Kodi Cholangitis ndi Kodi Amatani?

Zamkati

• Chidule
• Zizindikiro za cholangitis
• Kuchiza cholangitis
• Zimayambitsa cholangitis
• Kuzindikira cholangitis
• Zovuta za cholangitis
• Maganizo ake ndi otani?

Chidule

Cholangitis ndikutupa (kutupa ndi kufiira) mumayendedwe a bile. American Liver Foundation inanena kuti cholangitis ndi mtundu wa matenda a chiwindi. Ikhozanso kuthyoledwa makamaka ndikudziwika monga zotsatirazi:

• chachikulu biliary cholangitis (PBC)
• pulayimale sclerosing cholangitis (PSC)
• yachiwiri cholangitis
• chitetezo cha mthupi cholangitis

Miphika ya bile imanyamula bile kuchokera m'chiwindi ndi ndulu kupita m'matumbo ang'onoang'ono. Kuphulika ndimadzimadzi obiriwira ofiira achikasu omwe amathandiza thupi lanu kupukusa ndi kuyamwa mafuta. Zimathandizanso kuchotsa zinyalala m'chiwindi.

Mitsempha ya ndulu ikatupa kapena kutsekedwa, bile imatha kubwerera m'chiwindi. Izi zingayambitse kuwonongeka kwa chiwindi ndi mavuto ena. Mitundu ina ya cholangitis ndi yofatsa. Mitundu ina imatha kukhala yoopsa komanso yowopseza moyo.

Pali mitundu iwiri ikuluikulu ya cholangitis:

• Matenda a cholangitis amapezeka pang'onopang'ono pakapita nthawi. Zitha kuyambitsa zizindikilo zaka 5 mpaka 20.
• Pachimake cholangitis zimachitika mwadzidzidzi. Zitha kuyambitsa zizindikiritso kwakanthawi kochepa.

Zizindikiro za cholangitis

Zizindikiro zimadalira mtundu wa cholangitis womwe muli nawo komanso kutalika kwake. Munthu aliyense yemwe ali ndi cholangitis atha kukhala ndi zizindikilo zosiyana. Oposa 50 peresenti ya anthu omwe amapezeka kuti ali ndi cholangitis osatha alibe zisonyezo zilizonse.

Zizindikiro zina zoyambirira za matenda a cholangitis atha kukhala:

• kutopa ndi kutopa
• khungu loyabwa
• maso owuma
• pakamwa pouma

Ngati mukudwala cholangitis kwa nthawi yayitali, mutha kukhala ndi:

• kupweteka kumtunda wakumanja
• thukuta usiku
• mapazi otupa ndi akakolo
• mdima wa khungu (hyperpigmentation)
• kupweteka kwa minofu
• kupweteka kwa mafupa kapena mafupa
• kuphulika (madzi m'mimba)
• mafuta (xanthomas) pakhungu mozungulira maso ndi zikope
• mafuta amakhala m'zigongono, mawondo, mitengo ya kanjedza, ndi pansi pa mapazi
• kutsekula m'mimba kapena matumbo amafuta
• matumbo akuda
• kuonda
• kusintha kwa malingaliro ndi zovuta zokumbukira

Ngati muli ndi cholangitis pachimake, mungakhale ndi zizindikilo zina. Izi zikuphatikiza zizindikiritso zadzidzidzi monga:

• malungo akulu kuposa
• kuzizira
• nseru
• kusanza
• kupweteka kwa msana
• kupweteka pansi pamapewa
• kupweteka pang'ono kapena kukokana kumtunda chakumanja
• kupweteka kwakuthwa kapena kuzizira pakati pamimba
• kuthamanga kwa magazi
• chisokonezo
• chikasu cha khungu ndi maso (jaundice)

Dokotala wanu amatha kupeza zizindikilo za cholangitis m'malo ena amthupi. Izi zikuphatikiza:

• kutupa kapena kukulitsa chiwindi
• kutupa kapena kukulitsa ndulu
• cholesterol yambiri
• chithokomiro chosagwira ntchito (hypothyroidism)
• mafupa ofooka komanso osalimba (kufooka kwa mafupa)

Kuchiza cholangitis

Chithandizo cha cholangitis chosatha komanso chovuta chimatha kukhala chosiyana. Izi ndichifukwa choti zimayambitsa cholangitis zimasiyana. Chithandizo chimadaliranso momwe mumapezeka msanga ndi cholangitis. Mitundu yonseyi imatha kubweretsa zovuta zazikulu ngati singalandire chithandizo.

Kuchiza msanga ndikofunikira kwambiri pachimake cholangitis. Dokotala wanu angakulimbikitseni maantibayotiki mpaka (monga penicillin, ceftriaxone, metronidazole, ndi ciprofloxacin).

Angathenso kulangiza njira kuchipatala, monga:

• madzi amitsempha
• ngalande ya ndulu

Mosiyana ndi cholangitis pachimake, palibe mankhwala omwe angachiritse cholangitis. Mankhwala otchedwa ursodeoxycholic acid atha kuteteza chiwindi. Zimagwira ntchito pokonza kutuluka kwa ndulu. Sichiza matenda a cholangitis omwe.

