Koj puas muaj teeb meem nrog koj cov kua tsib? Cia peb tham txog Cholangitis!

Koj puas muaj tej lub sij hawm mob txawv txawv rau sab xis saum toj ntawm koj lub plab? Koj puas xav tias koj daim tawv nqaij tig daj? Los yog koj tsuas yog nkees vim kub taub hau xwb? Txawm hais tias peb qee zaum tsis quav ntsej txog cov no, lawv tuaj yeem yog teeb meem nrog cov kua tsib hauv peb lub cev. Hnub no peb yuav tham txog qhov mob zoo li no, uas hu ua '(Cholangitis)' hauv kev kho mob. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.

Cholangitis yog dab tsi? Hais yooj yim xwb...

Xav txog tias koj muaj lub siab hauv koj lub cev, uas tsim cov kua hu ua kua tsib . Cov kua tsib no tseem ceeb heev rau peb lub cev. Nws pab peb zom cov rog uas peb noj. Yog li, cov kua tsib uas tsim tawm hauv lub siab no mus rau lub zais zis, qhov chaw uas nws khaws cia ib pliag, thiab tom qab ntawd mus rau txoj hnyuv me . Lub kaw lus ntawm cov raj me me uas nqa cov kua tsib no hu ua cov kav dej tsib .

Tam sim no, cholangitis yog kev o ntawm cov kav dej kua tsib . Thaum koj xav txog kev o, koj tuaj yeem xav, puas yog? Nws txhais tau tias cov kav dej o, ua liab, thiab qee zaum txawm tias kis kab mob. Nws zoo li cov tonsils hauv peb lub caj pas o thiab o, uas yog qhov tshwm sim rau cov kav dej kua tsib no.

Muaj ob hom mob Cholangitis tseem ceeb:

1. Mob Cholangitis Loj Hlob Los Yog Mob Cholangitis Nce: Qhov no yog hom mob uas feem ntau tshwm sim. Feem ntau nws yog los ntawm kev kis kab mob bacterial. Nws tshwm sim sai sai thiab ua rau muaj tsos mob sai.

2. Mob Cholangitis Ntev: Qhov no yog ib qho mob uas mob ntev, maj mam zuj zus. Nws tuaj yeem tshwm sim los ntawm tej yam xws li qee yam kab mob autoimmune.

Thaum koj mob cholangitis, yuav ua li cas? Puas muaj kev phom sij?

Yog, qhov no tuaj yeem ua rau muaj kev phom sij me ntsis rau qee lub sijhawm. Thaum cov kav dej ntawm cov kua tsib o, muaj ntau yam teeb meem tshwm sim:

• Kev thaiv cov kua tsib ntws: Thaum cov kav dej o, cov kua tsib tsis ntws zoo. Tom qab ntawd cov kua tsib tuaj yeem rov qab thiab sib sau ua ke hauv cov kabmob xws li lub siab thiab lub zais zis. Qhov no kuj hu ua '(Cholestasis)'.
• Kev o ntawm cov kabmob: Thaum cov kua tsib sib sau ua ke, kev o tuaj yeem tshwm sim hauv cov kabmob ntawd thiab.
• Kev kis tus kab mob: Thaum cov kua tsib tsis ua haujlwm, zoo li lub qhov dej txhaws ua ib lub pas dej, nws dhau los ua qhov chaw zoo tshaj plaws rau cov kab mob loj hlob. Yog tias tus kab mob no nkag mus rau hauv cov ntshav, nws tuaj yeem ua rau tuag taus . Qhov no tuaj yeem ua rau muaj mob hnyav hu ua "Septicemia" lossis "Sepsis." Xav txog, nws zoo li cov kab mob kis thoob plaws lub cev!
• Kev ua kom caws pliav:Tshwj xeeb tshaj yog nyob rau hauv cov kab mob cholangitis ntev, kev o tuaj yeem ua rau cov hlab ntsha ntawm cov kua tsib. Cov hlab ntsha ces nqaim thiab tawv, zoo li cov kav dej qub. Qhov no ua rau nws nyuaj dua rau cov kua tsib ntws tawm.
• Kev puas tsuaj rau daim siab: Yog tias cov teeb meem no tseem muaj ntxiv, daim siab yuav raug puas tsuaj thiab txawm tias daim siab tsis ua haujlwm kuj tuaj yeem tshwm sim. Qhov ntawd kuj yog ib qho mob txaus ntshai heev.

