Kodi muli ndi vuto ndi njira zanu zotulutsira ndulu? Tiyeni tikambirane za Cholangitis!

Kodi nthawi zina mumamva kupweteka kwachilendo kumtunda kwa kumanja kwa m'mimba mwanu? Kodi mumamva ngati khungu lanu likusintha kukhala lachikasu? Kapena mumangomva kutopa ndi malungo? Ngakhale kuti nthawi zina sitisamala kwambiri ndi izi, zitha kukhala vuto ndi ndulu m'thupi mwathu. Lero tikambirana za vuto lotere, lomwe limatchedwa `(Cholangitis)` mu sayansi ya zamankhwala. Musadandaule, tiyeni tikambirane za izi mosavuta.

Kodi Cholangitis ndi chiyani? Mwachidule...

Tangoganizani kuti muli ndi chiwindi m'thupi lanu, chomwe chimapanga madzi otchedwa bile . Bile iyi ndi yofunika kwambiri m'thupi lathu. Imatithandiza kugaya mafuta omwe timadya. Chifukwa chake, bile yomwe imapangidwa m'chiwindi ichi imapita ku ndulu, komwe imasungidwa kwakanthawi, kenako imapita kumatumbo ang'onoang'ono . Dongosolo la machubu ang'onoang'ono omwe amanyamula bile iyi limatchedwa ndulu .

Tsopano, cholangitis ndi kutupa kwa ducts za ndulu . Mukaganiza za kutupa, mungaganizire, eti? Zimatanthauza kuti ducts zimatupa, zimakhala zofiira, ndipo nthawi zina zimakhala ndi kachilombo. Zili ngati ma tonsils pakhosi pathu amatupa ndi kutupa, zomwe zimachitika ndi ducts izi za ndulu.

Pali mitundu iwiri ikuluikulu ya cholangitis:

1. Acute Cholangitis kapena Ascending Cholangitis: Iyi ndi mtundu wofala kwambiri. Nthawi zambiri imayamba chifukwa cha kachilombo ka bakiteriya. Imabwera mwadzidzidzi ndipo imayambitsa zizindikiro mwachangu.

2. Matenda a Cholangitis Osatha: Imeneyi ndi matenda a nthawi yayitali, omwe amakula pang'onopang'ono. Amatha kuyambitsidwa ndi zinthu monga matenda enaake odziteteza ku matenda a autoimmune.

Kodi chimachitika ndi chiyani mukakhala ndi cholangitis? Kodi ndi yoopsa?

Inde, nthawi zina izi zimakhala zoopsa pang'ono . Pamene ndulu imayamba kutupa, mavuto angapo amatha kuchitika:

• Kutsekeka kwa kayendedwe ka ndulu: Pamene ndulu yatupa, ndulu siyenda bwino. Kenako ndulu imatha kubwerera mmwamba ndikuwunjikana m'ziwalo monga chiwindi ndi ndulu. Izi zimatchedwanso `(Cholestasis)`.
• Kutupa kwa ziwalo: Pamene ndulu ikuwunjikana, kutupa kungachitikenso m'ziwalo zimenezo.
• Kufalikira kwa matenda: Pamene ndulu ikutha, monga momwe ngalande yotsekeka imakhalira dambo, imakhala malo abwino kwambiri oti mabakiteriya amere. Ngati matendawa alowa m'magazi, akhoza kukhala oopsa . Izi zingayambitse matenda oopsa otchedwa ``Septicemia``` kapena ``Sepsis``` Tangoganizirani, zili ngati majeremusi omwe amafalikira m'thupi lonse!
• Zilonda:Makamaka mu cholangitis yosatha, kutupa kwa nthawi yayitali kungayambitse zipsera m'mitsempha ya ndulu. Mitsemphayo imakhala yopapatiza, yolimba, komanso yofanana ndi mapaipi akale amadzi. Izi zimapangitsa kuti ndulu ikhale yovuta kwambiri kutulutsa madzi.
• Kuwonongeka kwa chiwindi: Ngati mavutowa apitirira, chiwindi chikhoza kuwonongeka ndipo ngakhale kulephera kwa chiwindi kungachitike. Imeneyonso ndi vuto loopsa kwambiri.

Ndiye, mwamvetsa, eti? Si bwino kungonyalanyaza izi ngati kupweteka m'mimba chabe.

Kodi matenda a Cholangitis ndi Cholecystitis ndi ofanana?

Inde, mayina awiriwa ndi ofanana pang'ono, kotero akhoza kukhala osokoneza.

• Cholangitis ndi kutupa kwa ndulu yomwe tikukambayi.
• Cholecystitis ndi kutupa kwa ndulu .

