Cholestasis
Litaba tsa sengoloa sena
  1. tlhaloso e akaretsang
    1. Lisosa
    2. matšoao a
    3. Mathata
    4. thibelo ea
    5. Kalafo ea meriana e tloaelehileng
  2. Lijo tse phetseng hantle
    1. thuto ea mahlale
  3. Lihlahisoa tse kotsi le tse kotsi
  4. Mehloli ea tlhahisoleseling

Tlhaloso e akaretsang ea lefu lena

Ke mokhoa oa ho kula o bakoang ke tlolo ea synthesis le phallo ea bile ka har'a duodenum. Lefu lena le fumanoa selemo le selemo maemong a 10 ho baahi ba 100. Batho ba ikemiselitseng haholo ho cholestasis ke banna ba fetang lilemo tse 000, le basali nakong ea bokhachane[4]… Batho ba nonneng haholo ba khethang ho lula ba lula feela le bona ba tloaetse ho tšoaroa ke cholestasis.

Lisosa tsa cholestasis

Ho ema ha nko ho ka qholotsa lintlha tse ngata, tse ka aroloang ka lihlopha tse peli. Mabaka a ka hare ho 'ona a kenyelletsa:

  • tšenyo ea sebete ka lebaka la tšebeliso e mpe ea joala;
  • congenital metabolism metabolic: tyrosinemia, galactosemia;
  • bokhachane;
  • ho thatafala ha sebete;
  • mesifa e sa tsoelang pele ea gallbladder;
  • lefu la sebete;
  • chefo ea mali;
  • ho hloleha ha pelo;
  • tšenyo ea sebete ka lebaka la ho nka meriana ea hepatotoxic;
  • chefo e senyang sebete le chefo;
  • mathata a endocrine - hypothyroidism;
  • maemo a sa tloaelehang a chromosomal.

Lintho tse sa tloaelehang:

  • lefu la gallstone;
  • lihlahala tse kotsi tsa manyeme le sebete;
  • helminthiases
  • cysts ka ducts ea bile;
  • ho fokola ha mafu;
  • Lefu la Caroli, moo ho nang le katoloso ea methapo ea bile;
  • Lefuba la sebete.

Matšoao a cholestasis

Ho tiea ha matšoao a kliniki ea cholestasis ho latela sethaleng le bolelele ba lefu lena. Matšoao a mantlha a cholestasis ke a latelang:

  1. Letšoao le leholo la ho ema ha nko ke ho hlohlona ha letlalo, ho bohloko haholo bosiu le nakong ea hoetla le mariha. Ho ngoapa hangata ho etsahala 'meleng oa mokuli[3];
  2. 2 jaundice - ho silafatsa lera la mucous le letlalo ka 'mala o mosehla ha ho etsahale qalong ea nts'etsopele ea cholestasis, empa kamora nakoana /;
  3. 3 mathata a silang lijo, a kang: ho ruruha ha pelo, ho nyekeloa ke pelo ho fihlela ho hlatsa, ho fifala ha mantle, ho se mamelle lijo tse mafura hantle
  4. Kholofalo e 4 ea liphio;
  5. 5 ho hloka takatso ea lijo le ho theola boima ba 'mele;
  6. Bohloko ba 6 ho hypochondrium e nepahetseng;
  7. Ho phahama ho feteletseng ha letlalo;
  8. Tloaelo ea ho etsa majoe ka har'a gallbladder le methapong ea bile;
  9. 9 hypovitaminosis, mme ka lebaka leo, ho holofala ha pono.

Mathata a cholestasis

Cholestasis e ka ba asymptomatic nako e telele. Leha ho le joalo, kalafo ea nako e sa lebelloang e ka lebisa ho mathata a latelang:

  • ho tsoa mali - ka lebaka la khaello ea vithamine K;
  • ho se sebetse hantle ha sebete ho fihlela sebete se hloleha;
  • ho thatafala ha sebete, moo lisele tse phetseng hantle tsa sebete li nkeloang sebaka ke lisele tse hokahanyang tse mahoashe;
  • fokotseha acuity bonwang lefifing le ka shoalane ka lebaka la ho haella ha vithamine A;
  • lefu la ho fokola ha masapo;
  • sebopeho sa majoe ka gallbladder le ntshetsopele ya cholangitis;
  • hemolopia.

Thibelo ea cholestasis

Bakeng sa ho thibela nts'etsopele ea cholestasis, ho hlokahala hore o khetholle le ho phekola maloetse a tsoang ka mpeng ka nako e loketseng le:

  1. 1 nako le nako ho etsa liboko;
  2. 2 boloka melao-motheo ea phepo e nepahetseng;
  3. 3 ikoetlise ka mokhoa o itekanetseng;
  4. 4 mefuta e meng ea mosebetsi le phomolo;
  5. 5 ho hana mekhoa e mebe;
  6. 6 makhetlo a 2-3 ka selemo ho etsa kalafo ea kalafo ea vithamine;
  7. 7 ka ho ruruha ha gallbladder, nka metsi a moriana oa moriana;
  8. Noa bonyane lilithara tse 8 tsa mokelikeli ka letsatsi.

