Cholangitis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e kuhikuhi ai
• Pehea e hana ai i ka lāʻau

ʻO ka huaʻōlelo cholangitis e pili ana i ka ālai a me ka mumuna o nā aʻa aʻa, i hiki ke hana ʻia ma muli o ka autoimmune, nā loli a me nā hopena o nā gallstones a i ʻole pinepine, ka maʻi e ka parasite Nā lumbricoides ʻo Ascaris, o kahi laʻana. No laila, ma muli o ka mumū o nā aʻa aʻa, aia kahi hoʻololi i ke kaʻina o ka lawe ʻana i ka iwi i ka paepae a i ka ʻōpū, a laila hopena i ka hōʻiliʻili o kēia mea i ke akepaʻa a i hopena i ka hoʻemi ʻia o ka hana ate.

I ka wā mua, ʻaʻole alakaʻi ka cholangitis i ka hiʻona o nā ʻōuli, eia nō naʻe ke holo nei a komo ka ate, hiki ke ʻike ʻia i ka ʻili melemele hou a me nā maka, ka huehue a me ka luhi nui. He mea nui e nīnau ʻia ka loio maʻamau a i ʻole hepatologist ke kū koke nā ʻōuli mua, no ka mea hiki ke hoʻolohi i ka ulu ʻana o ka maʻi, pale i ka luku ʻia ʻana o nā aʻa a me ka ulu ʻana o nā pilikia ʻē aʻe.

Nā hōʻailona nui

I ka hapanui o nā hihia, ʻaʻole kumu ʻo cholangitis i kekahi ʻōuli a, no laila, i nā manawa he nui, hoʻomau ka hoʻomohala ʻana o ka maʻi a hiki i ka wā e ʻike ʻia ai i nā hoʻokolohua maʻamau a i ʻole hiki ke hoʻololi pono i ke ake. I kēia pae, hiki ke kumu i nā hōʻailona e like me:

• Luhi nui loa;
• ʻIli ʻili;
• Maloʻo i nā maka a me ka waha;
• ʻEha puʻupuʻu a me ka ami pū.
• ʻO ka pehu ʻana o nā wāwae a me nā kuʻekuʻe wāwae;
• ʻIli melemele a me nā maka;
• ʻO ka diarrhea me ka momona momona.

He mea maʻamau no ka cholangitis e kū pū me nā maʻi autoimmune ʻē aʻe, e like me keratoconjunctivitis maloʻo, Sjogren's syndrome, rheumatoid arthritis, scleroderma a i ʻole Hashimoto's thyroiditis, no ka laʻana. Hoʻohui ʻia, pili paha ka cholangitis i ke kū ʻana o nā gallstones a i ʻole ma muli o ke kū ʻana o nā nui o nā ilo i loko o nā aʻa oʻa.

E pili ana ka maʻi i nā genetics, hiki i nā poʻe i loaʻa nā maʻi o kēia maʻi i ka ʻohana ke loaʻa nā hoʻokolohua e ʻike ai inā he maʻi cholaryitis biliary lākou, no ka mea, ʻoiai ʻaʻole ia he maʻi hoʻoilina, nui aʻe nā manawa i loaʻa i kekahi mau hihia i loko o ka ʻohana hoʻokahi.

Pehea e kuhikuhi ai

ʻO ka mea maʻamau, manaʻo ʻia ʻo cholangitis ke ʻike ʻia nā loli i kahi hoʻokolohua koko maʻamau i hana ʻia e loiloi i ka hana o ke ake, e like me ka hoʻonui ʻana i nā enzyme ate a bilirubin paha. I kēia mau hihia, e ʻike ai i ka maʻi, hiki i ke kauka ke kauoha i nā hoʻokolohua kikoʻī ʻē aʻe, e like me ke ana ʻana i nā anti-mitochondrial antibodies, anti-nuklei a me nā māka o nā liona bile e like me ka alkaline phosphatase a i ʻole GGT.

Hōʻike ʻia nā hoʻokolohua kiʻi, e like me ultrasound a cholangiography paha, e nānā i nā hanana o ke ake. Hoʻohui, pono paha kahi biopsy ate inā he kānalua e pili ana i ka hōʻailona a i ʻole e loiloi i ka ulu ʻana o ka maʻi. E aʻo hou e pili ana i nā hoʻokolohua e loiloi i ke ake.

Pehea e hana ai i ka lāʻau

He mea nui e mālama ʻia ka biliary cholangitis e like me ke alakaʻi ʻana a ka loio maʻamau a i ʻole he hepatologist, ʻoiai ke ala e hiki ai ke pale aku i ka luku ʻia ʻana o nā aʻa o ka bile, ke kūkulu ʻana i kahi ʻili maka me ka ʻole o ka hana a me ka ulu ʻana o ka cirrhosis o ke akepaʻa. No laila, mālama ka mālama ʻana i cholangitis e kaohi i nā ʻōuli a pale i ka holomua o ka maʻi, a e ʻōlelo ʻia paha e ke kauka.

• ʻO Ursodeoxycholic acid: ʻo ia ka lāʻau nui i hoʻohana ʻia i ka lāʻau lapaʻau a kōkua i ka bile e haʻalele i ke ake, e pale ana i ka hōʻiliʻili o nā toxins i ke akepaʻa;
• ʻO Cholestyramine: he pauka ia e pono ke huikau ʻia i ka meaʻai a mea inu paha a he mea kōkua ia e hōʻoluʻolu i ka makaʻu o ka maʻi.
• Kulu ka Pilocarpine a me ka maka momona. kōkua i ka hydrate i nā membrane mucous o nā maka a me ka waha, pale i ka maloʻo.

Ma waho aʻe o kēia, hiki i ke kauka ke koi aku i nā lāʻau ʻē aʻe, e like me nā ʻōuli o kēlā me kēia mea maʻi. Eia hou, i nā hihia ʻoi loa, pono paha e lawe i kahi neʻe o ke ake, keu hoʻi ke holomua loa ka ʻino. E ʻike pehea e hana ai i ka hoʻoliʻiliʻi ate.