Cholestasis na mata masu ciki: bayyanar cututtuka, magani, abinci

Ba wani asiri ga kowa ba cewa a lokacin da take ciki jikin mace tana da nauyin nauyi. Bugu da ƙari, sauƙi mai mahimmanci a cikin tushen hormonal yakan haifar da wasu matsaloli. A halin yanzu, akwai wani cuta da ake kira cholestasis na mata masu ciki. Idan ba a samu magani ba, wannan yanayin zai iya zama haɗari ga duka jariri da kuma mahaifiyarsa.

Abin da ya sa da yawa iyaye masu zuwa a gaba suna sha'awar tambayoyi game da abin da wannan cututtuka take da kuma dalilin da ya sa ya tashi. Mene ne ainihin bayyanar cututtuka? Wani irin magani ne zai iya bayar da maganin zamani? Akwai hanyoyin inganta rigakafi? Wannan bayanin zai zama mai ban sha'awa ga masu karatu masu yawa.

Menene cholestasis?

Cholestasis na mata masu juna biyu wata cuta ce da ke tare da launi na yatsun ciki na hanta. Irin wannan mummunar cuta ya faru ne a kan ci gaba da haɓakawa na hepatocytes zuwa jima'i na jima'i, wanda matakin ya canzawa sosai a yayin yarinyar. Sakamakon wannan tsari shine cin zarafin matakai na cholesterol da biyan canza musayar. A matsayinka na mai mulki, a cikin matan da ke da irin wannan ganewar asali akwai canji a cikin bile formation, kazalika da kasawa a cikin ƙwayar bile na al'ada, wanda, bisa ga haka, yana rinjayar aikin dukan kwayoyin halitta.

Yawancin iyaye masu zuwa za su fuskanci irin wannan ganewar. Amma kada ku ji tsoro nan da nan, kamar yadda a mafi yawan lokuta tare da ciwon ƙwayoyin cuta na ciwon sukari (wani suna ga cutar) zai iya sarrafawa tare da taimakon magungunan ra'ayin magunguna ba tare da haifar da cutar ga jikin mace ko yaro ba.

Yaduwar cutar

Nan da nan yana da daraja cewa a wasu ƙasashe wannan cin zarafi ne ainihin al'ada. Alal misali, bisa ga binciken ilimin lissafi, a ƙasashen Scandinavia, China, Bolivia da Chile, yawancin iyaye masu fama da wannan cuta suna fama da wannan cuta. Amma a Sweden ga 'yan mata masu ciki dubu goma (10,000) basu da fiye da 40 aukuwar irin wannan cuta.

A Rasha, cholestasis a lokacin daukar ciki kuma ana daukar nauyin ƙaddara - wanda ba zai wuce 2% ba. Wadanda kawai ke ba su ne yankuna arewacin kasar inda aka gano cutar ta sau da yawa. Bisa ga irin wadannan bayanai, masana kimiyya sun bada shawarar cewa za a iya danganta kungiyoyin hadarin ga kabilancin mata.

Babban mawuyacin cutar

A gaskiya ma, yau ba a san cikakken dalilin dalilin da yasa maganin ƙwaƙwalwar ƙwararrun mata masu juna biyu tasowa ba. Akwai su da yawa theories kuma gudanar da bincike, ta hanyar abin da za mu iya bambanta uku main kungiyoyin na dalilai:

• Ƙara yawan ƙwarewar hepatocytes zuwa rukuni na jima'i na jima'i, wanda saboda sakamakon halaye;
• Abubuwa masu hasara na al'ada da ake kira enzyme, wanda ke samar da matakan bile da aka gyara daga hepatocytes zuwa bile ducts;
• Lalacewa na al'ada ta al'ada na bile acid, wanda ke hade da rashi na wasu enzymes. Hakanan, irin wannan cuta yana haifar da samuwar acid bile acid.

Ya kamata a lura cewa a cikin marasa lafiya tare da rikice-rikiccen kwayoyin cuta ko rashin lafiyar jiki, ana lura da kyamaran ba kawai a lokacin haihuwa, amma kuma a kowane canji a yanayin jima'i na jima'i (alal misali, a lokacin haila, maganin ƙwaƙwalwar jiji).

Dandalin cholestasis. Menene ya faru a lokacin rashin lafiya?

Yancin mata masu juna biyu suna tare da manyan cuta uku:

• Ƙara yawan matakan bile cikin jini;
• Rage yawan adadin lahani a cikin hanji;
• Mai guba na bile a kan hanta Kwayoyin da biliary tubules.

Rushewa daga cikin al'ada kira da outflow na ruwa samar da hanta, saboda kaifi karuwa a matakin na progesterone da estrogen. Irin wannan canji a cikin yanayin hormonal yana jinkirta motsin rai na bile ko da a al'ada. Kuma a gaban haushi na haihuwa, haɗarin canzawa dystrophic a cikin sashin tace yana ƙara karuwa. Bugu da ƙari, haɗarin jima'i na jima'i yana rinjayar glandar cutar, rage aikinsa. Hakanan, sauyawa cikin aikin wannan glandan yana rinjayar matakai na hakar bilirubin da cholesterol na hanta. Wannan yana haifar da rushewa daga hanyoyin da aka samu da kuma ƙwayar bile.

