Cutar Cholestasis

Cholestasis kowane yanayi ne wanda gudanawar bile daga hanta ke raguwa ko toshewa.

Akwai dalilai da yawa na cholestasis.

Choarin cholestasis na faruwa a waje da hanta. Zai iya faruwa ta hanyar:

• Bile bututuka marurai
• Kirji
• Rage igiyar bile (tsaurarawa)
• Duwatsu a cikin bututun bututun gama gari
• Pancreatitis
• Pancreatic ƙari ko pseudocyst
• Matsi akan bututun bile saboda taro na kusa ko ƙari
• Cutar sclerosing cholangitis

Intrahepatic cholestasis yana faruwa a cikin hanta. Zai iya faruwa ta hanyar:

• Ciwon hanta mai giya
• Amyloidosis
• Cutar ƙwayar cuta a cikin hanta
• Ana ciyar da ku ta musamman ta jijiya (IV)
• Lymphoma
• Ciki
• Farkon biliary cirrhosis
• Na farko ko ciwon daji na hanta
• Cutar sclerosing cholangitis
• Sarcoidosis
• M cututtuka da suka yada ta cikin jini (sepsis)
• Tarin fuka
• Kwayar hepatitis

Hakanan wasu magunguna na iya haifar da cututtukan ciki, gami da:

• Magungunan rigakafi, irin su ampicillin da sauran penicillins
• Anabolic steroids
• Magungunan haihuwa
• Chlorpromazine
• Cimetidine
• Estradiol
• Imipramine
• Prochlorperazine
• Terbinafine
• Tolbutamide

Kwayar cutar na iya haɗawa da:

• Launi mai launi ko fari
• Fitsarin duhu
• Rashin iya narkewar wasu abinci
• Itching
• Tashin zuciya ko amai
• Jin zafi a hannun dama na sama na ciki
• Fata mai launin rawaya ko idanu

Gwajin jini na iya nuna cewa kun daukaka bilirubin da alkaline phosphatase.

Ana amfani da gwaje-gwajen hotunan don gano wannan yanayin. Gwajin sun hada da:

• CT scan na ciki
• MRI na ciki
• Endoscopic retrograde cholangiopancreatography (ERCP), yana iya ƙayyade dalilin
• Duban dan tayi

Dole ne a bi da asalin abin da ke haifar da cutar ƙwaƙwalwa.

Ta yaya mutum yake yi ya dogara da cutar da ke haifar da yanayin. Sau da yawa ana iya cire duwatsu a cikin bututun bututun bile na yau da kullun. Wannan na iya warkar da cutar ƙwaƙwalwa.

Za'a iya sanya sitati don buɗe wuraren bututun bile gama gari wanda ke taƙaitawa ko toshewa ta hanyar cutar kansa.

Idan yanayin ya samo asali ne ta amfani da wani magani, sau da yawa zai gushe idan ka daina shan wannan maganin.

Matsaloli na iya haɗawa da:

• Gudawa
• Rashin gabobi na iya faruwa idan sepsis ya bunkasa
• Rashin shan kitsen mai mai narkewa mai narkewa
• Mai tsananin ƙaiƙayi
• Kasusuwa masu rauni (osteomalacia) saboda ciwon cholestasis na dogon lokaci

Kira mai ba da lafiyar ku idan kuna da:

• Chinganƙara wanda baya fita
• Fata mai launin rawaya ko idanu
• Sauran alamun cututtukan ƙwayoyin cuta

Yi rigakafin cutar hepatitis A da B idan kana cikin haɗari. Kar ayi amfani da magungunan cikin jini da raba allurai.

Intrahepatic cholestasis; Choarin cholestasis

• Duwatsu masu tsakuwa
• Ruwan kwalliya
• Ruwan kwalliya

Eaton JE, Lindor KD. Primary biliary cholangitis. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cutar Cutar hanta da cutar hanta. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 91.

Fogel EL, Sherman S. Cututtuka na gallbladder da bile ducts. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 146.

Lidofsky SD. Jaundice. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 21.