Cholangitis ndi kutupa kwa mankhwala omwe amabwera chifukwa cha matenda awo. Matendawa amayamba, kawirikawiri chifukwa cha tizilombo toyambitsa matenda kapena tizilombo toyambitsa matenda m'kati mwa bile kudzera mu lumen ya duodenum, yamaliseche kapena magazi. Kawirikawiri, cholangitis, zizindikiro zake zofanana ndi matenda ena a chiwindi, zimaphatikizidwa ndi mapangidwe a kansalu, khansara ya khansa kapena choledocholithiasis (miyala yamtundu umodzi).
Zifukwa ndi mitundu ya cholangitis
Matendawa nthawi zambiri amatha kusokonezeka ndi bile, zomwe zimakhala ngati cholecystitis ndi cholelithiasis, ascariasis ndi zotupa m'chiwindi. Kukhoza kwa kachilombo ka bile kudutsa m'matumbo a m'mimba kumapangidwira pa nkhaniyi.
Malingana ndi chikhalidwe chamakono, madokotala amasiyanitsa:
- chowoneka;
- aakulu cholangitis.
Pachifukwachi, mawonekedwe ovuta amagawidwa kukhala:
- chisa;
- nthenda;
- mphutsi;
- purulent cholangitis.
Fomu yofananayo imatha kufotokozedwa:
- latent;
- kupatula;
- kachiwiri;
- zothamanga zakale;
- primary sclerosing cholangitis.
Zizindikiro za cholangitis
Mtundu wambiri wa matendawo umadzimva wokha ndi ululu wa ululu, womwe umakhala ngati chimwala cha hepatic. Chizindikiro chotsatira cha cholangitis ndi chomwe chimatchedwa mechanical jaundice, momwe khungu, khungu, ndi mucous zimakhala zachikasu. Wodwala amachititsa kutentha, khungu limayamba kutentha, lilime lagona.
Pa kulumpha dokotala amasonyeza kuti chiwindi chakulitsa kukula kwake, ndipo m'mphepete mwake mumadutsa.
Kusanthula kukuwonetsa:
- leukocytosis ndi kusinthana;
- bilirubin yowonjezereka;
- kuwonjezera mu alkaline phosphatase.
Zomwe zili mu ALT ndi ACT (mavitamini oopsa) zimakula pang'ono.
Kudziwa kuti acute cholangitis amathandiza kuti chiwindi ndi mazira aziwoneka bwino.
Ngati chithandizochi sichiyambe pa nthawi, kutentha kumatha kukhudza ziwalo zozungulira, zomwe zimayambitsa sepsis, peritonitis (kupha ndizovuta kwambiri), kuphatikizapo kukula kwa ziphuphu komanso kusintha kwa chiwindi.
Zizindikiro za matenda aakulu a cholangitis
Fomu yosatha ikhoza kukhala yokha, koma nthawi zambiri imakumbutsa za kutupa kwapadera kwa phala la bile. Wachirendo cholecystitis wotchulidwa pamwambapa, cholelithiasis ndi zina zotupa zomwe zimagwirizanitsidwa ndi chisokonezo cha bile zimayambitsa matenda a cholangitis.
Odwala amadandaula chifukwa cha kupweteka kwambiri m'chiwindi (hypochondrium), kutopa kwakukulu. Khungu limasaka, pali icterus pang'ono ndi chikhalidwe (kutentha 37 - 37.5 ° C kwa milungu ingapo).
Odwala ena amavutika ndi ululu woopsa mu hypochondrium ndi epigastrium, yomwe imapereka pansi pa scapula, kumbuyo kwa sternum ndi mtima.
Chidziwitso cha jaundice chikuwonekera kale pamayendedwe amtsogolo. Zovuta za matendawa ndi cholangiogenic chiwindi cha chiwindi ndi chitukuko cha chiwindi, chiwopsezo.
Primary sclerosing cholangitis
Mtundu wina wa matenda a cholangitis ndizofunikira kwambiri, zomwe zimakhala zofanana ndi zomwe tafotokoza pamwambapa. Kutupa uku kumaphatikizidwa ndi mapangidwe a zilonda mu tsamba la biliary. Madokotala sanakhazikitse zolondola
Kupitirira kwa cholangitis chotero kumakhala pang'onopang'ono, ndipo zizindikiro zake zimawonekera kenako zimatha. Wodwala nthawi zonse amadandaula za ululu m'mimba ndi kutopa kwakukulu. Khungu ndi khungu kutembenukira chikasu, pali kutentha ndi malungo. Kawirikawiri, primary sclerosing cholangitis ikukula mwa anthu omwe ali ndi matenda opatsirana omwe amatha kutupa - chizindikiro chachikulu cha ichi ndi kuwonjezeka kwa alkaline phosphatase katatu kawiri kawiri, popanda zizindikiro zina.