I-Cholangitis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungayixilonga kanjani
• Yelashwa kanjani

Igama elithi cholangitis lisho ukuvinjelwa nokuvuvukala kwamapayipi e-bile, angenzeka ngenxa yokuzivikela komzimba, izinguquko zofuzo noma kube umphumela wamatshe enyongo noma, kuyaqabukela, ukutheleleka nge-parasite I-Ascaris lumbricoides, Ngokwesibonelo. Ngakho-ke, ngenxa yokuvuvukala kwamapayipi e-bile, kukhona ushintsho enqubeni yokuhambisa i-bile kuya enyongweni nasemathunjini, okuholela ekuqongeleleni kwalesi sici esibindini futhi okungaholela ekunciphiseni kokusebenza kwesibindi.

Ekuqaleni, i-cholangitis ayiholeli ekubonakaleni kwezimpawu, kepha njengoba iqhubeka futhi kunokubandakanyeka kwesibindi, kungenzeka ukuthi uqaphele isikhumba namehlo aphuzi kakhulu, ukulunywa nokukhathala ngokweqile. Kubalulekile ukuthi udokotela ojwayelekile noma i-hepatologist aboniswe ngokushesha lapho kuqala ukuvela izimpawu zokuqala, njengoba kungenzeka ukubambezela ukukhula kwesifo, ukuvimbela ukubhujiswa kwamapayipi enyongo kanye nokwenziwa kwezinye izinkinga.

Izimpawu eziyinhloko

Ezimweni eziningi, i-cholangitis ayibangeli zimpawu futhi, ngakho-ke, ezimweni eziningi, lesi sifo siyaqhubeka nokukhula size sitholakale ekuhlolweni okujwayelekile noma size sibeke esibindini engcupheni. Kulesi sigaba, kungadala izimpawu ezifana nokuthi:

• Ukukhathala ngokweqile;
• Isikhumba esilumayo;
• Ukoma emehlweni nasemlonyeni;
• Ubuhlungu bemisipha namalunga;
• Ukuvuvukala kwezinyawo namaqakala;
• Isikhumba esiphuzi namehlo;
• Uhudo olunamafinyila anamafutha.

Kujwayelekile nokuthi i-cholangitis ivele ngokuhlangana nezinye izifo ezizimele, njenge-keratoconjunctivitis eyomile, i-Sjogren's syndrome, i-rheumatoid arthritis, i-scleroderma noma i-Hashimoto's thyroiditis, ngokwesibonelo. Ngaphezu kwalokho, i-cholangitis ingahle ihlobane nokuba khona kwamatshe enyongo noma kube ngenxa yobuningi bezikelemu emibhobho yenyongo.

Njengoba lesi sifo sihlobene nezakhi zofuzo, abantu abanezifo zalesi sifo emndenini bangaba nokuhlolwa ukukhomba ukuthi banayo yini i-biliary cholangitis, ngoba, yize singesona isifo esizuzwe njengefa, maningi amathuba okuba namacala amaningana ngaphakathi umndeni ofanayo.

Ungayixilonga kanjani

Ngokuvamile, i-cholangitis iyasolwa lapho izinguquko zibonakala ekuhlolweni okujwayelekile kwegazi okwenziwe ukuhlola ukusebenza kwesibindi, njengokunyuka kwama-enzyme wesibindi noma i-bilirubin. Kulezi zimo, ukukhomba lesi sifo, udokotela anga-oda ezinye izivivinyo ezithile, njengokulinganisa kwama-anti-mitochondrial antibodies, anti-nuclear antibodies kanye nezimpawu zezilonda ze-bile ezifana ne-alkaline phosphatase noma i-GGT.

Ukufanekisa izivivinyo, njenge-ultrasound noma i-cholangiography, kungakhonjiswa ukuhlola izakhiwo zesibindi. Ngaphezu kwalokho, i-biopsy yesibindi ingadingeka futhi uma kunokungabaza ngokutholakala kwesifo noma ukuhlola ukuvela kwalesi sifo. Funda kabanzi mayelana nokuhlolwa okuhlola isibindi.

Yelashwa kanjani

Kubalulekile ukuthi ukwelashwa kwe-biliary cholangitis kwenziwe ngokuya ngokuqondiswa ngudokotela ojwayelekile noma i-hepatologist, ngoba ngale ndlela kungenzeka ukugwema ukubhujiswa kwamapayipi e-bile, ukwakheka kwesicubu esibomvu ngaphandle kokusebenza kanye nokuthuthukiswa kwesifo sokuqina kwesibindi kwesibindi. Ngakho-ke, ukwelashwa kwe-cholangitis kuhlose ukulawula izimpawu nokuvimbela ukuqhubeka kwezifo, futhi kunganconywa ngudokotela:

• I-Ursodeoxycholic acid: kungumuthi oyinhloko osetshenziswayo ekwelashweni futhi kusiza i-bile ukushiya isibindi, ukuvimbela ukuqongelela ubuthi esibindini;
• I-Cholestyramine: yimpuphu okumele ixutshwe ekudleni noma esiphuzweni futhi esiza ukuqeda ukulunywa okubangelwa yilesi sifo;
• I-Pilocarpine ne-moisturizing eye amaconsi: isiza ukufafaza ulwelwesi lwamafinyila amehlo nomlomo, ukuvimbela ukoma.

Ngaphezu kwalokhu, udokotela angancoma eminye imithi, ngokusho kwezimpawu zesiguli ngasinye. Ngaphezu kwalokho, ezimweni ezinzima kakhulu, kusengadingeka ukuthi kube nokufakelwa kwesibindi, ikakhulukazi lapho umonakalo usuvele usuthuthuke kakhulu. Bona ukuthi ukufakelwa kwesibindi kwenziwa kanjani.