How to treat cholangitis - bile duct disease

Cholangitis (cholangitis) is an infectious disease caused by a bacterial infection. This disease is characterized by inflammation of the bile ducts. Cholangitis has an acute or chronic relapsing course. The disease, as a rule, is severe, and, moreover, it can often manifest both independently and with concomitant "troubles": inflammation of the gallbladder or liver.

Also, cholangitis may occur due to any other diseases of internal organs. It must be said that the incidence of this disease affects men aged from 25 to 40 years and women of older age: cholangitis is a �fan� of elderly women (50-60 years). Unfortunately, this disease occurs in children, although it should be noted that in pediatric medical practice these cases are very rare.

In general, there are two types of cholangitis: it is catarrhal and purulent. But do not forget that there are many more additional forms of it, among them sclerosing, autoimmune, primary and secondary.Today we will talk about sclerosing cholangitis, tell you about the causes of its occurrence, what are its symptoms and how is the treatment. Note that until the mid-70s, the aforementioned disease was considered to be very rare. Since the first observations of cholangitis occurred, fewer than 100 cases have been described in the world literature. Often he was diagnosed during surgery or even at autopsy. The ability to use endoscopic retrograde cholangiography on a large scale made it possible to recognize the disease.

By the way, today sclerosing cholangitis can no longer be called a rare disease. On average, 1-4 people out of one hundred thousand people are ill, but these are relative data, just as you cannot give a reliable answer about how pathology spreads, because it can often not manifest itself for a long time, proceeding without clinical manifestations. The name of the disease comes from the fact that the bile ducts are scarring (there is a process of sclerotherapy).

Causes

Sclerosing cholangitis is a special form of chronic cholangitis, has primary and secondary forms.What provokes his appearance? Let us dwell on the causes of this disease. It is worth noting that to date the exact causes of the origin of sclerosing cholangitis are not completely established, but an important role in this situation is assigned to genetic and immune mechanisms.

Causes of cholangitis:�Cholecystitis (chronic); condition after removal of the gallbladder; neoplasms of the biliary tract (cysts or duct tumors) can serve its development; all kinds of parasitic infections (they just block the biliary tract).

Symptoms

Often a long period of time the disease proceeds without any symptoms and is detected during the biochemical analysis of blood. During the progression of cholangitis, the following symptoms may appear: a person feels weak, lethargy and apathy, often struggling with drowsiness; jaundice occurs; the patient suffers from itching, combs the skin, and then suppuration begins; the patient's appetite is disturbed and, as a result, weight loss occurs; there is an increase in temperature.

A person is constantly in apathy because of the weakness experienced, he is not happy about anything and wants to sleep. The temperature can be subfebrile (37-38 � �), and it can also increase significantly (up to 40 � �). A person feels discomfort in the right hypochondrium (constant, dull, it can spread all along the right side). Temperature, nausea, and sometimes vomiting suggest that the disease is progressing.

Treatment

The main thing in the treatment of sclerosing cholangitis is to prevent the progression of the disease, and also to prevent complications. Patients are obliged to adhere to a diet - alcohol, salty and spicy foods, drinks containing gases are contraindicated for them. It should limit the use of neutral fats. Patients are credited with immunosuppressants that suppress the activity of the immune system; antihistamines that reduce the itching of the skin, as well as vitamins.

If this therapy is ineffective, the treatment will be surgical. Bougienage (expansion) of the bile ducts will be made, or a separate canal will be installed to allow bile outflow.

If we talk about the secondary form of cholangitis, the treatment here can be either medicamentous or surgical, it depends on the reasons that cause the disease.It is impossible to predict what will happen after treatment, since the result depends on the type of disease and on the stage at which it was detected. One thing is clear: the less time was lost before the ailment was revealed, the greater the effect will come from the prescribed treatment.

If we talk about the full recovery and restoration of all the functions of an organ, then it can occur only with the secondary form of this pathology. In the primary form of the disease, a person will follow a diet all his future life and be alert, taking measures to prevent the progression of the disease.



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