Cholangitis ndiko kuputika kweB bile duct inokonzerwa nehutachiona hwavo. Chirwere chacho chinokura, kazhinji zvichibva kune ingress yebhakitiriya kana zvipembenene mukati meB bile ducts kuburikidza nechiedza che duodenum, lymph kana ropa. Kazhinji, cholangitis, zviratidzo zvayo zvakafanana nedzimwe zvirwere zvechiropa, zvinosangana nekuumbwa kwekriss, kenza yemukonde kana choledocholithiasis (mabwe muhara yakawanda).
Zvinokonzera uye marudzi echolangitis
Chirwere chacho chinowanzotarisana nechekudzika kwehupenyu, izvo zvinowanzoitirwa cholecystitis uye cholelithiasis, ascariasis uye matumire muropa. Mikana yehutachiona hweB bile inodarika mukati mehutachi hwemimba inowedzera munyaya iyi.
Maererano nehupenyu hwezvino, vanachiremba vanosiyanisa:
- acute cholangitis;
- chronic cholangitis.
Uyewo, chimiro chakaoma chinosarudzwa kuva:
- catarrhal;
- necrotic;
- diphtheria;
- purulent cholangitis.
Izvo zvakafanana mafomu anogona kuratidzirwa:
- latent;
- abscessing;
- kazhinji;
- kwenguva yakareba-yakasangana septic;
- primary sclerosing cholangitis.
Zviratidzo zve cholangitis
Nzira yakaoma yehutachiona inoita inofanirwa nekurwadziwa kwekunorwa, unhu hunofanana nehepatic colic. Chiratidzo chinotevera che cholangitis ndiyo inonzi "mechanical jaundice", umo ganda, shrera, uye mucous dzinogadzirwa. Murwere anokonzera kutonhora, ganda rinotanga kuvhara, rurimi rwakaiswa.
Paanonoka chiremba anoratidza kuti chiropa chinokurudzirwa muhukuru, uye chidimbu chacho chakakomberedza.
Kuongorora kunoratidza:
- leukocytosis nechisara chekuchinja;
- kuwedzera zvakananga bilirubin;
- kuwedzera mu-alkaline phosphatase.
Zvinyorwa zveAlt uye ACT (enzyme yehepatic) inowedzera zvishoma.
Kuti uone kuti acute cholangitis inobvumira ultrasound yechiropa nematavi.
Kana chirwere chacho chisina kutanga panguva, kutukurwa kunogona kukanganisa mishonga inopoteredza, iyo inopisa ne sepsis, peritonitis (kuuraya kunonyanya kukwirira), uyewo nekugadzirwa kwevhavha uye kuchinja kwechiropa muropa.
Zviratidzo zvekusingaperi cholangitis
Izvo zvisingaperi zvinogona kukura zvayo pachazvo, asi kazhinji ichi chiyeuchidzo chekare chakashandurwa kuputika kwakanyanya kwe bile bile ducts. Iyo isingagumi cholecystitis inotaurwa pamusoro apa, cholelithiasis uye zvimwe zvirwere zvinokonzerwa nekubatana kwe bile zvinokuvadza chronic cholangitis.
Varwere vanonyunyutira kurwadziwa kunorwadza muropa (right hypochondrium), kuneta kukuru. Ganda rinocheka, pane zvishoma icterus uye zvinyorwa (kutengesa 37 - 37.5 ° C kwevhiki dzinoverengeka).
Vamwe varwere vari kurwisa kurwadziwa kwakanyanya mu hypopondrium yakarurama uye epigastrium, iyo inopa pasi pechipapula, shure kwe sternum uye mwoyo.
Chiratidzo chinonzi jaundice chinowanikwa kare pane zvikamu zvekare. Zvinetso zvechirwere ndezvekuti chirwere chekloriogenic hepatitis nechinotevera chichikurudzira chiropa chinonzi cirrhosis, pancreatitis.
Primary sclerosing cholangitis
Chimwe chimiro chechirwere cholangitis chinonyanya kuongorora sclerosing, zviratidzo zvayo zvinowanzofanana neavo vanotsanangurwa pamusoro apa. Izvi zvinopesana nekuumbwa kwezvitsva mumutsara webhaariary. Vanachiremba vasati vasimbisa zvakarurama
Kufambira mberi kwekodhiyiti yakadai kunonoka, uye zviratidzo zvayo zvinobva zvaonekwa, zvino zvinopera. Murwere anoramba achinyunyutira kurwadziwa kwepamuviri uye kuneta kukuru. Sora uye ganda zvinoshanduka zhizha, pane chidimbu uye fivhiri. Kazhinji, primary sclerosing cholangitis inowanikwa kune vanhu vane zvirwere zvisingaperi zvezvirwere zvechirwere - chiratidzo chikuru cheizvi kuwedzera kwealkaline phosphatase katatu chiyero chemazuva ose, musipo kweimwe zviratidzo.