Sehlopha sena sa maloetse a batho, se ikemetseng, se amahanngoa le mekhoa ea ho itšireletsa mafung ea 'mele le ho hlahisa likokoana-hloko tsa likokoana-hloko tse sebetsang khahlanong le lisele tsa' mele 'me li lebisa phetohong ea bona ea ho ruruha kapa ho timetsoa. Ts'oaetso ena e ka ama likarolo tse sa tšoaneng le litsamaiso, ho kenyelletsa le sebete. Ka hona, ho basali, haholo ha ba le lilemo li 40-50, lefu la sebete la sebete la sebete le ka ba teng, 'me maemong a mangata setho sa lelapa sa lefu lena se tsejoa (har'a barali babo rōna, bo-'mè le barali, joalo-joalo).
Lisosa le likarolo tsa pherese ea mathomo ea boroli
Ka nako eo, ha e tsejoe hantle hore na mokhoa ofe oa ho nts'etsa pele ha li-cirrhosis tse ka sehloohong, ke litsebi le lipuisano tse ntseng li tsoela pele. Tse ling tsa likhopolo tse mabapi le lisosa tsa ts'oaetso ke tse latelang:
- tšoaetso ea likokoana-hloko le baktheria (morao tjena likhopolo tse mabapi le tšoaetso ea lefu lena li botsoa haholo);
- ho kula ha hormone;
- liphatsa tsa lefutso;
- tšusumetso meleng oa lik'hemik'hale;
- maloetse a mang a ikhethang (lefu la ramatiki, lefu la Raynaud, sjogren's syndrome, autoimmune thyroiditis, scleroderma, tubular renal acidosis, joalo-joalo).
Ho na le mekhahlelo e mene ho nts'etsopele ea lefu lena:
- Nakong ea pele, ka lebaka la ho itšoara ha motho ka boeena, ho ruruha ho sa ruruhaneng ho ruruha ha li-intrahepatic bile ho hlaha, ho hlajoa ke bile.
- Joale ho na le ho fokotseha ha palo ea li-ducts, ho thibeloa ha excretion ea bile le ho kena ka mali.
- Lipampitšana tsa sebete li nkeloa sebaka ke lisele tse bohale, matšoao a ho ruruha ho mafolofolo le liketsahalo tsa necrotic tse kang parenchyma.
- Mothati oa li-cirrhosis tse nyenyane le tse nyenyane-tse nang le matšoao a pora-palo le bohareng ba cholestasis.
Matšoao a sebete sa pele sa biliary
Mokhoa oa pele oa ho kula, oo bakuli ba atisang ho o tletleba, ke:
- bofokoli bo matla, mokhathala o potlakileng, ho otsela ho eketsehileng, ho fokotsa mosebetsi le ho senya bokhoni ba ho sebetsa;
- ho hlatsoa letlalo (maemong a mangata ho phatlalatsoa, bobe bosiu, le ka mor'a ho itlhatsoa, ho ama lihlahisoa tsa boea);
- ho ata ha letlalo, ho matlafatsa mohlala oa letlalo;
- khanya ea letlalo, likokoana-hloko tse nyenyane, sekoli;
- mahlo a omileng ;
- ho se tsotelle, bonolo ho hypochondrium e nepahetseng.
Hape, bakuli hangata ba khathatseha ke keketseho e fokolang ea mocheso oa 'mele, hlooho ea maikutlo, ho hloka takatso ea lijo, ho lahleheloa ke boima, boemo bo tepeletseng maikutlo. Bakeng sa bakuli ba bang, phekolo ea meriana e ka sehloohong ea phekolo ea mali ea bongata boemong bo qalang ba matšeliso e batla e le boima.
Joale matšoao a latelang a kenngoa matšoao a thathamisitsoeng:
- Likokoana-hloko li hlaha letlalong;
- bofubelu ba sefahleho, maoto le liatla;
- ho kheloha ha lipekere ("khalase ea ho shebella"), ponahalo ea lihlopha tse tšoeu tse sepakapakeng ho tsona;
- ho fokotseha ha hloma phalanges.
Ka lebaka la ho ferekanya ha majoe a divithamine le limatlafatsi tse ling, lefu la ho fokola ha masapo, li-steatorrhea, hypothyroidism, methapo ea mahlaba a lefu la mongobo le methapo e tsitsitseng, ascites, ho tsoa mali a eketsehileng le mathata a mang a ka boela a theha.
Tlhahlobo ea lefu la mathomo la likokoana-hloko
Ho hlahisa lefu lena ho itšetlehile ka liteko tsa laboratori:
- teko e akaretsang ea mali;
- tlhahlobo ea mali ea mali ;
- coagulogram;
- litlhaku tse tsitsitseng;
- lipidogram;
- tlhahlobo e kholo ea urine.
Etsa bonnete ba hore lefu lena le ka fumanoa ka lebaka la sebete sa sebete, se etsoang tlas'a taolo ea ultrasound.
Phekolo ea mantlha ea li-biliary cirrhosis
Kalafo e khethehileng ea lefu lena ha e eo, ke mekhoa feela e fokotsang matla a matšoao a meriana, e emisa ho eketseha ha boloetse ba mali, ho thibela tsoelo-pele ea mathata a tebileng. Ha e le hantle, tsena ke merero ea meriana ka ho khethoa ha lithethefatsi tsa immunosuppressive, glucocorticosteroids, cholagogues, hepatoprotectors, antihistamines, joalo-joalo. Mekhoa ea phekolo ea phekolo e boetse e sebelisoa, lijo tse khethehileng li laeloa. Maemong a boima, ho kenngoa mekhoa ea ho buoa ho etsoa ho fihlela ho kenngoa ha sebete.