Cholangitis

I-Cholangitis ukutheleleka kwemibhobho yenyongo, amashubhu athwala inyongo kusuka esibindini kuya enyameni nasemathunjini. IBile iwuketshezi olwenziwe yisibindi olusiza ukugaya ukudla.

I-Cholangitis ivame ukubangelwa amagciwane. Lokhu kungenzeka lapho umgudu uvinjelwe okuthile, okufana nenyongo noma isimila. Ukutheleleka okubangela lesi simo kungasakazeka nasesibindini.

Izici zobungozi zifaka umlando wangaphambilini wama-gallstones, sclerosing cholangitis, i-HIV, ukuncipha komgudu ovamile we-bile, futhi kuyaqabukela, uye emazweni lapho ungathola khona isibungu noma ukutheleleka nge-parasite.

Izimpawu ezilandelayo zingavela:

• Ubuhlungu ohlangothini olungaphezulu kwesokudla noma engxenyeni ephezulu yesisu. Kungazwakala nangemuva noma ngaphansi kwensimbi yehlombe langakwesokudla. Ubuhlungu bungafika buhambe buzizwe bubukhali, bufana ne-cramp, noma buthuntu.
• Umkhuhlane namakhaza.
• Umchamo omnyama nezitulo ezinombala wobumba.
• Isicanucanu nokuhlanza.
• Ukuphuzi kwesikhumba (i-jaundice), okungase kufike kudlule.

Ungaba nokuhlolwa okulandelayo ukubheka ukuvinjelwa:

• I-ultrasound yesisu
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-Percutaneous transhepatic cholangiogram (PTCA)

Ungase futhi ube nokuhlolwa kwegazi okulandelayo:

• Izinga leBilirubin
• Amazinga e-enzyme yesibindi
• Ukuhlolwa kokusebenza kwesibindi
• Isibalo segazi elimhlophe (WBC)

Ukuxilongwa nokwelashwa okusheshayo kubaluleke kakhulu.

Imithi elwa namagciwane yokwelapha ukutheleleka iyindlela yokwelashwa yokuqala eyenziwa ezimweni eziningi. I-ERCP noma enye inqubo yokuhlinza yenziwa lapho umuntu ezinzile.

Abantu abagula kakhulu noma abaqala ukuba mubi kakhulu bangadinga ukuhlinzwa ngokushesha.

Umphumela uvame ukuba muhle ngokwelashwa, kepha kubi ngaphandle kwawo.

Izinkinga zingafaka:

• I-Sepsis

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu ze-cholangitis.

Ukwelashwa kwama-gallstones, izicubu, nokutheleleka kwama-parasites kunganciphisa ubungozi kwabanye abantu. I-stent yensimbi noma yepulasitiki efakwe ohlelweni lwe-bile kungadingeka ukuvimbela ukutheleleka ekubuyeni.

• Uhlelo lokugaya ukudla
• Indlela yeBile

UFogel EL, uSherman S. Izifo ze-gallbladder ne-bile ducts. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 146.

I-Sifri CD, iMadoff LC. Ukutheleleka kwesibindi ne-biliary system (ithumba lesibindi, i-cholangitis, i-cholecystitis). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 75.