤقت وفي معظم الأحيان
لاتشير إلى مشكلة مزمنة أو خطيرة.
*الأسباب الأكثر شيوعًا وفي مقدمتها:*
– تناول المسكنات دون وصفة طبية.
– التعرض لبعض أنواع الأعشاب أو المواد المخدرة.
– الكبد الدهني
– أدوية الكولسترول في بعض المرضى ( statina ) الستاتيني الكحول.
– قصور القلب الاحتقاني
– إلتهاب الكبد الوبائي الفيروسي.
– إلتهاب الكبد المناعي.
– إضطراب الغدة الدرقية.
– مرض الغلوتين(حساسية القمح ).
*الداء السكري والسمنة ومرض الاستقلاب الدهني* وبعض الأمراض الكبد الوراثية
مثل داء ويلسون وهو تراكم النحاس في الجسم.
*-العلامات المرافقة*:
(في الغالب لا توجد أعراض).
اليرقان (إصفرار الجلد والعينين).
تورم البطن،الغثيان،البول الداكن،الضعف والإعياء.
-في البداية يجب عدم إرباك المريض وجعله يقلق إذ أن كثيرًا في ارتفاع وظائف الكبد يكون السبب استعمال دواء ما أو حالة إلتهابية عامة.
-ينصح بأخذ تفاصيل كامل من المريض إذا كان لديه ارتفاع سابق لوظائف الكبد،أو إذا كان هناك مرض عائلي للكبد،وإذا كان يستعمل أدوية مسكنة، وعليه متابعة قياس وظائف الكبد وإجراء بعض الفحوص اللازمة إضافة لإجراء أشعة صوتية للكبد والمرارة ودراسة تليف الكبد.
*العلاج*
مراقبة الأدوية المستعملة وتجنب المسكنات والكحول، مع ممارسة الرياضة،وتناول غذاء متوازن،وتنزيل الوزن الزائد،وضبط سكر الدم،
ومراقبة تحليل وظائف الكبد، وإجراء الفحوص الإضافية المذكورة أثبتت دراسات فائدة شرب القهوة.
_________________
*د.عادل بن محمد أديب الحسامي*
*استشاري الباطنية والجهاز الهضمي بمستشفيات الحمادي بالرياض*

نبذة عن الكاتب

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