Cholangitis

Cholangitis ndimatenda a ma ducts, machubu omwe amanyamula bile kuchokera pachiwindi kupita ku ndulu ndi matumbo. Kuphulika ndi madzi opangidwa ndi chiwindi omwe amathandiza kugaya chakudya.

Cholangitis nthawi zambiri imayamba chifukwa cha mabakiteriya. Izi zitha kuchitika pamene njirayo itsekedwa ndi china chake, monga mwala wamwala kapena chotupa. Matenda omwe amayambitsa vutoli amathanso kufalikira pachiwindi.

Zowopsa zimaphatikizaponso mbiri yakale yamatenda am'mimba, sclerosing cholangitis, HIV, kuchepa kwa njira yodziwika bwino ya bile, ndipo kawirikawiri, kupita kumayiko komwe mungakumane ndi nyongolotsi kapena tizilombo toyambitsa matenda.

Zizindikiro zotsatirazi zitha kuchitika:

• Kupweteka kumanja chakumanja kapena chapakati chapakati pamimba. Zitha kumvekanso kumbuyo kapena pansi paphewa lamanja. Kupweteka kumatha kubwera ndikupita ndikumva kupsa, ngati chimbuu, kapena kuzimiririka.
• Malungo ndi kuzizira.
• Mkodzo wakuda ndi ndowe zadothi.
• Nseru ndi kusanza.
• Chikasu cha khungu (jaundice), chomwe chimatha kubwera ndikupita.

Mutha kukhala ndi mayeso otsatirawa kuti muyang'ane zotchinga:

• M'mimba ultrasound
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Percutaneous transhepatic cholangiogram (PTCA)

Muthanso kuyesedwa magazi:

• Mulingo wa Bilirubin
• Mavitamini a chiwindi
• Kuyesa kwa chiwindi
• Kuwerengera kwa magazi oyera (WBC)

Kufufuza mwachangu ndi chithandizo chake ndikofunikira kwambiri.

Maantibayotiki ochiritsa matenda ndiwo mankhwala oyamba omwe amachitika nthawi zambiri. ERCP kapena njira zina zopangira opaleshoni zimachitika munthuyo atakhazikika.

Anthu omwe akudwala kwambiri kapena akukulirakulira angafunike kuchitidwa opaleshoni nthawi yomweyo.

Zotsatira zake nthawi zambiri zimakhala zabwino ndi chithandizo, koma osauka popanda izo.

Zovuta zingaphatikizepo:

• Sepsis

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za cholangitis.

Chithandizo cha ndulu, zotupa, ndi kufalikira kwa tiziromboti kungachepetse chiopsezo kwa anthu ena. Chitsulo kapena chimbudzi cha pulasitiki chomwe chimayikidwa mu dongosolo la bile chitha kufunikira kuti tipewe kubwereranso.

• Dongosolo m'mimba
• Njira yopanda madzi

Fogel EL, Sherman S. Matenda a ndulu ndi ma ducts. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 146.

Sifri CD, Madoff LC. Matenda a chiwindi ndi biliary dongosolo (chiwindi abscess, cholangitis, cholecystitis). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 75.