Yog li ntawd, koj nkag siab, puas yog? Nws tsis yog lub tswv yim zoo uas tsuas yog tsis quav ntsej qhov no vim tias tsuas yog mob plab xwb.

Cholangitis thiab cholecystitis puas yog tib yam?

Yog lawm, ob lub npe no zoo sib xws me ntsis, yog li lawv tuaj yeem ua rau tsis meej pem.

• Cholangitis yog qhov o ntawm cov ducts ntawm cov kua tsib uas peb tab tom tham txog.
• Cholecystitis yog ib qho mob o ntawm lub zais zis .

Ob qho no muaj feem cuam tshuam nrog cov kua tsib. Vim tias cov kua tsib los ntawm lub zais zis los ntawm cov kav dej ntawm cov kua tsib, qhov teeb meem ntawm ib qho tuaj yeem cuam tshuam rau lwm qhov. Nws zoo li lub thawv dej thiab cov kav dej txuas nrog nws. Qhov teeb meem hauv lub thawv tuaj yeem cuam tshuam rau cov kav dej, thiab qhov teeb meem hauv cov kav dej tuaj yeem cuam tshuam rau lub thawv, puas yog? Nws yog li ntawd.

Dab tsi yog cov ua rau mob cholangitis?

Tej zaum yuav muaj ntau yam ua rau qhov no.

Ua rau mob Cholangitis hnyav:

• Kev kis kab mob: Feem ntau yog los ntawm cov kab mob bacteria. Qee zaum nws kuj tuaj yeem yog los ntawm cov kab mob virus lossis cov kab mob parasitic.
• Kev thaiv: Qhov no feem ntau yog qhov laj thawj tseem ceeb.
• Pob zeb hauv lub zais zis: Pob zeb hauv lub zais zis tuaj yeem tsim nyob rau hauv lub zais zis thiab thaiv cov kav dej ntawm cov kua tsib. Qhov no hu ua choledocholithiasis.
• Kev nruj: Cov kav dej ntawm cov kua tsib tuaj yeem nqaim thiab thaiv vim qee yam.
• Cov qog nqaij hlav: Kev tsim cov qog nqaij hlav lossis lwm yam qog nqaij hlav hauv cov kav dej kua tsib.
• Cholestasis: Yog tias cov kua tsib ntws tsis ua haujlwm vim qee yam.

Feem ntau (kwv yees li 90%) nws yog kev sib xyaw ua ke ntawm peb yam ua rau mob cholangitis. Xav txog, lub pob zeb daig hauv lub zais zis thiab thaiv ib txoj hlab zis. Tom qab ntawd cov kua tsib tsis ntws. Cov kua tsib uas nyob hauv ib qho chaw tuaj yeem kis tau kab mob yooj yim. Qee zaum cov kab mob hauv txoj hnyuv me kuj tuaj yeem rov qab mus rau hauv cov hlab zis.

Txawm li cas los xij, qee zaum cholestasis thiab cholangitis tuaj yeem tshwm sim vim yog kev thaiv ntawm cov kua tsib, yam tsis muaj kev kis kab mob. Cholestasis kuj tseem tuaj yeem tshwm sim los ntawm qee yam kab mob, tshuaj, lossis kev pub mis ntev (IV feeding). Kev kis kab mob tuaj yeem tshwm sim yam tsis muaj kev thaiv, uas tsis tshua muaj, tab sis nws kuj tuaj yeem tshwm sim los ntawm cov ntshav lossis los ntawm cov khoom siv siv hauv kev kuaj mob.

Cov Ua Rau Mob Cholangitis Ntev:

Feem ntau cov no yog cov kab mob autoimmune.Qhov no yog vim peb lub cev tiv thaiv kab mob tawm tsam peb cov hlwb, kho lawv zoo li lawv yog neeg txawv teb chaws. Qhov no ua rau cov kua tsib o tas li.

