Yintoni iCholangitis kwaye iphathwa njani?

Umxholo

• Ushwankathelo
• Iimpawu ze-cholangitis
• Ukunyanga i-cholangitis
• Iimbangela ze-cholangitis
• Ukuchonga i-cholangitis
• Iingxaki ze-cholangitis
• Yintoni imbonakalo?

Ushwankathelo

I-Cholangitis kukudumba (ukudumba kunye nokubomvu) kwi-bile duct. I-American Liver Foundation ithi i-cholangitis luhlobo lwesifo sesibindi. Inokwaphulwa ngakumbi ngakumbi kwaye yaziwe njengoku kulandelayo:

• I-biliary cholangitis yokuqala (PBC)
• i-primary sclerosing cholangitis (PSC)
• cholangitis yesibini
• i-immune cholangitis

Imijelo yenyongo ithwala inyongo isuka esibindini kunye nenyongo iye kumathumbu amancinci. Ibile lulwelo oluhlaza ukuya kumbala omthubi-mdaka olunceda umzimba wakho ukuba wetyise kwaye ufunxe amafutha. Kwakhona kunceda ukucoca inkunkuma kwisibindi.

Xa i-bile ducts ivutha okanye ivinjiwe, i-bile inokubuyela esibindini. Oku kunokukhokelela kumonakalo wesibindi kunye nezinye iingxaki. Ezinye iintlobo ze-cholangitis zithambile. Ezinye iintlobo zinokuba nzulu kwaye zisongele ubomi.

Zimbini iintlobo eziphambili ze-cholangitis:

• I-cholangitis engapheliyo yenzeka kancinci ngokuhamba kwexesha. Ingabangela iimpawu ngaphezulu kweminyaka emi-5 ukuya kwengama-20.
• I-acute cholangitis yenzeka ngesiquphe. Ingabangela iimpawu kwithuba elifutshane.

Iimpawu ze-cholangitis

Iimpawu zixhomekeke kuhlobo luni lwe-cholangitis onayo kunye nexesha elingakanani. Wonke umntu one-cholangitis unokuba neempawu neempawu ezahluke kancinane. Ngaphezulu kweepesenti ezingama-50 zabantu abafunyaniswe ukuba bane-cholangitis engapheliyo abanazo iimpawu.

Ezinye zeempawu zokuqala ze-cholangitis ezingapheliyo zinokubandakanya:

• ukudinwa nokudinwa
• ukurhawuzelela ulusu
• amehlo owomileyo
• umlomo owomileyo

Ukuba une-cholangitis engapheliyo ixesha elide, unokuba:

• iintlungu kwicala lasekunene
• ukubila ebusuku
• iinyawo ezidumbileyo namaqatha
• ulusu lube mnyama (hyperpigmentation)
• iintlungu zemisipha
• intlungu okanye ithambo
• Ukuqhakaza (ulwelo kwindawo esiswini)
• iidipozithi ezinamafutha (xanthomas) kulusu olujikeleze amehlo kunye neenkophe
• Amanqatha afakwa engqinibeni, emadolweni, entendeni, naseonyaweni
• urhudo okanye intshukumo enamafutha
• intshukumo enemibala yodongwe
• ukuhla ukusinda
• utshintsho lweemood kunye neengxaki zememori

Ukuba une-cholangitis ebukhali, unokuba nezinye iimpawu. Oku kubandakanya iimpawu ngequbuliso ezinje:

• umkhuhlane ophezulu ngaphezu
• Ukugodola
• isicaphucaphu
• ukugabha
• umqolo obuhlungu
• iintlungu ezantsi kwamagxa
• iintlungu ezibuthuntu okanye iicramps kwicala lasekunene
• iintlungu ezibukhali okanye ezibuthathaka embindini wesisu
• uxinzelelo lwegazi oluphantsi
• ukudideka
• ubumthubi besikhumba namehlo (i-jaundice)

Ugqirha wakho unokufumana iimpawu ze-cholangitis kwezinye iindawo zomzimba. Oku kubandakanya:

• isibindi esidumbileyo okanye esandisiweyo
• ukudumba okanye ukwandisa udakada
• cholesterol ephezulu
• ukungasebenzi kwe-thyroid gland (hypothyroidism)
• amathambo athathaka kwaye aphuke (i-osteoporosis)

Ukunyanga i-cholangitis

Unyango lwe-cholangitis engapheliyo kunye neyobuhlungu inokwahluka. Kungenxa yokuba izizathu zecolangitis ziyahluka. Unyango luxhomekeke ekufumanekeni kwangoko ukuba une-cholangitis. Zombini ezi ntlobo zingakhokelela kwiingxaki ezinkulu ukuba azinyangwa.

Unyango lwakwangoko lubaluleke ngokukodwa kwi-cholangitis ebukhali. Ugqirha wakho unokucebisa i-antibiotics ukuya kuthi ga (njenge penicillin, ceftriaxone, metronidazole, kunye ne ciprofloxacin).

Banokucebisa nangeenkqubo esibhedlele, ezinje:

• ulwelo olufakwa ngaphakathi
• Umsele wamanzi obhobhozayo

Ngokungafaniyo ne-cholangitis ebukhali, akukho machiza afumanekayo ukunyanga i-cholangitis engapheliyo. Iyeza elibizwa ngokuba yi-ursodeoxycholic acid linokunceda ukukhusela isibindi. Isebenza ngokuphucula ukuhamba kwe-bile. Ayinyangi i-cholangitis uqobo.

