Angiocholitis inoenderana nea kuzvimba kwesimbi ye bile ducts. Zvinowanzoitika nekuda kwekuvapo kwegallstones. Acute cholangitis inoda kurapwa nekukurumidza.

Angiocholitis chirwere acute kuzvimba iyo inozviratidza pamwero wemadziro e bile ducts.

Angiocholitis inoitika semhinduro kune kunyange utachiona, yellow biological fluid inobatanidzwa mukugaya. Hutachiona hunokonzera utachiona uhu utachiona hunosanganisira:

• mamwe pathogenic strainscoli coli ;
• pathogenic mabhakitiriya Streptococcus faecalis ;
• pathogenic mabhakitiriya Bacteroides fragilis.

Chirwere chebhairi chinowanzobva pakuvapo kwechipingamupinyi muhombe huru yebile. Kuvhiringidza uku inowanzoenderana ne lithiasis yeiyo huru bile duct nekuvapo kwenduru, inonziwo nduru. Kazhinji inoumbwa necrystallized cholesterol, izvi zvinokanganisa kuyerera kwebile uye zvinokurudzira kuvandudzwa kwebhakitiriya mumadziro e bile ducts. The kuvapo kwenduru inobatanidzwa mu inenge 90% yezvirwere zvecholangitis.

Mune mashoma ezviitiko, cholangitis inogona zvakare kuve mhedzisiro kana complication inotevera:

• kuvapo kwebundu chipingamupinyi, kunyanya mukenza yebiliary turakiti kana kenza yepancreas;
• hutachiona hweparasitiki kunge roundworm, fluke kana hydatid vesicle;
• kuvhiyiwa kuitwa mu bile ducts;
• bile duct catheterization, kuongororwa kwebile duct;
• inonzi endoscopic biliary sphincterotomy, chikamu che sphincter mu bile ducts ne endoscopy.

Iyo cholangitis inonyanya kukanganisa vanhu vane nduru. Pane zvakati wandei zvinokonzeresa kuti paumbwe gallstones zvinosanganisira zera, kufutisa, zvirwere zvinobata iyo ileum, resections yeileum uye kushandiswa kwemimwe mishonga.

Kunyangwe iyo nzira yecholangitis ichisiyana, kuzvimba uku kunogona kuve honzeri yematambudziko akakomba. Kunyanya, acute cholangitis inogona kukonzera:

• kuumbwa kweabscess muchiropa ;
• kuitika kwe a septicemia ;
• a chakakomba itsvo kutadza.

Kurumidziro yekurapa inodiwa kuderedza njodzi yematambudziko.

Angiocholitis inoratidzwa nekuitika kwezviratidzo zvitatu, mune yakanyatsorongeka yekurongeka:

1. kurwadziwa kwepamuviri, iyo yakafanana neyehepatic colic;
2. kamwe kamwe, kupisa kwakanyanya, kazhinji pakati pe39 ne41 ° C, inooneka nguva pfupi mushure mekurwadziwa, inoperekedzwa nechando, uye inotora kubva maawa mashomanana kusvika mazuva mashomanana;
3. jaundice, kana jaundice, inoitika zuva rimwe kusvika maviri mushure mezviratidzo zvekutanga.

Mune akanyanya mafomu, cholangitis inogona zvakare kuperekedzwa nedelirium uye kuvhiringidzika kwekuziva.

Kudzivirirwa kwekuputika kunosanganisira kudzivirira kukura kwegallstones, izvo zvinonyanya kukonzera cholangitis. Nokuda kweizvi, zvakakosha kudzikamisa zvinhu zvinowedzera njodzi ye gallstones. Kunyanya, zvinokurudzirwa kutora mararamiro ane hutano, nekudya kwakakwana uye nguva dzose yekurovedza muviri.

Acute cholangitis inoda kurapwa nekukurumidza. Kurapa kwekuzvimba kunosanganisira kubvisa utachiona uye kurapa kwakabva utachiona.

Kurapa hutachiona hwebile, kurapwa kwemishonga inorwisa mabhakitiriya kunowanzo kupihwa mutsinga.

Kana hutachiona huri nekuda kwekuvapo kwegallstones, vanogona kubviswa ne:

• cholecystectomy, kurapwa kwekuvhiya kunosanganisira kubvisa gallbladder;
• kuchenesa bile ducts;
• an endoscopic biliary sphincterotomy, chikamu che sphincter mu bile ducts ne endoscopy.