Ƙayyadewar cutar

Har zuwa yau, akwai tsarin tsaftacewa don wannan cuta. Alal misali, dangane da ƙimar bayyanar cututtuka, ƙwayar ƙwayar cuta, yanayin tsakiya da kuma mummunar cututtuka sun ɓace.

Bisa ga yanayin yanayin cholestasis zai iya kasancewa mai tsanani da ciwo (tare da ciwon rashin lafiya a baya bayan haihuwa, exacerbation tasowa). Dangane da ilimin ilimin ilimin ilimin halitta, an bayar da karin bayani (yana tasowa a matsayin nau'i na bile ducts) da kuma cholestasis na intrahepatic (wannan tsari yana samuwa cikin mata masu ciki).

Cholestasis na Mata masu ciki: cututtuka da alamu

Duk wani karkacewa daga al'ada a wannan lokacin rayuwa yana buƙatar jarrabawa da shawarwarin likita. To, ta yaya cholestasis ke kallon ciki?

Kwayoyin cututtukan cututtuka, a matsayin mai mulkin, fara fara damuwa a cikin uku na uku (makonni 28-35). Babban bayyanar cutar ita ce fata fata, kuma yana iya samun nauyin mataki daban-daban. Wasu marasa lafiya suna fama da wannan cuta sauƙi, yayin da wasu suna fama da rashin jin daɗi.

Tosar ya kara daɗawa da dare, wanda zai haifar da rashin barci, kuma, saboda haka, wahala mai yawa, ƙara haɓaka, rashin tausayi. Yawanci sau da yawa wannan jijiyar an gano shi a kan fata na hannayensu, ƙuƙwalwa, shins da kuma bango na ciki. Yanayin mata masu juna biyu (hoto wanda aka gabatar a littattafan kula da lafiyar) yana haifar da cirewar fata, yayin da mata ke cutar da su saboda sabuwa.

Sauran cututtuka na cutar sun hada da jaundice. Bisa ga binciken ilimin lissafi, an gano wannan rashin lafiya a cikin 10-20% na mata. A matsayinka na mai mulkin, duk alamun rashin lafiya sun ɓace da kansu 1-2 makonni bayan haihuwa. Duk da haka, zasu iya ci gaba saboda rashin lalacewa na hormonal (misali, lokacin tashin ciki ta biyu).

Hanyar bincike na asali

Idan akwai wasu kuskuren, ya kamata ku nemi shawara a likita. Na farko, gwani zai tattara cikakken tarihin kuma ya gudanar da bincike na jiki. A wasu mata, kananan jaundice da kuma halayyar ido na ido zasu iya lura. Yayin da kake nazarin fata, zaka iya lura da redness, abrasions da lalacewa ta fatar fata.

Duk waɗannan alamu sun nuna cewa mai haƙuri zai iya samun cholestasis na mata masu juna biyu. Nazarin na maida hankali magani bile acid na iya tabbatar da zargin da gaban cuta a cikin hanta. Akwai kuma nau'o'in binciken nazarin halittu masu yawa a kan abubuwan da ke ciki da aikin hanta enzymes. Duban dan tayi kuma an nuna, yayin da ake karuwa a cikin ƙarar gallbladder tare da hanta da halayen halayen halayen da ya dace.

Menene matsalolin cutar?

A cikin aikin likita na yau da kullum sukan fuskanci matsalar da ake kira cholestasis na mata masu juna biyu. Shin wannan mawuyacin hali ne? Hakika, a. Kodayake duk ya dogara ne akan irin wannan tsari, lokacin ganewar asali, zaɓaɓɓun magani, da dai sauransu.

Duk da haka, akwai haɗari a koyaushe. Rashin haɓaka da haɓaka da biye na bile yana rinjayar matakai na rayuwa. Da irin wannan cuta, yiwuwar haihuwa ba a haife shi ba. Bugu da ƙari, yawan ciwon haihuwar mahaifa a tsakanin mata masu fama da irin wannan ganewar mahimmanci mahimmanci ne, wanda ya haɗu da cin zarafin bitamin K da kuma wasu abubuwan haɓaka.

Idan akwai mummunan aiki a cikin hanta, akwai haɗarin mutuwar tayi, don haka a wasu lokuta, likitoci sun bada umarnin haihuwar gaggawa.

Magungunan ciki

Farida ya dogara ne da rashin lafiyar cutar da kuma halaye na mutum. A matsayinka na mai mulki, an riga an umarce su, wadanda ke kare hanta daga lalacewa kuma basu cutar da jiki ba. Alal misali, "Hofitol" tare da cholestasis na mata masu ciki suna bada sakamako mai kyau. Bugu da kari, ana amfani da Gepabene a farfadowa.

