Cholangitis

General description of the disease

Cholangitis is an inflammatory process in the intrahepatic or extrahepatic bile ducts. Cholangitis is caused by infections that enter the ducts from the intestines, gallbladder, or blood vessels.

This pathology is more likely to affect women over 60 years of age. Cholangitis is often accompanied by cholelithiasis, gastritis, cholecystitis and pancreatitis.

Reasons for the development of cholangitis

As a rule, the reason for the development of cholangitis is a violation of the patency of the bile ducts, which can provoke:

• helminthic invasion;
• viral hepatitis;
• dyskenesia of the biliary tract;
• enteritis, pancreatitis;
• biliary tract cancer;
• common bile duct cyst;
• endoscopic manipulations in the gallbladder area;
• ulcerative colitis;
• bacterial pathogens such as Escherichia coli, tuberculosis bacteria, staphylococci.

Types and symptoms of cholangitis

The course of the presented pathology of the bile ducts can be chronic or acute:

• acute cholangitistends to progress rapidly. The patient is worried about intense pain in the right hypochondrium, which radiates to the right scapula, diarrhea, jaundice, nausea, up to vomiting. This form is often accompanied by a headache against a background of increased body temperature, loss of appetite and general weakness. Itching of the skin is possible at night;
• chronic cholangitis accompanied by a feeling of bloating, fever and muted pain in the liver. Periodically, the patient may have a fever, jaundice develops much later.

Complications of cholangitis

With incorrect and untimely therapy, cholangitis can turn into a purulent form, and then the following complications can develop:

1. 1 sepsis;
2. 2 portal vein thrombosis;
3. 3 endotoxic shock;
4. 4 gall bladder cancer^[3];
5. 5 cholangiogenic abscess and cirrhosis of the liver;
6. 6 dysfunction of various organs;
7. 7 immunity disorders;
8. 8 renal insufficiency.

Prevention of cholangitis

Prevention of the development of cholangitis is:

• timely therapy of gastrointestinal tract pathologies;
• regular examination by a gastroenterologist after gallbladder surgery;
• rejection of bad habits, a healthy lifestyle;
• observance of the mode of work and rest;
• moderate physical activity;
• eating healthy foods;
• regular bowel movements;
• timely disposal of parasites.

Cholangitis treatment in mainstream medicine

To determine the exact diagnosis, cholangitis is diagnosed, which includes:

1. 1 examination of feces for parasites;
2. 2 duodenal intubation;
3. 3 biochemistry of blood;
4. 4 Ultrasound of the gallbladder and liver;
5. 5 bacterial culture of bile;
6. 6 general urine analysis for bile pigments;
7. 7 general blood analysis;
8. 8 MRI of the abdominal organs.

Cholangitis therapy should be aimed at increasing the outflow of bile and eliminating the cause that caused the development of the disease. As a rule, treatment begins with detoxification therapy by decompression of the biliary tract. Also, the patient is prescribed antibacterial agents, antiparasitic and anti-inflammatory drugs, hepatoprotectors. During treatment, the patient is shown hunger and bed rest. With severe intoxication, plasmaphoresis is prescribed.

After relieving exacerbation, effective physiotherapeutic procedures: UHF, mud applications and ozokerite on the right hypochondrium, electrophoresis, baths, microwave therapy.

For patients with primary cholangitis, enzymes are prescribed to improve digestion.

Attention!

The administration is not responsible for any attempt to use the information provided, and does not guarantee that it will not harm you personally. The materials cannot be used to prescribe treatment and make a diagnosis. Always consult your specialist doctor!