Kunzwisisa "Kuvharika kweBile Duct" kana kuti Cholestasis - Nirogi Lanka

Wakambonzwa here mazwi akadai sekuti "bile rakavharika" kana kuti "matombo emudumbu"? Ungave wakamboona vanhu vane maziso kana ganda rakatsvuka. Wakambozvibvunza here kuti zvirwere izvi chii chaizvo kana kuti nei zvichiitika? Nhasi, tichataura nezvechirwere chinozivikanwa seCholestasis . Musazvidya mwoyo, tichachitsanangura chete kuNirogi Lanka.

Chii chinonzi Cholestasis?

Zvichitaurwa zviri nyore, cholestasis inoitika kana kuyerera kwenyongo kubva muchiropa chako kuchinonoka kana kumira zvachose. Funga nezvechiropa chako sefekitori yakabatikana mumuviri wako inoburitsa nyongo . Mvura iyi inokosha pakugaya kwako, kunyanya pakupwanya mafuta.

Chiropa chinotumira bile kudumbu rako kuburikidza netiweki yemachubhu madiki anonzi bile ducts ( bile ducts ). Mamwe emachubhu aya ari mukati mechiropa (intrahepatic), nepo mamwe ari kunze (extrahepatic). Tiweki iyi inobatanidza chiropa chako, pancreas , neura hudiki kuti vagadzire biliary system .

Zvino, fungidzira zvinoitika kana paine kuvharika kwese kwese mune iyi network. Kungofanana nepombi yemvura yakavharika, bile harigone kuyerera zvakanaka. Rinotanga kudzokera kumashure mumigero yeropa nenhengo dzakaripoteredza, kusanganisira chiropa chako. Kuunganidzwa uku kunogona kukuvadza tishu uye kukanganisa mashandiro akakosha. Uyezve, bile risingamire rinogona kubuda muropa rako, izvo zvine chepfu mumuviri wako. Izvi zvinogona kutungamira kuzviratidzo zvisingafadzi uye, nekufamba kwenguva, matambudziko akasiyana-siyana ehutano. Cholestasis inogona kuva dambudziko renguva pfupi kana chirwere chisingaperi, chinoenderera mberi.

Izvi zvinokanganisa sei muviri wako?

Cholestasis inokanganisa muviri wako nenzira dzakasiyana siyana:

Mhedzisiro yenguva pfupi:

Kukanganiswa kwacho kuri panhengo dziri muhurongwa hwenyu hwenyongo. Kuungana kwenyongo kunogona kukonzera kuti chiropa chako, gallbladder, pancreas, kana ducts dzenyongo zvizvimbe uye zvizvimbe ( kuzvimba ). Izvi zvinowanzokonzera kurwadziwa mudumbu uye kuda kurutsa. Uyezve, unogona kunge uri panjodzi huru yekutapukirwa nehutachiona.

Nekuti ura hudiki hahuna nyongo yakakwana, muviri wako haugone kugaya mafuta zvakanaka. Izvi zvinogona kukonzera kuzvimba, kusagadzikana kugaya chikafu, uye manyoka.

Mhedzisiro yenguva refu:

Kana chirwere ichi chikaramba chiripo, matambudziko akakomba anogona kumuka:

• Kuunganidzwa kwenyongo muropa kunogona kukonzera jaundice , iyo inoratidzwa nekutsvuka kweganda nemaziso, uye weti ine ruvara rwakasviba.
• Vamwe varwere vanonzwa kuvaviwa kwakanyanya (pruritus) , kunokonzerwa nemunyu wenyongo unotsamwisa tsinga dziri paganda.
• Kuzvimba kwechiropa kwenguva refu kunogona kukonzera mavanga asingaperi, chirwere chinozivikanwa sechiropa chisingaperi .
• Unganetseka kunwa mavhitamini anonyunguduka mumafuta, akadai sevhitamini A , D, E, naK . Izvi zvinogona kukonzera kushaya chikafu chakakwana, izvo, muvana, zvinogona kukanganisa kukura kwemwana zvakanyanya.

Chinyorwa Chinokosha:

Kana ukasangana nechirwere checholestasis panguva yekuzvitakura (Obstetric Cholestasis), chinokonzera njodzi huru kuna amai nemwana, kusanganisira preeclampsia, kusununguka nguva isati yakwana, uye kuzvarwa kwemwana akafa. Kana uine pamuviri uye ukaona zviratidzo izvi, ndapota tsvaga rubatsiro rwekukurumidzira kana kushanyira chipatara chiri pedyo newe nekukasika.

Ndezvipi zvikonzero zvikuru?

Kune zvikonzero zvakawanda zvinokonzera cholestasis. Kazhinji, zvinogona kuiswa muzvikamu zviviri zvikuru:

Ndezvipi zviratidzo zveCholestasis?

