I-Angiocholitis ihambisana ne-a ukuvuvukala kolwelwesi lwama-bile ducts. Ngokuvamile kungenxa yokuba khona kwamatshe enyongo. I-cholangitis eyingozi idinga ukwelashwa ngokushesha.

I-Angiocholitis yisifo esibi ukuvuvukala okukhulu elizibonakalisa ezingeni lodonga lwe-bile ducts.

I-Angiocholitis yenzeka njengokusabela kwayo ukutheleleka kwe-bile, uketshezi lwebhayoloji oluphuzi olubandakanyeka ekugayeni ukudla. Amagciwane abangela lokhu kutheleleka ngamabhaktheriya ahlanganisa:

• izinhlobo ezithile ze-pathogenicEscherichia coli ;
• amagciwane we-pathogenic I-Streptococcus faecalis ;
• amagciwane we-pathogenic I-Bacteroides fragilis.

Ukutheleleka kwebile ngokuvamile kubangelwa ukuba khona kwesithiyo kumgudu omkhulu wenyongo. Lokhu kuvinjelwa ngokuvamile kuhlobene ne-lithiasis ye-bile duct eyinhloko ngokuba khona kwamatshe enyongo, abizwa nangokuthi amatshe enyongo. Ngokuvamile kwakhiwa i-cholesterol ecwebezelayo, lokhu kuphazamisa ukugeleza kwe-bile futhi kukhuthaze ukuthuthukiswa kwamagciwane ezindongeni ze-bile ducts. I ukuba khona kwamatshe enyongo ubandakanyeka ku cishe i-90% yezifo ze-cholangitis.

Ezimweni ezimbalwa, i-cholangitis ingaba umphumela noma inkinga elandelayo:

• ukuba khona kwesithiyo sesimila, ikakhulukazi kumdlavuza we-biliary tract noma umdlavuza we-pancreas;
• ukutheleleka nge-parasite njenge-roundworm, i-fluke noma i-hydatid vesicle;
• ukuhlinzwa kwenziwa nge-bile ducts;
• ukususwa kwe-bile duct catheterization, ukuhlolwa komgudu wenyongo;
• i-endoscopic biliary sphincterotomy, ingxenye ye-sphincter emithanjeni ye-bile nge-endoscopy.

I-cholangitis ithinta kakhulu abantu abanenyongo. Kunezici ezimbalwa ezibeka engcupheni yokwakheka kwamatshe enyongo okuhlanganisa iminyaka yobudala, ukukhuluphala ngokweqile, izifo ezithinta i-ileum, ukukhishwa kwe-ileum nokusetshenziswa kwemithi ethile.

Nakuba inkambo ye-cholangitis iguquguquka, lokhu kuvuvukala kungaba imbangela yezinkinga ezinkulu. Ikakhulukazi, i-cholangitis eyingozi ingabangela:

• ukwakheka kwethumba esibindini ;
• ukwenzeka kwe-a sepsis ;
• a ukwehluleka kwezinso okukhulu.

Ukunakekelwa kwezokwelapha okuphuthumayo kuyadingeka ukuze kukhawulwe ingozi yezinkinga.

I-Angiocholitis ibonakala ngokuvela kwezimpawu ezintathu, ngokulandelana okunembe kakhulu:

1. ubuhlungu besisu, obufana ne-hepatic colic;
2. imfiva engazelelwe, ephakeme, ngokuvamile ephakathi kuka-39 no-41 ° C, ebonakala ngokushesha ngemva kobuhlungu, ihambisana nokugodola, futhi ihlala emahoreni ambalwa kuya ezinsukwini ezimbalwa;
3. i-jaundice, noma i-jaundice, eyenzeka ngosuku olulodwa kuya kwezimbili ngemva kwezimpawu zokuqala.

Ezimweni ezinzima kakhulu, i-cholangitis ingabuye ihambisane ne-delirium nokuphazamiseka kokuqaphela.

Ukuvimbela ukuvuvukala kuhilela ukuvimbela ukuthuthukiswa kwe-gallstones, izimbangela eziyinhloko ze-cholangitis. Ngenxa yalokhu, kuyadingeka ukunciphisa izici ezikhulisa ubungozi be-gallstones. Ikakhulukazi, kunconywa ukuba wamukele indlela yokuphila enempilo, ngokudla okulinganiselayo kanye nokusebenza ngokomzimba okuvamile.

I-cholangitis ebukhali idinga ukwelashwa okuphuthumayo. Ukwelashwa kokuvuvukala kuhilela ukususa izinto ezithathelwanayo kanye nokwelapha umthombo wokutheleleka.

Ukwelapha ukutheleleka kwe-bile, ukwelashwa ngama-antibiotic ngokuvamile kunikezwa nge-intravenously.

Uma ukutheleleka kubangelwa ukuba khona kwe-gallstones, kungasuswa ngokulandelayo:

• i-cholecystectomy, ukwelashwa kokuhlinzwa okuhilela ukukhipha inyongo;
• ukuhlanza i-bile ducts;
• i-endoscopic biliary sphincterotomy, ingxenye ye-sphincter emithanjeni ye-bile nge-endoscopy.