• Kab mob cholangitis thawj zaug (PSC)
• Kab mob biliary cholangitis thawj zaug (PBC)
• IgG4-cuam tshuam nrog cholangitis

Hauv cov rooj plaub no, cov tsos mob ntawm tus kab mob cholangitis mob hnyav yuav tsis hnyav npaum li cov mob cholangitis mob hnyav. Tej zaum yuav tsis paub txog nws tau ntau xyoo. Txawm li cas los xij, dhau sijhawm, cov hlab ntsha hauv cov kua tsib tuaj yeem ua rau muaj qhov txhab, txhaws, thiab ua rau "cholestasis", uas tuaj yeem ua rau mob cholangitis mob hnyav.

Mob cholangitis zoo li cas? Cov tsos mob yog dab tsi?

Ib tug neeg uas muaj mob cholangitis ntev yuav tsis muaj tsos mob li ntau xyoo. Feem ntau pom thaum lub siab raug cuam tshuam thiab pib muaj cov cim qhia tias muaj kab mob siab.

Tab sis mob cholangitis mob hnyav yeej hnov ​​​​​​tau .

Feem ntau, muaj mob nyob rau sab xis saum toj ntawm lub plab . Qhov mob no kuj tuaj yeem kis mus rau sab xis xub pwg lossis nraub qaum. Qee zaum nws hnyav, qee zaum nws tsis hnyav heev, thiab nws tuaj thiab mus.

Yog tias cov kav dej ntawm cov kua tsib raug thaiv, koj yuav muaj mob hu ua "biliary colic." Qhov no tshwm sim thaum lub gallbladder qaug zog thiab sim thawb cov kua tsib tawm, tshwj xeeb tshaj yog tom qab noj zaub mov uas muaj roj ntau. Qhov no ua rau muaj kev nyuaj siab thiab mob heev vim tias cov kua tsib tsis tuaj yeem hla dhau qhov kev thaiv. Koj kuj tseem yuav xeev siab. Qhov mob yuav tshwm sim sai sai thiab tom qab ntawd maj mam ploj mus raws sijhawm.

Cov tsos mob tseem ceeb - Charcot's Triad

Peb yam tsos mob feem ntau ntawm mob cholangitis hu ua Charcot's Triad .

1. Mob plab sab xis sab saud: Qhov no yog qhov chaw uas peb lub zais zis nyob.

2. Kub taub hau: Kub taub hau feem ntau tshwm sim thaum lub cev tiv thaiv kab mob ua haujlwm.

3. Mob daj ntseg: Tawv nqaij thiab qhov muag dawb daj. Qhov no tshwm sim thaum cov kav dej ntawm cov kua tsib raug thaiv thiab cov kua tsib ntws mus rau hauv cov ntshav.

Yog tias muaj tag nrho peb yam tsos mob no, ces yuav muaj feem ntau uas nws yog cholangitis.

Lwm cov tsos mob:

Nyob ntawm seb qhov mob hnyav npaum li cas, cov kua tsib ntws mus rau hauv cov ntshav yuav ua rau muaj lwm cov tsos mob:

• Khaus: Thaum cov kua qaub hauv cov kua qaub nkag mus rau hauv cov ntshav, lawv ua rau daim tawv nqaij khaus.
• Kev ua haujlwm ntawm lub hlwb tsis zoo (Hepatic encephalopathy): Thaum cov tshuaj lom hauv cov kua tsib sib sau ua ke hauv cov ntshav, kev puas siab puas ntsws me me xws li kev tsis meej pem thiab kev tsis paub qhov twg tuaj yeem tshwm sim.

Yog tias tus kab mob tau kis mus rau hauv cov ntshav, cov cim qhia tias yuav poob siab yuav tshwm sim:

• Lub plawv dhia ceev ceev (Tachycardia)
• Ntshav siab qis (Hypotension)

Yog tias, ntxiv rau Chacko's triad, kuj muaj cov tsos mob ntawm kev tsis meej pem thiab kev poob siab, nws hu ua Reynolds' pentad . Qhov no qhia rau cov kws kho mob tias tus mob no hnyav heev thiab xav tau kev kho mob tam sim ntawd.