Zviratidzo zvinowanzoonekwa zvinosanganisira:

• Jaundice: Kutsvuka kweganda rako uye kuchena kwemaziso ako kazhinji chiratidzo chekutanga chekuti chiropa chako hachisi kushanda zvakanaka. Izvi zvinoitika nekuda kwekuunganidzwa kwebilirubin, ruvara runowanikwa munyongo, muropa rako. Unogonawo kuona weti yako ichiita yero yakasviba kana brown painoedza kuburitsa bilirubin yakawandisa.
• Tsvina ine ruvara rwakareruka: Sezvo nyongo isingasvike mudumbu mako, tsvina yako inogona kuchinja chitarisiko. Nekuti nyongo inodiwa kuti igaye mafuta, mafuta anogona kupfuudzwa mutsvina, zvichiita kuti iite seyakachenuruka, ine ruvara rwevhu, kana kuti chena. Pasina bilirubin kuti ive neruvara rwayo rwebrown, tsvina inoita seyakareruka uye inogona kuyangarara kana kuva nekunhuhwirira kwakasimba, kwakashata.
• Kukwenya (Pruritus): Chiratidzo chinowanzoitika checholestasis. Kukwenya uku kwakanyanya kunokonzerwa nemunyu wenyongo unoungana muropa rako uye uchikurudzira tsinga dzako dzeropa. Zvinonyanya kukosha ndekuti, kukwenya uku kunoitika pasina mapundu anooneka. Kunzwa kunosiyana kubva kumunhu kuenda kumunhu; kunogona kunge kwakazara muzvanza zvako netsoka dzako, kana kuti unogona kuinzwa mumuviri wako wese.

Kuwedzera kune zviratidzo zvikuru, unogona kuona zvimwe zviratidzo zvichienderana nechikonzero checholestasis:

• Kurwadziwa kwemudumbu
• Kusvotwa nekurutsa
• Kuneta

Inoonekwa sei?

Kana uine zviratidzo zve cholestasis, chiremba wako angangotanga nekuyedza ropa rako.

• Kuongororwa kweropa: Izvi zvinoongorora huwandu hwakakwira hwebilirubin nemunyu we bile. Chiremba wako achayerawo ma enzymes echiropa, anosanganisira alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT), uye huwandu hwecholesterol, kuti zvibatsire kuona chikonzero chacho.
• Kuongororwa kwemifananidzo: Kana kuongororwa kweropa kuchiratidza dambudziko, chiremba wako achashandisa mifananidzo kuongorora hurongwa hwenyongo yako. Miedzo iri nyore, isingapindi mumuviri yakadai seultrasound yemudumbu kana CT scan inowanzova nhanho yekutanga yekutsvaga kuvharika kwemutsinga dzenyongo kana kuzvimba kwenhengo.
• Kuongororwa kwekuongorora: Kuti uwane chikonzero chaicho uye kuona mushonga wakanakisa, ongororo dzakadzama dzingangodiwa. Izvi zvinogona kusanganisira biopsy yechiropa, uko sampuli diki yenyama inotorwa kuti iongororwe murabhoritari, kana kuti ERCP (Endoscopic Retrograde Cholangiopancreatography) , iyo inobvumira vanachiremba kuona, kuongorora, uye kurapa matambudziko ari mumigero ye bile panguva imwe chete.

Inorapwa sei?

Kurapwa kwecholestasis kunoenderana zvachose nechikonzero chikuru.

• Zvikonzero zvakakomba: Mamwe matambudziko ari nyore kugadzirisa. Semuenzaniso, chiremba wako anogona kuchinjana mishonga inokonzera dambudziko iri, kunyora mishonga inorwisa mabhakitiriya kana mishonga inorwisa mavhairasi ehutachiona, kana kushandisa nzira dze endoscopic dzakadai seERCP kubvisa kuvharika kwenzira dzemudumbu.
• Zvikonzero Zvisingaperi: Matambudziko ane chekuita nechirwere chechiropa kwenguva refu anogona kuoma. Kunyange zvazvo mamwe matambudziko echiropa asingarapiki kana kugadziriswa (akadai secirrhosis), unogona kuderedza zvakanyanya kufambira mberi kwechirwere kuburikidza nekudya zvine hutano, kurovedza muviri nguva dzose, uye kurega doro zvachose. Chikwata chako chekurapa chichatarisa pakugadzirisa zviratidzo zvako uye kudzivirira mamwe matambudziko.

Zvirongwa zvekurapa zvinogona kusanganisira:

• Kudya: Kugadziriswa kwezvekudya uye zvekudya zvinovaka muviri kuti zvigadzirise kushaya chikafu chakakwana kana kushomeka kwemavhitamini.
• Ursodeoxycholic acid: Kunyange zvazvo ichishandiswa kakawanda kunyungudutsa matombo emunduru, mushonga uyu unogona zvakare kubatsira nekuwedzera kugadzirwa kwenyongo uye kuderedza simba remunyu wenyongo wakawandisa muropa rako.
• Naltrexone: Mushonga uyu weopioid dzimwe nguva unorayirwa kudzora kuvaviwa kwakanyanya nekuvhara nzira dzetsinga dzinokurudzirwa ne bile acids.
• Cholestyramine: Mushonga uyu unoshanda nekusunga munyu we bile mudumbu, zvichibatsira kuubvisa kuburikidza netsvina yako.