Cholestasis akazvitakura: zviratidzo, kurapwa, kudya

Hazvina chakavanzika panguva pamuviri muviri mumwe mukadzi ruchiramba mutoro guru kwazvo. Uyezve, kunoshamisa hormone kuchinja kazhinji kunotungamirira kune dzimwe matambudziko. Mazuva obstetric tsika dzimwe nguva kunoitika nyonganyonga inonzi cholestasis akazvitakura. Pasina nenguva kurapa kwakadaro mamiriro anogona kuva ngozi mwana achikura uye muviri ramai.

Ndokusaka vanaamai vakawanda pamuviri kuziva mibvunzo pamusoro chii chaizvo chiri chirwere ichi uye nei zvinoitika. Ndezvipi huru zviratidzo? Chii kurapwa kupa mushonga ano? Pane nzira dzinoshanda muzvidzivirire? ruzivo urwu vachava kufarira vaverengi vazhinji.

Chii cholestasis?

Cholestasis pamuviri - chirwere icho pamwe dystrophic maronda ose chiropa munyama. Akadaro rwakavhunika kunoitika pamusoro yaitwa kuwedzera nehanya kuti hepatocytes zvepabonde mahormone, mwero izvo zvinosiyana zvikuru apo akatakura mwana. Mugumisiro izvi ndiko nokuvhiringidzirwa kwomuzvarirwo dzinotsanagura remafuta akawandisa muviri uye bile acids. Kazhinji, vakadzi vane chirwere chakadaro, kuchinja bile, uyewo disruptions mune chakaipa chokubuda bile, izvo naizvozvo kunokanganisa muviri wose.

Vanaamai vakawanda pamuviri nezvinoda chirwere chakadai. Asi regai pakarepo vakatya, nekuti kakawanda pamwe cholestatic hepatosis (aizivikanwawo chirwere) havagoni kukurira kuburikidza kuchinja mushonga pasina kukonzera zvakaipa kuti muviri mumwe mukadzi kana mwana.

Kupararira

Pakarepo zvinokosha kuziva kuti kutyora ichi zvechokwadi zvakajairika chaizvo mune dzimwe nyika. Somuenzaniso, maererano Statistical zvidzidzo muna dzekuma Scandinavia, China, Bolivia uye Chile nezvirwere zvakadai kutambudza pamuviri vanaamai vakawanda. Asi muna Sweden musi 10 000 vakadzi vane pamuviri pamusana hapana anopfuura 40 zviitiko chirwere ichi.

On muganhu Russia cholestasis panguva pamuviri zviri nezvomunda dererei kuomesa - ayo maitikiro hakuiti pfuura 2%. The chete kunze ndiwo kumatunhu nyika, apo maperembudzi chirwere kakawanda kuchamhembe. Pachishandiswa mashoko aya, vaongorori vanoti mapoka pangozi zvinosanganisira urudzi mukadzi.

The kukonzera chirwere

Kutaura zvazviri, nhasi haisi kuzivikanwa kusvikira pakuguma, nei inokudziridza intrahepatic cholestasis akazvitakura. Pane zvakawanda dzidziso uye tsvakurudzo, kuburikidza iyo tinogona kusiyanisa mapoka makuru matatu zvinhu:

• vakawedzera aikanganiswa pamusoro hepatocytes kuboka dzepabonde mahormone, izvo imhaka nemagene unhu;
• tinozvarwa zvikanganiso zvenguva dzose kwetunhu makemikari, izvo zvinopa chokufambisa pamusoro bile zvinoumba kubva hepatocytes kupinda bile ducts;
• tinozvarwa zvikanganiso zvenguva dzose bile iine acid usage chokuita kushayiwa zvimwe makemikari. Uyewo, kwakadaro wenyonganyonga kunotungamirira kuti paumbwe atypical bile acids.

Zvinofanira kucherechedzwa kuti varwere vane majini kubatwa, kana vachiberekwa zvirwere cholestasis ari kuchengetwa kwete chete panguva pamuviri, asiwo shanduko ipi padanho pabonde mahormone (somuenzaniso, panguva yekutevera, kushandiswa nemumuromo nhumbu).

The pathogenesis pamusoro cholestasis. Chii chinoitika munguva chirwere?

Cholestasis pamuviri achabatsirwa mikuru kutyorwa matatu:

• kukwidza padanho bile zvinoumba muropa;
• kuderera kwemitambo secretion muna ura;
• chepfu migumisiro bile ari chiropa masero uye biliary ducts.

Nokuvhiringidzirwa inowanzotorwa kwetunhu uye water drainage kuti mvura zvinoberekwa chiropa, nokuda unopinza kuwedzera huwandu pakati progesterone uye inonzi estrogen. Kuchinja kwakadaro hormone kuderedza kwomuzvarirwo kufamba bile, kunyange zvakajairika pamuviri. Uye kana pane ngozi pakupona chinopedza kuchinja ari Sefa muviri yekudyidzana ichiwedzerwa. Mukuwedzera, zvakawandisa mahormone chokuita pituitary shwanu, achidzikisa kwayakaita. Uyewo, kuchinja basa shwanu ichi chinobata muitiro mokusvinwa chiropa bilirubin uye remafuta akawandisa. Izvi zvinotungamirira nokuvhiringidzirwa pakati zvigadziriswe pakati inotungamirwa uye secretion kuti bile.

kupatsanura zvirwere

To musi, pane zvakawanda mugadziriro kupatsanura pakati nyonganyonga. Somuenzaniso, zvichienderana kwokuomerwa zviratidzo, secrete munyoro, mwero uye yakanyanya siyana chirwere.

