Ngaba unengxaki ngemibhobho yakho yenyongo? Masithethe ngeCholangitis!

Ngaba ngamanye amaxesha ufumana intlungu engaqhelekanga kwicala eliphezulu lasekunene lesisu sakho? Ngaba uziva ngathi ulusu lwakho lujika lube tyheli? Okanye uziva nje udiniwe ngumkhuhlane? Nangona ngamanye amaxesha singazinaki kakhulu ezi zinto, zinokuba yingxaki kwimibhobho yenyongo engaphakathi emzimbeni wethu. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yi-`(Cholangitis)` kwisayensi yezonyango. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni iCholangitis? Ngamafutshane...

Khawuthelekelele ukuba unesibindi emzimbeni wakho, esivelisa ulwelo olubizwa ngokuba yi-bile . Le bile ibaluleke kakhulu emzimbeni wethu. Isinceda sigaye amafutha esiwatyayo. Ngoko ke, i-bile eveliswa kwesi sibindi iya kwi-gallbladder, apho igcinwa khona okwethutyana, ize iye emathunjini amancinci . Inkqubo yeetyhubhu ezincinci ezithwala le bile ibizwa ngokuba yi- bile ducts .

Ngoku, i-cholangitis kukudumba kwemibhobho yenyongo . Xa ucinga ngokudumba, ungacinga, akunjalo? Kuthetha ukuba imibhobho iyadumba, ibe bomvu, kwaye ngamanye amaxesha ide yosuleleke. Kufana neetoni ezisemqaleni wethu ezidumbayo zize zivuvuke, nto leyo eyenzekayo kule mibhobho yenyongo.

Kukho iintlobo ezimbini eziphambili zeCholangitis:

1. I-Acute Cholangitis okanye i-Ascending Cholangitis: Olu lolona hlobo luqhelekileyo. Ludla ngokubangelwa lusulelo lwebhaktheriya. Luvela ngequbuliso kwaye lubangele iimpawu ngokukhawuleza.

2. I-Chronic Cholangitis: Le yimeko ehlala ixesha elide, eqhubeka kancinci kancinci. Inokubangelwa zizinto ezifana nezifo ezithile zokuzikhusela komzimba.

Kwenzeka ntoni xa unesifo se-cholangitis? Ingaba siyingozi?

Ewe, oku kunokuba yingozi ngamanye amaxesha. Xa imibhobho yenyongo ivuvukala, kunokubakho iingxaki ezininzi:

• Ukuvaleka kokuhamba kwenyongo: Xa imibhobho ivuvukala, inyongo ayihambi kakuhle. Emva koko inyongo inokubuya iqokelele kwizitho ezifana nesibindi kunye nenyongo. Oku kukwabizwa ngokuba yi-`(Cholestasis)`.
• Ukudumba kwamalungu omzimba: Xa inyongo iqokelelana, ukudumba kunokwenzeka nakwezo zitho.
• Ukusasazeka kosulelo: Xa inyongo imile, njengomsele ovalekileyo ojika ube yintlambo, iba yindawo efanelekileyo yokukhula kweebhaktheriya. Ukuba olu sulelo lungena egazini, lunokuba yingozi ebomini . Oku kunokukhokelela kwimeko embi ebizwa ngokuba yi-"Septicemia" okanye "Sepsis." Khawucinge nje, kufana neentsholongwane ezisasazeka emzimbeni wonke!
• Amanxeba:Ingakumbi kwi-cholangitis engapheliyo, ukudumba okuhlala ixesha elide kunokubangela amanxeba kwimibhobho yenyongo. Emva koko imibhobho iba mxinwa kwaye iqine, ifane nemibhobho yamanzi emidala. Oku kwenza kube nzima ngakumbi ukuba inyongo iphume.
• Ukonakala kwesibindi: Ukuba ezi ngxaki ziyaqhubeka, isibindi sinokonakala kwaye nesibindi singase singasebenzi kakuhle. Leyo yimeko eyingozi kakhulu.

Ngoko ke, uyaqonda, akunjalo? Akuyongcinga ilungileyo ukuyithatha nje le nto njengentlungu yesisu.

Ngaba iCholangitis kunye neCholecystitis ziyafana?

Ewe, la magama mabini afana kancinci, ngoko ke anokubhida.

• I-Cholangitis kukudumba kwemibhobho yenyongo esithetha ngayo.
• I-Cholecystitis kukudumba kwenyongo .

