Yu dɔn ɛva yɛri se di bayl dakt de smɔl ɔ i de blok? Sɔntɛm yu dɔn gɛt pen na di ɔp rayt pat na yu bɛlɛ ɔ yu notis se yu skin dɔn yɔlɔ (we dɛn kɔl janda )? If na so i bi, yu fɔ pe atɛnshɔn to di tin dɛn we de dɔŋ ya. Tide, wi de tɔk bɔt Biliary Stricture . Duya una nɔ fred; fכ כndastand dis kכndyushכn na di fכs step fכ fכn di rayt sכlushכn. Nirogi Lanka de ya fɔ ɛp yu fɔ go na dis.
Wetin na Biliary Stricture? Mek wi brok am dɔŋ simpul wan!
Fɔ tɔk am simpul wan, Biliary Stricture kin apin we yu bayl dakt dɛn kin smɔl ɔ blok bikɔs ɔf sik, skata , ɔ sɔntin we de ambɔg. Tink bɔt am lɛk paip we dɔn lɔk; we di fכ fכlכ de rεstrikt, likwid nכ kin pas tru fayn fayn wan. we yu bayl dakt dεm sכmtεm, di bayl fכ fכlכ frכm yu liva to yu sכmכl intestin de sכmtεm. Dis kin mek di bayl bak ɔp insay di liva ɛn i kin mek i nɔ izi fɔ digest. dis kכndyushכn dεn kin kכl am bak "bile duct stricture."
So, wetin rili na di bayl dakt?
Tink bɔt yu bayl dakt dɛn as di plaba sistɛm fɔ yu dijestiv sistɛm . Yu liva de mek bayl—na wata we de mek yu digest we impɔtant fɔ mek yu brok it. di dakt dεm de transpכt dis bayl to yu sכmכl intestin, usay di asid dεm we de insay di bayl de εp fכ brok di fεt dεm εn di protin dεm. Yu bayl dakt de kɔnɛkt bak wit di pankrias dakt, we de kɛr ɛnzaym dɛn—na wan kayn prɔtin we de ɛp mɔ fɔ digest yu it.
Aw kɔmɔn tin na biliary stricture?
Pan ɔl we masta sabi pipul dɛn nɔ kin no ɔmɔs pipul dɛn kin gɛt dis sik ɛvri ia, i tan lɛk se dis sik de kam mɔ ɛn mɔ. Wan tin we kin ɛp kin bi di ɔpreshɔn we dɛn kin du fɔ pul di gal blad , mɔ di Laparoscopic Cholecystectomy . We dɛn de du dɛn kayn tin ya, di bayl dakt dɛn kin pwɛl wan wan tɛm ɔ i kin gɛt ska tisu, we kin mek i smɔl. Bɔt gud tin na dat, dis sik nɔ kin rili apin to pikin dɛn.
Wetin na di men tin dɛn we kin mek di bayl dakt smɔl?
Na sכm tεm dεm we dεn kin bכn pikin wit di bayl dakt dεm we sכmtεm sכmtεm, we na wan kכndyushכn we dεn kin bכn pikin . Bɔt pan bɔku pan di kes dɛm—lɛk sɛvin pan tɛn—di kɔz kin gɛt fɔ du wit bad bad sik, lɛk Pankrias Kansa ɔ Cholangiocarcinoma (bile duct cancer) .
Ɔda kansa dɛn we kin mek pɔsin gɛt dis na:
- Kansa na di gal blad
- Hepatocellular carcinoma (Kansa na di liva) .
- Kansa na di liva
- Limfoma we dɛn kɔl Limfoma
- Metastasis (kansa we dɔn skata frɔm ɔda pat dɛn na di bɔdi) .
- Smɔl intestinal kansa
Wetin bɔt di tin dɛn we nɔ gɛt kansa (benign)?
Na lɛk 30% pan di kes dɛm kin bi bikɔs ɔf fayn fayn kɔndishɔn ɔr mɛrɛsin, lɛk:
- Injuri na di bɛlɛ ɔ trauma
- כtoimyun pankrεas εn pankrεas (inflamεshכn na di pankrεas) .
