"Bile Duct Blockage" alo Cholestasis gɔmesese - Nirogi Lanka

Èse nyawo abe "bloked bile" alo "gallstones" ene kpɔa? Ðewohĩ ède dzesi amesiwo ƒe ŋku alo ŋutigbalẽ le ɣie gɔ̃ hã. Èbu nusi tututu nɔnɔme siawo nye alo nukatae wodzɔna ŋu kpɔa? Egbea la, míele nu ƒom tso dɔléle aɖe si woyɔna le atikewɔwɔ me be Cholestasis ŋu . Mègatsi dzi o, míele egbã ge na wò ko le Nirogi Lanka.

Nukae nye Cholestasis?

Kpuie ko la, ʋumenugbagbeviɣidɔ dzɔna ne ʋumenugbagbeviɣi ƒe sisi tso wò aklã me dzi ɖe kpɔtɔ alo tɔ te keŋkeŋ. Bu wò aklã be enye dɔwɔƒe si me vovo mele o le wò ŋutilã me si naa ʋumenugbagbeviɣidɔ . Lãmetsi sia le vevie na wò nuɖuɖumeŋusẽ, vevietɔ na amiwo ƒe gbagbã.

Aklãa ɖoa ʋumenugbagbeviɣidɔ ɖe wò nuɖuɖumeŋusẽ to mɔ̃ suesuesue siwo woyɔna be ʋumenugbagbeviɣimɔ̃wo ( bile ducts ) dzi. Mɔ̃ siawo dometɔ aɖewo le aklãa me (le aklã me), eye bubuwo le egodo (aklã godo). Net sia doa ka kple wò aklã, dɔgbo , kple dɔgbo suea be wòawɔ ʋuka si me ʋu sina tona .

Azɔ, bu nusi adzɔ ne xexe aɖe xe le network sia ƒe akpa aɖe ŋu kpɔ. Abe alesi tsi ƒe pɔmpi si xe ene la, ʋumenugbagbeviɣia mete ŋu sina nyuie o. Edzea megbe yina ɖe ʋukawo kple ŋutinu siwo ƒo xlãe me, siwo dome wò aklã hã le. Nusiwo ƒo ƒu sia ate ŋu agblẽ nu le lãmekawo ŋu eye wòado kplamatse dɔ veviwo wɔwɔ. Gakpe ɖe eŋu la, ʋumenugbagbeviɣi si tsi anyi la ate ŋu age ɖe wò ʋukawo me, si nye aɖi na wò ŋutilã. Esia ate ŋu ahe dzesi siwo me dzidzeme mele o vɛ eye le ɣeyiɣi aɖe megbe la, lãmesẽnya vovovowo hã ate ŋu ado mo ɖa. Cholestasis ate ŋu anye nusi ŋu woatsi dzi ɖo hena ɣeyiɣi aɖe alo nɔnɔme si nɔa anyi didi, si nɔa ŋgɔ yim.

Aleke esia kpɔa ŋusẽ ɖe wò ŋutilã dzii?

Cholestasis kpɔa ŋusẽ ɖe wò ŋutilã dzi le mɔ vovovowo nu:

Nusiwo dona tso eme le ɣeyiɣi kpui aɖe me:

Ŋusẽ si wòkpɔna ɖe ame dzi enumakee nye ŋutinu siwo le wò ʋumenugbagbeviɣidɔa me. Aɖuɖɔtoe ƒe ƒoƒo ate ŋu ana wò aklã, aɖuɖɔtoe, dɔgbo, alo ʋuka siwo me ʋu sina tona navuvu eye wòazu abi ( dɔdzẽ ). Zi geɖe la, esia hea ƒodo me veve kple aɖuɖɔtoe vɛ. Tsɔ kpe ɖe eŋu la, ate ŋu adzɔ be nàxɔ dɔlékuiwo.

Esi dɔgbo suea mele ʋu si sɔ xɔm o ta la, wò ŋutilã mate ŋu aɖu ami nyuie o. Esia ate ŋu ana ame navuvu, nuɖuɖu ƒe dɔmawɔmawɔ nyuie, kple aɖuɖɔtoe.

