Koj puas tau xav txog seb peb zom cov khoom noj uas muaj roj ntau uas peb noj, cov txiv maj phaub sambol uas peb noj nrog mov, lossis cov ntses kirikos uas siav zoo hauv peb lub cev li cas? Ib lub cev zoo kawg nkaus hauv peb lub cev pab ua txoj haujlwm no. Lub cev no zoo li ib tsob ntoo uas muaj ceg nthuav tawm. Niaj hnub no peb tab tom tham txog lub cev biliary (Biliary Tree), uas yog qhov tseem ceeb rau peb txoj kev zom zaub mov thiab kuj ua haujlwm zoo heev hauv kev tshem tawm cov khib nyiab ntawm peb lub cev.
Hais yooj yim xwb, tsob ntoo biliary yog dab tsi?
Lub cev biliary yog ib lub network ntawm cov kabmob thiab cov ducts uas tsim, khaws cia, thiab thauj cov kua tsib hauv peb lub cev. Nws tseem hu ua "Biliary Tract" lossis "Biliary System" hauv lus Askiv. Nws hu ua "Biliary Tree" vim nws zoo li ib tsob ntoo. Cov ceg me me ntawm tsob ntoo no hu ua bile ducts. Cov kabmob tseem ceeb ntawm lub cev no yog:
- Siab: Qhov no yog lub Hoobkas tseem ceeb uas ua cov kua tsib.
- Lub zais zis: Qhov no yog ib lub hnab me me uas khaws qee cov kua tsib uas lub siab tsim tawm.
- Txoj hnyuv me: Cov kua tsib thaum kawg tuaj txog thiab sib sau ua ke ntawm no.
Tag nrho cov no ua ke muab kev txhawb nqa zoo rau peb txoj kev zom zaub mov.
Cov khoom ntawm lub kaw lus no thiab lawv cov haujlwm yog dab tsi?
Xav txog nws zoo li lub tshuab dej rau ib lub nroog. Txhua qhov chaw muaj nws txoj haujlwm tshwj xeeb. Cia peb saib txhua qhov chaw ib qho zuj zus.
| Lub cev / ib feem | Txoj haujlwm yooj yim heev. |
|---|---|
| Siab | Qhov no yog qhov chaw tseem ceeb uas cov kua tsib raug tsim tawm. Nws kuj tseem khaws cov khoom pov tseg, cov roj cholesterol tsis xav tau, thiab bilirubin los ntawm cov ntshav mus rau hauv cov kua tsib. Lub siab kuj tsim cov kua qaub kua tsib, uas pab peb zom cov khoom noj uas peb noj. |
| Cov kav dej ntawm cov kua tsib | Cov no yog cov raj me me uas zoo li cov ceg ntoo. Cov kua tsib uas tsim tawm hauv lub siab raug sau thiab nqa mus rau lub zais zis thiab txoj hnyuv me me los ntawm cov raj no. Ntau cov raj me me no sib koom ua ke los ua cov raj kua tsib. Ntawd yog lub cev ntawm tsob ntoo. |
| Lub zais zis | Qhov no zoo li lub thawv me me uas khaws cov kua tsib. Ib txhia ntawm cov kua tsib uas los ntawm lub siab raug khaws cia rau ntawm no. Thaum peb noj ib pluag mov uas muaj roj ntau, peb xav tau ntau cov kua tsib los zom nws. Lub sijhawm ntawd, lub zais zis yuav qaug zog thiab tso cov kua tsib uas khaws cia rau hauv cov hlab ntsha tseem ceeb. |
| Pancreas | Txawm hais tias nws tsis yog ib feem ntawm lub cev biliary, nws txuas nrog nws thiab ua haujlwm ua ke nrog nws. Lub pancreas tso tawm cov enzymes uas xav tau los zom zaub mov. Lub raj uas cov enzymes no los ntawm hu ua pancreatic duct, uas txuas nrog lub raj bile tseem ceeb thiab qhib rau hauv txoj hnyuv me. |
| Txoj hnyuv me | Thaum kawg cov enzymes ntawm cov kua tsib thiab cov pancreatic enzymes tuaj txog ntawm no. Qhov no yog qhov uas cov rog (roj) hauv cov zaub mov raug rhuav tshem thiab zom kom zoo. Qhov no yog qhov uas cov as-ham uas zom tau raug nqus mus rau hauv lub cev. |
Cov kab mob thiab teeb meem dab tsi uas feem ntau cuam tshuam rau lub zais zis?
