Cholangitis

ʻO Cholangitis kahi maʻi o nā aʻa o ka bile, nā paipu e lawe i ka bile mai ke ake a i ka gallbladder a me nā ʻōpū. ʻO ka bile kahi wai i hana ʻia e ke akepaʻa e kōkua ai i ka ʻai ʻana i ka meaʻai.

Hoʻokumu pinepine ʻia ʻo Cholangitis e nā bacteria. Hiki ke hana i kēia ke ālai ʻia ke duct e kekahi mea, e like me ka pōhaku a i ʻole ke tumo. Hoʻolahalaha pū ka maʻi i kēia ʻano i ke ake.

ʻO nā kumu pilikia e pili ana i ka mōʻaukala mua o ka gallstones, sclerosing cholangitis, HIV, ka hoʻopili ʻana o ke kahena o ka bile maʻamau, a kākaʻikahi wale nō, e huakaʻi i nā ʻāina kahi e hopu ai ʻoe i kahi ʻenuhe a maʻi maʻi paha.

Hiki ke kau ʻia nā hōʻailona aʻe:

• ʻEha ma ka ʻaoʻao ʻākau ma luna a i ʻole ma luna o ka ʻōpū. ʻIke ʻia paha i ka hope a i ʻole ma lalo o ka pahi poʻohiwi ʻākau. Hele mai paha ka ʻeha a hele a hahaʻi i ka ʻoi, e like me ka cramp, a i ʻole ʻūlū.
• Fiva a me nā anuanu.
• Mīkini pouli a me nā noho pā kalai.
• ʻO Nusea a me ka luaʻi.
• Yellowing o ka ʻili (jaundice), ka mea e hele mai a hele paha.

Loaʻa iā ʻoe i nā hoʻokolohua aʻe e ʻimi ai i nā wahi paʻa.

• ʻO ke ultrasound ʻōpū
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Mākēneki resonance cholangiopancreatography (MRCP)
• ʻO cholangiogram transhepatic transutanputan (PTCA)

Loaʻa iā ʻoe i nā hoʻokolohua koko aʻe:

• Pae Bilirubin
• Nā pae enzyme ate
• Nā hoʻāʻo hana ate
• Helu keokeo keʻokeʻo (WBC)

He mea nui ka ʻike wikiwiki a me ka mālama ʻana.

ʻO nā lāʻau Antibiotics e hoʻōla i ka maʻi ka lapaʻau mua i hana ʻia ma ka hapanui o nā hihia. Hana ʻia ʻo ERCP a i ʻole ke kaʻina hana ʻē aʻe ke kūpaʻa ke kanaka.

ʻO ka poʻe maʻi nui a ke hele nei i ka ʻino koke e pono ke ʻoki koke.

ʻO ka hopena pinepine maikaʻi loa me ka mālama ʻana, akā ʻilihune me ka ʻole o ia.

Komo pū nā pilikia:

• Sepsis

Kāhea i kāu mea mālama ola inā loaʻa nā ʻōuli o cholangitis.

Hiki i ka mālama ʻana i nā gallstones, nā tumors, a me nā infestations o nā parasites ke hoʻēmi i ka makaʻu no kekahi poʻe. ʻO kahi metala a palakiko paʻa paha i kau ʻia i ka ʻōnaehana bile e pono ai e pale aku i ka hoʻi ʻana o ka maʻi.

• ʻŌnaehana Digestive
• Ala hele bile

ʻO Fogel EL, Sherman S. Nā maʻi o ka gallbladder a me nā dile bile. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 146.

Sifri CD, Madoff LC. Nā maʻi o ke ake a me ka ʻōnaehana biliary (abscess o ke ake, cholangitis, cholecystitis). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 75.