He aha ka Cholangitis a pehea e mālama ʻia ai?

Anter

• Hōʻike Overview
• Nā ʻōuli o cholangitis
• Ka mālama ʻana i ka cholangitis
• Nā kumu o cholangitis
• ʻIke i ka cholangitis
• Nā pilikia o cholangitis
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO Cholangitis ka mumū (ka pehu a me ka ʻulaʻula) i ke kahena o ka bile. Kuhi ka American Liver Foundation ʻo cholangitis kahi ʻano o ka maʻi ate. Hiki iā ia ke haki hou ʻia a ʻike ʻia e like me kēia:

• cholangitis biliary mua (PBC)
• cholangitis sclerosing mua (PSC)
• cholangitis lua
• immune cholangitis

Hāpai nā kaila o ka bile i ka bile mai ke ake a me ka gallbladder i ka ʻōpū liʻiliʻi. He ʻōmaʻomaʻo ʻo Bile i ka wai melemele-ʻeleʻele e kōkua i kou kino e ʻeli a omo i nā momona. Kōkua pū ia ia e hoʻomaʻemaʻe i nā ʻōpala mai ke ake.

Ke hoʻā ʻia a ālai ʻia paha nā aʻa o ka bile, hiki i ka bile ke hoʻi i loko o ke ake. Hiki i kēia ke alakaʻi i ka hōʻino o ke ake a me nā pilikia ʻē aʻe. Akahai kekahi ʻano cholangitis. Hiki i nā ʻano ʻē aʻe ke koʻikoʻi a hoʻoweliweli i ke ola.

ʻElua ʻano nui o cholangitis:

• Hana mālie ʻo cholangitis i ka manawa. Hiki iā ia ke kumu i nā hōʻailona ma mua o 5 a 20 mau makahiki.
• Kū koke ka cholangitis huehue. Hiki iā ia ke kumu i nā hōʻailona ma kahi o kahi manawa pōkole.

Nā ʻōuli o cholangitis

Pili nā ʻōuli i ke ʻano o ka cholangitis i loaʻa iā ʻoe a no ka lōʻihi. Loaʻa i kēlā me kēia kanaka me cholangitis nā ʻōuli a me nā ʻōuli ʻokoʻa. Ma mua o 50 pākēneka o ka poʻe i ʻike ʻia me ka cholangitis mau, ʻaʻohe o lākou mau hōʻailona.

ʻO kekahi mau ʻōuli mua o ka cholangitis mau e komo pū paha:

• luhi a luhi hoʻi
• ʻili ʻili
• maka maloʻo
• waha maloo

Inā loaʻa ʻoe i ka cholangitis mau no ka manawa lōʻihi, loaʻa paha iā ʻoe:

• ʻeha ma ka ʻaoʻao ʻākau luna
• puhū pō
• nā wāwae pehu a me nā kuʻekuʻe wāwae
• ʻeleʻele o ka ʻili (hyperpigmentation)
• ʻeha ʻeha
• ʻeha a ʻeha pū paha
• bloating (loli i loko o ka ʻōpū wahi)
• nā waihona momona (xanthomas) i ka ʻili a puni nā maka a me nā lihilihi
• nā waihona momona i nā kuʻekuʻe, nā kuli, nā poho lima, a me nā kapuwaʻi o nā wāwae
• diarrhea a i ʻole ka neʻe ʻana o ka ʻōpū o ka ʻōpū
• neʻe ʻana o ka ʻōpū o ka ʻōpala
• Kaumaha emi
• hoʻololi i ke ʻano a me nā pilikia hoʻomanaʻo

Inā loaʻa ʻoe i ka cholangitis huehue, loaʻa paha iā ʻoe nā ʻōuli ʻē aʻe. Hoʻopili kēia i nā hōʻailona hōʻeha e like me:

• wela wela no ka mea ma mua o
• haʻalulu
• nausea
• ka luaʻi
• ʻeha kua
• ʻeha ma lalo o nā poʻohiwi
• ʻehaʻeha a palapū paha i ka ʻaoʻao ʻākau luna
• ʻeha a ʻehaʻeha paha ka ʻeha ma ka waena o ka ʻōpū
• haʻahaʻa haʻahaʻa haʻahaʻa
• huikau
• melemele o ka theskin a me nā maka (jaundice)

