Cholangitis

Cholangitis o se faʻamaʻi o le gaʻo gaʻo, o le tubes e feaveaʻi le maile mai le ate i le gallbladder ma tootoo. Bile o se suavai faia e le ate e fesoasoani faʻalauteleina meaai.

Cholangitis e masani ona mafua mai siama. E mafai ona tupu lenei mea pe a poloka le auala e se mea, pei o le gallstone poʻo le tumo. O le faʻamaʻi mafua ai lenei tulaga atonu e sosolo foʻi i le ate.

O mea mataʻutia e aofia ai le talaʻaga o maʻa na iai, sclerosing cholangitis, HIV, faʻaititia o le taʻaala masani, ma seasea, malaga atu i atunuʻu e te maua ai se anufe poʻo se faʻamaʻi pipisi.

O faʻailoga nei e ono tutupu:

• Tiga i le itu taumatau i luga poʻo le pito i luga ogatotonu o le manava. E mafai foi ona lagonaina i le pito i tua poʻo lalo ifo o le tauau taumatau. O le tiga e ono sau ma alu ma lagona faʻamaʻa, pei o le cramp-pe, pe le faʻapogisa.
• Fiva ma malulu.
• Pepe pogisa ma 'ele e lanu le omea.
• Faanoi ma puaʻi.
• Lanu samasama o le paʻu (jaundice), e ono omai ma alu.

Atonu o iai sau faʻataʻitaʻiga lea e suʻe ai poloka:

• Laʻititi ultrasound
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Maneta resonance cholangiopancreatography (MRCP)
• Cholutanogram transhepatic faʻasolitulafono (PTCA)

Atonu e iai foʻi sau faʻataʻitaʻiga o le toto:

• Tulaga Bilirubin
• O fua o le enzyme ate
• Suʻega gaioiga ole ate
• Paʻepaʻe toto (WBC)

O le vave mauaʻi ma togafitiga e taua tele.

Antibiotics e faʻamalolo siama o le muamua togafitiga faia i le tele o tulaga. ERCP poʻo isi taotoga faʻagaioiga e faia pe a mautu le tagata.

Tagata o loʻo mamaʻi poʻo ua vave ona faʻasolo ina leaga atonu e manaʻomia vave se taotoga.

O le iʻuga e masani ona lelei i togafitiga, ae leaga a leai.

Faʻafitauli e ono aofia ai:

• Sepsis

Valaʻau lau fomaʻi pe a iai ni faʻailoga o le cholangitis.

Togafitiga o gallstones, tumors, ma infestations o parasite ono faʻaititia le lamatiaga mo nisi tagata. O se uʻamea poʻo se palasitika stent o loʻo tuʻuina i le faʻamaʻi sela atonu e manaʻomia e puipuia ai le toe faʻamaʻi.

• Polokalama Digestive
• Ala Bile

Fogel EL, Sherman S. Faʻamaʻi o le gallbladder ma bile ducts. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 146

Sifri CD, Madoff LC. Siama o le ate ma le biliary system (ate abscess, cholangitis, cholecystitis). I totonu: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, ma Bennett's Mataupu Faavae ma Faʻataʻitaʻiga o Faamaʻi pipisi. 9th ed. Filatelefia, PA: Elsevier; 2020: chap 75.