Lwm cov tsos mob ntawm tus kab mob cholangitis ntev:

Cov no tsuas yog tshwm sim thaum tus kab mob hnyav heev lawm.

• Kev qaug zog
• Lub plab o
• Ob txhais ceg thiab taw o
• Cov rog tso rau hauv qab koj daim tawv nqaij
• Cov leeg ntshav loj thiab pom tseeb thoob plaws koj lub plab
• Cov leeg ntawm kab laug sab
• Cov zis tsaus thiab cov quav xim dawb
• Mob raws plab

Yuav kuaj mob Cholangitis li cas?

Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob thiab kuaj koj. Tom qab ntawd, lawv yuav xaj kom kuaj ntshav thiab ntau qhov kev kuaj duab ntawm koj lub cev biliary .

• Kev kuaj ntshav:
• Kev suav cov ntshav tag nrho (CBC): Tshawb xyuas seb puas muaj kab mob thiab suav cov qe ntshav.
• Kev kuaj xyuas kev ua haujlwm ntawm daim siab: Xyuas seb muaj pes tsawg cov kua tsib nyob hauv cov ntshav, cov enzymes thiab cov protein ntawm daim siab yog dab tsi, thiab seb daim siab puas ua haujlwm zoo.
• Kev ntsuam xyuas duab:
• Kev kuaj mob Magnetic resonance cholangiopancreatography (MRCP): Qhov no zoo li kev kuaj MRI, thiab tuaj yeem pom cov kav dej kua tsib thiab cov kav dej pancreatic kom meej meej.
• Kev kuaj ultrasound hauv plab: Qhov no tuaj yeem kuaj xyuas seb puas muaj kev thaiv hauv cov kav dej thiab pob zeb.

Cov kev kuaj no tuaj yeem pom tseeb tias puas muaj qhov txhaws hauv cov kav dej ntawm cov kua tsib, qhov twg nws nyob, thiab seb puas muaj kev kis kab mob.

Cov kev kho mob rau Cholangitis yog dab tsi?

Txoj kev kho mob tseem ceeb rau ob qho tib si mob cholangitis mob hnyav thiab mob ntev yog kev siv endoscopic biliary drainage . Thaum tus kws kho mob tau txheeb xyuas qhov ua rau muaj teeb meem, thawj kauj ruam yog txo qhov siab hauv cov ducts bile thiab cia cov bile ntws tawm.

Qhov no feem ntau ua tau thaum lub sijhawm endoscopy , uas cuam tshuam nrog kev ntxig ib lub raj me me uas muaj lub koob yees duab los ntawm lub qhov ncauj thiab hla nws mus rau hauv cov kav dej kua tsib.

• Los ntawm lub raj ntawd, cov kua tsib ntau dhau tuaj yeem raug tshem tawm thiab qhov siab tuaj yeem txo qis.
• Yog tias muaj qhov txhaws, nws tuaj yeem raug tshem tawm (piv txwv li, pob zeb).
• Qee zaum, cov raj me me hu ua stents tuaj yeem ntxig rau hauv kom cov ducts qhib.

Xav txog seb, yog koj ua qhov kev kuaj mob endoscopy kom pom cholangitis, koj tuaj yeem kho nws tam sim ntawd. Yog tias koj muaj mob cholangitis ntev, koj yuav tsum tau ua hom kev kuaj mob endoscopy no tsis tu ncua kom tswj tau koj cov tsos mob.

Cov kev kho mob ntxiv rau mob cholangitis ntev:

• Cov tshuaj Antihistamines rau khaus.
• Cov tshuaj vitamin rau cov vitamins tsis txaus.
• Ursodeoxycholic acid (UDCA) yog ib yam tshuaj siv los tswj kev nce qib ntawm tus kab mob biliary cholangitis (PBC).

