Whakaahuatanga jaundice taunutia: Take, tohu me ngā āhuatanga maimoatanga

He aha te mea jaundice taunutia? Ka whakaahuatia te take o me maimoatanga mō tenei mate i raro. Ka ako ano hoki koe ki ta nga tohu āhuatanga o te mate, me te pehea te pāngia i te reira.

ngā mōhiohio taketake

Hoki taunutia ihirangi tiketike āhuatanga jaundice i roto i te kopa o te taonga pērā i bilirubin. Tenei huānga homai te kiri, me te mucous kiriuhi kōwhai te tae.

Ate ngarahu bilirubin karanga. E ai ki nga tohunga, kua reira e rua wehenga: he rārangi tika, e te, hono, me autaki, e he free.

Ko te kupu, hoki taunutia jaundice huru nui haaputuputuraa o mea pūmotu, i puta rite ki te hua o te oti ranei wāhanga inaki lumen biliary wahi. Ko tētahi atu ingoa mō tenei mate ko te jaundice.

Ko te take matua o te mate

tātaritanga pārōnaki o kia nga take o te jaundice taunutia kia whakamana anake i roto i te fare ma'i. I aha rangahau tikanga i te whakamahi wa taua, ka korero matou i raro.

I roto i te āhua tonu o te ate manawanui i hanga i roto i te ate, kia whakaaturia i wā auau ki te duodenum, i roto i te tikanga ki te tango i tetahi wahi i roto i te tukanga o te nakunaku. Heoi, e kore e tenei tupu i roto i ētahi wā. He fakafaingata'a'ia'anga ki te tukanga taua kia ngā te take e whai ake nei:

• Stenosis, ranei te whāiti te tau mahani pera-ka karanga, me te mucosal edema i te aroaro o te stricture postinflammatory cicatricial (hei tauira, kite i cholangitis ranei cholecystitis) kōpeketanga o te puku ranei;
• tukuna ai aunoa i te wahi inaki pera-ka karanga ranei ascenceur calculi biliary (kohatu) i roto i te aroaro o te cholelithiasis.

enei ari katoa arahi ki pathological stasis ate (i.e. te hanganga o te cholestasis) hua i roto i te hypoxia puta, e tukia te hepatocytes.

kia mōhio hoki tatou e taea te take o te jaundice taunutia hei he whēwhē, he whēwhē o te gallbladder taiaki ranei, me te pirinoa pērā i roundworm echinococcus ranei.

tohu

Ka rite ki whakaaturia jaundice taunutia? e kore e Tohu o te mate kite rawa uaua. Ka rite ki te tikanga, whakawhanake te ume nei taua mate.

E ai ki te tohunga, jaundice whakakitea e taua āhuatanga rite:

• whakapairuaki, kirika, ruaki;
• mamae wero rahi i roto i te hautahi o runga tika, e hanga ake i roto i ngaru, me te anaana ki te huha matau paewai ranei;
• discoloration o feces, mai te mea kore bilirubin tomo te whēkau;
• kōwhiringa o bilirubin i te mimi, e whai wāhi ana ki tona Whaitae i roto i te tae parauri pouri;
• kaha minamina tika ki whakaeminga i te tinana o te waikawa ate paitini.

Ētahi atu tohu o te mate

Nahea tatou e nehenehe e ite i te whanaketanga o te jaundice taunutia? puta ma'i Tūkinotanga āhua rere ate i roto i rite te ara ano rite whakaahuatia ana i runga. Heoi, kia whakapiki ake i te pakeke o taua tohu i runga i te roanga o te cholestasis rānei. Hoki, i roto i ētahi wā, tūroro wheako steatorrhea (arā kitea pukupuku ngako i roto i te kumete), kiri hyperpigmentation, taimaha mate me xanthoma (arā lipid waipara i te kiri).

kia mōhio hoki tatou e taea te tātaritanga pārōnaki wā o te jaundice taunutia ārai i te whanaketanga o mate pērā i cirrhosis. Hoki te mate āhuatanga e te hanganga o kaiota wāhanga kiko tūhonohono i roto i te ate, i ara ake i roto i te whakautu ki te hepatocyte necrosis tika ki disorders pūkoro tinana , me te hāora hē.

