Mina míasrɔ̃ nu tso wò ʋuka siwo me ʋu sina tona ŋu. Esia le vevie ŋutɔ!

Hello! Èbu alesi gbegbe mɔ̃ suetɔ kekeake siwo le míaƒe ŋutilã me gɔ̃ hã le vevie ŋu kpɔa? Nu vevi mawo dometɔ ɖeka, gake ɖewohĩ nane si ŋu míeƒoa nu tsoe boo o, enye ʋumenugbagbeviɣidɔ. Eyata egbea míaƒo nu tso ʋumenugbagbeviɣidɔ sia ŋu le nya bɔbɔewo me, nusi wònye, nusi dzɔna ɖe edzi, dɔléle siwo wòhena vɛ, kple alesi míate ŋu akpɔ edzii.

Nukae nye Bile Duct? Nukae wòwɔna?

Kpuie ko la, ʋuka si me ʋu sina tona nye ʋuka tsɛ siwo doa ka kple ŋutinu aɖewo siwo le míaƒe nuɖuɖumeŋusẽ me. Ele abe pɔmpi si tsɔa tsi ene. Eƒe dɔ vevitɔe nye be wòatsɔ nusi woyɔna be ‘bile’ ayi ŋutinu siawo dome. Míaƒe aklã, aɖuɖɔtoe, kple dɔgbo sue, kpakple ʋumenugbagbeviɣimɔ̃ siawoe wɔa ʋumenugbagbeviɣidɔa . Eyata nukatae ʋuka siawo hiã? Míaƒe ŋutilã hiã ʋumenugbagbeviɣidɔ hena dɔ vovovowo wɔwɔ. Aɖuɖɔtoeawo kpena ɖe ame ŋu wòtsɔa ʋumenugbagbeviɣi sia tso teƒe ɖeka yia bubu dedie. Tube ƒe ɖoɖo sia le vevie ŋutɔ be woatsɔ ʋumenugbagbeviɣi ayi ŋutilãa me ɣesiaɣi, le afisiafi, evɔ mado kplamatse nu bubu aɖeke o, eye magblẽ nu le ŋutinu bubuwo ŋu o. Azɔ kpɔ ɖa, ʋumenugbagbeviɣi sia nye tsi si míaƒe aklã wɔ. Nu ƒomevi aɖe si woyɔna be bile acids le eme . Esiawoe kpena ɖe mía ŋu míeɖua ami kple protein siwo le nuɖuɖu siwo míeɖuna me. Gake ʋumenugbagbeviɣi siawo sesẽ vie eye woate ŋu agblẽ nu le ŋutinu siwo mezu numame na o ŋu. Azɔ hã, nuɖuɖumeŋusẽ aɖewo siwo tso míaƒe dɔgbo me hã toa ʋuka siawo me. Nenema ke ne womeyi teƒe si sɔ o la, kuxiwo ate ŋu ado mo ɖa.

Aleke ʋumenugbagbeviɣidɔ sia do ƒome kple míaƒe ŋutinuwoe?