Cov kev kho mob ntxiv rau mob cholangitis mob hnyav:

• Cov kua dej hauv cov hlab ntsha (IV fluids): Tiv thaiv kom lub cev qhuav dej thiab muab zog rau lub cev.
• Kev txo qhov mob .
• Tshuaj tua kab mob: Tswj kev kis kab mob. Feem ntau cov no yog muab rau hauv cov hlab ntsha.

Yuav muaj kev kwv yees li cas rau cov neeg uas muaj mob cholangitis? (Kev kwv yees)

Txawm koj muaj mob cholangitis sai lossis mob cholangitis ntev los xij, nws yeej txaus ntshai me ntsis. Ob qho tib si, sai dua lossis tom qab, tuaj yeem ua rau tuag taus.

Txawm li cas los xij, mob cholangitis mob hnyav feem ntau yog luv luv xwb . Yog tias kho sai sai, feem ntau cov neeg yuav zoo tag nrho . Yog tias tsis kho, tus nqi tuag yuav siab heev.

Yog tias koj muaj mob cholangitis ntev , koj tuaj yeem nyob tau ntau xyoo yam tsis muaj teeb meem. Cov tshuaj tuaj yeem tswj cov tsos mob. Tej zaum koj yuav tsum tau ua cov txheej txheem ntws cov kua tsib qee zaum. Rau qee tus neeg, kab mob siab tuaj yeem hloov mus rau kev ua tsis tau zoo ntawm daim siab. Yog li ntawd, thaum kawg koj yuav xav tau kev hloov daim siab .

Kuv yuav saib xyuas kuv tus kheej li cas thaum kuv tseem muaj tus kab mob cholangitis ntev?

Yog tias koj muaj kab mob ntawm cov kua tsib mus ntev, nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj lub siab rau txhua txoj kev uas koj ua tau.

• Kev noj zaub mov zoo thiab kev ua neej zoo yuav pab txo qhov kev puas tsuaj rau lub siab thiab ua kom nws lub neej ntev dua.
• Tsis txhob ua tej yam uas ua rau lub siab ntxhov siab ntxiv. Piv txwv li, tsis txhob haus dej cawv, siv yeeb tshuaj, haus luam yeeb, thiab lwm yam tshuaj lom neeg hauv ib puag ncig ntau li ntau tau.
• Sim txo cov rog thiab qab zib hauv koj cov zaub mov noj.
• Ua ib ce tawm dag zog , txo kev ntxhov siab ntau li ntau tau.

Nco ntsoov tias, cov kua tsib yog qhov tseem ceeb heev rau peb lub cev, tab sis nws tsuas yog ua haujlwm kom zoo yog tias nws tuaj yeem ntws tau yooj yim. Yog tias nws ua tsis tau, nws yuav ntws mus rau hauv cov ntshav, sib sau ua ke hauv cov kabmob, thiab ua rau muaj kev lom thiab o. Yog vim li cas cov kua tsib noj qab haus huv thiaj li tseem ceeb heev.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Kab mob Cholangitis yog ib qho mob o ntawm cov kav dej kua tsib. Qhov ua rau qhov no yog kev txhaws ntawm cov kav dej kua tsib los ntawm tej yam xws li pob zeb hauv lub zais zis thiab cov kab mob uas ua rau muaj. Yog tias koj mob rau sab xis saum toj ntawm koj lub plab, kub taub hau, thiab mob daj ntseg, nws yuav yog kab mob cholangitis, yog li nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Kev kho mob sib txawv nyob ntawm seb nws yog mob hnyav lossis mob ntev. Tab sis txawm tias hom twg los xij, qhov koj kuaj mob sai dua thiab pib kho mob, qhov tshwm sim zoo dua. Yog li, yog tias koj muaj cov tsos mob no, tsis txhob tsuas yog tsis quav ntsej lawv, xav tias, "Nws tsuas yog mob plab xwb." Nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thiab nrhiav seb muaj dab tsi tsis ncaj ncees lawm. Kev ua kom koj lub siab thiab lub cev biliary noj qab haus huv yog nyob rau hauv koj txhais tes!

` Cholangitis, Cholangitis, Siab, Bile, Jaundice, Mob plab, Kub taub hau