Une dambudziko nemaburi emudumbu here? Ngatikurukurei nezveCholangitis!

Dzimwe nguva unonzwa kurwadziwa kusinganzwisisike here mudumbu rako rekumusoro kurudyi? Unonzwa sekunge ganda rako riri kuchinja ruvara here? Kana kuti unongonzwa kuneta nefivha? Kunyangwe dzimwe nguva tisinganyatsoteerera izvi, zvinogona kunge zviri dambudziko remaburi emudumbu ari mumuviri wedu. Nhasi tichataura nezvechirwere chakadai, chinonzi `(Cholangitis)` mune zvesainzi yekurapa. Usazvidya moyo, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi Cholangitis? Zvichitaurwa zviri nyore...

Fungidzira kuti une chiropa mumuviri wako, chinoburitsa mvura inonzi bile . Bile iri rinokosha zvikuru mumuviri wedu. Rinotibatsira kugaya mafuta atinodya. Saka, bile rinogadzirwa muchiropa ichi rinoenda kugallbladder, uko rinochengetwa kwenguva yakati, rozoenda kudumbu diki . Sisitimu yemachubhu madiki anotakura bile iyi inonzi bile ducts .

Zvino, cholangitis kuzvimba kwemutsinga dzenyongo . Paunofunga nezvekuzvimba, unogona kufungidzira, handiti? Zvinoreva kuti mitsinga dzinozvimba, dzinotsvuka, uye dzimwe nguva dzinotobatwa nechirwere. Zvakafanana nematoni ari pahuro pedu anozvimba obva azvimba, izvo zvinoitika kumitsinga dzenyongo idzi.

Kune mhando mbiri huru dzeCholangitis:

1. Acute Cholangitis kana Ascending Cholangitis: Iyi ndiyo mhando inonyanya kuwanikwa. Inowanzo kukonzerwa nehutachiona hwebhakitiriya. Inongoerekana yaitika uye inokonzera zviratidzo nekukurumidza.

2. Chronic Cholangitis: Ichi chirwere chinogara kwenguva refu, chinoenderera mberi zvishoma nezvishoma. Chinogona kukonzerwa nezvinhu zvakaita semamwe marwere ekudzivirira muviri.

Chii chinoitika kana ukatanga chirwere checholangitis? Chine njodzi here?

Ehe, izvi zvinogona kuva nengozi dzimwe nguva. Kana ducts dzenyongo dzikatanga kuzvimba, matambudziko akati wandei anogona kuitika:

• Kuvharika kwekufamba kwenyongo: Kana ducts dzazvimba, nyongo haifambi zvakanaka. Ipapo nyongo inogona kudzokera shure youngana munhengo dzakadai sechiropa negallbladder. Izvi zvinonziwo `(Cholestasis)`.
• Kuzvimba kwenhengo dzemuviri: Kana nyongo yaungana, kuzvimba kunogona kuitikawo munhengo idzodzo.
• Kupararira kwehutachiona: Kana nyongo ikamira, semugero wakavharika uchiva dongo, inova nzvimbo yakakwana yekuti mabhakitiriya akure. Kana hutachiona uhu hukapinda muropa, hunogona kuisa hupenyu panjodzi . Izvi zvinogona kutungamira kuchirwere chakakomba chinonzi "Septicemia" kana "Sepsis." Fungidzira, zvakaita sehutachiona huri kupararira mumuviri wese!
• Mavanga:Kunyanya muchirwere checholangitis chisingaperi, kuzvimba kwenguva refu kunogona kukonzera mavanga emutsinga dzenyongo. Mitsinga yacho inobva yatetepa uye yaoma, ichifanana nemapombi emvura ekare. Izvi zvinoita kuti zviomere kuti nyongo ibude.
• Kukuvara kwechiropa: Kana matambudziko aya akaramba aripo, chiropa chinogona kukuvara uye kunyange kutadza kwechiropa kunogona kuitika. Izvozvowo zvine njodzi huru.

Saka, unonzwisisa, handiti? Hazvina kunaka kungozvitora sekurwadziwa kwemudumbu chete.

Ko cholangitis necholecystitis zvakafanana here?

Ehe, mazita maviri aya akafanana zvishoma, saka anogona kuvhiringidza.

• Cholangitis kuzvimba kwemutsinga dzenyongo dzatiri kutaura nezvadzo.
• Cholecystitis kuzvimba kwenyongo .