Zonsezi zimagwirizana ndi ndulu. Popeza ndulu imachokera ku ndulu kudzera m'mitsempha ya ndulu, vuto mu imodzi lingakhudze inayo. Zili ngati thanki yamadzi ndi mapaipi olumikizidwa nayo. Vuto mu thanki lingakhudze mapaipi, ndipo vuto mu mapaipi lingakhudze thanki, eti? Umu ndi momwe zilili.

Kodi ndi zifukwa ziti zomwe zimayambitsa cholangitis?

Pakhoza kukhala zifukwa zingapo za izi.

Zifukwa za Acute Cholangitis:

• Matenda: Nthawi zambiri amayamba chifukwa cha mabakiteriya. Nthawi zina amathanso kuyamba chifukwa cha mavairasi kapena tizilombo toyambitsa matenda.
• Kutsekeka kwa mayendedwe: Ichi nthawi zambiri chimakhala chifukwa chachikulu.
• Miyala ya ndulu: Miyala ya ndulu imatha kupangika mu ndulu ndikutseka njira zotulutsira ndulu. Izi zimatchedwa choledocholithiasis.
• Kutsekeka: Mitsempha ya ndulu imatha kuchepetsedwa ndikutsekeka pazifukwa zina.
• Ziphuphu: Kupangika kwa zotupa za khansa kapena zina m'mitsempha ya ndulu.
• Cholestasis: Ngati kutuluka kwa ndulu kwasiya pazifukwa zina.

Nthawi zambiri (pafupifupi 90%) ndi kuphatikiza kwa zifukwa zitatuzi zomwe zimayambitsa matenda a acute cholangitis. Tangoganizirani, mwala umalowa mu ndulu ndikutseka njira yolumikizira ndulu. Kenako ndulu siyenda. Ndudu yomwe imakhala pamalo amodzi imatha kutenga kachilomboka mosavuta. Nthawi zina mabakiteriya m'matumbo ang'onoang'ono amathanso kubwerera m'njira zolumikizira ndulu.

Komabe, nthawi zina cholestasis ndi cholangitis zimatha kuchitika chifukwa cha kutsekeka kwa ndulu, popanda matenda a bakiteriya. Cholestasis imathanso kuchitika chifukwa cha matenda ena, mankhwala, kapena kudyetsa m'mitsempha kwa nthawi yayitali (kudyetsa m'mitsempha). Matendawa amatha kuchitika popanda chotchinga, chomwe sichimachitika kawirikawiri, koma amathanso kuchitika kudzera m'magazi kapena kudzera mu zida zomwe zimagwiritsidwa ntchito poyesa kuchipatala.

Zifukwa za Cholangitis Yosatha:

Izi nthawi zambiri zimakhala matenda a autoimmune.Izi zili choncho chifukwa chitetezo chathu cha mthupi chimaukira maselo athu, kuwaona ngati achilendo. Izi zimayambitsa kutupa kwa ndulu nthawi zonse.

• Matenda oyamba a sclerosing cholangitis (PSC)
• Cholangitis yoyamba ya biliary (PBC)
• Cholangitis yogwirizana ndi IgG4

Pazochitikazi, zizindikiro za acute cholangitis sizingakhale zoopsa ngati za acute cholangitis. Zingakhale zosadziwika kwa zaka zambiri. Komabe, pakapita nthawi, ndulu imatha kukhala ndi zipsera, kutsekeka, ndikuyambitsa "cholestasis", zomwe zingayambitse acute cholangitis.

Kodi matenda a cholangitis amamveka bwanji? Kodi zizindikiro zake ndi ziti?

Munthu amene ali ndi matenda a cholangitis osatha sangaone zizindikiro zilizonse kwa zaka zambiri. Nthawi zambiri amapezeka chiwindi chikakhudzidwa ndikuyamba kusonyeza zizindikiro za matenda a chiwindi.

Koma cholangitis yoopsa imamveka bwino .

Nthawi zambiri, pamakhala ululu kumtunda kwa mimba kumanja . Ululuwu ukhozanso kufalikira ku phewa lamanja kapena kumbuyo. Nthawi zina umakhala woopsa, nthawi zina umakhala wochepa, ndipo umabwera ndi kutha.

Ngati njira yotulutsira ndulu yatsekeka, mungakumane ndi vuto lotchedwa "biliary colic." Izi zimachitika pamene ndulu yatsekeka ndikuyesera kukankhira ndulu kunja, makamaka mutadya chakudya chamafuta. Izi zimayambitsa kupsinjika kwakukulu ndi ululu chifukwa nduluyo singathe kudutsa mutsekeke. Muthanso kumva nseru. Ululu ukhoza kubwera mwadzidzidzi kenako pang'onopang'ono kutha pakapita nthawi.

