Zvese Zvaunofanirwa Kuziva Nezve Cholestasis

Zvemukati

• Zviratidzo
• Zvinokonzera cholestasis
• Mishonga
• Zvirwere
• Cholestasis yekuzvitakura
• Zvinokonzera uye njodzi zviitiko
• Kuongorora
• Kurapa
• Outlook

Chii chinonzi cholestasis?

Cholestasis chirwere chechiropa. Izvo zvinoitika kana kuyerera kwe bile kubva pachiropa chako kwadzikira kana kuvharika. Bile inoyerera inogadzirwa nechiropa chako icho chinobatsira mukuzeya kwechikafu, kunyanya mafuta. Kana bile kuyerera ikashandurwa, zvinogona kutungamira mukuvaka bilirubin. Bilirubin pigment inogadzirwa nechiropa chako uye yakaburitswa kubva mumuviri wako kuburikidza nenyuchi.

Kune mhando mbiri dze cholestasis: intrahepatic cholestasis uye extrahepatic cholestasis. Intrahepatic cholestasis inotangira mukati mechiropa. Inogona kukonzerwa ne:

• chirwere
• hutachiona
• kushandisa zvinodhaka
• kusagadzikana kwemajini
• Mahormone mhedzisiro pane kuyerera kwe bile

Kubata pamuviri kunogona zvakare kuwedzera njodzi yako pachiitiko ichi.

Extrahepatic cholestasis inokonzerwa nechipingamupinyi chemuviri kune iyo ducts ducts. Blockages kubva kuzvinhu senge nduru, cysts, uye mamota zvinodzivirira kuyerera kwe bile.

Verenga pamusoro kuti udzidze zvakawanda nezve iyi mamiriro.

Zviratidzo

Ese ari maviri marudzi e cholestasis anokonzeresa iwo iwo iwo iwo zviratidzo.

• jaundice, inova yero yeganda rako uye yakachena yemeso ako
• weti yakasviba
• Chiedza chine ruvara
• kurwadziwa mudumbu mako
• kuneta
• kusvotwa
• kunyanya kuchenesa

Haasi munhu wese ane cholestasis ane zviratidzo, uye vanhu vakuru vane chisingaperi cholestasis isina chiratidzo.

Zvinokonzera cholestasis

Kuvharirwa kwemabhaira kunogona kukonzerwa nezvinhu zvinoverengeka.

Mishonga

Chiropa chako chinoita basa rakakosha mukugadzirisa mishonga. Mimwe mishonga yakanyanya kuomesa kuti chiropa chako chigadzirise kupfuura mimwe uye chepfu kuchiropa chako. Iyi mishonga inosanganisira:

• mamwe maantibhakitiriya, akadai se amoxicillin (Amoxil, Moxatag) uye minocycline (Minocin)
• vanabolic steroid
• mamwe nonsteroidal anti-inflammatories (NSAIDs), senge ibuprofen (Advil, Motrin IB)
• mishonga yekudzivirira
• mamwe antiepileptic zvinodhaka
• mamwe antifungal zvinodhaka
• mimwe mishonga inorwisa kurwara nepfungwa
• mimwe mishonga inorwisa mabhakitiriya

Iwe unofanirwa kugara uchitora mishonga sekurairwa, uye usamire kutora mishonga yakarairwa nachiremba pasina kutaura navo kutanga.

Zvirwere

Dzimwe hosha dzinopwanya kana kuzvimba kune ducts, zvichitungamira kune cholestasis. Mamiriro acho anosanganisira:

• hutachiona hunobva kuhutachiona hwakadai seHIV, hepatitis, cytomegalovirus, uye Epstein-Barr
• hutachiona hutachiona
• zvimwe autoimmune hosha, senge yekutanga biliary cirrhosis, iyo inogona kukonzeresa immune yako kurwisa nekukuvadza iyo bile ducts
• kusagadzikana kwemajini, senge chirwere chesero
• mamwe kanzura, senge chiropa uye gomarara repancreatic, pamwe nema lymphomas

Cholestasis yekuzvitakura

Intrahepatic cholestasis yekuzvitakura, inonziwo obstetric cholestasis, inofungidzirwa kuitika mu1 kusvika 2 nhumbu pa1 000 muUnited States. Chiratidzo chinowanzozivikanwa che "obstetric cholestasis" chiri kuchenesa pasina kumhanyisa. Izvi zvinokonzerwa nekuungana kwe bile acid muropa.