Zvese izvi zvine chekuita nenyongo. Sezvo nyongo ichibva munduru ichienda mumigero yenyongo, dambudziko riri mune rimwe rinogona kukanganisa rimwe. Zvakafanana netangi remvura nemapombi akabatana naro. Dambudziko riri mutangi rinogona kukanganisa mapaipi, uye dambudziko riri mupombi rinogona kukanganisa tangi, handiti? Ndizvo zvazviri.

Ndezvipi zvinokonzera cholangitis?

Panogona kunge paine zvikonzero zvakati wandei zveizvi.

Zvikonzero zveAcute Cholangitis:

• Utachiona: Kazhinji hunokonzerwa nemabhakitiriya. Dzimwe nguva hunogonawo kukonzerwa nemavhairasi kana tupukanana.
• Kuvharika: Ichi ndicho chikonzero chikuru chinowanzova ichi.
• Matombo eGallstone: Matombo eGallstone anogona kuumbwa mugallstone uye anovhara ducts dze bile. Izvi zvinonzi choledocholithiasis.
• Zvipingamupinyi: Mapaipi enyongo anogona kutetepa uye kuvharika nekuda kwechimwe chikonzero.
• Mabundu: Kuumbwa kwegomarara kana mamwe mabundu mumigero yenyongo.
• Cholestasis: Kana kuyerera kwenyongo kukamira nekuda kwechimwe chikonzero.

Kazhinji (anenge 90%) musanganiswa wezvikonzero zvitatu izvi unokonzera acute cholangitis. Fungidzira, dombo rinonamira munduru rovhara duct. Ipapo nduru haibude. Dundu rinogara panzvimbo imwe rinogona kutapukirwa nemabhakitiriya zviri nyore. Dzimwe nguva mabhakitiriya ari muura hudiki anogona kudzokera zvakare muducts dze bile.

Zvisinei, dzimwe nguva cholestasis necholangitis zvinogona kuitika nekuda kwekuvharika kwenzira dzemudumbu, pasina hutachiona hwebhakitiriya. Cholestasis inogonawo kukonzerwa nezvimwe zvirwere, mishonga, kana kudya kwenguva refu netsinga (IV feeding). Utachiona hunogona kuitika pasina chipingamupinyi, izvo zvisingawanzoitiki, asi zvinogonawo kuitika kuburikidza neropa kana kuburikidza nemidziyo inoshandiswa pakuongorora kwechiremba.

Zvikonzero zveChronic Cholangitis:

Izvi zvinowanzova zvirwere zve autoimmune.Izvi zvinokonzerwa nekuti masoja edu ekudzivirira chirwere anorwisa masero edu, achiatora sekunge ari ekunze kwenyika. Izvi zvinokonzera kuzvimba kwemutsinga dzenyongo.

• Chirwere chePrimary sclerosing cholangitis (PSC)
• Chirwere chePrimary biliary cholangitis (PBC)
• Cholangitis inobatanidzwa neIgG4

Muzviitiko izvi, zviratidzo zve acute cholangitis zvinogona kunge zvisiri zvakanyanya sezve acute cholangitis. Zvingasatombozivikanwa kwemakore. Zvisinei, nekufamba kwenguva, ducts dze bile dzinogona kuva nemavanga, kuvharika, uye kukonzera "cholestasis", izvo zvinogona kutungamira ku acute cholangitis.

Ko chirwere checholangitis chinonzwika sei? Ndezvipi zviratidzo zvacho?

Munhu ane chirwere checholangitis chisingaperi anogona kusaona zviratidzo kwemakore. Chinowanzoonekwa kana chiropa chabatwa uye chotanga kuratidza zviratidzo zvechirwere chechiropa.

Asi chirwere checholangitis chinorwadza chinonzwika zvechokwadi .

Kazhinji, kune kurwadziwa kumusoro kwedumbu kurudyi . Kurwadziwa uku kunogonawo kupararira pafudzi rekurudyi kana kumusana. Dzimwe nguva kwakanyanya, dzimwe nguva kunenge kuri kushoma, uye kunouya kwozopera.

Kana nzira yekubvisa bile yakavharwa, unogona kusangana nechirwere chinonzi "biliary colic." Izvi zvinoitika kana gallbladder yakabatana yoedza kusunda bile kunze, kunyanya mushure mekudya chikafu chine mafuta. Izvi zvinokonzera kumanikidzwa kukuru nekurwadziwa nekuti bile harigone kupfuura nepakavharwa. Unogonawo kunzwa kuda kurutsa. Marwadzo anogona kungoerekana auya uye ozopera zvishoma nezvishoma nekufamba kwenguva.

