Angiocholitis amafanana ndi a kutukusira kwa akalowa a bile ducts. Nthawi zambiri zimachitika chifukwa cha kukhalapo kwa ndulu. Pachimake cholangitis kumafuna chithandizo chamankhwala mwachangu.

Angiocholitis ndi kutupa pachimake zomwe zimadziwonetsera pamlingo wa khoma la ma ducts a bile.

Angiocholitis imachitika ngati momwe zimachitikira matenda a bile, madzimadzi achikasu achilengedwe omwe amakhudzidwa ndi kugaya chakudya. Majeremusi omwe amayambitsa matendawa ndi mabakiteriya kuphatikiza:

• mitundu ina ya pathogenicEscherichia coli ;
• tizilombo toyambitsa matenda Streptococcus faecalis ;
• tizilombo toyambitsa matenda Bacteroides fragilis.

Matenda a ndulu nthawi zambiri amayamba chifukwa cha kukhalapo kwa chotchinga munjira yayikulu ya ndulu. Chopinga ichi ndi nthawi zambiri zimagwirizana ndi lithiasis wa ndulu yayikulu ya bile ndi kukhalapo kwa ndulu, wotchedwanso ndulu. Nthawi zambiri amakhala ndi crystallized cholesterol, izi zimasokoneza kutuluka kwa bile ndikulimbikitsa kukula kwa mabakiteriya m'makoma a ndulu. The kukhalapo kwa ndulu imakhudzidwa ndi pafupifupi 90% ya matenda a cholangitis.

Nthawi zambiri, cholangitis imathanso kukhala chotsatira kapena zovuta zotsatirazi:

• kukhalapo kwa chopinga chotupa, makamaka mu khansa ya biliary thirakiti kapena khansa ya kapamba;
• matenda a parasitic monga zozungulira, fluke kapena hydatid vesicle;
• opaleshoni kuchitidwa mu ma ducts a bile;
• catheterization ya bile ducts, kuyesa kwa ndulu;
• ndi endoscopic biliary sphincterotomy, gawo la sphincter mu njira za bile ndi endoscopy.

Cholangitis imakhudza kwambiri anthu odwala matenda ashuga. Pali zifukwa zingapo chiopsezo mapangidwe ndulu kuphatikizapo zaka, kunenepa kwambiri, matenda okhudza ileamu, resections wa ileamu ndi ntchito mankhwala enaake.

Ngakhale kuti cholangitis imakhala yosiyana, kutupa kumeneku kungakhale chifukwa cha zovuta zazikulu. Makamaka, pachimake cholangitis angayambitse:

• kupangika kwa abscess m'chiwindi ;
• kuchitika kwa a sepsis ;
• a pachimake aimpso kulephera.

Chisamaliro chamsanga ndichofunikira kuti muchepetse chiopsezo cha zovuta.

Angiocholitis imadziwika ndi kupezeka kwa zizindikiro zitatu, motsatira nthawi yolondola kwambiri:

1. kupweteka kwa m'mimba, komwe kumafanana ndi kwa hepatic colic;
2. kutentha kwadzidzidzi, kutentha kwakukulu, kawirikawiri pakati pa 39 ndi 41 ° C, komwe kumawoneka mwamsanga pambuyo pa ululu, kumayendera limodzi ndi kuzizira, ndipo kumatenga maola angapo mpaka masiku angapo;
3. jaundice, kapena jaundice, yomwe imapezeka patatha tsiku limodzi kapena awiri zizindikiro zoyamba.

Mu mitundu yoopsa kwambiri, cholangitis imathanso kutsagana ndi delirium ndi kusokonezeka kwa chidziwitso.

Kupewa kutupa kumaphatikizapo kupewa kukula kwa ndulu, zomwe zimayambitsa cholangitis. Pachifukwa ichi, ndikofunikira kuchepetsa zomwe zikuwonjezera chiopsezo cha gallstones. Makamaka tikulimbikitsidwa kukhala ndi moyo wathanzi, kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi nthawi zonse.

Pachimake cholangitis kumafuna chithandizo chamankhwala mwachangu. Kuchiza kwa kutupa kumaphatikizapo kuchotsa tizilombo toyambitsa matenda ndi kuchiza gwero la matenda.

Kuchiza matenda a bile, mankhwala opha tizilombo nthawi zambiri amaperekedwa kudzera m'mitsempha.

Ngati matendawa ali chifukwa cha kukhalapo kwa ndulu, amatha kuchotsedwa ndi:

• cholecystectomy, chithandizo cha opaleshoni chomwe chimaphatikizapo kuchotsa ndulu;
• kuyeretsa kwa bile ducts;
• ndi endoscopic biliary sphincterotomy, gawo la sphincter mu bile ducts ndi endoscopy.