Tsis muaj ib yam dab tsi hauv lub cev uas tseem ceeb tshaj lwm yam. Txhua lub cev muaj kev sib cuam tshuam, yog li nws yuav tsum tau saib xyuas kev noj qab haus huv ntawm txhua tus ntawm lawv sib cais kom tag nrho lub cev ua haujlwm zoo. Hauv tsab xov xwm no peb yuav tham txog cov kab mob xws li cholestatic syndrome. Cov kab mob no hais txog kev mob siab rau lub siab, yog li nws tseem ceeb heev kom paub tias dab tsi yog qhov laj thawj tseem ceeb ntawm nws qhov tshwm sim, cov tsos mob, kev kho mob, nrog rau cov kev xav ntawm cov neeg mob thiab kws kho mob txog nws. Ua tib zoo nyeem cov ntaub ntawv tau muab txhawm rau txhawm rau caj npab thiab tiv thaiv koj tus kheej kom ntau li ntau tau. Thiab yog li ntawd, cia peb pib.
Cholestatic syndrome: nws yog dab tsi?
Raws li kws kho mob, cholestasis yog ib yam kab mob txaus ntshai heev, uas yog tus cwj pwm los ntawm stagnation ntawm cov kua tsib nyob rau hauv daim siab cov ntaub so ntswg, thiab yog nrog los ntawm kev txo qis hauv nws cov dej ntws.nyob rau hauv lub duodenum. Raws li qhov tshwm sim, kev tshem tawm cov kua dej tsis zoo.
Raws li koj paub, tus kab mob no feem ntau tsis muaj nyob ntawm nws tus kheej, tab sis tshwm sim vim muaj ntau yam kab mob hauv lub cev. Yog li ntawd, pathology hu ua cholestatic syndrome. Xws li tus mob no tsuas yog qhov tshwm sim ntawm daim siab ua haujlwm tsis zoo, lossis nws tuaj yeem ua ke nrog lwm cov tsos mob.
Feem ntau, tus kab mob tawm tsam cov neeg sawv cev ntawm kev sib deev muaj zog tshaj hnub nyoog plaub caug. Tus kab mob no tsis yog heev. Rau txhua ib puas txhiab tus neeg, kaum tau pom tias muaj cov kab mob no. Nyob rau tib lub sijhawm, cholestasis ntawm cov poj niam cev xeeb tub tau pom nyob hauv kwv yees li ob feem pua ntawm cov neeg mob.
Qhov nyuaj ntawm qhov teeb meem no nyob rau hauv qhov tseeb tias nws nyuaj heev rau kev kuaj mob. Tom qab tag nrho, qhov tshwm sim ntawm tus kab mob nyob ntawm seb muaj lwm yam kab mob. Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav seb hom kab mob twg coj mus rau qhov tshwm sim ntawm cholestasis.
Kab mob dab tsi tuaj yeem nrog?
Cholestatic syndrome feem ntau nrog qee yam kab mob uas cov kws tshawb fawb tau muab faib ua ob pawg loj. Cia peb xav txog yam kab mob twg muaj nyob hauv txhua pab pawg.
Thawj pab pawg suav nrog cov kab mob uas ua rau muaj teeb meem hauv lub cev cuam tshuam nrog kev tso kua tsib. Qhov no yuav tsum suav nrog kev puas tsuaj rau daim siab ntawm cawv, tshuaj thiab tshuaj lom neeg, nrog rau muaj cov kab mob sib kis, cov kab mob hauv plab tsis zoo thiab mob siab rau daim siab.
Lwm pab pawg suav nrog cov kab mob,uas ua rau kev ua txhaum ntawm cov kua tsib. Qhov no suav nrog cov kab mob xws li tuberculosis, kab mob Caroli, cholangitis, thawj kab mob cirrhosis, thiab ntau lwm yam kab mob.
Qhov laj thawj tseem ceeb ntawm qhov tshwm sim
Peb twb tau hais tias mob cholestatic daim siab mob tshwm sim vim muaj lwm yam pathologies hauv lub cev, uas tau muab faib ua ob pawg. Yog li, cia peb xav txog cov laj thawj tseem ceeb vim li cas tus neeg mob yuav muaj cov kab mob hauv lub cev tsis zoo:
- mob siab vim haus cawv.
