Pulayimale matenda cholangitis: Zizindikiro, Matendawa ndi Chithandizo

Matenda cholangitis - matenda a ducts chiwindi ya ndulu zimene makoma awo aakulu kutupa akuyamba. The chifukwa cha chiyambi chake ndi njira ofoola ziwalo, m. E. M'malo ndi minofu yovulazidwa. kudwala Palibe ubwenzi causal ndi matenda ena chiwindi, koma nthawi zambiri kumayambitsa maonekedwe a matenda thupi ili. M'nkhani lero, ife kufotokoza chifukwa osauka matenda cholangitis. Zizindikiro ndi mankhwala a matenda lidzayeretsedwa kuperekedwa kwa tcheru chanu.

Buku anatomical

Ya ndulu ndi zofunika chigawo chimodzi cha kugaya chakudya. Iye kumatanthauza kuwonongedwa kwa mafuta, kumaonjezera ntchito michere pancreatic ndipo kumapangitsa peristalsis. Ya ndulu mosalekeza Maselo chiwindi - hepatocytes. Patsiku chifukwa cha ntchito zawo tima analandira 1 lita imodzi ya madzi. Pambuyo pake, ya ndulu akulowa chikhodzodzo ndi duodenum.

Outflow katulutsidwe bungwe kudzera ducts wapadera. Pamene iwo abwera umo intrahepatic ndi extrahepatic malingana malo. Chifukwa cha njira patsogolo, malowedwe a tizilombo toyambitsa matenda kapena zifukwa zina, ducts akhale chofuna. Pa nthawi yomweyo kulankhula za chitukuko cha matenda monga cholangitis. Pathological ndondomeko zonse ali etiology osiyana. Choncho, n'kopanda zotsatirazi mitundu: poizoni, bakiteriya, helminthic, matenda. Last ali osowa kwambiri, koma amakhala ndi woopsa.

Matenda cholangitis ogaŵikana mitundu iwiri: za pulaimale ndi sekondale. Aliyense amakhala ndi akonzedwa yeniyeni ya zizindikiro ndi zochita. Mbali yoyamba izo zikutanthauza matenda aakulu omwe limodzi ndi kuchulukana kwa ya ndulu osati purulent kutupa ducts, chiwonongeko ndi m'malo mwa minofu connective. mawonekedwe Secondary kudwala akufotokozera pansi zochita za poizoni. Nthawi zina, pakuwonekera kwake amayamba ndi kotunga osakwanira magazi. M'nkhaniyi tiona mwatsatanetsatane pa zosinthika chachikulu cha matenda.

Kufotokozera mwachidule matenda

Pulayimale matenda cholangitis zimagawidwa monga pathologies osowa a dongosolo biliary. Malinga ndi kafukufuku wa zowerengera, iwo anapezeka mu umodzi mwa anthu anayi pa 100 zikwi anthu. Limagwirira chitukuko cha matenda amachepetsa maonekedwe a kutupa mu yaing'ono ducts kwa chiwindi. Choncho pali kuwuma kwa iwo. Pang'onopang'ono alipo ndi njira opunduka kudzera omwe ya ndulu amalowa kuwira. njira patsogolo ntchito ku malo intercellular a chiwindi, chifukwa mu matenda enaake.

Ngakhale kumapeto kwa zaka za m'ma chatha zinali zotheka matenda a pokhapokha opaleshoni kapena autopsy. Chifukwa cha kukula kwa mankhwala lero matenda angathe kuonedwa kale kwambiri. Mokulirapo atengeke izo ndi amuna zaka 25 mpaka 40. malire Awa ndi makonzedwe kwambiri, chifukwa matenda kungakhale asymptomatic kwa nthawi yaitali. Nthawi zina zizindikiro za kutupa kolakwika kwa matenda autoimmune, anam'peza matenda a m'matumbo ndipo enaake fibrosis.

Zimayambitsa cholangitis

Zimayambitsa chenicheni cha matenda omwe sakudziwika. Madokotala olekanitsidwa gulu la zinthu zimene zimawonjezera imabwera pakuwonekera kwake. Ena mwa iwo:

• kutengera za kumtundu;
• ntchito HIV m'thupi;
• propensity kwa matenda autoimmune;
• kukhudzana ndi poizoni.

Zina mwa zinthu izi umalingaliridwa njira chibadwa. Chogwirika umboni wa mfundo imeneyi ndi maphunziro ambiri a matenda m'banja.

chithunzi matenda

Pa matenda kwa zaka zambiri mwina asymptomatic kapena ndi zizindikiro wofatsa. Odwala zambiri osati kutchula zinaoneka zikusonyeza matenda cholangitis zizindikiro. Kudwala nthawi wapezeka ndi mwayi ndi dokotala za matenda ena. Pa nthawi ya matenda anawulula chizindikiro cha matenda - chinawonjezeka chiwerengero cha michere kwa chiwindi.

