Zviratidzo cholestasis, nechirwere chacho uye kurapwa

Cholestasis akadana kutyorwa bile kuyerera nokuda kwokushayiwa ayo inotungamirwa ari chiropa mumasero, kana kugumiswa kuti water drainage ose bile ducts.

Kusiyanisa cholestasis intrahepatic uye extrahepatic. Intrahepatic cholestasis hwapedyo apo chiropa masero damage akabatwa chirwere, zvinodhaka uye chepfu chiropa kukuvara, kusanganisira doro. Drug chiropa kukuvadzwa aona panguva kushandiswa kwemishonga inorwisa mabhakitiriya, kusanganisira Anti-TB uye Anti-anogumbura, hormone kana zvinodhaka psychotropic-refu. Hunokachidza chiropa chirwere anokonzera nesimbi inorema, benzene nezvinogadzirwa nomukaka, Mahydrocarbon kuiisa chlorine. Mune zvimwe zviitiko, zvinokonzera intrahepatic cholestasis ose zvisingazivikanwi. Izvi zvinoshandawo mamiriro akadai cholestasis akazvitakura.

Somugumisiro, kuvadza chiropa masero kwakakanganiswa bile secretion, reabsorption, uye secretion kuti mvura kupinda bile canaliculi.

Extrahepatic cholestasis kunoitika nokuda pamberi zvokuimba mhingaidzo aibuda bile. Izvi zvinoitika kana calculous cholecystitis, rikwanise pfungwa nomuviri zvemwana asati, pancreatic namamota, uye musoro biliary turakiti.

Kunze zvirwere izvi, cholestasis zviratidzo zvinogona kuonekwa sema zvirwere, systemic maronda soedinitelnoytkani, zvimwe zvirwere kwemakemikari anobudiswa.

The kunotoda mufananidzo cholestasis

Nyaya zviratidzo cholestasis akatsunga panguva kukurukura murwere. Murwere anonyunyuta kuti kuoma uye shungu mumuromo, kunyanya kutaurwa mangwanani, kurwadziwa kana kunzwa waziya zvakarurama repamusoro quadrant. On kuzviongorora murwere akazivisa icteric ganda dziberekane uye mucous membranes, icho pamwe zvakasimba pruritus. Chimiro pruritus chokuita kunovhiringidza mugumisiro bilirubin, pachiyero iyo anowedzera zvinoshamisa cholestasis. Language murwere rinosanganisira yellowish unhani pamupendero rurimi kuonekwa imprints kwemeno, unonzi scalloped rurimi. On palpation chiropa inorwadza, yakabudikira kubva pasi costal chematenga. Kunorondedzerwa akanaka zviratidzo Ortner (soreness apo akarova kurudyi costal chematenga), Kerr chiratidzo (marwadzo ari palpation pa nzvimbo fungidziro yacho gallbladder). A maitiro hazvisati zvave rakabuda ruvara mutsvina yadzo uye rima weti.

Clinical zviratidzo cholestasis anowanzoramba zvakakwana. Vari nechimwe tsvakurudzo Data.

Zviratidzo cholestasis ari nokukanganisika kuongorora ropa - zvibereko zvakananga bilirubin zviri bile acids uye remafuta akawandisa, yakakwirira alkaline phosphatase basa. In urinalysis tsunga bile acid, yakakwirira azvipire urobilin.

Mabatirwo cholestasis

Sezvo cholestasis ndiyo chete symptomatic, kuvapo izvo zvinoita mune hosha dzakawanda, kurapwa yaifanira chete pashure chirwere kuti pane chirwere.

Kana dzakabudirira cholestasis, kurapwa kunofanira vakatanga kugadzwa kudya. Varwere vanoratidza zvokudya nhamba 5. Kudomwa kudya zvainanga kufadza panogumira muchishungurudza migumisiro pamusoro chiropa.

Drug kurapa iri kugadzwa hepatic, cholagogue zvinodhaka, antispasmodics. Zvinobudirira kugadzwa yemakwenzi mushonga. In cholestasis anogona kushandisa muto immortelle jecha, zviyo stigmas, rosehips. Kudzivirira kukura cholestasis, ari normalization pamusoro water drainage pakati bile rinoshandiswa intubation bofu, kushandiswa iyo hakubvumidzwi pamberi guru matombo ari gallbladder.

Kudzivirira cholestasis riri mangwanani chirwere uye kurapwa zvirwere chiropa uye biliary turakiti.