Cholangitis: menene shi, bayyanar cututtuka da magani

Wadatacce

• Babban bayyanar cututtuka
• Yadda ake bincike
• Yadda ake yin maganin

Kalmar cholangitis tana nufin toshewa da kumburin hanyoyin bile, wanda ka iya faruwa saboda rashin karfin jiki, canjin kwayoyin halitta ko sakamakon gallstones ko kuma, mafi wuya, kamuwa daga cutar Ascaris lumbricoides, misali. Don haka, saboda kumburin bututun bile, akwai canji a cikin aikin jigilar bile zuwa mafitsara zuwa cikin hanji, wanda ke haifar da taruwar wannan abu a cikin hanta wanda kuma yana iya haifar da raguwar aikin hanta.

Da farko, cholangitis baya haifar da bayyanar cututtuka, duk da haka yayin da yake ci gaba kuma akwai hanta hanta, yana yiwuwa a lura da ƙarin fata da idanu masu launin rawaya, ƙaiƙayi da yawan gajiya. Yana da mahimmanci a tuntubi babban likita ko likitan hanta da zaran alamomin farko sun bayyana, saboda yana yiwuwa a jinkirta ci gaban cutar, a hana lalata hanyoyin bile da ci gaban wasu matsaloli.

Babban bayyanar cututtuka

A mafi yawan lokuta, cholangitis baya haifar da wata alama kuma sabili da haka, a lokuta da yawa, cutar na ci gaba da haɓaka har sai an gano ta a gwaje-gwajen da ake yi na yau da kullun ko kuma har sai ta yi lahani sosai ga hanta. A wannan matakin, zai iya haifar da bayyanar cututtuka kamar:

• Gajiya mai yawa;
• Fata mai kaushi;
• Rashin ruwa a cikin idanu da baki;
• Muscle da haɗin gwiwa;
• Kumburin kafafu da idon sawu;
• Fata mai launin rawaya da idanu;
• Gudawa tare da ƙoshin mai.

Hakanan abu ne na yau da kullun ga cholangitis ya bayyana tare da wasu cututtukan kai tsaye, irin su bushe keratoconjunctivitis, Ciwon Sjogren, cututtukan rheumatoid, scleroderma ko Hashimoto's thyroiditis, misali. Bugu da kari, cholangitis na iya kasancewa yana da nasaba da kasancewar gallstones ko kuma saboda kasantuwar yawan tsutsotsi a cikin bututun bile.

Tun da cutar tana da alaƙa da halittar jini, mutanen da ke fama da wannan cuta a cikin iyali na iya yin gwaje-gwaje don gano ko su ma suna da biliary cholangitis, saboda, duk da cewa ba cuta ce ta gado ba, akwai damar da za a iya kamuwa da cutar da yawa a cikin iyali daya.

Yadda ake bincike

Gabaɗaya, ana zargin cholangitis lokacin da aka ga canje-canje a cikin gwajin jini na yau da kullun da aka yi don tantance aikin hanta, kamar ƙara haɓakar hanta enzymes ko bilirubin. A cikin waɗannan yanayin, don gano cutar, likita na iya yin oda da wasu takamaiman gwaje-gwaje, kamar auna ƙwayoyin anti-mitochondrial, anti-nukiliya antibodies da alamomi na raunin bile kamar alkaline phosphatase ko GGT.

Ana iya nuna gwajin hoto, kamar su duban dan tayi ko ƙira, don tantance sifofin hanta. Bugu da kari, nazarin halittar hanta shima na iya zama dole idan akwai shakku game da cutar ko tantance canjin cutar. Ara koyo game da gwaje-gwajen da ke kimanta hanta.

Yadda ake yin maganin

Yana da mahimmanci ayi maganin cholangitis na biliary bisa jagorancin babban likitan ko likitan hanta, saboda ta wannan hanyar yana yiwuwa a guji lalata ɓoyayyiyar hanyar bile, samuwar tabon nama ba tare da aiki ba da ci gaban cirrhosis na hanta. Don haka, maganin cholangitis da nufin kula da bayyanar cututtuka da hana ci gaba da cutar, kuma likita na iya ba da shawarar:

• Ursodeoxycholic acid: ita ce babban maganin da ake amfani da shi a maganin kuma yana taimakawa bile don barin hanta, yana hana tarin gubobi a cikin hanta;
• Cholestyramine: foda ne wanda dole ne a gauraya shi a cikin abinci ko abin sha kuma hakan yana taimakawa wajen magance kaikayin da cutar ta haifar;
• Pilocarpine da moisturizing ido saukad: yana taimakawa shayar da ƙwayoyin mucous na ido da baki, yana hana bushewa.

Baya ga waɗannan, likita na iya ba da shawarar wasu magunguna, dangane da alamun kowane mai haƙuri. Bugu da kari, a cikin mawuyacin yanayi, yana iya zama dole a sami dashen hanta, musamman lokacin da lalacewar ta riga ta ci gaba sosai. Duba yadda akeyin dashen hanta.