Ingabe unenkinga ngemigudu yakho yenyongo? Ake sixoxe nge-Cholangitis!

Ingabe ngezinye izikhathi uthola ubuhlungu obungavamile ohlangothini oluphezulu kwesokudla lwesisu sakho? Uzizwa sengathi isikhumba sakho siyashintsha sibe phuzi? Noma uzizwa ukhathele nje ngenxa yomkhuhlane? Nakuba ngezinye izikhathi singazinaki kakhulu lezi zinto, zingaba yinkinga ngemigudu yenyongo engaphakathi emzimbeni wethu. Namuhla sizokhuluma ngesimo esinjalo, esibizwa ngokuthi `(Cholangitis)` kwisayensi yezokwelapha. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini i-Cholangitis? Kalula nje...

Ake sithi unesibindi emzimbeni wakho, esikhiqiza uketshezi olubizwa ngokuthi i-bile . Le nyongo ibaluleke kakhulu emzimbeni wethu. Isisiza ukugaya amafutha esiwadlayo. Ngakho-ke, inyongo ekhiqizwa kulesi sibindi iya enyongweni, lapho igcinwa khona isikhashana, bese iya emathunjini amancane . Uhlelo lwamapayipi amancane athwala le nyongo lubizwa ngokuthi ama -bile ducts .

Manje, i-cholangitis ukuvuvukala kwemigudu ye-bile . Uma ucabanga ngokuvuvukala, ungacabanga, akunjalo? Kusho ukuthi imigudu iyavuvukala, ibe bomvu, futhi ngezinye izikhathi ize itheleleke. Kufana namathonsi emphinjeni wethu avuvukala futhi avuvuke, okuyinto eyenzekayo kulezi migudu ye-bile.

Kunezinhlobo ezimbili eziyinhloko ze-cholangitis:

1. I-Acute Cholangitis noma i-Ascending Cholangitis: Lolu uhlobo oluvame kakhulu. Ngokuvamile lubangelwa ukutheleleka ngamagciwane. Luvela ngokuzumayo futhi lubangele izimpawu ngokushesha.

2. I-Cholangitis Engapheli: Lesi yisimo sesikhathi eside, esiqhubeka kancane kancane. Singabangelwa yizinto ezifana nezifo ezithile zokuzivikela komzimba.

Kwenzekani uma uba ne-cholangitis? Ingabe iyingozi?

Yebo, lokhu kungaba yingozi ngezinye izikhathi. Lapho imisele yenyongo ivuvukala, kungavela izinkinga eziningana:

• Ukuvaleka kokugeleza kwenyongo: Lapho imigudu ivuvukala, inyongo ayigelezi kahle. Khona-ke inyongo ingabuyela emuva futhi iqoqeke ezithweni ezifana nesibindi kanye nenyongo. Lokhu kubizwa nangokuthi `(Cholestasis)`.
• Ukuvuvukala kwezitho zomzimba: Lapho inyongo iqoqana, ukuvuvukala kungenzeka nakulezo zitho zomzimba.
• Ukusabalala kokutheleleka: Lapho inyongo iqina, njengomsele ovalekile ophenduka ixhaphozi, iba yindawo efanele yokukhula kwamagciwane. Uma lokhu kutheleleka kungena egazini, kungaba yingozi empilweni . Lokhu kungaholela esimweni esibi esibizwa ngokuthi "i-Septicemia" noma "i-Sepsis." Cabanga nje, kufana namagciwane asakazeka emzimbeni wonke!
• Izibazi:Ikakhulukazi ku-cholangitis engapheli, ukuvuvukala kwesikhathi eside kungabangela izibazi emigudwini yenyongo. Imigudwini ibe isiba mincane futhi iqine, ifane namapayipi amanzi amadala. Lokhu kwenza kube nzima nakakhulu ukuthi inyongo iphume.
• Ukulimala kwesibindi: Uma lezi zinkinga ziqhubeka, isibindi singalimala futhi kungenzeka ngisho nokwehluleka kwesibindi. Leso futhi yisimo esiyingozi kakhulu.

Ngakho-ke, uyaqonda, akunjalo? Akuyona into enhle ukumane ulahle lokhu njengobuhlungu besisu nje.

Ingabe i-Cholangitis ne-Cholecystitis ziyinto efanayo?

Yebo, la magama amabili afana kancane, ngakho-ke angadida.

• I-Cholangitis ukuvuvukala kwemigudu yenyongo esikhuluma ngayo.
• I-Cholecystitis ukuvuvukala kwenyongo .

