Cholestasis

Cholestasis o soʻo se tulaga e faʻatelegese pe poloka ai le tafe mai o le ate mai le ate.

E tele mafuaʻaga o cholestasis.

O le Extrahepatic cholestasis e tupu i fafo atu o le ate. E mafai ona mafua mai i:

• Bile duct tumors
• Cista
• Faʻaitiitiina o le gaʻo (faʻamaʻaʻaina)
• Maa i le pa masani o le ala
• Pancreatitis
• Pancreatic tumo poʻo le pseudocyst
• Faʻafitauli i luga o le sela afu ona o se latalata latalata tele poʻo le tumo
• Cholangitis Peraimeri sclerosing

Intrahepatic cholestasis e tupu i totonu o le ate. E mafai ona mafua mai i:

• Faʻamaʻi suka i le ate
• Amyloidosis
• Nisi siama i le ate
• Fafagaina faʻapitoa lava i le uaua (IV)
• Lymphoma
• Maitaga
• Cirrhosis biliary muamua
• Kanesa o le ate i le Peraimeri poʻo le metastatic
• Cholangitis Peraimeri sclerosing
• Sarcoidosis
• Faʻamaʻi pipisi na sosolo i le toto (sepsis)
• Fomaʻi
• Hepatitis Viral

Nisi vailaʻau mafai foi mafua ai cholestasis, aofia ai:

• Antibiotics, pei o ampicillin ma isi penicillins
• Anabolic vailaʻau
• Pamu e taofi ai le fananau mai
• Chlorpromazine
• Cimetidine
• Estradiol
• Imipramine
• Prochlorperazine
• Terbinafine
• Tolbutamide

Faʻailoga e ono aofia ai:

• Fata paepae-lanu pe papaʻe
• Uru pogisa
• Le mafai ona faʻalaeina ni meaʻai
• Mageso
• Faanoi poʻo puaʻi
• Tiga i le itu taumatau i luga o le manava
• Paʻu samasama poʻo mata

Toto faʻataʻitaʻiga ono faʻaalia ai ua e maualuga le bilirubin ma alkaline phosphatase.

O faʻataʻitaʻiga faʻataʻitaʻi e faʻaaogaina e faʻailoaina ai lenei tulaga. O suʻega e aofia ai:

• CT faʻataʻitaʻi le manava
• MRI o le manava
• Endoscopic retrograde cholangiopancreatography (ERCP), e mafai foi ona fuafuaina mafuaʻaga
• Ultrasound o le manava

O le mafuaʻaga mafuaʻaga o cholestasis tatau ona togafitia.

O le lelei o le tagata e faʻamoemoe i le faʻamaʻi mafua ai le tulaga. E mafai ona aveʻese maʻa i le auala masani o le papala. Lenei mafai faʻamaloloina le cholestasis.

Stents mafai ona tuʻuina i avanoa matala o le masani ai paipa ala e vaiti pe poloka e kanesa.

Afai o le tulaga e mafua mai i le faʻaaogaina o se vailaʻau, e masani ona aluese pe a e le toe tagofia le vailaʻau.

Faʻafitauli e ono aofia ai:

• Manava tata
• E mafai ona tupu le faaletonu o totoga pe a fai o le sepsis e tupu
• Lelei faʻaaogaina o gaʻo ma gaʻo-soluble vaitamini
• Paʻu oona
• Ivi vaivai (osteomalacia) ona o le maua o cholestasis mo se taimi umi lava

Valaʻau lau fomaʻi pe a fai e iai sau:

• Paʻu e le aluese
• Paʻu samasama poʻo mata
• Isi faʻailoga o cholestasis

Tui tui mo le hefitis A ma le B pe a fai e te aʻafia. Aua le faʻaaogaina vailaʻau oona ma faʻasoa ni nila.

Intrahepatic cholestasis; Cholestasis Extrahepatic

• Maa maa
• Faafefe
• Faafefe

Eaton JE, Lindor KD. Cholangitis biliary Peraimeri. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma le Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 91.

Fogel EL, Sherman S. Faʻamaʻi o le gallbladder ma bile ducts. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 146

Lidofsky SD. Jaundice. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma le Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 21.