Cholestasis o ka hāpai keiki: symptoms, lapaʻau,ʻai

O i ike ole ia mea i hāpai keiki kino o ka wahine i ka hoao ana i ka he nui loa e haawe. A, i ka hana keaka hormonal loli pinepine hiki aku ai i kekahi mau complications. Ma kēia obstetric hana kekahi manawa ia lŘlŘ kāna hana i kapaia cholestasis o ka hāpai keiki. I ka wa e kaawale aku o ka 'eleu lapaʻau no ia he ano hiki e weliweli no ke keiki e ulu ana, a no ke kino i ka makuwahine.

I mea no ke aha la he nui expectant makuwahine hoihoi i na ninau e pili ana i ka pono o keia mai, a ke kumu ia ia lŘlŘ. He aha nō i ka papa kuhikuhiE symptoms? He aha lapaʻau e kaumaha aku i kēia lapaau? He nui ka hoʻokō ano o ka Kāohiʻana? Kēia 'ike e ia o ka hoihoi ana i na mea he nui heluhelu.

He aha ka cholestasis?

Cholestasis o ka hāpai keiki - he maʻi i ua pu ma dystrophic lesions o ke akepaʻa nā'aʻaʻa. Oia ka nahae ia lŘlŘ ku ei ke kāʻei kua o ka hoʻoulu i ka pā lonoaʻili o hepatocytes i ke keka hormones, i ka nui o ka i loli aʻe nunui ana e hali ana i ke keiki. I ka hopena o kēia kaʻina hana o ka hoʻohuikau o maʻamau keʻano o ka hanaʻana o ka naʻokoko pūnao a me ka bile nāʻakika. E like me ka rula, na wahine me ia i kaʻike,, he loli o ka bile, e like me ka hoʻohuikau 'ia ma ka maʻamau pele o ka bile, a nolaila e loli ai ka pau meaola.

eʻalo He nui expectant makuwahine me ia i kaʻike,. Akā, mai koke ka weliweli, no ka mea, i loko o ka hapanui o na hihia me ka cholestatic hepatosis (iʻikeʻia e like me ka maʻi) hiki ole Makuakane me ka lilo ana o ka makeʻe kulana lapaau ole ma o na la i kekahi 'ino i ke kino, i ka wahine a me ke keiki.

prevalence

Koke ia mea kumukuai 'ana i kumumanaʻo i keia' aʻe 'mea, he nui loa, he pono ole i loko o kekahi mau'āina. No ka laʻana, e like me ka mea ana helu haʻawina i loko o Scandinavia, Kina, Bolivia a me Chile mai ia mai waiho wale aku no ia ma na mea he nui expectant makuwahine. Akā, ma Kuekene ma 10 000 hapai wāhine hoike no ka i hou aku 40 na hihia o keia maʻi.

Ma ka mokuna o Rusia cholestasis i hāpai keiki ka mea, ua i noʻonoʻo i ka kŘpa a ke nānā complication - kona alapine (frequency) 'aʻole i oi aku mamua o 2%. Nā 'ia wale nō ka akau wahi o ka aina, ma kahi o ka maʻi ua diagnosed hou pinepine ana. Ma muli o kēia mau 'ikepili, ka noiʻi paipai i ke kamepiula pūʻulu nā Lāhui wahine.

I ka papa kuhikuhiE kumu o ka maʻi

I ka mea, i kēia lā ka mea, ua iʻikeʻia a hiki i ka hopena, no ke aha la ka mea e hoʻomōhala ana i intrahepatic cholestasis o ka hāpai keiki. Aia ua nui na theories a me ka noiʻi, ma a mākou ke hoomaopopo ka papa kuhikuhiE pūʻuluʻekolu o nā kumumea:

• hoonuiia pā lonoaʻili o hepatocytes a hiki i ka pae ana o ke keka hormones, i mea ku pono i ka aaiaoe ano;
• inborn hewa o ka maʻamau hoʻololi kemikala nā'ūhū, a i amo o ka bile eiiiiiaiou, mai na hepatocytes i loko o ka bile ducts;
• inborn hewa o ka maʻamau bileʻakika hoʻololi kemikala pili me ka deficiency o kekahi mau nā'ūhū. I ka huli, pela i kāna hana hiki aku ai i ke kahua o ka atypical bile nāʻakika.

