He raruraru tōu ki ō awa waikura? Me kōrero tātou mō te mate kōroke!

Ka pāngia koe e te mamae rerekē i te taha matau o runga o tō puku i ētahi wā? Kei te ahua kōwhai tō kiri? He ngenge noa iho rānei koe i te kirika? Ahakoa kāore tātou e aro nui ki ēnei i ētahi wā, he raruraru pea ēnei ki ngā awaawa au i roto i tō tātou tinana. I tēnei rā ka kōrero tātou mō tēnei āhuatanga, e kiia nei ko te `(Cholangitis)` i roto i te pūtaiao hauora. Kaua e manukanuka, me kōrero noa tātou mō tēnei.

He aha te Cholangitis? He māmā noa iho...

Whakaarohia kei roto i tō tinana he ate e whakaputa ana i te wai e kiia nei ko te au . He mea tino nui tēnei au mō tō tātou tinana. Ka āwhina i a tātou ki te nakunaku i ngā ngako e kainga ana e tātou. Nō reira, ko te au e hangaia ana i roto i tēnei ate ka haere ki te pūkahukahu, ka rongoatia mō tētahi wā, kātahi ka haere ki te whekau iti . Ko te pūnaha o ngā ngongo angiangi e kawe ana i tēnei au e kiia nei ko ngā awa au .

Nā, ko te cholangitis he mumura o ngā awaawa aukume . Ina whakaaro koe ki te mumura, ka taea e koe te whakaaro, tika? Ko tōna tikanga ka pupuhi ngā awaawa, ka whero, ā, i ētahi wā ka pangia. He rite ki te pupuhi o ngā tonsil i roto i tō tātou korokoro, ka mumura, koinei te mea e pā ana ki ēnei awaawa aukume.

E rua ngā momo matua o te cholangitis:

1. Te Kolangitis Whakapeka, te Kolangitis Piki rānei: Koinei te momo tino noa. He mate huakita te take. Ka puta ohorere mai, ā, ka tere te puta o ngā tohu.

2. Te mate korokoro mau tonu: He mate roa tēnei, he āta haere tonu. Ka puta pea i ngā mate pēnei i ētahi mate pūnaha ārai mate.

He aha ngā mea ka puta mai ina pāngia koe e te cholangitis? He mea morearea?

Āe, he āhua morearea tēnei i ētahi wā. Ina mumura ngā awaawa o te ate, ka puta ētahi raruraru:

• Te aukati i te rere o te au: Ina mumura ngā awaawa, kāore te au e rere tika. Kātahi ka hoki anō te au ka kohia ki roto i ngā whekau pēnei i te ate me te pūkahukahu. Ka kiia hoki tēnei ko te '(Cholestasis)'.
• Mumura o ngā whekau: Ina kohia te au o te ate, ka puta te mumura ki aua whekau anō hoki.
• Te horapa o te mate: Ina noho pūmau te au, pērā i te waikeri kua purua, ka huri hei repo, ka noho hei wāhi tino pai mō te tipu o ngā huakita. Mēnā ka uru tēnei mate ki roto i te toto, ka mate pea . Ka arahi pea tēnei ki tētahi mate kino e kiia nei ko te "Septicemia" me te "Sepsis" rānei. Whakaarohia, he rite ki ngā iroriki e horapa ana puta noa i te tinana!
• Te whara:Ina koa i roto i te cholangitis mau tonu, ka taea e te mumura roa te whakararu i ngā awaawa o te aukume. Kātahi ka whaiti, ka pakari, ka rite ki ngā paipa wai tawhito ngā awaawa. Nā tēnei ka uaua ake te rere o te aukume.
• Te kino o te ate: Ki te haere tonu ēnei raruraru, ka pakaru pea te ate, ā, ka pā mai pea te ngoikore o te ate. He āhuatanga tino morearea anō hoki tēnā.

Nā, e mārama ana koe, tika? Ehara i te mea pai kia whakakorea noa iho tēnei hei mamae puku.

He rite tonu te cholangitis me te cholecystitis?

Āe, he āhua ōrite ēnei ingoa e rua, nō reira ka pōhēhē pea.

• Ko te cholangitis te mumura o ngā awaawa aukume e kōrerohia ana e tātou.
• Ko te Cholecystitis he mumura o te gallbladder .