ʻIke paha kāu kauka i nā hōʻailona o cholangitis ma nā wahi ʻē aʻe o ke kino. Pākuʻi ʻia kēia mau mea:

• pehu a hoʻonui paha i ke ake
• pehu a hoʻonui paha
• kolesterol kiʻekiʻe
• underland thyroid gland (hypothyroidism)
• nā iwi palupalu a palupalu (osteoporosis)

Ka mālama ʻana i ka cholangitis

ʻOkoʻa ka mālama ʻana no ka cholangitis mau a me ka huʻi. ʻO kēia no ka mea ʻokoʻa nā kumu o cholangitis. Pili pū ka mālama ʻana i ka wanaʻao e ʻike ʻia me ka cholangitis. Hiki i nā ʻano ʻelua ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole mālama ʻia lākou.

He mea nui ka mālama mua ʻana no ka cholangitis nui. Hiki i kāu kauka ke koi aku i nā lāʻau ʻalopika a i (e like me ka penicillin, ceftriaxone, metronidazole, a me ciprofloxacin).

Paipai paha lākou i nā kaʻina hana i ka haukapila, e like me:

• nā wai komo i loko o ke kino
• hoʻowahā ʻia ke kaha bile

ʻAʻole like me cholangitis huehue, ʻaʻohe lāʻau i loaʻa e mālama ai i ka cholangitis mau. ʻO kahi lāʻau i kapa ʻia ʻo ursodeoxycholic acid e kōkua i ka pale ʻana i ke ake. Hana ia e hoʻomaikaʻi i ke kahe o ka bile. ʻAʻole ia e mālama iā cholangitis iā ia iho.

ʻO ka mālama ʻana a me ka mālama ʻana i nā cholangitis maʻi mau:

• mālama i nā ʻōuli
• ka mālama ʻana i ka hana ate
• nā kaʻina hana e wehe i nā kī ʻohe i ālai ʻia

ʻO nā kaʻina hana no nā cholangitis mau a me ka huʻihuʻi:

• Laulima endoscopic. Hiki ke hoʻohana ʻia ka dilation balloon e wehe i nā aʻa a hoʻonui i ke kahe o ka bile. Kōkua kēia i ka hoʻomaikaʻi a pale i nā ʻōuli. Pono ʻoe i endoscopic therapy i mau manawa e mālama i ka cholangitis. Loaʻa paha iā ʻoe kahi anesthesia piha a kūloko paha (numbing) ma mua o ke kaʻina hana.
• ʻO ka hoʻomaʻamaʻa kino. He like kēia me ka endoscopic therapy, akā ma o ka ʻili. E palu kāu kauka i ka wahi a e hiamoe ʻoe ma mua o ke kaʻina hana.
• ʻOki kino. Hiki i kāu kauka ke hemo i ka ʻāpana i hoʻopaʻa ʻia o ke kahena o ka bile. A i ʻole, kau ʻia nā stent i loko e wehe a hoʻoheheʻe i nā aʻa aʻa. Aia ʻoe ma lalo o ka anesthesia piha (hiamoe) no ke ʻoki kino.

• Nā kumu o cholangitis

  Aia kekahi mau kumu no ka cholangitis. I kekahi manawa ʻaʻole maopopo ke kumu.

  ʻO ka cholangitis maʻi paha he maʻi autoimmune. Kuhi kēia i ka pale ʻana o kou ʻōnaehana ponoʻī i ke kuhi hewa i nā aʻa o ka bile. ʻO kēia ke kumu o ka pehu.

  I ka hala ʻana o ka manawa, hiki i ka līlū ke hoʻoulu i nā scars a i ʻole ka ulu ʻana o nā ʻaʻa paʻakikī i loko o nā aʻa o ka bile. ʻO ka scarring e paʻakikī a hāiki hoʻi nā kaula. Hiki iā lākou ke pale i nā kaula liʻiliʻi.