It E e kaulana i nā mea maʻi me ka aaiaoe predisposition, a congenital kāna hana cholestasis ua malama ole wale i hāpai keiki, akā, kekahi me kekahi loli ma ka nui o ke keka hormones (no ka laʻana, i menstruation, hoʻohana a ku una ha contraceptives).

Ke pathogenesis o cholestasis. E ahaʻia ana i ka maʻi?

Cholestasis o ka hāpai keiki ua pu ka ekolu nui aʻe ':

• e hoohaunaele ana i ka nui o ka bile eiiiiiaiou i loko o ke koko;
• ka ho'ēmiʻana o secretion i loko o ka naʻau liʻiliʻi;
• ʻawahia 'ole o ka bile i loko o ke ake keena, a biliary ducts.

Hoʻohuikau o ka mea maʻamau hoʻololi kemikala a me ka outflow o ka loli hua mai ma ke akepaʻa, ma muli o ia i kaʻoi mahuahua i loko o ka nui o ka progesterone a me ka estrogen. Oia hormonal loli 'ūlōlohi i ka halihali kūlohelohe o bile, e like me ka maʻamau hāpai keiki. A ina he mea i ka pilikia o ka mā hanau, degenerative loli o ka Kānana kino ua me ka nui loa mahuahua. Eia hou, i ka oi hormones lakou aloha ia i ka pituitary gland, hoemi kona hope. I ka huli, hou i loko o ka hana o keia gland e loli ai i ke kaʻina o extracting ke ake o bilirubin a me ka naʻokoko. Ua hele aku ai i ka hoʻohuikau 'o na maomeka o ke kahua a me ka secretion o ka bile.

Mea Maluna o ka maʻi

I ka lā, ua nui na nenoai o ka Mea Maluna o ka kāna hana. No ka laʻana, ke kaumaha ma muli o ka oolea o symptoms, pee no mehana, lōpū a me ka loa ano o ka maʻi.

Ma ke ano o ka lua i pele cholestasis hiki e kekahi huʻi paha maʻi (ulu exacerbation o ka maʻi maʻi ma luna o ke kāʻei kua o ka hāpai keiki). Ke kaumaha ma muli o ka etiology maopopo extrahepatic (hoʻomohala i loko o ka palapala o ke iaʻi o ka bile ducts) a me ka intrahepatic cholestasis (mau palapala ia lŘlŘ i hapai wahine).

Cholestasis o ka hāpai keiki: na hoailona a me symptoms

Kekahi haiahū kūmau mai ke kūmau i loko o kēia wā o ke ola e noi mai ana nana, a aʻo o kekahi kauka. No laila, ka mea nana e like cholestasis o ka hāpai keiki?

Symptoms pele hoomaka i ka pilikia i loko o ke kolu o ka trimester (28-35 pule.). I ka papa kuhikuhiE hoike ana o ka maʻi mea pruritus, a me ka mea e i loli iki degere o ka oolea. Kekahi hoʻomanawanui iki mai tolerate keia kue oluolu, oiai kekahi poe e ae mai ka ikaika, ola discomfort.

Maneo i oi haʻi i ka po, kūpono ma ka sleeplessness, a, niioaaonoaaiii, ikaika luhi, irritability, 'ehaʻeha o kāna hana. Loa pinepine keia manao ua IIeEeAIEUIeXAIIUE ma luna o kaʻili o ka lima, forearms, wāwae, a me ka anterior abdominal pa. Cholestasis o ka hāpai keiki (kiʻi o i i hōʻike mai iā ia i loko o ka 'inikua nā palapala kuhikuhi) e alakai i ka excoriation o ka ili, e like me ka wahine hana ino aku ia ma muli o ia mau scratching.

No ka 'ē aʻe symptoms o ka maʻi nā jaundice. E like me ke ana helu haʻawina, e like kāna hana ua malama i loko o 10-20% o na wahine. E like me ka rula, nalo i nā hōʻailona a pau o ka ma luna o lākou iho i loko o 1-2 pule ma hope o ka hanau ana. Aka hoi, ka mea, i ke laila, ma luna o ke kāʻei kua o mahope hormonal ole (no ka mea hoike, i ka lua o ka hāpai keiki).

