Sakanizani matenda a chiwindi

Gulu loyambitsa matenda a chiwindi ndimagulu oyeserera omwe amayesedwa kuti awone ngati ali ndi matenda a chiwindi. Matenda a chiwindi omwe amateteza thupi kumatanthauza kuti chitetezo chamthupi chimagunda chiwindi.

Mayesowa akuphatikizapo:

• Ma anti-chiwindi / impso microsomal antibodies
• Ma anti-mitochondrial antibodies
• Ma anti-nyukiliya
• Ma anti-smooth muscle antibodies
• Seramu IgG

Gululi liphatikizanso mayeso ena. Nthawi zambiri, mapuloteni oteteza kumatenda m'magazi amawerengedwanso.

Kuyeza magazi kumatengedwa mumtambo.

Sampuli yamwazi imatumizidwa ku labu kukayezetsa.

Simuyenera kuchita zinthu zina musanayesedwe.

Mutha kumva kupweteka pang'ono kapena mbola pamene singano imayikidwa kuti mutenge magazi. Pambuyo pake, pakhoza kukhala kupindika.

Matenda osokoneza bongo ndi omwe amayambitsa matenda a chiwindi. Matenda omwe amapezeka kwambiri ndimatenda amtundu wa hepatitis komanso ma biliary cholangitis (omwe kale amatchedwa biliary cirrhosis).

Gulu ili la mayeso limathandizira wothandizira zaumoyo wanu kuzindikira matenda a chiwindi.

ZOTHANDIZA MAGULU:

Mulingo wabwinobwino wama protein m'mwazi umasinthidwa ndi labotale iliyonse. Chonde funsani omwe akukuthandizani kuti mupeze mayendedwe azaboma lanu.

Zizindikiro:

Zotsatira zoyipa pa ma antibodies onse ndizabwino.

Chidziwitso: Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pama laboratories osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Zitsanzo pamwambapa zikuwonetsa muyeso wamba wazotsatira zamayesowa. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana.

Kuyezetsa magazi kwa matenda omwe amadzimadzimadzimadzimodzi samakhala olondola kwathunthu. Atha kukhala ndi zotsatira zoyipa zabodza (muli ndi matendawa, koma mayesowo alibe) komanso zotsatira zabodza zabwinobwino (mulibe matendawa, koma mayesowo ndiabwino).

Chiyeso chofooka kapena chotsika kwambiri cha matenda amthupi nthawi zambiri sichikhala chifukwa cha matenda aliwonse.

Kuyesedwa koyenera pagululi kungakhale chizindikiro cha matenda a chiwindi kapena matenda ena amchiwindi.

Ngati kuyezetsa kuli koyenera makamaka kwa ma anti-mitochondrial antibodies, mumakhala ndi biliary cholangitis woyambirira. Ngati ma protein a chitetezo ali okwera komanso albumin ndiyotsika, mutha kukhala ndi chiwindi cha chiwindi kapena matenda a chiwindi osachiritsika.

Zowopsa zochepa zokoka magazi ndi monga:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Gulu loyesera matenda a chiwindi - chokha

• Chiwindi

Bowlus C, Assis DN, Goldberg D. Pulayimale ndi sekondale sclerosing cholangitis. Mu: Sanyal AJ, Boyter TD, Lindor KD, Terrault NA, olemba. Zakim ndi Boyer's Hepatology. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 43.

Czaja AJ. Matenda a hepatitis. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 90.

Eaton JE, Lindor KD. Pulayimale biliary matenda enaake. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 91.

Pawlotsky JM. Matenda a chiwindi ndi autoimmune. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 149.