Nusiwo wògblẽna le ame ŋu ɣeyiɣi didi:

Ne nɔnɔmea gakpɔtɔ li la, nya sesẽwo ate ŋu ado mo ɖa:

• Ʋumenugbagbeviɣidɔ si ƒo ƒu ɖe ʋua me ate ŋu ana ame naxɔ jaundice , si ƒe dzesi enye ŋutigbalẽ kple ŋkuwo ƒe ɣie, kple aɖuɖɔ si ƒe amadede nye viviti.
• Dɔnɔ aɖewo xɔa ʋuʋudedi sesẽ (pruritus) , si tsoa ʋumenugbagbeviɣidɔ si doa dziku na lãmeka siwo le ŋutigbalẽa me gbɔ.
• Aklã ƒe dɔdzẽ atraɖii ate ŋu ana abi nanɔ eŋu tegbee , si nye dɔléle si woyɔna be aklãdɔ .
• Àte ŋu aʋli vevie be yeaxɔ vitamin siwo me ami le, siwo nye vitamin A , D, E, kple K . Esia ate ŋu ahe nunyuimakpɔɖu vɛ, si le ɖeviwo gome la, ate ŋu axe mɔ ɖe tsitsi nu vevie.

Nya Vevi aɖe:

Ne èkpɔ ʋumenugbagbeviɣidɔ le fufɔɣi (Obstetric Cholestasis) la, ehea afɔku gã aɖe vɛ na vidada kple vidzĩ siaa, siwo dometɔ aɖewoe nye preeclampsia, vidzidzi kaba, kple vidzidzi kuku. Ne èfɔ fu eye nède dzesi dzesi siawo la, taflatse yi atikewɔƒe kpata alo yi kɔdzi si te ɖe ŋuwò enumake.

Nukawo koŋ gbɔe wòtsona?

Nu geɖe li siwo gbɔ ʋumenugbagbeviɣidɔ tsona. Zi geɖe la, woate ŋu ama wo ɖe hatsotso vevi eve me:

Nukae Nye Cholestasis ƒe Dzesiwo?

Dzesi siwo bɔ wu siwo nàte ŋu ade dzesii dometɔ aɖewoe nye:

• Jaundice: Zi geɖe la, wò ŋutigbalẽ ƒe ɣie kple wò ŋku ƒe ɣie nyea nu gbãtɔ si fia be wò aklã mele dɔ wɔm nyuie o. Esia dzɔna le bilirubin, si nye amadede aɖe si le ʋumenugbagbeviɣi me, ƒe ƒuƒoƒo ɖe wò ʋu me ta. Àte ŋu ade dzesii hã be wò aɖuɖɔ le ɣie alo blɔ viviti esi wòle agbagba dzem be yeaɖe bilirubin si sɔ gbɔ ɖe eme.
• Aɖuɖɔ si ƒe amadede le keklẽm: Esi ʋumenugbagbeviɣi mate ŋu aɖo wò dɔgbo me o ta la, wò aɖuɖɔ ate ŋu atrɔ le eƒe dzedzeme me. Esi wònye be ʋumenugbagbeviɣidɔ hiã hafi woate ŋu aɖu ami ta la, ami ate ŋu ato aɖuɖɔa me, si ana wòadze abe ɖe wòle ɣie, abe anyikpe ene, alo ɣie. Ne bilirubin meli be wòana eƒe amadede nye aŋutiɖiɖi si sɔ o la, aɖuɖɔa dzena abe ɖe wòle bɔbɔe ene eye ate ŋu anɔ tsia dzi alo aʋẽ lilili si mebɔ o eye wòaʋẽ lilili.
• Pruritus (Itching): Dzesi si bɔ ŋutɔ si ɖea ʋumenugbagbeviɣidɔ fiana. Dze siwo le ʋu me siwo ƒoa ƒu ɖe wò ʋu me eye wòʋãa wò lãmeka siwo le gota la gbɔe ʋuʋudedi sesẽ sia tsona. Eɖe dzesi be ʋuʋudedi sia dzɔna evɔ womekpɔa ʋuʋudedi si woate ŋu akpɔ o. Seselelãme toa vovo tso ame ɖeka gbɔ yi bubu gbɔ; ate ŋu aƒo ƒu ɖe wò asibidɛwo kple afɔkpodziwo me, alo àte ŋu ase le ɖokuiwò me le wò ŋutilã bliboa me.

Tsɔ kpe ɖe dzesi vevitɔwo ŋu la, àte ŋu akpɔ dzesi bubuwo le nusi gbɔ ʋumenugbagbeviɣidɔ tsona nu:

• Ƒodo ƒe vevesese
• Aɖuɖɔtoe kple ʋuʋudedi
• Ɖeɖiteameŋu

Aleke wokpɔa dɔlélea dzea sii?

Ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le fu ɖem na wò la, anɔ eme be wò ɖɔkta adze egɔme kple wò ʋu dodokpɔ.

• Ʋudodokpɔ: Esiawo léa ŋku ɖe bilirubin kple ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔ si sɔ ŋu hã. Wò ɖɔkta adzidze aklã me dɔlékuiwo hã, siwo dometɔ aɖewoe nye alkaline phosphatase (ALP), gamma-glutamyl transferase (GGT), kple ʋumemi ƒe agbɔsɔsɔ, be wòakpe ɖe ŋuwò nànya nusi gbɔ wòtso.
• Nɔnɔmetatawo dodokpɔ: Ne ʋu ƒe dɔwɔwɔ ɖee fia be nya aɖe li la, wò ɖɔkta azã nɔnɔmetatawo atsɔ ada wò ʋumenugbagbeviɣidɔ kpɔ. Zi geɖe la, dodokpɔ bɔbɔe siwo mewɔa nuvevi ame o abe ƒodo ƒe ultrasound alo CT scan ene nyea afɔɖeɖe gbãtɔ si woatsɔ adi ŋutilã me xexe le ʋumenugbagbeviɣiwo me alo ŋutinuwo ƒe vuvu.
• Dodokpɔ siwo me wodzroa nu me le: Be woanya nusi tututu gbɔ wòtso eye woanya atike nyuitɔ kekeake la, ate ŋu ahiã be woawɔ numekuku tsitotsito. Esia ate ŋu anye aklã me lãmenugbagbeviwo ɖeɖe, afisi woɖea lãkusi sue aɖe le hena dodokpɔ le nudokpɔƒe, alo ERCP (Endoscopic Retrograde Cholangiopancreatography) , si ana ɖɔktawo te ŋu kpɔa nya siwo le wò ʋumenugbagbeviɣiwo me le susu me, kpɔa wo, eye wodaa wo le ɣeyiɣi ɖeka me.

Aleke wowɔa atike nɛ?

Dɔdamɔnu na ʋumenugbagbeviɣidɔ nɔ te ɖe nusi gbɔ wòtso dzi bliboe.

• Nusiwo gbɔ wòtsona kpata: Nɔnɔme aɖewo gbɔ kpɔkpɔ le bɔbɔe. Le kpɔɖeŋu me.
• Nusiwo gbɔ wòtsona ɣeyiɣi didi: Nɔnɔme siwo me aklãdɔléle si nɔa anyi didi le ate ŋu asesẽ wu. Togbɔ be womate ŋu ada aklãdɔ aɖewo siwo nɔa anyi didi alo atrɔ wo o (abe ʋumenugbagbeviɣidɔ ene) hã la, àte ŋu ana dɔlélea ƒe ŋgɔyiyi nagbɔdzɔ ŋutɔ to nuɖuɖu nyui, kamedede edziedzi, kple ahanono keŋkeŋ me. Wò atikewɔlawo ƒe ƒuƒoƒoa alé fɔ ɖe wò dzesiwo dzi kpɔkpɔ kple mɔxexe ɖe kuxi bubuwo nu ŋu.

Atikewɔwɔ ƒe ɖoɖowo ate ŋu anye:

• Nunyiame: Asitɔtrɔ le nuɖuɖu ŋu kple nunyiame kpeɖeŋutɔ be woatsɔ akpɔ nunyuimakpɔɖu alo vitamin ƒe anyimanɔmanɔ gbɔ.
• Ursodeoxycholic acid: Togbɔ be wozãa atike sia zi geɖe tsɔ ƒoa aɖuɖɔtoemekpewo hã la, ate ŋu akpe ɖe ŋuwò hã to ʋumenugbagbeviɣidɔ dzi ɖeɖe kpɔtɔ kple ʋumenugbagbeviɣidɔ ƒe dze siwo sɔ gbɔ ɖe wò ʋu me ƒe ŋusẽkpɔɖeamedzi dzi ɖeɖe kpɔtɔ me.
• Naltrexone: Woŋlɔa opioid ƒe mɔxenu sia ɣeaɖewoɣi be woatsɔ akpɔ ʋuʋudedi sesẽ gbɔ to lãmeka siwo ʋumenugbagbeviɣidɔ ʋãna la xexe me.
• Cholestyramine: Atike sia wɔa dɔ to alesi wòbla ɖe ʋumenugbagbevi dzĩwo ŋu le dɔgboa me, si kpena ɖe ŋuwò nèɖea wo ɖa to wò aɖuɖɔ me.