Walaʻauʻana ano o kaʻike,

Ma ke alo o kekahi abnormalities lakou e ike koke nīnau aku i ke kauka. First hoʻomalu hōʻiliʻili piha 'inikua mōʻaukala, a me ka physical hōʻike. No kekahi mau wāhine, ka mea hiki ke hoʻomaopopo i ka poe liilii, a me ka jaundice ano i hookohu aku i o na maka sclera. I ka nana aku la au, mai o ka ili i hai redness, abrasions kena ae la ma ka scratching i ka ili.

A pau i kēia mau hōʻailona hōʻike i ka hoʻomanawanui i e cholestasis o ka hāpai keiki. Kālailai o ka lehulehu o ka lāʻau lapaʻau bile nāʻakika ke hoopaa i ka hoʻohuoiʻia o ke alo o kāna hana i loko o ke akepaʻa. He nui no hoi likeʻole haʻawina ma ka biochemical maʻiʻo a me ka ha awina o ke akepaʻa nā'ūhū. Nō hoʻi e hōʻike 'ia ultrasound manawa i nana i ka mea ulu i loko o ke au bladder a me ka maʻamau ake nui a me kaʻaʻahu echogenicity.

i ka maʻi ke alakai i kekahi complications?

Ma kēia 'inikua me ka hana pono i pinepineʻalo me ka pilikia i kapaia cholestasis o ka hāpai keiki. Ua mea pilikia loa i ka ia i ka moku'āina? O ka ihu,ʻo ia. ʻOiai ka mea, a pau hilinaʻi nui ma luna o ka oolea o ka pathological kaʻina, D.ʻike, manawa i koho Inc a me ka 'ole.

Aka hoi, ke kamepiula mea mau ma laila. 'Aʻe' ana a me ka hoʻonaʻauao 'ana hoʻopau o ka bile e loli ai ka metabolic keʻano o ka hanaʻana. Me ia he pahiki kiʻekiʻe o ka maʻi o premature hanau. Eia hou, Ua hoi ka pakeneka o ka postpartum haemorrhage iwaena o na wahine a me na mea iʻike, me ka nui loa kiekie ae, ma muli o ia ka pūnao o ka wikamina K a me kekahi coagulation kumumea.

Inā nui malfunctions o ke akepaʻa, aia mea he pilikia o fetal make, no laila, i loko o kekahi mau hihia, kauka waiho koke hānau.

Uluwehi O Inc i hāpai keiki

Lapaau hilinaʻi nui ma luna o ka oolea o ka maʻi a me kanaka hoʻomanawanui 'ano. IeAUPIIe, IAa IO mua i hoakaka ia lāʻau lapaʻau gepatoprotektory e hoʻopale ai i ke ake mai ka poho a me ka mai ole i 'ino i ke kino. No ka laʻana, "Hofitol" me ka cholestasis o ka hāpai keiki, oia ke maikai hopena. Eia hou, ua hoʻohana 'ia ka lāʻau' "Gepabene" ma ka Inc.

kemikala hepatoprotectors i pau "Ademethionine" hou o kaʻai ai 'i hoʻohana a no hoi. Like antioxidants ma ka hāpai keiki hoakaka ia tocopherol'ākeka (wikamina E) a me ka ascorbicʻakika (wikamina C). Eia hou, ke koi? Eaia ehnterosorbentov no ka paa loa bile nāʻakika i loko o ka naʻau liʻiliʻi. Hopenaʻoi loa a me ka maluhia o ka lāʻau ua noʻonoʻo "Polyphepan". Ke Inc ninoieo o ka ai 'e kōkua i ke kahe o ka bile, a emi i ka nui o ka bile nāʻakika i loko o ke koko. Ma kekahi, hoʻohana lapaau i loaʻa ka ursodeoxycholicʻakika, e laʻa me "Ursosan".