Unyango kunye nokunyamekela i-cholangitis engapheliyo ibandakanya:

• ukulawula iimpawu
• Ukujonga ukusebenza kwesibindi
• iinkqubo zokuvula imibhobho ye-bile evaliweyo

Iinkqubo zazo zombini ezinganyangekiyo kunye ne-acute cholangitis zezi:

• Unyango lwe-Endoscopic. I-Balloon dilation ingasetyenziselwa ukuvula imibhobho kunye nokwandisa ukuhamba kwe-bile. Oku kunceda ukuphucula nokukhusela iimpawu. Unokufuna unyango lwe-endoscopic amatyeli amaninzi ukunyanga i-cholangitis. Unokuba ne-anesthesia epheleleyo okanye yendawo (ukuphazamiseka) ngaphambi kwenkqubo.
• Unyango olunamandla. Oku kuyafana nokunyanga kwe-endoscopic, kodwa kungenxa yesikhumba. Ugqirha wakho uya kunqanda loo ndawo okanye akulale ngaphambi kwenkqubo.
• Ugqirha. Ugqirha wakho unokususa indawo ebhlokiweyo yendlela ye-bile. Okanye, unokuba nama-stents afakwa ukuvula okanye ukucoca i-bile ducts. Uya kuba phantsi kwe-anesthesia epheleleyo (elele) yokuhlinzwa.

• Iimbangela ze-cholangitis

  Kukho uluhlu lwezinto ezibangela i-cholangitis. Ngamanye amaxesha unobangela awaziwa.

  Isifo esinganyangekiyo sisifo esinganyangekiyo. Oku kuthetha ukuba amajoni akho omzimba ahlasela ngempazamo imijelo yenyongo. Oku kubangela ukudumba.

  Ixesha elingaphezulu, ukudumba kunokubangela amanxeba okanye ukukhula kwethishu enzima ngaphakathi kwemibhobho yenyongo. Ukunqongophala kwenza imibhobho ibe nzima kwaye imxinwa. Banokuthintela imibhobho encinci.

  Oonobangela be-cholangitis ebukhali zezi:

  • usulelo lwebhaktiriya
  • ngamatye enyongo
  • iibhloko
  • ithumba

  Izizathu zokusingqongileyo kuzo zombini ezi ntlobo ze-cholangitis zibandakanya:

  • usulelo (iintsholongwane, intsholongwane, ifungi, okanye iiparasites)
  • ukutshaya
  • imichiza

  Izinto ezinobungozi ezinokunyusa ithuba lakho lokufumana i-cholangitis:

  • Ukuba ngumfazi. I-cholangitis engapheliyo ixhaphake kakhulu kubafazi.
  • Ubudala. Ihlala ivela kubantu abadala abaphakathi kweminyaka engama-30 ukuya kuma-60.
  • Imfuza. ICholangitis inokubaleka kusapho lwakho.
  • Indawo. Esi sifo sixhaphake kakhulu emNtla Melika naseNtla Yurophu.

  Ukuchonga i-cholangitis

  Ugqirha wakho unokuchonga i-cholangitis ngovavanyo kunye nokuskena. Iimpawu ezininzi zinokubonakala kwezi mvavanyo zegazi zilandelayo:

  • ubalo lwegazi olupheleleyo (CBC)
  • Uvavanyo lomsebenzi wesibindi
  • Uvavanyo lwezintso
  • inkcubeko yegazi

  Izikena zinceda ukubonisa ukuhamba kwegazi esibindini nakwezinye iindawo zesisu:

  • I-X-ray (i-cholangiogram isebenzisa idayi ukujonga i-bile ducts)
  • Ukuskena iMRI
  • Ukuskena i-CT
  • Ultrasound

  Unokufuna ezinye iimvavanyo ezinje ngomchamo, i-bile, okanye iisampulu zestool.

  Iingxaki ze-cholangitis

  I-Cholangitis ingakhokelela kwiingxaki ezinzulu zempilo ukuba ayinyangwa. Iingxaki zibandakanya:

  • Iingxaki zesibindi. I-Cholangitis inokubangela ukonakala kwesibindi (i-cirrhosis). Oku kunokunciphisa ukusebenza kwesibindi okanye kukhokelele ekusileleni kwesibindi. Yonyusa nomngcipheko womhlaza wesibindi. Ingabangela ukudumba kwesibindi kunye noxinzelelo lwegazi oluphezulu.

  • Yintoni imbonakalo?

    Iimpawu kunye neempawu zakho ziya kwahluka kwabanye abantu abane-cholangitis. Ngamanye amaxesha, unobangela usenokungaziwa. Awunakuhlala uthintela ukufumana i-cholangitis.

    Unyango lwakwangoko lunokukunceda ube neziphumo ezibhetele. Kwakhona kunceda ukukhusela iimpawu kunye neengxaki. Jonga ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na impawu, kubandakanya:

    • ifiva
    • intlungu zesisu
    • mthubi ngamehlo kunye nolusu
    • utshintsho ekwetyisweni nasekuhambeni kwamathumbu

    Ungekhe ube nazimpawu kwaphela. Ukuhlolwa rhoqo kunokukunceda ufunde malunga nempilo yakho yesibindi ngovavanyo olulula lwegazi.

    Ezinye iintlobo ze-cholangitis kunokuba lula ukuzicoca ngonyango. Thatha onke amayeza njengoko kumiselwe kwaye ubone ugqirha wakho kubo bonke abantu abalandelayo.

    Unokuthintela iingxaki ezinokutshintsha kwendlela yokuphila yemihla ngemihla njengokuyeka ukutshaya. Ukutya okunempilo, okunokulinganisela kunye nefayibha eninzi kunokunciphisa iimpawu ze-cholangitis kunye nokuthintela iingxaki. Thetha nogqirha wakho okanye isondlo malunga nesicwangciso sokutya esilungileyo kuwe.