Zizindikiro zazikulu - Charcot's Triad

Zizindikiro zitatu zodziwika bwino za matenda a acute cholangitis zimatchedwa Charcot's Triad .

1. Kupweteka kwa m'mimba kwa gawo lakumanja la chigawo chakumtunda: Apa ndi pomwe dongosolo lathu la ndulu limapezeka.

2. Malungo: Malungo nthawi zambiri amapezeka chitetezo cha mthupi chikayamba kugwira ntchito.

3. Jaundice: Kuoneka kwachikasu pakhungu ndi maso oyera. Izi zimachitika pamene njira za ndulu zatsekeka ndipo ndulu yatuluka m'magazi.

Ngati zizindikiro zonse zitatuzi zikupezeka, pali mwayi waukulu kuti ndi cholangitis.

Zizindikiro zina:

Kutengera ndi kuopsa kwa vutoli, kutuluka kwa ndulu m'magazi kungayambitse zizindikiro zina:

• Kutupa: Pamene ma asidi a bile mu bile alowa m'magazi, amachititsa khungu kuyabwa.
• Kulephera kugwira ntchito kwa ubongo (Hepatic encephalopathy): Pamene poizoni mu ndulu asonkhana m'magazi, mavuto ang'onoang'ono a maganizo monga chisokonezo ndi kusokonezeka maganizo amatha kuchitika.

Ngati matendawa afalikira mpaka m'magazi, zizindikiro za kugwedezeka zingawonekere:

• Kugunda kwa mtima mwachangu (Tachycardia)
• Kuthamanga kwa magazi pang'ono (Hypotension)

Ngati, kuwonjezera pa Chacko's triad, palinso zizindikiro za chisokonezo ndi kugwedezeka, imatchedwa Reynolds' pentad . Izi zimauza madokotala kuti vutoli ndi lalikulu kwambiri ndipo limafuna chithandizo chachangu.

Zizindikiro zina za cholangitis yosatha:

Izi zimangooneka ngati matendawa afika poipa kwambiri.

• Kutopa
• Mimba yotupa
• Miyendo ndi mapazi otupa
• Mafuta amaikidwa pansi pa khungu lanu
• Mitsempha ikuluikulu, yooneka bwino pamimba panu
• Mitsempha ya kangaude
• Mkodzo wakuda ndi ndowe zopepuka
• Kutsegula m'mimba

Kodi matenda a cholangitis amachiritsidwa bwanji?

Mukapita kukaonana ndi dokotala, iye adzakufunsani kaye za zizindikiro zanu ndikukuyesani. Kenako, adzalamula kuti muyesedwe magazi ndi mayeso angapo a biliary system yanu .

• Mayeso a magazi:
• Kuchuluka kwa magazi (CBC): Kuwunika kuchuluka kwa maselo a m'magazi ndi matenda.
• Mayeso a ntchito ya chiwindi: Yang'anani kuchuluka kwa ndulu m'magazi, kuchuluka kwa ma enzyme ndi mapuloteni a chiwindi, komanso ngati chiwindi chikugwira ntchito bwino.
• Mayeso ojambula zithunzi:
• Magnetic resonance cholangiopancreatography (MRCP): Izi zili ngati MRI scan, ndipo zimatha kuona bwino ma ducts a bile ndi ma ducts a pancreatic.
• Ultrasound ya m'mimba: Izi zitha kuwona ngati pali kutsekeka kwa ndulu ndi miyala.

Mayeso amenewa amatha kuzindikira bwino ngati pali kutsekeka kwa ndulu, komwe kuli, komanso ngati pali matenda.

Kodi mankhwala a cholangitis ndi ati?

Chithandizo chachikulu cha cholangitis yoopsa komanso yosatha ndi endoscopic biliary drainage . Dokotala akangozindikira chomwe chayambitsa vutoli, gawo loyamba ndikuchepetsa kuthamanga kwa magazi m'mitsempha ya ndulu ndikulola ndulu kutuluka.

Izi nthawi zambiri zimatha kuchitika panthawi ya endoscopy , yomwe imaphatikizapo kulowetsa chubu chaching'ono chokhala ndi kamera kudzera pakamwa ndikuchilowetsa mu ducts ya ndulu.

• Kudzera mu chubu chimenecho, ndulu yochulukirapo imatha kuchotsedwa ndipo kuthamanga kwa magazi kumatha kuchepetsedwa.
• Ngati pali chotseka, chingachotsedwe (monga mwala).
• Nthawi zina, machubu ang'onoang'ono otchedwa ma stents amatha kuyikidwa kuti ma ducts asamatseguke.

