Mu thupi labwino, bile imalowa mkati mwa coloni 12 kuti idye chakudya. Pankhani ya vuto la mapangidwe, kudzipatula komanso kusungunuka kwa chilengedwe, cholestasis imayamba - zizindikiro za matendawa zimadalira kukula kwake, komanso malo omwe matendawa amapezeka.
Pali vuto la intrahepatic ndi extrahepatic sylrome. Mtundu woyamba umagwirizana ndi kuwonongeka kwa kaphatikizidwe ka bile ndi kulowa kwa bile capillaries. Matenda a extrahepatic amadziwika ndi kutayirira kwa bile kapena njira kusintha.
Zizindikiro za matenda a hepatic cholestasis
Zomwe zikuwonetseratu zochitika:
- Xanthomas ndi xanthelasms. Khungu likuwoneka lathyathyathya kapena lokwezeka pang'ono, zochepa, zofewa zofewa za mtundu wachikasu. Iwo ali ammudzi, monga lamulo, pamaso, pamutu, kumbuyo ndi pachifuwa. NthaƔi zina xanthomas imapezeka pansi pa ziwalo za mammary, m'mapanga a palmu.
- Steatorrhoea ndi Acholia zinyama. Chifukwa cha kuphwanya bile kuyenda, komanso kuyamwa mu intestine yaing'ono yamadzimadzi, mafupa amtundu amayamba kutulutsidwa ndi kukhala wochuluka.
- Mdima wa mkodzo. Kuchulukitsa bilirubin m'magazi kumabweretsa kuwonjezeka kwambiri mu mkodzo, chifukwa cha zomwe zimapeza mthunzi wa tiyi wakuda kapena mowa wamdima.
Chimodzi mwa zizindikiro zenizeni za cholestasis ndi kuyabwa kwa khungu, chifukwa cha kukhumudwa kwa mitsempha yambiri ndi bile. Monga lamulo, chizindikiro ichi chimayambitsa jaundice.
Zinthu zotsatirazi zingaphatikizepo matenda aakulu:
- nyamakazi ya nyamakazi;
- Sjogren's syndrome;
- chakudya ndi mankhwala;
- splenomegaly;
- mphuno yowopsa;
- matenda a hemorrhagic;
- cholelithiasis ;
- chiwonetsero cha polyneuropathy;
- cerebellar ataxia;
- kuchepa kwa retina;
- hepatic-cell insufficiency.
Zizindikiro za extrahepatic cholestasis
Mitundu yonseyi ya matendawa ndi yofanana, kotero kukhazikitsa chidziwitso chodziwikiratu ku chipatala
Zizindikiro zenizeni za cholestasis kunja kwa chiwindi ndizo:
- chophatikizana chamakono;
- zizindikiro za cholangitis ;
- kuwonjezereka kwa chifuwa;
- Kuthamanga kwadzidzidzi kapena kamodzi kamodzi kokha ka pruritus ndi jaundice;
- kulibe chiwindi chachikulu;
- kupititsa patsogolo kwa matenda.