Angiocholitis sib raug rau a o ntawm cov kab mob ntawm cov kab mob hauv lub cev. Nws feem ntau yog vim muaj cov pob zeb hauv lub gallstones. Mob cholangitis xav tau kev kho mob sai.

Angiocholitis yog ib qho mob mob uas manifests nws tus kheej nyob rau theem ntawm phab ntsa ntawm cov kua tsib ducts.

Angiocholitis tshwm sim raws li cov tshuaj tiv thaiv kab mob kua tsib, yellow biological kua koom nrog hauv kev zom zaub mov. Cov kab mob ua rau tus kab mob no yog cov kab mob xws li:

• qee yam kab mob pathogenic ntawmEscherichia coli ;
• Cov kab mob pathogenic Streptococcus faecalis ;
• Cov kab mob pathogenic Cov kab mob Bacteroides fragilis.

Kev kis tus kab mob feem ntau yog tshwm sim los ntawm qhov muaj teeb meem hauv cov kab mob hauv lub cev. Qhov kev thaiv no yog feem ntau cuam tshuam nrog lithiasis ntawm cov hlab ntsha loj nrog rau lub xub ntiag ntawm gallstones, kuj hu ua gallstones. Feem ntau yog tsim los ntawm cov roj cholesterol crystallized, cov no cuam tshuam kev ntws ntawm cov kua tsib thiab txhawb kev txhim kho cov kab mob hauv cov phab ntsa ntawm cov kua tsib ducts. Cov muaj cov kab mob gallstone koom nrog hauv ze li ntawm 90% ntawm cov mob cholangitis.

Hauv qee qhov xwm txheej, cholangitis tuaj yeem yog qhov tshwm sim lossis teeb meem uas ua raws:

• lub xub ntiag ntawm qhov teeb meem qog, tshwj xeeb tshaj yog nyob rau hauv mob qog noj ntshav los yog mob qog noj ntshav ntawm lub txiav;
• cab zoo li roundworm, fluke los yog hydatid vesicle;
• kev phais ua nyob rau hauv cov kua tsib ducts;
• catheterization ntawm cov kua tsib duct, kev ntsuam xyuas cov kua tsib;
• ib qho endoscopic biliary sphincterotomy, ntu ntawm sphincter hauv cov kua tsib ducts los ntawm endoscopy.

Cov cholangitis feem ntau cuam tshuam cov neeg mob gallstones. Muaj ntau yam kev pheej hmoo rau kev tsim cov gallstones nrog rau hnub nyoog, rog rog, kab mob cuam tshuam rau ileum, resections ntawm ileum thiab siv qee yam tshuaj.

Txawm hais tias cov kab mob cholangitis yog qhov sib txawv, qhov mob no tuaj yeem ua rau muaj teeb meem loj. Hauv particular, mob cholangitis tuaj yeem ua rau:

• tsim ntawm abscess nyob rau hauv daim siab ;
• qhov tshwm sim ntawm a sepsis ;
• a mob raum tsis ua haujlwm.

Kev kho mob ceev yog tsim nyog los txwv txoj kev pheej hmoo ntawm cov teeb meem.

Angiocholitis yog tus yam ntxwv ntawm qhov tshwm sim ntawm peb tus tsos mob, hauv qhov kev txiav txim meej meej raws sijhawm:

1. mob plab, uas zoo ib yam li mob plab hnyuv;
2. tam sim ntawd, kub taub hau, feem ntau yog nruab nrab ntawm 39 thiab 41 ° C, uas tshwm sim sai tom qab qhov mob, nrog ua daus no, thiab kav li ob peb teev mus rau ob peb hnub;
3. jaundice, los yog jaundice, uas tshwm sim ib mus rau ob hnub tom qab thawj cov tsos mob.

Hauv cov ntawv hnyav tshaj plaws, cholangitis kuj tseem tuaj yeem ua rau tsis nco qab thiab cuam tshuam ntawm kev nco qab.

Kev tiv thaiv kev mob yog tiv thaiv kev txhim kho ntawm gallstones, lub ntsiab ua rau cholangitis. Rau qhov no, nws yog ib qho tsim nyog los txwv cov yam uas ua rau muaj kev pheej hmoo ntawm gallstones. Tshwj xeeb, nws tau pom zoo kom coj los ua lub neej noj qab haus huv, nrog kev noj zaub mov zoo thiab ua haujlwm lub cev tsis tu ncua.

Mob cholangitis mob hnyav yuav tsum tau kho mob sai. Kev kho mob yog tshem tawm cov kab mob thiab kho qhov chaw ntawm tus kab mob.

Txhawm rau kho cov kab mob bile, kev kho tshuaj tua kab mob feem ntau yog muab tso rau hauv cov hlab ntsha.

Yog hais tias tus kab mob yog vim muaj cov gallstones, lawv yuav raug tshem tawm los ntawm:

• cholecystectomy, ib qho kev kho mob phais uas tshem tawm lub gallbladder;
• ntxuav cov ducts;
• endoscopic biliary sphincterotomy, ntu ntawm sphincter nyob rau hauv cov kua tsib ducts los ntawm endoscopy.