Contents
Angiocholitis: wehewehe, hōʻailona a me nā mālama
Pili like ʻo Angiocholitis i ka a ka hoʻowahāwahā o ka uhi o nā aʻa oʻa. ʻO ia ma muli o ke kū ʻana o nā gallstones. Pono ka cholangitis koʻikoʻi i ka lāʻau olakino wikiwiki.
He aha ka cholangitis?
ʻO Angiocholitis kahi huʻi huʻi e hōʻike iā ia iho i ka pae o ka paia o nā aʻa oʻa.
He aha ke kumu o ka cholangitis huʻi?
Hana ʻia ʻo Angiocholitis ma ke ʻano he hopena i maʻi ʻaʻai, melemele wai lilolo i komo i ka digestion. ʻO nā kūpuna ke kuleana no kēia maʻi he bacteria pū kekahi:
- kekahi mau ʻano maʻi pathogenic oEscherichia coli ;
- koʻohune pathogenic ʻO Streptococcus faecalis ;
- koʻohune pathogenic Pāpale bacteria.
ʻO ka maʻi Bile ka hopena ma muli o ke kū ʻana o kahi ālaina i ke kahena o ka bile nui. ʻO kēia ālai pili pinepine i ka lithiasis o ke kumu bile nui me ke alo o nā pōhaku ʻino, i kapa ʻia hoʻi he mau pōhaku heʻe. ʻO ka maʻa maʻamau o ka crystallized cholesterol, hoʻopau kēia mau mea i ke kahe o ka bile a hāpai i ka hoʻomohala ʻana o nā bacteria i nā paia o nā aʻa o ka bile. ʻO ka alo o nā pōhaku ʻaila komo i loko aneane 90% o nā maʻi cholangitis.
I ka hapa iki o nā hihia, hiki i ka cholangitis ke hopena a i ʻole kahi pilikia e pili ana.
- ke kūʻana o kahi āla kūpilikiʻi, keu hoʻi i ka maʻi ʻaʻai o ka biliary tract a i ʻole ka maʻi ʻaʻai o ka pancreas;
- maʻi maʻi parasitō e like me ka roundworm, fluke a i ʻole hydatid vesicle;
- he ʻoki kino alakaʻi ʻia i nā aʻa aʻa;
- catheter duct duct, kahi hoʻāʻo dile dile;
- kahi sphincterotomy biliary endoscopic, ʻāpana o kahi sphincter i nā aʻa aʻa e endoscopy.
ʻO wai ka hopohopo?
Hoʻopili ka cholangitis kanaka me nā pōhaku ʻeho. Nui a hewahewa nā kumu no ka hoʻokumu ʻana i nā gallstones me ka makahiki, ka momona, nā maʻi e pili ana i ka ileum, nā resections o ka ileum a me ka hoʻohana ʻana i kekahi mau lāʻau.
He aha ka pilikia o nā pilikia?
ʻOiai he loli ka papa o cholangitis, hiki i kēia mumuna ke kumu o nā pilikia koʻikoʻi. Ma kahi kikoʻī, hiki i ka cholangitis koʻikoʻi ke kumu:
- ke hoʻokumu ʻana o kahi abscess i ke akepaʻa ;
- ka hanana a septicemia ;
- a hōʻeha kīnā ʻole.
Pono ka mālama olakino wikiwiki e kaohi i ka makaʻu o nā pilikia.
He aha nā hōʻailona o ka cholangitis huʻi?
Kuhi ʻia ʻo Angiocholitis e ka hanana o ʻekolu mau hōʻailona, i kahi kaʻina pololei loa o ka manawa.
- ʻeha o ka ʻōpū, kahi like me ka colic hepatic;
- kahi kuni kiʻekiʻe, kiʻekiʻe, ma waena o 39 a me 41 ° C, e ʻike ʻia ma hope koke iho o ka ʻeha, hele pū me ka haʻalulu, a hala kekahi mau hola a i kekahi mau lā;
- jaundice, a i ʻole jaundice, i kū i hoʻokahi i ʻelua mau lā ma hope o nā ʻōuli mua.
I nā ʻano koʻikoʻi loa, hiki ke hele pū ʻia me cholangitis e ka delirium a me nā haunaele o ka ʻike.
Pehea e pale ai i ka cholangitis?
ʻO ka pale ʻana i ka līlū e pale ana i ka hoʻomohala ʻana o nā gallstones, nā kumu nui o cholangitis. No kēia, pono e kaupalena i nā kumu e hoʻonui ana i ka makaʻu o nā gallstones. I ke ʻano, paipai ʻia e lawe i kahi nohona olakino, me ka papaʻai kaulike a me ka hoʻoikaika kino maʻamau.
Pehea e mālama ai i ka cholangitis?
Pono ka cholangitis huikau i ka lāʻau lapaʻau koʻikoʻi. ʻO ka mālama ʻana i ka mumū e pili ana i ka hemo ʻana i nā mea maʻi lele a me ka mālama ʻana i ke kumu o ka maʻi.
E mālama i ka maʻi bile, hāʻawi pinepine ʻia ka lāʻau antibiotic i loko o ka maʻi.
Inā kū ka maʻi i ke alo o nā gallstones, hiki iā lākou ke hemo e:
- cholecystectomy, kahi lāʻau ʻoki lāʻau e pili ana i ka lawe ʻana i ka gallbladder;
- hoʻomaʻemaʻe i nā aʻa o ka bile;
- kahi sphincterotomy biliary endaryopic biliary, ʻāpana o kahi sphincter i nā aʻa aʻa e endoscopy.