Zombili lezi zinto zihlobene ne-bile. Njengoba i-bile ivela enyongweni ngokusebenzisa imisele ye-bile, inkinga kwenye ingathinta enye. Kufana nethangi lamanzi namapayipi axhunywe kulo. Inkinga ethangini ingathinta amapayipi, kanti inkinga emapayipini ingathinta ithangi, akunjalo? Yilokho kanye okwenzekayo.

Ziyini izimbangela ze-cholangitis?

Kungase kube nezizathu eziningana zalokhu.

Izimbangela ze-Acute Cholangitis:

• Ukutheleleka: Ngokuvamile kubangelwa amagciwane. Ngezinye izikhathi kungabangelwa namagciwane noma izimuncagazi.
• Ukuvinjelwa: Lesi yisona sizathu esiyinhloko.
• Amatshe enyongo: Amatshe enyongo angakheka enyongo futhi avimbe imisele yenyongo. Lokhu kubizwa ngokuthi i-choledocholithiasis.
• Ukuqina: Amapayipi enyongo angancipha futhi avaleke ngesizathu esithile.
• Izimila: Ukwakheka kwezimila ezinomdlavuza noma ezinye izimila emigudwini yenyongo.
• I-Cholestasis: Uma ukugeleza kwenyongo kuyeka ngesizathu esithile.

Isikhathi esiningi (cishe ama-90%) yinhlanganisela yalezi zimbangela ezintathu ezibangela i-acute cholangitis. Cabanga nje, itshe liyabhajwa enyongweni bese livala umgudu wokugaya ukudla. Bese inyongo ayigelezi. Inyongo ehlala endaweni eyodwa ingangenwa kalula yibhaktheriya. Ngezinye izikhathi amabhaktheriya asemathunjini amancane angaphindela emuva angene emithonjeni yenyongo.

Kodwa-ke, ngezinye izikhathi i-cholestasis kanye ne-cholangitis kungenzeka ngenxa yokuvaleka kwemigudu ye-bile, ngaphandle kokutheleleka ngamagciwane. I-Cholestasis ingabangelwa futhi yizifo ezithile, imithi, noma ukudla okufakwe emthanjeni isikhathi eside (ukudla nge-IV). Ukutheleleka kungenzeka ngaphandle kwesithiyo, okuyinto engavamile, kodwa kungenzeka futhi ngegazi noma ngemishini esetshenziswa ekuhlolweni kwezokwelapha.

Izimbangela ze-Cholangitis Engapheli:

Lezi ngokuvamile izifo ezibangelwa amasosha omzimba.Lokhu kungenxa yokuthi amasosha ethu omzimba ahlasela amangqamuzana ethu, ewaphatha njengokungathi awangaphandle. Lokhu kubangela ukuvuvukala okuqhubekayo kwemigudu ye-bile.

• I-Primary sclerosing cholangitis (PSC)
• I-cholangitis eyinhloko ye-biliary (PBC)
• i-cholangitis ehlobene ne-IgG4

Kulezi zimo, izimpawu ze-acute cholangitis zingase zingabi zimbi kakhulu njengeze-acute cholangitis. Zingase zingaziwa ngisho neminyaka eminingi. Kodwa-ke, ngokuhamba kwesikhathi, imisele ye-bile ingaba nezibazi, ivaleke, futhi ibangele "i-cholestasis", okungaholela ku-acute cholangitis.

I-cholangitis izwakala kanjani? Ziyini izimpawu?

Umuntu one-cholangitis engapheli angase angabi nazimpawu iminyaka eminingi. Ivame ukutholakala lapho isibindi sithintekile futhi siqala ukubonisa izimpawu zesifo sesibindi.

Kodwa i-acute cholangitis izwakala kahle .

Ngokuvamile, kuba nobuhlungu engxenyeni ephezulu kwesokudla yesisu . Lobuhlungu bungabuye budlulele ehlombe noma emhlane kwesokudla. Ngezinye izikhathi bukhulu, ngezinye izikhathi buncane, futhi buyafika budlule.

Uma i-bile duct ivaliwe, ungase ube nesimo esibizwa ngokuthi "i-biliary colic." Lokhu kwenzeka lapho i-gallbladder ifinyela futhi izama ukukhipha i-bile, ikakhulukazi ngemva kokudla ukudla okunamafutha. Lokhu kubangela ukucindezeleka okukhulu nobuhlungu ngoba i-bile ayikwazi ukudlula ekuvinjweni. Ungase futhi uzizwe unesicanucanu. Ubuhlungu bungase buvele ngokuzumayo bese buphela kancane kancane ngokuhamba kwesikhathi.

