Matenda oyambirira a biliary cirrhosis a chiwindi

Matendawa aumunthu, omwe amagwira ntchito, amachititsa kuti thupi lawo likhale lopanda chitetezo cha thupi komanso chitetezo cha ma chitetezo cha thupi chomwe chimayambitsa matenda osokoneza thupi. Matendawa angakhudze ziwalo ndi machitidwe osiyanasiyana, kuphatikizapo chiwindi. Choncho, mwa amayi makamaka makamaka ali ndi zaka 40 mpaka 50, chiwerengero chachikulu cha chiwindi cha chiwindi chikhoza kukula, ndipo nthawi zambiri banja la matendali limadziwika (pakati pa alongo, amayi ndi ana, etc.).

Zifukwa ndi magawo a chimbudzi choyambirira cha biliary

Panthawiyi, sichidziwika bwino lomwe chomwe chimayambitsa chitukuko chachikulu cha biliary cirrhosis, pa phunziro ili ndi zokambirana zikuchitika. Zina mwazifukwa zokhudzana ndi zomwe zimayambitsa matenda ndizo zotsatirazi:

• Matenda a tizilombo ndi bakiteriya (posachedwapa ziphunzitso zokhudzana ndi matenda opatsiranawo zimayankhidwa kwambiri);
• matenda a hormoni;
• zibadwa;
• zimakhudza thupi la mankhwala;
• Matenda ena omwe amachititsa kuti munthu azidwala matendawa, matenda a nyamakazi, matenda a Raynaud, Sjogren's syndrome, autoimmune thyroiditis, scleroderma, tubular renal acidosis, etc.).

Pali magawo anayi pakukula kwa matendawa:

1. Pachiyambi pomwe, chifukwa cha zomwe zimachitika pamagalimoto, kupweteka kosalapa kotupa kwa intrahepatic bile ducts kumachitika, bile stagnation amawonedwa.
2. Kenaka pali kuchepa kwa chiwerengero cha ma ducts, blockade ya excretion ya bile ndi kulowa mmagazi.
3. Mapepala a chiwindi amachotsedwa ndi minofu yowopsya, zizindikiro za kutupa kotentha komanso zochitika zowonongeka mu parenchyma.
4. Mzere wa tizilombo tating'onoting'ono tomwe timapanga tizilombo toyambitsa matenda.

Zizindikiro za chimbudzi choyambirira cha biliary cirrhosis

Kuwonetsa koyamba kwa matenda, kumene odwala nthawi zambiri amadandaula, ndi awa:

• Kufooka kwakukulu, kutopa mwamsanga, kuwonjezereka kugona, kuchepetsa kwambiri ntchito ndi kukhumudwitsa kugwira ntchito;
• kuyabwa khungu (nthawi zambiri amatchulidwa, moyipa usiku, ndi atasamba, akukhudza zojambula za ubweya);
• kuphulika kwa khungu, kulimbitsa chithunzi cha khungu;
• icterus wa khungu, mucous membrane, sclera;
• maso owuma ;
• kusasamala, chifundo mu hypochondrium yolondola.

Komanso, odwala nthawi zambiri amavutika ndi kuwonjezeka pang'ono kwa kutentha kwa thupi, kupweteka mutu, kusowa kudya, kulemera kwa thupi, kuvutika maganizo. Kwa odwala ena, chiwerengero choyambirira cha biliary cirrhosis pachigawo choyambirira cha chiwongoladzanja chiri chokhachokha.

Ndiye zizindikiro zotsatirazi zikuwonjezeredwa ku zizindikiro zolembedwa:

• Ziphuphu zimamera pakhungu;
• Kufiira kwa nkhope, mapazi ndi mitengo ya kanjedza;
• kupotoka kwa misomali ("galasi loonera"), maonekedwe a magulu oyera otembenuka pa iwo;
• Kukula kwa msomali phalanges.

Chifukwa cha kusokonezeka kwa mavitamini ndi mavitamini ena, matenda a osteoporosis, steatorrhea, hypothyroidism, mitsempha ya varicose ya mitsempha ya m'mimba ndi mitsempha yambiri, ascites, magazi ochulukirapo komanso mavuto ena angapangidwe.

Kuzindikira kwa chiwerengero chachikulu cha biliary cirrhosis

Kuperekedwa kwa matendawa kumachokera ku mayeso a laboratori:

• kuyesa magazi ambiri;
• kuyesa magazi ;
• coagulogram;
• zosavuta;
• lipidogram;
• kafukufuku wamkulu wa mkodzo.

Onetsetsani kuti matendawa amatha kupyolera mu chiwindi cha chiwindi, chomwe chimapangidwa ndi mphamvu ya ultrasound.

Kuchiza kwa chiwerengero chachikulu cha biliary cirrhosis

Matenda apadera a matendawa salipo, ndi njira zokha zomwe zimachepetsa kuopsa kwa zizindikiro za kuchipatala, kuletsa kukula kwa chifuwa chachikulu, kuteteza kukula kwa mavuto aakulu. Momwemonso, izi ndi njira zothandizira anthu odwala matenda osokoneza bongo, glucocorticosteroids, cholagogues, hepatoprotectors, antihistamines, etc. Njira zamagetsi zimagwiritsidwanso ntchito, chakudya choyenera chimayikidwa. Pazirombo zoopsa, njira zopaleshoni zimapangidwira mpaka ku chiwindi cha chiwindi.