Description joonis obstructive: Sababaha, calaamadaha iyo astaamaha daaweynta

Waa maxay cagaarshow obstructive? Sababaha iyo daaweynta cudurkan la hoos lagu qeexay doonaa. Waxa kale oo aad baran doontaa waxa calaamadaha caan ku cudurka iyo sida loo ogaadaa.

macluumaad aasaasi ah

Waayo, content joonis obstructive sifo sare ee unugyada walax sida bilirubin. element siinayaa maqaarka iyo xub-axaleedka midab huruud ah.

Bile call bilirubin Midabka. Sida laga soo xigtay khubaro ah, waxa ay leedahay laba kooxood: xariiq toosan, taas oo, ku xiran, oo aan toos ahayn, waa lacag la'aan.

Sidaa darteed, joonis obstructive raasamaal dabeecad-dhaafka ah ee element sheegay, oo wuxuu dhacaa sabab u ah noqnoqashada dhammaystiran ama qayb ahaan Lumen mareenka biliary. waa magac kale oo cudurkan waa joonis.

Sababaha ugu waaweyn ee cudurka

cudurka kala duwan ee sababa cagaarshow obstructive waa in la sameeyaa oo keliya ee isbitaalka. On waxa cilmi hababka ugu isticmaalka waqti isku mid ah, aan hoos ku sheegi doono.

In xaaladda caadiga ah ee bile bukaanka sameeyay beerka, waa in loo soo bandhigo si joogto ah gelin malawadka, si ay u ka qayb qaataan geeddi-socodka dheefshiidka. Si kastaba ha ahaatee, taasi ma dhici xaaladaha qaarkood. caqabad ku yahay hannaanka noocan oo kale ah waxaa ka mid ah sababahan soo socda:

• Stenosis, ama gaabiso koollo waxa loogu yeero, iyo bararka xuubka in joogitaanka stricture postinflammatory cicatricial (tus, lagu arkay at cholangitis ama cholecystitis) ama riixo ee burada,
• xirma farsamo ama qayb ka xirmi wax-u xaadirin calculi biliary (Dhagax Cadaab) ay goobjoog ka ahaayeen cholelithiasis.

All ifafaale waxay keenaan bahal Stasis bile (i.e. formation of cholestasis) taasoo keentay in hypoxia dhacdaa, oo dhaawacay hepatocytes.

Sidoo kale waa in Waxaan la soco in sababta joonis obstructive noqon kartaa lamaro, cyst ah kaadi haysta ama beeryarada, iyo sidoo kale dulin sida roundworm ama echinococcus.

calaamadaha

Sida ku cad joonis obstructive? Calaamadaha cudurka aan la arkin kuwo ku adag. Sida caadiga ah, cudurka sida ba'ani uu yeesho.

Sida laga soo xigtay khubaro, joonis muujiyey by sifooyinka sida:

• lalabo, qandho, matag,
• xanuun mindi arfariirka in Rubuca saxda sare, taas oo kor u dhistaa in hirarka iyo radiating in bowdadii midig ama kalxanta,
• midab ah saxarada, tan iyo bilirubin ma aha gala xiidmaha;
• doorashada ee bilirubin kaadida, kaas oo ku kordhinaya ay coloration in midabka madow brown,
• cuncun xoog leh ay sabab u raasamaal ee jirka ee acids bile sun.

Calaamadaha kale ee cudurka

Sida aynu u garan karaan horumarinta joonis obstructive? Xadgudubka socodka bile dabiiciga ah ee joogtada ah waxay dhacdaa in si sax ah si la mid ah sida kor lagu sharaxay. Si kastaba ha ahaatee, darnnaanta calaamadaha sida kordhin karaa iyadoo ku xiran muddada cholestasis. Sidoo kale, mararka qaarkood, bukaanada la kulmaan steatorrhea (ie ogaado baruurta nuxurrada saxarada), hyperpigmentation maqaarka, miisaanka oo yaraada iyo xanthoma (ie dhigaalka la egyahay ee maqaarka).

Sidoo kale waa in Waxaan la soco ogaado faraqa waqtigii jooniska obstructive ka hortagi kara horumarinta cudurada sida cirrhosis. Waayo, cudurka lagu gartaa formation ka mid ah qaybaha buunshada connective unugyada beerka, oo kac oo jawaab u galleeyda hepatocyte ay sabab u tahay cudurada dheefshiidka iyo yaraanta oksijiinta.

Iyadoo horumarinta joonis ee jidh bani badala-shiid ee vitamins xaydha-L. Intaa waxaa dheer, la'aanta ah ee vitamin D keenaysaa in osteoporosis (ie, kordhay nuglaanta lafaha), oo sababtay in bukaanku uu raaxo ku dhabarta (lumbar ama thoracic) iyo ka cabanaya jab lama filaan ah.

