Ðe kuxi aɖe le wò ʋumenugbagbeviɣiwo ŋua? Mina míaƒo nu tso Cholangitis ŋu!

Ðe nèsea veve wɔnuku aɖe le wò dɔgbo ƒe ɖusime ƒe akpa si le etame ɣeaɖewoɣia? Ðe nèsena le ɖokuiwò me be yeƒe ŋutigbalẽ le ɣiea? Alo ɖe ɖeɖi tea ŋuwò le asrã ta? Togbɔ be ɣeaɖewoɣi míeléa ŋku ɖe nusiawo ŋu boo o hã la, woate ŋu anye kuxi na ʋumenugbagbeviɣidɔ siwo le míaƒe ŋutilã me. Egbea míele nu ƒom tso nɔnɔme sia tɔgbe ŋu, si woyɔna be `(Cholangitis)` le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nukae nye Cholangitis? Kpuie ko la,...

Tsɔe be aklã aɖe le wò ŋutilã me, si naa tsi si woyɔna be bile . Ʋumenugbagbeviɣi sia le vevie ŋutɔ na míaƒe ŋutilã. Ekpena ɖe mía ŋu míeɖua ami siwo míeɖuna. Eyata ʋumenugbagbeviɣi si dona le aklã sia me yia aɖuɖɔtoe me, afisi wodzranɛ ɖo hena ɣeyiɣi aɖe, eye emegbe wòyia dɔgbo suea me . Woyɔa ʋuka nyui siwo tsɔa ʋumenugbagbeviɣi sia ƒe ɖoɖo be ʋumenugbagbeviɣimɔ̃wo .

Fifia, ʋumenugbagbeviɣidɔ nye ʋuka siwo me ʋu sina tona ƒe dɔdzẽ . Ne èbu abi ŋu la, àte ŋu akpɔe le susu me, alo? Efia be ʋukaawo vuvu, wobiãna, eye ɣeaɖewoɣi gɔ̃ hã woxɔa dɔlékuiwo. Ele abe alesi míaƒe ŋɔti me ʋuka siwo le ʋuʋum eye woxɔa abi ene, si nye nusi dzɔna ɖe ʋumenugbagbeviɣi siawo dzi.

Cholangitis ƒomevi vevi eve li:

1. Acute Cholangitis alo Ascending Cholangitis: Esiae nye ƒomevi si bɔ wu. Zi geɖe la, dɔlékui aɖe ƒe dɔléle gbɔe wòtsona. Edzena zi ɖeka eye wòhea dzesiwo vɛ kabakaba.

2. Cholangitis si nɔa anyi didi: Esia nye dɔléle si nɔa anyi didi, eye wòyia edzi vivivi. Nuwo abe dɔléle aɖewo siwo dɔlékuiwo ƒe dɔlélenutsiŋutete hena vɛ ene ate ŋu atsoe.

Nukae dzɔna ne èxɔ ʋumenugbagbeviɣidɔ? Ðe wònye afɔkua?

Ẽ, esia ate ŋu anye afɔku vie ɣeaɖewoɣi. Ne ʋuka siwo me ʋu sina tona la xɔ abi la, kuxi geɖe ate ŋu ado mo ɖa:

• Ʋumenugbagbeviɣi ƒe sisi ƒe xexe: Ne ʋukawo xɔ abi la, ʋumenugbagbeviɣi mete ŋu sina nyuie o. Emegbe ʋumenugbagbeviɣia ate ŋu agbugbɔ aƒo ƒu ɖe ŋutinuwo abe aklã kple aɖuɖɔtoe ene me. Wogayɔa esia be `(Cholestasis)`.
• Ŋutinuwo ƒe dɔdzẽ: Ne ʋumenugbagbeviɣidɔ ƒo ƒu la, dɔdzẽ ate ŋu adzɔ le ŋutinu mawo hã me.
• Dɔlékuiwo ƒe kaka: Ne ʋumenugbagbeviɣidɔ tsi anyi, abe tsidzɔƒe si xe wòzu agado ene la, eva zua teƒe nyui aɖe si dɔlékuiwo tsina le. Ne dɔlékui sia ge ɖe ʋukawo me la, ate ŋu ade ame ƒe agbe afɔku me . Esia ateŋu ahe nɔnɔme sesẽ aɖe si woyɔna be ``Septicemia`` alo ``Sepsis.`` Bu eŋu kpɔ, ele abe dɔlékui siwo kaka ɖe ŋutilã bliboa me ene!
• Abidede ame ŋu:Vevietɔ le ʋumenugbagbeviɣidɔ si nɔa anyi didi me la, abi si nɔa anyi didi ate ŋu ana abi nanɔ ʋukawo me. Emegbe mɔ̃awo va nɔa kpuie eye wosẽna, eye woɖia tsi ƒe pɔmpi xoxowo. Esia nana wòsesẽna na ʋumenugbagbeviɣidɔ.
• Aklã ƒe gbegblẽ: Ne kuxi siawo yi edzi la, aklã ate ŋu agblẽ eye aklã gɔ̃ hã ate ŋu agblẽ. Ema hã nye nɔnɔme si me afɔku le ŋutɔ.

Eyata èse egɔme, alo? Menye nu nyui aɖeke be woaɖe asi le esia ŋu ko be enye dɔgbo ƒe vevesese ko o.

Ðe Cholangitis kple Cholecystitis nye nu ɖeka?

Ẽ, ŋkɔ eve siawo ɖi wo nɔewo vie, eyata woate ŋu atɔtɔ ame.

• Cholangitis nye ʋuka siwo ŋu míele nu ƒom tsoe ƒe dɔdzẽ .
• Cholecystitis nye aɖuɖɔtoe ƒe dɔdzẽ .

Esiawo evea siaa do ƒome kple ʋumenugbagbeviɣidɔ. Esi wònye be ʋumenugbagbeviɣidɔ tso ʋuka me to ʋumenugbagbeviɣiwo me ta la, kuxi aɖe si le ɖeka me ate ŋu agblẽ nu le evelia ŋu. Ele abe tsigoe kple pɔmpi siwo wotsɔ do ka kplii ene. Kuxi aɖe si le tsigoa me ate ŋu agblẽ nu le pɔmpiawo ŋu, eye kuxi si le pɔmpiawo me ate ŋu agblẽ nu le tsigoa ŋu, alo? Aleae wòle.

Nukawoe hea ʋumenugbagbeviɣidɔ vɛ?

Ðewohĩ susu vovovowo tae wòle alea ɖo.

Nusiwo Hea Acute Cholangitis vɛ:

• Dɔlékuiwo: Zi geɖe la, dɔlékuiwo gbɔe wòtsona. Ɣeaɖewoɣi la, dɔlékuiwo alo dɔlékuiwo hã ate ŋu ahee vɛ.
• Mɔxexeɖenu: Zi geɖe la, esia koŋ gbɔe wòtsona.
• Gallstones: Gallstones ate ŋu adzɔ le gallbladder me eye wòaxe ʋumenugbagbeviɣiwo. Woyɔa esia be choledocholithiasis.
• Sesẽme: Ʋuka siwo me ʋu sina tona ate ŋu axe eye woaxe le susu aɖewo ta.
• Tumors: Kansa alo dɔdzẽ bubuwo ƒe wɔwɔme le ʋukawo me.
• Cholestasis: Ne ʋumenugbagbeviɣi ƒe sisi tɔ le susu aɖe ta.

Zi geɖe (anɔ abe 90%) la, nu etɔ̃ siawo ƒe ƒuƒoƒoe hea ʋumenugbagbeviɣidɔ sesẽ vɛ. Bu eŋu kpɔ, kpe aɖe ge ɖe aɖuɖɔtoea me eye wòxe mɔ aɖe. Emegbe ʋumenugbagbeviɣia metsona o. Dɔlékuiwo ate ŋu axɔ ʋumenugbagbeviɣi si nɔa teƒe ɖeka bɔbɔe. Ɣeaɖewoɣi la, dɔlékui siwo le dɔgbo suea me hã ate ŋu atrɔ ayi ʋukawo me.