Bu eŋu abe ati si ƒe alɔwo le ene. Edzea egɔme tso míaƒe aklã dzi. Aklãa le míaƒe ƒodo ƒe ɖusime ƒe akpa si le etame. Aklãa me la, ʋumenugbagbevi dzĩwo le nyuie ŋutɔ, eye alɔdzewo le wo me. Míeyɔa esiawo be aklã me ʋumenugbagbeviɣiwo . Ne aklãa wɔ ʋumenugbagbeviɣi la, eƒonɛ toa mɔ̃ siawo dzi. Emegbe, mɔ̃ sue siawo siwo le aklãa me la ƒoa ƒu wɔa aklã ƒe ɖusime kple miame ƒe mɔ̃ siwo lolo vie. Mɔ eve siawo dona tso aklãa me eye woƒoa ƒu wɔa aklã ƒe mɔ̃ si bɔ . Woyɔa ʋuka siwo le aklãa godo be aklã godo ƒe ʋukawo . Fifia, aklã me ʋuka sia si bɔ la wɔa ɖeka kple ʋuka si me ʋu sina tona si dona tso míaƒe aɖuɖɔtoe me la wɔa ʋumenugbagbeviɣidɔ si bɔ.Ewɔa nu. Aɖuɖɔtoe si dona tso aklãa me ƒe afã lɔƒo yia ʋumenugbagbeviɣidɔ sia si bɔ me tẽ. Afã mamlɛa yia aɖuɖɔtoe me. Aɖuɖɔtoea le aklãa te tututu. Ele abe akplo sue aɖe si dzraa ʋumenugbagbeviɣi ɖo ene. Edzraa ʋumenugbagbeviɣi si womenɔ zazãm ɣemaɣi o la ɖo. Aɖuɖɔtoea dzranɛ ɖo vaseɖe esime míaƒe dɔgbo suea hiãe. Ne míaƒe dɔgbo suea de dzesii be ami kple protein li be yeaɖu la, eɖoa dzesi aɖe ɖe aɖuɖɔtoea. Emegbe aɖuɖɔtoea ƒoa ƒu eye wòɖoa ʋumenugbagbeviɣia to ʋuka si me ʋu sina tona me yia ʋuka si bɔ la me. Tso afima la, ʋumenugbagbeviɣia yia dɔgbo suea me. Ʋumenugbagbeviɣidɔ sia si bɔ lae nye ʋuka gãtɔ kekeake si le mía si. Eƒe didime anɔ abe sentimeta 10 ene. Ʋumenugbagbeviɣidɔ bubuawo katã doa alɔ tso esia me. Míaƒe dɔgbo ƒe mɔ̃ hã doa ka kple teƒe ma ke si ʋumenugbagbeviɣidɔ sia si bɔ la ʋuna yia dɔgbo suea me, gake wònyea mɔ si to vovo. See?

Nɔnɔme kawoe gblẽa nu le ʋumenugbagbeviɣiwo ŋu?

Enyo, eyata azɔ mina míakpɔ dɔléle ƒomevi siwo ate ŋu akpɔ ŋusẽ ɖe ʋumenugbagbeviɣidɔ vevi sia dzi ɖa.

1. Dzoxɔxɔ

Dɔlékui aɖewo kple dɔdzẽ ƒe nɔnɔme bubuwo ate ŋu ahe kuxiwo vɛ le ʋumenugbagbeviɣiwo ŋu. Esia ate ŋu anye ɣeyiɣi kpui aɖe alo ɣeyiɣi didi aɖe. Le ɣeyiɣi kpui aɖe me la, dɔdzẽ sesẽ ate ŋu axe mɔ na ʋukawo eye wòatɔ te ʋumenugbagbeviɣi ƒe sisi. Gake le ɣeyiɣi didi aɖe megbe la, dɔdzẽ si nɔa anyi didi ate ŋu ana abi nanɔ lãkusi si le ʋumenugbagbeviɣiwo me ŋu. Abi ƒe lãkusi sia nana be ʋukaawo tsia – woyɔa esia be stricture . Mlɔeba la, ʋua nu tsona eye ʋuka siwo me ʋu sina tona ate ŋu agblẽ. Woyɔa ʋumenugbagbeviɣidɔ sia be ʋumenugbagbeviɣidɔ . Dɔlékuiwo kple nusiwo xea mɔ na wo ate ŋu ahe ʋumenugbagbeviɣidɔ sesẽ vɛ . Azɔ hã, dɔléle siwo dɔlélenutsiŋutete wɔna ate ŋu ahe ʋumenugbagbeviɣidɔ si nɔa anyi didi vɛ . Primary Biliary Cholangitis (PBC) kple Primary Sclerosing Cholangitis (PSC) nye dɔléle eve mawo tɔgbe siwo nɔa anyi didi.

