Mgbaàmà nke cholestasis, ya na ịgwọ

Cholestasis akpọ a mebiri nke bile eruba n'ihi enweghị ya guzobere na imeju mkpụrụ ndụ, ma ọ bụ nchupu nke outflow nke opi mgbailu.

Ịmata Ọdịiche cholestasis intrahepatic na extrahepatic. Intrahepatic cholestasis amalite mgbe imeju mkpụrụ ndụ mebiri site a malitere ịrịa ọrịa, ọgwụ ọjọọ na-egbu egbu imeju ọjọọ, tinyere mmanya. Drug imeju mmerụ hụrụ n'oge ogologo oge nke ọgwụ nje, gụnyere ọgwụ mgbochi-TB na mgbochi mkpali, mmiri ọgwụ ma ọ bụ psychotropic ọgwụ ọjọọ. Na-egbu egbu ọrịa imeju na-eme ka arọ ọla, benzene na-eji ya emepụta, hydrocarbons na chlorine. Mgbe ụfọdụ, ndị na-akpata nke intrahepatic cholestasis nke na-amaghị ama. A na-emetụta a ọnọdụ ndị dị otú ahụ dị ka cholestasis nke afọ ime.

N'ihi ya, mmebi nke imeju mkpụrụ ndụ akwusila bile secretion, reabsorption, na secretion nke ọmụmụ n'ime bile canaliculi.

Extrahepatic cholestasis emee n'ihi ọnụnọ nke n'ibu mgbochi eruba n'ime bile. Nke a pụtara mgbe calculous cholecystitis, nnukwu pancreatitis, pancreatic etuto ahụ, na isi biliary tract.

E wezụga ndị ọrịa, cholestasis mgbaàmà pụrụ hụrụ na anabata ọrịa, systemic ọnya soedinitelnoytkani, ụfọdụ endocrine ọrịa.

The adakarị foto nke cholestasis

Nke onye mgbaàmà nke cholestasis kpebisiri ike n'oge a mkparịta ụka na-enwe ndidi. Onye ọrịa ọdọhọde nke nkụ na obi ilu dị n'ọnụ, karịsịa akpọ ụtụtụ, ihe mgbu ma ọ bụ mmetụta nke arọ na nri elu quadrant. On nyochaa onye ọrịa kpughere icteric akpụkpọ coloration na mucous membranes, nke na-esonyere ufiop pruritus. Ọdịdị nke pruritus jikọtara mgbakasi mmetụta nke bilirubin, larịị nke nke enwekwu n'ụzọ dị egwu na cholestasis. Language onye ọrịa na-kpuchie site acha mkpuchi na nsọtụ nke ire-egosi imprints nke ezé, a na-akpọ scalloped ire. On palpation imeju na-egbu mgbu, protruding si n'okpuru costal njiko. Kọwaa site mma mgbaàmà Ortner (soreness mgbe tapped na nri costal njiko), Kerr mgbaàmà (mgbu na palpation na saịtị nke ntule nke gallbladder). A mara mma a na-discolored na nsị na ọchịchịrị mmamịrị.

Clinical mgbaàmà nke cholestasis bụ ahụkarị ezuru. Ha na-complemented research data.

Mgbaàmà nke cholestasis na Biochemical analysis of ọbara - abawanye nke kpọmkwem bilirubin ọdịnaya nke bile asịd na cholesterol, elu alkaline phosphatase ọrụ. Na urinalysis kpebisiri bile acid, a elu larịị nke urobilin.

ọgwụgwọ nke cholestasis

Ebe ọ bụ na cholestasis bụ naanị symptomatic, ọnụnọ nke na ọ bụ na o kwere omume na ọtụtụ ọrịa, ọgwụgwọ kwesịrị rụrụ nanị mgbe a nchoputa nke kpatara ọrịa.

Ọ bụrụ na mepụtara cholestasis, ọgwụgwọ a ga-malitere na nhọpụta nke a nri. Ọrịa na-egosi a na-eri nọmba 5. oge akara aka nke a na-eri na-iji na kacha ịgba nke iwe na mmetụta na-imeju.

Drug ọgwụ bụ nhọpụta hepatic, cholagogue ọgwụ ọjọọ, antispasmodics. Ọma nhọpụta nke herbal na nkà mmụta ọgwụ. Na cholestasis nwere ike iji efere immortelle aja, ọka stigmas, rosehips. Iji gbochie mmepe nke cholestasis, na normalisation nke outflow nke bile na-eji ìsì intubation, ojiji nke nke na-aju n'iru nnukwu nkume na gallbladder.

Prevention of cholestasis bụ n'oge na ịgwọ ọrịa imeju na biliary tract.