Cholangitis - chirwere chinoratidzwa nekuputika nekuputsa kwemaitiro ezvakagadzirwa zve-bile ducts. Chirwere ichi chinogona kukanganisa zvose zviri mukati uye-extrahepatic bile ducts. Cholangitis inokonzerwa nevamiririri vehutano hwakanaka pazera remakore makumi mashanu nemakumi matanhatu, kunyange zvazvo kune zviitiko apo chirwere chinowanikwa muvechidiki (kusanganisira varume).
Zviratidzo zve cholangitis
Zivo yezviratidzo uye kurapwa kwakakodzera kwechilangitis - zvinhu zvakabatana. Ichokwadi ndechokuti zviratidzo zvechirwere zviri nyore nyore kuvhiringidzwa nekuratidzwa kwezvirwere zvakawanda. Nokuda kweizvi, chirwere chakarurama chinogona kuve chakanyatsogadzirwa, uye zvakakodzera, kurapa kuchave kwakanyanya uye kwakanyanya.
Cholangitis inogona kukonzerwa nebhakitiriya uye zvipembenene zvakasiyana-siyana zvinopinda mukati meB bile ducts. Kazhinji kazhinji, E. coli anova chikonzero chinokonzera chirwere ichi, enterococci, lamblia, Klebsiella nemamwe mishonga inokuvadza inoonekwawo inokuvadza. Zvinofanira kuonekwa kuti cholangitis inowanzotanga pakati pematambudziko nekubuda kwebi.
Kurapa kwecholangitis kunodiwa pakuvapo kwezviratidzo zvakadaro:
- kuwedzera kwakanyanya kwekushisa kusvika kuma 38-40 degrees (inowanzoitwa acute cholangitis);
- jaundice;
- anemia;
- kunzwa kunorwadza mukanani hypochondrium;
- kuora kwekudya;
- kazhinji misoro;
- kugumburwa mudumbu, chirwere;
- kunhuwa kukuru;
- kubwinya kwemaswende uye kuwedzera kwephalanges yeminwe.
Kune varwere vemarudzi akasiyana-siyana, zviratidzo zvingasiyana. Somuenzaniso, vatano vakwegura dzimwe nguva havanzwi kurwadziwa zvachose. Uye vaduku vaduku nekuda kwehutano dzimwe nguva vanopera shure mukubudirira.
Penguva yekutanga kurapwa kwecholangitis kunokosha zvikuru, nokuti chirwere chinogona kuva nemigumisiro yakakomba. Matambudziko echolangitis anogona kunge ari hepatitis, sepsis, peritonitis uye kunyange cirrhosis yechiropa.
Kurapa kwecholangitis nemishonga inorwisa mabhakitiriya
Kurapa kwecholangitis panzvimbo yekutanga kunofanira kuitirwa kurwisa utachiona. Zvinosuruvarisa, pasina kushandiswa kwemishonga inorwisa mabhakitiriya, zvinenge zvisingaiti kutarisira. Kurapa kwakakomba kunogona kusanganisira kwete mishonga yakasimba chete, asiwo hepatoprotectors, immunomodulators, mavitamini. Varwere vanofanira kunyanya kuchengetedza microflora, vachitora maitiro anonzi probiotics. Mune zvimwe zviitiko, chirwere chinogona kudiwa.
Kunyatsogadziriswa kwecholangitis nemishonga yevanhu hakubvumirwi, asi sechirwere chekuwedzera chingashandiswa. Somuenzaniso, unogona kugadzira musanganiswa weuchi, maorivhi nemamoni:
- 500 g yeuchi yakasanganiswa nemamita mashanu emuti uye jisi yemamoni maviri.
- Mishonga inochengetwa mufiriji uye inotorwa katatu pazuva pazuva pepuniko usati wadya.
Kazhinji kacho kutsigira muviri mushure mekurapa (zvose zvinoshandiswa pakushandisa mishonga uye pakushandura) seti ye physiotherapeutic nzira inorayirwa:
- UHF ;
- electrophoresis;
- matangi emadhaka;
- paraffinotherapy nevamwe.
Zviratidzo uye kurapa kwepamusoro sclerosing cholangitis
Imwe yemhando dze cholangitis ndiyo inonyanya kuongorora. Mhedzisiro yechirwere hachizivikanwi. Kusiyana nekusingaperi kana kuti acute cholangitis, chimiro chekunyengera chechirwere chinobata varume kakawanda. Chirwere ichi chinoramba chichidzikama, kazhinji kacho
Kuziva kuti chirwere ichi chinogona kuva pazvikonzero zvakadaro:
- kuora muviri kwakanyanya;
- kushaya simba;
- kurwiswa kunorwadza kumusoro kwemuviri (izvo zvinowanzoitika);
- kuwedzera kwechiropa .
Iyo chete inobatsira kurapwa kwechigarire sclerosing cholangitis haipo. Chengetedza hutano hwehutano hunogona kuva nekubatsirwa kwe corticosteroids, vitamini complexes uye zvinodhaka-isostatics. Kuoma kunzwisisa kwehupano kunoenderana nekusvika kwenguva yakadini chirwere chacho chakaonekwa.