Waa in sidoo kale lagu sheegay in inta badan joonis dhirfinaya horumarinta dhiigbaxa syndrome, oo ay ku jiraan sanka, muuqaalka kore ee "asterisks" vascular iyo burbur maqaarka ah. ifafaale noocan oo kale ah waa natiijo ah oo deficiency of vitamin K.

Iyadoo yaraanta vitamin A ee jirka bukaanka hoos u awood u leh inay ahayd gabbaldhac oo aragga. Intaa waxaa dheer, cholestasis sii dheerayn si weyn u kordhiyaa jaaniska of formation of laga soosaaray.

Sidoo kale on asalka ah ee horumarinta joonis kordhisaa halista cudurka iyo cholangitis bakteeriyada, ama waxa loogu yeero barar ah marinnada bile ah. Tan waxaa badanaa la muujiyey by qandho iyo xanuun caloosha midig sare.

Hababka cudurka jooniska obstructive

Hadda, aad u ogaato, taas oo ah caadiga ah ee content sare ah cagaarshow obstructive bilirubin ee dhiigga. Si kastaba ha ahaatee, falanqaynta lagmamaarmaanna u ah dhiig cudurka sida ma siin sawir buuxa oo lagu ogaanayo. Sidaa darteed, khubarada badan oo la sameeyo baaritaanno kale shaybaarka, iyo sidoo kale iyadoo la isticmaalayo habab kala duwan oo qalab ah.

Sidaas daraaddeed, waayo cudurka jooniska obstructive waa in ay:

• dhigi dhamaystiran count dhiig;
• mari joogayso resonance retrograde iyo magnetic endoscopic;
• mari scan CT iyo ultrasound ee caloosha;
• dhigi laparoscopy la biopsy.

Iskudarka cilmi tani waxay u oggolaanaysaa in dhakhaatiirta xawilaan joogitaanka ama maqnaanshaha of joonis.

joonis obstructive: daaweynta cudurka

Sida caadiga ah, in dhammaan dadka qaba cudurka 'joonis obstructive "isla markiiba isbitaal cisbitaalka qalliinka. Ka dib markii sahanka takhasusay soco daaweynta degdegga ah ee cudurka. Sida caadiga ah, cudurka waddaa therapy ah muxaafidka ah. Waxa looga golleeyahay at tirtiridda cagaarshow iyo cholestasis, iyo sidoo kale xasilinta xaaladda bukaanka. Marka daaweynta waxaa lagu fuliyaa by helo wakiilada oo hormoon ah oo isticmaalaya farsamooyin endoscopic.

Iyo in la baabi'iyo cagaarshow inta badan door biday in ay tallaabo qalliinka.

qabashada qalliinka waa la fuliyay in decompression (i.e. hoos cadaadis) ee mareenka biliary iyo socodka bile in dib loo bilaabo, ka hortagga beerka iyo cirrhosis. Marka waxa la adeegsadaa qalliinka ma aha oo kaliya u furan, laakiin laparoscopic bixiya hoos ultrasound scan ama CT. Waana mid ka, labaad la siiyo mudnaan gaar ah sababta oo ah jaaniska hooseeyo dhibaatooyinka iyo meesha la qalay a yar.

Noocyada kale ee daawaynta

Waxa intaa dheer in qaliin, nidaamka isku dhafan ee daaweynta joonis obstructive oo ka mid ah hawlaha sida:

• gepatoprotektsiya (vitamins ee group B, diyaarinta "Essentiale"), wanaajinta shiid (by helaya ascorbic acid iyo "pentoxy"), codsiga of ursodeoxycholic acid,
• therapy naanin in ay kicin diuresis, maamulka of xal glucose, cusbada, chloride sodium, gemodeza;
• weelasha sixitaanka microcirculation beerka;
• daaweynta bakteeriyada in ay dhacdo ku biiro cudurka;
• therapy hormone, oo dhammaystirayaa by yahay ee ka hortagga ah ee boogaha dheefshiidka mareenka.

natiijada qalliinka

Sidoo kale waa in la ogaadaa in faragelinta shaqeeya joonis daran waxaa laga yaabaa in natiijada loo kasin. Sidaa darteed, daaweynta noocan oo kale ah waxaa la qoray oo keliya sababo caafimaad.

Haddii xaaladda bukaanka waxay u saamaxdaa, waxaa lagama maarmaan ah in ay sugto dhicii cholestasis syndrome, ka dibna in ay dib u daaweynta.