Pamusana pezvikonzero zvisingazivikanwi, iyo bile ducts inogona kupisa nekutsvaira, izvo zvinoita kuti isingaperi yakawanda pamwe. Ichi chinoshamisa, chinonzi sclerosing cholangitis, chinonzi chiitiko chinotarirwa chirwere chemotokari, sezvo inowanzoperekedzwa nehutachiona hwakadai sweshuga mellitus, ulcerative colitis , thyroiditis.
Zviratidzo zvepakutanga sclerosing cholangitis
Ziva kuti chirwere chinorondedzerwa mumatangiro epakutanga hachina kuitika, sezvo chinopfuurira kwenguva refu pasina zviratidzo zvinooneka. Chirwere chemakiriniki chinoratidzwa kunyange panguva yekuvandudzwa kwechirhosis chechiropa kana chirwere chekuwedzera kwehutachiona:
- kuwedzera kuneta;
- itching;
- kuyerwa kwemuviri;
- kurwadziwa nekuremara mukanako hypochondrium;
- periodic yellowing yeganda (transitory jaundice);
- kuora kwekudya;
- kazhinji - fever.
Kuongororwa kwepamusoro sclerosing cholangitis
Chirongwa chekufungidzirwa kwechirwere chiri mubvunzo, kunze kwekusanganiswa kwezvakaitika uye kuongororwa kwekliniki, inoitwa nekubatsirwa kwechipiri chinobatsira nekuongorora ma laboratory:
- biochemical, immunological analysis of blood;
- cholangiography;
- chiropa chinopesana;
- duodenal sounding;
- elastography yechiropa;
- kudzorerazve pancreatocholangiography;
- FEGDS.
Kurapa kwepamusoro sclerosing cholangitis
Kunyatsoporesa chirwere hazvibviri, mushonga wezvinodhaka unotarisirwa kutadzisa kufambira mberi kwecholangitis uye kuvandudza mamiriro emurwere. Inosanganisira zvinodhaka zvinotevera:
- antispasmodics;
- glucocorticosteroid hormones;
- immunosuppressors;
- antifibrogenic agents;
- utachiona hwemakemikari;
- hepatoprotectors ;
- zvinodhaka zvakabva ku ursodeoxycholic acid.
Mukuwedzera, antihistamine inogona kukurudzirwa kuti isunungure pruritus.
Kana pakavharwa ye bile ducts uye kusagadzikana kwemishonga inogadziriswa, chirwere chokuvhiya chiropa chinogadzirwa.