Vuto lokhudzana ndi kuchepetsa kapena kuthetsa kwathunthu kutsekemera kwa bile kumatchedwa cholestasis. Iyi ndiyo njira yothetsera matenda, yomwe ndi yabwino kuchotsa nthawi yochepa kwambiri pambuyo pozindikira. Kudziwa zizindikiro za cholestasis, chithandizo chingayambe m'kupita kwanthawi, kotero kuti chikhale chophweka kwambiri.
Zizindikiro zazikulu za intra-ndi-extrahepatic cholestasis
Ndi cholestasis, zigawo zikuluzikulu za bile zimapangidwira m'matumbo, omwe, ndithudi, sangathe kudziwika. Malingana ndi mkhalidwe wa thanzi, siteji ya matenda, zizindikiro za thupi la wodwalayo ndi zina, zizindikiro za cholestasis zikhoza kusiyana. Koma pali gulu lina la zizindikiro za matenda omwe amapezeka nthawi zambiri.
Chizindikiro chachikulu cha cholestasis ndi khungu loyera. Nthawi zambiri, chizindikiro ichi cha matendawa chimakhala chiwonetsero chokha cha vuto kwa nthawi yaitali. Monga lamulo, usiku kuyabwa kumawonjezereka, madzulo wodwala akumverera atamasuka. Pazigawo zina za matendawa, zizindikiro zina zimayamba kuonekera:
- xanthomas - mawanga achikasu m'maso, opangidwa chifukwa cha kuchepa kwa mafuta m'thupi;
- kuwonongeka kwa chilakolako;
- kusakaniza kwa khungu;
- mliri;
- ululu mu hypochondrium yolondola;
- kupweteka kwakukulu ;
- chisokonezo;
- kusanza;
- kukwera mwadzidzidzi kutentha;
- mdima wa mkodzo;
- kukonzanso;
- cholelithiasis;
- magazi ochuluka;
- hypovitaminosis;
- kupanga mabala a purulent pakhungu;
- kuwonongeka kwa masomphenya;
- khungu louma ndi ena.
Nthaŵi zina zizindikiro za hepatic cholestasis zingakhale zofooka. Chifukwa cha ichi ndi kusowa kwa vitamini D. Palinso milandu pamene cholestasis mwa amayi inayamba kusabereka. Koma mwatsoka, chodabwitsa ichi n'chosowa.
Chikhalidwe cha cholestasis
Njira yosavuta kupeza cholestasis ndiyo kupanga kachirombo ka magazi. Pa matendawa, kuchuluka kwa bilirubin kumawonjezeka kwambiri. Kuonjezerapo, mlingo wa cholesterol ndi bile acids ukuwonjezeka. Akatswiri ena amatha kutchula za ultrasound kuyesa chiwindi kuti atsimikizidwe kuti ali ndi matenda.
Chithandizo chimasiyana malinga ndi mtundu wa matenda. Motero, ndi chotheka cholestasis chapadera kuti akwaniritse zotsatira zabwino popanda kugwiritsa ntchito opaleshoni zingakhale zovuta. Njira zogwiritsira ntchito posachedwa zimagwiritsidwa ntchito. Kuchiza kwa intrahepatic cholestasis kumadalira mwachindunji chifukwa chomwe chinayambitsa matenda.
Mosasamala mtundu wa cholestasis, wodwalayo adzafunika kutsatira zakudya. Kwa kanthawi (ndi bwino - kwanthawizonse) adzayenera kusiya mafuta, ndi amchere komanso zakudya zokometsera. Sitikulimbikitsidwa kuti mugwiritse ntchito mowa khofi ndi mowa, masamba osakanizika ndi zipatso, mtanda, mabokosi a bowa, nyama zowononga zingakhale zovulaza. Zakudyazi ziyenera kuwonjezeranso mavitamini achilengedwe, msuzi wochepa wa mafuta, tirigu, kanyumba kakang'ono ka mafuta.
Mankhwala abwino kwambiri ochizira cholestasis:
- Ursofalk;
- Cholestyramine;
- Heptral;
- Sylimar;
- Hepastosan;
- Hofitol.
Chithandizo cha cholestasis ndi mankhwala ochiritsira
Inde, mu mankhwala amtundu, nawonso, pali ndalama zokwanira zothandizira kumenyana ndi cholestasis. M'munsimu muli maphikidwe ochepa kwambiri komanso ophweka:
- A decoction wa birch masamba ndi othandiza . Pakadutsa supuni ya youma yosakaniza ndi madzi otentha ndi theka la ola lotentha mu madzi osamba. Wosakaniza ndi utakhazikika amatanthauza kumwa musanadye galasi limodzi lachitatu.
- Thandizo lapadera ndi ndodo zouma mapulo. Atengeni iwo kuti aphwanyidwe theka la ola asanadye. Mlingo woyenera kwambiri ndi supuni imodzi ya khofi.
- Pochiza, mutha kudya miyezi itatu ya uchi ndi mafuta ambewu tsiku lililonse.
- Njira ina ndi zakumwa zopangidwa kuchokera ku madzi a black radish ndi beets. Muyenera kumwa mankhwalawa kamodzi pa galasi. Kutalika kwa maphunziro ndi miyezi itatu.