Vim tias txhua feem ntawm lub kaw lus no sib txuas ua ke, yog tias muaj teeb meem tshwm sim rau ib feem, nws tuaj yeem cuam tshuam rau lwm feem thiab. Ib yam li yog tias ib feem ntawm lub kaw lus kav dej raug txhaws, cov dej hauv tag nrho lub kaw lus tsis ntws.
Qhov tseem ceeb yog tias yog muaj kev thaiv hauv lub cev no, cov kua tsib yuav tsis ntws. Ces cov kua tsib ntawd tuaj yeem rov qab los thiab sib sau ua ke hauv cov ntshav. Qhov no tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj heev.
Nov yog qee qhov teeb meem uas feem ntau tshwm sim:
- Pob zeb hauv lub zais zis: Qhov no yog ib qho mob uas ntau tus neeg tau hnov txog. Tej yam xws li cov roj cholesterol hauv cov kua tsib tawv ua cov pob zeb me me. Yog tias cov pob zeb no daig hauv cov kav dej ntawm cov kua tsib, lawv tuaj yeem thaiv cov kua tsib ntws, ua rau mob hnyav , kis kab mob, thiab lwm yam teeb meem.
- Cholestasis: Qhov no yog thaum cov kua tsib ntws qeeb heev lossis nres tag nrho. Qhov mob no qee zaum tuaj yeem tshwm sim thaum cev xeeb tub.
- Kev txwv ntawm cov biliary:Kev kis kab mob, mob qog noj ntshav, lossis lwm yam mob tuaj yeem ua rau cov nqaij caws pliav tsim nyob rau hauv cov kav dej kua tsib, ua rau cov kav dej txhaws. Qhov no ua rau nws nyuaj rau cov kua tsib ntws.
- Kab mob siab: Kev ua haujlwm ntawm lub siab yuav tsis zoo vim yog lub siab puas tsuaj mus ntev. Qhov no ua rau tsis muaj peev xwm tsim cov kua tsib kom zoo.
Ntxiv rau cov no, mob qog noj ntshav (mob qog noj ntshav ntawm cov hlab ntsha hauv lub cev, mob qog noj ntshav ntawm lub zais zis, mob qog noj ntshav ntawm lub plab zom mov) thiab lwm yam mob tshwj xeeb kuj tseem tuaj yeem cuam tshuam rau lub cev biliary.
Koj yuav paub li cas yog tias koj muaj qhov teeb meem no? Cov tsos mob yog dab tsi?
Yog tias muaj teeb meem nrog koj lub cev tso zis, koj lub cev yuav qhia ntau yam rau koj txog nws. Yog tias koj muaj ib lossis ntau yam ntawm cov no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom tau txais kev qhia.
| Cov tsos mob | Piav qhia yooj yim xwb |
|---|---|
| Mob daj ntseg | Cov dawb ntawm lub qhov muag thiab daim tawv nqaij tig daj. Qhov no yog vim tias cov kua tsib tsis raug tso tawm kom raug, thiab cov xim daj bilirubin hauv nws sib sau ua ke hauv cov ntshav. |
| Mob plab sab saud | Mob rau sab xis ntawm lub plab, hauv qab cov tav. Qhov mob no tej zaum yuav yog los ntawm lub siab, lub zais zis, lossis cov hlab zis. |
| Mob plab hnyav heev (Biliary colic) | Qhov no tsis yog mob plab ib txwm muaj. Nws yog ib qho mob sai sai, mob tsis tuaj yeem ua tau uas tshwm sim thaum lub pob zeb hauv lub zais zis daig hauv lub zais zis. Nws kuj tseem yuav muaj xeev siab thiab ntuav nrog. |
| Cov quav roj, dawb (Steatorrhea) | Thaum cov kua tsib tsis mus txog rau hauv txoj hnyuv me me kom zoo, cov rog hauv cov zaub mov yuav tsis zom tau. Qhov no tuaj yeem ua rau cov quav daj ntseg, roj, thiab ntab hauv dej. |
Lwm cov tsos mob
- Cov zis xim tsaus (zoo li dej tshuaj yej)
- Khawb daim tawv nqaij
- Nkees heev.
