I-Cholangitis kukuvuvukala kwe-bile duct ebangelwa yiyosulelo. Esi sifo sikhula, ngokuqhelekileyo ngenxa ye-ingress ye-bhakteria okanye i-parasites kwi-bin ducts nge-lumen ye-duodenum, i-lymph okanye igazi. Ngokuqhelekileyo, i-cholangitis, iimpawu zazo ezifana nezinye izifo zesibindi, zihamba kunye nokubunjwa kwama-cysts, umdlavuza wokuguqula okanye i-choledocholithiasis (amatye kwindawo eqhelekileyo).
Izizathu kunye neentlobo ze-cholangitis
Esi sifo sisoloko siphula ngokusuka kwimvelaphi ye-bile, efana ne- cholecystitis kunye ne-cholelithiasis, i-ascariasis kunye neesisu kwi-isibindi. Ubungakanani bentsholongwane ye-bile ducts ngokunyuka kwamathambo enyuka kwimeko.
Ngokwezihlobo zangoku, oogqirha bahlula:
- cholangitis;
- i-cholangitis engapheliyo.
Ngaloo ndlela, ifomu elibi lihlelwe kwi:
- catarrhal;
- necrotic;
- i-diphtheria;
- purulent cholangitis.
Ifom engaqhelekanga ingaboniswa:
- ifikile;
- ukungabikho;
- kwakhona;
- septic eside;
- i-sclerosing cholangitis.
Iimpawu ze-cholangitis
Ifomu elibi le sifo lenza ukuba zivezwe ngokuhlaselwa kwentlungu, umlingana wayo ufana ne-colic hepatic. Uphawu olulandelayo lwe-cholangitis yinto ebizwa ngokuba yi-jaundice engumatshini, apho isikhumba, isikhala, kunye ne-mucous zibe ziphuzi. Isigulana siphakamisa ubushushu, ulusu luqala ukukhupha, ulwimi lubekwe.
Ngelizwi ugqirha ubonisa ukuba isibindi sandisiwe ngobukhulu, kwaye umda wayo ujikelezwe.
Uhlalutyo lubonisa:
- i-leukocytosis kunye ne-left shift;
- kwandisa i-bilirubin ngqo;
- ukwanda kwi-alkaline phosphatase.
Umxholo we-ALT kunye noMTHETHO (i-enzyme ye-hepatic) yanda kancane.
Ukufumanisa i-cholangitis enamandla ivumela i-ultrasound yesibindi kunye namadada.
Ukuba unyango aluqalwanga ngexesha, ukuvuvukala kunokuchaphazela iifom, ezitshitshisa i-sepsis, i- peritonitis (ukutshabalalisa kuphezulu kakhulu), kwakunye nokuphuhliswa kwama-abscesses kunye nokuguqulwa kwesibindi kwisibindi.
Iimpawu ze-cholangitis engapheliyo
Ifomu engapheliyo inokuphuhliswa yedwa, kodwa ngokuqhelekileyo isikhumbuzo sokugqithisa okudlulileyo kwi-bin ducts. I-cholecystitis engapheliyo ikhankanywe ngasentla, i-cholelithiasis kunye nezinye izifo ezinxulumene nokuxinwa kwe-bile nazo zikhupha i-cholangitis engapheliyo.
Izigulana zikhalaza iintlungu ezibuhlungu kwisibindi (inene hypochondrium), ukukhathala okukhulu. Ulusu lukhuni, kukho impawu encinane ye-icterus kunye ne-subfible (ukushisa 37 - 37.5 ° C kwiiveki eziliqela).
Ezinye izigulane zihlaselwa iintlungu ezinzima kwi-hypochondrium efanelekileyo kunye ne-epigastrium, enika phantsi kwe-scapula, emva kwe-sternum kunye nentliziyo yendawo.
I-jaundice ephawulekayo ibonakala sele isezantsi kwizigaba. Iingxaki zesifo yi-cholangiogenic hepatitis kunye nophuhliso lwe-cirrhosis yesibindi, i-pancreatitis.
I-sclerosing cholangitis
Enye indlela ye-cholangitis engapheliyo i-sclerosing ephambili, iimpawu zazo zifana nezo zichazwe ngasentla. Olu kuvutha luhambelana nokubunjwa kwamacwecwe kwiphepha lebhiliyari. Oogqirha abayifumananga ngokuchanekileyo
Ukunyuka kwe-cholangitis enjalo kuhamba ngokukhawuleza, kwaye iimpawu zayo ziyavela, zinyamalale. Isigulana sihlala sikhalaza ngesisu esiswini kunye nokukhathala okukhulu. I-Sclera kunye nesikhumba zijikeleza, kukho i-intshi kunye nomkhuhlane. Ngokuqhelekileyo, i-primary sclerosing cholangitis ikhula kubantu abanezifo ezikhukhulayo ezigugu - izibonakaliso eziphambili zolu lukunyuka kwi-alkaline phosphatase kathathu kwinqanaba eliqhelekileyo, ngokungabikho kwezinye iimpawu.