{"id":359,"date":"2021-11-20T11:20:39","date_gmt":"2021-11-20T11:20:39","guid":{"rendered":"https:\/\/haymorit.com\/?p=359"},"modified":"2021-11-30T07:35:10","modified_gmt":"2021-11-30T07:35:10","slug":"qaraciy%c9%99r-piyl%c9%99nm%c9%99si","status":"publish","type":"post","link":"https:\/\/haymorit.com\/qaraciy%c9%99r-piyl%c9%99nm%c9%99si\/","title":{"rendered":"Qaraciy\u0259r Piyl\u0259nm\u0259si N\u0259dir? \u018flam\u0259tl\u0259ri v\u0259 M\u00fcalic\u0259 \u00dcsullar\u0131 Hans\u0131lard\u0131r?"},"content":{"rendered":"\n
Qaraciy\u0259rin \u0259sas struktur elementi hepatositl\u0259r, y\u0259ni qaraciy\u0259r h\u00fcceyr\u0259l\u0259ridir. Qaraciy\u0259rin piyl\u0259nm\u0259sind\u0259 piyl\u0259r hepatositl\u0259rd\u0259 (sitoplazmada) damc\u0131 \u015f\u0259klind\u0259 toplan\u0131r. Mikroskop alt\u0131nda a\u011f yuvarlaq, oval k\u00fcr\u0259cikl\u0259r (makrovezik\u00fcll\u0259r) kimi g\u00f6r\u00fcn\u00fcr. Bu s\u0259b\u0259bd\u0259n, makrovezikulyar piyl\u0259nm\u0259 kimi m\u00fc\u0259yy\u0259n edilir. H\u00fcceyr\u0259l\u0259r \u015fi\u015fir, n\u0259tic\u0259d\u0259 qaraciy\u0259r b\u00f6y\u00fcy\u00fcr. Normal qaraciy\u0259rd\u0259 bu ya\u011f damc\u0131lar\u0131 hepatositl\u0259rin 5%-d\u0259 g\u00f6r\u00fcn\u0259 bil\u0259r. Daha \u00e7ox (5%) qaraciy\u0259r ya\u011flanmas\u0131 v\u0259 ya alkoqolsuz ya\u011fl\u0131 qaraciy\u0259r x\u0259st\u0259liyi (ADYLC) adlan\u0131r. <\/p>\n\n\n\n
Labrotar v\u0259 ya klinik simptomlar qaraciy\u0259r ya\u011flanmas\u0131n\u0131n nisb\u0259ti 30%-d\u0259n b\u00f6y\u00fck olduqda ba\u015f verir. Bunlar m\u00fcayin\u0259 v\u0259 ya ultras\u0259s (US) zaman\u0131 a\u015fkar edil\u0259n qaraciy\u0259r b\u00f6y\u00fcm\u0259sidir. US t\u0259r\u0259find\u0259n g\u00f6st\u0259ril\u0259n qaraciy\u0259r piyl\u0259nm\u0259 v\u0259 qanda ALT v\u0259 GTT kimi qaraciy\u0259r testl\u0259rind\u0259 orta d\u0259r\u0259c\u0259d\u0259 (normaldan 1-2 d\u0259f\u0259 aras\u0131nda) y\u00fcks\u0259lm\u0259l\u0259rdir. Bundan \u0259lav\u0259, bu x\u0259st\u0259l\u0259rd\u0259 \u00e7ox vaxt art\u0131q \u00e7\u0259ki, \u015f\u0259k\u0259rli diabet, hiperlipidemiya v\u0259 hipertoniya kimi bir v\u0259 ya bir ne\u00e7\u0259 yana\u015f\u0131 x\u0259st\u0259likl\u0259r olur. Mikrovezikulyar ya\u011flanmada ya\u011f daha ki\u00e7ik v\u0259 mikroskopda g\u00f6r\u00fcnm\u0259y\u0259n hiss\u0259cikl\u0259r \u015f\u0259klind\u0259dir. Bu v\u0259ziyy\u0259t daha az rast g\u0259linir v\u0259 b\u0259zi x\u00fcsusi hallarda (m\u0259s\u0259l\u0259n, hamil\u0259lik zaman\u0131 qaraciy\u0259rin k\u0259skin piyl\u0259nm\u0259si, valproat v\u0259 antiretrovirus preparatlar\u0131n q\u0259bulu n\u0259tic\u0259sind\u0259 qaraciy\u0259rin z\u0259d\u0259l\u0259nm\u0259si v\u0259 Reye sindromu) m\u00fc\u015fahid\u0259 olunur. <\/p>\n\n\n\n