I-Cholangitis - isifo esibonakala ukuvuvukala nokuphulwa komsebenzi ovamile we-bile ducts. Lesi sifo singathinta kokubili ama-intra-ne-extrahepatic bile. I-cholangitis iyakwazi ukumela abamele ubulili obuhle eminyakeni engu-50 kuya kweyengu-60, nakuba kunezimo lapho lesi sifo sitholakala kubantu abasha (kubandakanya amadoda).
Izimpawu ze-cholangitis
Ulwazi lwezimpawu kanye nokwelapha okwesikhashana kwe-cholangitis - izinto ezixhunyanisiwe. Iqiniso liwukuthi izimpawu zesifo zidideka kalula nokubonakaliswa kwezifo eziningi. Ngenxa yalokhu, ukuxilongwa okulungile kungasungulwa isikhathi eside, futhi ngokufanele, ukwelashwa kuyoba nzima kakhulu futhi kuphele isikhathi eside.
I-cholangitis ingabangelwa ama-bacteria kanye nama-parasites ahlukahlukene angena emadayini enobulu. Ngokuvamile, u-E. coli uba yi-agent causative yalesi sifo, i-enterococci, i-lamblia, i-Klebsiella namanye ama-microorganisms ayingozi nawo ayabhekwa njengengozi. Kumele kuqashelwe ukuthi i-cholangitis ivame ukuqala phakathi kwezinkinga nokuphuma kwebhala.
Ukwelashwa kwe-cholangitis kuyadingeka lapho kukhona khona izimpawu ezinjalo:
- ukunyuka okubukhali kokushisa kuya kuma-38-40 degrees (okujwayelekile kwesikhumba esiyingozi);
- i-jaundice;
- i-anemia;
- izinzwa ezibuhlungu ku-hypochondrium efanele;
- ukuwohloka kwesifiso;
- ikhanda njalo;
- ukucasula isisu, isifo sohudo;
- ukushaya okukhulu;
- ubomvu wezintendeni kanye nokwanda kwama-phalanges eminwe.
Iziguli zezinhlobo ezahlukene zeminyaka, izimpawu zingase zihluke. Isibonelo, iziguli asebekhulile ngezinye izikhathi azizwa ubuhlungu nhlobo. Futhi iziguli ezincane ngenxa yokugula ngezinye izikhathi zishiya ngemuva kokuthuthukiswa.
Ngokuhamba kwesikhathi ukuqala ukwelashwa kwe-cholangitis kubaluleke kakhulu, ngoba lesi sifo singaba nemiphumela emibi kakhulu. Izinkinga ze-cholangitis zingaba nesifo sofuba, isisu, i-peritonitis kanye ne-cirrhosis yesibindi.
Ukwelashwa kwe-cholangitis nge-antibiotics
Ukwelashwa kwe-cholangitis kuqala kufanele kuhloswe ukulwa nokutheleleka. Ngeshwa, ngaphandle kokusetshenziswa kwama-antibiotic, cishe akunakwenzeka ukuphatha. Ukwelashwa okunzima akubandakanyi izidakamizwa ezinamandla kuphela, kodwa futhi i-hepatoprotectors, i-immunomodulators, amavithamini. Iziguli kufanele zigcinwe kahle i-microflora, ithathe ama-probiotics akhethekile. Kwezinye izimo, ukuhlinzwa kungadingeka.
Ukwelashwa okuphelele kwe-cholangitis ngamakhambi abantu akuvumelekile, kodwa njengokwelashwa okwengeziwe kungasetshenziswa. Isibonelo, ungalungisa ingxube yobusi, amafutha omnqumo nelamula:
- 500 g uju ohlanganiswe ne-500 ml ibhotela kanye nejusi lama-lemons amabili.
- Ikhambi ligcinwe esiqandisini futhi kuthathwe kathathu ngosuku ngosuku lwesipuni ngaphambi kokudla.
Ngokuvamile ukusekela umzimba ngemva kokwelashwa (kokubili ukwelashwa kanye nokuhlinzwa) isethi yezinqubo ze-physiotherapeutic inqunywe:
- UHF ;
- i-electrophoresis;
- amabhati okugeza;
- paraffinotherapy nezinye.
Izimpawu nokwelashwa kwe-primary sclerosing cholangitis
Enye yezinhlobo ze-cholangitis i-sclerosing eyinhloko. Imvelaphi yesifo ayingaziwa. Ngokuphambene ne-cholangitis engapheli noma eyingozi, uhlobo lwesifo se-sclerosing luthinta amadoda kaningi. Lesi sifo sithuthuka, kaningi noma yikuphi
Ukuqaphela lesi sifo kungaba ngezizathu ezinjalo:
- ukulahlekelwa kwesisindo esikhulu;
- ubuthakathaka;
- ukuhlaselwa ubuhlungu phezulu kwesisu (okwenzeka njalo);
- ukukhuliswa kwesibindi .
Ukuphela kokwelashwa okuphumelelayo kwe-chronic sclerosing cholangitis akukhona. Ukugcina isimo esivamile sempilo kungaba ngosizo lwe-corticosteroids, i-vitamin complexes nezidakamizwa-isostatics. Ukuyinkimbinkimbi kokwelashwa kuncike ekutheni lesi sifo sitholakale ngesikhathi esifanele.