Cholangitis

Cholangitis yog kev kis tus kab mob bile ducts, txoj hlab uas coj cov kua tsib los ntawm nplooj siab mus rau lub qog thiab plab hnyuv. Bile yog kua ua los ntawm daim siab uas pab zom cov zaub mov.

Cholangitis feem ntau tshwm sim los ntawm cov kab mob. Qhov no tuaj yeem tshwm sim thaum cov qog txhaws los ntawm ib yam dab tsi, xws li lub pob zeb lossis lub qog. Qhov kis tau ua rau tus mob no tseem tuaj yeem xa mus rau lub siab thiab.

Tej yam txaus ntshai muaj xws li keeb kwm dhau los ntawm gallstones, sclerosing cholangitis, HIV, nqaim ntawm cov kua tsib lub cev, thiab tsis tshua muaj, taug kev mus rau cov tebchaws uas koj yuav kis tau tus cab cab lossis cab.

Cov tsos mob hauv qab no tej zaum yuav tshwm sim:

• Kev mob ntawm sab xis sab xis lossis sab hauv nruab nrab ntawm lub plab. Nws yuav hnov ​​zoo nyob hauv qab los yog hauv qab txoj cai hniav. Qhov mob yuav los thiab nti thiab nti, zoo ib yam li khaus, lossis npub.
• Ua npaws thiab ua daus no.
• Tsaus zis thiab cov quav pleev xim av.
• Xeev siab thiab ntuav.
• Tawv daj (ua tawv nqaij), uas tuaj yeem mus thiab mus.

Koj tuaj yeem muaj cov kev sim hauv qab no los saib rau cov blockages:

• Mob plab hauv ultrasound
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Sib nqus resonance cholangiopancreatography (MRCP)
• Kev Hloov Pauv Nruab Nrab cholangiogram (PTCA)

Koj tuaj yeem kuaj ntshav tau hauv qab no:

• Bilirubin qib
• Qib enzyme qib
• Kev kuaj mob siab ua haujlwm
• Ntshav dawb (WBC)

Kev kuaj mob sai thiab kev kho mob yog qhov tseem ceeb heev.

Cov tshuaj tua kab mob los kho kev kis mob yog thawj txoj kev kho mob tshwm sim nyob rau hauv Feem ntau. ERCP lossis lwm txoj kev phais mob ua tiav thaum tus neeg ntawd nyob khov kho.

Cov neeg uas muaj mob heev lossis maj nrawm dua yuav tsum tau phais mob tam sim ntawd.

Qhov tshwm sim yog feem ntau zoo nrog kev kho mob, tab sis tsis zoo yog tsis muaj nws.

Teeb meem yuav suav nrog:

• Sepsis

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm cholangitis.

Kev kho mob ntawm gallstones, qog, thiab ua mob rau cov cab yuav txo qis kev pheej hmoo rau qee tus neeg. Hlau lossis yas stent uas tau muab tso rau hauv cov kab mob hauv lub bile yuav xav tau kom tiv thaiv kev ua kom rov qab los.

• Lub plab zom mov
• Bile taug txoj kev

Cov Fogel EL, Sherman S. Cov kab mob ntawm lub gallbladder thiab kua tsib lub raj. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 146.

Sifri CD, Madoff LC. Kev kis mob ntawm daim siab thiab kab mob biliary (daim siab ua mob, cholangitis, cholecystitis). Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: chap 75.