Cholestasis yokukhulelwa: iimpawu, unyango, ukutya

Yinto akukho mfihlakalo ukuba ngexesha lokukhulelwa umzimba yomfazi sifumana umthwalo omkhulu kakhulu. Ngaphezu koko, ngokufuthi iinguqu ezinkulu hormone kukhokelela ezinye iingxaki. Ekusebenzeni yokubelekisa mihla maxa wambi kwenzeka ebizwa cholestasis ukukhulelwa. Xa engekho unyango ngexesha enjalo imeko kunokuba yingozi ukuba umntwana uyakhula kwaye ngenxa yomzimba sikanina.

Yiloo nto oomama abaninzi abakhulelweyo nomdla imibuzo malunga nokuba yintoni kanye le sifo yaye kutheni oko kwenzeka. Ziziphi iimpawu eziphambili? Yintoni unyango ukunika amayeza namhlanje? Ingaba zikhona iindlela ezisebenzayo yothintelo? Olu lwazi luza kuba umdla kubafundi abaninzi.

Yintoni cholestasis?

Cholestasis ekhulelwe - sisifo lukhatshwa izilonda dystrophic izicwili zesibindi. ulwaphulo olunjalo kwalelo imvelaphi yokwandisa uvakalelo of hepatocytes hormone ngesondo, inqanaba apho utshintshatshintsha kakhulu xa ithwele umntwana. Isiphumo sale nkqubo na ukuphazamiseka kwenkqubo yesiqhelo cholesterol ukutya kunye acids inyongo. Njengomgaqo, amabhinqa unesifo onjalo, utshintsho inyongo, kwakunye ukuphazamiseka kwemali eqhelekileyo inyongo, leyo leyo echaphazela yonke eziphilayo.

Oomama abaninzi abakhulelweyo benze unesifo onjalo. Kodwa musa kwaoko kukoyika, ngenxa yokuba kwiimeko ezininzi kunye hepatosis cholestatic (eyaziwa ngokuba sifo) abakwazi ukumelana ngokusebenzisa amayeza endala ngaphandle ebangela nawuphi na umonakalo emzimbeni umfazi okanye umntwana.

ukwanda

Ngoko nangoko ke kubalulekile ukuqaphela ukuba olu ukuhlukunyezwa ngokwenene aqheleka kakhulu kwamanye amazwe. Ngokomzekelo, ngokutsho amaphononongo manani eScandinavia, China, Bolivia kunye Chile kwizifo ezifana ubunzima ngoonina ezininzi abakhulelweyo. Kodwa eSweden nge-10 000 abasetyhini abakhulelweyo akhawunti kuba akukho amatyala ngaphezu kwama-40 kule sifo.

Ngomhla kummandla Russia cholestasis ngexesha lokukhulelwa kokuba kwakhona ingqalelo kwingxaki inqabile kakhulu - esiwubonayo yayo ayidluli-2%. Ezi nketho kuphela imimandla yomntla lizwe, apho isifo eso rhoqo. Ngokusekelwe kwezi data, abaphandi bakholelwa ukuba loo maqela umngcipheko ziquka umfazi ngenxa yohlanga.

Eyona eziphambili ezibangela izifo

Enyanisweni, namhlanje, akwaziwa ukuba kude kube sekupheleni, kutheni iphuhlisa cholestasis intrahepatic yokukhulelwa. Kukho izinto imibono ezininzi kunye nophando, apho sinako ukwahlula amaqela ezintathu ezingundoqo zinto:

• ukwanda nobuntununtunu hepatocytes kwiqela ka emzimbeni ngesondo, apho kungenxa zofuzo;
• iimpazamo ezizalwa enqanda kuyondelelaniswe oqhelekileyo, nebonelela uthutho yeekhomponenti inyongo ukusuka hepatocytes kungena bile duct;
• iimpazamo ezizalwa oluqhelekileyo njini inyongo acid ezinxulumene ukuswela enqanda ezithile. Kwelinye icala, isifo esinjalo sikhokelela ukuyilwa asidi inyongo Nedlac.

Kufuneka kuqatshelwe ukuba izigulane ezinochaso yofuzo, okanye ukuphazamiseka iziphene cholestasis elifana neli kuphela ngexa lokukhulelwa, kodwa nawuphi na utshintsho kwizinga hormone sex (umzekelo, xa esexesheni, ukusetyenziswa zokucwangcisa ngomlomo).

Le Pathogenesis of cholestasis. Kwenzeka ntoni ngexesha yokugula?

Cholestasis ukukhulelwa lukhatshwa ukunyhashwa ezinkulu ezintathu:

• ukuphakamisa umgangatho macandelo inyongo egazini;
• ukuncitshiswa secretion ethunjini;
• imiphumela yityhefu ye inyongo iiseli isibindi kunye imibhobho biliary.

Uphazamiseko njini eqhelekileyo kunye nencindi kolwelo yenziweyo isibindi, ngenxa yokwanda okukhulu kwinqanaba dlala kunye estrogen. utshintsho ezinjalo hormone inciphise intshukumo endalo inyongo; nditsho ekukhulelweni eqhelekileyo. Kwaye ukuba kukho ubungozi kwasekuzalweni, utshintsho sisiba mandundu umzimba filter inyuswe kakhulu. Ukongeza, iihomoni kwemfuneko echaphazela ingqondo yebhinqa, ukunciphisa umsebenzi wayo. Ngenxa yoko, utshintsho kumsebenzi wale nobubovu kuchaphazela inkqubo ukuthatha osesibindini yibilirubin kunye cholesterol. Oku kukhokelela ukuphazamiseka iindlela wesiseko kunye secretion of inyongo.

nokubekwa kwezifo

Ukuza kuthi ga ngoku, kukho iinkqubo ezininzi Ukuhlelwa sigulo. Umzekelo, kuxhomekeke ubungqongqo iimpawu, cell ukuba iifom inobulali, aphakathi kunye kakhulu kwesi sifo.

Bubunjani kwemali cholestasis isenokuba oyingozi okanye engapheliyo (ekuphuhliseni exacerbation izifo ezingapheliyo kwisiqalo ukukhulelwa). Kuxhomekeka umyalezo ezahlula extrahepatic (yaphuhliswa ngohlobo kwimiqobo ye bile duct) kunye cholestasis intrahepatic (ezi fom kwenzeka kwabasetyhini abakhulelweyo).

Cholestasis ukukhulelwa: lweempawu

Nakuphi na ukutenxa kumgaqo kweli xesha ebomini zifuna uhlolo kunye ngengcebiso kagqirha. Ngoko kubonakala ngathi cholestasis kokukhulelwa?

Iimpawu idla baqale inkathazo ezintathu lesithathu (kwiiveki 28-35.). Nokubonakaliswa iphambili sifo pruritus, yaye oko banokuba kumanqanaba angafaniyo ubungnqongqo. Ezinye izigulane kukunyamezela oku ukuhlukunyezwa lula, ngoxa abanye basokola ngenxa rhoqo, ubuhlungu ezibuhlungu.

Ukurhawuzelelwa uba ucaca ngakumbi ebusuku, nto leyo nakulala kunye, ngokulandelelana, ukudinwa rhoqo, ukuba nochuku, ukuphazamiseka ngokweemvakalelo. Amaninzi ndiziva yenzelwe eluswini izandla, kunene, imilenze, nodonga sobuKristu esiswini. Cholestasis ukukhulelwa (iifoto ezo thaca kwi labobalawuli zonyango) ekhokelela excoriation ulusu, njengokuba umfazi ubuhlungu ngenxa ukufwaya rhoqo.

