I bile ducts chungchang hi i zir dawn nia. Hei hi a pawimawh hle mai!

Chibai! Kan taksa chhunga duct te ber ber pawh a pawimawh zia i ngaihtuah ngai em? Chutiang thil pawimawh tak pakhat, mahse kan sawi tam loh pawh a ni mai thei, chu chu bile duct hi a ni. Chuvangin vawiinah hian he bile duct chungchang hi a awlsam zawngin kan sawi dawn a, eng nge a nih, eng nge a chunga thleng, eng natna nge a thlen, engtin nge kan enkawl theih ang tih kan sawi dawn a ni.

Bile Duct chu eng nge ni? Eng nge a tih?

A awlsam zawngin sawi ila, bile duct hi kan chaw ei kawng chhunga taksa peng thenkhat inzawmkhawmtu, tube te tak te system a ni. Tui phurtu pipe ang a ni. A hnathawh ber chu heng taksa peng hrang hrangte inkarah hian ‘bile’ an tih thil pakhat phurh chhuah hi a ni. Kan thin, gallbladder, leh small intestine te hian heng bile duct te nen hian biliary system an siam a ni . Chuti a nih chuan, engvangin nge heng bile duct te hi a mamawh? Kan taksa hian hna hrang hrang thawk turin bile a mamawh a. Bile ducts hian he bile hi hmun khat atanga hmun dangah him taka phurh luh a pui thin. He system of tubes hi engtik lai pawha, khawi hmunah pawh, thil dang tibuai lovin, taksa peng dang tichhe lovin taksaah bile phurh luh nan a pawimawh hle. Tunah chuan en teh, he bile hi kan liver siam tui a ni. A chhungah hian thil chi khat bile acids an tih chu a awm a . Hengte hian kan eitur a thau leh protein awmte chu kan ei theih nan min pui thin. Mahse heng bile acid te hi a khauh deuh a, taksa peng thiam lo tan pawh a tichhe thei a ni. Tin, kan pancreas atanga digestive enzyme thenkhat pawh heng bile ducts hmang hian an kal ve bawk. Chutiang bawkin hmun dik an pan loh chuan buaina a chhuak thei a ni.

Engtin nge he bile duct hi kan taksa peng hrang hrang nen a inzawm?

Thing hnah hring ang maiin han ngaihtuah teh. Kan thin atanga tan a ni. Liver hi kan pum dinglam chunglam ah a awm a. Liver chhungah hian bile ducts te tak te, branching tak tak te a awm a. Hengte hi intrahepatic bile ducts kan ti a . Liver hian bile a siam hian heng duct kaltlangin a khawlkhawm thin. Tichuan, heng liver chhunga duct te te te hi an inzawm khawm a, dinglam leh veilam hepatic duct lian deuh deuh te chu an siam ta a ni. Heng duct pahnih hi liver atanga chhuakin an inzawm khawm a , common hepatic duct an siam a ni . Liver pawn lama duct awmte chu extrahepatic ducts an ti a . Tunah chuan he common hepatic duct hian kan gallbladder atanga lo chhuak cystic duct nen hian common bile duct a siam ta a ni.A siam chhuak thin. Liver atanga bile lo chhuak zinga a chanve vel chu he common bile duct-ah hian a lut nghal vek a ni. A chanve dang chu gallbladder-ah a kal a. Gallbladder hi liver hnuaiah chiah a awm a. Bag te tak te, bile dahkhawmna ang mai a ni. Chutih laia hman loh bile chu a dahkhawm thin. Gallbladder hian kan small intestine a mamawh thlengin a dahkhawm thin. Kan intestine te hian ei tur thau leh protein a awm tih a hriat chuan gallbladder ah signal a thawn thin. Tichuan gallbladder chu a inzawm khawm a, cystic duct kaltlangin bile chu common bile duct-ah a thawn ta a ni. Chuta tang chuan bile chu small intestine-ah a kal ta a ni. He common bile duct hi kan neih zingah chuan bile duct lian ber a ni. Centimeter 10 vel a sei a ni. Heta tang hian bile duct dang zawng zawng chu a branch chhuak vek a ni. Kan pancreatic duct pawh hi he common bile duct hi small intestine-a a inhawn na hmunah hian a inzawm ve tho a, mahse duct hran angin a inzawm thung. Hrethiam e?

Bile ducts tichhe thei dinhmunte chu engte nge ni?

Okay, chuvangin tunah chuan eng natna chi hrang hrangin nge he bile duct system pawimawh tak hi a nghawng thei tih i lo en ang u.

