ʻO nā mea āpau āu e ʻike ai e pili ana i Cholestasis

Anter

• Nā ʻōuli
• Nā kumu o cholestasis
• Nā Lapaʻau
• Nā maʻi
• Cholestasis o ka hāpai keiki
• Nā kumu a me nā kumu pilikia
• Kānāwai
• Lapaʻau
• Outlook

He aha ka cholestasis?

ʻO Cholestasis kahi maʻi maʻi akepaʻa. Hana ʻia ia ke hoʻoliʻiliʻi a pale ʻia paha ke kahe o ka bile mai kou ake. ʻO ka bile ka wai i hua ʻia e kou ake e kōkua i ka digestion o ka meaʻai, ʻoi loa i nā momona. Ke hoʻololi ʻia ke kahe o ka bile, hiki iā ia ke alakaʻi i kahi buildup o bilirubin. ʻO Bilirubin kahi pigment i hana ʻia e kou ake a lawe ʻia mai kou kino ma o ka bile.

Aia ʻelua ʻano cholestasis: cholestasis intrahepatic a me cholestasis extrahepatic. Hoʻomaka ka Intrahepatic cholestasis ma loko o ke ake. Hiki ke kumu ʻia e:

• maʻi
• maʻi maʻi
• hoʻohana lāʻau
• ʻano ʻokoʻa genetic
• nā hopena hormonal ma ke kahe o ka bile

Hiki i ka hāpai ʻana ke hoʻonui i kou makaʻu no kēia ʻano.

Hoʻokumu ʻia ʻo cholestasis Extrahepatic e ka pale o ke kino i nā aʻa o ka bile. ʻO nā ālai mai nā mea e like me nā gallstones, cist, a me nā tumors kaohi i ke kahe o ka bile.

E heluhelu e aʻo hou e pili ana i kēia ʻano.

Nā ʻōuli

ʻO nā ʻano cholestasis ʻelua e hopena i nā ʻōuli like.

• jaundice, he melemele ia o kou ʻili a keʻokeʻo o kou mau maka
• mimi ʻeleʻele
• pahu noho kukui
• ʻeha ma kou ʻōpū
• luhi
• nausea
• ʻume ʻaʻano nui

ʻAʻole loaʻa nā kānaka āpau me nā cholestasis i nā ʻōuli, a me nā mākua me nā maʻi cholestasis maʻi ʻole.

Nā kumu o cholestasis

Hiki ke hoʻopili ʻia ka palaka bile e kekahi mau kumu.

Nā Lapaʻau

He mea nui kou akepaʻa i ka hoʻopili ʻana i nā lāʻau. ʻOi aku ka paʻakikī o kekahi lāʻau i kou ate e metabolize ma mua o nā mea ʻē aʻe a ʻona i kou ake. Hoʻopili kēia mau lāʻau:

• kekahi mau antibiotic, e like me amoxicillin (Amoxil, Moxatag) a me minocycline (Minocin)
• steroid anabolik
• kekahi mau anti-inflammatories nonsteroidal (NSAIDs), e like me ibuprofen (Advil, Motrin IB)
• nā pale pale waha
• kekahi mau lāʻau antiepileptic
• kekahi mau lāʻau antifungal
• kekahi mau lāʻau antipsychotic
• kekahi mau lāʻau antimicrobial

E lawe mau ʻoe i nā lāʻau e like me ke kuhikuhi, a mai hōʻoki i ka lawe ʻana i nā lāʻau i kauoha ʻia e kāu kauka me ke kamaʻilio ʻole ʻole ʻole ʻana me lākou.

Nā maʻi

Kekahi mau maʻi scarring a hoʻowali i nā aʻa oʻa, e hiki aku ai i cholestasis. Aia nā ʻano i:

• nā maʻi mai nā mea ʻino e like me HIV, hepatitis, cytomegalovirus, a me Epstein-Barr
• maʻi kīnā
• kekahi mau maʻi autoimmune, e like me ka cirrhosis biliary mua, hiki ke hoʻouka i kāu ʻōnaehana pale a hōʻino i nā aʻa o ka bile.
• nā maʻi kūlohelohe, e like me ka maʻi maʻi maʻi maʻi
• kekahi o nā maʻi ʻaʻai, e like me ka ate a me ka maʻi ʻaʻai pancreatic, a me nā lymphomas

Cholestasis o ka hāpai keiki

ʻO ka cholestasis Intrahepatic o ka hāpai ʻana, i kapa ʻia hoʻi he cholestasis obstetric, ua manaʻo ʻia e hana ʻia ma 1 a 2 mau hāpai keiki no 1 000 ma United States. ʻO ka ʻōuli maʻamau o ka cholestasis obstetric ka ʻili ʻana me ka ʻino ʻole. Hoʻokumu ʻia kēia e ke kūkulu ʻia ʻana o nā bile acid i ke koko.