Kuba nezinye iimpawu zesi sifo zibandakanya senyongo. Ngokutsho izifundo izibalo, loo sifo wazibona ngo-10-20% yabafazi. Njengoko umthetho, yonke imiqondiso shwaka ngokwabo kwisithuba seeveki 1-2 emva kokuzalwa. Noko ke, ukuze kuphinde kwisiqalo ukusilela kwamadlala ezilandelayo (umzekelo, ngethuba lokukhulelwa yesibini).

iindlela ezisisiseko kokuxilongwa

Phambi nantoni na engaqhelekanga kufuneka ngoko nangoko udibane nogqirha. Ingcali Kuqala abuthele imbali epheleleyo yempilo kunye iimviwo emzimbeni. Kuba abanye abafazi, ukuze kuqwalaselwe ukuba senyongo encinane kunye bala uphawu amehlo sclera. Xa usibona nesikhumba uqaphele ukuba bomvu, abrasions okubangelwa dongeni isikhumba.

Zonke ezi iimpawu zibonisa ukuba isigulana ukuze cholestasis ukukhulelwa. Cazulula of uyondelelwano lwee- serum asidi inyongo na ukuqinisekisa ukuba urhano lobukho ukuphazamiseka esibindini. Kukho kwakhona uphononongo olwahlukahlukeneyo ngomxholo kwemichiza kunye nomsebenzi enqanda zesibindi. Kwakhona wabonisa ultrasound apho uqaphele ukunyuka esinyini inyongo kunye ubungakanani isibindi yesiqhelo kunye echogenicity efanayo.

isifo kungakhokelela ezinye iingxaki?

Xa yezonyango mihla badla ngokujongana ingxaki ebizwa ngokuba cholestasis ukukhulelwa. Ngaba Kuyingozi ukuba urhulumente onjalo? Kakade ke, ewe. Nangona onke kuxhomekeke ebukhulwini inkqubo lwezidumbu, uphethwe ixesha ekhethiweyo unyango kunye t. D.

Noko ke, ingozi uhlale apho. Ukophulwa imfundo kunye nokuphelisa inyongo kuchaphazela iinkqubo metabolic. Kunye namathuba eliphezulu ezifana nesifo wokuzalwa kwexesha. Ukongeza, ipesenti Kukudandatheka Ukopha ebuchotsheni phakathi kwabafazi unesifo enjalo kwakhona aphezulu kakhulu, ngenxa nethe ivithamini K kunye eminye imiba coagulation.

Ukuba kakuhle kakhulu esibindini kukho ingozi yokuba ukufa ezingekazalwa, ngoko kwezinye iimeko, oogqirha bacebisa unikezelo ngoko nangoko.

Drug therapy ngexesha lokukhulelwa

Unyango kuxhomekeke nobungozi besi sifo kunye neempawu isiguli ngasinye. Ngokuqhelekileyo kuqala ukumisela gepatoprotektory eengcambu ukukhusela isibindi kumonakalo kwaye musa ukulimaza umzimba. Umzekelo, "Hofitol" kunye cholestasis ukukhulelwa kuba neziphumo ezihle. Ukongeza, iziyobisi "Gepabene" lisetyenziswa kunyango.

Ukudibanisa amayeza yemifuno ziyasetyenziswa kananjalo hepatoprotectors zokwenziwa kwi "Ademethionine" ethile. Njengoko Antioxidants ekukhulelweni emiselweyo tocopherol acetate (vitamin E) kunye ascorbic acid (vitamin C). Ukongeza, ulwamkelo ehnterosorbentov ezifunekayo ndibopha asidi inyongo elidlulileyo emathunjini. Ukusebenza kunye nokhuseleko isiyobisi kuthathwa "Polyphepan". Uthomalaliso iquka iziyobisi lula ukuhamba duct ukwehlisa izinga asidi inyongo egazini. Ngokukodwa, sebenzisa amayeza eziqulathe ursodeoxycholic acid, umz "Ursosan".

