Gudiga cudurada beerka ee iswada

Gudiga cudurada beerka ee iswada ayaa ah koox baaritaano ah oo loo sameeyo si loo hubiyo cudurka beerka ee isdifaaca. Cudurka beerka ee isdifaaca jirka waxaa loola jeedaa in habka difaaca jirka uu weeraro beerka.

Imtixaanadan waxaa ka mid ah:

• Antibodies-ka anti-beerka / kelyaha microsomal
• Unugyada anti-mitochondrial
• Kahortaga Nukliyeerka
• Unugyada difaaca jirka ee muruqyada
• Serum IgG

Gudiga waxaa sidoo kale ku jiri kara baaritaano kale. Badanaa, heerarka borotiinka ee dhiigga ayaa sidoo kale la hubiyaa.

Muunad dhiig ayaa laga qaadayaa xididka.

Tijaabada dhiigga waxaa loo diraa shaybaarka si loo baaro.

Uma baahnid inaad qaaddo tallaabooyin gaar ah baaritaankaan ka hor.

Waxaa laga yaabaa inaad dareento xanuun yar ama xoqitaan markii irbadda la gelinayo si dhiig loo qaado. Ka dib, waxaa jiri kara xoogaa wax garaaca.

Xanuunada isdifaaca jirka waa sababaha suurtogalka ah ee cudurka beerka. Cudurada ugu caansan waa hepatitis autoimmune and primary biliary cholangitis (oo horey loo oran jiray cirrhosis biliary primary).

Kooxdaan tijaabada ah waxay ka caawinayaan bixiyaha xanaanada caafimaadkaaga inuu ogaado cudurka beerka.

HEERARKA PROTEIN:

Heerka caadiga ah ee heerarka borotiinka ee dhiigga ayaa ku beddeli doona shaybaar kasta. Fadlan ka hubso bixiyahaaga inta u dhexeysa shaybaarkaaga gaarka ah.

Waxyaabaha:

Natiijooyinka xun ee dhammaan unugyada difaaca jirka waa caadi.

Fiiro gaar ah: Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Tusaalooyinka kor ku xusan waxay muujinayaan cabirka guud ee natiijooyinka imtixaanadan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan.

Tijaabooyinka dhiigga ee cudurrada isdifaaca jirka ma ahan kuwo gebi ahaanba sax ah. Waxay yeelan karaan natiijooyin taban oo been abuur ah (cudurka waad qabtaa, laakiin baaritaanka waa diidmo) iyo natiijooyin wanaagsan oo been ah (cudurka ma qabtid, laakiin baaritaanka waa mid togan).

Baadhitaanka wanaagsan ee daciifka ah ama hooseeya ee cudurka autoimmune badanaa badiyaa cudur ma aha.

Tijaabadada saxda ah ee guddiga waxay noqon kartaa calaamadaha hepatitis-ka jirka ama cudur kale oo beerka ku dhaca.

Haddii baaritaanka uu yahay mid u muuqda inta badan anti-mitochondrial antibodies, waxaad u badan tahay inaad yeelato cholangitis biliary. Haddii borotiinnada difaaca jirka ay sarreeyaan, isla markaana albuminku hooseeyo, waxaa laga yaabaa inaad qabto cirrhosis beerka ku dhaca ama hepatitis firfircoon oo joogto ah.

Khataraha yar ee ka yimaada dhiig qaadashada waxaa ka mid ah:

• Dhiigbax xad dhaaf ah
• Miyir beelid ama dareemid madax-wareer
• Hematoma (dhiig ku ururaya maqaarka hoostiisa)
• Infekshan (halis yar mar kasta oo maqaarku jabo)

Gudiga baaritaanka cudurka beerka - isdifaaca jirka

• Beerka

Bowlus C, Assis DN, Goldberg D. Cudurka 'sclerosing cholangitis' aasaasiga ah iyo kan labaad. Gudaha: Sanyal AJ, Boyter TD, Lindor KD, Terrault NA, eds. Zakim iyo Boyer's Hepatology. 7aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 43.

Czaja AJ. Cagaarshowga iswada. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 90.

Eaton JE, Lindor KD. Cudurka cirrhosis-ka ee aasaasiga ah. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 91.

Pawlotsky JM. Cagaarshowga joogtada ah ee fayraska iyo iswada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 149.