Yonke into ekufuneka uyazi ngeCholestasis

Umxholo

• Iimpawu
• Oonobangela cholestasis
• Amayeza
• Izifo
• I-cholestasis yokukhulelwa
• Oonobangela kunye nemingcipheko
• Uxilongo
• Unyango
• Imbonakalo

Yintoni icholestasis?

ICholestasis sisifo sesibindi. Kwenzeka xa ukuhamba kwenyongo kwisibindi sakho kuncitshisiwe okanye kuthintelwe. Ibile lulwelo oluveliswa sisibindi sakho olunceda ekwetyisweni kokutya, ngakumbi amafutha. Xa ukuhamba kwe-bile kutshintshiwe, kunokukhokelela ekwakhiweni kwe-bilirubin. I-Bilirubin yi-pigment eveliswa sisibindi sakho kwaye ikhutshwe emzimbeni wakho nge-bile.

Zimbini iintlobo zecholestasis: intrahepatic cholestasis kunye ne-extrahepatic cholestasis. I-Intrahepatic cholestasis ivela ngaphakathi kwesibindi. Ingabangelwa ngu:

• isifo
• usulelo
• Ukusetyenziswa kweziyobisi
• ukungaqheleki kwemfuza
• Iziphumo zehomoni kukuhamba kwenyongo

Ukukhulelwa kunokunyusa umngcipheko wale meko.

I-cholestasis ye-Extrahepatic ibangelwa sisithintelo somzimba kwimibhobho yenyongo. Iibhloko ezivela kwizinto ezinjenge-gallstones, i-cysts, kunye ne-tumors zithintela ukuhamba kwe-bile.

Funda ukuze ufunde ngakumbi ngale meko.

Iimpawu

Zombini ezi ntlobo zecholestasis zikhokelela kwiimpawu ezifanayo:

• i-jaundice, etyheli yolusu lwakho kunye nomhlophe wamehlo akho
• umchamo omnyama
• isitulo esikhanyayo
• iintlungu esiswini sakho
• ukudinwa
• isicaphucaphu
• ukurhawuzelela kakhulu

Ayinguye wonke umntu one cholestasis oneempawu, kunye nabantu abadala abaneempawu ezingapheliyo zecholestasis.

Oonobangela cholestasis

Ukuvalwa kweBile kunokubangelwa zizinto ezininzi.

Amayeza

Isibindi sakho sidlala indima ebalulekileyo ekusetyenzisweni kweyeza. Amanye amayeza anzima kakhulu kwisibindi sakho ukuba usebenze ngakumbi kunabanye kunye netyhefu kwisibindi sakho. La mayeza aquka:

• ezinye ii-antibiotics, ezifana ne-amoxicillin (Amoxil, Moxatag) kunye ne-minocycline (Minocin)
• i-anabolic steroids
• ezinye i-nonsteroidal anti-inflammatories (ii-NSAID), ezinje nge-ibuprofen (Advil, Motrin IB)
• izinto zokucwangcisa ngomlomo
• amayeza athile antiepileptic
• amayeza athile nokubola
• ezinye iziyobisi ezichasene nengqondo
• amayeza athile elwa

Kuya kufuneka usoloko uthatha amayeza njengoko uyalelwe, kwaye ungayeki ukuthatha amayeza ugqirha ugqirha ngaphandle kokuthetha nabo kuqala.

Izifo

Izifo ezithile ezinqabileyo okanye ezinokudumba kwimibhobho yenyongo, ekhokelela kwi-cholestasis. Imiqathango ibandakanya:

• usulelo olusuka kwiintsholongwane ezinjenge-HIV, hepatitis, cytomegalovirus, kunye ne-Epstein-Barr
• usulelo lwebhaktiriya
• izifo ezithile ezizimele, ezinjenge-cirrhosis yokuqala, enokubangela ukuba amajoni akho omzimba ahlasele kwaye onakalise imibhobho yenyongo
• ukuphazamiseka kwemfuza, njengesifo serhengqa seseli
• eminye imihlaza, enjengesibindi kunye nomhlaza wepancreatic, kunye nee-lymphomas

I-cholestasis yokukhulelwa

I-Intrahepatic cholestasis yokukhulelwa, ekwabizwa ngokuba yi-obstetric cholestasis, kuqikelelwa ukuba yenzeke ku-1 ukuya ku-2 wokukhulelwa kwi-1 000 e-United States. Eyona mpawu iqhelekileyo cholestasis yokubelekisa ukurhawuzelela ngaphandle irhashalala. Oku kubangelwa kukukhula kwee-bile acid egazini.

