Yu gɛt wan bayl dakt we dɔn blok? (Bile Duct Obstruction) - Lɛ wi fɛn ɔda tin bɔt dis!

Sɔntɛnde yu kin gɛt bad bad pen na yu bɛlɛ, yu yay kin yɔlɔ, ɛn yu skin kin yɔlɔ? Ɔ yu stɔl dɔn gɛt layt kɔlɔ ɛn yu urine dɔn dak? Dɛn tin ya nɔto sayn dɛn we wi fɔ ignore. Dɛn kin bi sayn fɔ sɔntin we de blok yu bayl dakt.

Wetin na di Bayl Dakt Obstrɔkshɔn?

Fɔ tɔk am simpul wan, di bayl dakt we nɔ de wok na di say we sɔntin kin stɔp insay yu bayl dakt, we kin mek di bayl nɔ flɔ tru dɛn.

Naw yu go mɔs de wɔnda wetin na bayl ɛn wetin na bayl dakt, nɔto so? Okay, mek wi ɛksplen dat bak.

Bayl na wata we de ɛp wi fɔ dayjɛst di fat we de na di it we wi de it. I de mek na wi liva. dis bayl we di liva de mek, de kip am na di gal blad. we wi de it, dis bayl de kכmכt na di gal blad εn go na di sכmכl intestin fכ εp fכ digεst di it. Ɔda tin de insay dis bayl, ɛn dat na west tin we dɛn kɔl bilirubin . Dis bilirubin kin kɔmɔt we di rɛd blɔd sɛl dɛn na wi blɔd kin brok. di liva de pul dis bilirubin na di bכdi tru di bayl.

Di bayl dakt dɛn tan lɛk wan sistɛm we gɛt smɔl smɔl paip dɛn. Tink bɔt dɛn lɛk smɔl paip dɛn we de kɛr wata. dis paip dεm de kכri bayl we de kכmכt na di liva, go na di gal blad εn afta dat go na di sכmכl intestin. Dɛn kin ɛp bak fɔ kɛr di bilirubin kɔmɔt na di liva.

So, if sɔntin stɔp na dɛn bayl dakt ya, di bayl dakt dɛn kin blok, ɛn di bayl kin bigin fɔ bak ɔp na di liva. Dis kin mek pɔsin fil bad bad wan ɛn if dɛn nɔ trit am fayn, i kin mek i gɛt siriɔs wɛlbɔdi prɔblɛm .

Aw dis sik kin kɔmɔn?

Infakt, di prɔblɛm we kin afɛkt di bayl dakt dɛn pas ɔl na we di bayl dakt dɛn kin ambɔg . Jɔs tink bɔt dat, lɛk 5 pan ɛvri 1,000 pipul dɛn kin gɛt gal ston, we kin mek di bayl dakt dɛn blok. Galston na wan kayn ston we kin mek we tin dɛn we de na di bayl gɛda ɛn at. Galston na di men tin we kin mek di bayl dakt blok.

Wetin na di sayn dɛm we de sho se di bayl dakt nɔ de wok fayn?

Bɔrku tɛm, di sayn dɛm kin tan lɛk di wan dɛm wae gɛt gal ston ɛn jaundice. Jaundice simptom na sayn fɔ se yu blɔd gɛt tumɔs bilirubin.

Pe atɛnshɔn gud wan to dɛn tin ya:

• Ɔpa bɛlɛ pen: Dis kin fil lɛk se yu de fil pen smɔl smɔl, yu de chuk yu, ɛn yu nɔ de fil pen. I kin go ɔp smɔl smɔl fɔ sɔm minit dɛn.
• di skin we yכlכ כ di wayt dεm na di yay we de yכlכ:Dis na wetin wi kin kɔl bak janda.
• stɔl we gɛt kle kɔlɔ ɛn dak urine: We di bayl nɔ kɔmɔt fayn fayn wan na di intestin, di stɔl kin chenj in kɔlɔ. Dɔn bak, di urine kin dak bikɔs mɔ bilirubin kin kɔmɔt na di urine.
• Fiva ɛn kol kol.
• Nɔs ɛn vɔmit.
• Itchy skin (pruritus): Dis kin bi bikɔs di bayl sɔl dɛn de put pan di skin.
• Di it nɔ de te.
• Fɔ bi tin fɔ no rizin.
• Fɔ fil taya bad bad wan (taya).