Zombini ezi zinto zinxulumene nenyongo. Ekubeni inyongo ivela kwinyongo ngemibhobho yenyongo, ingxaki kwenye inokuchaphazela enye. Ifana netanki yamanzi kunye nemibhobho edibene nayo. Ingxaki etankini inokuchaphazela imibhobho, kwaye ingxaki ekwimibhobho inokuchaphazela itanki, akunjalo? Yiyo loo nto.

Zithini izizathu ze-cholangitis?

Kusenokuba nezizathu ezahlukeneyo zoku.

Izizathu ze-Acute Cholangitis:

• Usulelo: Idla ngokubangelwa ziintsholongwane. Ngamanye amaxesha inokubangelwa ziintsholongwane okanye iiparasites.
• Ukuvaleka: Esi sisizathu esiphambili esidla ngokuba sesi.
• Amatye enyongo: Amatye enyongo anokwakheka kwinyongo aze avale imibhobho yenyongo. Oku kubizwa ngokuba yi-choledocholithiasis.
• Iingxaki: Imibhobho yenyongo inokuba ncinci kwaye ivalwe ngesizathu esithile.
• Iithumba: Ukwakheka kweethumba ezinomhlaza okanye ezinye iithumba kwimibhobho yenyongo.
• I-Cholestasis: Ukuba ukuhamba kwenyongo kuyeka ngenxa yesizathu esithile.

Ixesha elininzi (malunga ne-90%) yindibaniselwano yezi zizathu zintathu ezibangela i-acute cholangitis. Khawuthelekelele, ilitye linamathela kwi-gallbladder lize livale umjelo. Emva koko i-bile ayihambi. I-bile ehlala kwindawo enye inokosulelwa lula yibhaktheriya. Ngamanye amaxesha iibhaktheriya emathunjini amancinci zinokubuyela kwi-bile ducts.

Nangona kunjalo, ngamanye amaxesha i-cholestasis kunye ne-cholangitis zinokwenzeka ngenxa yokuvaleka kwemibhobho yenyongo, ngaphandle kosulelo lwebhaktheriya. I-Cholestasis inokubangelwa zizifo ezithile, amayeza, okanye ukondla ngemithambo ixesha elide (ukutya nge-IV). Ukosuleleka kungenzeka ngaphandle komqobo, into engaqhelekanga, kodwa inokwenzeka nangegazi okanye ngezixhobo ezisetyenziswa kuvavanyo lwezonyango.

Izizathu zeCholangitis engapheliyo:

Ezi zihlala zizifo ezibangelwa kukuzikhusela komzimba.Oku kungenxa yokuba inkqubo yethu yokuzikhusela komzimba ihlasela iiseli zethu, iziphatha ngokungathi azikho kwamanye amazwe. Oku kubangela ukudumba okuqhubekayo kwimibhobho yenyongo.

• I-Primary sclerosing cholangitis (PSC)
• I-Primary biliary cholangitis (PBC)
• I-cholangitis enxulumene ne-IgG4

Kwezi meko, iimpawu ze-acute cholangitis zisenokungabi nzima njengeze-acute cholangitis. Zisenokungaziwa neminyaka emininzi. Nangona kunjalo, ngokuhamba kwexesha, imibhobho yenyongo inokuba namabala, ivaleke, kwaye ibangele "i-cholestasis", nto leyo enokubangela i-acute cholangitis.

Ivakalelwa njani i-cholangitis? Zithini iimpawu?

Umntu one-cholangitis engapheliyo usenokungabi nazimpawu kangangeminyaka. Idla ngokufumaneka xa isibindi sichaphazeleka kwaye siqala ukubonisa iimpawu zesifo sesibindi.

Kodwa i-acute cholangitis ngokuqinisekileyo ivakala .

Amaxesha amaninzi, kukho intlungu kwinxalenye ephezulu yasekunene yesisu . Le ntlungu inokudluliselwa egxalabeni lasekunene okanye emqolo. Ngamanye amaxesha iba qatha, ngamanye amaxesha incinci, kwaye iyafika ize iphele.

Ukuba umbhobho wenyongo uvaliwe, unokufumana imeko ebizwa ngokuba yi "biliary colic." Oku kwenzeka xa inyongo ifinyela ize izame ukuyityhala inyongo iphume, ingakumbi emva kokutya ukutya okunamafutha. Oku kubangela uxinzelelo olukhulu kunye nentlungu kuba inyongo ayinakudlula kuloo mbobo. Usenokuziva unesicaphucaphu. Intlungu isenokuvela ngequbuliso ize iphele kancinci ngokuhamba kwexesha.

Iimpawu eziphambili - iCharcot's Triad

Iimpawu ezintathu eziqhelekileyo ze-acute cholangitis zibizwa ngokuba yiCharcot's Triad .

