Kwayar cututtukan ƙwayoyin cuta
Alamomin asibiti na cholestasis sun mamaye a jaundice (rawaya launi na fata da integuments) hade da duhu fitsari, discolored stool kuma daya ƙaiƙayi (itching).
A yayin da cutar cholestasis ta extrahepatic, hepatomegaly (ƙaramar girman hanta da aka gano akan palpation na ciki), likita na iya ganin babban gallbladder da zazzabi yayin gwajin jiki.
Dangane da dalilin cholestasis, ana iya samun wasu alamun asibiti marasa takamaiman (misali asarar nauyi a cikin ciwon daji).
Gwajin jini na dakin gwaje-gwaje ya nuna:
-a ƙara alkaline phosphatase wanda shine mabuɗin don gano cutar cholestasis.
- karuwa a cikin gamma-glutamyl transpeptidase (gGT). Wannan karuwa ba ta musamman ga cholestasis ba ne kuma ana iya lura dashi a duk hanta da cututtuka na biliary (misali barasa).
- karuwa a cikin conjugated bilirubin, alhakin jaundice
- alamun rashin bitamin A, D, E, K
- raguwa a matakin prothrombin (PT) wanda ke da alaƙa da raguwa a cikin factor V (protein coagulation) a cikin rashin isasshen hanta.
Don gano dalilin cholestasis, daM duban dan tayi shine gwajin layin farko, yana nuna dilation na bile ducts a lokuta na extrahepatic cholestasis. A cikin yanayin cholestasis na intrahepatic, duban dan tayi na ciki baya samun dilation na bile ducts.
A matsayin niyya ta biyu, likita na iya rubuta wasu gwaje-gwaje na rediyo:
- cholangiopancreatography (x-ray na bile ducts bayan amfani da samfurin bambanci)
- na'urar daukar hoto na ciki
-An MRI (Hoto na Maganar Maganar Nukiliya) na bile ducts
- wani endoscopy
Idan babu rashin daidaituwa na bile ducts da na'urar duban dan tayi, ana yin wasu gwaje-gwaje don bayyana dalilin cholestasis:
- gwaje-gwajen jini na musamman (bincika magungunan anti-mitochondrial da antinuclear antibodies) na iya zama nuni na biliary cirrhosis na farko.
– Ana iya gudanar da binciken ƙwayoyin cuta da ke da alhakin hanta
Idan waɗannan gwaje-gwaje daban-daban ba su bayyana takamaiman dalili ba, ƙwayar hanta na iya zama dole.
Halin na musamman: cholestasis na ciki. -Yana faruwa mafi yawa a cikin uku uku na ciki kuma shine a hatsari ga tayin. -Hanyar tana da alaƙa da tarin bile acid a cikin jinin uwa; wadannan abubuwan bile acid da suka wuce gona da iri na iya haye mahaifa kuma su taru a cikin jinin dan tayin. - Kasa da 1% na masu juna biyu suna fama da cholestasis na ciki [1] -Haɗarin cholestasis na ciki yana ƙaruwa idan akwai ciki tagwaye, na sirri ko tarihin iyali na cholestasis na ciki. -Yana bayyanar da kansa ta hanyar itching (mai tsananin ƙaiƙayi) wanda aka fi so a tafin hannu da tafin ƙafafu, amma duk jiki yana iya damuwa. Idan babu kulawar likita, jaundice na iya bayyana -An tabbatar da ganewar asali ta gwajin jini na halittu wanda ke nuna karuwa a cikin bile acid -Haɗarin, ƙananan ga uwa, na iya zama mai tsanani ga tayin: wahalar tayin da hadarin haihuwa -Maganin ursodeoxycholic acid yana rage haɓakar bile acid da pruritus -Bayan an haihu, a hankali a hankali ya bace kuma aikin hanta ya dawo daidai – Kulawa ya zama dole yayin yiwuwar ciki mai zuwa. |