Gake ɣeaɖewoɣi la, ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ate ŋu adzɔ le ʋumenugbagbeviɣiwo ƒe xexe ta, dɔlékui ƒe dɔléle aɖeke manɔmee. Dɔléle aɖewo, atikewo, alo nuɖuɖu si wodona ɖe ʋuka me ɣeyiɣi didi (IV feeding) hã ate ŋu ahe ʋumenugbagbeviɣidɔ vɛ. Dɔlékuiwo ate ŋu adzɔ mɔxenu aɖeke manɔmee, si mebɔ o, gake ate ŋu ato ʋu alo dɔwɔnu siwo wozãna le atikewɔwɔ me dodokpɔ me hã dzi.

Nusiwo Hea Cholangitis si Nɔa Anyi Didi vɛ:

Zi geɖe la, esiawo nyea dɔléle siwo dɔlélenutsiŋutete ŋutɔ hena vɛ.Esia le alea elabena mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi, eye wòwɔa nu ɖe ​​wo ŋu abe amedzrowoe wonye ene. Esia nana ʋumenugbagbeviɣiwo ƒe dɔdzẽ yia edzi.

• Dɔléle si nye sclerosing cholangitis gbãtɔ (PSC) .
• Ʋumenugbagbeviɣidɔ gbãtɔ (PBC) .
• IgG4-si do ƒome kple ʋuka me dɔléle

Le nɔnɔme siawo me la, ɖewohĩ ʋumenugbagbeviɣidɔ sesẽ ƒe dzesiwo masẽ abe ʋumenugbagbeviɣidɔ sesẽ ene o. Ðewohĩ womenyae gɔ̃ hã o ƒe geɖe. Ke hã, le ɣeyiɣi aɖe megbe la, ʋumenugbagbeviɣiwo ateŋu axɔ abi, axe, eye woahe ``cholestasis'' vɛ, si ateŋu ahe ʋumenugbagbeviɣidɔ sesẽ vɛ.

Aleke ʋumenugbagbeviɣidɔ sena le eɖokui me? Nukawoe nye dzesiawo?

Ðewohĩ amesi ŋu ʋuka me dɔléle si nɔa anyi didi le makpɔ dzesi aɖeke o ƒe geɖe. Zi geɖe la, wokpɔnɛ ne aklãa gblẽ eye wòdze aklãdɔléle ƒe dzesiwo ɖeɖefia gɔme.

Gake wosea ʋumenugbagbeviɣidɔ sesẽ aɖe le ame ŋu godoo .

Zi geɖe la, vevesese nɔa ƒodoa ƒe ɖusime ƒe akpa si le etame . Vevesese sia ate ŋu akeke ɖe ɖusime abɔta alo akɔta hã. Ɣeaɖewoɣi la, esẽna, ɣeaɖewoɣi la, mesẽna o, eye wòvana eye wòdzona.

Ne ʋumenugbagbeviɣia xe la, àte ŋu akpɔ nɔnɔme aɖe si woyɔna be "biliary colic." Esia dzɔna ne aɖuɖɔtoea ƒo eye wòdze agbagba be yeatutu ʋumenugbagbeviɣia ado goe, vevietɔ ne eɖu nuɖuɖu si me ami le vɔ. Esia hea nyaƒoɖeamenu kple vevesese geɖe vɛ elabena ʋumenugbagbeviɣia mete ŋu toa mɔxenua me o. Àte ŋu ase le ɖokuiwò me hã be yeƒe lãme le ʋuʋum. Vevesesea ate ŋu ava kpata eye emegbe wòaɖiɖi vivivi le ɣeyiɣi aɖe megbe.