Cholestasis ukukhulelwa: unyango iindlela olukhululekileyo kwiziyobisi

Ukongeza leziyobisi, wasebenzisa ezinye unyango ngamayeza nokunyanga. Ngokukodwa, abasetyhini abakhulelweyo badla emiselweyo ikhondo plasmapheresis kunye hemosorption. Ezi nkqubo zenzelwe ukuba ukususa yibilirubin egazini kunye pruritogenov kwemfuneko ezibangela ukurhawuzelela. izakhi kunika nemiphumo emihle ngokwenene. Ikhosi epheleleyo yonyango aquka iinkqubo ezine plasmapheresis kunye hemosorption omnye.

ukudla ngendlela eyiyo - yinxalenye ebalulekileyo unyango

Kakade ke, emva kokuba sifo, ugqirha aya kuyinyula unyango kakhulu ngempumelelo nibe. Kodwa akukho yinxalenye ebalulekileyo ngaphantsi yonyango into yokutya. Ukuba cholestasis ukukhulelwa kufuneka aqale ukuthatha unonophelo ekutyeni, nto leyo eya kunciphisa umthwalo ophezu kwesibindi.

Izigulane ziyakhuthazwa ukunciphisa isixa amafutha ezilwanyana. Ngokukodwa, imfuneko ngcathu kudliwe okunamafutha, ibhotolo, iimveliso zobisi. Kufuneka kwakhona akwavuma mayonnaise, sauce kunye nokutya eqhotsiweyo. Ekubeni amafutha nangoku ezifunekayo kuphuhliso okuqhelekileyo ndingekazalwa, ukuswela kwabo hlobo xa ukutya izityalo (namafutha omnquma, njalo njalo. D.).

Kwakhona contraindicated in green yeti, ikofu kunye neziselo cholagogue. Iingcali Siyaleza kuthatha ixesha angabikho amaqanda, umnquma, iimbotyi, avokhado, iimveliso zifakwa, isithombo, melon, umbala kunye ikhaba Brussels.

Yokudla unakho ezele iivithamini kunye neeminerali, leyo zingafumaneka iziqhamo kunye nemifuno - babe ukutya basis. Ukuvunyelwa ukuba usele isidudu, intlanzi, ndayame inyama. Useful ayimveliso equlathe amathamo eliphezulu vitamin C, e-orenji ezithile, isipinatshi, parsley, umhluzi ukusuka esinqeni kunye t. D. Ukutya kufuneka ulizalise rhoqo kodwa izabelo ezincinane. Kubalulekile ukuba sihlale silungelelene fluid.

Ingaba kukho amanyathelo oluphumelelayo lokunqanda?

abafazi abaninzi banomdla imibuzo malunga nokuba ngandlel na ukuthintela cholestasis ukukhulelwa. Ngelishwa, akukho zixhobo ezinokuthi ezikhusela komgomo ezinjalo. Ngenxa yoko, izigulane basengozini, kucetyiswa esweni ngenyameko lonke lokukhulelwa.

Phambi ukubonakala iimpawu zokuqala abafazi wabelwa ukufumana ezithambileyo ngabakhuseli hepatic, antioxidants kunye choleretic. Kwakhona kubalulekile kakhulu ukuba balandele yokudla ekunene. Kwaye, kakade, umama okhulelweyo kufanele bangenele iimviwo rhoqo kunye neemvavanyo Kwathi, njengoko kuya kunika ithuba lokuba ukungaphili kwibakala lokuqala.

Indlela ukumelana iimpawu? iziguli isincomo

abafazi abaninzi benze unesifo "cholestasis ukukhulelwa." Izimvo ezigulane lubonisa ukuba unyango pfuna ukuphelisa ukunyhashwa nokugcina umbungu esempilweni. Kunjalo, ukurhawuzelela rhoqo kakhulu ngokonakalisa umgangatho wobomi.

Yilwa le imvakalelo usebenzisa Oluma ezizodwa. Umzekelo, lotions kunye iimaski ukusuka umhluzi chamomile okanye oatmeal uncedo ukuphelisa ukungakhululeki, kwakunye nempembelelo entle imbonakalo eluswini, ukunciphisa komtshiso oko. Kwakhona inceda lotions yamanzi lula abandayo, kuba iqondo elisezantsi lingancipha flow igazi, ukunciphisa ukurhawuzelela. Izigulane kwakhona balele, kwindawo epholileyo engena umoya kwaye kufuneka, ke, landela ngenyameko yokudla.