Ọrịa ọgbụgba

General nkọwa nke ọrịa

Ọ bụ usoro ọgwụgwọ nke sitere na mmebi nke njikọ na ịba ụba nke bile n'ime duodenum. A na - achọpụta ọrịa a kwa afọ na okwu 10 na 100 mmadụ niile. Ihe ndị ọzọ nwere ike ime cholestasis bụ ụmụ nwoke gafere akara afọ 000, yana ụmụ nwanyị n'oge ime ime^[4]Ndị buru ibu buru ibu bụ́ ndị na-ahọrọ ibi ndụ otú ha si arụ na-enwekarị cholestasis.

Ihe na-akpata cholestasis

Igha nke bile nwere ike ịkpasu ọtụtụ ihe, nke enwere ike kewaa n'ime otu 2. Intrahepatic ihe gụnyere:

• mmebi imeju n'ihi ịṅụbiga mmanya ókè;
• congenital metabolism metabolism: tyrosinemia, galactosemia;
• afọ ime;
• cirrhosis nke imeju;
• akwara ndị na-emepeghị emepe nke gallbladder;
• ịba ọcha n'anya;
• nsị ọbara;
• nkụda obi;
• imebi imeju n'ihi ị medicinesụ ọgwụ hepatotoxic;
• imebi emebi nsị na nsi;
• nsogbu endocrine - hypothyroidism;
• adịghị mma chromosomal.

Ihe ndi ozo:

• ọrịa gallstone;
• ihe ojoo ojoo nke pancreas na imeju;
• helminthiasis;
• cysts ke bile ducts;
• pancreatitis;
• Ọrịa Caroli, nke nwere mmụba nke eriri afọ bile;
• imeju ụkwara nta.

Cholestasis mgbaàmà

Ogologo nke ihe ịrịba ama nke cholestasis siri ike na-adabere na ogbo na oge nke ọrịa ahụ. Ihe mgbaàmà kachasị nke cholestasis bụ ndị a:

1. 1 ihe ịrịba ama kachasị nke nsonụ bile bụ itching nke anụ ahụ, ọ na-egbu mgbu nke ukwuu n'abalị na n'oge mgbụsị akwụkwọ-oge oyi. Ọkpụkpụ ọtụtụ ihe na-eme n'ahụ onye ọrịa^[3];
2. 2 jaundice - nsị nke akpụkpọ anụ mucous na akpụkpọ ahụ na agba odo adịghị eme na mmalite nke mmepe nke cholestasis, mana mgbe obere oge;
3. 3 nsogbu ndozi, dị ka: ume ọkụ, ọgbụgbọ na nsị, agba nsị, enweghị ndidi na nri mara abụba;
4. 4 gbasara akụrụ;
5. 5 enweghị agụụ na ọnwụ ọnwụ;
6. 6 mgbu na hypochondrium ziri ezi;
7. 7 hyperpigmentation nke anụ ahụ;
8. 8 okike ichikota nkume n’ime gallbladder na n’ime ahihia ahihia;
9. 9 hypovitaminosis, na nsonaazụ ya, enweghị ọhụụ.

Ihe mgbagwoju anya nke cholestasis

Cholestasis nwere ike ịbụ ihe fọrọ nke nta ka ọ bụrụ na ọ bụ mgbaàmà ogologo oge. Otú ọ dị, ọgwụgwọ oge na-adịghị mma nwere ike ibute nsogbu ndị a:

• ọbara ọgbụgba - n'ihi ụkọ vitamin K;
• malfunctions nke imeju ruo na imeju imeju;
• cirrhosis nke imeju, bụ nke anụ ahụ nwere njikọ jikọtara iji dochie anụ ahụ imeju dị mma;
• mbelata nhụcha anya n'ọchịchịrị na chi jiri n'ihi ụkọ vitamin A;
• ọrịa ogbu na nkwonkwo;
• guzobe nkume na gallbladder na mmepe nke cholangitis;
• hemolopia.

Mgbochi nke cholestasis

Iji gbochie mmepe nke cholestasis, ọ dị mkpa iji chọpụta oge na ịgwọ ọrịa nke akụkụ eriri afọ, yana:

1. 1 site n’oge ruo n’oge iji mepụta nsị;
2. 2 debe ụkpụrụ nke nri kwesịrị ekwesị;
3. 3 mmega ahụ n'ụzọ kwesịrị ekwesị;
4. Dị usoro ọrụ ọzọ na ezumike;
5. 5 ịjụ ịkpa àgwà ọjọọ;
6. 6 2-3 ugboro n'afọ iji mepụta usoro ọgwụgwọ vitamin;
7. 7 na mbufụt nke gallbladder, were mmiri ọgwụ ọgwụ;
8. 8 drinkụọ ọ dịkarịa ala lita 2 nke mmiri mmiri kwa ụbọchị.

Ọgwụgwọ cholestasis na isi ọgwụ

Usoro ọgwụgwọ nke ọrịa a bụ nke mbụ, iji wepụ ihe ndị kpatara iwe ya, dịka ọmụmaatụ:

• ịkwụsị oriri ọgwụ na-egbu egbu;
• iwepu nkume na gallbladder;
• mwepụ nke etuto ọjọọ na pancreas, imeju na gallbladder;
• nsị;
• ọgwụgwọ urolithiasis.

Iji luso itching nke anụ ahụ, a na-eji glucocorticosteroids, nke na-ebelata ọkwa bilirubin. Ọzọkwa, a na-ewere antihistamines iji kpochapụ itching. Enwere ike ị nweta nsonaazụ dị mma site na ịme usoro irradiation nke ultraviolet. Maka enyemaka nke ọrịa hemorrhagic, ọgwụ ndị nwere vitamin K ka edere.

Anszọ nke ursodeoxycholic acid na-echebe ma weghachite mkpụrụ ndụ imeju, ma wepụkwa nsị na ahụ.

Ige nti!

Gọọmentị anaghị ahụ maka mbọ ọ bụla iji ozi ahụ enyere, yana anaghị ekwe gị nkwa na ọ gaghị emerụ gị ahụ n'onwe gị. Enweghị ike iji ihe ndị ahụ kọwaa ọgwụgwọ ma mee nchoputa. Gaa dọkịta gị mgbe niile!