E pā ana ēnei e rua ki te au. Nā te mea ka puta mai te au i te pūkahukahu mā roto i ngā awa au, ka pā te raruraru o tētahi ki tētahi. He rite ki te tāke wai me ngā paipa e hono ana ki a ia. Ka pā te raruraru o te tāke ki ngā paipa, ā, ka pā te raruraru o ngā paipa ki te tāke, tika? Koia te āhua.

He aha ngā take o te cholangitis?

Tērā pea he maha ngā take mō tēnei.

Ngā Take o te Cholangitis Whakapeka:

• Ngā mate urutā: Ko te nuinga o te wā ka puta mai i ngā huakita. I ētahi wā ka puta mai hoki i ngā huaketo, i ngā pirinoa rānei.
• Ngā aukati: Koinei te take matua i te nuinga o te wā.
• Ngā kōhatu pūkahukahu: Ka taea e ngā kōhatu pūkahukahu te hanga i roto i te pūkahukahu, ā, ka ārai i ngā awaawa pūkahukahu. Ka kiia tēnei ko te choledocholithiasis.
• Ngā Ārai: Ka taea e ngā awaawa au te whaiti me te aukati mō tētahi take.
• Ngā pukupuku: Te hanganga o ngā pukupuku matepukupuku, o ētahi atu pukupuku rānei i roto i ngā awaawa o te ate.
• Cholestasis: Mēnā ka mutu te rere o te au o te ate mō tētahi take.

I te nuinga o te wā (tata ki te 90%), he huinga o ēnei take e toru e puta ai te mate korokoro nui. Whakaarohia, ka mau te kōhatu ki roto i te pūkahukahu, ka ārai i te awaawa. Kātahi ka kore te au e rere. Ko te au e noho ana i te wāhi kotahi ka ngāwari te pangia e te huakita. I ētahi wā ka taea hoki e ngā huakita i roto i te whekau iti te hoki ki roto i ngā awaawa au.

Heoi, i ētahi wā ka puta te cholestasis me te cholangitis nā te aukati o ngā awaawa o te ate, me te kore he mate huakita. Ka taea hoki te puta te cholestasis e ētahi mate, rongoā, whāngai ā-roto roa rānei (whāngai IV). Ka taea te puta te mate me te kore he ārai, he mea onge tēnei, engari ka taea hoki te puta mā te toto, mā ngā taputapu rānei e whakamahia ana i roto i te whakamātautau hauora.

Ngā Take o te Cholangitis Mau tonu:

Ko te tikanga he mate pūnaha ārai mate ēnei.Nā te mea ka whakaekea e tō tātou ake pūnaha ārai mate ō tātou ake pūtau, ka whakaarohia rātou me te mea he mea tauhou. Ka puta te mumura tonu o ngā awaawa o te ate.

• Te mate korokoro tuatahi (PSC)
• Te mate pāwera o te ate (PBC)
• Te cholangitis e pā ana ki te IgG4

I ēnei wā, kāore pea ngā tohu o te cholangitis whakapeka e tino kino pērā i ngā tohu o te cholangitis whakapeka. Tērā pea kāore e mōhiotia mō ngā tau maha. Heoi, i roto i te wā, ka pakaru ngā awaawa o te ate, ka āraia, ka puta te "cholestasis", ka arahi pea ki te cholangitis whakapeka.

He aha te āhua o te cholangitis? He aha ngā tohu?

Tērā pea kāore he tohu o te mate cholangitis mau tonu mō ngā tau. Ka kitea pinepine tēnei ina pāngia te ate, ā, ka tīmata te whakaatu i ngā tohu o te mate ate.

Engari ka tino kitea te cholangitis whakapeka .

He maha ngā wā ka mamae te taha matau o runga o te puku . Ka taea hoki e tēnei mamae te horapa ki te pakihiwi matau, ki te tuara rānei. I ētahi wā ka kino rawa, i ētahi wā ka ngawari, ā, ka haere mai, ka haere atu.

Mena ka āraia te awaawa o te au, tera pea ka pāngia koe e te mate e kiia nei ko te "biliary colic." Ka puta tēnei ina kuiti te au o te puku, ka ngana ki te pana i te au ki waho, inā koa i muri i te kai i te kai momona. Ka nui te pēhanga me te mamae ka puta mai i tēnei nā te mea kāore e taea e te au te haere mā roto i te aukati. Tērā pea ka whakapairuaki koe. Tērā pea ka puta ohorere te mamae, kātahi ka memeha haere i roto i te wā.