- Bayl dakt skata bikɔs ɔf gal ston
- Mirizzi syndrome (we gal ston de mek di ekstenal kכmpreshכn na di bayl dakt dεm) .
- Praymari biliary cholangitis we gɛt di sik
- Praymari sklerɔs kɔlangitis
- Redyushɔn tɛrapi
Wetin na "Anastomotic Biliary Strikchɔ"?
Fɔ fala sɔm kɔmpleks ɔpreshɔn, lɛk di Whipple prosidur (we dɛn kin du bɔku tɛm fɔ pankrias kansa) ɔ fɔ transplant liva, yu kin gɛt Anastomotic biliary stricture. Insay dɛn ɔpreshɔn dɛn ya, di dɔktɔ we de du di ɔpreshɔn fɔ kɔnɛkt bak sɔm pat dɛn na yu dijestiv trakt, we dɛn kɔl anastomosis . sכmtεm, di εria we dεn tisu dεm ya kin kכnεkt bak kin divεlכp ska tisu כ damej, we kin mek i sכmtεm sכmtεm. dis dεn kכl dis spεshal wan anastomotic biliary stricture.
Wetin na di sayn dɛm we de sho se di bayl dakt de smɔl?
If yu gɛt dis sik, yu kin gɛt dɛn sik ya. Mɛmba se, if yu gɛt wan ɔ tu pan dɛn tin ya, dat nɔ min se yu gɛt dis sik, bɔt i impɔtant fɔ go to dɔktɔ if yu de wɔri:
- Pen na di ɔp rayt say na yu bɛlɛ .
- Fiva ɛn kol kol .
- Chenj na di kɔlɔ na yu stɔl (i kin tan lɛk se i gɛt pale, grey, ɔ kle kɔlɔ).
- Di skin kin it ɔltɛm (Pruritus).
- Jaundice (we yu skin de yɔlɔ ɛn yu yay wayt).
- I nɔ kin want fɔ it igen .
- Nɔs ɛn vɔmit .
Wetin na di prɔblɛm dɛn we kin apin fɔ lɔng tɛm?
if di bayl dakt de sכmtεm sכmtεm כ blok fכ lכng tεm, di bayl kin bak כp insay di liva. Dis kin mek yu gɛt infɛkshɔn , sik we nɔ de mɛn na di liva , ɔ ivin Sirosis na di liva (di liva kin gɛt siriɔs skata). Bikɔs ɔf dɛn bad tin ya, i rili impɔtant fɔ pe atɛnshɔn gud wan to di sayn dɛn we yu de gɛt.
Udat yu fɔ si fɔ no if yu gɛt di sik ɛn fɔ mek dɛn trit am?
If yu sho dɛn kayn sik ya, yu fɔ go to Gastroenterologist . Dɛn na di spɛshal pipul dɛm we gɛt di bɛst tin fɔ no ɛn manej di kɔndishɔn dɛm we de afɛkt yu dijestiv sistɛm.
Aw dɔktɔ dɛn kin no if pɔsin gɛt biliary stricture?
Yu spɛshal dɔktɔ kin tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt dis sik:
- Blɔd tɛst dɛn:
- bilirubin tεst: We di bayl dakt dεm sכmtεm, bilirubin (we na west prodakt) de bכku na di bכdi. Dis tɛst de mɛzhɔ dɛn lɛvɛl dɛn de.
- di liva fכnshכn tεst dεm: Dɛn kin yuz am fכ chεk fכ εlevεt liva εnzym dεm, we de sho se di liva strεs.
- Imej tɛst: Dɛn tɛst ya kin mek yu dɔktɔ ebul fɔ si aw yu bayl dakt dɛn de insay.
- כltra saund: dis prosidכs de yuz sawnd wev fכ mek imej dεm we de sho blכk כ sכmtεm insay di bayl dakt dεm. Dipen pan wetin yu nid, yu kin du Endoscopic ultrasound (altra saund we dɛn kin du tru spɛshal tiub wit kamɛra), abdominal ultrasound, ɔ liva ultrasound.
