Chaw tha tak tak i ei a, chutah i pum dinglam sir chunglam ah natna mak tak i nei tawh em? A chang chuan hei hi kan taksa chhunga duct system te tak te, mahse a pawimawh em em, kan sawi vak loh vang a ni thei. Vawiin hian kan ei leh in atana pawimawh tak bile duct system kan sawi dawn a ni.
A awlsam zawngin, he bile duct hi eng nge ni?
Kan taksa chhunga canal tenau tak tak awmna system angin han ngaihtuah teh. Chutiang system pakhat chu bile ducts hi a ni. Hengte hi kan ei leh in lama taksa peng lian engemaw zat inzawmkhawmtu tube (pipe) te tak te network an ni. An hna ber chu "bile" an tih tui pakhat hmun khat atanga hmun danga phurh chhuah hi a ni.
Kan biliary system hi taksa peng pathum nen a inzawm ber a:
1. Liver: Hetah hian Bile siam chhuah a ni.
2. Gallbladder: Liver atanga bile siam chhuah a tul hun thlenga dahkhawmna bawm te tak te a ni.
3. Small Intestine: Digestive process-a thil pawimawh ber thlengna hmun.
Bile hi kan thin (liver) atanga siam, yellow-green fluid a ni. Acid chak tak a pai a , chu chuan thau leh protein a tithianghlim thei a ni . Chuvangin, he bile hi a mamawhna hmun dik takah, a mamawh hun takah thlen theihna tur kawng him tak kan mamawh a ni. Chu chu heng bile duct te hian an ti thin.
Engtin nge heng taksa peng zawng zawng hi an inzawm khawm?
Hei hi thing hnah chhuak ang chi system a ni. A bul a\angin han thlir ila.
- Liver-ah a intan: He zinkawng hi liver chhunga bile duct te tak te, kan pum dinglam sir chunglam atanga tan a ni. Liver hian bile a siam hian chu bile chu heng duct te tak te hmang hian a khawlkhawm thin.
- Duct lian tak tak siam: Heng liver chhunga duct te tak te sang tam tak te hi an inzawm khawm a, main duct lian deuh deuh pahnih, dinglam leh veilam hepatic duct te an siam a.
- Common bile duct: Heng duct pahnih hi liver atanga an chhuah hnuah an inzawm khawm a, common hepatic duct an siam ta a ni .
- Gallbladder nena inzawmna: He hepatic duct tlanglawn tak hi kan gallbladder atanga lo chhuak cystic duct nen a inzawm a ni. Heng pahnih inzawmkhawma duct lian leh lian ber lo awm chu common bile duct an ti a .
Tunah chuan en teh, liver atanga bile lo chhuak zinga a chanve vel chu he common bile duct hnuaiah hian a kal nghal vek a ni. A chanve dang chu gallbladder-ah a lut a, rei lo te chhung atan dahkhawm a ni.
Nga thau tak emaw, buh nena hriak nena thlai chi khat emaw kan ei hian kan intestine te hian he thau hi ei theihna turin tanpuina a dil thin. Chutih lai chuan gallbladder chu sponge ang maiin a inzawm khawm a, chu bile dahkhawm chu common bile duct kaltlangin small intestine-ah a thawn lut thin. Hei hi kan chaw ei danah bile a dah belh dan a ni.
Bile ducts-a harsatna awm thei ber berte chu engte nge ni?
He pipe system tenau takah pawh hian harsatna lian tak a awm thei a ni. Harsatna ber chu eng nge ni tih han en ila.
| Buaina awm dan | A awlsam zawngin sawifiah a ni |
|---|---|
| Pun | Infection emaw thil dang emaw avanga bile ducts inflammation. Hei hi damdawi lam chuan Cholangitis an ti a . Hun rei tak a awm chuan duct te chu a tawi (stricture) thei a, scar tissue a lo awm thei bawk. Hetiang dinhmun hi autoimmune natna thenkhat vang pawh a ni thei. |
| Thil tihbuai | Hei hi buaina tam ber a ni. A chhan ber chu gallstones a ni . Heng lungte hi gallbladder-ah a lo awm a, a chhuak thei a, bile duct-ah a tang thei bawk. Hei hi choledocholithiasis an ti a . Lung te hi a lian a nih chuan bile luang chhuak chu a titawp vek thei a ni. |
| Ngawt | Thil awm lo tak, cholangiocarcinoma tih pawh hmuh tur a awm bawk. Hei hi liver cancer nen a danglam a ni. Mahse, liver cancer hian bile duct a tikhawlo thei bawk. |
Bile duct a block chuan eng nge thleng?
Tui pipe a inkhar a, a luang chhuak ang bawkin, bile duct a inkhar chuan taksa chhungah bile a khat tan thin.
Hei hi dinhmun hlauhawm tak a ni thei.