2. Mɔxexe ɖe nu nu

Nusi gbɔ ʋumenugbagbeviɣidɔ ƒe kuxiwo tsona wue nye xexe . Wo dometɔ ɖeka si bɔ wue nye aɖuɖɔtoemekpewo . Kpe siawo nye kristalo siwo dzɔna le aɖuɖɔtoe alo ʋumenugbagbeviɣiwo me. Wotsina vivivi le ƒe geɖe me. Zi geɖe la, aɖuɖɔtoemekpewo dona eye wozɔa mɔ yia ʋumenugbagbeviɣidɔ si bɔ me. Woyɔa nɔnɔme sia koŋ be choledocholithiasis.Ne kpe siawo siwo le ʋukawo me va lolo la, woate ŋu axe mɔ na ʋumenugbagbeviɣia ƒe sisi. Azɔ hã, ʋumenugbagbeviɣi ƒe ʋuʋu , si nye ʋumenugbagbeviɣiwo ƒe ʋuʋu ate ŋu axe mɔ na ʋumenugbagbeviɣi ƒe sisi. Dɔdzẽ si nɔa anyi didi ate ŋu ana abi ƒe lãkusiwo nadzɔ le ʋumenugbagbeviɣiwo me, si ana woaxe mɔ sia. Vidzidzidɔ aɖewo – le kpɔɖeŋu me , biliary atresia kple Alagille Syndrome – hã ateŋu ahe nɔnɔme sia vɛ.

3. Kansa

Woyɔa ʋuka me dɔdzẽ be cholangiocarcinoma . Ateŋu adze le aklã godo ƒe mɔ̃wo me – siwo nye esiwo bɔ wu – alo le aklã ƒe akpa siwo le aklã me (aklã me ʋukawo). Esia to vovo na aklãdɔléle. Gake ne aklã me kansa dze ame dzi la, ate ŋu agblẽ ʋuka siwo le aklãa me hã to abi alo xexe me.

Nukae dzɔna ne ʋumenugbagbeviɣidɔ aɖe xe?

Abe alesi tsidzɔƒe si xe ene la, ne ʋumenugbagbeviɣi mete ŋu to ʋukawo me o la, egbugbɔna ɖe megbe eye wòdzea ƒoƒo ɖe ŋutinuwo me gɔme. Esia ate ŋu ana ŋutinu mawo naxɔ dzo eye wòagblẽ nu le wo ŋu. Le kpɔɖeŋu me, aɖuɖɔtoe me dɔdzẽ ( cholecystitis ), dɔdzẽ si le dɔgboa me ( gallstone pancreatitis ), kple aklã kple ʋukawo ŋutɔ ƒe dɔdzẽ. Ne ʋumenugbagbeviɣidɔ tɔ ( cholestasis ) la, dɔlékuiwo ate ŋu adze ame dzi wu. Dɔlékui siwo le ʋumenugbagbeviɣidɔ me la vea ame ŋutɔ eye afɔku le wo me. Ne wokaka ɖe aklã me la, woate ŋu age ɖe ʋukawo me eye woahe septicemia vɛ le ŋutilã bliboa me, si ahe nɔnɔme si me afɔku le si woyɔna be sepsis vɛ.

Vevietɔ: Sepsis nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me.

Azɔ hã, ne ʋumenugbagbeviɣi si le megbe la te sisi ɖe ʋukawo me la, ate ŋu ahe dɔléle vovovowo vɛ. Àte ŋu axɔ jaundice – ŋutigbalẽ kple ŋku ƒe ɣie – ʋuʋudedi, ʋuʋudedi, kple ɣeaɖewoɣi la, susu ƒe dɔmawɔmawɔ nyuie vie (aklã ƒe tagbɔdɔ) . Ʋumenugbagbeviɣimɔ̃ siwo xe la mate ŋu akɔ ʋumenugbagbeviɣi ɖe dɔgbo suea me nyuie o. Esia ate ŋu ahe nuɖuɖumeŋusẽ ƒe kuxiwo vɛ. Wò nuɖuɖumeŋusẽ ƒe amiwo ɖuɖu kple vitamin siwo me ami le la xɔxɔ sesẽna na wò. Nuɖuɖumakpɔmakpɔ sia ate ŋu ahe nunyuimakpɔɖu hã vɛ .

