Cholangitis

I-Cholangitis lusulelo lwe-bile ducts, iityhubhu ezihambisa inyongo ukusuka kwisibindi ukuya kwi-gallbladder kunye namathumbu. Ibile lulwelo olwenziwe sisibindi esinceda ukwetyisa ukutya.

I-Cholangitis ihlala ibangelwa ziibhaktheriya. Oku kunokwenzeka xa umbhobho uvaliwe yinto ethile, enjengelitye lenyongo okanye ithumba. Usulelo olubangela ukuba le meko lusasazeke nakwisibindi.

Imiba yomngcipheko ibandakanya imbali yangaphambili yamatye enyongo, i-sclerosing cholangitis, i-HIV, ukunciphisa i-bile duct, kwaye kunqabile, ukuya kumazwe apho ungafumana khona umbungu okanye usulelo lwe-parasite.

Ezi mpawu zilandelayo zinokwenzeka:

• Iintlungu kwicala lasekunene lasekunene okanye kwinxalenye ephezulu yesisu. Inokuvakala ngasemva okanye ngezantsi kwegxalaba lasekunene. Intlungu inokuza kwaye ihambe kwaye uzive ubukhali, unjenge-cramp-like, okanye unqabile.
• Umkhuhlane kunye nokubanda.
• Umchamo omnyama kunye nezitulo ezinombala wodongwe.
• Isicaphucaphu nokugabha.
• Utyheli kwesikhumba (i-jaundice), enokuthi ivele ihambe.

Unokuba novavanyo lulandelayo ukujonga izithintelo:

• I-ultrasound yesisu
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Imagnetic resonance cholangiopancreatography (MRCP)
• Ipolututaticatichephepatic cholangiogram (PTCA)

Unokufumana iimvavanyo zegazi ezilandelayo:

• Inqanaba leBilirubin
• Amanqanaba e-enzyme yesibindi
• Uvavanyo lomsebenzi wesibindi
• Inani legazi elimhlophe (WBC)

Ukuchongwa ngokukhawuleza kunye nonyango kubaluleke kakhulu.

Iintsholongwane zokunyanga usulelo lunyango lokuqala olwenziweyo kwiimeko ezininzi. I-ERCP okanye enye inkqubo yotyando yenziwa xa umntu ezinzile.

Abantu abagula kakhulu okanye ababa mandundu ngokukhawuleza banokufuna utyando ngoko nangoko.

Iziphumo zihlala zilungile kunyango, kodwa zihlwempuzekile ngaphandle kwayo.

Iingxaki zinokubandakanya:

• Sepsis

Fowunela umboneleli wakho wezempilo ukuba uneempawu ze-cholangitis.

Unyango lwamatye enyongo, amathumba kunye nohlaselo lwee-parasites kunokunciphisa umngcipheko kwabanye abantu. Isinyithi okanye i-plastiki stent ebekwe kwinkqubo ye-bile inokufuneka ukuthintela usulelo ekubuyeni.

• Inkqubo yokwetyisa
• Indlela yendlela

UFogel EL, uSherman S. Izifo ze-gallbladder kunye ne-bile ducts. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 146.

ISifri CD, iMadoff LC. Usulelo kwesibindi kunye nenkqubo biliary (isibindi ithumba, cholangitis, cholecystitis). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 75.