By hunhu Rwako cholestasis anogona kunge chakasimba kana chirwere (dzichiri exacerbation echirwere chirwere pamusoro pakanyorwa pamuviri). Zvichienderana etiology kusiyanisa extrahepatic (yakatanga muchimiro mhingaidzo zviri bile ducts) uye intrahepatic cholestasis (izvi chimiro kunoitika vakadzi vane pamuviri).

Cholestasis pamuviri; zviratidzo uye zviratidzo

Chero yakatsauka kubva ndozvakajairwa iyi youpenyu zvinoda rokuongorora uye mazano nachiremba. Saka sokunge cholestasis akazvitakura?

Zviratidzo kazhinji anotanga nedambudziko trimester rechitatu (28-35 mavhiki.). The chikuru nekuratidza chirwere riri pruritus, uye muve kunosiyana inosiyana zvakaoma. Vamwe varwere kushivirira kutyora ichi nyore, apo vamwe vanotambura rusingaperi, zvinorwadza kusagadzikana.

Kuvaviwa hunowedzera raidudzwa usiku, zvichiguma atadze kurara uye ukuwo, kugara kuneta, kushatirwa, manzwiro zvirwere. Kakawanda kunzwa iri mupasi paganda maoko, emberi, makumbo, uye Anterior abdominal rusvingo. Cholestasis pamuviri (mapikicha ayo akapa vanachiremba Directories) zvichitungamirira excoriation ganda, somukadzi kuvakuvadza nokuda rusingaperi scratching.

Nokuti zvimwe zviratidzo zviri chirwere zvinosanganisira jaundice. Maererano Statistical zveBhaibheri, zvakadai nyonganyonga iri kuchengetwa 10-20% yevakadzi. Kazhinji, zvose zviratidzo inonyangarika hwavo mukati memasvondo 1-2 aberekwa. Kunyange zvakadaro, vanogona kuva atangazve pamusoro pakanyorwa nekutambira hormone kukundikana (somuenzaniso, panguva yechipiri pamuviri).

Basic nzira nechirwere

In pamberi chero abnormalities hwobva kubvunza chiremba. First nyanzvi kuunganidza wezvokurapa nhoroondo kwakakwana uye hwomuviri bvunzo. Vamwe vakadzi, izvozvo zvinogona kucherechedzwa chiduku jaundice uye maitiro staining of sclera maziso. Kana ukatarira ganda ungacherechedza akatsvuka, abrasions anokonzerwa scratching ganda.

zviratidzo zvose izvi zvinoratidza kuti murwere anogona kuva cholestasis akazvitakura. Inoongorora of wevasungwa pakati serum bile acids vanogona kusimbisa nokufungirana kuvapo zvinetso zviri chiropa. Panewo zvidzidzo zvakasiyana-siyana pamusoro nokukanganisika kugutsikana uye basa chiropa makemikari. Uyewo kuratidzwa Ultrasound umo ona kuwedzera nduru dundira pamwe kwomuzvarirwo chiropa saizi uye rekuchikoro echogenicity.

chirwere kungaguma mamwe nemamwe matambudziko?

Mazuva okurapa kazhinji nechinetso rinonzi cholestasis akazvitakura. Zviine ngozi akadaro ezvinhu? Zvechokwadi, hungu. Kunyange zvazvo zvose kunoenderana kwokuomerwa ari pathological muitiro, chirwere nguva akasarudza marapirwo uye t. D.

Kunyange zvakadaro, ngozi nguva dzose. Kukanganisa dzidzo uye kubviswa bile rinokanganisa metabolic kwendangariro. Yakadaro yakakwirira ndingangokuvara chirwere rokusamhanyira pakuberekwa. Mukuwedzera, chikamu postpartum chokubuda pakati pavakadzi aine chirwere chakadai zviri yepamusoro zvakare, nokuda muviri vhitamini K uye zvimwe coagulation zvinhu.

Kana zvakakomba malfunctions chiropa pane ngozi fetus rufu, saka dzimwe nguva, vanachiremba vanoti pakarepo pakusununguka.

Drug kurapa panguva pamuviri

Treatment kunobva kwokuomerwa chirwere uye munhu murefu maitiro. Kazhinji kutanga taurira mishonga gepatoprotektory kuti achengetedze chiropa kubva zvakakanganisika uye regai kukuvadza kumuviri. Somuenzaniso, "Hofitol" pamwe cholestasis pamuviri kunopa zvibereko zvakanaka. Uyezve, kushandisa "Gepabene" rinoshandiswa mushonga.

