Yu dɔn gɛt bak wan bayl dakt we dɔn smɔl? Mek wi lan bɔt Biliary Stricture.

Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl biliary stricture? Sɔntɛm yu dɔn gɛt pen na di ɔp rayt say na yu bɛlɛ ɛn yu skin dɔn yɔlɔ (lɛk janda )? Dɔn dis na sɔntin we yu go intres pan. Tide wi go tɔk bɔt wan sik we dɛn kɔl biliary stricture . Nɔ wɔri, if yu ɔndastand dis fayn fayn wan, dat kin ɛp yu fɔ sɔlv bɔku prɔblɛm dɛn.

Wetin na Biliary Stricture? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, Biliary Stricture na we di bayl dakt dɛn we de insay yu bɔdi kin smɔl bikɔs ɔf sɔm sik, injuri , ɔ blok. Tink bɔt am lɛk wata paip we dɔn blok, ɛn di wata nɔ go flɔ bɛtɛ. we dεn bayl dakt dεm ya sכm, di bayl fכ fכm frכm di liva to di sכmכl intestin de sכmtεm. Wetin kin apin da tɛm de? Bayl kin bigin fɔ gɛda na di bɔdi, we kin mek i nɔ izi fɔ dayjɛst it. dis dεn kכl am bak "bile duct stricture."

So wetin na dɛn bayl dakt ya?

Okay, naw mek wi luk wetin na bayl dakt. Dɛn tin ya tan lɛk smɔl smɔl tiub dɛn we de kɔnɛkt di ɔgan dɛn na yu dijestiv sistɛm . Yu liva de mek wan wata we dɛn kɔl bayl. Dis bayl de ɛp yu fɔ digest it. So, dis bayl dakt dεm de tek bayl εn deliv am to yu sכmכl intestin. na de, di asid dεm we de na di bayl de brok dכn di fεt εn protin dεm we de insay yu it εn εp yu fכ digεst am. yu bayl dakt de kכnekt bak to yu pankrεas dakt. dis pankrεas dakt de rilis εnzym dεm, we na wan kayn protin we de εp yu fכ digεst it.

Aw kɔmɔn dis we di bayl dakt dɛn kin smɔl?

di masta sabi pipul dεm nכ no εksεkt כl di bכku pipul dεm de divεlכp dis narrowing of di bayl dakt dεm εvri ia. Bɔt, i tan lɛk se dis sik de kam mɔ ɛn mɔ. Wan rizin kin bi di bɔku bɔku ɔpreshɔn we dɛn kin du fɔ pul di gal blad , mɔ we dɛn kin pul di gal blad , mɔ we dɛn kin pul di bɔdi we dɛn kɔl laparoscopic cholecystectomy . We dɛn de du dɛn ɔpreshɔn ya, sɔntɛnde di bayl dakt dɛn kin pwɛl ɛn gɛt skata, we kin mek dɛn smɔl. Bɔt dis sik nɔ kin rili apin to yɔŋ pikin dɛn.

Wetin na di men tin dɛn we kin mek di bayl dakt smɔl?

na sכm tεm we di pikin kin gεt di bayl dakt we sכmtεm we dεn bכn am. Na wan sik we dɛn bɔn wit . Bɔt bɔku tɛm, na lɛk sɛvin pan tɛn pikin dɛn, dis narrowing of di bayl dakt na kansa. Dis na tru mɔ fɔ pankrɛas kansa ɛn kɔlangiokarsinoma.Dis na di men tin we kin mek i apin. Dɛn kayn kansa ya kin mek bak di bayl dakt smɔl:

• Kansa na di gal blad
• Ɛpatosɛlular kansa
• Kansa na di liva
• Limfoma we dɛn kɔl Limfoma
• Kεnsar de spre to כda pat dεm na di bכdi ( Metastasis ) .
• Smɔl intestinal kansa

Us ɔda tin dɛn apat frɔm kansa kin mek dis sik?

di bayl dakt narrowing kin apin bikoz fכ di nכn kεnsar (benign) kכndishכn dεm, we de mek lεk 30 pasεnt pan di kεys dεm. I kin kam bak bikɔs ɔf sɔm mɛrɛsin dɛn. Lɛ wi tek wan luk pan wetin dɛn bi:

• Injuri na di bɛlɛ ɔ trauma
• כtoimyun pankrεas εn pankrεas (inflamεshכn na di pankrεas) .
• Bayl dakt skata frɔm gal ston
• `Mirizzi syndrome` (dis kin apin we di gal ston dεm de lod na di gal blad εn blכk di bayl dכkt dεm)
• Praymari biliary cholangitis we gɛt di sik
• Praymari sklerɔs kɔlangitis
• Redyushɔn tɛrapi

Wetin na dis `(Anastomotic biliary stricture)`?

Sɔm ɔpreshɔn, lɛk Whipple prosidur (wan big ɔpreshɔn fɔ pankrias kansa) ɔ liva transplant, kin mek anastomotic biliary stricture. Insay dɛn ɔpreshɔn dɛn ya, di dɔktɔ we de du di ɔpreshɔn kin kɔnɛkt bak di tiub dɛn we de na yu dijestiv sistɛm. dis rikonekshכn dεn kכl am anastomosis. Sɔntɛnde, di bayl dakt dɛn kin pwɛl ɔ gɛt skata ɛn smɔl na di say we dɛn kɔnɛkt. dεn kכl dis anastomotic biliary stricture.

Wetin na di sayn dɛm fɔ di bayl dakt stenɔsis?

If yu gɛt dis sik, yu kin gɛt sɔm kayn sik lɛk dis. Yu fɔ mɛmba se if yu gɛt wan ɔ tu pan dɛn sik ya nɔmɔ nɔ min se yu gɛt di sik, bɔt i impɔtant fɔ no bɔt dɛn.

• Pen na di ɔp rayt say na di bɛlɛ .
• Fɔ fil lɛk se yu de gɛt fiva ɛn yu bɔdi de kol .
• Di kɔlɔ fɔ yu stɔl kin chenj . I kin bi grey ɔ layt, lɛk kle.
• I kin it ɔltɛm na di skin (Pruritus).
• Jaundice : Dis na we di wayt na di yay ɛn di skin de yɔlɔ.
• I nɔ kin want fɔ it igen .
• Fɔ fil lɛk se yu de fil lɛk yu nɔs ɛn yu de vɔmit .

Us prɔblɛm dɛn kin apin if dis kɔntinyu?

If di bayl dakt smɔl ɔ blok fɔ lɔng tɛm, di bayl kin gɛda na di liva. If dis apin, yu kin gɛt infɛkshɔn , liva sik , ɛn skata na di liva, we kin mek yu gɛt tin dɛn lɛk sirosis na di liva . Na dat mek i impɔtant fɔ no bɔt dɛn sik ya.

Us kayn dɔktɔ yu nid fɔ no ɛn trit dis sik?

If yu gɛt dɛn sik ya, yu fɔ go to dɔktɔ we de mɛn yu bɛlɛ, we na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di we aw yu de it . Na in kin ebul fɔ no ɛn trit dɛn sik ya kɔrɛkt wan.

Aw dɔktɔ dɛn kin no dis we aw di bayl dakt dɛn kin smɔl?

Yu spɛshal dɔktɔ kin du sɔm tɛst fɔ no if yu gɛt dis sik.

• Blɔd tɛst dɛn:
• bilirubin tεst: We di bayl dakt dεm sכmtεm sכmtεm כ blכk, wan west prodak we dεn kכl bilirubin insay di bayl de kכmכt na di bכdi. Dis tɛst de mɛzhɔ da lɛvɛl de.
• di liva fכnshכn tεst dεm: dεn ya de chεk fכ εlevεt di liva εnzym lεvεl.

