Cholestasis
Cov ntsiab lus ntawm tsab xov xwm
  1. kev piav qhia dav dav
    1. Ua rau
    2. Cov tsos mob
    3. Teeb meem
    4. Kev tiv thaiv
    5. Kev kho mob hauv cov tshuaj tseem ceeb
  2. Kev noj qab haus huv cov khoom noj
    1. kev paub qab hau
  3. Cov khoom uas muaj kev phom sij thiab tsis zoo
  4. Cov ntaub ntawv peev txheej

General piav qhia ntawm tus kab mob

Nws yog cov txheej txheem pathological los ntawm kev ua txhaum ntawm synthesis thiab ntws ntawm bile rau hauv duodenum. Tus kab mob no kuaj txhua xyoo hauv 10 kis rau 100 tus neeg. Ntau dua predisposed rau cholestasis yog cov txiv neej uas tau hla lub cim 000 xyoo, nrog rau cov poj niam thaum cev xeeb tub[4]… Rog dhau los rau cov neeg uas nyiam txoj kev ua neej nyob tsaug zog kuj yog tus cholestasis.

Ua rau cholestasis

Stagnation ntawm bile tuaj yeem ua rau ntau ntau yam, uas tuaj yeem muab faib ua ob pawg. Vim li cas intrahepatic muaj xws li:

  • daim siab puas vim kev quav cawv;
  • txhawm feem ua rau lub cev tsis ua haujlwm: tyrosinemia, galactosemia;
  • cev xeeb tub;
  • cirrhosis ntawm daim siab;
  • underdeveloped cov leeg ntawm lub zais zis;
  • kab mob siab;
  • ntshav tshuaj lom neeg;
  • lub plawv dhia;
  • daim siab puas vim yog noj cov tshuaj hepatotoxic;
  • daim siab ua kom lub cev ua kom lub cev tsis zoo toxins thiab tshuaj lom;
  • cov mob endocrine - hypothyroidism;
  • chromosomal txawv txav.

Extrahepatic yam:

  • gallstone pathology;
  • mob hlav hlav ntawm cov txiav thiab mob siab;
  • helminthiasis;
  • cov hlwv hauv cov kua tsib;
  • mob caj dab;
  • Caroli tus kab mob, nyob rau hauv uas muaj kev nthuav dav ntawm cov kua tsib ducts;
  • mob siab ua mob ntsws.

Cov tsos mob cholestasis

Qhov loj ntawm cov kev kuaj mob ntawm cholestasis yog nyob ntawm theem thiab sijhawm ntawm tus mob. Cov tsos mob ntawm tus mob cholestasis yog li nram qab no:

  1. 1 lub cim tseem ceeb ntawm bile stagnation yog khaus ntawm daim tawv nqaij, nws yog qhov tshwj xeeb tshaj yog mob thaum hmo ntuj thiab lub caij nplooj zeeg-caij ntuj no. Kev khawb ntau tshwm sim rau ntawm tus neeg mob lub cev[3];
  2. 2 jaundice - ua paug ntawm cov leeg ntawm daim tawv nqaij thiab tawv nqaij hauv cov xim daj tsis tshwm sim thaum pib ntawm kev txhim kho cholestasis, tab sis tom qab ib pliag /;
  3. 3 lub plab zom mov, xws li: mob plab, xeev siab txog ntuav, tshem tawm cov quav, noj tsis zoo rau cov rog rog;
  4. 4 mob raum;
  5. 5 tsis qab los noj mov thiab poob;
  6. 6 qhov mob nyob rau hauv txoj cai hypochondrium;
  7. 7 hyperpigmentation ntawm daim tawv nqaij;
  8. 8 kev nyiam ua pob zeb tsim hauv lub plab thiab hauv cov kua tsib;
  9. 9 hypovitaminosis, thiab raws li qhov tshwm sim, muaj qhov muag tsis pom.

