Zizindikiro za cholestasis, matenda ake ndi mankhwala

Cholestasis otchedwa kuphwanya ya ndulu otaya chifukwa cha kusowa mapangidwe ake maselo a chiwindi, kapena kuthetsedwa kwa outflow wa ducts ya ndulu.

Kusiyanitsa cholestasis intrahepatic ndi extrahepatic. Intrahepatic cholestasis kuyambika maselo chiwindi kuonongeka ndi tizilombo, mankhwala ndi poizoni choipa chiwindi, kuphatikizapo mowa. kuvulala mankhwala chiwindi anaona pa ntchito yaitali mankhwala, kuphatikizapo odana ndi TB ndi odana ndi yotupa, m'thupi kapena mankhwala psychotropic. Otani chiwindi matenda kuchititsa zitsulo, benzene ndi ena ofanana, chimasanduka ndi chlorine. Nthawi zina, zimene zimayambitsa intrahepatic cholestasis wa osadziwika. Izi imakhudzanso chikhalidwe monga cholestasis mimba.

Chifukwa, kuwonongeka kwa maselo chiwindi akusokoneza ya ndulu katulutsidwe, reabsorption, ndi katulutsidwe wa madzimadzi mu ya ndulu canaliculi.

Extrahepatic cholestasis kumachitika chifukwa kukhalapo cha kutsekeka makina otaya ya ndulu. Izi zimachitika pamene calculous cholecystitis, pachimake kapamba, zotupa pancreatic, ndi mutu biliary thirakiti.

Kuwonjezera matenda amenewa, matendawo cholestasis zingaoneke matenda awo sagwirizana, zokhudza zonse zotupa soedinitelnoytkani, matenda ena endocrine.

The matenda chithunzi cha cholestasis

matenda a m'maganizo a cholestasis anatsimikiza pa kucheza ndi wodwalayo. Wodwala anadandaula za dryness ndi kuwawa m'kamwa, makamaka kutchulidwa m'mawa, ululu kapena maganizo a kulemera mu lamanja nusu chapamwamba. Kuzionetsetsa wodwalayo anaulula icteric khungu coloration ndipo zimagwira ntchito zosiyanasiyana mucous, amene anatsagana ndi pruritus kwambiri. Maonekedwe a pruritus kugwirizana ndi zotsatira akutivutitsa wa bilirubin, mlingo wa amene kumawonjezera kwambiri mu cholestasis. Language wodwalayo ali ndi ❖ kuyanika chikasu m'mphepete mwa lilime kuoneka imprints wa mano, otchedwa scalloped lilime. Pa palpation chiwindi chowawa, chotuluka ku pansi pa Chipilala costal. Tanthauzo ndi zabwino zizindikiro Ortner (soreness pamene amapatutsidwa kumanja costal Chipilala), Kerr chizindikiro (ululu pa palpation pa malo ziyerekezo a ndulu ya). Mbali khalidwe ndi discolored ndowe ndi mdima mkodzo.

Matenda zizindikiro za cholestasis zikusonyeza zokwanira. Iwo lowonjezera ndi deta kafukufuku.

Zizindikiro za cholestasis mu kusanthula amuzolengedwa magazi - kuenjezera mwachindunji bilirubin zili zidulo ya ndulu ndi mafuta, mkulu zamchere phosphatase ntchito. Mu urinalysis anatsimikiza ya ndulu asidi, mkulu mlingo wa urobilin.

mankhwalawa cholestasis

Popeza cholestasis ndi symptomatic yekha, pamaso pa zomwe n'zotheka ku matenda ambiri, mankhwala ayenera kuchitidwa pokhapokha munthu matenda a matenda chimapangitsa.

Ngati anayamba cholestasis, mankhwala ayenera anayamba ndi poika chakudya. Odwala kusonyeza zakudya chiwerengero 5. Pangano la chakudya umalimbana malire pazipita mtima mmene chiwindi.

mankhwala ndi kusankhidwa kwa chiwindi, mankhwala cholagogue, MANKHWALA OLETSA VUTOLI. Mogwira poika mankhwala azitsamba. Mu cholestasis akhoza kugwiritsa ntchito msuzi immortelle mchenga, stigmas chimanga, rosehips. Pofuna kupewa chitukuko cha cholestasis, ndi normalization wa outflow wa ya ndulu ntchito intubation akhungu, ntchito imene ndikoletsedwa pamaso pa lalikulu miyala ndulu ya.

Kupewa cholestasis ndi matenda oyambirira ndi mankhwala a matenda a chiwindi ndi kapepala biliary.