Ngā mea e hiahia ana koe kia mōhio mō te Biliary Stricture!

Kua pāngia koe e te mamae rerekē i te taha matau o runga o tō puku, te kōwhai o tō kiri me ō kanohi, te ngaro rānei o te hiahia kai? Tērā pea kua kite koe kua mā te kiri o ō tūtae. Ehara ēnei i te mea noa iho. Ko tētahi take hauora pea mō tēnei ko te whaiti o ngā awaawa au. E kiia ana tēnei e mātou i roto i te rongoā ko te `(Biliary Stricture)`. Kaua e manukanuka, ka kōrerohia e mātou ngā mea katoa i roto i ngā kupu māmā noa iho.

He aha te tikanga o te stricture biliary?

Whakaarohia mēnā ka purua he paipa wai i te paru, mēnā rānei ka pēhia te paipa, ka aukatia te rere o te wai, tika? Koinei anō hoki te mea e tupu ana i konei. He wai te au e tika ana mō te tukanga nakunaku i roto i tō tātou tinana. Ka hangaia tēnei au i roto i tō tātou ate, ā, ka haere ki te whekau iti mā roto i tētahi pūnaha ngongo iti. Ina whaiti, ka whaiti, ka āraia rānei ngā ngongo e rere ai te au mō tētahi take, ka kiia tēnei he stricture biliary .

Ina āraia te awaawa au i tēnei ara, ka tīmata te kohikohi o te au ki roto i te ate. Ka uaua te nakunaku o te kai e te tinana, inā koa ngā kai momona. Ā, ka tīmata te puta mai o ētahi atu tohu.

He aha ngā take o te whaiti o te awaawa o te ate?

He maha ngā take mō tēnei mate. Ko ētahi e pā ana ki ngā mate pukupuku, ko ētahi e pā ana ki ētahi atu mate kāore i te mate pukupuku. I te nuinga o te wā, e 70% o ēnei mate nā te mate pukupuku, ā, ko te toenga 30% nā ngā mate kāore i te mate pukupuku.

Kia māmā ake ai te mārama, me whakarōpūtia ēnei take.

He aha ngā tohu o te stenosis o te awaawa o te ate?

Ina aukatia te awaawa au, he maha ngā pānga ki te tinana. Mēnā kei a koe tētahi, ētahi rānei o ēnei tohu, me āwangawanga koe.

Me pēhea te tautuhi i te mate?

Ina kite koe i tētahi tākuta me ēnei tohu, ka tirotirohia koe e ia, ā, ka whakahaerehia he maha o ngā whakamātautau hei tautuhi i te mate. Ko te tikanga, ko te tohunga puku (he tākuta e tohunga ana ki te pūnaha nakunaku) ka rongoā i ēnei mate.

Ngā Whakamātautau Toto

Tuatahi, ka mahia ētahi whakamātautau toto.

• Whakamātautau bilirubin: Ka ine tēnei i te teitei o te taumata bilirubin i roto i te toto.
• Ngā Whakamātautau Mahi Ate: Ka rapua e ēnei whakamātautau ngā taumata whākōkī ate kua teitei hei whakatau mēnā he kino te ate.

Ngā matawai me ētahi atu whakamātautau whakaahua

I muri i ngā whakamātautau toto, ka mahia he maha ngā matawai hei tirotiro i te āhua o ngā awaawa au mai i roto.

• Matawai Ultrasound: Koinei te whakamātautau māmā rawa, kāore he mamae ka taea te mahi tuatahi. Ka tangohia ngā whakaahua o ngā whekau puku, ā, ka taea te whakaatu whānui mēnā kei te pupuhi ngā awaawa au, kei te whai kōhatu, kei te aukati rānei.

