ʻO Cholangitis ka mimino o ke kēpau bile i loaʻa i ko lākou maʻi. Ke ulu nei ka maʻi, ma muli o ke kumu o ka maʻi bacteria a me nā parasites i loko o nā alalele ma o lumen o ke duodenum, lymph a iʻole ke koko. ʻO ka manawa pinepine,ʻo Cholangitis, nā hōʻailona likeʻole me nā maʻi o nā maʻi, me ke kāpena o nā cysts, ka maʻi kanalula a choledocholithiasis (pōhaku ma ka papa hana maʻamau).
Nā kumu a me nāʻano cholangitis
ʻO ka maʻi i nā manawa a pau e ulu ana i ke kumu o ka poni o ka bile, he mea maʻamau no ka cholecystitis a me nā cholelithiasis, ascariasis a me nā pūpū i loko o ke ake. ʻO ka likelika o ka maʻile bile i loko o ka'āpana o nā meaʻoi aku ka mea e piʻi ai i kēia hihia.
E like me keʻano o kēia manawa,ʻike nā kauka:
- ka cholangitis acute;
- ka cholangitis chronic.
A laila, ua hoʻonohonohoʻia kaʻano kikowaena i:
- catarrhal;
- necrotic;
- nā kāpena;
- purulent cholangitis.
Hiki ke ho'ākākaʻia keʻano hana likeʻole:
- hoʻomau;
- pakele;
- hoihoi hou;
- septic; lōʻihi;
- ka cholestitis primle sclerosing.
Nā hōʻailona o cholangitis
ʻO keʻano oʻoleʻa o ka maʻi ke hoʻonāʻiaʻo ia e kahi hōʻeha o ka maʻi, aʻo konaʻano e like me ka hepatic colic. ʻO ka hōʻailona hou aʻe o cholangitis,ʻo ia ka mea i kapaʻia he kani mechanical, kahi iʻulaʻula ai kaʻili, sclera, a me ka mucous. Hoʻokiʻekiʻe ka mea hoʻomana i ka mahana, hoʻomaka kaʻili i ka'āpana, ua kau ke alelo.
Ma ka palpation ua hōʻike ke kauka i ka nui o ka hānai i ka nui, a ua puni kona maka.
Hōʻike i nā hōʻike:
- leukocytosis me ka hoʻokuʻu hema;
- ua hoʻonuiʻia bilirubin;
- piʻi i ka phosphatase alkaline.
Loaʻa ka haʻawina o ka ALT a me ACT (hezyic enzymes).
No kaʻikeʻana i ka cholangitis nui e hiki ai i ke kaniʻana o ke ake a me nā lewa.
Ināʻaʻole i hoʻomakaʻia ka hōʻailona i ka manawa, hiki ke hoʻoneʻe i kaʻiʻo o nā mea a puni, e weliweli ana i nā maʻi liʻiliʻi, peritonitis (he loli ka nui loa), e like me ka hoʻouluʻana o nā abscesses a me ka paleʻana i nā loli o ke ake.
Nā hōʻailona o ka cholangitis chronic
Hiki ke hoʻomohala i keʻano hana maʻamau i kona iho pono'ī, akā i ka manawa pinepine he mea hoʻomanaʻo ia no ka hoʻolālāʻana o ka pele bile. ʻO ka cholecystitis mau lōʻihi i'ōleloʻia ma luna, nā cholelithiasis a me nā maʻi'ē aʻe e pili ana i ka'ākau o ka bile e hoʻonāukiuki i ka cholangitis lōʻihi.
ʻO nā mea maʻi e hoʻopiʻi i ka huhūʻeha o ke akepaʻa ('ākau pololei hypochondrium), nāwaliwali nui. ʻO kaʻili o kaʻili, aia kahi kiʻi iki a me ke kūmole (i ka mahana 37 - 37.5 ° C no nā mau hebedoma).
ʻO kekahi mau maʻi e loaʻa i nāʻeha nui ma ka pono hypochondrium a me ka epigastrium, ka mea hāʻawi ma lalo o ka scapula, ma hope o ka sternum a me ka puʻuwai.
Uaʻikeʻia ka lālaniʻikea i nā lā ma hope. ʻO ka hōʻailona o ka maʻi, he cholangiogenic hepatitis me ka hoʻoikaikaʻana o ka hanu o ka ate, pancreatitis.
ʻO ka cholangitis sclerosing kumu mua
Hoʻokahiʻano o ka cholangitis chronic i mua i ka heluʻana,ʻo keʻano o kēlā me kēiaʻano e like me ka mea i ho'ākākaʻia ma luna nei. ʻO kēia hoʻolālā ke hele pūʻia me ka hanaʻia o nā'ōpala ma kaʻaoʻao biliary. ʻAʻole i hoʻokumu pono nā kauka
Piʻi ka piʻiʻana o kēia cholangitis, a laila uaʻikeʻia nā'ōuli, a laila nalowale. ʻO ka mea hoʻomanawanui e hoʻopiʻi i kaʻeha kaumaha a me ka luhi nui. ʻO ka Sclera a me kaʻili melemele, he maʻi kahi a me kahi kuni. I ka manawa pinepine, ulu ka cholangitis sclerosing primers i nā poʻe me nā maʻi āpau e pili ana i ka maʻi inflammatory -ʻo ke kumu nui o kēia me ka piʻiʻana o ka phosphataseʻekolu i ka pae maʻamau, i ka neleʻana o kekahi mau hōʻailona'ē aʻe.