Feline hepatic lipidosis

hepatic lipidosis, katsi yakakora

La hepatic lipidosis feline chimwe chezvirwere zvinowanzoitika mumakati.

Chirwere chinoratidzwa nea kuunganidza zvakanyanya triglycerides muchiropa chinovhiringidza kushanda kwechiropa uye zvinowanzokonzera kusashanda kwenhengo.

Triglyceride kuunganidza muchiropa haisi dambudziko kusvikira dhigirii yevacuolization yava morphologically yakaoma. Makati ane systemic chirwere anowanzo gadzira hepatocellular mafuta vacuolation.

Muchiropa chakajairika, mafuta ari pasi pe5% yehuremu hwose hwenhengo, apo mukati ine hepatic lipidosis syndrome kukosha uku kunogona kunyange katatu. Hepatic triglycerides inogadzirwa kubva kumafuta acids anotorwa kubva ku systemic circulation (dietary lipids kana adipose zvitoro) uye kubva hepatic synthesis.

Iwe unofanirwa kungwarira zvakanyanya nekufuta

Chengetedza uremu yekati yako iri pasi pekutonga uye kupa hutano uye hutano hwekudya hunogona kudzivirira hepatic lipidosis. Mukati, kuwandisa, iyo inowanzokonzerwa kunyanya ne macarbohydrates akawandisa mukudya, inokonzerwa nekuunganidza mafuta mukati mehepatocytes. Muchokwadi, mazhinji emakati anogadzira hepatic lipidosis akafuta.

katsi yakafuta

Chii chaizvo chinoitika?

Hepatic lipidosis inoratidza kusakwanisa kwenhengo kuenzanisa kurasikirwa kwemafuta nekudya kubva kune systemic masosi. Chiyero pakati pe lipolysis uye triglyceride kuunganidza inogadziriswa nemahomoni uye neurological maitiro. Kunyanya taigona kutaura izvozvo hormone sensitive lipase (HSL), iyo inokurudzira lipolysis, uye lkune lipoprotein-lipase (LPL), iyo inokurudzira kutora mafuta, inogadzirisa zvakananga adipocyte metabolism.

Makatecholamine akadai se norepinephrine, epinephrine, GH, glucagon, corticosteroids, uye thyroxine inowedzera basa reHSL, nepo insulin ichiidzivisa. Mukati, kushungurudzika kunokonzera kukurumidza kusunungurwa kwekatecholamines, iyo inowedzera basa reHSL. Pasi pemamiriro ekutsanya kwenguva refu, kunyangwe basa reLPI richiderera, basa reHSL rinowedzera, richifarira kuunganidzwa kwemafuta pahepatocellular level.

Ndezvipi zvingava zvikonzero?

lipidosis inogona kuva kutanga, kureva kuti, inomuka yega, pasina chikonzero chaicho chinooneka (idiopathic fomu), kana chikoro chepamusoro kune mamwe ma pathologies anokonzera anorexia uye kamwe kamwe uremu kurasikirwa.

Kutsanya kwechipiri kune akasiyana-siyana pathological kana asiri-pathological mamiriro, sekuramba kwechikafu chitsva chisingafadzi, kunotungamirira kukuwedzera kwekuunganidza kwezvitoro zvemafuta uye kuwedzera kushandiswa kwemasabolism echiropa..

Mumamiriro ezvinhu akajairika, chiropa chine basa rekugadzira mafuta, akadai se triglycerides, cholesterol, lipoproteins uye phospholipids, uye kugadzirisa mafuta (fatty acids) aripo mumuviri (zvitoro zvemuviri). Kuunganidzwa kwemafuta kunoitika kana kuumbwa kwechiropa kana kuchengetedza kunowedzera zvakanyanya kupfuura kugona kwekushandisa.

katsi yechando

Kuwedzera njodzi ye lipidosis mumakati akafutisa uye asingadyi

Nekudaro, a Katsi yakakora iyo inoiswa kushushikana uye "kuzvimanikidza" kutsanya Kunyanya nekuda kwekunetseka, inoratidzwa kune njodzi huru yekuunganidza mafuta eparipheral uye kutora kwavo pahepatocellular level.