Kū ka ʻume i ka trimester hope o ka hāpai ʻana. Hiki pū ke hele pū me:

• ʻōmaʻomaʻo ʻōiwi
• noho humuhumu
• mimi ʻeleʻele
• abdominal eha
• nausea

E ʻike i kāu kauka inā ʻeha ʻoe i ka hāpai ʻana. ʻO kekahi o nā lāʻau i kūʻai pono ʻole ʻia, e like me nā antihistamines a i ʻole nā ​​kalima anti-itch i loaʻa i ka cortisone, he mea maikaʻi ʻole no ka mālama ʻana i kēia ʻano a hōʻeha paha i kāu pēpē i hānau ʻole ʻia. Ma kahi o, hiki i kāu kauka ke kuhikuhi i nā lāʻau e kōkua me ka makaʻu akā ʻaʻole e hōʻeha i kāu pēpē.

Nā kumu a me nā kumu pilikia

ʻO Cholestasis i kū i ka wā o ka hāpai ʻana hiki ke lilo i ʻano hoʻoilina. Inā loaʻa kēia ʻano i kou makuahine a i ʻole kaikaina i kou wā hāpai, hiki i ka nui o ka makaʻu no ka hoʻomohala ʻana i ka cholestasis āpau.

Hiki i nā ʻōpū hāpai ke kumu i kēia ʻano. ʻO ia no ka mea hiki iā lākou ke hoʻopili i kāu hana o ka gallbladder, e ʻae ana i ka bile e kūkulu a kahe i loko o kāu kahawai.

ʻO nā wahine e hāpai ana i nā lehulehu he nui aku ka makaʻu o ka obstestric cholestasis.

Kānāwai

E nīnau ana kāu kauka e pili ana i kāu mōʻaukala. E loaʻa nō iā ʻoe kahi hōʻike kino. Kauoha ʻia paha nā hoʻokolohua koko e hoʻāʻo no nā enzyme ate e hōʻike ana i ka cholestasis. Inā kūpono ʻole nā ​​hopena hōʻike, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi e like me ultrasound a i ʻole MRI. Hana paha kāu kauka i kahi biopsy ate.

Lapaʻau

ʻO ka hana mua i ka mālama ʻana i nā cholestasis ka mālama ʻana i ke kumu kumu. ʻO kahi laʻana, inā hoʻoholo ʻia ke kumu nei ka lāʻau i ke ʻano, hiki i kāu kauka ke koi aku i kahi lāʻau ʻokoʻa. Inā keakea ʻia e like me nā gallstones a i ʻole kahi tumo ke kumu o ka hoʻopili ʻana o ka bile, hiki i kāu kauka ke ʻōlelo i ke ʻoki.

I ka hapanui o nā hihia, hoʻonā i nā cholestasis obstetric ma hope o ka lawe ʻana. ʻO nā wahine e hoʻomohala i nā cholestasis obstetric e pono ke nānā ʻia ma hope o ka hāpai ʻana.

Outlook

Hiki ke loaʻa ʻo Cholestasis i kēlā me kēia makahiki, a i nā kāne a me nā wahine. Aia ke ola i ka nui o ka hihia ma mua o ka ʻike mua ʻia ʻana. ʻO kekahi kumu ke kumu kumu o ka maʻi a pehea e hiki ai ke hoʻokele. ʻO kahi laʻana, hiki ke hemo i nā pōhaku ʻaʻa, kahi e hoʻōla nui ai i ka maʻi. Inā hopena ʻia ke ʻano e ka hōʻino ʻana i kou ake, ʻoi aku ka paʻakikī o ka hoʻōla ʻana.

Hiki iā ʻoe ke hana i kekahi mau mea e hōʻemi i kou makaʻi no cholestasis:

• Loaʻa i nā lāʻau no ka maʻi hepatitis.
• Mai hōʻino i ka waiʻona.
• Hōʻalo i ka hoʻohana ʻana i nā lāʻau lapaʻau intravenous leʻaleʻa.

E ʻike koke i kāu kauka inā manaʻo ʻoe he cholestasis. Hiki i ka hoʻomaʻamaʻa mua ʻana ke hoʻomaikaʻi i kou manawa kūpono no ke ola hou ʻana.