• imej tεst dεm: dεn tεst dεm ya kin luk di kכndishכn fכ di bayl dakt dεm we de insay di bכdi.
• כltra saund: Dis de yuz sawnd wev fכ tek pikchכ fכ di bayl dakt fכ sho blכk כ sכm. Yu kin gɛt ɛndoskopik ɔltra saund bak ( ɔltra saund we dɛn kin du tru tiub wit kamɛra), ɔltra saund na yu bɛlɛ, ɔ ɔltra saund na yu liva.
• εndoskopik rεtrogrεd kolεjכpankrεatografi (ERCP): dis na kכmbaynshכn fכ כp εndoskopi εn εks-ray. yu trot dכn sכmtεm εn dεn put εndoskop (wan fleksibul tyub wit kεmεra) fכ luk di כgan dεm na yu bεlε εn bayl dakt dεm. dis tεm, dεn kin tek wan tisu sεmpl bay we dεn yuz spεshal ikwipmɛnt εn sɛn am f כ bayopsi . Dɛn kin yuz dis bayɔpsi bak fɔ chɛk fɔ si if di kansa sɛl dɛn de.
• Magnetic resonance cholangiopancreatography (MRCP): Dis na advans MRI test we kin tek rili klia pikchɔ fɔ yu bayl dakt, liva, pankrias, ɛn gal blad.
• Pεrkyutan transhεpatik kolεnjografi (PTC): Dis na spεshal εks-ray tεst. Insay dis tɛst, di dɔktɔ kin injɛkt wan spɛshal day (kɔntrast day) tru yu liva insay yu bayl dakt dɛn. afta dat dεn kin yuz di εks-ray fכ si aw di day de travul tru di bayl dakt dεm go insay di sכmכl intestin. Di day kin sho ɛni blɔk.

Aw dɛn kin trit dis narrowing of di bile duct?

Sɔntɛnde, dɔktɔ dɛn kin trit bak di tin we mek di bayl dakt de ambɔg di sem tɛm we dɛn de du ERCP ɔ PTC. Di dɔktɔ kin du tin dɛn lɛk:

• If ston de na di gal blad, brok am ɛn pul am.
• We dɛn yuz sɔntin we tan lɛk balɔ fɔ mek di bayl dakt we dɔn smɔl, big, dɛn kin put wan stent (smɔl tiub we dɛn mek wit mɛtal ɔ plastic) fɔ mek i nɔ smɔl bak.
• Fɔ pul di tumbu dɛn, if ɛni wan de.

Wetin na di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn?

Na smɔl pipul dɛn nɔmɔ nid ɔpreshɔn fɔ kɔrɛkt wan bayl dakt we dɔn smɔl. If na kansa mek di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Di tin dɛn we dɛn kin du fɔ ɔpreshɔn na:

• dεn kin du baypas כ pεrayshכn fכ baypas di bayl dakt we blכk εn dayrεkt bayl insay di sכmכl intestin.
• rεsεkshכn involv fכ kכt di sik pat pan di bayl dakt εn kכnekt bak di hεlty pat (anastomosis).

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 ɛn opin am. If dis apin, yu dɔktɔ kin du ɔpreshɔn fɔ fɛn di bayl dakt fɔ pul di bayl dakt we dɔn smɔl. afta dεn pul am, di hεlty bayl dakt εn di sכmכl intestin de kכnεkt bak.

Ɛni kɔmplikeshɔn de afta tritmɛnt?

Di prɔblɛm dɛn we kin apin afta di tritmɛnt kin difrɛn difrɛn wan fɔ di tritmɛnt. Sɔm pipul dɛn kin gɛt akyu pankrias (we de swel pan di pankrias) afta ERCP. So, i impɔtant fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du.

Ɛnitin de we wi kin du fɔ mek dis bayl dakt nɔ smɔl?

Tin dεm de we yu kin du fכ ridyus yu risk fכ gεt sכm kכndyushכn dεm we kin mek di bayl dakt narכw. Fɔ ɛgzampul:

• It fayn it wit fresh frut ɛn vɛjitebul.
• Lɔs yu kɔlɔstrel lɛvɛl . Dis go ɛp fɔ mek di gal blad gɛt wɛlbɔdi ɛn fɔ mek di gal ston nɔ kam.
• Mek yu gɛt wɛlbɔdi wet we go fayn fɔ yu.
• If yu gɛt prɔblɛm wit aw yu de drink rɔm, na fɔ ɛp yu. Dis kin ɛp fɔ mek yu nɔ gɛt pankrias ɛn ɔda tin dɛn we de pwɛl di liva.

