Cholangitis Yog Dab Tsi thiab Nws Kho Li Cas?

Zoo Siab

• Txheej txheem cej luam
• Cov tsos mob ntawm cholangitis
• Kho cholangitis
• Ua rau ntawm cholangitis
• Kev kuaj mob cholangitis
• Teeb meem ntawm cholangitis
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Cholangitis yog mob (o thiab liab) hauv cov kua tsib. American daim siab Foundation qhia tias cholangitis yog hom mob siab. Nws tseem tuaj yeem raug pov tseg ntxiv tshwj xeeb thiab paub raws li hauv qab no:

• thawj biliary cholangitis (PBC)
• thawj sclerosing cholangitis (PSC)
• cholangitis theem nrab
• lub cev cholangitis

Txoj hnyuv tawm hauv plab coj cov kua tsib los ntawm nplooj siab thiab lub plab mus rau txoj hnyuv. Bile yog kua ntsuab rau daj daj uas pab koj lub cev zom thiab nqus cov rog. Nws kuj tseem pab tshem cov khib nyiab tawm ntawm daim siab thiab.

Thaum cov kua tsib ducts tau o ua rau mob los yog txhaws, bile tuaj yeem nkag mus rau hauv lub siab. Qhov no tuaj yeem ua rau lub siab puas thiab lwm yam teeb meem. Qee hom cholangitis yog mob me me. Lwm yam tuaj yeem ua tau loj thiab txo txoj sia.

Nws muaj ob hom cholangitis:

• Tus mob cholangitis tshwm sim maj mam dhau sijhawm. Nws tuaj yeem ua rau cov tsos mob li 5 txog 20 xyoo.
• Mob cholangitis tshwm sim dheev. Nws tuaj yeem ua rau cov tsos mob tshwm sim hauv lub sijhawm luv luv.

Cov tsos mob ntawm cholangitis

Cov tsos mob nyob ntawm seb tus mob cholangitis koj muaj thiab ntev npaum li cas. Txhua tus neeg uas mob cholangitis tej zaum yuav muaj cov cim thiab tsos mob sib txawv me ntsis. Ntau dua 50 feem pua ​​ntawm cov neeg kuaj pom tias muaj mob cholangitis tsis muaj mob dab tsi.

Qee qhov tsos mob thaum ntxov ntawm mob cholangitis yuav suav nrog:

• nkees thiab nkees
• khaus tawv
• qhov muag qhuav
• qhov ncauj qhuav

Yog koj muaj tus mob cholangitis ntev, koj yuav muaj:

• mob ntawm sab xis sab xis
• tsaus ntuj tawm hws
• o ob txhais taw thiab qij taws
• darkening ntawm daim tawv nqaij (hyperpigmentation)
• mob leeg
• mob pob txha lossis mob pob txha
• tsam plab (muaj kua hauv plab)
• rog sau (xanthomas) hauv daim tawv nqaij ncig lub qhov muag thiab tawv muag
• rog rog hauv lub lauj tshib, hauv caug, xib teg, thiab tsuas yog txhais taw
• raws plab lossis roj siv yaim quav
• av nplaum-xim tso quav
• poob phaus
• mus ob peb vas hloov thiab nco teeb meem

Yog tias koj muaj mob cholangitis, koj kuj tseem tuaj yeem muaj lwm yam tsos mob. Cov no suav nrog cov tsos mob tshwm sim xws li:

• kub taub hau kom ntau dua
• ua daus no
• xeev siab
• ntuav
• rov qab mob
• mob hauv qab li ntawm lub xub pwg hniav
• npub mob los yog mob hauv plab sab saud
• mob tob hau los sis npub nyob nruab nrab hauv plab
• ntshav siab
• tsis meej pem
• daj los ntawm theskin thiab qhov muag (daj)

Koj tus kws kho mob yuav pom cov cholangitis hauv lwm qhov ntawm lub cev. Cov no suav nrog:

• o los yog mob rau daim siab
• o lossis loj ntaj nti
• cov roj (cholesterol) siab
• cov thyroid caj pas tsis txaus ntseeg (hypothyroidism)
• cov pob txha tsis muaj zog thiab thim (osteoporosis)

Kho cholangitis

Kho mob cholangitis mob ntev thiab mob sib txawv. Qhov no yog vim qhov ua rau cholangitis sib txawv. Txoj kev kho mob kuj tseem yuav yog nyob ntawm seb koj tau kuaj pom tus kab mob cholangitis ntxov li cas. Ob yam no tuaj yeem ua rau muaj kev phom sij hnyav yog tias lawv tsis tau kho.

Ntxov mob thaum ntxov yog tshwj xeeb tshaj yog rau mob cholangitis. Koj tus kws kho mob yuav pom zoo kom cov tshuaj tua kab mob mus txog (xws li penicillin, ceftriaxone, metronidazole, thiab ciprofloxacin).

Lawv kuj tseem yuav pom zoo cov txheej txheem hauv tsev kho mob, xws li:

• Tso dej ua kua
• kua tsib roj ntws

Tsis zoo li mob cholangitis, tsis muaj tshuaj kho tau los kho tus mob cholangitis. Cov tshuaj hu ua ursodeoxycholic acid tuaj yeem pab tiv thaiv daim siab. Nws ua haujlwm los ntawm kev txhim kho cov kua tsib. Nws tsis kho cholangitis nws tus kheej.

Kev kho thiab tu mob cholangitis ntev li no:

• tswj cov tsos mob
• saib xyuas lub siab ua haujlwm
• cov txheej txheem qhib cov kua tsib cov kua kaw

Cov txheej txheem rau ob leeg mob thiab mob cholangitis yog:

• Kev kho endoscopic. Zais pa zais pa yuav raug siv los qhib lub ducts thiab nce bile ntws. Qhov no pab txhim kho thiab tiv thaiv cov tsos mob. Koj yuav tsum muaj kev kho endoscopic ntau zaus los kho cholangitis. Koj yuav tso tshuaj loog puv lossis hauv zos (loog) ua ntej kev ua.
• Kev kho kom ncaj. Qhov no zoo ib yam li kev kho endoscopic, tab sis nws dhau los ntawm daim tawv nqaij. Koj tus kws kho mob yuav loog lossis ua rau koj tsaug zog ua ntej ntawm txoj kev.
• Kev phais mob. Koj tus kws kho mob yuav tshem tawm cov ntu ntawm cov kua tsib. Lossis, koj yuav tso quav rau hauv los qhib lossis tso cov kua tsib cov kua dej. Koj yuav nyob rau hauv tag nrho cov tshuaj loog (tsaug zog) rau kev phais mob.

• Ua rau ntawm cholangitis

  Muaj ntau yam ua rau mob cholangitis. Qee lub sij hawm qhov tsis paub yog vim li cas.

  Mob cholangitis tej zaum yuav yog tus mob autoimmune. Qhov no txhais tau tias koj lub cev tiv thaiv kab mob tau ua txhaum yuam kev ntawm cov kua tsib lub plab. Qhov no ua rau o.

  Sij hawm dhau mus, o tuaj yeem ua rau nti los yog txoj kev loj hlob ntawm cov nqaij tawv sab hauv cov kua tsib. Cov caws pliav ua rau cov ducts nyuaj thiab nqaim. Lawv tuaj yeem tuaj yeem thaiv cov hlab me me.