  ʻO nā kumu o ka cholangitis koʻikoʻi:

  • maʻi kīnā
  • pōhaku ʻalā
  • poloka
  • ʻōiwi

  ʻO nā kumu kaiapuni o nā ʻano like ʻole o cholangitis:

  • nā maʻi (bacteria, virus, fungi, a i ʻole nā ​​parasites)
  • puhipaka
  • kemika

  Nā kumu pilikia e hoʻonui ai i kou manawa o ka loaʻa ʻana o cholangitis:

  • ʻO ka wahine. ʻOi aku ka maʻamau o ka cholangitis maʻi i nā wahine.
  • Makahiki. Hana ʻia ia i nā mākua ma waena o nā makahiki 30 a 60.
  • Nā Genetics. E holo paha ʻo Cholangitis i kou ʻohana.
  • Kahi. ʻOi aku ka maʻi ma ʻAmelike ʻĀkau a me ʻEulopa ʻākau.

  ʻIke i ka cholangitis

  Hiki i kāu kauka ke hōʻoia i ka cholangitis me nā hōʻoia a me nā scans. Hōʻike ʻia kekahi mau hōʻailona i nā hōʻike koko aʻe:

  • helu piha koko (CBC)
  • nā hoʻāʻo hana ate
  • nā hoʻāʻo ʻana o ka hakuʻala
  • moʻomeheu koko

  Kōkua nā scans e hōʻike i ke kahe o ke koko i ke ake a me nā ʻāpana ʻē aʻe o ka ʻōpū.

  • X-ray (kahi cholangiogram e hoʻohana i ka kala e nānā i nā dule bile)
  • MRI hoʻoili
  • CT scan
  • ultrasound

  Pono ʻoe i nā hoʻokolohua ʻē aʻe e like me ka mimi, bile, a i ʻole nā ​​laʻana o ka noho.

  Nā pilikia o cholangitis

  Hiki i ka Cholangitis ke alakaʻi i nā pilikia olakino koʻikoʻi inā ʻaʻole mālama ʻia. Komo pū nā pilikia:

  • Nā pilikia ate. Hiki i ka Cholangitis ke hana i ka scarring ate (cirrhosis). Hiki i kēia ke hoʻolohi i ka hana ate a i ʻole ke alakaʻi i ka ʻole o ke ake. Hoʻonui ia i ka makaʻu o ka maʻi ʻaʻai ate. Hiki iā ia ke hoʻonā i ke ake o ke ake a me ke kiʻekiʻe o ke koko.

  • He aha ke kuanaʻike?

    E loli kāu mau hōʻailona a me nā hōʻailona mai nā poʻe ʻē aʻe me cholangitis. I kekahi mau hihia, ʻike ʻole ʻia ke kumu. ʻAʻole hiki iā ʻoe ke pale mau i ka loaʻa ʻana o cholangitis.

    Hiki i ke kōkua mua ke kōkua iā ʻoe i kahi hopena maikaʻi aʻe. Mālama pū kekahi ia i ka pale ʻana i nā ʻōuli a me nā pilikia. E hele wikiwiki i kāu kauka inā loaʻa iā ʻoe kekahi mau ʻōuli, e like me:

    • fiva
    • abdominal eha
    • melemele o nā maka a me ka ʻili
    • nā hoʻololi i ka digestion a me ka ʻōpū

    ʻAʻohe paha ou ʻōuli. Hiki i nā loiloi maʻamau ke kōkua iā ʻoe e aʻo e pili ana i kou olakino ate me kahi hōʻike koko maʻalahi.

    ʻOi aku ka maʻalahi o kekahi mau ʻano cholangitis e hoʻomaʻemaʻe me ka lāʻau. E lawe i nā lāʻau āpau e like me ka mea i kauoha ʻia a ʻike i kāu kauka no nā koho hope loa.

    Hiki iā ʻoe ke pale i nā pilikia me nā loli nohona o kēlā me kēia lā e like me ka haʻalele ʻana i ka puhipaka. ʻO kahi papaʻai olakino, kaulike me nā fiber he nui e hōʻoluʻolu i nā hōʻailona cholangitis a pale i nā pilikia. E kamaʻilio i kāu kauka a i ʻole meaʻai meaʻai e pili ana i ka hoʻolālā papaʻai maikaʻi loa nāu.