Angiocholitis kwekọrọ na a mbufụt nke mkpuchi nke bile ducts. Ọ na-abụkarị n'ihi ọnụnọ nke gallstones. Nnukwu cholangitis chọrọ ọgwụgwọ ahụike ngwa ngwa.

Angiocholitis bụ a nnukwu mbufụt nke na-egosipụta onwe ya na ọkwa nke mgbidi nke bile ducts.

Angiocholitis na-apụta dị ka mmeghachi omume ọrịa bile, odo ndu mmiri mmiri na-etinye aka na mgbari nri. Nje ndị na-ebute ọrịa a bụ nje bacteria gụnyere:

• ụfọdụ pathogenic ụdị nkeEscherichia coli ;
• nje pathogenic Streptococcus faecalis ;
• nje pathogenic Bacteroides fragilis.

Ọrịa bile na-ebutekarị site na ọnụnọ nke ihe mgbochi na ọnya bile bụ isi. Ihe mgbochi a bụ na-emetụtakarị lithiasis nke isi bile duct na ọnụnọ nke gallstones, nke a na-akpọkwa gallstones. A na-ejikarị cholesterol crystallized eme ihe, ndị a na-akpaghasị usoro nke bile ma na-akwalite mmepe nke nje bacteria na mgbidi nke bile ducts. Nke ọnụnọ nke gallstones abuana ke Ihe fọrọ nke nta ka ọ bụrụ 90% nke ọrịa cholangitis.

N'okwu ole na ole, cholangitis nwekwara ike ịbụ nsonaazụ ma ọ bụ mgbagwoju anya nke na-esonụ:

• ọnụnọ nke mgbochi tumor, karịsịa na ọrịa cancer nke tract biliary ma ọ bụ ọrịa cancer nke pancreas;
• oria ojoo dị ka roundworm, fluke ma ọ bụ hydatid vesicle;
• ịwa ahụ a na-eme ya na bile ducts;
• catheterization nke bile duct, ule bile duct;
• endoscopic biliary sphincterotomy, akụkụ nke sphincter na bile ducts site na endoscopy.

Ọrịa cholangitis na-emetụta nke ukwuu ndị nwere gallstones. Enwere ọtụtụ ihe ize ndụ maka ịmepụta gallstones gụnyere afọ, oke ibu, ọrịa na-emetụta ileum, nkwụsị nke ileum na iji ọgwụ ụfọdụ.

Ọ bụ ezie na usoro cholangitis na-agbanwe agbanwe, mbufụt a nwere ike ịbụ ihe kpatara nsogbu siri ike. Karịsịa, nnukwu cholangitis nwere ike ime:

• nhazi nke etuto na imeju ;
• ihe omume a septicemia ;
• a nnukwu ọdịda gbasara akụrụ.

Nlekọta ahụike ngwa ngwa dị mkpa iji belata ihe ize ndụ nke nsogbu.

A na-eji angiocholitis mara site na mpụta nke mgbaàmà atọ, n'usoro n'usoro n'usoro oge:

1. mgbu afọ, nke yiri nke colic imeju;
2. na mberede, nnukwu ahụ ọkụ, na-adịkarị n'etiti 39 na 41 Celsius C, nke na-apụta obere oge ka mgbu ahụ gasịrị, oyi na-esonyere ya, na-ewe site na awa ole na ole ruo ụbọchị ole na ole;
3. jaundice, ma ọ bụ jaundice, nke na-eme otu ụbọchị ma ọ bụ abụọ mgbe mgbaàmà mbụ gasịrị.

N'ụdị kachasị njọ, cholangitis nwekwara ike iso ya na delirium na ọgba aghara nke nsụhọ.

Mgbochi nke mbufụt gụnyere igbochi mmepe nke gallstones, isi ihe na-akpata cholangitis. Maka nke a, ọ dị mkpa ịkwụsị ihe ndị na-eme ka ihe ize ndụ nke gallstones dịkwuo elu. Karịsịa, a na-atụ aro ka ị na-ebi ndụ dị mma, na-eri nri kwesịrị ekwesị na mgbatị ahụ mgbe niile.

Nnukwu cholangitis chọrọ ọgwụgwọ ahụike ngwa ngwa. Ọgwụgwọ mbufụt gụnyere iwepụ ihe ndị na-efe efe na ịgwọ isi iyi nke ọrịa ahụ.

Iji gwọọ ọrịa bile, a na-enyekarị ọgwụgwọ ọgwụ nje na intravenous.

Ọ bụrụ na ọrịa ahụ bụ n'ihi ọnụnọ nke gallstones, enwere ike iwepụ ya site na:

• cholecystectomy, ọgwụgwọ ịwa ahụ nke gụnyere iwepụ eriri afọ;
• ihicha nke bile ducts;
• endoscopic biliary sphincterotomy, akụkụ nke sphincter na bile ducts site na endoscopy.