Wetin kin mek di bayl dakt blok?

difrεn tin dεm de we kin mek di bayl dakt blכk. Lɛ wi luk di men wan dɛn:

• Gal ston we de blok yu bayl dakt: Dis na di tin we kin mek yu gɛt am mɔ.
• Choledochal cysts: Dis na wan sik we nɔ kin apin so ɔltɛm, we pɔsin kin bɔn wit. Dɛn sist ya de mek di bayl flɔ slo.
• di bayl dakt strכkchכ dεm: Dis na abnכmal we di bayl dakt de sכmtεm. Dis kin bi bikɔs ɔf mɛrɛsin ɔ skata afta dɛn dɔn ɔpreshɔn am.

di bayl dakt strikt dεm kin gεt difrεn kכz dεm (kansa εn nכn kansa). fכ egzampl, dεn kin kכz fכ skata afta dεn dכn כpεrayshכn fכ pul di gal blad (cholecystectomy).

Na sɔm ɔda tin dɛn we kin mek di bayl dakt strikt we kin mek di bayl dakt blok:

• Kansa: Pankrias kansa, bayl dakt kansa, liva kansa, ɛn kansa we de go ɔlsay.
• di kכndyushכn dεm we dεn bכn wit: εgzampl dεm na di kכndyushכn dεm lεk `(Biliary atresia)` εn `(Alagille syndrome)`.
• krכnik inflameshn na di bayl dakt dεm: Sik dεm lεk `(Primary biliary cholangitis)` εn `(primary sclerosing cholangitis)`.
• Awtoimyun pankriaytis ɛn kronik pankriaytis.
• Inflameshɔn we kin kam bikɔs ɔf injuri, baktri ɔ parasayt infεkshɔn.
• Wan kɔndishɔn we dɛn kɔl `Mirizzi syndrome`.
• Ɔpreshɔn fɔ pul di gal blad (Colecystectomy).
• Redyushɔn tɛrapi.

Wetin na di prɔblɛm dɛn we kin apin we di bayl dakt nɔ de wok?

As wi bin dɔn tɔk, dis blɔk kin mek di bayl bɔku na di liva. Dis kin mek yu gɛt siriɔs inflamɛns ɛn if dɛn nɔ trit am, i kin mek yu gɛt infɛkshɔn we go mek yu layf de pan denja.I kin mek bak di liva gɛt skata fɔ ɔltɛm, we kin mek pɔsin gɛt wan sik we dɛn kɔl `(cirrhosis of the liver)`. Dis sɛf, if dɛn nɔ manej am fayn, i kin mek di liva nɔ wok fayn.

Imajin, if di bayl stɔp na di dakt dɛn we de nia yu gal blad, yu kin gɛt wan gal blad infɛkshɔn (cholecystitis).

Dɔn bak, if yu nɔ gɛt inof bayl, yu smɔl intestin nɔ go ebul fɔ dayjɛst di fat. Dis kin mek bak pɔsin nɔ gɛt bɛtɛ it .

Aw yu go no if yu gɛt bayl dakt blok?

We yu go to dɔktɔ, i go aks yu bɔt yu mɛdikal histri, inklud di sayn dɛm we yu gɛt ɛn di mɛrɛsin dɛm we yu de tek. Dɔn, dɛn go du wan ɛgzam na dɛn bɔdi fɔ chɛk fɔ si if dɛn gɛt sayn dɛn we de ambɔg dɛn, lɛk we dɛn bɛlɛ de pen ɔ we dɛn de blo.

Mɛmba se if yu gɛt sayn dɛn lɛk dis, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.

Dɔn, yu go nid fɔ du blɔd tɛst ɛn spɛshal imej tɛst fɔ kɔnfirm di blok ɛn fɔ no di rayt tin we mek i blo.

Blɔd tɛst dɛn

Blɔd tɛst kin sho sayn dɛn fɔ se i dɔn blok. Yu dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya:

• Kɔmplit blɔd kɔnt (CBC): We yu kɔnt ɔl yu blɔd kɔnt (CBC) i kin gi yu aidia bɔt yu ɔl wɛlbɔdi.
• Test fɔ mek yu liva wok: If yu blɔd bilirubin lɛvɛl bɔku, i kin bi sayn fɔ se yu dɔn blok. כlso, if di liva εnzym dεm lεk alkaline phosphatase (ALP) εn gamma-glutamyltransferase (GGT) hכy pas nכmal, i kin min se di liva nכ de wok fayn biכs fכ blok.
• pankrias bכdi tεst: if pankrεas εnzym dεm lεk ``(Amylase)`` εn ``(lipase)`` dεn εlevεt, i kin bi sayn fכ pankrεas prכblεm we riliyt to di bayl dakt blכk.

