I-cholangitis ukuvuvukala kwe-bile duct obangelwa ukutheleleka kwabo. Lesi sifo siphuthuma, ngokuvamile ngenxa ye-ingress ye-bacteria noma izidumbu ezinqeni ze-bile ngokusebenzisa i-lumen ye-duodenum, i-lymph noma igazi. Ngokuvamile, i-cholangitis, izimpawu zazo ezifana nezinye izifo zesibindi, ihambisana nokubunjwa kwama-cysts, umdlavuza we-ductal noma i-choledocholithiasis (amatshe esendlini evamile).
Izimbangela nezinhlobo ze-cholangitis
Lesi sifo sivame ukukhula ngokumelene nesimo sokuluma kwe-bile, okuyinto ejwayelekile ye- cholecystitis ne-cholelithiasis, i-ascariasis nama-tumors esibindi. Amathuba okutheleleka kwe-bile ducts ngokusebenzisa amapheshana emathunjini akhula kule nkinga.
Ngokwezimo zamanje, odokotela bahlukanisa:
- i-cholangitis enzima;
- i-cholangitis engapheli.
Futhi, ifomu eliyinkimbinkimbi lihlukaniswa ibe yi:
- i-catarrhal;
- i-necrotic;
- i-diphtheria;
- i-cholangitis ye-purulent.
Ifomu elifanayo elingapheli lingabonakaliswa:
- i-latent;
- i-abscessing;
- ukuphindaphindiwe;
- i-septic ehamba phambili;
- primary sclerosing cholangitis.
Izimpawu ze-cholangitis
Ifomu eliyinkimbinkimbi yesifo lenza uzizwe ngokuhlaselwa ubuhlungu, umlingiswa walo kufana ne-colic hepatic. Isimpawu esilandelayo se-cholangitis yi-jaundice okuthiwa i-mechanical, lapho isikhumba, isikhala, kanye nama-mucous abe ngophuzi. Isiguli sivuselela izinga lokushisa, isikhumba siqala ukuhlambalaza, ulimi lubekiwe.
Ngesikhathi sokulunywa udokotela wembula ukuthi isibindi sikhulisiwe ngobukhulu, futhi ukugoba kwayo kugcwele.
Ihlaziya bonisa:
- i-leukocytosis nge-shift shift;
- yanda i-bilirubin eqondile;
- ukwanda kwe-alkaline phosphatase.
Okuqukethwe kwe-ALT no-ACT (ama-enzyme ase-hepatic) kwanda kancane.
Ukuthola i-cholangitis enamandla kuvumela i-ultrasound yesibindi namadada.
Uma ukwelashwa kungavaliwe ngesikhathi, ukuvuvukala kungathinta izicubu ezizungezile, ezisongela nge-sepsis, i- peritonitis (ukulimala kuphezulu kakhulu), kanye nokuthuthukiswa kwama-abscesses nokuguquka kwesibindi esibindi.
Izimpawu ze-cholangitis engapheli
Ifomu elingapheli lingathuthuka yedwa, kodwa kaningi liyisikhumbuzo sokuvuvukala okusheshayo kwangaphambili kwe-bin ducts. I-cholecystitis engapheli ekhulunywe ngenhla, i-cholelithiasis nezinye izifo ezihlobene nokuxubana kwe-bile nazo zivusa i-cholangitis engapheli.
Iziguli zikhalaza ubuhlungu obunzima esibindi (hypochondrium), ukukhathala okukhulu. Isikhumba sishaya, kukhona isimo esincane se-icterus ne-subfebrile (izinga lokushisa 37 - 37.5 ° C amasonto amaningana).
Ezinye iziguli zihlaselwa ubuhlungu obukhulu ku-hypochondrium kanye ne-epigastrium, ehlinzeka ngaphansi kwe-scapula, ngemuva kwesimo se-sternum nenhliziyo.
I-jaundice ephawulekayo ivela kakade ngezigaba kamuva. Izinkinga zesifo yi-cholangiogenic hepatitis kanye nokuthuthukiswa kwesibindi se-cirrhosis, isibindi.
I-primary sclerosing cholangitis
Enye indlela ye-cholangitis engapheli yi-primary sclerosing, izimpawu zazo ngokuvamile ezifana nalabo okuchazwe ngenhla. Lokhu ukuvuvukala kuhambisane nokwakhiwa kwezibazi emaphethelweni e-biliary. Odokotela abakaqali kahle
Ukuqhubekela phambili kwe-cholangitis enjalo kuyashesha, futhi izimpawu zayo zivele zivele zinyamalale. Isiguli sikhononda ngezikhathi zobuhlungu besisu nokukhathala okukhulu. I-sclera nesikhumba ziphenduka, kukhona ukushaywa nomkhuhlane. Ngokuvamile, i-primary sclerosing cholangitis ivela kubantu abanezifo ezikhukhumezayo zokugula izifo - isifo esiyinhloko salokhu ukunyuka kwe-alkaline phosphatase kathathu izinga elivamile, ngokungabikho kwamanye izimpawu.