Cov tsos mob ntawm cholestasis, nws mob thiab kev kho mob

Cholestasis hu ua ib tug ua txhaum ntawm cov kua tsib txaus vim tsis muaj nws tsim nyob rau hauv lub mob hlwb, los yog txiav ntawm lub outflow ntawm cov kua tsib ducts.

Paub qhov txawv cholestasis intrahepatic thiab extrahepatic. Intrahepatic cholestasis npaj thaum mob hlwb puas los ntawm ib tug kab mob, tshuaj thiab tshuaj lom lub siab raug mob, xws li haus dej cawv. Drug siab raug mob cai thaum lub sij hawm ntev-lub sij hawm siv tshuaj tua kab mob, xws li anti-TB thiab anti-inflammatory, hormonal los yog psychotropic tshuaj. Toxic daim siab mob ua heavy co, benzene thiab nws cov derivatives, hydrocarbons nrog chlorine. Nyob rau hauv tej rooj plaub, cov ua intrahepatic cholestasis tsis paub hais tias. Qhov no kuj siv rau ib tug mob xws li cholestasis ntawm cev xeeb tub.

Raws li ib tug tshwm sim, kev puas tsuaj rau lub siab lub hlwb cuam tshuam cov kua tsib secretion, reabsorption, thiab secretion ntawm kua rau hauv cov kua tsib canaliculi.

Extrahepatic cholestasis tshwm sim vim muaj cov neeg kho tshuab rhuav txhua lub khiav ntawm bile. Qhov no tshwm sim thaum calculous cholecystitis, mob pancreatitis, pancreatic hlav, thiab lub taub hau biliary ib ntsuj av.

Dhau li cov kab mob, cholestasis cov tsos mob yuav tsum tau cai nyob rau hauv kev tsis haum cov kab mob, mauj txhab soedinitelnoytkani, tej endocrine kab mob.

Cov soj ntsuam daim duab ntawm cholestasis

Subjective tsos mob ntawm cholestasis txiav txim thaum lub sij hawm sib tham nrog tus neeg mob. Tus neeg mob yws ntawm dryness thiab bitterness nyob rau hauv lub qhov ncauj, tshwj xeeb yog cov lus hais nyob rau hauv thaum sawv ntxov, mob los yog ib tug kev xav ntawm heaviness nyob rau hauv txoj cai qaum quadrant. Nyob rau kev soj ntsuam ntawm tus neeg mob qhia icteric daim tawv nqaij coloration thiab qog ua kua week, uas yog nrog los ntawm khaus pruritus. Cov tsos ntawm pruritus txuam nrog rau kev puas ntsoog cov nyhuv ntawm bilirubin, cov theem ntawm uas tsub kom dramatically nyob rau hauv cholestasis. Lus ntawm tus neeg mob yog them los ntawm yellowish txheej nyob rau ntawm ntug ntawm tus nplaig tshwm sim imprints ntawm cov hniav, ib tug thiaj li hu ua scalloped tus nplaig. Nyob rau palpation lub siab mob heev, protruding los ntawm nyob rau hauv lub costal koov. Txhais los ntawm zoo cov tsos mob Ortner (hnov mob thaum tapped rau hauv txoj cai costal koov), Kerr cov tsos mob (mob rau palpation ntawm qhov chaw ntawm lub projection ntawm lub gallbladder). Ib tug yam ntxwv feature yog sis tsuas kob quav thiab tso zis dub.

Soj ntsuam cov tsos mob ntawm cholestasis yog raug txaus. Lawv complemented los ntawm kev tshawb fawb cov ntaub ntawv.

Cov tsos mob ntawm cholestasis nyob rau hauv lub biochemical tsom xam ntawm cov ntshav - qhov kev nce rau ntawm ncaj qha bilirubin cov ntsiab lus ntawm cov kua tsib acids thiab roj uas txhaws taus, siab alkaline phosphatase kev ua si. Nyob rau hauv urinalysis txiav txim cov kua tsib acid, ib theem siab ntawm urobilin.

kev kho mob ntawm cholestasis

Txij li thaum cholestasis yog tsuas symptomatic, lub xub ntiag ntawm uas nws yog ua tau nyob rau hauv ntau cov kab mob, kev kho mob yuav tsum tau nqa tawm tsuas yog tom qab ib tug mob ntawm lwm tus kab mob.

Yog hais tias tsim cholestasis, kev kho mob yuav tsum tau pib nrog lub sij hawm ntawm ib tug khoom noj. Cov neeg mob qhia noj cov zaub mov tooj 5. sij hawm ntawm noj cov zaub mov aimed ntawm lub siab tshaj plaws tsis pub tshaj ntawm irritating los rau lub siab.

Tshuaj kho yog lub sij hawm hepatic, cholagogue tshuaj, antispasmodics. Zoo lub sij hawm ntawm herbal tshuaj. Nyob rau hauv cholestasis yuav siv broth immortelle zeb, pob kws stigmas, rosehips. Yuav kom tiv thaiv cov kev loj hlob ntawm cholestasis, lub normalization ntawm lub outflow ntawm cov kua tsib yog siv qhov muag tsis pom intubation, kev siv uas yog txwv tsis pub nyob rau hauv lub xub ntiag ntawm loj pob zeb nyob rau hauv lub gallbladder.

Kev tiv thaiv ntawm cholestasis yog kuaj pom thaum ntxov thiab kev kho mob ntawm cov kab mob ntawm daim siab thiab biliary ib ntsuj av.