Test dɛn fɔ tek imej

If di blɔd tɛst rizɔlt sho se di blɔd dɔn blok, yu kin nid fɔ du imej tɛst. Dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:

• Ultrasound: Ultrasound de yuz sawnd wev fɔ mek pikchɔ dɛn we de insay yu bɔdi. Dis kin ɛp fɔ no di abnɔmal tin dɛn we kin sho se i dɔn blok. Yu kin nid fɔ du ɛndoskopik ɔltra saund, bɛlɛ ɔltrasɔund, ɔ liva ɔltra saund.
• Abdominal computed tomography (CT scan): CT skan de yuz X-ray ɛn kɔmpyuta fɔ mek difrɛn difrɛn pikchɔ dɛn. I kin pul ɔda tin dɛn bak we kin mek yu gɛt di sik dɛn we yu nɔ kin si pan ɔltra saund.
• Endoscopic retrograde cholangiopancreatography (ERCP): Wan tɛst we dɛn kɔl ERCP kin ɛp fɔ fɛn wetin mek di pɔsin blok ɛn trit am. Insay dis tɛst, yu dɔktɔ kin put wan fleksibul tiub (ɛndoskɔp) we gɛt layt ɛn kamɛra we dɛn tay pan am insay yu bayl dakt dɛn. Dɛn kin yuz inschrumɛnt fɔ tek wan tisu sɛmpul (bayɔpsi) ɔ fɔ mek di say we dɔn blok bak. Yu go gɛt sɛdate we dɛn de du dis tɛst.
• Magnεtik rεsכnans kolεnjכpankrεatografi (MRCP): Dis na advans MRI tεst. Dɛn kin put spɛshal day insay yu bayl dakt dɛn we dɛn de pas am. lεk ERCP, i kin sho di kכz fכ di blכk, lεk gal ston כ strikt. Bɔt i nɔ kin invayv pas ERCP.
• di εpatobiliary iminodiacetic acid (HIDA) skan: Insay HIDA skan, dεn de yuz wan redioaktiv traysa fכ mek imej dεm we i de travul tru yu bayl dakt dεm. Dis kin sho wetin mek di blɔk de blok, lɛk prɔblɛm wit di gal blad ɔ di sik we dɛn bɔn wit we kin mek di dakt dɛn smɔl.
• Percutaneous transhepatic cholangiography (PTC): Insay ``PTC'' tɛst, dɛn kin yuz ɔltra saund ɔ X-ray fɔ tek pikchɔ fɔ wan spɛshal day we dɛn kin pas tru yu bayl dakt te i rich na yu smɔl intestin. Di day de sho ɛni blɔk we de na di dakt dɛn.

Aw yu kin mɛn dis bayl dakt blɔk?

Di tritmɛnt fɔ di bayl dakt blɔk de dipen pan aw kwik yu nid tritmɛnt ɛn wetin mek di bayl dakt blok.

Bɔku we dɛn de fɔ trit pɔsin:

• ERCP (Endoscopic retrograde cholangiopancreatography): We dɛn de du ERCP, di dɔktɔ kin pul di gal ston dɛn na di bayl dakt dɛn. Dɛn kin krɔs di ston dɛn ɛn pul dɛn bay we dɛn yuz inschrumɛnt dɛn we de insay di tiub we wi bin dɔn tɔk bɔt (ɛndoskɔp).
• Ɔpreshɔn fɔ pul di gal blad: If yu gɛt gal ston bɔku tɛm we de blok yu bayl dakt, yu go nid fɔ pul yu gal blad. Bɔku tɛm, dɛn kin du dis bay we dɛn de du ɔpreshɔn we nɔ kin tek bɔku tɛm we dɛn kɔl laparoskopi. Yu kin liv fayn layf we yu nɔ gɛt gal blad.
• Stent: Yu dɔktɔ kin put smɔl tiub we dɛn mek wit mɛtal ɔ plastic, we dɛn kɔl ``stent,'' insay yu bayl dakt fɔ mek i big ɔ fɔ mek i opin. If di blok na bikɔs ɔf strikt, yu kin nid fɔ put ``stɛnt.''
• Di tritmɛnt dɛn we pɔsin kin gɛt fɔ gɛt kansa:If di blɔk na bikɔs ɔf tumbu, yu kin nid ɔpreshɔn ɔ ɔda tritmɛnt fɔ kansa lɛk kemotɛrapi ɛn redyushɔn.

Wetin na de chans fɔ mek yu wɛl afta dis kayn tin?