Ngā tohu matua - Te Tiriti o Charcot

Ko ngā tohu e toru e tino kitea ana o te cholangitis whakapeka e kiia ana ko te Charcot's Triad .

1. Mamae puku o te taha matau o runga: Koinei te wāhi e tū ai te pūnaha pūkahukahu.

2. Kirika: Ka puta te kirika ina whakahohehia te pūnaha ārai mate.

3. Te kiri māwhero: Te kōwhai o te kiri me te mā o ngā kanohi. Ka puta tēnei ina aukatia ngā awaawa au, ā, ka turuturu te au ki roto i te toto.

Mena kei te kitea ēnei tohu e toru, he nui te tūponotanga he cholangitis.

Ētahi atu tohu:

I runga i te kaha o te mate, ka puta pea ētahi atu tohu i te turuturu o te ate ki roto i te toto:

• Mākūkū: Ina uru ngā waikawa o te au ki roto i te au ki te toto, ka mākūkū te kiri.
• Te ngoikore o te mahi a te roro (Hepatic encephalopathy): Ina kohia ngā paitini i roto i te au o te ate ki roto i te toto, ka puta pea ngā ngoikoretanga hinengaro iti pēnei i te pōhēhē me te koretake o te hinengaro.

Mena kua horapa te mate ki te toto, tera pea ka puta ngā tohu o te ohorere :

• Te tere o te manawa (Tachycardia)
• Te toto toto iti (hypotension)

Mena, hei tāpiritanga ki te tokotoru o Chacko, kei reira anō ngā tohu o te pōhēhē me te ohorere, ka kiia ko te pentad a Reynolds . Mā tēnei ka mōhio ngā tākuta he tino kino te mate, ā, me tere tonu te maimoatanga.

Ētahi atu tohu i roto i te cholangitis mau tonu:

Ka puta noa ēnei ina kua tino horapa te mate.

• Ngenge
• Puku pupuhi
• Ngā waewae me ngā waewae pupuhi
• Ngā putunga ngako i raro i tō kiri
• Ngā uaua nui, e kitea ana puta noa i tō puku
• Ngā uaua pūngāwerewere
• He mimi pouri me te paru mārama
• Korere

Me pēhea te tautuhi i te cholangitis?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate, ā, ka tirotirohia koe. Kātahi ka tonoa he whakamātautau toto me ētahi whakamātautau whakaahua o tō pūnaha biliary .

• Ngā whakamātautau toto:
• Te tatau toto katoa (CBC): Te tirotiro i te mate me te tatau o ngā pūtau toto.
• Ngā whakamātautau mahi ate: Tirohia te nui o te au o te ate i roto i te toto, te taumata o ngā whākōkī me ngā pūmua o te ate, me te mea kei te pai te mahi a te ate.
• Ngā whakamātautau whakaahua:
• Kolangiopancreatography aukume (MRCP): He rite tēnei ki te matawai MRI, ā, ka kitea mārama ngā awaawa o te ate me ngā awaawa o te repeure.
• Whakamātautau oro puku: Ka taea e tēnei te tirotiro mō ngā aukati i roto i ngā awaawa ate me ngā kōhatu.

Ka taea e ēnei whakamātautau te kite mārama mēnā he aukati kei roto i ngā awaawa au, kei hea, me mēnā he mate pāwera.

He aha ngā maimoatanga mō te cholangitis?

Ko te maimoatanga matua mō te cholangitis whakapeka me te cholangitis mau tonu ko te tango i te wai mai i te bile mā te endoscopic . Kia kitea e te tākuta te pūtake o te raruraru, ko te mahi tuatahi ko te whakaiti i te pēhanga i roto i ngā awaawa bile me te tuku i te wai bile kia mimiti.

Ka taea tēnei te mahi i te wā o te endoscopy , arā, ko te whakauru i tētahi ngongo iti kei roto he kāmera mā te waha, ka tukuna ki roto i ngā awaawa o te ate.

• Mā roto i taua ngongo, ka taea te tango i te au taikaha, ā, ka taea hoki te whakaiti i te pēhanga.
• Mena he mea ārai, ka taea te tango (hei tauira, he kōhatu).
• I ētahi wā, ka taea te whakauru i ngā ngongo mata iti e kiia nei ko ngā stent hei pupuri i ngā awaawa kia tuwhera tonu.

