Cholangitis

Cholangitis ke tšoaetso ea methapo ea bile, methapo e tsamaisang bile ho tloha sebeteng ho ea ho gallbladder le mala. Bile ke mokelikeli o entsoeng ke sebete o thusang ho sila lijo.

Cholangitis hangata e bakoa ke baktheria. Sena se ka etsahala ha pente e koetsoe ke ho hong, joalo ka gallstone kapa hlahala. Tšoaetso e bakang boemo bona e ka fetela le sebeteng.

Lisosa tsa kotsi li kenyelletsa nalane e fetileng ea li-gallstones, sclerosing cholangitis, HIV, ho fokotseha ha mokoti o tloaelehileng oa bile, mme ka seoelo, ho etela linaheng moo o ka ts'oaroang ke tšoaetso ea seboko kapa likokoana-hloko.

Matšoao a latelang a ka hlaha:

• Bohloko bo ka lehlakoreng le kaholimo ho le letona kapa karolo e kaholimo ea mpa. E kanna ea utluoa ka morao kapa ka tlasa lehare le letona la lehetla. Bohloko bo ka 'na ba tla' me ba ikutloa bo le bohale, bo tšoana le mokokotlo kapa bo le lerootho.
• Feberu le ho bata.
• Moroto o lefifi le litulo tse 'mala oa letsopa.
• Ho nyekeloa le ho hlatsa.
• Letlalo le mosehla (jaundice), le ka tlohang le be le fete.

U kanna oa ba le liteko tse latelang ho sheba lithibelo:

• Mpa ea ka mpeng
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Percutaneous transhepatic cholangiogram (PTCA)

U kanna oa ba le liteko tse latelang tsa mali:

• Boemo ba Bilirubin
• Maemo a enzyme ea sebete
• Liteko tsa ts'ebetso ea sebete
• Palo ea mali a masoeu (WBC)

Ho hlahlojoa kapele le kalafo ho bohlokoa haholo.

Lithibela-mafu ho phekola tšoaetso ke kalafo ea pele e etsoang maemong a mangata. ERCP kapa ts'ebetso e 'ngoe ea ho buoa e etsoa ha motho a tsitsitse.

Batho ba kulang haholo kapa ba ntseng ba mpefala kapele ba ka hloka ho buuoa hang-hang.

Phello hangata e ntle ka kalafo, empa e futsanehile ntle le eona.

Mathata a ka kenyelletsa:

• Sepsis

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba u e-na le matšoao a cholangitis.

Kalafo ea li-gallstones, lihlahala le tšoaetso ea likokoana-hloko e ka fokotsa kotsi ho batho ba bang. Ho ka hlokahala tšepe ea tšepe kapa polasetiki e behiloeng ka har'a sistimi ea bile ho thibela tšoaetso ho khutla.

• Tsamaiso ea ho sila lijo
• Tsela ea Bile

Fogel EL, Sherman S. Maloetse a gallbladder le bile ducts. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 146.

CD ea Sifri, Madoff LC. Ts'oaetso ea sebete le tsamaiso ea biliary (abscess ea sebete, cholangitis, cholecystitis). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 75.