1. Intlungu yesisu ekwicala eliphezulu ngasekunene: Kulapho inkqubo yethu yenyongo ikhoyo khona.

2. Umkhuhlane: Umkhuhlane udla ngokuvela xa inkqubo yomzimba yokuzikhusela isebenza.

3. I-Jaundice: Ukutyheli kolusu kunye namhlophe emehlweni. Oku kwenzeka xa imibhobho yenyongo ivalekile kwaye inyongo ivuza egazini.

Ukuba kukho zonke ezi mpawu zintathu, kukho ithuba elikhulu lokuba yi-cholangitis.

Ezinye iimpawu:

Ngokuxhomekeke ekubeni imeko imbi kangakanani na, ukuvuza kwenyongo egazini kunokubangela ezinye iimpawu:

• Ukurhawuzelela: Xa ii-asidi ze-bile ezikwi-bile zingena egazini, zibangela ukuba ulusu lurhawuzelele.
• Ukusebenza kwengqondo okungasebenzi kakuhle (Hepatic encephalopathy): Xa iityhefu kwinyongo ziqokelelana egazini, iingxaki zengqondo ezincinci ezifana nokudideka kunye nokudideka zinokwenzeka.

Ukuba usulelo lusasazeke lwaya egazini, iimpawu zokothuka zingabonakala:

• Ukubetha kwentliziyo ngokukhawuleza (iTachycardia)
• Uxinzelelo lwegazi oluphantsi (iHypotension)

Ukuba, ukongeza kwi-Chacko's triad, kukho neempawu zokudideka kunye nokothuka, ibizwa ngokuba yi -Reynolds' pentad . Oku kuxelela oogqirha ukuba imeko imbi kakhulu kwaye ifuna unyango olukhawulezileyo.

Ezinye iimpawu kwi-cholangitis engapheliyo:

Ezi zibonakala kuphela xa isifo sele sihambele phambili kakhulu.

• Ukudinwa
• Isisu esidumbileyo
• Imilenze neenyawo ezidumbileyo
• Ukufakwa kwamafutha phantsi kolusu lwakho
• Imithambo emikhulu, ebonakalayo esiswini sakho
• Imithambo yesigcawu
• Umchamo onombala omnyama kunye nendle enombala okhanyayo
• Urhudo

Ifunyanwa njani iCholangitis?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho aze akuhlole. Emva koko, baza kuyalela uvavanyo lwegazi kunye novavanyo oluninzi lwemifanekiso yenkqubo yakho yenyongo .

• Uvavanyo lwegazi:
• Ubalo lwegazi olupheleleyo (CBC): Ukuhlolwa kosulelo kunye nobalo lweeseli zegazi.
• Uvavanyo lokusebenza kwesibindi: Jonga ukuba ingakanani inyongo egazini, amanqanaba ee-enzymes zesibindi kunye neeproteni, kunye nokuba isibindi sisebenza kakuhle na.
• Uvavanyo lomfanekiso:
• I-Magnetic resonance cholangiopancreatography (MRCP): Oku kufana ne-MRI scan, kwaye kuyakwazi ukubona ngokucacileyo imibhobho yenyongo kunye nemibhobho ye-pancreatic.
• I-ultrasound yesisu: Oku kunokujonga ukuvaleka kwimibhobho yenyongo kunye namatye.

Olu vavanyo lunokufumanisa ngokucacileyo ukuba kukho ukuvaleka kwimibhobho yenyongo, apho ikhoyo, kwaye nokuba kukho usulelo.

Ziziphi iindlela zonyango lwe-Cholangitis?

Unyango oluphambili lwe-cholangitis ebukhali nengapheliyo kukukhupha amanzi kwi-biliary drainage nge-endoscopic . Nje ukuba ugqirha afumanise unobangela wengxaki, inyathelo lokuqala kukunciphisa uxinzelelo kwimibhobho ye-bile nokuvumela i-bile ukuba iphume.

Oku kunokwenziwa ngexesha le-endoscopy , equka ukufaka ityhubhu encinci efakwe ikhamera ngomlomo uze uyidlulisele kwimibhobho yenyongo.

• Ngaloo mbhobho, inyongo egqithisileyo ingasuswa kwaye uxinzelelo lunokuncipha.
• Ukuba kukho into evalelekileyo, ingasuswa (umz. ilitye).
• Ngamanye amaxesha, iityhubhu ezincinci ze-mesh ezibizwa ngokuba yi-stents zingafakwa ukuze kugcinwe imibhobho ivulekile.