Dzesi veviwo - Charcot ƒe Triad

Woyɔa ʋumenugbagbeviɣidɔ sesẽ ƒe dzesi etɔ̃ siwo bɔ wu be Charcot ƒe Triad .

1. ɖusime ƒe akpa si le etame ƒe ƒodo ƒe vevesese: Afi siae míaƒe aɖuɖɔtoe ƒe dɔwɔwɔ le.

2. Asrã: Zi geɖe la, asrã dzɔna ne dɔlélenutsiŋutetea le dɔ wɔm.

3. Jaundice: Ŋutilã ƒe ɣie kple ŋku ƒe ɣie. Esia dzɔna ne ʋumenugbagbeviɣiwo xe eye ʋumenugbagbeviɣiwo gena ɖe ʋukawo me.

Ne dzesi etɔ̃ siawo katã le ame ŋu la, ke mɔnukpɔkpɔ gã aɖe li be wòanye ʋumenugbagbeviɣidɔ.

Dzesi bubuwo:

Le alesi nɔnɔmea nu sẽe nu la, ʋumenugbagbeviɣi ƒe sisi yi ʋukawo me ate ŋu ahe dzesi bubuwo vɛ:

• Ʋuʋudedi: Ne ʋumenugbagbeviɣidɔ si le ʋumenugbagbeviɣia me ge ɖe ʋua me la, enaa ŋutigbalẽa ʋãna.
• Ahɔhɔ̃ ƒe dɔwɔwɔ ƒe gbegblẽ (Hepatic encephalopathy): Ne aɖi siwo le ʋumenugbagbeviɣi me ƒo ƒu ɖe ʋua me la, susu ƒe dɔmawɔmawɔ nyuie suesuesuewo abe tɔtɔ kple susu ƒe tɔtɔ ene ate ŋu adzɔ.

Ne dɔlékuia kaka ɖe ʋua me la, dzesi siwo fia be ewɔ nuku na ame la ate ŋu adze:

• Dzi ƒe tsotso kabakaba (Tachycardia) .
• Ʋusɔgbɔdɔ (Hypotension) .

Ne tsɔ kpe ɖe Chacko ƒe etɔ̃lia ŋu la, tɔtɔ kple dzidziƒoame ƒe dzesiwo hã li la, woyɔnɛ be Reynolds ƒe pentad . Esia gblɔna na ɖɔktawo be dɔlélea nu sẽ ŋutɔ eye wòhiã be woawɔ atike nɛ enumake.

Dzesi bubu siwo dzena le ʋumenugbagbeviɣidɔ si nɔa anyi didi me:

Ne dɔlélea de ŋgɔ ŋutɔ ko hafi nusiawo dzena.

• Ɖeɖiteameŋu
• Ƒodo si vuvu
• Afɔ kple afɔ siwo vuvu
• Ami siwo le wò ŋutigbalẽ te
• Ʋuka gã siwo woate ŋu akpɔ le wò ƒodo me
• Akpɔkplɔ ƒe ʋukawo
• Aɖuɖɔtoe si ƒe amadede nye viviti kple aɖuɖɔ si ƒe amadede nye keklẽ
• Dɔmetɔtrɔ

Aleke wowɔa dea dzesi Cholangitis?

Ne èyi ɖɔkta gbɔ la, abia wò dɔlélea ƒe dzesiwo gbã eye wòado wò kpɔ. Emegbe, woaɖe gbe be woado ʋu kpɔ eye woawɔ wò ʋumenugbagbeviɣidɔ ƒe nɔnɔmetatawo dodokpɔ geɖe .