Kuwedzera miriwo zvinodhaka anoshandiswa uyewo chakaita zvokugadzirwa hepatoprotectors zvikurukuru "Ademethionine". Sezvo antioxidants nepamuviri ushandiswe tocopherol acetate (vhitamini E) uye ascorbic asidhi (vhitamini C). Mukuwedzera, runodiwa kugamuchirwa ehnterosorbentov nokuda tichisunga zvakawandisa bile acids ari ura. Efficacy uye kuchengeteka mushonga anonzi "Polyphepan". The kurapa ine zvinodhaka kuti zviite aibuda bile uye kuderedza nenhanho bile acids muropa. Zvikurukuru, kushandisa mishonga ine ursodeoxycholic acid, semuenzaniso "Ursosan".

Cholestasis pamuviri: kurapa zvinodhaka rinoreva

Kuwedzera zvinodhaka, vakashandisa vamwe kuchirapa kurapa. Zvikurukuru, vakadzi vane pamuviri vari kazhinji ushandiswe mararamiro plasmapheresis uye hemosorption. Matanho aya akagadzirirwa kubvisa bilirubin kubva ropa uye zvakawandisa pruritogenov anokonzera kuvaviwa. bata kwakadaro kunopa Somugumisiro zvechokwadi yakanaka. A kosi izere kurapwa Kazhinji inoumbwa zvina plasmapheresis kurapa uye mumwe hemosorption.

Kudya kwakakodzera - chinokosha kurapa

Chokwadi, pashure nechirwere, chiremba achasarudza inonyatsobudirira uye isingakuvadzi kurapa. Asi hapana zvisinganyanyi kukosha chikamu kurapwa zvokudya. Kana cholestasis pamuviri anofanira kutanga kuzvitarisira zvokudya, izvo kuchaderedza mutoro pamusoro chiropa.

Varwere vakanga rakurudzira kuti kuderedza uwandu kwemafuta mhuka. Kunyanya, vanofanira kupedza kudyiwa mafuta nyama, ruomba, dheri zvigadzirwa. Unofanirawo kuramba mayonnaise, sauces uye zvakakangwa zvokudya. Sezvo mafuta zvichiri kudiwa kuti chakaipa kukura ari mudumbu, kushaikwa ravo zvinogona kudziviswa nokudya miriwo nyaya (mafuta omuorivhi, uye zvichingodaro. D.).

Chinonziwo contraindicated rwegirini tii, kofi uye zvinwiwa cholagogue. Nyanzvi vanokurudzira kutora nguva kubva mazai, maorivhi, bhinzi, yekotapeya, pickled zvigadzirwa, radish, vise, ruvara uye kweBrussels inomera.

The Kudya inofanira asi yakazara mavhitaminzi uye zvicherwa, izvo zvinogona kuwanwa kubva michero nemiriwo - vanofanira kuva hwaro zvokudya. Kubvumirwa kunwa Porridge, hove, wakawondereiko kudai nyama. Kubatsira vari zvigadzirwa ane yakakwirira mishonga vhitamini C, zvikurukuru maranjisi, sipinachi, parsley, muto kubva muhudyu t. D. Eating vanoda kazhinji asi zvikamu zviduku. Zvinokoshawo kuramba mvura mvura nechiyero.

Pane inoshanda matanho?

Vakadzi vazhinji dzinofarira mibvunzo pamusoro kana tinogona zvimwe kudzivirira cholestasis akazvitakura. Zvinosuruvarisa hapana zvokushandisa anogona kudzivirira pamusoro kutyorwa akadaro. Naizvozvo, varwere vari pangozi, Zvinokurudzirwa nokungwarira zvichiongororwa yose pamuviri.

Kunyange asati pakuonekwa zviratidzo vakadzi vakanzi kugamuchira nyoro hepatic aidzivirira, antioxidants uye choleretic wokutanga. Chinhu zvikuru kutevera zvakarurama kudya. Uye, chokwadi, amai vanepamuviri vanofanira kumbotambudzika nguva bvunzo uye miedzo zvakaitika sezvo uchapa mukana kuziva abnormalities yekare kare yemagwaro.

How kukunda zviratidzo? rutsigiro varwere

Vakadzi vazhinji nezvinoda chirwere kuti "cholestasis akazvitakura." Reviews wevarwere kunoratidza kuti kurapa anotibatsira kubvisa kutyorwa uye kuchengetedza mudumbu utano. Kunyange zvakadaro, kugara kuvaviwa yekudyidzana kunokanganisa huri upenyu.

Rwisa kunzwa ichi uchishandisa chinokosha anorumanya. Somuenzaniso, lotions nezvifukidziro kubva muto chamomil kana oatmeal rubatsiro kubvisa kunetseka, uyewo kunobatsirawo pakuonekwa ganda, kuderedza kuzvimba. Kunobatsirawo lotions ose nyore mvura inotonhorera, nokuti tembiricha yakaderera DZEMUNHU DZINODZORA ropa aibuda, nokuderedza kuvaviwa. Varwere vanotiwo vakarara ventilated, nzvimbo inotonhora uye, chokwadi, vachinyatsoongorora kutevera zvokudya.