I-Cholangitis: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuchonga
• Unyango lwenziwa njani

Igama elithi cholangitis libhekisa kuthintelo kunye nokudumba kwemibhobho yenyongo, enokuthi yenzeke ngenxa yokuzimela, utshintsho kwimfuzo okanye isiphumo samatye enyongo okanye, kunqabile, ukusuleleka sisidleleli Iascaris lumbricoides, umzekelo. Ke, ngenxa yokudumba kwemibhobho yenyongo, kukho utshintsho kwinkqubo yokuhambisa i-bile kwi-gallbladder kunye nakwisisu, okukhokelela ekuqokeleleni le nto esibindini kwaye kunokubangela ukwehla kwesibindi.

Ekuqaleni, i-cholangitis ayikhokeleli ekubonakaleni kweempawu, nangona kunjalo njengoko iqhubeka kwaye kukho ukubandakanyeka kwesibindi, kunokwenzeka ukuba uqaphele isikhumba namehlo atyheli ngakumbi, ukurhawuzelela nokudinwa kakhulu. Kubalulekile ukuba ugqirha oqhelekileyo okanye i-hepatologist abonisane kwangoko emva kokuvela kweempawu zokuqala, njengoko kunokwenzeka ukulibazisa ukukhula kwesifo, ukuthintela ukutshatyalaliswa kwemibhobho yenyongo kunye nokuphuhliswa kwezinye iingxaki.

Iimpawu eziphambili

Kwiimeko ezininzi, i-cholangitis ayibangeli naziphi na iimpawu kwaye, ke, kwiimeko ezininzi, esi sifo siyaqhubeka nokukhula de sifunyanwe kuvavanyo lwesiqhelo okanye side sibeke esichengeni isibindi. Kule nqanaba, kunokubangela iimpawu ezinje:

• Ukudinwa kakhulu;
• Ukurhawuzelela ulusu;
• Ukoma emehlweni nasemlonyeni;
• Iintlungu zezihlunu kunye namalungu;
• Ukudumba kweenyawo kunye namaqatha;
• Isikhumba esimthubi namehlo;
• Urhudo olunamafutha amaninzi.

Kuqhelekile ukuba i-cholangitis ivele ngokudibana nezinye izifo ezisebenza gwenxa, njenge-keratoconjunctivitis eyomileyo, isifo sikaSjogren, isifo samathambo, iscleroderma okanye iHashimoto's thyroiditis, umzekelo. Ukongeza, i-cholangitis inokunxulunyaniswa nobukho be-gallstones okanye ngenxa yobuninzi beentshulube kwimibhobho ye-bile.

Njengokuba isifo sinxulumene nemfuza, abantu abanamatyala esi sifo kusapho banokuba novavanyo lokuchonga ukuba banaso na isifo se-biliary cholangitis, kuba, nangona singesosifo sizuze njengelifa, maninzi amathuba okuba namatyala aliqela ngaphakathi. usapho olunye.

Indlela yokuchonga

Ngokubanzi, i-cholangitis ikrokrelwa xa utshintsho lubonwa kuvavanyo lwegazi oluqhelekileyo olwenziwe ukuvavanya ukusebenza kwesibindi, njengokunyusa ii-enzymes zesibindi okanye i-bilirubin. Kwezi meko, ukufumanisa isifo, ugqirha unokuyalela ezinye iimvavanyo ezithile, ezinje ngomlinganiso we-anti-mitochondrial antibodies, anti-nuclear antibodies kunye neziphawuli zezilonda ze-bile ezinje ngealkaline phosphatase okanye GGT.

Ukujonga iimvavanyo, ezinje nge-ultrasound okanye i-cholangiography, kunokuboniswa ukuvavanya ukwakheka kwesibindi. Ukongeza, i-biopsy yesibindi inokuba yimfuneko ukuba kukho amathandabuzo malunga nokufunyaniswa kwesifo okanye ukuvavanya ukuvela kwesi sifo. Funda ngakumbi ngovavanyo oluvavanya isibindi.

Unyango lwenziwa njani

Kubalulekile ukuba unyango lwe-biliary cholangitis lwenziwe ngokukhokelwa ngugqirha oqhelekileyo okanye i-hepatologist, kuba ngale ndlela kunokwenzeka ukunqanda ukutshatyalaliswa kwemibhobho yenyongo, ukuyilwa kwesikhumba esibuhlungu ngaphandle kokusebenza kunye nophuhliso lwe-cirrhosis yesibindi. Ke, unyango lwe-cholangitis lujolise kulawulo lweempawu kunye nokuthintela ukuqhubela phambili kwezifo, kwaye kunokucetyiswa ngugqirha:

• Ursodeoxycholic acid: lelona yeza lisetyenziswayo kunyango kwaye linceda inyongo ukuba ishiye isibindi, ithintele ukuqokelelwa kweetyhefu esibindini;
• ICholestyramine: ngumgubo ekufuneka uxutywe ekutyeni naselwayo kwaye unceda ukukhulula ukurhawuzelela okubangelwa sesi sifo;
• Iipilocarpine kunye nokuthambisa kwamehlo: inceda hydrate inwebu yangaphakathi yamehlo nomlomo, ukuthintela ukoma.

Ukongeza kwezi, ugqirha unokucebisa amanye amayeza, ngokweempawu zesigulana ngasinye. Ukongeza, kwiimeko ezinzima kakhulu, kusenokuba yimfuneko ukufakelwa isibindi, ngakumbi xa umonakalo sele uhambile kakhulu. Jonga ukuba ukufakelwa kwesibindi kwenziwa njani.