Iko kunhuwa kunowanzoitika mune yekupedzisira trimester yepamuviri. Inogona zvakare kuperekedzwa ne:

• jaundice
• zvituru zvakachenuruka
• weti yakasviba
• marwadzo emudumbu
• kusvotwa

Ona chiremba wako kana iwe uchinge uchinge uchinzwa kuve nepamuviri. Mimwe mishonga inopfuura-iyo-counter, senge antihistamines kana anti-itch makirimu ane cortisone, kazhinji haigone kurapa mamiriro aya uye inogona kukuvadza mwana wako asati azvarwa. Panzvimbo iyoyo, chiremba wako anogona kuraira zvinodhaka zvinobatsira nekunanzva asi hazvikuvadze mwana wako.

Zvinokonzera uye njodzi zviitiko

Cholestasis inoitika panguva yepamuviri inogona kuve nhaka nhaka. Kana amai vako kana hanzvadzi yako vaine mamiriro aya panguva yekuzvitakura, unogona kuve nenjodzi yekuwedzera zvakare yekuita obstetric cholestasis.

Kubata mahormone kunogona kukonzera izvi mamiriro. Izvi zvinodaro nekuti zvinogona kukanganisa yako gallbladder basa, ichibvumira bile kuvaka uye kuyerera pamusoro muropa rako.

Vakadzi vakatakura zvakawanda vari panjodzi yakanyanya yekubatira cholestasis.

Kuongorora

Chiremba wako anozobvunza mibvunzo nezve yako nhoroondo yezvokurapa. Iwe unenge uinewo bvunzo yemuviri. Kuongororwa kweropa kunogona kurairwa kuyedza enzymes yechiropa iyo inoratidza cholestasis. Kana zvabuda bvunzo zvisina kujairika, chiremba wako anogona kuraira bvunzo dzekufungidzira senge ultrasound kana MRI. Chiremba wako anogona zvakare kuita chiropa biopsy.

Kurapa

Nhanho yekutanga yekurapa cholestasis kurapa iyo yakakonzera chikonzero. Semuenzaniso, kana zvakatemwa kuti mishonga iri kukonzera mamiriro acho, chiremba wako anogona kukurudzira mumwe mushonga. Kana chipingaidzo senge nyuchi kana bundu riri kukonzera backup ye bile, chiremba wako anogona kukurudzira kuvhiyiwa.

Muzviitiko zvakawanda, obstetric cholestasis inogadzirisa mushure mekusununguka. Vakadzi vanogadzira obstetric cholestasis vanofanirwa kuongororwa mushure mekuzvitakura.

Outlook

Cholestasis inogona kuitika chero zera, uye mune zvese varume nevakadzi. Kudzoreredza zvinoenderana nekuti nyaya yacho yanga yakanyanya sei isati yatanga kuongororwa. Chimwe chinhu ndicho chikonzero chechirwere ichi uye kuti chingagone kurapwa sei. Semuenzaniso, nduru dzinogona kubviswa, izvo zvinonyanya kurapa chirwere. Kana mamiriro acho achikonzerwa nekukuvara kwechiropa chako, kupora kunogona kuoma.

Iwe unogona kuita zvishoma zvinhu kudzikisa njodzi yako kune cholestasis:

• Wana jekiseni rehepatitis.
• Usashandise doro zvisina kufanira.
• Dzivisa kushandisa zvinotandadza zvinopinza zvinodhaka.

Ona chiremba wako ipapo kana iwe uchifungidzira cholestasis. Kurapa kwekutanga kunogona kuvandudza mikana yako yekuzorora zvizere.