Hauv lub cev noj qab nyob zoo, tus kab mob qis qis nkag mus rau hauv 12-pob zeb rau plab zom mov. Yog hais tias muaj cov kab mob hauv kev tsim tawm, kev cais tawm thiab tshem tawm ntawm kev lom neeg roj ntsha, cholestasis pib - cov tsos mob ntawm qhov mob no yog nyob ntawm nws qhov kev siv, nrog rau qhov chaw uas muaj cov kab mob pathological tshwm sim.
Muaj cov tshuaj hu ua intrahepatic thiab extrahepatic cholestatic syndrome. Thawj hom yog txuam nrog ib deterioration nyob rau hauv lub synthesis ntawm bile thiab nws nkag mus rau hauv lub bile capillaries. Extrahepatic daim ntawv ntawm tus kab mob yog tsiag ntawv los ntawm cov kab mob hauv lub cev bile lossis kev hloov hauv lawv daim tawv nqaij.
Cov tsos mob ntawm tus mob cholestasis syndrome
Qhov loj tshwm sim tshwm sim ntawm tus mob:
- Xanthomas thiab xanthelasms. Nyob rau ntawm daim tawv nqaij tshwm tiaj tus los yog me ntsis nce, me me, soft formations ntawm hue yellowish. Lawv yog cov laus, raws li txoj cai, ntawm daim tawv muag, caj dab, nraub qaum thiab hauv siab. Qee zaum xanthomas muaj nyob rau hauv cov qog cov qog, hauv qhov khawm ntawm xib teg.
- Steatorrhoea thiab Acholia quav. Vim qhov ua txhaum ntawm cov kua qaub dej, nrog rau qhov hnyuv hauv cov hnyuv thawv ntawm cov lipid tebchaw, cov quav dej quav cawv ua kom tawg thiab ua oily.
- Darkening ntawm zis. Paub bilirubin nyob rau hauv cov ntshav ua rau nws muaj ntau zais cia nyob rau hauv cov zis, vim li cas nws acquires ib tug ntxoov ntxoo ntawm dub tshuaj yej los yog npias npias.
Ib qho ntawm cov tsos mob hauv cholestasis yog khaus ntawm daim tawv nqaij, uas ua los ntawm kev khaus ntawm cov hlab ntsha nrog xiav acids. Raws li ib txoj cai, qhov kev kos npe no yog hu ua jaundice.
Cov mob nram no tuaj yeem nrog cov kab mob ntev ntev:
- rheumatoid kev mob caj dab;
- Sjogren's Syndrome;
- khoom noj thiab kev mob cov khoom noj;
- splenomegaly;
- hepatic osteodystrophy;
- hemorrhagic syndrome;
- cholelithiasis ;
- peripheral polyneuropathy;
- cerebellar ataxia;
- degeneration ntawm retina;
- hepatic-cell insufficiency.
Cov tsos mob ntawm tus kab mob extrahepatic cholestasis
Ob leeg hom kab mob no yuav luag zoo li qub, yog li tsim kom muaj tus kab mob zoo tshaj plaws hauv cov kev ntsuam xyuas tshwj xeeb
Cov tsos mob ntawm cholestasis sab nraum daim siab muaj xws li:
- nquag siv biliary colic;
- cov cim qhia ntawm cholangitis ;
- exacerbation ntawm pancreatitis;
- accelerated los sis ib txwm tshwm sim ntawm pruritus nrog jaundice;
- tsis muaj mob siab;
- sai sai ntawm pathology.