  Ua rau mob cholangitis yog:

  • cov kab mob sib kis
  • lub qog
  • blockages
  • qog

  Ib puag ncig ua rau ob hom cholangitis muaj xws li:

  • muaj kab mob (kab mob, kab mob, hu ua fungi, lossis cab)
  • haus luam yeeb
  • tshuaj lom neeg

  Cov teeb meem pheej hmoo uas yuav ua rau kom koj muaj feem cholangitis:

  • Ua poj niam. Tus mob cholangitis muaj ntau rau tus poj niam.
  • Lub hnub nyoog. Feem ntau nws tshwm sim rau cov neeg laus hnub nyoog 30 thiab 60 xyoo.
  • Noob caj noob ces. Cholangitis yuav khiav tawm hauv koj tsev neeg.
  • Qhov chaw nyob. Tus kabmob no muaj ntau rau hauv North America thiab qaum teb Europe.

  Kev kuaj mob cholangitis

  Koj tus kws kho mob tuaj yeem kuaj mob cholangitis nrog kev tshuaj ntsuam thiab soj. Muaj ntau qhov tsos mob yuav tshwm sim hauv kev kuaj ntshav hauv qab no:

  • ua tiav cov ntshav suav (CBC)
  • daim siab ua haujlwm kuaj
  • kuaj raum muaj nuj nqi
  • ntshav kab lis kev cai

  Cov kev tshuaj ntsuab pab qhia cov ntshav ntws hauv lub siab thiab lwm qhov ntawm lub plab:

  • Xoo hluav taws xob (cholangiogram siv zas xim los saib lub bile ducts)
  • MRI scan
  • Iav scan
  • ultrasound

  Koj yuav tsum tau kuaj lwm yam xws li tso zis, kua tsib, lossis tso quav.

  Teeb meem ntawm cholangitis

  Cholangitis tuaj yeem ua rau muaj mob loj yog tias tsis kho nws. Cov teeb meem suav nrog:

  • Teeb meem mob siab. Cholangitis tuaj yeem ua rau daim siab ua kab mob siab (cirrhosis). Qhov no tuaj yeem ua rau lub siab ua haujlwm qeeb lossis ua rau daim siab ua haujlwm. Nws kuj tseem ua tau kom muaj kev pheej hmoo mob cancer. Nws tuaj yeem ua rau daim siab o thiab ntshav siab.

  • Qhov tshwm sim yog dab tsi?

    Koj cov cim thiab cov tsos mob yuav txawv ntawm lwm cov neeg muaj cholangitis. Muaj qee kis, qhov xwm txheej kuj tsis paub. Koj tiv thaiv tsis tau cholangitis ib txwm.

    Ntxov tso ntxov tuaj yeem pab koj kom tau txais txiaj ntsig zoo. Nws tseem yuav pab tiv thaiv cov tsos mob thiab cov nyom. Ntsib koj tus kws kho mob sai yog tias koj muaj cov tsos mob, suav nrog:

    • ua npaws
    • mob plab
    • daj daj ntawm lub qhov muag thiab tawv nqaij
    • hloov hauv kev zom thiab plab zom mov

    Koj yuav tsis muaj tsos mob dab tsi hlo li. Kev mus kuaj mob tsis tu ncua tuaj yeem pab koj kawm paub txog koj lub siab kev noj qab haus huv nrog kuaj ntshav yooj yim.

    Qee hom cholangitis yuav yooj yim dua rau kev huv nrog kev kho. Noj tag nrho cov tshuaj noj raws li tau teem tseg thiab mus ntsib koj tus kws kho mob txhawm rau txhua lub sijhawm rov qab tuaj kuaj mob.

    Koj tuaj yeem tiv thaiv kom tsis txhob muaj kev cuam tshuam nrog kev hloov pauv hauv lub neej txhua hnub xws li txiav luam yeeb. Kev noj qab haus huv, kev noj zaub mov zoo nrog cov tshuaj fiber ntau yuav daws tau cholangitis cov tsos mob thiab tiv thaiv cov teeb meem. Tham nrog koj tus kws kho mob lossis tus kws qhia noj zaub mov noj hais txog txoj kev npaj kev noj haus zoo tshaj plaws rau koj.