Monga m'kati matenda ndi kusintha matenda chithunzi. Mwa zizindikiro zake zazikulu zotsatirazi ziyenera utoto

• kutopa, tulo zonse;
• kusafuna chakudya;
• chikasu nembanemba wa mucous ndi khungu;
• kuukitsa kutentha kwa subfebrile makhalidwe;
• kupweteka ululu malo pomwe subcostal, anakafika ku khosi kapena phewa;
• oyabwa;
• xanthomas angapo;
• kusapeza lamanzere nusu chapamwamba, chifukwa kuwonjezera pa ndulu ya;
• mtundu kumatheka wa khungu.

Nthawi zina, chachikulu ndi matenda cholangitis ayende yotupa matenda matumbo. Zikuphatikizapo anam'peza matenda a m'matumbo, matenda amene amatupitsa.

njira matenda

Ngati mukukayikira matenda ayenera yomweyo kupempha thandizo kwa dokotala. Kuphunzira mtima limayamba ndi kuphunzira za mbiri yake, madandaulo ndi zizindikiro chachikulu. Pambuyo pake, chitani Kupenda thupi. Wodwalayo mwina zimakhalapo pa khungu, matenda a chikasu ndiyo kwambiri. Palpation nthawi anapeza ponso chiwindi ndi ndulu.

Pofuna kutsimikizira matenda kuyambirira wodwalayo anatumiza kupenda. Pamafunikanso ntchito zotsatirazi:

• atayezetsa (owonjezera zizindikiro za leukocytes ndi ESR limasonyeza kutupa);
• M'mimba ultrasound;
• elastography chiwindi (amalola amanena elasticity thupi);
• retrograde cholangiopancreatography (radiography ntchito mosiyana);
• magazi sayansi (mu matenda cholangitis yaikulu inati kwambiri chiwindi michere);
• Kujambula;
• Chiwindi biopsy (njira ya kafukufuku zimathandiza kuzindikira mbali fibrosis).

Njirazi kulola kafukufuku kuti awonetsepo mphamvu yaikulu matenda cholangitis. Matenda a matenda athandiza kudziwa kuopsa kwa ndondomeko pathological. Okwana pali anayi:

1. Portal. Iwo amakhala ndi maonekedwe a puffiness ndi kwa chiwindi fibrosis ducts.
2. Periportal. Zizindikiro za gawo loyamba ndi lowonjezera ndi fibrosis yapadera kwambiri ndi chiwonongeko njira ducts.
3. Septal. Apa matenda pali zizindikiro koyamba ndi matenda enaake.
4. Cirrhotic. Yodziwika ndi kutukula-kunachitika ndi matenda enaake biliary.

Yachokera pa zotsatira za Kupenda zovuta dokotala n'kukulemberani mankhwala.

Malangizo chithandizo

Therapy ku matenda umalimbana atagwira ndi yotupa ndondomeko, ayambe ya ndulu otaya ndi detoxification za thupi. Kuti zimenezi zitheke, a ndiwofatsa komanso kugwira ntchito njira mankhwala ntchito mankhwala amakono. Mbali yoyamba zikutanthauza mankhwala ndi kukanirira zakudya kwambiri. Opaleshoni imaonekera mu Zikavuta, pamene mankhwala ndiwofatsa kwalephera. Kusankha njira inayake ya mankhwala kwa dokotala.

Kugwiritsa ntchito mankhwala

Malinga ndi kukula kwa matenda, kuti awerenge bedi zina ndi lilibe zolimbitsa iliyonse. Ngati wodwala nkhawa za ululu, iye Kwalamulidwa MANKHWALA OLETSA VUTOLI ( "No-spa", "Spasmobru").

Kuti kulepheretsanso yotupa kuthandiza mankhwala zotsatirazi:

1. Immunosuppressants ( "Azathioprine"). Iwo ziletsa ntchito chitetezo cha m'thupi.
2. Antifibrogennye zikutanthauza. kanthu yaikulu umalimbana kuwonongedwa kwa fibrosis, ndi kupewa chitukuko zina.
3. Glucocorticosteroid timadzi ( "Prednisolone"). Amathandiza kuchepetsa kutupa.

