Cholangitis - zizindikiro ndi mankhwala

Cholangitis - matenda omwe amadziwika ndi kutupa ndi kuphwanya kwachizolowezi ntchito ya ducts. Matendawa amatha kukhudza mazira a intra ndi a extrahepatic bile. Cholangitis amatha kukhala oimira zachiwerewere ali ndi zaka 50 mpaka 60, ngakhale kuti matendawa amapezeka mwa achinyamata (kuphatikizapo amuna).

Zizindikiro za cholangitis

Kudziwa zizindikiro ndi kuchiritsidwa kwa kanthawi kotchedwa cholangitis - zinthu zogwirizana. Chowonadi ndi chakuti zizindikiro za matenda zimasokonezeka mosavuta ndi mawonetseredwe a matenda ena ambiri. Chifukwa chaichi, chithandizo cholondola chikhoza kukhazikitsidwa mochedwa, ndipo motero, chithandizo chidzakhala champhamvu komanso chokhalitsa.

Cholangitis ingayambidwe ndi mabakiteriya ndi tizilombo toyambitsa matenda omwe amalowa mkati mwa ntchentche. Kawirikawiri, E. coli amakhala wothandizira matendawa, enterococci, lamblia, Klebsiella ndi tizilombo tina taonongeka amaonanso kuti ndi owopsa. Tiyenera kukumbukira kuti cholangitis nthawi zambiri imakhala pakati pa mavuto ndi kunja kwa bile.

Kuchiza kwa cholangitis kumafunika pamaso pa zizindikiro zotere:

• Kuwonjezeka kwakukulu kwa kutentha kwa madigiri 38-40 (zofanana ndi zovuta za cholangitis);
• mliri;
• magazi;
• zowawa mu hypochondrium yolondola;
• kuwonongeka kwa chilakolako;
• kumutu kwa mutu;
• kukhumudwa m'mimba, kutsekula m'mimba;
• kuwomba kwakukulu;
• Kufiira kwa palmu ndi kuwonjezeka kwa phalanges zala zala.

Kwa odwala a mitundu yosiyanasiyana, zizindikiro zimasiyana. Mwachitsanzo, nthawi zina odwala okalamba samamva ululu konse. Ndipo odwala ang'onoang'ono chifukwa cha matenda nthawi zina amatha kuseri.

Pakapita nthawi kuyamba mankhwala a cholangitis ndikofunikira, chifukwa matendawa akhoza kukhala ndi zotsatira zoopsa. Mavuto a cholangitis angakhale chiwindi cha chiwindi, sepsis, peritonitis komanso chiwindi cha chiwindi.

Kuchiza kwa cholangitis ndi mankhwala

Chithandizo cha cholangitis pa malo oyamba chiyenera kukhazikitsidwa polimbana ndi matenda. Tsoka ilo, popanda kugwiritsa ntchito mankhwala opha tizilombo, ndizosatheka kuthetsa. Chithandizo chovuta chingaphatikizepo mankhwala osokoneza bongo, komanso a hepatoprotectors, ma immunomodulators, mavitamini. Odwala ayenera kusunga microflora, kutenga mankhwala apadera. Nthawi zina, opaleshoni angafunike.

Matenda omaliza a cholangitis ndi mankhwala ochiritsira saloledwa, koma monga mankhwala ena omwe angagwiritsidwe ntchito. Mwachitsanzo, mukhoza kukonzekera chisakanizo cha uchi, maolivi ndi mandimu:

1. 500 g uchi wosakaniza ndi 500 ml ya batala ndi madzi a mandimu awiri.
2. Mankhwalawa amasungidwa m'firiji ndipo amatengedwa katatu patsiku pa supuni asanadye.

Kaŵirikaŵiri kuti athandizire thupi pambuyo pa mankhwala (onsewa mankhwala ndi opaleshoni) ndondomeko ya physiotherapeutic ndondomeko imaperekedwa:

• UHF ;
• electrophoresis;
• osambira matope;
• paraffinotherapy ndi ena.

Zizindikiro ndi mankhwala a primary sclerosing cholangitis

Imodzi mwa mitundu ya cholangitis ndizoyimira zofunikira. Chiyambi cha matendawa sichikudziwika. Mosiyana ndi cholangitis yosatha kapena yovuta, mtundu wa matendawa umakhudza amuna nthawi zambiri. Matendawa amayamba kuchepa, nthawi zambiri Zizindikiro sizilipo.

Kuzindikira matendawa kungakhale pazifukwa izi:

• kupweteka kwakukulu;
• kufooka;
• Kuthamanga kwa ululu pamwamba pa mimba (yomwe imachitika nthawi zambiri);
• Kuchulukitsa chiwindi .

Chithandizo chokha cha matenda aakulu a sclerosing cholangitis sichipezeka. Khalani ndi thanzi labwinobwino lingakhale ndi chithandizo cha corticosteroids, vitamini complexes ndi mankhwala-isostatics. Kuvuta kwa chithandizochi kumadalira momwe matendawa adapezera nthawi yake.