Kuchiza ndi kusamalira matenda a cholangitis ndi awa:

• kusamalira zizindikiro
• kuyang'anira momwe chiwindi chimagwirira ntchito
• njira zotsegulira ma ducts otsekedwa

Ndondomeko za cholangitis zanthawi yayitali ndi izi:

• Mankhwala a Endoscopic. Balloon dilation itha kugwiritsidwa ntchito kutsegula mipata ndikuwonjezera kutuluka kwa ndulu. Izi zimathandiza kukonza ndi kupewa zizindikilo. Mungafunike mankhwala a endoscopic kangapo kuti muchiritse cholangitis. Mutha kukhala ndi anesthesia yathunthu kapena yakomweko musanachite izi.
• Mankhwala othandizira. Izi ndizofanana ndi mankhwala a endoscopic, koma ndi kudzera pakhungu. Dokotala wanu adzasokoneza malowo kapena akugonetsani musanachitike.
• Opaleshoni. Dokotala wanu akhoza kuchotsa gawo lotsekedwa la ndulu ya bile. Kapena, mutha kukhala ndi ma stents oyikapo kuti mutsegule kapena kukhetsa ma ducts. Mudzakhala pansi pa anesthesia (kugona) kuti muchitidwe opaleshoni.

• Zimayambitsa cholangitis

  Pali zifukwa zingapo zomwe zimayambitsa cholangitis. Nthawi zina chifukwa chake sichidziwika.

  Matenda a cholangitis atha kukhala matenda amthupi okha. Izi zikutanthauza kuti chitetezo cha mthupi lanu chimalakwitsa molakwika ma ducts. Izi zimayambitsa kutupa.

  Popita nthawi, kutupa kumatha kuyambitsa zipsera kapena kukula kwa minofu yolimba mkati mwazitsulo za bile. Chipsera chimapangitsa kuti ducts ikhale yolimba komanso yopapatiza. Amathanso kutseka timadontho tating'ono.

  Zomwe zimayambitsa pachimake cholangitis ndi izi:

  • matenda a bakiteriya
  • miyala yamtengo wapatali
  • zotchinga
  • chotupa

  Zomwe zimayambitsa mitundu iwiri ya cholangitis ndi monga:

  • matenda (mabakiteriya, kachilombo, bowa, kapena majeremusi)
  • kusuta
  • mankhwala

  Zowopsa zomwe zingakulitse mwayi wanu wodwala cholangitis:

  • Kukhala wamkazi. Matenda a cholangitis amapezeka kwambiri mwa amayi.
  • Zaka. Nthawi zambiri zimachitika mwa akulu azaka zapakati pa 30 ndi 60.
  • Chibadwa. Cholangitis atha kuthamanga m'banja lanu.
  • Malo. Matendawa amapezeka kwambiri ku North America ndi kumpoto kwa Europe.

  Kuzindikira cholangitis

  Dokotala wanu amatha kuzindikira kuti cholangitis ndi mayeso ndi sikani. Zizindikiro zingapo zitha kuwonekera poyesa magazi:

  • kuwerengera magazi kwathunthu (CBC)
  • kuyesa kwa chiwindi
  • kuyesa kwa impso
  • chikhalidwe cha magazi

  Zithunzi zimathandizira kuwonetsa magazi m'chiwindi komanso mbali zina zam'mimba:

  • X-ray (cholangiogram imagwiritsa ntchito utoto kuti ayang'ane madontho a bile)
  • Kujambula kwa MRI
  • Kujambula kwa CT
  • akupanga

  Mungafunike mayesero ena monga mkodzo, bile, kapena zotengera.

  Zovuta za cholangitis

  Cholangitis imatha kubweretsa zovuta zazikulu ngati singachiritsidwe. Zovuta zimaphatikizapo:

  • Mavuto a chiwindi. Cholangitis imatha kuyambitsa kufooka kwa chiwindi (cirrhosis). Izi zitha kuchepetsa chiwindi kugwira ntchito kapena kuyambitsa chiwindi kulephera. Zimapangitsanso chiopsezo cha khansa ya chiwindi. Zitha kuyambitsa kutupa kwa chiwindi komanso kuthamanga kwa magazi.

  • Maganizo ake ndi otani?

    Zizindikiro zanu zimasiyana ndi anthu ena omwe ali ndi cholangitis. Nthawi zina, chifukwa chake sichingadziwike. Simungaletse nthawi zonse kupeza cholangitis.

    Chithandizo choyambirira chingakuthandizeni kukhala ndi zotsatira zabwino. Zimathandizanso kupewa zizindikilo ndi zovuta. Onani dokotala wanu mwachangu ngati muli ndi zizindikiro, kuphatikizapo:

    • malungo
    • kupweteka m'mimba
    • chikasu cha maso ndi khungu
    • kusintha kwa chimbudzi ndi matumbo

    Simungakhale ndi zizindikiro zilizonse. Kupimidwa pafupipafupi kumatha kukuthandizani kuti muphunzire zaumoyo wanu wa chiwindi ndi mayeso osavuta amwazi.

    Mitundu ina ya cholangitis itha kukhala yosavuta kuthana ndi chithandizo chamankhwala. Tengani mankhwala onse monga mwalembedwera ndipo muwonane ndi dokotala kuti akalandire nthawi yotsatira.

    Mutha kupewa zovuta ndi kusintha kwa moyo watsiku ndi tsiku ngati kusiya kusuta. Chakudya chopatsa thanzi, chopatsa thanzi chimakhala ndi michere yambiri chingachepetse matenda a cholangitis komanso kupewa mavuto. Lankhulani ndi dokotala wanu kapena wamankhwala pazakudya zabwino zomwe mungakonde.