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Может быть острым или хроническим, а также инфекционным или неинфекционным [1](https://semeynaya.ru/directions/khirurgiya/kholangit/). \n\n**Опасность холангита** — быстрое прогрессирование, патология может распространиться на печень и другие органы, а также перейти в сепсис и полиорганную недостаточность [3](https://unionclinic.ru/kholangit/).\n\n\n\n## Причины\nНекоторые причины холангита: \n* **Инфекции** (бактериальные, вирусные, паразитарные) [4](https://www.smclinic-spb.ru/zabolevaniya/holangit)[8](https://duetclinic.ru/diseases/kholangit/). Чаще всего инфекция попадает в желчные протоки из двенадцатиперстной кишки, реже — через кровеносные или лимфатические сосуды [8](https://duetclinic.ru/diseases/kholangit/). \n* **Нарушение оттока желчи** из-за обструкции (закупорки) протоков, например, из-за образования камня, опухоли, стриктуры (патологического сужения) [9](https://www.invitro.ru/library/bolezni/34590/). \n* **Повреждения стенок желчных ходов** при медицинских манипуляциях, а также аномалии их строения [4](https://www.smclinic-spb.ru/zabolevaniya/holangit).\n\n## Симптомы\nКлиническая картина зависит от формы и стадии заболевания, но ключевой признак — **классическая триада Шарко** [3](https://unionclinic.ru/kholangit/): \n* лихорадка с температурой до 39°С [3](https://unionclinic.ru/kholangit/); \n* тупая боль в правом подреберье, которая может отдавать в плечо или спину [3](https://unionclinic.ru/kholangit/); \n* желтуха [3](https://unionclinic.ru/kholangit/). \n\nКроме этих симптомов, могут быть тошнота и рвота, нарушение пищеварения, общая слабость, потеря аппетита, головные боли, потемнение мочи и обесцвечивание кала [3](https://unionclinic.ru/kholangit/).\n\n## Диагностика\nДля постановки диагноза проводят: \n* **Лабораторные исследования** крови, которые позволяют определить уровень билирубина, амилазы и липазы [1](https://semeynaya.ru/directions/khirurgiya/kholangit/). \n* **УЗИ органов брюшной полости** — помогает выявить расширение желчных протоков, наличие камней или опухолей [1](https://semeynaya.ru/directions/khirurgiya/kholangit/)[7](https://slavutich.su/diseases/kholangit/). \n* **Компьютерную томографию (КТ)** — используется для более детального исследования желчных путей и соседних органов [7](https://slavutich.su/diseases/kholangit/).\n\n## Лечение\nЛечение холангита зависит от его причин [1](https://semeynaya.ru/directions/khirurgiya/kholangit/). Например: \n* **При инфекционном холангите** назначают антибиотики [1](https://semeynaya.ru/directions/khirurgiya/kholangit/). \n* **Если причиной является камень в желчных протоках**, может потребоваться хирургическое вмешательство [1](https://semeynaya.ru/directions/khirurgiya/kholangit/). \n* **При обструкции желчных протоков злокачественной опухолью** лечение может включать химиотерапию, лучевую терапию или трансплантацию печени [1](https://semeynaya.ru/directions/khirurgiya/kholangit/). \n\n**Важно!** Поставить точный диагноз и назначить лечение может только врач [11](https://OpenClinics.ru/bolezni/kholangit/).","linksData":[{"sourceId":1,"url":"https://semeynaya.ru/directions/khirurgiya/kholangit/","shownUrl":"https://semeynaya.ru/directions/khirurgiya/kholangit/","title":"Холангит","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":2,"url":"https://doct.ru/articles/kholangit.html","shownUrl":"https://doct.ru/articles/kholangit.html","title":"Холангит — причины, симптомы, диагностика и лечение мочекаменной болезни","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":3,"url":"https://unionclinic.ru/kholangit/","shownUrl":"https://unionclinic.ru/kholangit/","title":"Холангит, причины, симптомы, диагностика | Справочник ЮНИОН КЛИНИК","shortUrl":"unionclinic.ru","isTranslated":false,"description":"","greenUrl":"unionclinic.ru"},{"sourceId":4,"url":"https://www.smclinic-spb.ru/zabolevaniya/holangit","shownUrl":"https://www.smclinic-spb.ru/zabolevaniya/holangit","title":"Холангит: что это, симптомы, клинические рекомендации, лечение, признаки","shortUrl":"smclinic-spb.ru","isTranslated":false,"description":"","greenUrl":"smclinic-spb.ru"},{"sourceId":5,"url":"https://www.Renewal.ru/voprosy-zdorovya/kholangit/","shownUrl":"https://www.Renewal.ru/voprosy-zdorovya/kholangit/","title":"Холангит - причины, симптомы, диагностика и лечение.Ответы на нашей статье.","shortUrl":"Renewal.ru","isTranslated":false,"description":"","greenUrl":"Renewal.ru"},{"sourceId":6,"url":"https://centr-hirurgii-spb.ru/diseases/holangit/","shownUrl":"https://centr-hirurgii-spb.ru/diseases/holangit/","title":"Холангит: симптомы, лечение, классификация и последствия заболевания","shortUrl":"centr-hirurgii-spb.ru","isTranslated":false,"description":"","greenUrl":"centr-hirurgii-spb.ru"},{"sourceId":7,"url":"https://slavutich.su/diseases/kholangit/","shownUrl":"https://slavutich.su/diseases/kholangit/","title":"Заболевания детально","shortUrl":"slavutich.su","isTranslated":false,"description":"","greenUrl":"slavutich.su"},{"sourceId":8,"url":"https://duetclinic.ru/diseases/kholangit/","shownUrl":"https://duetclinic.ru/diseases/kholangit/","title":"Холангит: симптомы, причины и лечение | «Дуэт Клиник»","shortUrl":"duetclinic.ru","isTranslated":false,"description":"","greenUrl":"duetclinic.ru"},{"sourceId":9,"url":"https://www.invitro.ru/library/bolezni/34590/","shownUrl":"https://www.invitro.ru/library/bolezni/34590/","title":"Холангит - причины появления, симптомы заболевания, диагностика и способы лечения","shortUrl":"invitro.ru","isTranslated":false,"description":"","greenUrl":"invitro.ru"},{"sourceId":10,"url":"https://polyclinika.ru/tech/kholangit-prichiny-simptomy-lechenie/","shownUrl":"https://polyclinika.ru/tech/kholangit-prichiny-simptomy-lechenie/","title":"Холангит - причины, симптомы, признаки, диагностика, лечение","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":11,"url":"https://OpenClinics.ru/bolezni/kholangit/","shownUrl":"https://OpenClinics.ru/bolezni/kholangit/","title":"Холангит: симптомы и лечение. 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