Teeb meem ntawm cholestasis

Cholestasis tuaj yeem yuav luag asymptomatic rau lub sijhawm ntev. Txawm li cas los xij, kev tsis raws sijhawm kho tuaj yeem ua rau cov kev mob hauv qab no:

  • los ntshav - vim yog tsis muaj vitamin K tsis txaus;
  • malfunctions ntawm daim siab ua haujlwm mus rau daim siab ua haujlwm siab;
  • cirrhosis ntawm daim siab, nyob rau hauv kev noj qab haus huv daim siab ua haujlwm yog hloov los ntawm ntxhib sib kis;
  • txo qhov muag pom hauv qhov tsaus ntuj thiab thaum tsaus ntuj vim muaj vitamin A tsis txaus;
  • osteoporosis;
  • kev tsim cov pob zeb hauv lub gallbladder thiab kev txhim kho cholangitis;
  • hemolopia.

Kev tiv thaiv ntawm cholestasis

Txhawm rau tiv thaiv kev txhim kho cholestasis, nws yog ib qho tsim nyog yuav tsum paub thiab kho cov kab mob ntawm lub plab zom mov, ntxiv rau:

  1. 1 txij ua ke mus ua ke nrog kev deworming;
  2. 2 saib cov hauv paus ntsiab lus ntawm kev noj zaub mov kom raug;
  3. 3 kev tawm dag zog kom tsawg;
  4. 4 lwm hloov ua haujlwm thiab chaw so;
  5. 5 kom tsis kam lees los ntawm qhov tsis zoo;
  6. 6 2-3 zaug hauv ib lub xyoo kom ua tiav ib chav ntawm cov tshuaj vitamin;
  7. 7 nrog rau mob ntawm lub qhov ncauj, noj lam ntxig dej;
  8. 8 haus tsawg kawg 2 litres kua txhua hnub.

Kev kho mob cholestasis hauv kev siv tshuaj loj

Kev kho mob ntawm cov kab mob no yog tswj hwm, ua ntej ntawm txhua yam, ntawm kev tshem tawm cov laj thawj uas ua rau nws kev txhim kho, piv txwv:

  • cheem kev noj haus ntawm kev siv tshuaj lom;
  • tshem tawm cov pob zeb hauv lub zais khoom;
  • tshem tawm kev mob qog hauv cov leeg ua ntshav, mob siab thiab mob plab;
  • deworming;
  • kev kho mob ntawm urolithiasis.

Txhawm rau tawm tsam khaus ntawm daim tawv nqaij, glucocorticosteroids siv, uas txo qis bilirubin ntau ntau. Tsis tas li, antihistamines raug tshem tawm kom khaus. Cov txiaj ntsig zoo tuaj yeem ua tiav los ntawm kev kawm ib chav kawm ntawm ultraviolet irradiation. Txhawm rau nyem ntawm hemorrhagic syndrome, cov tshuaj uas muaj vitamin K tau raug kho.

Txhais tau tias muaj ursodeoxycholic acid tiv thaiv thiab rov ua cov nplooj siab, thiab tseem tshem tawm cov co toxins tawm hauv lub cev.

Cov zaub mov muaj txiaj ntsig rau cholestasis

Hauv kev kho mob cholestasis, ntxiv rau kev kho tshuaj, kev noj zaub mov ua lub luag haujlwm tseem ceeb. Txhawm rau rov ua kom lub siab ua haujlwm thiab tshem tawm cov kua tsib stagnation, daim ntawv 5 tau pom zoo. Yog li, kev noj zaub mov ntawm tus neeg mob nrog cholestasis yuav tsum muaj cov khoom hauv qab no:

  1. 1 mis nyuj thiab fermented mis nyuj cov khoom uas muaj roj tsawg;
  2. 2 cov zaub thiab txiv hmab txiv ntoo tshiab;
  3. 3 thawj cov chav kawm hauv cov zaub nyom;
  4. 4 lub txiv lws suav;
  5. 5 tsis muaj kua nyeem kua txiv, compotes thiab kua txiv hmab txiv ntoo;
  6. 6 hau lossis hau thiab nqaij ntses muaj roj tsawg;
  7. 7 tsis muaj zog kas fes thiab tshuaj yej;
  8. 8 nplooj tsawb qhuav thiab khob noom;
  9. 9 tus neeg tsis noj nqaij zaub xam lav;
  10. 10 teev zaub mov thiab nqaij nyuj los ntawm kws ua zaub mov;
  11. 11 lub ncuav tsw xyaw keeb;
  12. 12 zib, jm.