Zviratidzo zvikuru - Charcot's Triad

Zviratidzo zvitatu zvinonyanya kuzivikanwa zvechirwere chegomarara remudumbu chinonzi Charcot's Triad .

1. Marwadzo emudumbu echikamu chepamusoro kurudyi: Apa ndipo pane system yedu yenduru.

2. Fivha: Fivha inowanzoitika kana masoja emuviri achishanda.

3. Jaundice: Kutsvuka kweganda uye machena emaziso. Izvi zvinoitika kana nzira dze bile dzavharika uye bile rabuda muropa.

Kana zviratidzo izvi zvitatu zvese zviripo, pane mukana mukuru wekuti ichirwere checholangitis.

Zvimwe zviratidzo:

Zvichienderana nekuti chirwere chacho chakakomba sei, kubuda kwenyongo muropa kunogona kukonzera zvimwe zviratidzo:

• Kukwenya: Kana maasidhi e bile ari mubile akapinda muropa, anokonzera kuti ganda rikwenye.
• Kusashanda zvakanaka kwehuropi (Hepatic encephalopathy): Kana chepfu dziri munyongo dzichiungana muropa, zvinetso zvidiki zvepfungwa zvakaita sekuvhiringidzika uye kuvhiringidzika zvinogona kuitika.

Kana hutachiona hwapararira kusvika muropa, zviratidzo zvekuvhunduka zvinogona kuoneka:

• Kurova kwemoyo nekukurumidza (Tachycardia)
• Kuderera kweropa (Hypotension)

Kana, pamusoro peChacko's triad, painewo zviratidzo zvekuvhiringidzika uye kuvhunduka, inonzi Reynolds' pentad . Izvi zvinoudza vanachiremba kuti chirwere chacho chakakomba zvikuru uye chinoda kurapwa nekukasika.

Zvimwe zviratidzo zvechirwere checholangitis chisingaperi:

Izvi zvinongoonekwa chete kana chirwere chacho chakura zvakanyanya.

• Kuneta
• Dumbu rakazvimba
• Makumbo netsoka zvakazvimba
• Mafuta ari pasi peganda rako
• Tsinga hombe, dzinoonekwa padumbu rako
• Tsinga dzedandemutande
• Weti ine ruvara rwakasviba uye tsvina ine ruvara rwakajeka
• Manyoka

Cholangitis inoonekwa sei?

Paunoenda kunoona chiremba, anotanga akubvunza nezvezviratidzo zvako uye okuongorora. Zvadaro, vacharaira kuongororwa kweropa uye kuongororwa kwakawanda kwenzira yako yekugaya chikafu .

• Kuongororwa kweropa:
• Kuverengwa kweropa rose (CBC): Kuongorora hutachiona uye huwandu hwemasero eropa.
• Kuongororwa kwebasa rechiropa: Tarisa kuti bile rakawanda sei riri muropa, kuti ma enzymes echiropa nemapuroteni zvakadii, uye kana chiropa chiri kushanda zvakanaka.
• Miedzo yemifananidzo:
• Magnetic resonance cholangiopancreatography (MRCP): Izvi zvakafanana neMRI scan, uye zvinokwanisa kuona zvakajeka ducts dze bile nepancreatic ducts.
• Ultrasound yedumbu: Izvi zvinogona kutarisa kana paine kuvharika kwenzira dzemudumbu nematombo.

Miedzo iyi inogona kuona zvakajeka kana paine kuvharika kwenzira dzemudumbu, kuti dziri kupi, uye kana paine hutachiona.

Ndezvipi zvinorapwa zveCholangitis?

Kurapa kukuru kwechirwere checholangitis chinorwadza nechisingaperi kunoitwa ne endoscopic biliary drainage . Kana chiremba angoona chikonzero chedambudziko iri, danho rekutanga nderekuderedza kumanikidzwa mumigero yenyongo uye kubvumira nyongo kuti ibude.

Izvi zvinowanzoitwa panguva ye endoscopy , iyo inosanganisira kuisa chubhu diki ine kamera nemuromo woipinza mumigero yenyongo.

• Kuburikidza nechubhu iyoyo, nyongo yakawandisa inogona kubviswa uye kumanikidzwa kunogona kuderedzwa.
• Kana paine chakavharika, chinogona kubviswa (semuenzaniso dombo).
• Dzimwe nguva, machubhu madiki emesh anonzi stents anogona kuiswa kuti migero irambe yakavhurika.

