Cholangitis

Cholangitis chirwere chema bile ducts, machubhu anotakura bile kubva pachiropa kusvika kune nduru uye ura. Bira imvura inogadzirwa nechiropa iyo inobatsira kugaya chikafu.

Cholangitis inowanzo kukonzerwa nehutachiona. Izvi zvinogona kuitika kana iyo dhayivhu yakavharwa nechimwe chinhu, senge nduru yeguru kana bundu. Utachiona hunokonzera mamiriro aya hunogona zvakare kupararira kuchiropa.

Njodzi dzinosanganisira nhoroondo yakapfuura yematombo, sclerosing cholangitis, HIV, kudzikira kweyakajairika bile duct, uye kashoma, kuenda kune dzimwe nyika kwaunogona kubata honye kana hutachiona hwehutachiona.

Zviratidzo zvinotevera zvinogona kuitika:

• Marwadzo kumusoro kwepamusoro kurudyi kana epamusoro chikamu chikamu chedumbu. Inogona zvakare kunzwika musana kana pazasi kurudyi fudzi reza. Iko kurwadziwa kunogona kuuya uye kuenda uye kunzwa kupinza, kupora-kunge, kana kusviba.
• Fivha uye kutonhora.
• Weti yakasviba uye zvituru zvine ruvara rwevhu.
• Kusvotwa uye kurutsa.
• Yero yeganda (jaundice), iyo inogona kuuya yoenda.

Iwe unogona kunge uine bvunzo dzinotevera kuti utarise mabhureki:

• Abdominal ultrasound
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Percutaneous transhepatic cholangiogram (PTCA)

Iwe unogona zvakare kuve nekuteerera kweropa kunotevera:

• Chikamu cheBilirubin
• Chiropa enzyme mazinga
• Chiropa basa bvunzo
• Kuyerera kweropa (WBC)

Kurumidza kuongororwa uye kurapwa kwakakosha kwazvo.

Mishonga inorwisa mabhakitiriya yekurapa hutachiona ndiyo yekutanga kurapwa kunoitwa kazhinji. ERCP kana imwe nzira yekuvhiya inoitwa kana munhu akatsiga.

Vanhu vari kurwara zvakanyanya kana vari kukurumidza kukura vangangoda kuvhiyiwa ipapo ipapo.

Mhedzisiro yacho inowanzo kuve yakanaka nekurapwa, asi murombo pasina iyo.

Zvinetso zvinogona kusanganisira:

• Sepsis

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zve cholangitis.

Kurapa kwematuru, tumota, uye infestations yezvipembenene zvinogona kudzora njodzi kune vamwe vanhu. Iyo simbi kana epurasitiki stent inoiswa mune bile system inogona kudikanwa kudzivirira hutachiona kubva kudzoka.

• Kugaya chirongwa
• Bile nzira

Fogel EL, Sherman S. Zvirwere zveguruva uye bile ducts. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 146.

Sifri CD, Madoff LC. Zvirwere zvechiropa uye biliary system (chiropa chiropa, cholangitis, cholecystitis). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 75.