ʻO Cholestasis

ʻO Cholestasis kekahi ʻano i hoʻolōʻihi a paʻa ʻia ke kahe o ka bile mai ke ake.

Nui nā kumu o ka cholestasis.

Kū ka Extrahepatic cholestasis ma waho o ke ake. Hiki ke kumu ʻia e:

• ʻO nā kūpuna kahena o ka bile
• Kāpena
• Ka hoʻopili ʻana o ke kaila bile (strikures)
• ʻO nā pōhaku i ke kahena o ka bile maʻamau
• ʻO Pancreatitis
• ʻO ka tumo Pancreatic a i ʻole pseudocyst
• Kaomi ma nā kaola o ka bile ma muli o kahi nui a i ʻole ka tumo kokoke
• ʻO cholangitis sclerosing mua

Loaʻa ka cholestasis Intrahepatic i loko o ke ake. Hiki ke kumu ʻia e:

• Maʻi maʻi ʻalekohola
• ʻO Amyloidosis
• Abscess koʻohune i loko o ke ake
• E hānai wale ʻia ana ma o ke aa (IV)
• Lymphoma
• Hapai keiki
• ʻO ka cirrhosis biliary mua
• Ka maʻi ʻaʻai ʻōmua mua a metastatic paha
• ʻO cholangitis sclerosing mua
• ʻO Sarcoidosis
• Nā maʻi nui i pālahalaha ma o ke kahe o ke koko (sepsis)
• Maʻi puʻu
• Hepatema Viral

Hiki i kekahi mau lāʻau ke kumu i nā cholestasis, me:

• Nā Antibiotics, e like me ampicillin a me nā penicillins ʻē aʻe
• ʻO nā steroid Anabolic
• Pila pale hānau
• ʻO Chlorpromazine
• Cimetidine
• ʻO Estradiol
• Imipramine
• ʻO Prochlorperazine
• Terbinafine
• Tolbutamide

Pākuʻi ʻia paha nā ʻōuli:

• ʻO nā noho keʻokeʻo keʻokeʻo a i ʻole nā ​​keʻokeʻo
• Mimi ʻeleʻele
• ʻAʻole hiki ke ʻeli i kekahi mau meaʻai
• Kāwili
• Nausea a i ʻole ka luaʻi
• ʻEha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū
• ʻO ka ʻili melemele a i ʻole nā ​​maka

Hōʻike paha nā hōʻike koko i kou hoʻokiʻekiʻe kiʻekiʻe ʻana i ka bilirubin a me ka alkaline phosphatase.

Hoʻohana ʻia nā hoʻokolohua kiʻi e ʻike i kēia ʻano. Loaʻa i nā hoʻāʻo:

• CT scan o ka ʻōpū
• MRI o ka ʻōpū
• Endoscopic retrograde cholangiopancreatography (ERCP), hiki ke hoʻoholo i ke kumu
• Ultrasound o ka ʻōpū

Pono e mālama ʻia ke kumu paʻa o cholestasis.

Aia ke ʻano o ke kanaka ma muli o ka maʻi e hiki ai ke ʻano. Hiki ke hemo pinepine ʻia nā pōhaku i ke kaila o ka bile maʻamau. Hiki i kēia ke hōʻola i ka cholestasis.

Hiki ke kau ʻia i nā stents e wehe i nā wahi o ke kahena o ka bile maʻamau i hoʻopili ʻia a i ʻole ālai ʻia e nā maʻi ʻākoʻakoʻa.

Inā hoʻokumu ʻia ke ʻano e ka hoʻohana ʻana i kekahi lāʻau, e hala pinepine ia ke kū ʻoe i ka lawe ʻana i kēlā lāʻau.

Komo pū nā pilikia:

• Pohā
• Hiki i ka ʻōpū ke hana inā ulu ka sepsis
• Ka maikaʻi ʻole o ka lawe ʻia ʻana o nā momona a me nā momona momona
• ʻ .kala nui
• Nā iwi nāwaliwali (osteomalacia) ma muli o ka loaʻa ʻana o ka cholestasis no kahi manawa lōʻihi loa

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe:

• ʻAno ʻole e nalo
• ʻO ka ʻili melemele a i ʻole nā ​​maka
• Nā hōʻailona ʻē aʻe o cholestasis

E loaʻa i nā lāʻau āpau no ka maʻi hepatitis A a me B inā makaʻu ʻoe. Mai hoʻohana i nā lāʻau lapaʻau intravenous a kaʻana like i nā nila.

Cholestasis Intrahepatic; ʻO cholestasis keu

• Nā Pohaku
• Pākuʻi
• Pākuʻi

ʻO Eaton JE, Lindor KD. ʻO cholangitis biliary mua. I: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 91.

ʻO Fogel EL, Sherman S. Nā maʻi o ka gallbladder a me nā dile bile. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 146.

Lidofsky SD. ʻO Jaundice. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 21.