Kugwiritsa ntchito mankhwala awa zimathandiza kuthetsa siteji koyamba za chitukuko cha matenda cholangitis chachikulu. Zizindikiro za matenda zambiri kupewa kutsogolera moyo wabwinobwino odwala. khungu kuyabwa, mavuto thirakiti m'mimba ndi dyspepsia - kuyan'anila zonsezi kungasokoneze thanzi lawo. Choncho Komanso anatumizidwa mankhwala symptomatic. Pamafunikanso kulandira kwa chiwindi ( "Essentiale"), chapamimba michere ( "Creon") ndi mankhwala kuthetsa kuyabwa. Mankhwala nthawi zonse anasankha payekha, kutenga nkhani wonse matenda chithunzi ndi alili.

zakudya Features

Odwala anali allocated mphamvu "tebulo nambala 5". Pamene zakudya ayenera kuchepetsa kumwa mafuta, yokazinga ndi mbale zokometsera. Animal mafuta Ndi bwino m'malo mbewu. Komanso, m'pofunika kwathunthu kuthetsa kwa zakudya pastry ndi maswiti, zipatso wowawasa ndi zipatso, chocolate, mowa, nyama ndi marinades.

Chilolezo mwapatsidwa ntchito Taphunzira nyama / nsomba, mitundu ina ya mkate, phala pa madzi. Mukhozanso kudya mkaka, uchi, pasta soups masamba msuzi.

Pamene matenda a "chachikulu matenda cholangitis" chithandizo ndi mankhwala ndi zakudya amapereka zabwino zokha mu siteji koyamba. Ngati nthawi ili anaphonya, izo opaleshoni.

alowererepo opaleshoni

mankhwala ndiwofatsa ntchito mosiyanasiyana wopepuka wa ndondomeko pathological. Ngakhale Buku yake kwa dokotala sikuti kupereka zotsatira zabwino mu khalidwe la mankhwala wotsatira. Pamene ndi mankhwala sichichititsa normalization chikhalidwe kapena amalephera kubwezeretsa panopa wabwinobwino wa ya ndulu, amachita alowererepo pa opaleshoni.

Today madokotala amakonda ntchito endoscopic. Iwo amati kupanga mwai onse kudzera amacheka ting'onoting'ono pakhungu. Komabe, njira zimenezi ndi nthawi zambiri kupereka zotsatira yochepa ndipo zinadzala ndi mavuto. Komanso kuchititsa zibaluni dilatation ndi stenting ducts. Pa ndondomeko, dokotala zambiri njira ya zonenepa wapadera ndi kuyika mauna, kuteteza iwo kuchokera kuchepetsa. Ngati pali kuti anapezerapo matenda cholangitis, chiwindi kumuika chithandizo zikutanthauza.

zosokonezeka zotheka

Matendawa ali ndi makhalidwe otaya pang'onopang'ono. Iwo amayankha bwino mankhwala, ndi zochuluka za mawonekedwe zokhudza zonse yekha kukuwonjezera ndondomekoyi. Mwa mavuto ambiri zake ndi zotsatirazi:

1. Portal oopsa. kudwala Izi limodzi ndi kuwonjezeka mu kuthamanga mu otaya kwa chiwindi magazi. mawonetseredwe Aika imatengedwa ascites.
2. Cholestasis syndrome. Motsutsa likhale oipa wa ducts ya ndulu pang'onopang'ono taper mu mtanda wawo chakhungu. Ikufotokoza maonekedwe a matenda a chikasu ndiyo ndipo pruritus. Monga kudwala wa lumen matenda itsekeke pang'ono kwambiri. Steatorrhea zikachitika, amene anatsagana ndi kufooka kwa mafupa.
3. Toyambitsa matenda cholangitis chiwindi.
4. Matenda kapamba.
5. Holangiokartsionoma (chotupa ya ndulu ducts).
6. Cholelithiasis.

zosokonezeka zimenezi zikuchitika mu gawo 3-4 ya ndondomeko pathological.

Kuneneratu ndi kupewa miyeso

Pulayimale matenda cholangitis zimagawidwa monga pang'onopang'ono patsogolo matenda. chifukwa wake nthawi zambiri ndi aakulu chiwindi kulephera. N'zochititsa chidwi kuvutika kuti madokotala ananena zawo msinkhu wa mtima, pamaso pa pathologies concomitant wa intestine ndi zimenezi, matendawo. Childs, ndi maonekedwe a zizindikiro koyamba matenda pamaso chomaliza chochokera zaka 7 mpaka 12.

Kodi n'zotheka kuteteza chachikulu matenda cholangitis? Reviews madokotala kuti chifukwa kuphunzira osakwanira zopewera yeniyeni matenda osati zotere.