Angiocholitis e tsamaisana le a ho ruruha ha lera la masela a bile. Hangata e bakoa ke ho ba teng ha li-gallstones. A hlobaetsang le cholangitis hloka ka potlako phekolo ea meriana.

Angiocholitis ke lefu ho ruruha ho hoholo e iponahatsang boemong ba lerako la makukuno.

Angiocholitis e hlaha e le karabelo ho tšoaetso ea bile, mokelikeli o mosehla oa baeloji o amehang tšilong ea lijo. Likokoana-hloko tse ikarabellang bakeng sa tšoaetso ena ke libaktheria tse kenyeletsang:

• mefuta e itseng ea pathogenicEscherichia coli ;
• baktheria ea pathogenic Streptococcus faecalis ;
• baktheria ea pathogenic Bacteroides fragilis.

Hangata tšoaetso ea bile e bakoa ke ho ba teng ha tšitiso ka har'a kotopo e kholo ea bile. Tšitiso ena ke hangata e amana le lithiasis ea duct ea mantlha ea bile ka boteng ba nyooko, eo hape e bitsoang nyooko. Hangata li entsoe ka k'holeseterole e khanyang, tsena li sitisa ho phalla ha bile le ho khothalletsa nts'etsopele ea libaktheria maboteng a li-ducts tsa bile. The boteng ba nyooko e kenya letsoho ho hoo e ka bang 90% ea linyeoe tsa cholangitis.

Maemong a fokolang, cholangitis e ka boela ea e-ba sephetho kapa bothata bo latelang:

• boteng ba tšitiso ea hlahala, haholo-holo ka kankere ea pampiri ea biliary kapa kankere ea manyeme;
• tshwaetso ya parasine joalo ka seboko, fluke kapa hydatid vesicle;
• ho buuoa e tsamaisoang ka masela a bile;
• catheterization ea duct ea bile, tlhahlobo ea lerumo la bile;
• endoscopic biliary sphincterotomy, karolo ea sphincter ka har'a likotopo tsa bile ka endoscopy.

Cholangitis e ama haholo-holo batho ba nang le nyooko. Ho na le mabaka a 'maloa a kotsi bakeng sa ho thehoa ha li-gallstones ho akarelletsa le lilemo, botenya, mafu a amang leal, resections ea ileum le tšebeliso ea meriana e itseng.

Le hoja tsela ea cholangitis e fapane, ho ruruha hona ho ka ba sesosa sa mathata a tebileng. Haholo-holo, acute cholangitis e ka baka:

• ho bopeha hoa sekoa sebeteng ;
• ketsahalo ea a septicemia ;
• a ho hloleha ho hoholo ha renal.

Tlhokomelo ea bongaka e potlakileng ea hlokahala ho fokotsa kotsi ea mathata.

Angiocholitis e tšoauoa ka ho hlaha ha matšoao a mararo, ka tatellano e nepahetseng haholo ea tatellano ea liketsahalo:

1. bohloko ba ka mpeng, bo tšoanang le ba hepatic colic;
2. ka tšohanyetso, feberu e matla, hangata e pakeng tsa 39 le 41 ° C, e hlahang nakoana ka mor'a bohloko, e tsamaea le serame, 'me e nka lihora tse seng kae ho ea ho matsatsi a seng makae;
3. jaundice, kapa jaundice, e hlahang letsatsi le le leng ho isa ho a mabeli ka mor'a matšoao a pele.

Ka mefuta e matla ka ho fetisisa, cholangitis e ka boela ea tsamaea le delirium le litšitiso tsa kelello.

Thibelo ea ho ruruha e akarelletsa ho thibela ntshetsopele ya gallstones, lisosa tse ka sehloohong tsa cholangitis. Bakeng sa sena, hoa hlokahala ho fokotsa lintlha tse eketsang kotsi ea gallstones. Ka ho khetheha, ho kgothaletswa ho phela bophelo bo botle, ka ho ja dijo tse leka-lekaneng le ho ikoetlisa kamehla.

Acute cholangitis e hloka kalafo e potlakileng ea bongaka. Kalafo ea ho ruruha e kenyelletsa ho tlosa lintho tse tšoaetsanoang le ho phekola mohloli oa tšoaetso.

Ho phekola tšoaetso ea bile, kalafo ea lithibela-mafu hangata e fanoa ka methapo.

Haeba tšoaetso e bakoa ke boteng ba gallstones, e ka tlosoa ka:

• cholecystectomy, phekolo ea ho buuoa e akarelletsang ho ntša nyooko;
• ho hloekisa li-ducts tsa bile;
• endoscopic biliary sphincterotomy, karolo ea sphincter ka har'a likotopo tsa bile ka endoscopy.