Matšoao a cholestasis, phumano lona le kalafo

Cholestasis bitsoa tlōla bile phallo e loketseng ho haelloa ke sebopeho lona ka lisele tsa tsona li sebete, kapa qetello ea outflow ea ducts bile.

Khetholla cholestasis intrahepatic le extrahepatic. Intrahepatic cholestasis develops ha lisele tse sebete senngoa ke tšoaetso e bongata ba kokwanahloko, lithethefatsi le nang le chefo e mo ntša kotsi sebete, ho akarelletsa le joala. ntša kotsi lithethefatsi sebete o ile a re ka nako ya nako e telele ea lithibela-mafu, ho akarelletsa le-ba khahlanong le lefuba le-ba khahlanong le a hlabang, hormonal kapa lithethefatsi psychotropic. Chefo lefu sebete bakang tšepe e boima, benzene le derivatives lona, hydrocarbons le chloride le. Maemong a mang, lisosa tsa intrahepatic cholestasis ba sa tsejoeng. Ena e sebetsa ho boemo ba motho ba kang cholestasis ea bokhachane.

Ka lebaka leo, ho senya lisele tsa sebete sitisa bile secretion, reabsorption, le secretion ea mokelikeli ka bile canaliculi.

Extrahepatic cholestasis le hlaha ka lebaka la ho ba teng ha obstruction phetha molao le phallo ea bile. Sena se etsahala ha calculous cholecystitis, a hlobaetsang le pancreatitis, lihlahala pancreatic, 'me hlooho biliary pampitsana.

Ntle le mafu tsena, matšoao cholestasis ka ho ketekoa ka mafu alejiki, systemic diso soedinitelnoytkani, itseng mafu endocrine.

The litleleniki tsa setšoantšo sa cholestasis

matšoao a subjective tsa cholestasis ikemiselitse nakong qoqa le mokuli. Mokuli o tletleba ka ya omile le o utloileng bohloko ka molomo oa, haholo-holo le bitsoa hoseng, bohloko kapa ba le boikutlo bo boima ka tokelo quadrant holimo. Ka hlahloba mokuli a senola icteric letlalo coloration le lera la mucous, e leng e tsamaea le pruritus matla. Ponahalo ea pruritus amanang le phello khopisa ba bilirubin, boemo ba leng eketsa ka tsela e hlollang ka ho cholestasis. Puo ea mokuli e koahetsoe ke barbotage yellowish ka bohale ba leleme hlaha imprints tsa meno, ho thoeng scalloped leleme. Ka palpation sebete bohloko, e hlaheletseng ho tloha tlasa khoro costal. Hlaloswang ka positive, le matšoao a Ortner (soreness ha ile ka kokota: ka lehlakoreng le letona costal khoro), Kerr letšoao (bohloko ka palpation sebakeng seo sa boqapi ba ea gallbladder le). A tsobotsi bath e discolored mantle le lefifi moroto.

Clinical matšoao a cholestasis tse tloaelehileng ka ho lekaneng. Di go tlaleletswa ke ya data lipatlisiso.

Matšoao a cholestasis ka and analysis skeletal mali - ho eketseha ha ho toba bilirubin dikahare tsa acid bile le k'holeseterole e phahameng, alkaline phosphatase mosebetsi. Ka urinalysis ikemiselitse bile acid e, boemo bo phahameng ba urobilin.

kalafo ya cholestasis

Kaha cholestasis e bontshang matshwao feela, ho ba teng ha tseo ho ka etsahala ka mafu a mangata, kalafo lokela ho ho phethahatsoa feela ka mor'a phumano ya lefu se ipatileng.

Haeba pele cholestasis, kalafo lokela ho ho qala ka ho kgethwa ha lijo ka. Bakuli ba bontša ho ja ka palo 5. Kgetho ya lijo ka sepheo tekanyong e lebetsoeng le tsa halefisa litla ka sebete.

phekolo ea lithethefatsi e ho khethoa e amanang le sebete, lithethefatsi cholagogue, antispasmodics. Ka tsela e atlehang ho khethoa ho phekola ka litlama. Ka cholestasis ka sebelisa moro immortelle lehlabathe, stigmas poone, rosehips. Ho thibela ntshetsopele ya cholestasis, ho tlwaelegileng a sa outflow sa bile e sebediswa intubation foufetseng, tšebeliso ea eo e thibetsoe ka ho ba teng ha kgolo majoe gallbladder le.

Thibelo ea cholestasis ke tepelletse maikutlong, mathoasong a le kalafo ea mafu a ba sebete 'me pampitšana biliary.