Izimpawu eziyinhloko - i-Charcot's Triad

Izimpawu ezintathu ezivame kakhulu ze-acute cholangitis zibizwa ngokuthi i-Charcot's Triad .

1. Ubuhlungu besisu esisesigabeni esiphezulu kwesokudla: Yilapho uhlelo lwethu lwenyongo lukhona khona.

2. Umkhuhlane: Umkhuhlane uvame ukwenzeka lapho amasosha omzimba esebenza.

3. I-Jaundice: Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo. Lokhu kwenzeka lapho imisele ye-bile ivalekile futhi i-bile ivuza egazini.

Uma zonke lezi zimpawu ezintathu zikhona, kunethuba elikhulu lokuthi yi-cholangitis.

Ezinye izimpawu:

Kuye ngokuthi isimo sibi kangakanani, ukuvuza kwenyongo egazini kungabangela ezinye izimpawu:

• Ukuqaqamba: Uma ama-bile acid e-bile engena egazini, abangela ukuba isikhumba silume.
• Ukusebenza kobuchopho okungasebenzi kahle (i-Hepatic encephalopathy): Lapho ubuthi obusenyongweni buqongelela egazini, ukukhubazeka okuncane kwengqondo njengokudideka nokudideka kungenzeka.

Uma ukutheleleka sekusakazekele egazini, kungase kuvele izimpawu zokushaqeka :

• Inhliziyo esheshayo (i-Tachycardia)
• Umfutho wegazi ophansi (i-Hypotension)

Uma, ngaphezu kwe-Chacko's triad, kukhona nezimpawu zokudideka nokushaqeka, kubizwa ngokuthi i-Reynolds' pentad . Lokhu kutshela odokotela ukuthi lesi simo sibi kakhulu futhi sidinga ukwelashwa ngokushesha.

Ezinye izimpawu ze-cholangitis engapheli:

Lokhu kubonakala kuphela uma lesi sifo sesiqhubeke kakhulu.

• Ukukhathala
• Isisu esivuvukile
• Imilenze nezinyawo ezivuvukile
• Ukufakwa kwamafutha ngaphansi kwesikhumba sakho
• Imithambo emikhulu, ebonakalayo esiswini sakho
• Imithambo yesicabucabu
• Umchamo onombala omnyama kanye nendle enombala okhanyayo
• Uhudo

Itholakala kanjani i-Cholangitis?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho bese ekuxilonga. Ngemuva kwalokho, bazo-oda ukuhlolwa kwegazi kanye nokuhlolwa okuningana kwesithombe sohlelo lwakho lwe-biliary .

• Ukuhlolwa kwegazi:
• Inani eliphelele legazi (i-CBC): Ukuhlolwa kokutheleleka kanye nenani lamaseli egazi.
• Ukuhlolwa kokusebenza kwesibindi: Hlola ukuthi ingakanani inyongo egazini, ukuthi amazinga ama-enzyme esibindi namaprotheni angakanani, nokuthi isibindi sisebenza kahle yini.
• Ukuhlolwa kwezithombe:
• I-Magnetic resonance cholangiopancreatography (MRCP): Lokhu kufana ne-MRI scan, futhi kungabona ngokucacile imigudu ye-bile kanye nemigudu ye-pancreatic.
• I-ultrasound yesisu: Lokhu kungahlola ukuvaleka kwemisele yenyongo kanye namatshe.

Lezi zivivinyo zingabona ngokucacile ukuthi kukhona yini ukuvaleka kwemisele yenyongo, ukuthi ikuphi, nokuthi kukhona yini ukutheleleka.

Yiziphi izindlela zokwelapha i-Cholangitis?

Ukwelashwa okuyinhloko kwe-cholangitis ebukhali nehlala isikhathi eside ukukhipha amanzi e-biliary nge-endoscopic . Uma udokotela esethole imbangela yenkinga, isinyathelo sokuqala ukunciphisa ingcindezi emigudwini ye-bile nokuvumela i-bile ukuthi iphume.

Lokhu kungenziwa ngesikhathi se-endoscopy , okuhilela ukufaka ithubhu elincane elifakwe ikhamera ngomlomo bese ulidlulisela emigudwini yenyongo.

• Ngaleyo payipi, inyongo eningi ingasuswa futhi ingcindezi ingancishiswa.
• Uma kukhona ukuvinjelwa, kungasuswa (isib. itshe).
• Ngezinye izikhathi, amashubhu amancane ane-mesh abizwa ngokuthi ama-stents angafakwa ukuze kugcinwe amapayipi evulekile.

