Zomwe muyenera kudziwa zokhudza Biliary Stricture!

Kodi munamvapo ululu wachilendo kumtunda kwa kumanja kwa mimba yanu, khungu lanu ndi maso anu kukhala achikasu, kapena kusowa chilakolako cha chakudya? Mwina mwazindikira kuti ndowe zanu zasanduka zofiirira. Izi sizinthu zosayembekezereka chabe. Chifukwa chimodzi chachipatala chomwe chingayambitse izi ndi kuchepa kwa njira zotulutsira ndulu. Malinga ndi madokotala timatcha izi `(Biliary Stricture)`. Musadandaule, tidzakambirana chilichonse mwachidule.

Mwachidule, kodi biliary stricture ndi chiyani?

Tangoganizirani ngati chitoliro cha madzi chatsekeka ndi dothi kapena ngati chitolirocho chatsekeka, madziwo amatsekeka, sichoncho? Ndicho chimene chimachitika apa. Ndudu ndi madzi omwe ndi ofunikira kwambiri pa ntchito yogaya chakudya m'thupi lathu. Ndudu imeneyi imapangidwa m'chiwindi chathu ndipo imapita kumatumbo ang'onoang'ono kudzera mu njira ya machubu ang'onoang'ono. Pamene machubu omwe ndulu imadutsamo achepa, amachepa, kapena amatsekeka pazifukwa zina, izi zimatchedwa biliary stricture.

Pamene njira ya ndulu yatsekeka motere, ndulu imayamba kusonkhana mkati mwa chiwindi. Izi zimapangitsa kuti thupi lathu lizivutika kugaya chakudya, makamaka zakudya zamafuta. Ndipo zizindikiro zina zambiri zimayamba kuonekera.

Kodi ndi zinthu ziti zomwe zimayambitsa kuchepa kwa njira ya bile duct?

Pali zifukwa zambiri zomwe zimayambitsa vutoli. Zina mwa zifukwa zake zimagwirizana ndi matenda a khansa, pomwe zina zimagwirizana ndi matenda ena omwe si a khansa. Mwachidule, pafupifupi 70% ya matendawa amayamba chifukwa cha matenda a khansa, ndipo 30% yotsalayo imayamba chifukwa cha matenda omwe si a khansa.

Kuti timvetse mosavuta, tiyeni tigawane zifukwa izi m'magulu.

Kodi zizindikiro za stenosis ya bile duct ndi ziti?

Pamene njira ya ndulu yatsekeka, imakhudza thupi lathu m'njira zambiri. Ngati muli ndi chimodzi mwa zizindikiro izi, muyenera kuda nkhawa.

Kodi mungazindikire bwanji matendawa?

Mukapita kwa dokotala yemwe ali ndi zizindikirozi, adzakuyesani ndikukuyesani mayeso angapo kuti adziwe vutoli. Nthawi zambiri, dokotala wa gastroenterologist (dokotala wodziwa bwino za kugaya chakudya) amachiritsa matenda awa.

Mayeso a Magazi

Choyamba, kuyezetsa magazi kumachitika.

• Kuyesa kwa Bilirubin: Izi zimayesa kuchuluka kwa bilirubin m'magazi.
• Mayeso a Ntchito ya Chiwindi: Mayesowa amayang'ana kuchuluka kwa ma enzyme a chiwindi kuti adziwe ngati pali kuwonongeka kwa chiwindi.

Ma scan ndi mayeso ena ojambula zithunzi

Pambuyo poyezetsa magazi, ma scan angapo amachitidwa kuti awone momwe ndulu ilili kuchokera mkati.

• Kujambula kwa Ultrasound: Iyi ndi njira yosavuta komanso yopanda ululu yomwe ingachitike poyamba. Imatenga zithunzi za ziwalo zam'mimba ndipo ingapereke chithunzithunzi chokwanira ngati ndulu yatupa, ili ndi miyala, kapena yatsekeka.