Kudyidzana pakati pemafuta acids neL-carnitine pamwero wemitochondrial membrane, kuti isunungurwe mukati memitochondria pachayo uye kuumbwa kweiyo activated fatty acids, inodiwa kune beta oxidation, inogonawo kuita basa mukukura kweiyo syndrome. hepatic lipidosis.

Uyezve, kushayikwa kweGSH muhepatocytes kunobatanidzwa mune pathogenesis ye lipidosis, inomiririra kusashanda munzira yetranssulfuration.

Vitamin B12 inoitawo basa rakakosha

Pakupedzisira, yakawanikwa kakawanda vhitamini B12 kushomeka mumakati ane hepatic lipidosis.

Zvikonzero zvinokonzeresa hepatic lipidosis mumakati, saka uye muchidimbu, dzokera kukuwedzera kwekuratidzwa kwemafuta kuchiropa, semhedzisiro yekufutisa, kukonzeresa kwakakosha kwecatabolic phenomena nekuda kweiyo pathologies, kusingaperi hypernutrition, kuwedzera kwe de novo hepatic synthesis yemafuta, kana kuchinjwa oxidation kana kupararira neVLDL.

Muchidimbu…

  • kudya kunovaka muviri, kunyanya kubva kumacarbohydrates, kazhinji inowedzera lipid kuunganidza.
  • Kufutisa Icho chinhu chinofanotungamira, chakakosha pakukura kwehepatic lipidosis. Mukatsi yakafuta isina havi yekudya, kuburitswa kukuru kwemafuta acids kubva mumatishu akaiswa kunoisa kumanikidza kwechiropa kukwanisa kuashandisa nekuabvisa. 
  • Kuumbwa kweiyo yakaderera density lipoproteins (VLDL) Izvo zvakakosha pakubviswa uye kupararira kwe lipids. Kukanganiswa kwechiropa kukwanisa kugadzira VLDL (inoda kuwanikwa kwesimba iyo inoshaikwa mu lipidosis) inoguma nekukosha kwe triglyceride kuunganidza.
  • Kudyidzana kwemafuta acids ne L-carnitine zvakakosha pakutakurwa kwemafuta acids kupinda mitochondria, kuitira kuti beta oxidations (kureva, lipid simba rekushandisa reactions) kuitika. Makati ane hepatic lipidosis anowanzo kutambura nekushaya carnitine. 
  • Vitamin B12 kushomeka (cobalamin) Inowanikwa zvakanyanya panguva ye lipidosis. 

hepatic lipidosis katsi

Hazvinei kuti vadiki kana vakuru.

hepatic lipidosis inogona kukanganisa katsi dzezera ripi zvaro, pasina kunyanyofungira nezvedzinza nebonde. Nekudaro, vakadzi vezera repakati kana vakura vanoita sevanobatwa zvakanyanya kupfuura varume nevechidiki zvidzidzo.

Tingaita sei kuti tizvione?

Chinonyanya kumiririra zviratidzo kazhinji munguva yehepatic lipidosis ndeye kurutsa, kuora mwoyo, anorexia, uye kuora muviri kamwe kamwe. Chimwe chinonyanya kukosha uye chinowanzovapo chiratidzo chekliniki jaundice, kureva, ruvara rweyero rweganda uye mucous membranes.

Makati ane hepatic lipidosis anowanzo kushaya simba uye anogona kutoratidza ventroflexion yemutsipa kana recumbency zvachose. Mune zvimwe zviitiko, zviratidzo zvehepatic encephalopathy zvinogona kujekeswa, kureva, zviratidzo zvetsinga zvechipiri kune autointoxication yemuviri. Dzimwe nguva hepatic encephalopathy inogona kuratidzwa ne hypersalivation.

Panogona kunge paine zvimwe zvirwere zvinokonzeresa iyi lipidosis ...

Panogona kuva nezvimwe zvirwere zvakadai sezvimwe zvirwere zvechiropa (somuenzaniso cholangitis), pancreatitis, zvirwere zvomudumbu (zvinozivikanwa nokurutsa uye manyoka), mapundu kana chirwere cheshuga chinogona kuva pakati pezvinetso zvinowanzobatanidzwa ne lipidosis.