Cabanga nje, uma wenza i-endoscopy ukuthola i-cholangitis, ungayilapha ngokushesha. Uma une-cholangitis engapheli, kungadingeka ukuthi ube nalolu hlobo lwe-endoscopy ngezikhathi ezithile ukuze ulawule izimpawu zakho.

Ukwelashwa okwengeziwe kwe-cholangitis engamahlalakhona:

• Ama-antihistamine okwelapha ukulunywa.
• Izithasiselo zamavithamini zokuntuleka kwamavithamini .
• I-Ursodeoxycholic acid (UDCA) umuthi osetshenziselwa ukulawula ukuqhubeka kwe-primary biliary cholangitis (PBC).

Ukwelashwa okwengeziwe kwe-acute cholangitis:

• Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Luvimbela ukuphelelwa amanzi emzimbeni futhi lunike umzimba amandla.
• Ukuqeda ubuhlungu .
• Ama-antibiotic: Lawula ukutheleleka. Lawa avame ukunikezwa ngemithambo yegazi.

Iyini i-prognosis kubantu abane-cholangitis? (Isibikezelo)

Kungakhathaliseki ukuthi une-acute cholangitis noma i-chrolangitis engamahlalakhona, kuyethusa kancane. Kokubili, ngokushesha noma kamuva, kungaba yingozi empilweni.

Kodwa-ke, i-acute cholangitis ivame ukuba yesikhashana . Uma yelashwa ngokushesha, abantu abaningi bayalulama ngokuphelele . Uma ingelashwa, izinga lokufa liphezulu.

Uma une -cholangitis engapheli , ungaphila iminyaka eminingi ngaphandle kwezinkinga. Imithi ingalawula izimpawu. Kungase kudingeke ukuthi uhlinzwe ngezinqubo zokukhipha amanzi enyongweni ngezikhathi ezithile. Kwabanye abantu, isifo sesibindi singaqhubekela ekuhlulekeni kwesibindi. Kuleso simo, ekugcineni ungadinga ukufakelwa isibindi .

Ngingazinakekela kanjani ngenkathi ngiphila ne-cholangitis engamahlalakhona?

Uma unesifo se-bile duct esingamahlalakhona, kubaluleke kakhulu ukunakekela isibindi sakho ngazo zonke izindlela ongazisebenzisa.

• Ukulandela ukudla okuhle nendlela yokuphila kunganciphisa umonakalo esibindini futhi kwandise isikhathi sokuphila kwaso.
• Gwema izinto ezibangela ukucindezeleka okukhulu esibindini. Isibonelo, gwema utshwala, izidakamizwa, ukubhema, kanye namanye amakhemikhali emvelo ngangokunokwenzeka.
• Zama ukunciphisa amafutha agcwele kanye noshukela ekudleni kwakho.
• Zivocavoce , wehlise ukucindezeleka ngangokunokwenzeka.

Khumbula, inyongo ibaluleke kakhulu emizimbeni yethu, kodwa isebenza kahle kuphela uma ingageleza ngokukhululeka. Uma ingakwazi, ivuza egazini, iqongeleleke ezithweni zomzimba, futhi ibangele ubuthi nokuvuvukala. Yingakho imibhobho yenyongo enempilo ibaluleke kangaka.

Umlayezo Wokuya Nawe Ekhaya

I-Cholangitis ukuvuvukala kwemigudu ye-bile. Imbangela eyinhloko yalokhu ukuvaleka kwemigudu ye-bile ngezinto ezifana namatshe enyongo kanye nokutheleleka okuvela kuyo. Uma uzwa ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu sakho, umkhuhlane, kanye ne-jaundice, kungaba yi-cholangitis, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Ukwelashwa kuyahlukahluka kuye ngokuthi kuyingozi noma kungamahlalakhona. Kodwa kungakhathaliseki ukuthi hlobo luni, uma usheshe uxilonge futhi uqala ukwelashwa, umphumela uba ngcono. Ngakho-ke, uma unalezi zimpawu, ungazinaki nje, ucabange ukuthi, "Kuyisisu nje." Kungcono ukubona udokotela bese uthola ukuthi yini ngempela engalungile. Ukugcina isibindi sakho kanye nesimiso se-biliary siphilile kusezandleni zakho!

I- Cholangitis, i-Cholangitis, Isibindi, Inyongo, I-Jaundice, Ubuhlungu Besisu, Umkhuhlane