- Kev poob phaus tsis muaj laj thawj
- Ua npaws
Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsis quav ntsej lawv. Mus ntsib koj tus kws kho mob tam sim ntawd.
Cov kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob, nws yuav nug txog koj cov tsos mob thiab kuaj koj. Tom qab ntawd nws yuav hais kom kuaj ntau zaus kom paub tseeb tias koj mob.
- Kev kuaj ntshav: Cov no tuaj yeem kuaj xyuas cov qib ntawm cov enzymes hauv daim siab thiab pancreas kom paub seb puas muaj kev puas tsuaj rau cov kabmob ntawd.
- Kev ntsuam xyuas duab:
- Kev kuaj mob ultrasound: Qhov no tuaj yeem yooj yim pom cov khoom xws li pob zeb hauv lub zais zis thiab o.
- CT scan: Qhov no tuaj yeem muab daim duab meej dua ntawm sab hauv ntawm lub cev.
- Cov kev ntsuam xyuas tshwj xeeb:
- MRCP (Magnetic Resonance Cholangiopancreatography): Qhov no yog ib hom kev ntsuas MRI. Nws yog siv los kom tau cov duab ntxaws ntxaws ntawm cov kav dej kua tsib thiab cov kav dej pancreatic.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Qhov no yog kev kuaj thiab kev kho mob. Ib lub raj endoscope (ib lub raj uas muaj lub koob yees duab txuas nrog) raug ntxig los ntawm qhov ncauj, ib qho xim zas raug txhaj rau hauv cov kav dej ntawm cov kua tsib, thiab thaij duab X-ray. Yog tias muaj ib yam dab tsi zoo li pob zeb daig rau lub sijhawm no, nws kuj tuaj yeem raug tshem tawm.
Koj ua dab tsi li kev kho mob?
Kev kho mob nyob ntawm koj tus mob.
- Kev ntws kua txiv hmab: Yog tias cov kua txiv hmab raug thaiv, qee zaum yuav muab ib lub raj me me ntxig rau hauv plab kom ntws cov kua txiv hmab ntau dhau uas tau khaws cia.
- Kev kho mob Endoscopic: Thaum lub sijhawm ERCP, yuav muaj ib lub raj me me (stent) raug ntxig rau hauv kom tshem tawm qhov txhaws, coj cov qauv nqaij (biopsy), lossis khaws cov kav dej kom qhib.
- Kev Phais Mob: Yog tias koj muaj pob zeb hauv lub zais zis, txoj kev kho mob feem ntau yog phais tshem lub zais zis tawm.
Yog li ntawd, koj lub cev kua tsib tsis yog ib lub cev uas txav cov kua tsib mus los xwb. Nws yog ib lub cev tseem ceeb uas pab koj zom zaub mov, nqus cov as-ham, thiab txawm tias ntxuav koj cov ntshav.
Yog tias lub cev no tsis ua haujlwm zoo, nws tuaj yeem cuam tshuam rau koj txoj kev noj qab haus huv tag nrho, yog li nws tseem ceeb heev uas yuav tsum tau saib xyuas nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsob ntoo biliary yog ib lub network tseem ceeb ntawm cov kabmob uas pab peb lub cev zom zaub mov thiab tshem tawm cov khib nyiab.
- Yog tias koj daim tawv nqaij lossis ob lub qhov muag tig daj (jaundice), koj muaj mob hnyav nyob rau sab xis saum toj ntawm koj lub plab, lossis koj cov quav tau hloov xim, nws yuav yog ib qho cim qhia txog teeb meem nrog lub cev kua tsib.
- Tsis txhob tsis quav ntsej cov tsos mob no. Cov no yuav yog cov cim qhia txog mob hnyav, yog li mus ntsib koj tus kws kho mob sai li sai tau kom tau txais kev qhia kho mob.
- Koj tseem tuaj yeem pab tswj kev noj qab haus huv ntawm koj lub cev kua tsib los ntawm kev noj zaub mov zoo thiab tswj koj qhov hnyav.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus