Sclerosing cholangitis: menene shi, alamomi da magani

Wadatacce

• Kwayar cututtukan cututtukan ƙwayoyin cuta
• Babban Sanadin
• Yadda ake ganewar asali
• Jiyya don cutar sclerosing cholangitis

Sclerosing cholangitis cuta ce wacce ba a cika samun ta ba ga maza wanda ke da alaƙa da hanta saboda kumburi da fibrosis da ke faruwa ta hanyar rage tashoshin da bile ke bi, wanda shine ainihin mahimmancin aikin narkewa, wanda zai iya haifar da, a wasu yanayi, zuwa bayyanar wasu alamu, kamar su yawan gajiya, launin rawaya da idanu da rauni na tsoka.

Abubuwan da ke haifar da cholangitis har yanzu ba su bayyana a sarari ba, duk da haka an yi imanin cewa yana iya kasancewa da alaƙa da abubuwan da ke haifar da cutar kansa wanda zai iya haifar da ci gaba da kumburin ciki. Dangane da asalin, ana iya rarraba sclarosing cholangitis zuwa manyan nau'ikan biyu:

• Cutar sclerosing cholangitis, wanda canjin ya fara a cikin bututun bile;
• Cutar sclerosing cholangitis, a cikin abin da canjin ya haifar da wani canjin, kamar ƙari ko rauni a wurin, misali.

Yana da mahimmanci a gano asalin cholangitis don a nuna alamun da ya fi dacewa kuma, sabili da haka, ana ba da shawara a tuntuɓi babban likita ko likitan hanta domin a nuna hoto da gwaje-gwajen gwaje-gwaje waɗanda ke ba da damar kammala binciken.

Kwayar cututtukan cututtukan ƙwayoyin cuta

Mafi yawan lokuta na cholangitis ba sa haifar da bayyanar alamu ko alamomi, kuma wannan canjin ana gano shi ne kawai yayin gwajin hoto. Koyaya, wasu mutane na iya fuskantar bayyanar cututtuka, musamman idan ya zo ga sclerosing cholangitis, inda ake ci gaba da samun bile a hanta. Don haka, manyan alamun da ke nuna alamun cholangitis sune:

• Gajiya mai yawa;
• Jiki mai ƙaiƙayi;
• Fata mai launin rawaya da idanu;
• Akwai yiwuwar zazzabi mai zafi da ciwon ciki;
• Raunin jijiyoyi;
• Rage nauyi;
• Fadada hanta;
• Spleen da aka faɗaɗa;
• Fitowar xanthomas, waɗancan raunuka ne a kan fatar da ya ƙunshi maiko;
• Itching.

A wasu lokuta, za a iya samun gudawa, ciwon ciki da kasancewar jini ko majina a cikin kujerun. A gaban waɗannan alamun, musamman idan sun kasance na yau da kullun ko na yau da kullun, yana da mahimmanci a tuntuɓi babban likita ko likitan hanta don a gudanar da gwaje-gwaje kuma za a iya fara maganin da ya dace.

Babban Sanadin

Abubuwan da ke haifar da sclerosing cholangitis ba su riga sun tabbata ba, duk da haka an yi imanin cewa yana iya zama saboda canje-canje na autoimmune ko kuma yana da alaƙa da abubuwan da ke haifar da kwayar halitta ko kamuwa da ƙwayoyin cuta ko ƙwayoyin cuta.

Bugu da kari, an kuma yi imanin cewa sclerosing cholangitis na da alaka da ulcerative colitis, inda mutane da ke dauke da irin wannan cututtukan hanji masu saurin kumburi suke cikin hatsarin kamuwa da cutar cholangitis.

Yadda ake ganewar asali

Babban likita ko likitan hanta ne ke yin binciken cutar sclerosing cholangitis ta hanyar dakin gwaje-gwaje da kuma gwajin hoto. A yadda aka saba, ana yin binciken farko ta hanyar sakamakon gwaje-gwajen da ke tantance aikin hanta, tare da canje-canje a cikin adadin enzymes na hanta, kamar TGO da TGP, ban da ƙari a cikin alkaline phosphatase da gamma-GT. A wasu lokuta, likita na iya neman aikin protein electrophoresis, wanda a ciki ana iya ganin yawan matakan gamma globulins, galibi IgG.

Don tabbatar da ganewar asirin, likita na iya buƙatar nazarin halittar hanta da kuma ƙirar cholangiography, wanda shine gwajin bincike wanda ke da nufin tantance ƙwanƙwasa ƙwanƙwasa kuma bincika hanyar daga bile daga hanta zuwa duodenum, yana yiwuwa a duba kowane canje-canje. Fahimci yadda ake yin aikin kodin.

Jiyya don cutar sclerosing cholangitis

Jiyya don sclerosing cholangitis ana yin shi ne gwargwadon tsananin cholangitis kuma yana nufin inganta ci gaban bayyanar cututtuka da hana rikice-rikice. Yana da mahimmanci a fara magani jim kadan bayan ganewar asali don hana ci gaban cutar da haifar da rikice-rikice irin su cirrhosis na hanta, hauhawar jini da kuma gazawar hanta.

Don haka, likita na iya nuna amfani da magani mai ɗauke da ursodeoxycholic acid, wanda aka fi sani da Ursacol, ban da maganin endoscopic domin rage matakin toshewa da kuma yarda da bile na bile. A cikin mawuyacin yanayi na cholangitis, wanda babu ci gaba a cikin alamomin tare da amfani da ƙwayoyi, ko kuma lokacin da alamun suka sake faruwa, likita na iya ba da shawarar yin dashen hanta.