Bugu da ƙari ga magungunan magunguna, magungunan hepatoprotectors, musamman Ademethionine, ana amfani da su. A matsayin antioxidants, an sanya wa ciki takaddun magani na tocopherol (bitamin E), da kuma ascorbic acid (bitamin C). Bugu da ƙari, yana da muhimmanci don ɗaukar enterosorbents don ɗaukar sinadarin bile acid a cikin hanji. Wani magungunan ƙwayar cuta ne mai mahimmanci shine Polyphepan. Hanyar farfadowa ta hada da kwayoyi da suke taimakawa wajen fitar da bile da rage ƙwayar bile acid cikin jini. Musamman, ana amfani da magunguna masu dauke da acid ursodeoxycholic, misali Ursosan.

Cholestasis na mata masu juna biyu: magani tare da wadanda ba na pharmacological jamiái

Bugu da ƙari ga magunguna, ana amfani da wasu hanyoyin warkewa. Musamman ma, mata masu juna biyu suna ba da umurni ga wani nau'i na plasmapheresis da hemosorption. Ana tsara hanyoyin da za a cire su daga jini fiye da bilirubin da pruritigens, wanda ya sa itching. Irin wannan samfurin yana ba da sakamako mai kyau. Cikakken tsari na magani, a matsayin mai mulkin, ya ƙunshi hanyoyi hudu na plasmapheresis da kuma hemosorption daya.

Abinci mai kyau shine muhimmin bangare na farfadowa

Babu shakka, bayan ganewar asali, likita za ta zaɓi mafi mahimmanci da mawuyacin magani. Amma wani bangare mai mahimmanci na farfajiya shine rage cin abinci. Yayinda cholestasis na mata masu juna biyu ya kamata su fara damu da cin abinci, wanda zai rage nauyin hanta.

Ana gargadin marasa lafiya don rage adadin dabbobin dabba. Musamman, kana buƙatar rage girman amfani da iri mai nama, man shanu, kayan kiwo. Har ila yau a zubar da mayonnaise, naman alade da abinci mai soyayyen. Tun da yake ƙwayoyin ƙwayoyi sun zama dole don ci gaba da tayi na tayin, za a iya kaucewa kasawarsu ta hanyar amfani da kayan kayan lambu (man zaitun, da sauransu).

Har ila yau, kore shayi, kofi da cholagogue sha suna contraindicated. Masanan sun bada shawara na dan lokaci su bar qwai, zaituni, wake, avocados, kayan da aka zana, radishes, melons, launin launin launi da kuma Brussels sprouts.

Har ila yau, abincin ya kamata ya zama cikakke tare da bitamin da kuma ma'adanai, wanda za'a iya samo daga 'ya'yan itatuwa da kayan marmari - ya kamata su kasance tushen abinci mai gina jiki. Yarda sha porridge, kifi, ramammu nama. Abinci mai amfani da ke dauke da kwayoyin bitamin C, musamman kayan shafa, alayyafo, ganye, kayan ado daga furen fure, da dai sauransu, ya kamata a ci abinci sau da yawa, amma a kananan ƙananan. Har ila yau, yana da mahimmanci don kula da ma'auni.

Shin akwai matakan kare rigakafi?

Yawancin mata suna da sha'awar tambayoyi game da ko zai iya hana kalubalanci na mata masu juna biyu. Abin takaici, babu wata hanyar da za ta iya karewa daga irin wannan hakki. Saboda haka, marasa lafiya da ke cikin haɗari, sun bada shawara a rufe duk lokacin ciki.

Ko kafin kafin bayyanar cututtuka ta farko, ana nuna wa mata takardun amfani da laushi mai sauƙi, antioxidants da choleretics. Har ila yau yana da matukar muhimmanci a lura da abinci mai kyau. Kuma, ba shakka, mahaifiyar da ke jiran zata yi gwajin gwaje-gwaje akai-akai kuma ya yi gwaje-gwaje, saboda wannan zai sa ya yiwu a gano abubuwan da ba a haifa ba a farkon lokaci.

Yadda za a magance bayyanar cututtuka? Bayani ga marasa lafiya

Mata da yawa sun fuskanci ganewar asali na "cholestasis na mata masu ciki". Shaidun marasa lafiya sun nuna cewa magani yana taimaka wajen kawar da damuwa da kuma ci gaba da tayin lafiya. Duk da haka, ƙaddamarwa mai yawa yana ɓatar da ingancin rayuwa.

Yi gwagwarmaya wannan ji na iya kasancewa tare da taimakon matsawa na musamman. Alal misali, lotions da masks daga broth chamomile ko oatmeal taimako don kawar da rashin jin daɗi, kazalika da kyau sakamako a kan bayyanar da fata, rage ƙonewa. Bugu da ƙari, lotions daga sauki ruwan sanyi taimako, tun da low zazzabi rage gudu jini, ya rage itching. Magunguna sun bada shawarar barci a cikin ƙafa, ɗakunan sanyi kuma, ba shakka, a hankali bi abincin.