Tangoganizirani, ngati mutachita endoscopy kuti mupeze cholangitis, mutha kuichiza nthawi yomweyo. Ngati muli ndi cholangitis yosatha, mungafunike kukhala ndi endoscopy yamtunduwu nthawi ndi nthawi kuti muchepetse zizindikiro zanu.

Mankhwala ena a cholangitis yosatha:

• Mankhwala oletsa kuyabwa.
• Zakudya zowonjezera mavitamini kuti muchepetse kusowa kwa vitamini .
• Ursodeoxycholic acid (UDCA) ndi mankhwala omwe amagwiritsidwa ntchito poletsa kufalikira kwa cholangitis yoyamba ya biliary (PBC).

Mankhwala ena a cholangitis yoopsa:

• Madzi olowa m'mitsempha (madzi olowa m'mitsempha): Amaletsa kutaya madzi m'thupi ndipo amapatsa thupi mphamvu.
• Mpumulo wa ululu .
• Mankhwala opha tizilombo: Oletsa matenda. Mankhwalawa nthawi zambiri amaperekedwa kudzera m'mitsempha.

Kodi chiyembekezo cha anthu omwe ali ndi cholangitis ndi chiyani? (Zomwe zidzachitike kwa anthu omwe ali ndi matenda a cholangitis)

Kaya muli ndi matenda a acute cholangitis kapena chronic cholangitis, ndi owopsa pang'ono. Zonsezi, posachedwa kapena mtsogolo, zimatha kupha munthu.

Komabe, matenda a acute cholangitis nthawi zambiri amakhala a kanthawi kochepa . Ngati athandizidwa mwachangu, anthu ambiri amachira kwathunthu . Ngati sanalandire chithandizo, chiwerengero cha imfa chimakhala chachikulu.

Ngati muli ndi matenda a cholangitis osatha , mutha kukhala ndi moyo kwa zaka zambiri popanda mavuto. Mankhwala amatha kuchepetsa zizindikiro. Mungafunike kuchita opaleshoni yotulutsa madzi m'mimba nthawi ndi nthawi. Kwa anthu ena, matenda a chiwindi amatha kupitirira mpaka kulephera kwa chiwindi. Zikatero, pamapeto pake mungafunike kuikidwa chiwindi .

Kodi ndimadzisamalira bwanji ndikakhala ndi matenda a cholangitis osatha?

Ngati muli ndi matenda aakulu a ndulu, ndikofunikira kwambiri kusamalira chiwindi chanu mwanjira iliyonse yomwe mungathe.

• Kutsatira zakudya zabwino komanso moyo wabwino kungachepetse kuwonongeka kwa chiwindi ndikuwonjezera nthawi ya moyo wake.
• Pewani zinthu zomwe zimawonjezera nkhawa pa chiwindi. Mwachitsanzo, pewani kumwa mowa, mankhwala osokoneza bongo, kusuta fodya, ndi mankhwala ena ophera tizilombo toyambitsa matenda momwe mungathere.
• Yesetsani kuchepetsa mafuta okhuta ndi shuga muzakudya zanu.
• Chitani masewera olimbitsa thupi , chepetsani nkhawa momwe mungathere.

Kumbukirani, ndulu ndi yofunika kwambiri m'matupi athu, koma imagwira ntchito bwino ngati ikuyenda bwino. Ngati singathe, imatuluka m'magazi, imasonkhana m'ziwalo, ndipo imayambitsa poizoni ndi kutupa. Ichi ndichifukwa chake njira zabwino zotulutsira ndulu ndizofunikira kwambiri.

Uthenga Wopita Nawo Kunyumba

Cholangitis ndi kutupa kwa ducts za ndulu. Chifukwa chachikulu cha izi ndi kutsekeka kwa ducts za ndulu ndi zinthu monga miyala ya ndulu ndi matenda omwe amadza chifukwa cha izi. Ngati mukumva kupweteka kumtunda kwa mimba yanu, malungo, ndi jaundice, ikhoza kukhala cholangitis, choncho ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo.

Chithandizo chimasiyana malinga ndi ngati ndi champhamvu kapena chosatha. Koma mosasamala kanthu za mtundu wake, mukazindikira msanga ndikuyamba chithandizo, zotsatira zake zimakhala zabwino. Chifukwa chake, ngati muli ndi zizindikiro izi, musangozinyalanyaza, mukuganiza kuti, "Ndi kupweteka m'mimba chabe." Ndi bwino kupita kwa dokotala kuti mudziwe chomwe chikuvuta. Kusunga chiwindi chanu ndi dongosolo lanu la biliary lili bwino m'manja mwanu!

Cholangitis , Cholangitis, Chiwindi, Nthenda ya ndulu, Jaundice, Ululu wa m'mimba, Malungo