Momma yensua pii fa wo biliary nhyehyɛe no ho. Eyi ho hia ankasa!

Ɛnnɛ yɛrebɛka nhyehyɛe bi a ɛyɛ nwonwa wɔ yɛn nipadua mu a ɛboa yɛn ma yɛyam aduan a yedi no ho asɛm. Wɔfrɛ no Biliary System . Ebia woate din yi pɛn. Sɛ yɛbɛka no tiawa a, ɛyɛ akwaa ne akwan a ɛka bom wɔ yɛn nipadua mu. Ɛte sɛ adwumayɛbea ketewaa bi a ɛboa yɛn nipadua.

Dɛn ne Biliary System no? Dɛn nti na ɛho hia yɛn?

Okay, momma yenni kan nhwɛ nea saa biliary system yi yɛ. Eyi ne nhyehyɛe a ɛma mogya tu kɔ yɛn aduan mu, ɛkora so, na ɛma ɛkɔ yɛn aduan mu bere a ɛho hia no. Ebia woresusuw nea bile yɛ ho. Bile yɛ nsu a ɛyɛ kɔkɔɔ-ahabammono a yɛn mmerɛbo no yɛ . Ne dwumadi titiriw ne sɛ ɛbɛboa ma yɛayɛ aduan a yedi, titiriw nnuan a srade wom.

Enti, saa bile nhyehyɛe yi wɔ adwuma foforo a ɛho hia. Ɛne sɛ, ɛboa ma yeyi nneɛma fĩ a ɛwɔ yɛn nipadua mu no bi fi nipadua no mu denam saa bile yi so. Ɛne sɛ, ɛnyɛ sɛ saa nhyehyɛe yi boa wɔ aduan mu nko, na mmom ɛboa ma yɛn nipadua no ho tew nso. So wote ase? Ɛno nti na eyi ho hia yɛn paa no.

Ɛhe na biliary nhyehyɛe no wɔ? Dɛn ne n’afã atitiriw?

Afei ma yɛnhwɛ baabi a saa biliary nhyehyɛe yi wɔ wɔ yɛn nipadua mu. Ɛwɔ yɛn yafunu no atifi. Sɛ yɛbɛka no pɛpɛɛpɛ a, nifa so na akwaa dodow no ara wɔ.

Afã atitiriw pii wɔ nhyehyɛe yi mu:

Liver: Yɛn nipadua no aduannoafo a ne ho akokwaw!

Mmɛn no ne ade titiriw a ɛyɛ adwuma wɔ nhyehyɛe yi mu. Ɛma bile . Ɛnyɛ ɛno nko, na mmom bere a ɛrehohoro yɛn mogya ho no, ɛtetew nneɛma a wɔsɛe no te sɛ srade a ɛboro so ne bilirubin (a ɛma bile kɔla kɔkɔɔ) nso mu na ɛde ka bile no ho. mmerɛbo a ɛno nso de srade srade di dwuma no nso na ɛyɛ bile acid a ɛwɔ bile mu no. Saa bile acid ahorow yi boa yɛn dwensɔtwaa ketewaa no ma ɛyam aduan. Afei wɔde bile a ɛnam bile ntini a ɛyɛ fɛ yiye a ɛwɔ mmerɛbo no mu (`intrahepatic ducts`) so boaboa ano no ka bile ntini akɛse a efi mmerɛbo no mu ba (`extrahepatic ducts`) no ho.

Bile ducts: akwan pa a ɛde bile kɔ

Eyinom ne ntini a ɛboaboa bile a ɛba mmerɛbo no mu ano na ɛde kɔ nhyehyɛe no fã a aka no mu. Ntini nketewa no bom na awiei koraa no ɛka bom yɛ ntini kɛse bi a wɔfrɛ no common bile duct . Saa mogya ntini a ɛtaa ba yi ne yɛn dwensɔtwaa ketewaa no fã a edi kan, duodenum , no wɔ abusuabɔ tẽẽ. Saa mogya ntini a ɛtaa ba yi nso ne mmerɛbo mu ntini a ɛtaa ba a efi mmerɛbo mu, cystic ntini a efi akisikuru mu, ne dwensɔtwaa mu ntini a efi dwensɔtwaa mu no wɔ abusuabɔ. Fa no sɛ ɛyɛ nhyiam bi a akwan hyia.