- εndoskopik rεtrogrεd cholangiopancreatography (ERCP): dis de kכmbayn wan כp εndoskopi wit εks-ray. Afta yu dɔn numb yu trot, dɛn kin pas wan fleksibul tiub wit kamɛra (ɛndoskɔp) fɔ chɛk yu dijestiv ɔgan dɛn ɛn di bayl dakt dɛn. We dɛn de du dis, yu dɔktɔ kin gɛda bayɔpsi (wan tisu sɛmpul) fɔ analayz fɔ chɛk fɔ si if pɔsin gɛt kansa sɛl dɛn.
- Magnetic resonance cholangiopancreatography (MRCP): Na spɛshal MRI skan, dis de gi yu bɔku bɔku pikchɔ dɛn bɔt yu bayl dakt, liva, pankrias, ɛn gal blad.
- Percutaneous transhepatic cholangiography (PTC): Na wan patikyula ɛkstrem rayt we yu dɔktɔ de injɛkt kɔntrast day tru di liva insay di bayl dakt dɛn. Dɔn dɛn kin yuz ɛkstrem rayt fɔ trak aw di day de flɔ insay yu smɔl intestinal, ɛn dɛn kin sho klia wan ɛni say we di day dɔn blok.
Aw dɛn kin trit di bayl dakt narrowing?
Bɔku tɛm, yu dɔktɔ kin adrɛs di kɔz fɔ di blɔk we dɛn de du ERCP ɔ PTC.
Yu dɔktɔ kin du dɛn tin ya i go dipen pan di tin we mek i apin:
- Fɔ pul di gal ston if na dɛn de mek di blɔk.
- Yuz wan tin we tan lɛk balɔ fɔ mek di bayl dakt we dɔn smɔl ɛn put stent insay(wan smɔl mɛtal ɔ plastic tiub) fɔ mek di dakt opin.
- Fɔ pul di tumbu ɔ di tin dɛn we de gro.
Wetin na di ɔpreshɔn we dɛn kin du?
Na smɔl nɔmba nɔmɔ pan di sik pipul dɛn nid fɔ gɛt ɔpreshɔn fɔ mek di bayl dakt strikt, bɔku tɛm we di narrowing na bikɔs ɔf malignancy ɔ kansa.
Di tin dɛn we dɛn kin du fɔ ɔpreshɔn na:
- Baypas ɔpreshɔn: Fɔ divayt di flɔ so dat di bayl go muv dairekt insay yu smɔl intestin, baypas di dakt we dɔn ambɔg.
- rεsεkshכn εn Anastomosis: fכ כpכt fכ pul di sik pat pan di bayl dakt εn kכnekt di hεlty εnd dεm bak.
Dis sik kin kam bak afta dɛn dɔn trit am?
Yɛs, i pɔsibul fɔ mek di bayl dakt smɔl bak afta dɛn dɔn trit am. If dis apin, yu dɔktɔ kin du ɔpreshɔn fɔ fɛn di bayl dakt fɔ pul di say we di sik afɛkt ɛn kɔnɛkt di dakt we gɛt wɛlbɔdi bak to yu smɔl intestin.
Sɔm prɔblɛm dɛn de we kin apin afta dɛn dɔn trit am?
Di kɔmplikeshɔn dɛn kin difrɛn bay di we aw dɛn kin du am. Sɔm pipul dɛn kin gɛt akyu pankrias (inflammation of the pancreas) afta dɛn dɔn du ERCP. I impɔtant fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du afta yu dɔn du di ɔpreshɔn.
A kin mek di bayl dakt nɔ smɔl?
Yu kin ridyus di risk fɔ gɛt prɔblɛm dɛn we kin mek yu gɛt biliary strikt bay we yu tek wɛlbɔdi abit dɛn, lɛk:
- Fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it ɛn we gɛt bɔku tin dɛn fɔ it we gɛt fresh frut ɛn vɛjitebul dɛn.
- Fɔ manej yu kɔlɔstrel lɛvɛl fɔ mek yu gɛt wɛlbɔdi na di gal blad ɛn fɔ mek yu nɔ gɛt gal ston.
- Fɔ mek yu gɛt wɛlbɔdi wet.
- Fɔ fɛn sɔpɔt fɔ tin dɛn we gɛt fɔ du wit rɔm fɔ mek dɛn nɔ gɛt pankrias ɛn fɔ mek dɛn nɔ pwɛl di liva.
