Izimpawu cholestasis, uphethwe yayo kanye nokwelashwa

Cholestasis ngokuthi ukuhlukumeza of Bile ukugeleza ngenxa yokuntuleka lasungulwa kumaseli isibindi, noma ekuvalweni kwe-outflow ka Bile mapayipi.

Hlukanisa cholestasis intrahepatic futhi extrahepatic. cholestasis Intrahepatic eba lapho amaseli isibindi kabana igciwane lohlobo lwe, izidakamizwa kanye anobuthi isibindi ukulimala, okufaka utshwala. Izidakamizwa isibindi ukulimala waphawula phakathi kwesikhathi eside ngokwanele kwemithi elwa namagciwane, kuhlanganise elwa ne-TB futhi eqeda ukuvuvukala, ama-hormone noma izidakamizwa psychotropic. Toxic isifo sesibindi okubangela izinsimbi ezisindayo, benzene nemikhiqizo yalo, hydrocarbon chlorine. Kwezinye izimo, izimbangela zezinkumbulo cholestasis intrahepatic ka engaziwa. Lokhu kusebenza futhi isimo ezifana cholestasis yokukhulelwa.

Ngenxa yalokho, ukonakala amaseli isibindi iphazamiseke Bile uketshezi, reabsorption, futhi uketshezi oluthile loketshezi phakathi canaliculi Bile.

cholestasis Extrahepatic kwenzeka ngenxa yokubakhona isimiso mechanical ukugeleza Bile. Lokhu kwenzeka uma cholecystitis calculous, pancreatitis acute, izimila pancreatic, futhi ikhanda biliary ipheshana.

Ngaphandle lezi zifo, izimpawu cholestasis kungabonakala nasemkhakheni izifo umzimba uxabane nawo, letindzala izilonda soedinitelnoytkani, izifo ezithize endocrine.

Lwasemtholampilo isithombe cholestasis

izimpawu ezikhathazayo ka cholestasis kunqunywa ngesikhathi ingxoxo isiguli. Isiguli ekhononda ka ukoma futhi umunyu umlomo, ikakhulukazi liphinyiselwe ekuseni, ubuhlungu noma umuzwa ukusinda ilungelo quadrant engenhla. On luhlolo isiguli wembula icteric isikhumba coloration kanye nolwelwesi lwamafinyila, okuyinto kuhambisana pruritus okukhulu. Ukubukeka pruritus elihlobene ne umphumela kuyacasula ka bilirubin, lizinga okwandisa kakhulu e cholestasis. Ulimi isiguli imbozwe enamathela aphuzi onqenqemeni nolimi avele imprints amazinyo, okuthiwa scalloped ulimi. On palpation kwesibindi ubuhlungu, athé ngaphansi lwaleli costal. Kuchazwe omuhle izimpawu Ortner (soreness lapho uthephwe ngakwesokudla lwaleli costal), Kerr uphawu (ubuhlungu palpation endaweni projection we gallbladder). Sici sici ezishintshe umbala indle kanye nomchamo amnyama.

izimpawu zokwelashwa cholestasis ayisibonelo ngokwanele. Basuke kwahambisana by idatha ucwaningo.

Izimpawu cholestasis ekucubunguleni kwamakhemikhali kwegazi - nesanda bilirubin okuqukethwe ngqo of Bile acid cholesterol ephezulu ane-alikhali phosphatase umsebenzi. Ngo urinalysis kunqunywa Bile acid, ezingeni lelisetulu urobilin.

ekwelapheni cholestasis

Njengoba cholestasis siyefana kuphela, khona lapho kungenzeka e izifo eziningi, ukwelashwa kufanele kwenziwe kuphela ngemva sitholakele isifo ecashile.

Uma athuthukile cholestasis, ukwelashwa kufanele uqale nge ukuqokwa Ukudla. Iziguli ukukhombisa ukudla inombolo 5. Ukuqokwa ukudla okuhloswe ngaso kumkhawulo omkhulu kuyacasula imiphumela kwesibindi.

ukwelashwa iyona hepatic aphoyintimenti, izidakamizwa cholagogue, antispasmodics. Ngokuphumelelayo ukuqashwa kukaNksz imithi herbal. Ngo cholestasis angasebenzisa umhluzi immortelle sandy, corn stigmas, rosehips. Ukuvimbela ukuthuthukiswa cholestasis, lo ukuzinza of outflow ka Bile isetshenziswa intubation abayizimpumputhe, ukusetshenziswa okuyinto kungavunyelwe khona enkulu amatshe e-gallbladder.

Ukuvimbela cholestasis kuyinto ekuhlonzweni nasekwelashweni kwezifo kwesibindi kanye ipheshana biliary.