Fungidzira, kana ukaita endoscopy kuti uwane cholangitis, unogona zvakare kuirapa nekukasika. Kana uine cholangitis isingaperi, ungangoda kuva nerudzi urwu rwe endoscopy nguva nenguva kuti udzore zviratidzo zvako.

Mamwe marapirwo ekurapa chirwere chisingaperi checholangitis:

• Mishonga inorwisa mabhakitiriya yekubvisa kuvaviwa.
• Mishonga yekuwedzera mavitamini yekushaya mavitamini .
• Ursodeoxycholic acid (UDCA) mushonga unoshandiswa kudzora kufambira mberi kwechirwere chePrimary biliary cholangitis (PBC).

Mamwe marapirwo ekurapa acute cholangitis:

• Mvura inopinzwa mutsinga (IV fluids): Inodzivirira kupera mvura mumuviri uye inopa muviri simba.
• Kurerutsira marwadzo .
• Mishonga inorwisa utachiona: Dzivisa hutachiona. Idzi dzinowanzo pihwa nemutsinga.

Chii chingave chiri fungidziro yevanhu vane cholangitis? (Fanoziva)

Ungave uine chirwere checolangitis chisingaperi kana kuti chronic cholangitis, zvinotyisa zvishoma. Zvese izvi, zvinozopedzisira zvave kuisa upenyu panjodzi.

Zvisinei, chirwere cheAcute Cholangitis chinowanzova chenguva pfupi . Kana chikarapwa nekukasika, vanhu vazhinji vanopora zvachose . Kana chikasarapwa, huwandu hwevanofa hunokwira.

Kana uine chirwere checholangitis chisingaperi , unogona kurarama kwemakore pasina matambudziko. Mishonga inogona kudzora zviratidzo. Ungangoda kuvhiyiwa nzira dzekubvisa tsvina kubva muchubhu nguva nenguva. Mune vamwe vanhu, chirwere chechiropa chinogona kufambira mberi kusvika pakukundikana kwechiropa. Kana zvakadaro, ungangoda kuisirwa chiropa .

Ndingazvitarisira sei ini ndichirarama nechirwere checholangitis chisingaperi?

Kana uine chirwere chemudumbu chisingaperi, zvakakosha kuti utarisire chiropa chako nenzira dzese dzaunogona.

• Kutevedzera kudya kwakanaka uye mararamiro akanaka kunogona kuderedza kukuvara kwechiropa uye kuwedzera hupenyu hwacho.
• Dzivisa zvinhu zvinowedzera kushushikana pachiropa. Semuenzaniso, dzivisa doro, zvinodhaka, kusvuta, uye mamwe makemikari ezvakatipoteredza zvakanyanya sezvinobvira.
• Edza kuderedza mafuta akazara neshuga mukudya kwako.
• Ita maekisesaizi , deredza kushushikana zvakanyanya sezvinobvira.

Yeukai, bile rakakosha zvikuru kumiviri yedu, asi rinoshanda zvakanaka chete kana richikwanisa kuyerera zvakasununguka. Kana risingakwanise, rinopinda muropa, rinoungana munhengo dzemuviri, uye rinokonzera chepfu nekuzvimba. Ndosaka migero yebile ine hutano yakakosha.

Mharidzo Yekuenda Nayo Kumba

Cholangitis kuzvimba kwemutsinga dzenyongo. Chikonzero chikuru cheizvi kuvharika kwemutsinga dzenyongo nezvinhu zvakaita sematombo emunduru uye hutachiona hunokonzereswa. Kana ukanzwa kurwadziwa kumusoro kwedumbu rako, fivha, uye jaundice, inogona kunge iri cholangitis, saka zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.

Kurapwa kunosiyana zvichienderana nekuti kwakaoma kana kuti kwenguva refu. Asi zvisinei nerudzi rwechirwere, kana ukakurumidza kuona chirwere chacho wotanga kurapwa, ndipo panobva pava nemhedzisiro yakanaka. Saka, kana uine zviratidzo izvi, usangozvifuratira, uchifunga kuti, "Kungorwadziwa nemudumbu." Zvakanaka kuona chiremba wobva waziva kuti chii chaizvo chiri kuitika. Kuchengetedza chiropa chako nehurongwa hwezvironda zvemudumbu zviri mumaoko ako!

Cholangitis , Cholangitis, Chiropa, Dundundu, Jaundice, Marwadzo emudumbu, Fivha