• Ʋudodokpɔ:
• Ʋu ƒe xexlẽme bliboa (CBC): Eléa ŋku ɖe dɔlékuiwo kple ʋumenugbagbeviɣiwo ŋu.
• Aklã ƒe dɔwɔwɔ dodokpɔ: Kpɔ ʋumenugbagbeviɣi agbɔsɔsɔme si le ʋua me, aklã me enzyme kple protein ƒe agbɔsɔsɔ, kple ne aklãa le dɔ wɔm nyuie hã.
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:
• Magnetic resonance cholangiopancreatography (MRCP): Esia le abe MRI scan ene, eye wòte ŋu kpɔa ʋukawo kple dɔgbo ƒe ʋukawo nyuie.
• Abdominal ultrasound: Esia ate ŋu akpɔe ɖa be ʋukawo kple kpewo xe hã.

Dodokpɔ siawo ate ŋu ade dzesii nyuie nenye be ʋukawo xe, afisi wòle, kple nenye be dɔlékui aɖe le eŋu.

Nukawoe nye Cholangitis ƒe atikewo?

Atike vevitɔ si wozãna na ʋumenugbagbeviɣidɔ sesẽ kple esi nɔa anyi didi siaae nye ʋuka me tsi si woɖena le lãme na ame . Ne ɖɔktaa nya de dzesi nusi gbɔ kuxia tso ko la, afɔɖeɖe gbãtɔe nye be wòaɖe nyaƒoɖeamenu si le ʋumenugbagbeviɣiwo me dzi akpɔtɔ eye wòana ʋumenugbagbeviɣia nado.

Zi geɖe la, woate ŋu awɔ esia le endoscopy , si bia be woade mɔ̃ sue aɖe si me fotoɖemɔ̃ le to nu me eye woatsɔe ayi ʋukawo me.

• Woate ŋu ato mɔ̃ ma dzi aɖe ʋumenugbagbeviɣi si sɔ gbɔ la ɖa eye woate ŋu aɖe eƒe nyaƒoɖeamenu dzi akpɔtɔ.
• Ne xexe aɖe li la, woate ŋu aɖee ɖa (e.g. kpe).
• Ɣeaɖewoɣi la, woate ŋu ade mɔ̃ sue siwo me wotsɔa lãgbalẽ wɔe siwo woyɔna be stent me be mɔ̃awo nanɔ ʋuʋu ɖi.

Bu eŋu kpɔ, ne èwɔ endoscopy be yeake ɖe cholangitis ŋu la, àte ŋu adae hã enumake. Ne ʋumenugbagbeviɣidɔ si nɔa anyi didi le ŋuwò la, ahiã be woawɔ dɔ sia ƒomevi na wò ɣeaɖewoɣi be nàɖu wò dzesiwo dzi.

Atike bubu siwo wozãna na ʋumenugbagbeviɣidɔ si nɔa anyi didi:

• Antihistamines na ʋuʋudedi.
• Vitamin kpeɖeŋutɔ na vitamin ƒe anyimanɔmanɔ.
• Ursodeoxycholic acid (UDCA) nye atike si wozãna tsɔ léa ʋumenugbagbeviɣidɔ gbãtɔ (PBC) ƒe ŋgɔyiyi nu.

Atike bubu siwo woate ŋu azã na ʋumenugbagbeviɣidɔ sesẽ:

• Tsi siwo wodona ɖe ʋuka me (IV fluids): Xexe mɔ na tsikuɖiɖi eye wòna ŋusẽ ŋutilãa.
• Vevesese dzi ɖeɖe kpɔtɔ .
• Dɔlékuiwutikewo: Aɖu dɔlékuiwo dzi. Zi geɖe la, wodoa nusiawo to ʋuka me.

Nukae nye ŋgɔdonya na amesiwo ŋu ʋumenugbagbeviɣidɔ le? (Nyagblɔɖi) .

Eɖanye ʋuka me dɔléle sesẽ alo ʋuka me dɔléle si nɔa anyi didi le ŋuwò o, edzi ŋɔ vie. Eteƒe madidi o, wo ame evea siaa ate ŋu ade ame ƒe agbe afɔku me.