Kalafo ea cholestasis meriana e tloaelehileng

Phekolo ea lefu lena e reretsoe, pele ho tsohle, ho felisa lisosa tse halefisitseng nts'etsopele ea eona, mohlala:

  • ho emisa ho noa meriana e chefo;
  • ho felisoa ha majoe ka har'a gallbladder;
  • ho tlosoa ha lihlahala tse kotsi manyeme, sebete le gallbladder;
  • ho tlosa liboko;
  • kalafo ea urolithiasis.

Ho loantša ho hlohlona ha letlalo, ho sebelisoa glucocorticosteroids, e fokotsang litekanyetso tsa bilirubin. Hape, li-antihistamine li nkiloe ho felisa ho hlohlona. Liphetho tse ntle li ka fihlelleha ka ho nka mahlaseli a radiation. Bakeng sa phomolo ea lefu la hemorrhagic, lithethefatsi tse nang le vithamine K li laeloa.

Ho boleloa hore ursodeoxycholic acid e sireletsa le ho khutlisa lisele tsa sebete, hape e tlosa chefo e tsoang 'meleng.

Lijo tse nang le thuso bakeng sa cholestasis

Phekolo ea cholestasis, ntle le kalafo ea lithethefatsi, lijo li phetha karolo ea bohlokoa. Ho tsosolosa mosebetsi oa sebete le ho felisa bile stagnation, tafole No. 5 e khothalletsoa. Ka hona, lijo tsa mokuli ea nang le cholestasis li lokela ho kenyelletsa lihlahisoa tse latelang:

  1. 1 lebese le lihlahisoa tsa lebese le belisoa tse nang le mafura a tlaase;
  2. 2 meroho le litholoana tse ncha;
  3. Lithuto tse 3 tsa pele moro oa meroho;
  4. 4 likotoana tsa sauerkraut;
  5. Lijo tse 5 tse se nang asiti, li-compotes le lino tsa litholoana;
  6. Litlhapi le nama tse phehiloeng kapa tse besitsoeng tse 6 tse phehiloeng kapa tse halikiloeng;
  7. Kofi le tee tse fokolang tsa 7;
  8. Bohobe bo omisitsoeng le boqhekelli ba 8;
  9. Li-salate tsa meroho tse 9;
  10. Li-cereal tse 10 le li-casseroles tse tsoang ho lijo-thollo;
  11. Li-cookie tse 11 tse sa phehoang;
  12. Mahe a linotši a 12, lihora.

Litlhare tsa batho bakeng sa kalafo ea cholestasis

  • tubing e foufetseng - e khothaletsa phallo e bonolo ea bile. Ho etsa sena, ka mpeng e se nang letho, o hloka ho noa 250-300 ml ea metsi a senang khabone, o robala ka lehlakoreng le letona lehlakoreng la ho futhumatsa, o robala ka nako e ka etsang hora. Kahoo, o ka tlosa eseng feela ka bile, empa le ka letsoai la k'holeseterole. Ka lefu la gallstone, mokhoa ona oa hanyetsanoa;
  • ho 1 tbsp. rotha mahe a linotši marotholi a 3 a oli ea koena, nka makhetlo a mararo ka letsatsi;
  • noa ka mpeng e se nang letho e sa tsoa pepesoa lero la beet [1];
  • ritela le ho noa silika ea poone joalo ka tee;
  • ritela le ho noa litokisetso tsa litlama tsa litlama No 1,2,3;
  • noa makhetlo a 3 ka letsatsi bakeng sa likhalase tse 12 tsa tincture ea lipalesa tsa St. John's wort;
  • sauerkraut brine e kokobetsa boemo ba mokuli;
  • noa ka mpeng e se nang letho e qetang ho petetsoa lero la apole le mahe a linotsi[2];
  • leka ho ja fragole e ncha ka nako ea tsona.

Lijo tse kotsi le tse kotsi bakeng sa cholestasis

Nakong ea kalafo, lijo li lokela ho qojoa, tse bakang maikutlo a boima ka mpeng le ho liehisa methapo ea meno:

  • likhoho, nama ea kolobe e mafura;
  • bohobe bo bocha;
  • khekhe;
  • lino tse tahang;
  • kofi e matla le tee;
  • li-mushroom ka mokhoa o fe kapa o fe;
  • litlhapi tse entsoeng ka makotikoting le nama;
  • meroho e halikiloeng;
  • meroho e bolila le litholoana;
  • lijo tse halikiloeng;
  • lisose tse chesang le li-condiments;
  • ka lihlahisoa;
  • lisoseje le nama e tsubang;
  • lebese lohle;
  • mafura a liphoofolo;
  • dinawa kaofela.
Mehloli ea tlhahisoleseling
  1. Herbalist: lipepe tsa khauta bakeng sa meriana ea setso / Comp. A. Markov. - M.: Ekismo; Seboka, 2007 .- 928 leq.
  2. Popov AP Buka ea litlama. Kalafo ka litlama tsa moriana. - LLC "U-Factoria". Yekaterinburg: 1999.— 560 leq., Ill.
  3. Ho hlohlona kantle ho lekhopho
  4. Intrahepatic cholestasis ea bokhachane
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