Di tin we impɔtant pas ɔl na fɔ kɔntinyu fɔ liv fayn layf. Fɔ it fayn ɛn fɔ du ɛksɛsayz ɔltɛm na di bɛst tin fɔ protɛkt yu frɔm bɔku wɛlbɔdi prɔblɛm dɛn.
Wetin na de luk fɔ pɔrsin wae gɛt dis sik?
Di we aw yu go fil fɔ wɛl de dipen pan di tin we mek di smɔl smɔl tin dɛn we de na di bɔdi smɔl. di tritmεnt dεm fכ opin di bayl dakt dεm kin jεnarali saksesful, pan כl we di כndalayn kכndyushכn dεm lεk kεnsar kin nid mכr komplεks, kכntinyu fכ kia.
Wetin na di tɛmlayn fɔ wɛl afta tritmɛnt?
Di tɛm fɔ mek yu wɛl dipen pan di patikyula we aw yu fɔ du am. Minimally invasive treatments , lɛk ERCP, kin jɔs mek pɔsin wɛl kwik ɛn nɔ kin fil pen we yu kɔmpia am wit ɔpreshɔn we dɛn kin du opin.
Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan fɔ mek shɔ se yu wɛl sef wan. Dɛn kin advays yu fɔ it klia ɔ saf it ɔ ajɔst yu it fɔ inklud it dɛn we izi fɔ digest fɔ sɔm tɛm.
Ustɛm a fɔ go to dɔktɔ?
Go to dɔktɔ wantɛm wantɛm if yu gɛt:
- Fiva we de kɔntinyu fɔ de.
- Pen we de na di ɔpa bɛlɛ we de kam bak.
- Sayn dεm fכ infεkshכn afta wan prosidכs (εgz., pus drenage, rεd).
- We yu de lɔs yu wet we yu nɔ ebul fɔ ɛksplen, yu de nɔs, ɔ yu de vɔmit.
- Yu yay ɔ yu skin kin yɔlɔ (Jaundice).
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
Fil fri fɔ aks yu dɔktɔ dɛn tin ya:
- Wetin na di rizin we mek mi bayl dakt de smɔl?
- Us tritmɛnt we fit mi pas ɔl?
- Us step a kin du fɔ ridyus di risk fɔ mek dis sik kam bak?
Dɛn fɔ tek di sayn dɛm lɛk bɛlɛ pen, fiva, kol, ɔ jaundice—espɛshali we dɛn apia wantɛm wantɛm—dɛn fɔ tek am siriɔs wan. Duya, kɔntak yu dɔktɔ wantɛm wantɛm if dɛn sik ya apin so dat dɛn go no di tin we de mek yu gɛt dis sik ɛn tɛl yu fɔ kia fɔ yu di rayt we na Nirogi Lanka ɔ yu lokal ɔspitul.
Mɛsej we yu kin kɛr go na os: Ki pɔynt dɛn we yu fɔ mɛmba
Wi op se dis ɔvaviu go mek yu ɔndastand klia wan bɔt Biliary Stricture .
- i de tכk bכt di sכmtεm we di bayl dakt de sכmtεm, we de mek di bayl fכ fכlכ nכmal.
- Bɔku tin dɛn de we kin mek pɔsin gɛt skata we dɛn de du ɔpreshɔn pan, ston we de na di gal, ɔ we gɛt tumbu.
- Yu fɔ wach fɔ sɔm sayn dɛm lɛk bɛlɛ pen, janda, yu skin we de it, ɔ we yu stɔl in kɔlɔ chenj.
- If yu gɛt dɛn sik ya, go to Gastroenterologist kwik kwik wan.
- Tritmɛnt dɛn de we go wok fayn, so tray fɔ mek yu nɔ wɔri. If yu no am kwik kwik wan ɛn trit yu, dat kin mek yu gɛt di bɛst tin fɔ du.
- Wɛlbɔdi layf de ple impɔtant pat fɔ mek dɛn nɔ gɛt dis sik.
If yu gɛt ɛni ɔda kwɛstyɔn, duya nɔ shem fɔ tɔk bɔt am wit yu dɔktɔ. Stay wit wɛlbɔdi!
