Cholangitis: chii zvazviri, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekuongorora
• Kurapwa kunoitwa sei

Izwi rekuti cholangitis rinoreva kuvharika uye kuzvimba kwenzara dze bile, dzinogona kuitika nekuda kwekuzvimiririra, kuchinja kwemajini kana kuve mhedzisiro yematombo kana, kazhinji kacho, hutachiona nehutachiona. Ascaris lumbricoides, Semuyenzaniso. Nekudaro, nekuda kwekuzvimba kwenzara, pane shanduko mukutakura bile kune iyo nduru uye kuura, zvichikonzera kuunganidzwa kwechinhu ichi muchiropa uye izvo zvinogona kukonzera kuderera kwechiropa.

Pakutanga, cholangitis haitungamire pakuonekwa kwezviratidzo, zvisinei sezvo ichifambira mberi uye paine kubatika kwechiropa, zvinokwanisika kucherechedza ganda reyero uye maziso, kuchenesa uye kuneta zvakanyanya. Izvo zvakakosha kuti mukuru wezvechiremba kana hepatologist abvunziswe nekukurumidza apo zviratidzo zvekutanga zvioneke, sezvo zvichikwanisika kunonoka kukura kwechirwere, kudzivirira kuparara kwenzara dze bile uye kuvandudzwa kwemamwe matambudziko.

Zviratidzo zvikuru

Muzviitiko zvakawanda, cholangitis haikonzeri chero zviratidzo uye, nekudaro, muzviitiko zvakawanda, chirwere ichi chinoramba chichikura kudzamara chawanikwa mune bvunzo dzechiitiko kana kusvika chakanganisa chiropa zvakanyanya. Panguva ino, zvinogona kukonzera zviratidzo zvakaita se:

• Kuneta zvakanyanya;
• Itchy ganda;
• Kuoma mumaziso nemuromo;
• Tsandanyama uye kurwadza kwemajoini;
• Kuzvimba kwetsoka nemakumbo;
• Ganda reyero nemeso;
• Dhairrhea ine mafuta akakora.

Zvakajairika kuti cholangitis iratidzike pamwe nezvimwe zvirwere zvekuzvimiririra, senge yakaoma keratoconjunctivitis, Sjogren's syndrome, rheumatoid arthritis, scleroderma kana Hashimoto's thyroiditis, semuenzaniso. Uye zvakare, cholangitis inogona kunge iine hukama nekuvapo kwematuru kana kuve nekuda kwekuvapo kwehonye yakawanda mu bile ducts.

Sezvo chirwere ichi chiri chehukama nemageneti, vanhu vane zviitiko zvechirwere ichi mumhuri vanogona kuve nemiedzo yekuziva kana vainewo biliary cholangitis, nekuti, kunyangwe hachisi chirwere chakagarwa nhaka, kune mikana yakawanda yekuve nezviitiko zvakati mukati mhuri imwe chete.

Maitiro ekuongorora

Kazhinji, cholangitis inofungidzirwa apo shanduko dzinoonekwa mune yakajairwa bvunzo yeropa inoitwa kuongorora chiropa mashandiro, senge akawedzera echiropa enzymes kana bilirubin. Muzviitiko izvi, kuti aone chirwere ichi, chiremba anogona kuraira kumwe kuyedza kwakanyanya, senge kuyerwa kwemasero-anti-mitochondrial antibodies, anti-nyukiliya antibodies uye mamaki ezvironda zve bile zvakadai alkaline phosphatase kana GGT.

Kufungidzira bvunzo, senge ultrasound kana cholangiography, inogona kuratidzirwa kuongorora zvimiro zvechiropa. Uye zvakare, chiropa biopsy inogona zvakare kudikanwa kana paine kusahadzika nezve kuongororwa kana kuongorora kushanduka kwechirwere. Dzidza zvakawanda nezve bvunzo dzinoongorora chiropa.

Kurapwa kunoitwa sei

Izvo zvakakosha kuti kurapwa kwe biliary cholangitis kuitwe maererano nekutungamira kwechiremba mukuru kana hepatologist, sezvo nenzira iyi zvinokwanisika kudzivirira kuparara kwenzara dzeb bile, kuumbwa kwechena nyama isina basa uye nekuvandudzwa kwechirrhosis yechiropa. Nekudaro, kurapwa kwe cholangitis kunovavarira kudzora zviratidzo uye kudzivirira kukura kwechirwere, uye kunogona kukurudzirwa nachiremba:

• Ursodeoxycholic acid: ndiwo mushonga mukuru unoshandiswa pakurapa uye unobatsira bile kusiya chiropa, ichidzivirira kuunganidzwa kwehupfu muropa;
• Cholestyramine: ihwo hupfu hunofanirwa kusanganiswa muchikafu kana chinwiwa uye hunobatsira kubvisa kunhuwa kunokonzerwa nechirwere;
• Pilocarpine uye anodonhedza madonhwe eziso: inobatsira hydrate iyo mucous membranes yemeso nemuromo, kudzivirira kuoma.

Pamusoro peizvi, chiremba anogona kukurudzira mimwe mishonga, zvinoenderana nezviratidzo zvemurwere wega wega. Mukuwedzera, mumatambudziko akaipisisa, zvingave zvichiri kudikanwa kuve nekuiswa kwechiropa, kunyanya kana kukuvara kwatova kumberi kwazvo. Ona mashandiro anoita chiropa.