Cholangitis ita ce kullun ƙwayar bile da ta haifar da kamuwa da su. Kwayar tana tasowa, yawanci saboda ƙin kwayoyin cuta ko kwayoyin cuta a cikin bile ducts ta wurin lumen duodenum, lymph ko jini. Sau da yawa, cholangitis, alamunta sune kama da sauran cututtukan hanta, an haɗa su tare da samuwar cysts, ciwon daji ko kuma choledocholithiasis (duwatsu a cikin kwaminis na yau da kullum).
Dalili da nau'in cholangitis
Kwayar cutar tana kusan tasowa a kan yanayin da ake ciki na bile, wanda shine magungunan cholecystitis da cholelithiasis, ascariasis da ciwace-ciwace a cikin hanta. Rashin yiwuwar kamuwa da kamuwa da bile ta hanyar ƙwayar gastrointestinal yana ƙaruwa a wannan yanayin.
A cewar yanayin halin yanzu, likitoci sun bambanta:
- m cholangitis;
- na kullum cholangitis.
Hakanan kuma, an rarraba siffar m cikin:
- Catarrhal;
- necrotic;
- diphtheria;
- purulent cholangitis.
Irin wannan tsari na yau da kullum zai iya bayyana:
- latin;
- abscessing;
- maimaitawa;
- Asabar mai tsawo;
- primary sclerosing cholangitis.
Cutar cututtuka na cholangitis
Irin mummunar irin wannan cututtukan da ke fama da cutar ya ji kansa ta hanyar ciwon haɗari, wanda halinsa yana kama da colic na hepatic. Sakamakon gaba na cholangitis shine jaundice mai inganci, wanda fata, sclera, da mucous zama launin rawaya. Mai haƙuri ya kawo yawan zazzabi, fata farawa, harshe yana dage farawa.
Lokacin da aka kwantar da hankali sai likita ya nuna cewa hanta yana kara girman girmansa, kuma fuskarsa tana kewaye.
Nazarin ya nuna:
- leukocytosis tare da motsi na hagu;
- ƙara bilirubin ta kai tsaye;
- karuwa a cikin alkaline phosphatase.
Abubuwan da ke ciki na ALT da ACT (ƙwayoyin ƙwayoyin cuta) yana ƙaruwa kaɗan.
Don gano asali da ƙananan cholangitis yana ba da damar duban dan tayi da hanta.
Idan ba a fara maganin lokacin ba, kullun zai iya shafar cutar da ke kewaye, wanda yana barazana da sepsis, peritonitis (cuthality ne mai girma), da kuma ci gaban ƙwayoyin ƙwayoyi da kuma sclerosing canji a cikin hanta.
Cutar cututtuka na cholangitis na kullum
Hakan zai iya bunkasa a kansa, amma sau da yawa abin tunawa ne game da ƙananan ƙwayar bile. A kullum cholecystitis da aka ambata a sama, cholelithiasis da sauran pathologies hade da kwashe jiki na bile kuma tsokana na kullum cholangitis.
Magunguna suna koka da ƙwaƙwalwa a cikin hanta (dama hypochondrium), wahala mai tsanani. Fatar jiki ta fi dacewa, akwai wani ɗan yanayin icterus da yanayin ƙwaƙwalwa (zazzabi 37 - 37.5 ° C na makonni da dama).
Wasu marasa lafiya suna fama da mummunan ciwo a cikin hawan hypochondrium da kuma epigastrium, wanda ke ba a ƙarƙashin scapula, a bayan sternum da zuciya.
Gwargwadon jaundice yana bayyana a baya a cikin matakai. Labaran cutar shine cholangiogenic hepatitis tare da ci gaba da ci gaba da ciwon hanta na cirrhosis, pancreatitis.
Primary sclerosing cholangitis
Ɗaya daga cikin nau'i na cholangitis na yau da kullum shine filayen sclerosing na farko, wanda alamunta suna kama da wadanda aka bayyana a sama. Wannan ƙonewa yana tare da samuwar scars a cikin yankin biliary. Doctors ba su tabbatar da cikakke ba
Ci gaba irin wannan cholangitis yana da jinkiri, sa'annan alamominsa sun bayyana, sa'annan ya ɓace. Mai haƙuri yana da gunaguni na ciwo na ciki da gajiya mai tsanani. Sclera da fata sunyi launin rawaya, akwai ƙari da zazzaɓi. Sau da yawa, filayen sclerosing cholangitis na tasowa ne a cikin mutanen da ke fama da cututtuka na ƙwayar cutar ciwon jini - ainihin bayyanar wannan shine karuwa a cikin alkaline phosphatase sau uku a al'ada, idan babu wani bayyanar cututtuka.