Whakaarohia, ki te mahi koe i tētahi endoscopy hei kimi i te cholangitis, ka taea hoki e koe te rongoā tonu. Mena he cholangitis mau tonu tōu, me mahi pea tēnei momo endoscopy i ia wā hei whakahaere i ō tohumate.

Ngā maimoatanga tāpiri mō te cholangitis mau tonu:

• Ngā rongoā antihistamine mō te mākūkū.
• Ngā tāpiringa huaora mō te korenga o ngā huaora .
• Ko te waikawa Ursodeoxycholic (UDCA) he rongoā e whakamahia ana hei whakahaere i te haere whakamua o te cholangitis biliary tuatahi (PBC).

Ngā maimoatanga tāpiri mō te cholangitis whakapeka:

• Wai ā-uaua (wai ā-infus): Ārai i te matewai me te hoatu pūngao ki te tinana.
• Whakamamae mamae .
• Paturopi: Whakahaere i te mate. Ko te tikanga ka hoatu ēnei mā roto i te uaua.

He aha te āhua o te mate mō te hunga e pāngia ana e te cholangitis? (Te āhua o te mate)

Ahakoa he cholangitis acute tōu, he cholangitis mau tonu rānei, he ahua whakamataku. Ka taea e ngā mea e rua te whakararu i te ora, ā tōna wā rānei.

Heoi, he poto noa te wā e ora ai te cholangitis whakapeka . Mēnā ka rongoatia wawetia, ka ora katoa te nuinga o te tangata . Mēnā kāore i rongoatia, ka nui te mate.

Mena kei a koe te cholangitis mau tonu , ka taea e koe te ora mō ngā tau maha me te kore he raruraru. Ka taea e ngā rongoā te whakahaere i ngā tohu. Me whai pea koe i ngā tikanga tango wai biliary i ētahi wā. Mō ētahi tāngata, ka taea e te mate ate te whanake ki te ngoikore o te ate. I taua wā, ka hiahia pea koe ki te whakawhitinga ate i te mutunga.

Me pēhea taku tiaki i a au anō i a au e noho tahi ana me te cholangitis mau tonu?

Mena he mate pūkahukahu mau tonu tōu, he mea tino nui kia tiakina tō ate i ngā huarahi katoa e taea ana e koe.

• Mā te whai i tētahi kai pai me te noho ora pai ka whakaitihia te kino o te ate me te whakaroa i tōna roanga ora.
• Āta karohia ngā mea e whakararuraru ana i te ate. Hei tauira, me matara atu i te waipiro, i ngā raau taero, i te momi hikareti, me ētahi atu matū taiao i ngā wā katoa e taea ana.
• Whakamātauria te whakaiti i te nui o te ngako kukū me te huka i roto i tāu kai.
• Whakakorikori tinana , whakaitihia te ahotea i te mea e taea ana.

Kia maumahara, he mea tino nui te au o te ate mō ō tātou tinana, engari ka mahi tika anake mēnā ka taea te rere noa. Ki te kore e taea, ka turuturu ki roto i te toto, ka hanga ki roto i ngā whekau, ā, ka puta he paitini me te mumura. Koia te mea he mea nui te hauora o ngā awa au.

Karere Tangohia ki te Kāinga

Ko te cholangitis he mumura o ngā awaawa o te ate. Ko te tino take o tēnei ko te aukati i ngā awaawa o te ate e ngā mea pēnei i ngā kohatu o te ate me ngā mate e puta mai ana. Mena ka pāngia koe e te mamae i te taha matau o runga o tō puku, te kirika, me te jaundice, he cholangitis pea tēnei, nō reira he mea nui kia rapu tohutohu hauora tonu.

He rerekē te maimoatanga i runga i te mea he mate koi, he mate mau tonu rānei. Ahakoa te momo, ko te tere o te tātaritanga me te tīmatanga o te maimoatanga, ka pai ake te hua. Nō reira, ki te pā mai ēnei tohu ki a koe, kaua e wareware noa, me te whakaaro, "He mamae puku noa iho." He pai ake te toro atu ki te tākuta kia kitea ai te āhua o te mate. Kei roto i ō ringaringa te tiaki i te hauora o tō ate me tō pūnaha biliary!

` Te mate kōroke, Te mate kōroke, Te ate, Te au, Te waikura, Te mamae o te puku, Te kirika