• ERCP (Endoscopic Retrograde Cholangiopancreatography): Iyi ndi njira yofunika kwambiri yoyezera matenda komanso kuchiza. Mumapatsidwa mankhwala ochepetsa ululu, ndipo chubu chaching'ono chokhala ndi kamera yolumikizidwa chimayikidwa kudzera pakamwa panu, m'mimba mwanu, komanso m'chitseko cha ndulu yanu. Kenako utoto wapadera umalowetsedwa mu ndulu ndipo X-ray imatengedwa. Izi zimasonyeza komwe kutsekeka kumaonekera bwino. Ngati pakufunika kutero, chidutswa cha minofu chikhoza kutengedwa panthawiyi kuti chikafufuzidwe (biopsy) ndi kuchiza kutsekeka.

• MRCP (Magnetic Resonance Cholangiopancreatography): Iyi ndi MRI scan. Popanda kuyika machubu aliwonse m'thupi, mphamvu ya maginito imagwiritsidwa ntchito kuti mupeze zithunzi zomveka bwino za ducts ya bile, chiwindi, ndulu, ndi kapamba.

• PTC (Percutaneous Transhepatic Cholangiography): Nthawi zina, singano yaying'ono kwambiri imalowetsedwa pakhungu kupita ku chiwindi, utoto umalowetsedwa mu ducts ya bile, ndipo X-ray imatengedwa.

Kodi mankhwala ochizira izi ndi otani?

Njira yochiritsira imadalira chifukwa cha kuchepa kwa njira zotulutsira bile.

Mankhwala omwe angagwiritsidwe ntchito panthawi ya ERCP ndi awa:

• Kuchotsa miyala: Ngati miyala yalowa mu ndulu, imasweka kapena kuchotsedwa ndi zida zapadera.
• Kuika kwa Stent: Mtsempha wopapatiza umakulitsidwa mwa kulowetsa ndi kudzaza chinthu ngati baluni. Kenako, kuti mtsemphawo ukhale wotseguka komanso kuti usapapatizenso, stent , chubu chaching'ono chonga maukonde, chimayikidwa mkati. Izi zitha kupangidwa ndi pulasitiki kapena chitsulo.
• Kuchotsa chotupa: Ngati chotupacho chatsekeka chifukwa cha chotupa chaching'ono, n'zotheka kuchichotsa.

Mankhwala Opaleshoni

Nthawi zina, makamaka ngati ndi matenda a khansa, opaleshoni ingafunike.

• Opaleshoni Yodutsa: Izi zimaphatikizapo kupyola njira yotsekeka ndikupanga njira yatsopano yoti ndulu iyende.
• Kuchotsa ndi Kuchotsa Matumbo: Gawo lodwala la ndulu limadulidwa ndikuchotsedwa , ndipo magawo awiri otsala athanzi amalumikizidwanso.

Kodi pali chilichonse chomwe tingachite kuti tipewe vutoli?

Sitingathe kuletsa zonse zomwe zimayambitsa stenosis ya bile duct, monga khansa. Komabe, pali zinthu zina zomwe tingathe kuziletsa. Mwa kuzisamalira, tingachepetse chiopsezo chotenga vutoli.

• Khalani ndi zakudya zabwino: Chepetsani zakudya zokhala ndi mafuta ambiri, ndipo onjezerani zipatso ndi ndiwo zamasamba zambiri muzakudya zanu.
• Lamulirani cholesterol yanu: Cholesterol yochuluka ingayambitse miyala ya ndulu, choncho ndikofunikira kuwongolera kuchuluka kwa cholesterol yanu.
• Khalani ndi kulemera koyenera: Kulamulira kulemera kwa thupi kumathandizanso pa thanzi la ndulu.
• Pewani kumwa mowa mopitirira muyeso: Kumwa mowa mopitirira muyeso kungawononge chiwindi ndikuyambitsa matenda a kapamba. Mavuto onsewa angayambitse kuchepa kwa njira zotulutsira ndulu.

Kodi muyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zotsatirazi, musamazinyalanyaze mulimonse momwe zingakhalire.Pitani kwa dokotala mwamsanga ndipo funsani upangiri.