Ukurhawuzelela ngokubanzi kwenzeka kwinyanga ezintathu zokugqibela zokukhulelwa. Inokukhapha kwakhona:

• inyongo
• izitulo ezimhlophe
• umchamo omnyama
• intlungu zesisu
• isicaphucaphu

Jonga ugqirha wakho ukuba urhawuzelela xa ukhulelwe. Amanye amayeza e-counter-counter, afana ne-antihistamines okanye i-anti-itch creams equkethe i-cortisone, ngokuqhelekileyo ayisebenzisi ukunyanga le meko kwaye inokulimaza umntwana wakho ongakazalwa. Endaweni yoko, ugqirha wakho unokuyalela amayeza anceda ukurhawuzelela kodwa angonzakalisi umntwana wakho.

Oonobangela kunye nemingcipheko

I-cholestasis eyenzeka ngexesha lokukhulelwa inokuba yimeko yelifa. Ukuba umama okanye udade wakho wayenayo le meko ngexesha lokukhulelwa, unokuba nomngcipheko owandileyo wokukhulisa i-cholestasis yokubelekisa.

Ukukhulelwa kwehomoni nako kunokubangela le meko. Kungenxa yokuba banokuchaphazela umsebenzi wakho we-gallbladder, ukuvumela i-bile ukuba yakhe kwaye iqukuqele kwigazi lakho.

Abasetyhini abathwele ukuphindaphindeka basemngciphekweni ophezulu wokufumana iicholestasis zokubelekisa.

Uxilongo

Ugqirha wakho uya kubuza imibuzo malunga nembali yakho yonyango. Uya kuba novavanyo lomzimba. Uvavanyo lwegazi lunokuyalelwa ukuba kuvavanywe ii-enzymes zesibindi ezibonisa icholestasis. Ukuba iziphumo zovavanyo aziqhelekanga, ugqirha wakho unokuyalela iimvavanyo zokucinga njenge-ultrasound okanye iMRI. Ugqirha wakho unokwenza kwakhona i-biopsy yesibindi.

Unyango

Inyathelo lokuqala lokunyanga icholestasis kukunyanga oyena nobangela. Umzekelo, ukuba kufunyaniswe ukuba amayeza abangela imeko, ugqirha wakho unokucebisa ichiza elahlukileyo. Ukuba isithintelo esinjengamatye enyongo okanye ithumba ibangela ukugcinwa kwe-bile, ugqirha unokucebisa ukuba utyandwe.

Kwiimeko ezininzi, ukusombulula iicholestasis emva kokuhanjiswa. Abasetyhini abaphuhlisa i-cholestasis yokubelekisa kufuneka bajongwe emva kokukhulelwa.

Imbonakalo

I-cholestasis inokwenzeka nanini na, nakumadoda nabasetyhini. Ukubuyiselwa kwimeko yesiqhelo kuxhomekeke ekubeni lalinzima kangakanani ityala ngaphambi kokuba lifunyaniswe. Enye into ngunobangela oyintloko weso sifo nendlela esinokulawulwa ngayo. Umzekelo, inyongo ingasuswa, inyanga esi sifo. Ukuba imeko ibangelwa ngumonakalo kwisibindi sakho, ukubuyela kunokuba nzima ngakumbi.

Unokwenza izinto ezimbalwa ukunciphisa umngcipheko wecholestasis:

• Gonyelwa i-hepatitis.
• Musa ukusebenzisa kakubi utywala.
• Kuphephe ukusebenzisa iziyobisi ezifakwa ngaphakathi.

Yiya kugqirha wakho kwangoko ukuba ukrokrela ukuba yicholestasis. Unyango lwakwangoko lunokuphucula amathuba okuba uphinde uchache ngokupheleleyo.