Gallbladder: Ɔdan ketewaa bi a wɔde nneɛma gu mu

Nsu a efi mmerɛbo no mu ba no bɛyɛ fã fa ntini kɛse no mu kɔ dwensɔtwaa no mu tẽẽ, nanso fã a aka no kɔ akisikuru no mu . Eyi yɛ akwaa ketewaa bi a ɛte sɛ kotoku a ɛwɔ mmerɛbo no ase pɛɛ. Ɛha na wɔkora bile no so na ɛyɛ den. Sɛ yɛn dwensɔtwaa ketewa no nya aduan a srade ne protein wom a, ehia bile pii na ama atumi ayam. Afei dwensɔtwaa ketewa no de sɛnkyerɛnne bi kɔ akisikuru no so, na ɛka sɛ, "Okay, fa bile bi kɔma mprempren." Saa bere no, akisikuru no twetwe na ɛma mogya a ɛboro so no fa ntini no mu.

Pancreas: Ɔboafo foforo a ɛho hia

Yɛn dwensɔtwaa no wɔ yafunu no akyi. Dwensɔtwaa no nso yɛ n’ade wɔ nsɛnkyerɛnne a efi dwensɔtwaa no mu ho. Nanso ɛmma bile nkɔ nipadua no mu. Ɛma enzyme ahorow a wɔadi afra a ɛboa ma wɔyam carbohydrates, protein, ne srade fi mu ba. Saa enzymes yi fa dwensɔtwaa no mu na ɛboaboa ano wɔ baabi a bile ntini titiriw no kɔka dwensɔtwaa no ho. Ɛtɔ mmere bi a wɔfrɛ saa nneɛma a wɔaboaboa ano yi, akorae ketewaa bi a bile ne dwensɔtwaa mu enzymes boaboa ano bere tiaa bi no, ampulla of Vater .

Intestination ketewa – titiriw duodenum: nhyiam a biribiara bom

Wɔfrɛ yɛn dwensɔtwaa ketewaa no fã a edi kan no duodenum . Eyi ne baabi a biliary nhyehyɛe ne yɛn aduan mu nneɛma a aka no di nkitaho. Sɛ bile no du dwensɔtwaa ketewa no mu pɛ a, wɔtetew bile acid a ɛwɔ mu no mu. Wɔde nwura a aka no gu nsukorabea no mu. Bile acid a wɔatew mu no boa ma srade a ɛwɔ dwensɔtwaa no mu no mu paapae. Afei, wɔsan fa bile acid no fa dwensɔtwaa no afasu mu kɔ mogya no mu na ɛsan kɔ mmerɛbo no mu. Eyi te sɛ `recycling`.

Dɛn ne nyarewa a ɛtaa ba a ebetumi aka biliary system no?

Esiane sɛ akwaa ne ntini a ɛwɔ saa biliary nhyehyɛe yi mu nyinaa wɔ abusuabɔ kɛse nti, sɛ yare bi ba beae biako a, ɛnyɛ den sɛ ebetumi aka mmeae afoforo no. Ne titiriw no, ɔyare mmoawa ne ɔfe betumi atrɛw akɔ akwaa ahorow a ɛbɛn hɔ wɔ mogya ntini no ho. Afei nso, sɛ biribi siw bile no kwan a, ɛka nipadua no nyinaa.

Nyarewa a ɛtaa ba a ebetumi aba wɔ nhyehyɛe yi mu ni:

• Akisikuru: Eyi yɛ tebea a abu so a nnipa pii ate ho asɛm. Sɛ abo ba wɔ akisikuru no mu na ɛkɔhyɛ ntini a ɛma mogya tu no mu, titiriw mogya ntini a ɛtaa ba no mu a, ebetumi ama yafunu mu ayɛ no yaw kɛse, akisikuru no ayɛ hyew (cholecystitis), na ɛtɔ mmere bi a dwensɔtwaa mpo betumi ayɛ ɔfe, a yɛfrɛ no gallstone pancreatitis .
• Cholestasis a ɛma obi ho kyere no:Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya a ɛsen no brɛoo anaasɛ esiw ano koraa no. Eyi betumi aba esiane sɛ mmerɛbo no nnyɛ bile yiye, anaasɛ bile ntini no asiw ɔkwan bi so nti.
• Biliary stricture: Nsuo mu ntini a ɛyɛ hyew bere tenten no betumi ama akuru ntini ayɛ, na ayɛ teateaa na asiw ntini no ano. Eyi betumi afi awosu mu nyarewa anaa nyarewa a nipadua no tumi ko tia nyarewa .
• Berɛbo mu yare: Mmerɛbo mu yare a ɛtra hɔ kyɛ betumi ama mmerɛbo no mu ntini no mu akuru, na ama mmerɛbo no asɛe nkakrankakra. Wɔfrɛ saa tebea yi sɛ akisikuru . Afei mmerɛbo no ntumi nyɛ bile a ɛdɔɔso.

Nea ɛka eyi ho no, nyarewa afoforo wɔ hɔ:

• Pancreatitis a enni sabea
• Pancreatic cysts a ɛyɛ mmerɛw
• Biliary dyskinesia (akisikuru no dwumadi a entumi nyɛ adwuma yiye) .
• Sclerosing cholangitis a edi kan
• Biliary cholangitis a edi kan
• Biliary atresia (tebea a wonya fi awo mu) .
• Bile acid a ɛmma nipadua no ntumi nkɔ nipadua no mu
• Kokoram a ɛwɔ ntini mu (`Kokoram a ɛwɔ ntini mu` / `Cholangiocarcinoma`) .
• mmerɛbo mu kokoram
• Kokoram a ɛwɔ dwensɔtwaa mu
• Kokoram a ɛwɔ akisikuru mu
• Ampullary kokoram

Dɛn ne biliary system yare ho sɛnkyerɛnne? Hwɛ eyinom so yiye!

Sɛ ɔhaw bi wɔ biliary system no mu a, yɛn nipadua no bɛma yɛanya nsɛnkyerɛnne pii. Ɛho hia paa sɛ wuhu saa sɛnkyerɛnne ahorow yi.

• Jaundice: Eyi yɛ tebea a ɛma aniwa ne honam ani fitaa dan kɔla. Eyi ba bere a bile ntumi nkɔ yiye, esiw nhyehyɛe no mu, na ɛboaboa ano wɔ mogya no mu no. Wɔde aduru bi a wɔfrɛ no bilirubin na ɛma akisikuru kɔla kɔkɔɔ .
• Biliary colic: Eyi yɛ ɛyaw pɔtee bi. Ɛtaa ba bere a wɔadi akyi bere tiaa bi. Saa ɛyaw yi ba bere a akisikuru no twetwe na ɛma mogya kɔ ntini kɛse no mu, na biribi siw kwan (te sɛ ɔbo) no. Ɛyaw no kɔ soro nkakrankakra, edu nea ɛsen biara, na afei ɛso tew nkakrankakra.
• Akisikuru ne ɔfe: Saa sɛnkyerɛnne abien yi taa ka akisikuru a ɛyɛ yaw ho. Ɛtɔ mmere bi a, a jaundice ka ho no, akisikuru ne ɔfe a ɛkɔ so daa betumi aba. Eyi fi bile awuduru a ɛboaboa ano wɔ mogya no mu.
• Steatorrhea: Sɛ bile anaa bile acid ntumi nkɔ dwensɔtwaa ketewa no mu yiye esiane biribi nti a, srade a ɛwɔ aduan a yedi mu no, nipadua no ntumi nnye anaasɛ ɛnnye. Afei, wɔde srade no ne nsu a ɛwɔ mu no kɔ. Ebia srade ayɛ nsu a ɛwɔ nsu mu no na ɛsensɛn so.

Nea ɛka eyi ho no, ebia sɛnkyerɛnne afoforo wɔ hɔ:

• Yafunu atifi yaw.
• Nsu a ne kɔla yɛ tuntum.
• Adwene a ɛyɛ basaa anaasɛ adwene mu yare a ɛnyɛ den.

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu. Dodow a wohu yare no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa.

Nhwehwɛmu bɛn na ebetumi aboa ma mahu sɛnea me biliary system no te?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow mfa nhwɛ sɛnea nhyehyɛe yi akwahosan te.

• Mogya mu nhwehwɛmu: Mmerɛbo mu dwumadi ho nhwehwɛmu (LFT) ne dwensɔtwaa dwumadi ho nhwehwɛmu hwehwɛ sɛ mmerɛbo ne dwensɔtwaa mu enzymes akɔ soro. Mogya dodow a edi mũ (CBC) betumi ahwehwɛ sɛ mogya mu nkwammoaa fitaa dodow akɔ soro. Mogya mu nkwammoaa fitaa dodow a ɛkɔ soro no betumi akyerɛ sɛ obi anya ɔyare mmoawa anaasɛ ɔfe.
• Mfoniniyɛ mu nhwehwɛmu: Nhwehwɛmu atitiriw te sɛ yafunu mu ultrasound anaa CT scan betumi aboa ma wɔahu sɛ ebia biribi asiw anaasɛ ɛho ahonhon wɔ baabiara wɔ biliary system no mu anaa.
• Mfoniniyɛ mu sɔhwɛ titiriw: Sɔhwɛ soronko bi wɔ hɔ a ebetumi ahwɛ nsu a ɛwɔ mogya mu no mu kɔ akyiri. Nhwɛso ahorow bi ne:
• Endoscopic ultrasound (EUS) a wɔde hwɛ nipadua no mu .
• Hepatobiliary scintigraphy (HIDA mfoninitwa afiri) .
• Magnetic resonance cholangiopancreatography (MRCP) a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so .
• Endoscopic retrograde cholangiopancreatography (ERCP) a wɔde hwɛ akyi berɛmo mu. Wɔde eyi di dwuma sɛ sɔhwɛ ne ayaresa ahorow bi.

Dɛn ne nnuru a wɔde sa nyarewa a ɛwɔ mogya mu nsu mu no?

Nea eye sen biara ne sɛ mprempren ayaresa a etu mpɔn wɔ hɔ a wɔde sa nyarewa pii a ɛwɔ nsu a ɛwɔ mogya mu no mu. Ɔkwan a wɔfa so sa yare no gu ahorow gyina yare no ko ne sɛnea emu yɛ den so.

• Biliary drainage: Eyi yɛ adeyɛ a ɛnyɛ den. Wɔyɛ de yi bile a ɛboro so a aboaboa ano wɔ bile ntini no mu no fi hɔ. Oduruyɛfo de afiri a ɛyɛ tratraa (catheter) bi fa wo yafunu fasu mu hyɛ wo nsu a ɛwɔ wo mogya mu no mu na ɔma mogya no fa mu.
• Endoscopic ayaresa: Bere a wɔreyɛ ERCP no, wobetumi afa endoscope (afiri teateaa a mfoninitwa afiri abata ho) so ayɛ ayaresa ahorow bi. Sɛ nhwɛso no, sɛ biribi asiw a, wobetumi ayi afi hɔ, wɔafa ntini bi (biopsy), anaasɛ wɔde afiri ketewaa bi ( stent ) ahyɛ mu na ama duct no abue.

Wɔ tebea horow bi mu, titiriw wɔ tebea horow te sɛ abo a ɛwɔ akisikuru mu no, ebia oprehyɛn de yi akisikuru no (cholecystectomy) ho behia. Wɔ kokoram ho no, ebia ayaresa a ɛyɛ den te sɛ oprehyɛn, radiotherapy, anaa nnuru a wɔde sa yare ho behia.

Dɛn na yebetumi ayɛ na ama yɛn biliary system no akɔ so ayɛ yiye?

"Asiw ano ye sen ayaresa." Ɛne sɛ, eye sɛ wubesiw yare bi ano ansa na aba sen sɛ wobɛsa no bere a aba akyi. Enti, nneɛma kakraa bi wɔ hɔ a ɛnyɛ den a yebetumi ayɛ na ama yɛn biliary nhyehyɛe no akɔ so ayɛ yiye.

• Kura aduan pa mu: Di nnuan a wɔansiesie, abɔde mu nnuan (nnuan a ɛyɛ mũ) pii sɛnea wubetumi. Tow nnuan a asikre ne srade pii wom ano hye. Eyi bɛma wo mmerɛbo ayɛ yiye na ahwɛ wo srade dodow so. Kae sɛ srade a ɛboro so betumi ama obi anya akisikuru ne mmerɛbo mu yare a srade wom.
• To nsa ne nnuru a ɛho nhia a wɔde di dwuma no ano hye: Nsã ne nnuru te sɛ nnuru bi a wɔde kum ɛyaw a wɔnom boro so na ɛho nhia ne nneɛma atitiriw a ɛde akisikuru ne mmerɛbo mu yare ba. Sɛ wowɔ biliary system yare biara a, saa nneɛma yi betumi ama asɛe kɛse.
• Kɔ aduruyɛ mu nhwehwɛmu daa: Nnyarewa bi a ɛwɔ biliary system no mu betumi atra nipadua no mu akyɛ a enni sɛnkyerɛnne titiriw biara. Enti, mma wo aduruyɛ mu nhwehwɛmu a woyɛ daa (`wellness checkups`) no nmpa wo ti so. Afei, sɛ yare bi wɔ hɔ a, wobetumi ahu no ntɛm. Afei nso, wo ne wo duruyɛfo nka nnuru a wonom no ho asɛm na hu sɛ ebia epira mmerɛbo no anaa.

Enti, ade a etwa to a ɛho hia sen biara a ɛsɛ sɛ wokae! (Nkrasɛm a Wɔde Kɔ Fie)

Yɛn biliary nhyehyɛe no yɛ yɛn aduan mu nhyehyɛe no fã titiriw ne yɛn mogya a ɛkɔ nipadua no mu nso. Sɛ anyɛ adwuma yiye a, ebetumi aka biribiara fi yɛn aduan a yedi so kosi yɛn aduan a yedi so. Ebetumi nso ama awuduru aboaboa ano wɔ yɛn nipadua mu na asan akɔ yɛn mogya mu.

Akwaa a ɛwɔ nhyehyɛe yi mu te sɛ mmerɛbo ne dwensɔtwaa no wɔ dwumadi afoforo pii. Enti, sɛ saa akwaa yi yare a, ɛnyɛ biliary nhyehyɛe no nko na ɛbɛka, na mmom ɛbɛka nhyehyɛe afoforo a ɛfa saa akwaa yi ho nso. Enti, mma wo werɛ mmfi sɛ biliary nhyehyɛe a ɛte apɔw ho hia ma nipadua a ɛte apɔw. Hwɛ wo nipadua so yiye, na sɛ wuhu biribi a ɛyɛ soronko a, nnyɛ ɔkwasea sɛ wobɛhwehwɛ aduruyɛ mu afotu.

` Biliary nhyehyɛe, gallbladder, mmerɛbo, bile ducts, aduan a wɔyam, jaundice, gallstones