- Cholestatic Syndrome hauv kab mob siab viral. Tus cwj pwm los ntawm kev tsis zoo nyob rau hauv tus neeg mob tus mob.
- Syndrome tuaj yeem tshwm sim nrog rau lub siab ua kua qaub. Qhov no yuav tsum muaj cov co toxins xws li tshuaj lom, ntsev lossis hlau hnyav.
- Daim siab puas thaum siv tshuaj mus ntev. Raws li koj paub, qee cov tshuaj tuaj yeem ua rau lub siab ua rau lub siab.
- Tsis tas li ntawd, tus mob tuaj yeem tshwm sim nrog cirrhosis ntawm daim siab. Tus kab mob no yog hloov cov ntaub so ntswg ntawm lub cev nrog cov kab mob sib txuas.
- Tus kab mob tuaj yeem tshwm sim thaum lub plawv tsis ua haujlwm, nrog rau ntshav lom.
Tseem muaj cov teeb meem uas cuam tshuam nrog kev tawm thiab tso tawm ntawm cov kua tsib. Cov kab mob hauv qab no yuav ua rau pawg thib ob:
- Kev mob qog nqaij hlav hauv siab.
- YCholangitis. Cov kab mob no ua rau mob ntawm phab ntsacov ducts, vim lawv pib nqaim, uas txhais tau hais tias cov kua tsib yuav cuam tshuam.
- Nco ntsoov hloov lub cev uas tsis xav cog hauv lub cev.
- YCaroli Syndrome. Tus kab mob no yog los ntawm noob neej. Nws yog tus cwj pwm los ntawm kev nthuav dav ntawm cov kua tsib.
- Cholestatic daim siab mob kuj tuaj yeem tshwm sim vim muaj kab mob ntsws ntawm lub cev.
- Tsis tas li, pawg thib ob yuav tsum muaj cov kab mob uas cuam tshuam nrog kev ua txhaum ntawm txoj hnyuv microflora. Ua ntej tshaj plaws, tsis txhob hnov qab txog helminths thiab lwm yam kab mob uas xav kom nyob hauv cov hnyuv.
Cov tsos mob ntawm tus kab mob no
Ntau tus neeg xav paub yuav ua li cas txhawm rau kuaj lub siab mob cholestatic? Nws yog ib qho tseem ceeb heev uas yuav tsum tau xyuam xim rau cov tsos mob ntawm tus kab mob no thiab, yog tias tam sim no, ceev mus rau tsev kho mob.
Yog li, cia peb xav txog dab tsi yog cov cim tseem ceeb ntawm kev muaj tus kab mob no:
- Rau lub sijhawm ntev heev, cov neeg mob yuav cuam tshuam los ntawm khaus khaus ntawm daim tawv nqaij, uas ua rau tsaus ntuj, thaum nruab hnub. Qee tus neeg mob ua pov thawj tias qhov tsis xis nyob nce ntxiv nrog qhov pib ntawm huab cua txias.
- Qhov tshwm sim ntawm xanthoma. Lawv yog cov kab mob me me, daj lossis xim av, feem ntau tshwm sim ntawm nraub qaum, lub luj tshib, thiab hauv siab. Xws li formations tshwm sim vim lub deposition ntawm cov rog. Qhov no yog vim lub fact tias cov roj metabolism hauv lub cev deteriorates ho.
- Qhov muaj cov pob khaus pustular, nrog rau khawb raudaim tawv nqaij uas tshwm sim vim tsuas khaus khaus.
- Kuj ib yam ntxwv tshwm sim ntawm tus mob cholestatic yog qhov muaj jaundice, uas yog, staining ntawm daim tawv nqaij thiab qhov muag dawb ntawm cov xim daj.
- Qhov tshwm sim ntawm qhov hnyav hyperpigmentation ntawm daim tawv nqaij. Qhov tshwm sim no tshwm sim vim kev tsim cov tshuaj hormone melanin ntau ntxiv.
- Qhov muaj steatorrhea. Qhov tshwm sim no yog tus cwj pwm los ntawm qhov muaj cov rog ntau heev hauv cov quav. Nws tshwm sim vim kev ua txhaum ntawm lipid metabolism hauv lub cev. Cov quav ua kua, greasy, nrog pob, thiab tib lub sijhawm nws nyuaj rau ntxuav tawm ntawm phab ntsa ntawm lub tais tso quav thiab muaj ntxhiab tsw heev.