Di tin we impɔtant pas ɔl na fɔ tray fɔ kɔntinyu fɔ liv fayn layf. Tin dɛn lɛk fɔ it fayn ɛn fɔ du ɛksɛsayz go protɛkt yu frɔm bɔku sik dɛn.

Wetin na de luk fɔ pɔrsin wae gɛt dis sik fɔ wɛl?

Di prɔspɛkt fɔ mek yu wɛl dipen pan di tin we mek yu bayl dakt de ambɔg. Di tritmɛnt dɛn we de opin di bayl dakt we dɔn blok kin wok fayn. Bɔt di ɔndalayn kɔndishɔn we mek di tin we de ambɔg (lɛk kansa) kin nid fɔ gɛt mɔ kɔmpleks tritmɛnt.

Aw na di tɛm fɔ wɛl afta dɛn dɔn trit am?

Di tɛm we yu go wɛl, we min aw kwik yu kin go bak na wokples, skul, ɛn nɔmal tin dɛn, go difrɛn difrɛn wan bay di kayn tritmɛnt we yu bin gɛt. Minimally invasive tritmεnt dεm lεk ERCP kin tεnd fכ fast εn less pen pas opin כpεrayshכn we nid big insishכn. I impɔtant fɔ tek tɛm fala yu dɔktɔ in instrɔkshɔn fɔ mek shɔ se yu wɛl sef. Dɛn kin tɛl yu fɔ it tin dɛn we gɛt wata ɛn we nɔ gɛt bɛtɛ tin fɔ it fɔ sɔm tɛm, ɔ chenj di it dɛn we yu de it fɔ gɛt tin dɛn we izi fɔ dayjɛst .

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:

• Fiva we de kɔntinyu fɔ de.
• Pen we de na di ɔpa bɛlɛ we de kam bak.
• Sayn dεm fכ infεkshכn afta tritmεnt (e.g., pus we de drεn frכm di wund, rεd).
• Fɔ lɔs yu wet fɔ natin, fɔ fil lɛk yu nɔs, ɔ fɔ vɔmit.
• Di wayt tin dɛn na di yay ɔ di skin kin tɔn yɔlɔ (jaundice) .

Wetin a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin de mek dis narrowing of mi bile ducts?
• Us tritmɛnt we bɛtɛ fɔ mi?
• Tin dɛn de we a kin du fɔ ridyus di risk fɔ mek dis kayn bayl dakt narrowing apin bak?

Sɔm kayn sik lɛk bɛlɛ pen, fiva, kol, ɛn janda kin rili mɔna yu, mɔ if dɛn kam wantɛm wantɛm. If yu gɛt ɛni wan pan dɛn sik ya, i go fayn fɔ tɛl yu dɔktɔ wantɛm wantɛm. Dɔn dɛn kin du tɛst fɔ no di tin we mek i apin ɛn tɛl dɛn fɔ gi dɛn di rayt tritmɛnt.

Mesej we yu kin kɛr go na os: Di tin dɛn we impɔtant pas ɔl we yu fɔ mɛmba

So, a op se yu naw geht beta andastan pan di biliary stricture we wi bin tok boht tide.

• dis na we di bayl dakt dεm de sכmtεm sכmtεm, we de mek di bayl dεm nכ fכ fכlכ.
• Bɔku rizin dɛn kin de; tin dɛn lɛk skata we dɛn kin gɛt we dɛn du ɔpreshɔn, ston na di gal, ɛn kansa.
• Yu fɔ no bɔt di sayn dɛm lɛk bɛlɛ pen, janda, it, ɛn chenj na di stɔl kɔlɔ.
• If yu gɛt dɛn sik ya, go to dɔktɔ we de mɛn yu bɛlɛ wantɛm wantɛm.
• Tritmɛnt dɛn de, so nɔ panik. Di kwik we dɛn no bɔt am ɛn trit am, na di mɔ i go fayn.
• Fɔ liv fayn layf kin ɛp fɔ mek dɛn nɔ gɛt dɛn kayn tin ya.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!