Cholestasis o hāpai keiki: ka iapaau ana o ka lāʻau-noa ano

Ma waho aʻeo ia ai ', hoʻohana i kekahi'ē aʻe pākōlea kūlana kanaka. Ma kekahi, hapai na wahine i pinepine hoakaka i ka papa o ka plasmapheresis a me ka hemosorption. Kēia mau kaʻina hana i ke hoʻololi i ka wehe i bilirubin mai i ke koko a me ka liki ole pruritogenov mea i maneo. Oia manipulation haawi i ka hopena maikai maoli. A piha papa o ka lapaʻau 'ana oia o ka eha plasmapheresis hana a me kekahi hemosorption.

Kuponoʻai - nui ka hapa o ka Inc

O ka papa, ma hope o kaʻike,, ke kauka, e koho i ka loa a me ka pono e noho malie hoi kūlana kanaka. Akā,ʻaʻohe emi nui hapa o ke kanaka kaʻai. Inā cholestasis o ka hāpai keiki pono mua lawe mālama i kaʻai, a e emi i ka ukana ma ke akepaʻa.

Nā mea maʻi i waiho e emi ka nui o ka holoholona bipi kūpaluʻia. Ma 'ana, ka pono e kali hokii o ka momoma meaʻono, ka bata, haleʻuwī waiū me nā huahana. Oe E hoi hoole i ka mayonnaise, sauces a palaiʻai. No ka mea momona mea nō e pono ai no ka mea maʻamau kūpono 'ana o ke fetus, kā lākou deficiency hiki ke käpae' ma kaʻaiʻana nō hoʻi mea (me kaʻaila, a no laila, ma luna o. D.).

Ua Ua hoi contraindicated ma ka uliuli kī, kope a me kea cholagogue. Poe akamai i paipai aku, e lawe manawa aku, mai na hua paha,ʻoliva, ka papapa maka, avocado, pickled huahana, radish, melon, waihoʻoluʻu a me Palukela kupu ma ka hopena.

Keʻai E aka e piha ana o nā wikamina a me nā minelala hao, i hiki ke loaa mai ka hou hua a me kaʻai iā - ka mea, e ia i ke kulanui iʻai. Ae e inu porridge, ka iʻa, wiwi ai. Pono keia mau mea nā huahana i loaʻa kiʻekiʻe nā māhele o ka wikamina C, i pau na alani, spinach, parsley, kai, mai ka puhaka, a me ka 'ole. D.ʻAi Pono pinepine akā, uuku'āpana. Ua mea i nui, e malama i loli koena.

He nui ka hoʻokō kāohi ana?

He nui na wahine i hoihoi i ka ninau e pili ana paha mākou hiki somehow pale cholestasis o ka hāpai keiki. Eia naʻe, loaʻa nō i hana i hiki ke hoomalu i ke 'aʻe'. Nolaila, e hoomanawanui i ka poe i ma kamepiula, ka mea, ua pono akahele ka mālamaʻana ma hāpai keiki.

E like ma mua o ka meaʻikeʻia o nā symptoms mua o nā wāhine ia e loaa palupalu hepatic hoʻomalu mai, antioxidants a me choleretic. He hoi loa nui e hahai i kaʻai akau. A, o ka papa, i ka expectant makuahine e undergo regular examinations a me nā ho'āʻo ma, e hele, e like me ka mea e haawi aku i ka manawa e huai ae abnormalities ma ka koke ke kahua.

Pehea e Makuakane me na symptoms? hoike hoʻomanawanui iki mai

He nui na wahine iʻalo me kaʻike, o "cholestasis o ka hāpai keiki." Reviews o nā mea maʻi paipai ia iapaau ana, aole ia kōkua i ka hoʻopau i ka 'aʻe' a me ka malama i ka olakino fetus. Aka hoi, ikaika maneo me ka nui loa impairs Hawaiʻi o ke ola.

Kuʻuipo keia manao hoʻohana kūikawā compresses. No ka laʻana, lotions a ea paha, mai kai chamomile paha oatmeal kokua e hoʻopau discomfort, e like me ka maikaʻi ia ma luna o ke ano o kaʻili, ho'ēmi i li nui. Kekahi kōkua lotions o ka oluolu anuanu ka wai, no ka mea, ka mea haʻahaʻa ka mahana 'aʻole hoʻi koko, hoemi maneo. Nā mea maʻi i paipai aku e hiamoe ana i loko o ka ventilated, me wahi, a, o ka papa, malama ma hope o kaʻai.