Cholangitis: chomwe chiri, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungadziwire
• Momwe mankhwalawa amachitikira

Mawu akuti cholangitis amatanthauza kutsekeka ndi kutupa kwaminyewa ya bile, yomwe imatha kuchitika chifukwa chodzitchinjiriza, kusintha kwa majini kapena kukhala chifukwa cha ndulu kapena, makamaka, matenda a tiziromboti Ascaris lumbricoides, Mwachitsanzo. Chifukwa chake, chifukwa cha kutupa kwaminyewa ya bile, pamakhala kusintha pakunyamula bile kupita ku ndulu ndi m'matumbo, zomwe zimapangitsa kuti izi zidziwike m'chiwindi zomwe zingayambitse chiwindi kugwira ntchito.

Poyamba, cholangitis sichitsogolera kuwonekera kwa zizindikilo, komabe zikamapita ndipo chiwindi chimakhudzidwa, ndizotheka kuzindikira khungu ndi maso achikaso, kuyabwa komanso kutopa kwambiri. Ndikofunikira kuti dokotala kapena hepatologist afunsidwe akangoyamba kuwonekera, chifukwa ndizotheka kuchedwetsa kukula kwa matendawa, kupewa kuwonongera kwa ma ducts ndikukula kwa zovuta zina.

Zizindikiro zazikulu

Nthawi zambiri, cholangitis siyimayambitsa zizindikiro zilizonse, motero, nthawi zambiri, matendawa amapitilirabe mpaka atapezeka m'mayeso wamba kapena mpaka atasokoneza chiwindi. Pakadali pano, zitha kuyambitsa zizindikiro monga:

• Kutopa kwambiri;
• Khungu loyabwa;
• Kuuma m'maso ndi mkamwa;
• Kupweteka kwa minofu ndi mafupa;
• Kutupa kwa mapazi ndi akakolo;
• Khungu lachikaso ndi maso;
• Kutsekula m'mimba ndi ntchofu zamafuta.

Zimakhalanso zachizoloŵezi kuti cholangitis iwoneke pamodzi ndi matenda ena omwe amadzimadzimadzimadzimodzi, monga keratoconjunctivitis wouma, matenda a Sjogren, nyamakazi ya nyamakazi, scleroderma kapena Hashimoto's thyroiditis, mwachitsanzo. Kuphatikiza apo, cholangitis itha kukhala yokhudzana ndi kupezeka kwa ma gallstones kapena chifukwa chakupezeka kwa nyongolotsi zambiri m'mabowo am'mimba.

Popeza matendawa amakhudzana ndi chibadwa, anthu omwe ali ndi matendawa m'banja amatha kuyesa kuti adziwe ngati ali ndi biliary cholangitis, chifukwa, ngakhale si matenda obadwa nawo, pali mwayi wambiri wokhala ndimilandu yambiri mkati banja lomwelo.

Momwe mungadziwire

Nthawi zambiri, cholangitis amakayikiridwa pomwe kusintha kumawoneka poyesa magazi nthawi zonse kuti muwone momwe chiwindi chimagwirira ntchito, monga kuchuluka kwa michere ya chiwindi kapena bilirubin. Zikatero, kuti adziwe matendawa, adokotala amatha kuyitanitsa mayeso ena, monga kuyeza kwa ma anti-mitochondrial antibodies, anti-nyukiliya komanso zotupa za ndulu monga alkaline phosphatase kapena GGT.

Kujambula mayeso, monga ultrasound kapena cholangiography, atha kuwonetsedwa kuti awone momwe chiwindi chimapangidwira. Kuphatikiza apo, chiwindi chimatha kukhalanso chofunikira ngati pali kukayikira zakupezeka kapena kuyesa kusintha kwa matendawa. Dziwani zambiri za mayeso omwe amayesa chiwindi.

Momwe mankhwalawa amachitikira

Ndikofunikira kuti chithandizo cha biliary cholangitis chichitike malinga ndi chitsogozo cha dokotala kapena hepatologist, chifukwa njira iyi ndikotheka kupewa kuwonongeka kwa timabowo ta bile, mapangidwe a zilonda zopweteka popanda kugwira ntchito komanso kukula kwa matenda a chiwindi a chiwindi. Chifukwa chake, chithandizo cha cholangitis cholinga chake ndikuletsa zizindikilo ndikupewa kukula kwa matenda, ndipo atha kuvomerezedwa ndi dokotala:

• Ursodeoxycholic asidi: Ndiwo mankhwala omwe amagwiritsidwa ntchito pochiritsira ndipo amathandiza bile kutuluka m'chiwindi, kuteteza kupezeka kwa poizoni m'chiwindi;
• Cholestyramine: ndi ufa womwe uyenera kusakanizidwa ndi chakudya kapena chakumwa ndipo umathandiza kuthetsa kuyabwa komwe kumayambitsidwa ndi matendawa;
• Pilocarpine ndikuthira mafuta m'maso: Amathandiza madzi otsekemera m'maso ndi pakamwa, kupewa kuuma.

Kuphatikiza pa izi, adotolo amalimbikitsanso mankhwala ena, malingana ndi zizindikilo za wodwala aliyense. Kuphatikiza apo, pamavuto akulu kwambiri, pangafunikirebe kumuika chiwindi, makamaka ngati kuwonongeka kwayamba kale. Onani momwe kusamutsa chiwindi kumachitikira.