Hauv tshuaj kho neeg mob rau kev kho tus mob cholestasis

  • qhov muag tsis pom tus tub - txhawb txoj kev maj tawm ntawm cov kua tsib. Txhawm rau ua qhov no, ntawm lub plab khoob, koj yuav tsum haus dej 250-300 ml ntawm cov dej tsis muaj carbonated ntxhia dej, pw ntawm koj sab xis ntawm lub ncoo cua sov, pw li ib teev. Yog li, koj tuaj yeem tshem tsis tau tsuas yog ntawm bile, tab sis kuj yog cov roj ntsev kom huv. Nrog rau cov kab mob pob zeb, cov txheej txheem no yog contraindicated;
  • hauv 1 tbsp. txau zib ntab 3 tee roj mint, siv peb zaug ib hnub;
  • haus ntawm lub plab khoob freshly squeezed beet kua txiv [1];
  • brew thiab haus pob kws lo lo ntxhuav zoo li tshuaj yej;
  • brew thiab haus cov chaw muag tshuaj ntsuab tshuaj ntsuab No. 1,2,3;
  • haus 3 zaug ib hnub rau 12 tsom iav ntawm tincture ntawm St. John lub wort paj;
  • sauerkraut brine cuam tshuam tus neeg mob qhov mob;
  • haus ntawm lub plab khoob freshly squeezed kua txiv nrog zib ntab[2];
  • sim noj cov txiv pos nphuab ntau dua nyob rau lub caij.

Khoom noj phom sij thiab tsim kev puas tsuaj rau cholestasis

Thaum kho, zaub mov yuav tsum zam, uas ua rau lub siab nyob hauv plab thiab ua rau lub plab zom mov:

  • nqaij qaib, nqaij npuas rog;
  • khob cij tshiab;
  • khoom qab zib;
  • dej cawv;
  • khov kas fes thiab tshuaj yej;
  • nceb hauv txhua daim ntawv;
  • cov kaus poom ntses thiab nqaij;
  • pickled zaub;
  • qaub zaub thiab txiv hmab txiv ntoo;
  • cov khoom noj ceev;
  • cov kua txob kub thiab khoom ntxiv;
  • los ntawm cov khoom;
  • hnyuv ntxwm thiab noj nqaij;
  • tag nrho cov mis;
  • tsiaj rog;
  • txhua legumes.
Cov ntaub ntawv peev txheej
  1. Tshuaj ntsuab: golden recipes rau tshuaj ntsuab / Comp. A. Markov. - M .: Eksmo; Rooj sab laj, 2007 .– 928 p.
  2. Phau ntawv qhia Popov AP Tshuaj ntsuab. Kev kho mob nrog tshuaj ntsuab tshuaj ntsuab. - LLC “U-Qhov Ntsuas”. Yekaterinburg: 1999.— 560 p., Ill.
  3. Khaus tsis muaj pob khaus
  4. Intrahepatic cholestasis ntawm cev xeeb tub
Reprint cov khoom siv

Txwv tsis pub siv cov ntaub ntawv yam tsis muaj peb kev sau ntawv tso cai ua ntej yog txwv.

Cov cai tswj kev nyab xeeb

Hauv paug tswj tsis muaj feem xyuam rau kev sim siv cov ntawv qhia, tswv yim lossis zaub mov noj, thiab tseem tsis tau lees tias cov ntaub ntawv sau tseg yuav pab lossis ua phem rau koj tus kheej. Ua tib zoo thiab ib txwm tham nrog kws kho mob tsim nyog!

Mloog!

Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!

Khoom noj khoom haus rau lwm yam kab mob:

Sau ntawv cia Ncua