- Organ chhiatna: Bile a khat chu a back up thei a, gallbladder (cholecystitis), pancreas (gallstone pancreatitis), leh liver te a tichhe tan thei a ni.
- Hri kai theihna: 1.1.Bile a stagnate (cholestasis) chuan bacteria infection a awm tam zawk. Heng natna hrik te hi thisenah a luh chuan taksa pum puiah a darh thei a, nunna atana hlauhawm tak `sepsis' an tih chu a thlen thei a ni.
- Jaundice: Thisenah bile a awm tan chuan mit leh vun var te chu a sen tan thin. Hei hi jaundice kan tih chu a ni.
- A lan chhuah dan dangte chu vun natna leh vun natna nasa tak a ni.
- Digestive problems: Bile chu small intestine-ah a luh loh avangin thau chaw ei leh thau-a inthiar theih vitamin (A, D, E, K) te hi a chhe thei lo.
Engtin nge bile duct problem i nei tih i hriat theih ang?
Hemiah hian symptom lian pahnih kan ngaihtuah thei a ni.
1. Pum natna (Biliary Colic): .
Hei hi pum na pangngai ang a ni lo.
- Oil emaw thau tamna chaw ei hnuah a awm fo thin.
- A natna hi pum dinglam chunglam atanga lo chhuak a ni.
- A natna chu a pung zauh zauh a, darkar khat vel zet a sang ber a, darkar hnih atanga darkar thum chhungin a reh zauh zauh bawk.
- Hei hian luak chhuak emaw, luak chhuak emaw a thlen thei bawk.
2. Jaundice natna: 1.1.
- Mit leh vun a sen (yellowing) thin.
- Dark yellow emaw brown emaw zun.
- Pale emaw gray emaw stools a awm.
Pawimawh tak: `biliary colic` symptoms i neih chuan a natna chu a na lutuk lo a nih pawhin a pangngaiah ngai suh. Doctor hmu la , a rang thei ang bera damdawi inah kal rawh. A châng chuan Emergency Department (ETU)-ah pawh kal a ngai mai thei. Enkawlna i hmuh vat chuan natna khirh tak tak i veng thei a ni.
Engtin nge bile duct blocked chu i tihdam theih ang?
Doctor ten heng blockage te hi tihbo nan hian kawng hrang hrang an hmang thin. Thil tih dan tha ber chu i dinhmun a zirin a innghat ang.
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Hei hi operation a ni lo. Tube sei takah camera (endoscope) bun chu ka chhungah a kal a, pum hnuai lamah a kal a, bile duct-ah a lut a. Chumi hnuah chuan doctor chuan he tube hmang hian instrument te te a dah lut thei a, lung awm zawng zawng chu a paih chhuak thei a ni.
- Surgery: A chang chuan surgery neih a ngai thin. Tunlai hian a tam zawkah chuan incision te tak te hmanga tih a ni a, camera leh instrument (laparoscopic surgery an tih) hmangin an ti thin. Buaina hi gallstones avanga lo awm a nih chuan gallbladder chu a rualin lakchhuah a ni fo thin.
- Stent dahna: A chhung lam a hliam avanga thisen kalna kawng a zim a nih chuan, a inhawng reng theih nan mesh ang chi tube (stent) te tak te dah a ni.
Engtin nge kan bile duct te hi kan hrisel theih ang?
Kan nunphung inthlak danglamna tenau te hian he hlauhawmna hi nasa takin a tihziaawm thei a ni.
- Control cholesterol: Gallstone siam chhan ber chu thisen a cholesterol level sang vang a ni. Cholesterol tam zawk chu bile-ah a pung khawm a, lung a siam thin. Chuvangin, oil, coconut milk, fast food, processed food te hi a tlem berah ei a pawimawh hle.
- I thin enkawl rawh: Thin natna hian i bile duct a tichhe thei bawk. Chuvangin, zu in loh te, damdawi tul lo ei loh te, leh exercise lak fo te hmangin i thin i hrisel thei ang .
Gallbladder hi kan taksa peng te tak te ni mahse, a rawngbawlna chu a nasa hle. Chuvang chuan kan mawhphurhna a ni bawk a, kan enkawl hi kan mawhphurhna a ni.
Take-Home Thuchah a ni
- Bile duct hi bile phurtu tube system pawimawh tak a ni a, liver, gallbladder leh small intestine te a thlunzawm a ni.
- Biliary colic leh jaundice te hi vaukhânna chhinchhiahna lian ber a ni a, chaw thau ei hnuah pum dinglam chung lamah a awm a, zawi zawiin a pung leh a tlahniam a ni.
- If you experience any of these symptoms , eng vang pawhin tihkhawtlai suh. Thil tenawm tak angin ngaihthah suh la , doctor pan nghal rawh.
- Cholesterol tlem, ei leh in hrisel leh nunphung tha tak neih hian gallstone leh a kaihhnawih harsatna te nasa takin a tihziaawm thei a ni.











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