1. Inflammation a awm

Infection thenkhat leh inflammatory condition dangte hian bile ducts-ah harsatna a thlen thei a ni. Hei hi hun rei lote chhung emaw, hun rei tak emaw pawh a ni thei. Hun rei lote chhungin acute inflammation hian ducts a block thei a, bile flow a titawp thei bawk. Mahse, hun rei tak chhung chu chronic inflammation hian bile ducts chhunga tissue te chu a ti hliam thei a ni. He scar tissue hian duct te a ti tawi a – hei hi stricture an ti a. A tawpah chuan thisen supply a titawp a, bile duct te pawh a chhe thei a ni. Hetianga bile ducts inflammation hi cholangitis an ti a . Infection leh blockage hian acute cholangitis a thlen thei a ni . Tin, autoimmune natna hian chronic cholangitis a thlen thei bawk. Chutiang natna khirh tak pahnih chu Primary Biliary Cholangitis (PBC) leh Primary Sclerosing Cholangitis (PSC) te hi an ni.

2. Daltu

Bile duct harsatna thlentu ber chu blockage a ni . A tam ber pakhat chu gallstones a ni . Heng lungte hi crystal a ni a, gallbladder emaw bile duct emaw a lo awm a ni. Kum tam tak chhung chu zawi zawiin an thang lian thin. Vawi tam tak chu gallstones te hi a chhuak a, common bile duct ah a kal thin. Hetiang dinhmun bik hi choledocholithiasis an ti a.Bile duct chhunga heng lungte hi a lian a nih chuan bile kalna tur a tikhawlo thei a ni. Tin, bile duct stricture , chu chu bile ducts tihtlem a ni a, hei hian bile kal dan a tikhawlo thei bawk. Hun rei tak chhunga inflammation hian bile ducts-ah scar tissue a siam thei a, hetiang hian a ti tawi thei a ni. Nau piang lama harsatna thenkhat – entirnan , biliary atresia leh Alagille Syndrome te pawhin he natna hi a thlen thei bawk.

3. Cancer natna a ni

Bile duct cancer hi cholangiocarcinoma an ti a . Extrahepatic ducts – a tam ber – emaw, liver chhunga ducts (intrahepatic ducts)-ah emaw a lo awm thei bawk. Hei hi liver cancer nen a danglam a ni. Mahse, liver cancer a lo awm chuan liver chhunga bile duct te pawh a tichhe thei a, inflammation emaw obstruction emaw a siam thei bawk.

Bile duct a block a nih chuan eng nge thleng ang?

Drain clogged ang bawkin bile ducts atanga bile a luang thei lo a nih chuan a back up a, organs ah a pung khawm tan thin. Hei hian inflammation a thlen thei a, chu organs te chu a tichhia thei bawk. Entirnan, gallbladder inflammation ( cholecystitis ), pancreas inflammation ( gallstone pancreatitis ), leh liver leh bile ducts ngei pawh inflammation te. Bile flow a tawp ( cholestasis ) chuan infection a awm tam zawk. Biliary system-a infection hi a na hle a, a hlauhawm hle bawk. Liver-ah an darh chuan thisenah an lut thei a, taksa pum puiah septicemia a thlen thei a, chu chuan natna hlauhawm tak sepsis tih a thlen thei a ni.

Pawimawh: Sepsis hi nunna atana hlauhawm emergency a ni.

Tin, back up nei bile chu thisenah a leak tan chuan natna chi hrang hrang a thlen thei bawk. Jaundice – vun leh mit sen – nausea, itching, leh a chang chuan mild cognitive impairment (hepatic encephalopathy) i nei thei bawk . Blocked bile ducts hian bile chu small intestine-ah a empty tha thei lo. Hei hian chaw ei kawngah harsatna a thlen thei a ni. I chaw ei (digestive system) hian thau ei tur a ti buai a, thau-a inthiar theih vitamin te pawh a hip lut thei lo. He malabsorption hian malnutrition a thlen thei bawk .

Engtin nge bile duct problem i nei tih i hriat theih ang?

Chronic conditions hi kum tam tak chhungin zawi zawiin a lo awm fo thin. Chuvangin i bile ducts nasa taka a chhiat hma chuan symptoms i nei lo mai thei. Mahse, acute condition , blockage emaw infection emaw i neih chuan biliary colic tih symptoms i nei fo ang. Biliary colic tih hi eng nge ni?

• Hei hi pum na a ni.
• Nausea nen a lo thleng fo thin a , a chang chuan luak chhuak pawh a awm thin .
• Hei hi chaw thau tak ei hnuah a thleng tlangpui .
• Natna chu zawi zawiin a intan a, darkar khat chhungin a na zual zauh zauh a, darkar hnih emaw darkar hnih emaw chhungin a reh leh ta a ni.