Khawucinge nje, ukuba wenza i-endoscopy ukuze ufumane i-cholangitis, ungayinyanga ngoko nangoko. Ukuba une-cholangitis engapheliyo, unokufuna olu hlobo lwe-endoscopy rhoqo ukuze ulawule iimpawu zakho.

Unyango olongezelelweyo lwe-cholangitis engapheliyo:

• Ii-antihistamines zokurhawuzelela.
• Izongezo zevithamini xa uswele iivithamini .
• I-Ursodeoxycholic acid (UDCA) liyeza elisetyenziselwa ukulawula ukuqhubela phambili kwe-primary biliary cholangitis (PBC).

Unyango olongezelelweyo lwe-acute cholangitis:

• Ulwelo olufakwa emthanjeni (ulwelo lwe-IV): Luthintela ukuphelelwa ngamanzi emzimbeni kwaye lunika umzimba amandla.
• Ukuphelisa iintlungu .
• Ii-antibiotics: Lawula usulelo. Ezi zihlala zinikwa ngemithambo yegazi.

Ithini ingqikelelo yabantu abane-cholangitis? (Ingqikelelo)

Nokuba une-acute cholangitis okanye i-chronic cholangitis, iyoyikisa kancinci. Zombini, kungekudala okanye kamva, zinokuba yingozi ebomini.

Nangona kunjalo, i-acute cholangitis idla ngokuba yeyomzuzwana . Ukuba inyangwa ngokukhawuleza, uninzi lwabantu luyaphila ngokupheleleyo . Ukuba ayinyangwa, izinga lokufa liphezulu.

Ukuba une -cholangitis engapheliyo , ungaphila iminyaka emininzi ngaphandle kweengxaki. Amayeza anokulawula iimpawu. Kusenokufuneka wenze iinkqubo zokukhupha amanzi enyongweni ngamanye amaxesha. Kwabanye abantu, isifo sesibindi sinokuqhubekela phambili ekubeni singasebenzi kakuhle kwesibindi. Kwimeko enjalo, ekugqibeleni unokufuna ukufakelwa isibindi .

Ndingazinyamekela njani ngoxa ndiphila ne-cholangitis engapheliyo?

Ukuba unesifo se-bile duct esingapheliyo, kubaluleke kakhulu ukunyamekela isibindi sakho ngazo zonke iindlela onokukwazi ngazo.

• Ukulandela ukutya okunempilo kunye nendlela yokuphila efanelekileyo kunokunciphisa umonakalo kwisibindi kwaye kwandise ubomi baso.
• Ziphephe izinto ezibangela uxinzelelo olungaphezulu kwisibindi. Umzekelo, hlala kude notywala, iziyobisi, ukutshaya, kunye nezinye iikhemikhali ezisingqongileyo kangangoko unako.
• Zama ukunciphisa amafutha agcweleyo kunye neswekile ekutyeni kwakho.
• Yenza umthambo , unciphise uxinzelelo kangangoko unako.

Khumbula, inyongo ibaluleke kakhulu emizimbeni yethu, kodwa isebenza kakuhle kuphela ukuba inokugeleza ngokukhululekileyo. Ukuba ayikwazi, ivuza egazini, iqokelele kwizitho zomzimba, kwaye ibangele ubuthi kunye nokudumba. Yiyo loo nto imibhobho yenyongo esempilweni ibaluleke kangaka.

Umyalezo Wokuya Ekhaya

I-Cholangitis kukudumba kwemibhobho yenyongo. Eyona nto ibangela oku kukuvaleka kwemibhobho yenyongo zizinto ezifana namatye enyongo kunye nosulelo oluvela kuyo. Ukuba ufumana iintlungu kwicala eliphezulu lasekunene lesisu sakho, umkhuhlane, kunye ne-jaundice, isenokuba yi-cholangitis, ngoko ke kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Unyango luyahluka ngokuxhomekeke ekubeni lukhawuleza okanye alupheli. Kodwa nokuba loluphi uhlobo, okukhona ufumanisa ngokukhawuleza kwaye uqala unyango, kokukhona iziphumo ziba ngcono. Ngoko ke, ukuba unezi mpawu, musa ukuzityeshela nje, ucinge, "Yintlungu yesisu nje." Kungcono ukubona ugqirha uze ufumane ukuba yintoni kanye kanye ingxaki. Ukugcina isibindi sakho kunye nenkqubo ye-biliary iphilile kusezandleni zakho!

I- Cholangitis, i-Cholangitis, isibindi, inyongo, i-Jaundice, iintlungu zesisu, umkhuhlane