- quav thiab zis hloov xim. Cov quav ua xim xim thaum tso zis tsaus heev.
- Permanent hypovitaminosis, thiab qhov tshwm sim ntawm qhov tshwm sim ntawm cov ntshav nce ntxiv.
- poob ceeb thawj.
Kev kuaj mob nta
Nws tsis yooj yim kom kuaj pom tus mob cholestatic. Laboratory diagnostics yog ib tug series ntawm kev tshawb fawb uas ib tug kws kho mob yuav sau ntawv los txiav txim tag nrho cov duab. Ua ntej tshaj plaws, nws yog ib qho tseem ceeb heev uas yuav tau kuaj ntshav los txiav txim seb muaj leukocytosis thiab ntshav ntshav. Txawm li cas los xij, cov ntaub ntawv no ib leeg tsis txaus. Tsuas yog dhau los ntawm kev kuaj mob tiav tuaj yeem kuaj pom tseeb.
Cia peb xav txog dab tsi ntxiv kev kuaj mob suav nrog:
- kuaj ntshav biochemical. Nrog nws, koj tuaj yeem txiav txim siab nce qib ntawm bilirubin, roj cholesterol, thiab cov kua tsib acids.
- Tshaj tsom xamCov zis tuaj yeem txiav txim siab muaj cov kua tsib xim, nrog rau urobilinogen.
- Ib lub plab plab kuj tseem ceeb rau kev txiav txim siab seb daim siab puas loj, yog lub gallbladder hloov loj, thiab yog tias cov ducts tau dilated.
- Yuav kom txiav txim siab ntau dua ntawm cov kab mob ntawm cov kua tsib, yuav ua rau retrograde cholangiopancreatography.
- Yog tias tsim nyog, tus kws kho mob yuav muab tshuaj MRI thiab CT rau tus neeg mob.
- Nyob tsis tshua muaj, yuav tsum tau kuaj lub siab rau kev tshawb fawb histological.
hom kab mob tseem ceeb
Cov kab mob no suav hais tias yog qhov nyuaj, vim nws muaj ntau yam nuances. Vim li ntawd, cov neeg mob, tau kawm paub qhov tseeb, tsis tuaj yeem paub tias lawv tab tom tham txog dab tsi, thiab nug cov kws kho mob ntau cov lus nug.
Nyob ntawm ntau yam, muaj ntau hom kab mob no. Xav txog qhov twg:
- nyob ntawm thaj chaw ntawm cov txheej txheem, cov ntaub ntawv tuaj yeem ua rau intrahepatic thiab extrahepatic;
- puab kuj txiav txim siab los ntawm qhov muaj tus kab mob jaundice: qee zaum, muaj staining ntawm daim tawv nqaij, thaum lwm tus tsis yog;
- kuj cov ntaub ntawv kuj yuav txawv nyob ntawm seb qhov chaw kho mob tshwm sim ntawm tus kab mob: piv txwv li, daim ntawv mob tshwm sim tam sim ntawd, yog li tus mob cytolytic cholestatic syndrome yuav loj hlob sai heev; daim ntawv mob ntawm tus kab mob loj hlob heevmaj mam, thaum tsis yog nws, cov kws kho mob yuav yuam kev kuaj mob lwm yam;
- nws kuj tseem ceeb heev uas yuav tsum xav txog cov txheej txheem ntawm cov kab mob tshwm sim;
- muaj kev puas tsuaj ntawm daim siab hlwb: tus kab mob tuaj yeem tshwm sim nrog lossis tsis muaj cytolysis.
Txoj kev kho kom zoo
Cirrhosis ntawm daim siab nrog cholestatic syndrome yog ib qho tseem ceeb kom pib kho raws sijhawm. Yog koj mus tom tsev kho mob sai, koj yuav rov zoo sai sai.
Feem ntau, cholestasis yog kho nrog kev saib xyuas kev kho mob:
- Thawj yam uas tus neeg mob yuav tsum tau ua yog mus noj zaub mov tshwj xeeb uas yuav tsis suav cov zaub mov uas tsis muaj rog thiab, ntawm qhov tsis sib xws, suav nrog zaub roj. Qhov no yog qhov tseem ceeb heev uas yuav tsum xav txog, txij li thaum muaj tus mob cholestatic, cov txheej txheem lipid metabolic hauv lub cev raug cuam tshuam. Zaub roj yuav nqus tau yam tsis muaj kev koom tes ntawm cov kua tsib acids.