Hetiang biliary colic hi i biliary system hian i small intestine-ah bile a thawn chhuah tum a, chu chuan ei tur a ei theih nan a pui thin. Chumi hnuah gallbladder chu a inzawm khawm a, chu chuan bile ducts chhungah pressure a tisang a ni. I bile ducts infect emaw block emaw a nih chuan chu pressure chu a natna thlentu a ni.

Hriat reng tur: Biliary colic symptoms i neih chuan, a na lutuk lo a nih pawhin damdawi inah kal nghal rawh . Medical test-ah hian harsatna chu eng nge ni tih a hriat chian thuai thei a ni. Natna nasa tak nei lo mah la, biliary system nena inzawm symptom dang, jaundice , i neih chuan natna khirh tak chhinchhiahna a ni thei.

Engtin nge bile duct blocked tihdam theih ang?

Doctor-te’n bile duct-a blockage awmte zawn chhuah leh tihbo nan hian hmanraw hrang hrang a awm a. I tana hmanraw rawt chu i dinhmun, chronic emaw acute emaw a nih leh nih loh leh a hmanhmawh danah a innghat ang.

• Endoscopic Retrograde Cholangiopancreatography (ERCP): Hei hi operation tih loh tur a ni. Tube sei tak, camera attached (endoscope) chu ka chhungah dahin GI tract hnuaiah a kal tlang a. He endoscope hmang hian doctor chuan thil tul a ti thei a ni.
• Bile duct exploration: Hei hi surgery hmanga tih a ni. Minimally invasive method hmanga tih theih a ni fo . Chu chu , laparoscopic surgery , chu chu pum chhunga hliam tenau pakhat emaw a aia tam emaw siam a ni. A chang chuan operation laiin gallstones awm tan gallbladder lakchhuah nan tih thin a ni.

Doctor chuan bile duct chu a titawp thei a, a blockage chu a titawp thei a, a inhawng reng theih nan stent a dah thei bawk. A châng chuan a pahnih hian tih a ni. Scarring leh stenosis avanga bile ducts hi a zau (dilated) hle a nih chuan duct thenkhat pawh a paih chhuak thei bawk.

Engtin nge ka bile duct te hi ka enkawl ang?

I bile ducts tana hlauhawm ber chu gallstones a ni . Gallstones awm chhan ber chu thisen a cholesterol sang vang a ni. Thisen a cholesterol tam zawk chu a tawpah chuan bile duct-ah a pungkhawm thei a, chu chuan a ti khauh a, cholesterol lung a siam thei a ni. He hlauhawmna hi i ei leh in a cholesterol tihtlem hmangin i tihziaawm thei a ni . Risk lian ber pahnihna chu liver disease a ni . Chronic liver disease i neih chuan i liver leh biliary system tihchhiatna chu nun hrisel tak i hman avangin i ti tlem thei a ni.

• Exercise ti rawh .
• I ei leh in atang hian dietary fats tihtlem rawh.
• Zu leh ruihhlo hman loh tur.

Hengte hian nasa takin a pui dawn a ni.

Bile duct te hi a te hle a, mahse kan taksa tan hna ropui tak a thawk a ni. Nitin hian kan taksa peng leh taksa kalphung engemaw zat chu heng bile duct-ah hian a innghat a ni. Bile hian a kalna tur hmun a thlen theih loh chuan a tawpah thisenah a luang lut thei a, taksa pum pui a nghawng thei a ni.

Bile duct disorder hian biliary system chhunga taksa peng dangte a nghawng thei a ni. A lehlamah chuan chu taksa peng hrang hranga harsatna awm chuan bile ducts a nghawng thei bawk. Chuvangin, biliary system nena inzawm symptoms, biliary colic emaw jaundice emaw i neih chuan doctor lam pan nghal rawh . Hei hian i biliary system nalh tak, bile ducts te pawh a humhim thei a ni.

Chuti a nih chuan, vawiina kan sawi tawh atang hian eng thil nge hriat reng tur pawimawh ber?

• Bile duct hi kan liver , gallbladder, leh small intestine inkara bile phurtu tube system te tak te, mahse pawimawh tak a ni.
• Gallstones leh inflammation te hi bile ducts tibuaitu ber an ni.
• Chaw thau ei hnua pum na (biliary colic) leh jaundice ang chi symptom i neih chuan fimkhur hle ang che.
• Ei leh in hrisel leh nunphung hrisel vawn hi bile ducts hriselna atan a pawimawh hle.
• Symptoms i neih chuan doctor pan nghal a, thurawn lak hian harsatna lian tham i neih loh nan a pui thei che a ni.