Yu prɔgnosis dipen pan di kɔz fɔ di blok. Fɔ ɛgzampul, if di kɔz na gal ston, if yu no di sik kwik kwik wan ɛn trit am, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn. Wit tritmɛnt, bɔrku pipul kin wɛl ful wan.

Bɔt di bayl dakt blɔk we kansa ɔ krɛse sik kin mek i nɔ izi fɔ kɔntrol smɔl.

Nɔto ɔlman in sityueshɔn na di sem. Yu dɔktɔ go ɛksplen to yu wetin yu kin ɛkspɛkt frɔm tritmɛnt bay wetin mek yu blok ɛn aw i kin afɛkt yu wɛlbɔdi.

Yu tink se dɛn kin mek di bayl dakt nɔ blok?

Dɛn nɔ kin ebul fɔ stɔp di bayl dakt ɔltɛm.

Bɔt yu kin ridyus di risk fɔ gɛt galston, we na di men tin we kin mek yu gɛt , bay we yu ridyus di kɔlɔstrel we de na yu it. Yu kin ridyus bak yu risk fɔ gɛt sɔm liva sik dɛn we kin mek yu gɛt strikt:

• Fɔ gɛt inof ɛksɛsayz.
• Fɔ it it dɛn we gɛt fayn fayn tin dɛn we nɔ gɛt bɔku sɛtyuret fat.
• Fɔ mek yu gɛt wɛlbɔdi wet we fit yu.
• Fɔ avɔyd fɔ drink rɔm, ɔ fɔ drink rɔm fɔ smɔl smɔl.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn we de sho se di bayl dakt nɔ de wok fayn, mek shɔ se yu go to dɔktɔ . Bɔrku sayn dɛm wae kin kam pan pɔrsin, lɛk bɛlɛ pen, nɔs, ɛn vɔmit kin kam bikɔs ɔf difrɛn tin dɛm. fכ dat, i imכtant fכ no kwik if di prכblεm na rili blכk – bifo kכmplikεshכn kam biכs fכ di bכl we de bכku.

Yu tink se di bayl dakt we dɔn blok na imejensi?

Yɛs, i kin bi imejensi. εspεshali if di bayl rεfluks de mek yu inflameshn bad bad wan εn infεkshכn. Di bɛst tin fɔ du na fɔ go to dɔktɔ jɔs lɛk aw yu fɔs notis di sayn dɛm fɔ mek dis nɔ apin.

di bayl impɔtant fɔ mek di bayl dakt dɛn flɔ fayn fayn wan, we de ɛp wi bɔdi fɔ dayjɛst it ɛn pul bilirubin (we na dɔti tin). Na dat mek i rili impɔtant fɔ mek dɛn blok ya. Bayl nid fɔ flɔ insay yu smɔl intestin fɔ brok di fat dɛn. Bilirubin nid bak fɔ kɔmɔt na yu liva fɔ mek i nɔ gɛt prɔblɛm lɛk liva sik ɔ infɛkshɔn. If yu gɛt blok, yu dɔktɔ kin tɛl yu wetin na di bɛst tin fɔ pul am.

Fɔ dɔn, di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba

Okay, wi don tok plenti boht Bile Duct Obstruction. Na di men tin dɛn we yu nid fɔ mɛmba frɔm dis stori:

• Bayl duct obstruction na wan sik we nid fɔ pe atɛnshɔn . If yu gɛt sɔm sayn dɛn lɛk pen na yu bɛlɛ we de ɔp, yu yay de yɔlɔ, ɔ yu stɔl kɔlɔ chenj , go to dɔktɔ ɛn nɔ west ɛni tɛm.
• Bɔrku tɛm, dis kin kam wit gal ston , bɔt ɔda siriɔs tin dɛn kin de bak, lɛk kansa.
• If dɛn no di sik kwik kwik wan ɛn trit am fayn, bɔku tɛm dɛn kin wɛl ful wan.
• If yu kɔntinyu fɔ liv fayn layf (di it, ɛksesaiz, kɔntrol rɔm) kin ridyus sɔm tin dɛn we kin mek yu gɛt prɔblɛm.
• If yu gɛt ɛni dawt ɔ kwɛstyɔn, nɔ shem fɔ aks yu dɔktɔ. Dɛn de de fɔ ɛp yu.

Yu wɛlbɔdi rili impɔtant to yu. So tek kia ɔf am. Nɔ wɔri, sɔlv de fɔ ɛni prɔblɛm!

` Bayl Dakt Obstrɔkshɔn, Galston, Jandis, Liva, Galblad, Bayl Dakt Ɔbstrɔkshɔn, Jandis