Aleke nàwɔ anya ne ʋumenugbagbeviɣidɔ ƒe kuxi aɖe le ŋuwò?

Zi geɖe la, nɔnɔme siwo nɔa anyi didi va doa mo ɖa vivivi le ƒe geɖe me. Eyata ɖewohĩ dzesi aɖeke madze le ŋuwò o vaseɖe esime wò ʋumenugbagbeviɣiwo nagblẽ vevie. Gake ne dɔléle aɖe si nu sẽ , abe ʋu ƒe sisi alo dɔlékui ene le ŋuwò la, àkpɔ dzesi siwo woyɔna be biliary colic zi geɖe. Nukae nye biliary colic?

• Esia nye ƒodo me vevesese.
• Zi geɖe la , etsɔa ʋuʋudedi , eye ɣeaɖewoɣi la , ʋuʋudedi .
• Zi geɖe la, esia dzɔna le nuɖuɖu si me ami le ɖuɖu vɔ megbe .
• Vevesesea dzea egɔme vivivi, vivivi la, eƒe sesẽme dzina ɖe edzi le gaƒoƒo ɖeka me, eye emegbe wògaɖiɖina le gaƒoƒo ɖeka alo eve bubu me.

Aɖuɖɔtoedɔ sia ƒomevi dzɔna ne wò ʋumenugbagbeviɣidɔ dze agbagba be yeaɖo ʋumenugbagbeviɣidɔ ɖe wò dɔgbo suea me be wòakpe ɖe ŋuwò nàɖu nuɖuɖu. Emegbe aɖuɖɔtoea ƒoa ƒu, si wɔnɛ be nyaƒoɖeamenu si le ʋumenugbagbeviɣiwo me dzina ɖe edzi. Ne dɔlékui le wò ʋukawo me alo xe la, nyaƒoɖeamenu mae hea vevesesea vɛ.

Ðo ŋku edzi be: Ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò, ne mesẽ boo o gɔ̃ hã la, yi kɔdzi enumake . Atikewɔwɔ me dodokpɔwo ate ŋu anya nusi nye kuxia kaba. Ne vevesese sesẽ aɖeke mele ŋuwò o, gake dzesi bubu siwo do ƒome kple ʋumenugbagbeviɣidɔ, abe ʋumenugbagbeviɣidɔ ene, le ŋuwò la, ate ŋu anye dɔléle si nɔa anyi didi ƒe dzesi.

Aleke woawɔ ada ʋumenugbagbeviɣidɔ si xe?

Mɔnu vovovowo li siwo ɖɔktawo zãna tsɔ dia nusiwo xe mɔ na ʋumenugbagbeviɣiwo heɖea wo ɖa. Mɔnu si wokafu na wò anɔ te ɖe wò nɔnɔmea dzi, eɖanye esi nɔa anyi didi alo esi nu sẽna o, kple alesi wòhiã kpatae.

• Endoscopic Retrograde Cholangiopancreatography (ERCP): Esia nye dɔdamɔnu si menye amekoko o. Wotsɔa mɔ̃ didi aɖe si me fotoɖemɔ̃ le (endoscope) dea nu me eye wotsɔa wo toa GI-mɔ̃a me. Ðɔktaa ate ŋu awɔ nusiwo hiã to dɔlékuiwutike sia dzi.
• Bile duct exploration: Esia nye amekoko. Zi geɖe la, woate ŋu azã mɔnu siwo me womedea ame dzi boo o atsɔ awɔe . Eyae nye , amekoko to dɔgboa me , si bia be woatso ƒodo sue ɖeka alo esi wu nenema. Wowɔa esia ɣeaɖewoɣi le amekoko me be woaɖe aɖuɖɔtoea ɖa hena aɖuɖɔtoemekpewo.

Ðɔktaa ate ŋu atso ʋuka si me ʋu sina tona la be wòaɖe nusi xe alo ade ʋuka si me ʋu sina tona me be wòanɔ ʋuʋu ɖi. Ɣeaɖewoɣi la, wowɔa evea siaa. Ne ʋumenugbagbeviɣiwo keke ŋutɔ (keke) le abi kple ʋuʋudedi ta la, woate ŋu aɖe ʋukaawo ƒe akpa aɖewo hã ɖa.

