Cholestasis

Cholestasis ke boemo bofe kapa bofe moo phallo ea bile e tsoang sebeteng e liehang kapa e thibetsoeng.

Ho na le lisosa tse ngata tsa cholestasis.

Extrahepatic cholestasis e hlaha kantle ho sebete. E ka bakoa ke:

• Lihlahala tsa mokokotlo oa metsi
• Likokoana-hloko
• Ho fokotsa mokokotlo oa bile
• Majoe ka mokoting o tloaelehileng oa bile
• Pancreatitis
• Hlahala ea Pancreatic kapa pseudocyst
• Khatello ea methapo ea bile ka lebaka la boima kapa hlahala e haufi
• Sclerosing cholangitis ea mantlha

Intrahepatic cholestasis e hlaha kahare ho sebete. E ka bakoa ke:

• Lefu la sebete la joala
• Amyloidosis
• Bacteria abscess sebeteng
• Ho feptjoa feela ka methapo (IV)
• Lymphoma
• Boimana
• Cirrhosis ea mantlha ea biliary
• Kankere ea pele kapa ea metastatic ea kankere
• Sclerosing cholangitis ea mantlha
• Sarcoidosis
• Matšoao a tebileng a hasaneng ka mali (sepsis)
• Lefuba
• Hepatitis ea vaerase

Meriana e meng e ka baka cholestasis, ho kenyelletsa:

• Lithibela-mafu, tse kang ampicillin le li-penicillin tse ling
• Li-steroids tsa Anabolic
• Lipilisi tsa thibelo ea bokhachane
• Chlorpromazine
• Cimetidine
• Estradiol
• Imipramine
• Prochlorperazine
• Terbinafine
• Tolbutamide

Matšoao a ka kenyelletsa:

• Litulo tsa 'mala oa letsopa kapa tse tšoeu
• Moroto o lefifi
• Ho hloleha ho sila lijo tse itseng
• Ho hlohlona
• Ho nyekeloa kapa ho hlatsa
• Bohloko karolong e kaholimo ea mpa
• Letlalo le mosehla kapa mahlo

Liteko tsa mali li ka bonts'a hore u phahamisitse bilirubin le alkaline phosphatase.

Ho sebelisoa liteko tsa ho lekola boemo bona. Liteko li kenyelletsa:

• CT scan ea mpa
• MRI ea mpa
• Endoscopic retrograde cholangiopancreatography (ERCP), e ka tseba sesosa
• Ultrasound ea mpa

Sesosa sa cholestasis se tlameha ho phekoloa.

Hore na motho o sebetsa hantle hakae ho latela lefu le bakang boemo boo. Majoe ka har'a pitsa e tloaelehileng ea bile a ka tlosoa hangata. Sena se ka phekola cholestasis.

Li-stents li ka beoa libakeng tse bulehileng tsa pompo e tloaelehileng ea bile e fokotsitsoeng kapa e koetsoeng ke mofetše.

Haeba boemo bo bakoa ke tšebeliso ea moriana o itseng, hangata o tla fela ha o khaotsa ho noa moriana oo.

Mathata a ka kenyelletsa:

• Letšollo
• Ho hloleha ha 'mele ho ka etsahala haeba sepsis e hlaha
• Ho monya mafura a livithamini tse nang le mafura
• Ho hlohlona ho matla
• Masapo a fokolang (osteomalacia) ka lebaka la ho ba le cholestasis nako e telele haholo

Bitsa mofani oa tlhokomelo ea bophelo haeba u na le:

• Ho hlohlona ho sa feleng
• Letlalo le mosehla kapa mahlo
• Matšoao a mang a cholestasis

Fumana ente bakeng sa hepatitis A le B haeba u le kotsing. Se ke oa sebelisa lithethefatsi tse kenang methapong 'me ua arolelana linalete.

Cholestasis ea ka hare; Extrahepatic cholestasis

• Majoe a majoe
• Sefuba
• Sefuba

Eaton JE, Lindor KD. Motsoako oa mantlha oa biliary cholangitis. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Mafu a ka Mpeng le a Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 91.

Fogel EL, Sherman S. Maloetse a gallbladder le bile ducts. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 146.

Lidofsky SD. Jaundice. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 21.