Kana iwe uine katsi inorema uye uchicherechedza kunyange chimwe chezviratidzo izvi, mazano ndeokushanyira chiremba wemhuka pakarepo uyo, mushure mekunyatsoongorora uye kunyatsocherechedza nhoroondo yezvokurapa uye kuonekwa kwezviratidzo, anoita chirwere. Uye saka iwe unogona kuongorora kuoma kweiyo pathology.

mafuta katsi

Laboratory bvunzo uye kumwe bvunzo kuona hepatic lipidosis

Vanogona kuita bvunzo dzinoverengeka kuti vaone lipidosis seyatinokurukura pazasi.

Kuongororwa ropa:

  • kukwana kweropa, zvakajairika biochemistry profile: gHyperbilirubinemia, kuwedzera kwechiropa enzymes, kunyanya kuwedzera alanine aminotransferase (ALT), aspartate aminotransferase (AST), uye serum alkaline phosphatase (SAP) inowanzowanikwa. Gamma glutamyl transferase (GGT) inowanzojairika (kunze kwekunge paine concurrent cholangitis). Zvimwe zvinowanzowanikwa zvisiri izvo zvinomiririrwa ne hypokalemia, yakaderera BUN, hypophosphatemia, dzimwe nguva hypoalbuminemia, uye hypocalcemia (kunyanya muzviitiko zvine concomitant pancreatitis).
  • Coagulation bvunzo:  Kuwedzera kwenguva dzekubatana kunogona kucherechedzwa sezvo chiropa chinobatanidzwa mukuumbwa kwezvinhu zvinofarira coagulation maitiro. Kunyanya, mukufamba kwehepatic lipidosis, kushaikwa kwevhitamini K kunowanzoitika, vhitamini yakakosha yekushandiswa kweiyo coagulation zvinhu.

Radiographs: hepatomegaly (chiropa chakakura) inogona kuonekwa pakuongorora radiographic.

Ultrasonography:  Kuongororwa kwe Ultrasound kunogona kuratidza chiropa chisina kujairika (hyperechoic) uye kuvapo kweiyo intercurrent pathologies (semuenzaniso, concomitant pancreatitis, cholangitis, kana neoplasia).

tsono aspiration ye chiropa: Tsono aspiration inzira shoma shoma iyo inogona kupa ruzivo runobatsira pamusoro pekuvapo kwekuwanda kwemafuta mumasero echiropa (hepatocytes) uye kusabvisa chero chinokonzera bundu pathology.

Biopsy Chiropa: Chiropa chinonzi biopsy chinokurudzirwa mumakati asingapindure kurapwa kwekutanga kana apo biopsies inoratidzwawo kuti iongorore dzimwe nhengo dzekuchinja.

Kurapa kurwisa hepatic lipidosis

hepatic lipidosis kazhinji inodzokororwa kana ikarapwa zvakanaka, asi ikasarapwa inogona kuva yakakomba zvikuru, dzimwe nguva ichitungamirira kurufu. Nokudaro, nguva refu yekutsanya haifaniri kurerutswa. Kunyanya kana katsi yako yakafuta uye isati yadya kwemazuva mashomanana, unofanira kukurumidza kubvunza vet yako.

Kuti kurapa kunoshanda, kunokosha ziva chikonzero (kusagadzikana kwerwatata, dumbu, ura, bile ducts, zvichingodaro), kana iripo, izvo zvinogona kunge zvakakonzera kurasikirwa kwechido kunobva kuhepatic lipidosis.

Kazhinji, katsi ane hepatic lipidosis uye yakaoma malaise   vanotanga vachida kurapwa muchipatara vobva vapinzwa muchipatara kuti vawane rubatsiro rwakakodzera.

Pamusoro pekurapa kwechikonzero chekutanga, kana ichizivikanwa, kurapwa kwe electrolyte abnormalities inowanikwa, rehydration uye kudzora kurutsa, zvakakosha kupa mhuka kudya kwakakwana kuburikidza nekudya kwekumanikidzirwa.

Mukuwedzera, vitamini supplementation inokurudzirwa neboka re mavhitaminzi anonyungudika mumvura, vhitamini K uye vhitamini E. Pakupedzisira, kutungamirirwa kweL-carnitine, taurine uye S-adenosyl-methionine uye / kana phytotherapeutic adjuvants inokurudzirwa kudzorera basa rakakodzera rechiropa.


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