Ki te whanaketanga o te jaundice i roto i te tinana tangata taui te pākia o huaora ngako-wairewa. I roto i te tua, he kore o te huaora D arata'i ki osteoporosis (arā, nui haere fragility wheua), me te hua e mana'o te manawanui hūhi i roto i te tuaiwi (lumbar rei ranei) me te mamae i piere noa.

kia hoki kia mea te reira e maha whakaoho jaundice te whanaketanga o hemorrhagic syndrome, e ngā nosebleeds, te ahua o iaia "atú" me karawarawa i runga i te kiri. Taua ari Ko te putanga o te hē o te huaora K.

Ki te kaimahi o te huaora A i te tinana o te manawanui heke te kaha ki te ahiahi kite. I tua atu, roa cholestasis tino piki te tūponotanga o te hanganga o gallstones.

i runga i te whakamārama o te whanaketanga o te jaundice hoki faarahi te mōrea o te mate, me te o cholangitis kitakita, pera-ka karanga mumura o te aerodynamics ate ranei. Kei te nuinga o tenei whakakitea e kirika, me te mamae i roto i te puku tika o runga.

Methods o te tātaritanga o te jaundice taunutia

Na, e matau ana koutou, i te mea angamaheni mo te ihirangi tiketike o te jaundice taunutia bilirubin i roto i te toto. Heoi, e kore e te tātari matüora o toto i taua mate hoatu he pikitia tātaritanga oti. Na reira, e rave rahi tohunga mahi atu whakamātautau taiwhanga, me te whakamahi i ngā tikanga mauhaa.

Na, mo te tātaritanga o te jaundice taunutia kia:

• hanga i te tatau toto oti;
• mamae endoscopic cholangiopancreatography te kōwarotanga retrograde me autō;
• amohia e te scan CT me ultrasound o te puku;
• kia laparoscopy ki unuhanga.

He fakakātoa 'o tenei rangahau taea tākuta ki te ļa i te aroaro ngaro ranei o te jaundice.

jaundice taunutia: te maimoatanga o te mate

Ka rite ki te tikanga, tūroro katoa pāngia ki 'jaundice taunutia "falemahaki tonu i roto i te hōhipera hāparapara. I muri i te rangahau puta tohunga ki te maimoatanga tonu o te mate. Tikanga, rere te mate te therapy momo. whai ana te reira i te whakakorenga o te jaundice me cholestasis, rite pai rite te stabilization o huru o te manawanui. A, no te tenei maimoatanga kawea i roto i te tangohanga hormonal āpiha me te whakamahi i endoscopic tūāhua.

A ki te whakakore jaundice maha huihui ki takahanga hāparapara.

kawea wawaotanga operative te roto ki te decompression (i.e. pēhanga whakaiti) i roto i te wahi biliary me rere ate ki anō, te ārai o te kore ate, me te cirrhosis. A, no te whakamahia tenei te kore anake pokanga tuwhera, engari laparoscopic e noho i raro i ultrasound CT karapa ranei. Ratau, hoatu te tuarua te hiahia motuhake no o te tūponotanga iti o pōauautanga me te kokoti iti.

Ētahi atu maimoatanga

I tua atu ki te pokanga, te kaupapa matatini o te maimoatanga o te jaundice taunutia, me ngā mahi pēnei i:

• gepatoprotektsiya (huaora o rōpū B, te takanga "Essentiale"), whakapai ake o pākia (e tangohanga ascorbic waikawa me "pentoxy"), tono o ursodeoxycholic waikawa;
• detoxification therapy ki whakaongaonga diuresis, whakahaere o te otinga kūhuka i, saline, te konutai pūhaumāota, gemodeza;
• oko whakatikatika microcirculation i te ate;
• maimoatanga antibacterial i roto i te take o hono o te mate;
• therapy taiki, kīnaki nei i nga tikanga mo te ārai o tuwhenua wahi kūnatu.

pokanga putanga

Me mahara hoki käore te reira e kia whai i te wawaotanga whakahaere i roto i te jaundice nui te putanga kino. Na reira, whakaritea he maimoatanga taua te anake hoki take hauora.

Ki te taea te reira huru o te manawanui, he mea e tika ana ki te tatari mo te cholestasis syndrome ōhanga, a ka ki te anō therapy.