- Thaum kho, nws tseem ceeb heev uas yuav tsum siv tshuaj xws li hepaprotectors, cytostatics, thiab ursodeoxycholic acids. Tsis tas li ntawd, cov kws kho mob tau sau ntawv ntxiv txog kev siv cov zaub mov, tshuaj antioxidants, thiab tshuaj tiv thaiv kab mob.
Yuav khoom noj dab tsi koj yuav tsum tso?
Cov neeg mob uas tau kuaj pom tus mob no yog txwv tsis pub noj qee yam zaub mov, vim lawv tsuas yog ua rau tus neeg mob hnyav zuj zus xwb.
Npe, koj yuav tsum tso dab tsi:
- ntawm cov nqaij rog thiab ntses;
- offcov khoom haus luam yeeb thiab pickled;
- los ntawm cawv, carbonated thiab kas fes haus;
- txuj lom, nrog rau ntau yam kua ntses thiab ketchup raug txwv;
- ice cream, chocolate, nrog rau cov khoom qab zib thiab khoom qab zib tsis tuaj yeem noj;
- Tsis txhob noj txiv qaub thiab zaub.
kho mob phais
Cholestatic syndrome kuj tuaj yeem kho nrog kev phais. Cov txheej txheem zoo li no tau siv yog tias tus neeg mob tus mob twb raug tsis saib xyuas hnyav heev. Feem ntau siv hom kev phais yog anastomoses, kua dej ntawm cov ducts, nrog rau qhib lub zais zis thiab cholecystectomy. Yog hais tias cov ducts yog nqaim, thiab tib lub sij hawm cov pob zeb yuav tsum tau muab tshem tawm, kev phais kuj yuav ua.
Nws puas tuaj yeem tsim teeb meem?
Cholestatic Syndrome nyob rau hauv kab mob siab ntev tuaj yeem ua rau muaj ntau yam teeb meem sib txawv, yog li nws tseem ceeb heev uas yuav tsum txheeb xyuas tus kab mob sai li sai tau thiab pib kho nws.
Cov teeb meem feem ntau ntawm cholestasis yog los ntshav, osteoporosis, pob zeb tsim, cirrhosis thiab daim siab tsis ua haujlwm.
Muab kev tiv thaiv
Txawm tias muaj kab mob nyuaj li cholestasis tuaj yeem tiv thaiv yog tias ua raws li kev tiv thaiv zoo. Txhawm rau ua qhov no, koj yuav tsum txo qis kev noj cov dej qab zib kom ntau li ntau tau, noj kom raug, txo qis kev noj cov zaub mov kib, thiab kho tam sim txhua yam kab mob uas tuaj yeem ua rau.mob cholestatic syndrome.
Kev tshuaj xyuas cov kws kho mob thiab cov neeg mob
Tus kab mob cholestatic tsis tshwm sim ntawm nws tus kheej. Nws yog ua ntej los ntawm ntau yam kab mob. Feem ntau, cov kab mob no tshwm sim vim kev haus dej cawv ntau dhau los ntawm tus neeg mob, nrog rau kev kis kab mob siab thiab mob siab rau daim siab. Tus kab mob no nyuaj heev, yog li nws cov ntaub ntawv tsis saib xyuas tsuas yog kho tau los ntawm kev phais.
Cov neeg mob nyob rau hauv lub xub ntiag ntawm no pathology xav phem heev. Kev noj qab haus huv raug cuam tshuam, qhov xwm txheej dav dav zuj zus, thiab lub xeev kev nyuaj siab tsuas yog teeb tsa. Txawm li cas los xij, los ntawm kev mus rau hauv tsev kho mob raws sijhawm, koj tuaj yeem rov muaj zog thiab ua lub neej zoo li qub.
Cov Lus Qhia
Hauv kab lus no, peb tau tshuaj xyuas cov kab mob xws li cholestatic syndrome. Raws li koj tau pom, muaj tsawg heev txaus siab rau. Yog li ntawd, tsis txhob las mees lub xeev ntawm koj noj qab haus huv. Pib saib xyuas koj tus kheej tam sim no. Ua lub neej noj qab nyob zoo thiab kho txhua yam kab mob hauv lub sijhawm. Saib xyuas koj tus kheej thiab noj qab haus huv!