• ERCP (Endoscopic Retrograde Cholangiopancreatography): He whakamātautau tino nui tēnei e whakamahia ana mō te tātaritanga me te maimoatanga. Ka hoatu he rongoā whakamoe ki a koe, ā, ka whakaurua he ngongo iti me te kāmera e piri ana ki roto mā tō waha, mā tō puku, me te whakatuwheratanga o tō awaawa au. Kātahi ka werohia he tae motuhake ki roto i te awaawa, ā, ka tangohia he hihi-X. Mā tēnei ka kitea mārama te wāhi e āraihia ana. Mena e tika ana, ka taea te tango i tētahi wahi kiko i tēnei wā hei tirotiro (biopsy) me te maimoatanga i te ārai.

• MRCP (Aukume Resonance Cholangiopancreatography): He matawai MRI tēnei. Me te kore e whakauru i tētahi ngongo ki roto i te tinana, ka whakamahia he papa aukume hei tiki whakaahua tino mārama o ngā awaawa aukume, te ate, te pūkahukahu, me te repeure.

• PTC (Percutaneous Transhepatic Cholangiography): I ētahi wā, ka werohia he ngira iti rawa mā te kiri ki roto i te ate, ka werohia he tae ki roto i ngā awaawa o te ate, ā, ka tangohia he hihi-X.

He aha ngā maimoatanga mō tēnei?

Ko te tikanga maimoatanga e whakawhirinaki ana ki te take o te whaiti o ngā awaawa o te ate.

Ko ngā maimoatanga ka taea te mahi i te wā o te ERCP ko:

• Te tango kōhatu: Mena ka piri ngā kōhatu ki roto i te pūhā, ka pakaruhia, ka tangohia rānei mā te whakamahi i ngā taputapu motuhake.
• Te Whakanohonga Stent: Ka whakawhanuitia te uaua kua whaiti mā te whakauru me te pupuhi i tētahi mea pērā i te poihau. Kātahi, kia tuwhera tonu te uaua, kia kore ai e whaiti anō, ka whakanohoia he stent , he ngongo iti rite ki te mata, ki roto. Ka taea ēnei te hanga ki te kirihou, ki te konganuku rānei.
• Te tango i te puku: Mena he puku iti te take o te aukati, tera pea ka taea te tango.

Ngā Maimoatanga Pokanga

I ētahi wā, inā koa he mate pukupuku, me mahi pokanga.

• Pokanga Ārai: Ko te tikanga o tēnei he karo i te awaawa kua āraia, ka waihanga i tētahi ara hou mō te rere o te au.
• Te Tango me te Anastomosis: Ka tapahia te wāhanga mate o te awaawa au, ka tangohia , ā, ka honoa anō ngā wāhanga hauora e rua e toe ana.

He aha tā tātou e taea ai te mahi hei ārai i tēnei āhuatanga?

Kāore e taea e tātou te ārai i ngā take katoa o te pūngao o te awaawa, pērā i te mate pukupuku. Heoi anō, kei reira ētahi āhuatanga mōrearea ka taea e tātou te whakahaere. Mā te tiaki i ēnei āhuatanga, ka taea e tātou te whakaiti i te mōrearea o te whakawhanake i tēnei mate.

• Kia mau ki tētahi kai hauora: Whakaitihia ngā kai he nui te hinu me te ngako, ā, tāpirihia he nui ngā hua me ngā huawhenua ki tāu kai.
• Whakahaerehia tō cholesterol: Ka taea e te cholesterol teitei te arahi ki te hanga kohatu o te pūkahukahu, nō reira he mea nui kia whakahaeretia ō taumata cholesterol.
• Kia mau ki te taumaha hauora: He pai hoki te whakahaere i te taumaha tinana mō te hauora o te puku.
• Āraia te inu nui i te waipiro: Ka taea e te inu nui i te waipiro te kino i te ate, ā, ka puta te pancreatitis. Ka taea e ēnei āhuatanga e rua te whakawhāiti i ngā awaawa o te ate.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ēnei tohu e whai ake nei, kaua e warewarehia.Me toro atu ki tō tākuta i te wā e taea ai, ka rapu tohutohu.