Aleke malé be na nye ʋuka siwo me ʋu sina tona?

Afɔku gãtɔ kekeake si le wò ʋumenugbagbeviɣiwo ŋue nye aɖuɖɔtoemekpewo . Nusi koŋ gbɔ aɖuɖɔtoemekpewo tsonae nye ʋumemi si sɔ gbɔ ɖe ʋua me. Lãmetsi si sɔ gbɔ ɖe ʋua me ate ŋu aƒo ƒu ɖe ʋumenugbagbeviɣiwo me mlɔeba, si ana woasesẽ eye woazu ʋumemi ƒe kpewo. Àte ŋu aɖe afɔku sia dzi akpɔtɔ ne èɖe ʋumemi si le wò nuɖuɖu me dzi kpɔtɔ . Afɔku gãtɔ eveliae nye aklãdɔ . Ne aklãdɔléle si nɔa anyi didi le ŋuwò la, àte ŋu aɖe nusiwo gblẽna le wò aklã kple ʋumenugbagbeviɣidɔ ŋu dzi akpɔtɔ to agbenɔnɔ si me lãmesẽ le zazã me.

• Wɔ kamedede .
• Ðe ami siwo le nuɖuɖu me dzi kpɔtɔ le wò nuɖuɖu me.
• Ƒo asa na ahanono kple atike vɔ̃ɖiwo zazã.

Esiawo akpe ɖe ŋuwò ŋutɔ.

Ʋumenugbagbeviɣiwo le sue ŋutɔ, gake wowɔa dɔ gã aɖe na míaƒe ŋutilã. Gbesiagbe la, míaƒe ŋutinu kple ŋutilã ƒe dɔwɔwɔ geɖe nɔa te ɖe ʋumenugbagbeviɣi siawo dzi. Ne ʋumenugbagbeviɣi mete ŋu ɖo afisi wòle be wòayi o la, ate ŋu age ɖe ʋukawo me mlɔeba eye wòagblẽ nu le ŋutilã bliboa ŋu.

Bile duct ƒe dɔléle ate ŋu agblẽ nu le ŋutinu bubu siwo le biliary system me ŋu. Le esia ta, kuxi siwo le ŋutinu mawo me ate ŋu agblẽ nu le ʋumenugbagbeviɣiwo ŋu. Eyata ne dzesi siwo do ƒome kple ʋumenugbagbeviɣidɔ abe ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ ene le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake . Esia ate ŋu akpe ɖe ŋuwò nàkpɔ wò ʋuka si me ʋu sina tona bɔbɔe, si me ʋumenugbagbeviɣiwo hã le, ta.

Eyata nu vevi kawo dzie wòle be míaɖo ŋkui le nusiwo ŋu míeƒo nu tsoe egbea me?

• Aɖuɖɔtoe nye mɔ̃ sue aɖe si le vevie ŋutɔ si tsɔa ʋumenugbagbeviɣi yia míaƒe aklã , aɖuɖɔtoe, kple dɔgbo suea dome.
• Aɖuɖɔtoemekpewo kple dɔdzẽe nye kuxi vevitɔ siwo gblẽa nu le ʋumenugbagbeviɣiwo ŋu.
• Kpɔ nyuie ne èkpɔ dzesiwo abe dɔgbo ƒe vevesese (biliary colic) kple jaundice le nuɖuɖu siwo me ami le ɖuɖu vɔ megbe.
• Nuɖuɖu kple agbenɔnɔ nyui me léle ɖe asi le vevie ŋutɔ na ʋuka siwo me ʋu sina tona ƒe lãmesẽ.
• Ne dzesi aɖewo le ŋuwò la, ɖɔkta gbɔ yiyi enumake kple aɖaŋuɖoɖo didi ate ŋu akpe ɖe ŋuwò nàƒo asa na kuxi gãwo.