Gake zi geɖe la, ʋumenugbagbeviɣidɔ sesẽ nɔa anyi ɣeyiɣi kpui aɖe . Ne wowɔ atike nɛ kaba la, ame akpa gãtɔ hayana keŋkeŋ . Ne womewɔ atike nɛ o la, ame siwo kuna la sɔ gbɔ ŋutɔ.

Ne ʋumenugbagbeviɣidɔ si nɔa anyi didi le ŋuwò la, àte ŋu anɔ agbe ƒe geɖe kuxi aɖeke manɔmee. Atikewo ate ŋu aɖu dzesiawo dzi. Ðewohĩ ahiã be woawɔ ʋumenugbagbeviɣidɔ na wò tso ɣeyiɣi yi ɣeyiɣi. Le ame aɖewo gome la, aklãdɔ ate ŋu ayi ŋgɔ ava zu aklã ƒe dɔmawɔmawɔ nyuie. Ne edzɔ alea la, ɖewohĩ ahiã be woado aklã na wò mlɔeba .

Aleke malé be na ɖokuinye esime mele agbe kple ʋumenugbagbeviɣidɔ si nɔa anyi didi?

Ne ʋumenugbagbeviɣidɔ si nɔa anyi didi le ŋuwò la, ele vevie ŋutɔ be nàlé be na wò aklã le mɔ ɖesiaɖe si nàte ŋui nu.

• Nuɖuɖu kple agbenɔnɔ nyui dzi wɔwɔ ate ŋu aɖe nusiwo gblẽ le aklã ŋu dzi akpɔtɔ eye wòadidi eƒe agbenɔƒe ɖe edzi.
• Ƒo asa na nusiwo nana aklãa tea ɖeɖi ame ŋu geɖe wu. Le kpɔɖeŋu me, te ɖa le ahanono, atike vɔ̃ɖiwo, atamanono, kple atike bubu siwo gblẽa nu le nutome ŋu ŋu alesi nàte ŋui.
• Dze agbagba nàɖe ami kple sukli si le wò nuɖuɖu me dzi akpɔtɔ.
• Get some exercise , ɖe nuteɖeamedzi dzi kpɔtɔ alesi nàte ŋui.

Ðo ŋku edzi be ʋumenugbagbeviɣidɔ le vevie ŋutɔ na míaƒe ŋutilã, gake ne ete ŋu sina faa ko hafi wòwɔa dɔ nyuie. Ne mete ŋui o la, edona yia ʋukawo me, ƒoa ƒu ɖe ŋutinuwo me, eye wònana aɖi kple dɔdzẽ nɔa ame ŋu. Esia tae ʋumenugbagbeviɣidɔ siwo le lãmesẽ me le vevie ŋutɔ ɖo.

Gbedasi si Wotsɔ Yi Aƒeme

Cholangitis nye ʋuka siwo me ʋu sina tona ƒe dɔdzẽ. Nusi koŋ gbɔ esia tsonae nye ʋumenugbagbeviɣiwo ƒe xexe to nuwo abe aɖuɖɔtoemekpewo kple dɔlékui siwo dona tso eme ene. Ne èse veve le wò ƒodo ƒe ɖusime ƒe akpa si le etame, dzoxɔxɔ, kple ʋuʋudedi la, ate ŋu anye ʋumenugbagbeviɣidɔ, eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Atikewɔwɔa toa vovo le alesi wòdzɔna kabakaba alo esi nɔa anyi didi nu. Gake eɖanye ƒomevi ka kee nèɖale o, zi alesi nèkpɔ dɔlélea dze sii kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae emetsonua anyo wu. Eyata, ne dzesi siawo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi ko, anɔ susum be, "Dɔmeve koe wònye." Anyo wu be nàyi ɖɔkta gbɔ ahanya nusi tututu gblẽ. Wò aklã kple ʋumenugbagbeviɣidɔ ƒe lãmesẽ me nɔnɔ le asiwò!

` Cholangitis, Cholangitis, Aklã, Aɖuɖɔtoe, Aɖuɖɔtoe, Ƒodome Vevesese, Asrã