Ngatidzidzei nezvenzira dzemudumbu mako. Izvi zvakakosha zvikuru!

Mhoroi! Wakambofunga here nezvekukosha kwenzira dzemudumbu kunyangwe diki dziri mumiviri yedu? Chimwe chinhu chakakosha, asi pamwe chinhu chatisingataure zvakanyanya, inzira dzemudumbu. Saka nhasi tichataura nezvenzira iyi yemudumbu nenzira iri nyore, kuti chii, chii chinoitika kwairi, zvirwere zvipi zvainokonzera, uye kuti tingaitarisira sei.

Chii chinonzi Bile Duct? Chii chinoita basa rayo?

Zvichitaurwa zviri nyore, duct ye bile isystem yemachubhu matete anobatanidza dzimwe nhengo mudumbu redu. Yakafanana nepombi inotakura mvura. Basa rayo guru nderekutakura chinhu chinonzi 'bile' pakati penhengo idzi. Chiropa chedu, gallbladder, neura hudiki, pamwe chete nemachubhu aya e bile, zvinoumba biliary system . Saka, sei machubhu aya e bile achidikanwa? Muviri wedu unoda bile kuti uite mabasa akasiyana-siyana. Machubhu e bile anobatsira kutakura bile iyi zvakachengeteka kubva kune imwe nzvimbo kuenda kune imwe. Iyi system yemachubhu inokosha pakutakura bile kuenda mumuviri chero nguva, chero kupi, pasina kukanganisa chimwe chinhu, uye pasina kukuvadza dzimwe nhengo. Zvino tarisai, bile iyi imvura inogadzirwa nechiropa chedu. Ine rudzi rwechinhu chinonzi bile acids . Izvi ndizvo zvinotibatsira kugaya mafuta nemapuroteni ari muchikafu chatinodya. Asi machubhu aya ane hukasha uye anogona kukuvadza nhengo dzisina kujaira. Zvakare, mamwe ma enzymes ekugaya kubva kupancreas yedu anopfuurawo nepakati pemachubhu aya e bile. Saizvozvowo, kana akasaenda kunzvimbo chaiyo, matambudziko anogona kumuka.

Mugero uyu wenyongo wakabatana sei nenhengo dzedu dzemuviri?

Funga nezvazvo semuti une matavi. Unotanga nechiropa chedu. Chiropa chiri kumusoro kurudyi kwedumbu redu. Mukati mechiropa mune migwagwa ye bile yakanaka kwazvo. Tinoti idzi migwagwa ye bile iri mukati mechiropa. Kana chiropa chikagadzira bile, chinoiunganidza kuburikidza nemigwagwa iyi. Zvadaro, migwagwa midiki iyi iri mukati mechiropa inobatana kuti igadzire migwagwa yehepatic yakakura zvishoma kurudyi nekuruboshwe. Migero miviri iyi inobuda muchiropa yobatana kuti igadzire duct yehepatic . Migero iri kunze kwechiropa inonzi ducts ye extrahepatic . Zvino, duct iyi yehepatic inobatana neduct ye cystic inobva mugallbladder yedu kuti igadzire duct ye bile inowanikwa.Zvinogadzira. Inenge hafu yenyongo inobva muchiropa inopinda zvakananga mugwara iri renyongo. Imwe hafu inoenda kunyongo. Nyongo iri pasi pechiropa. Yakafanana nebhegi diki rinochengeta nyongo. Rinochengeta nyongo isiri kushandiswa panguva iyoyo. Nyongo inoichengeta kusvika ura hwedu hudiki hwava kuida. Kana ura hwedu hudiki hwanzwa kuti kune mafuta nemapuroteni ekugaya, hunotumira chiratidzo kunyongo. Ipapo nyongo inogumira yotumira nyongo pamwe negwara recystic kuenda kugwara renyongo. Kubva ipapo, nyongo inoenda kudumbu diki. Iyi nyongo yenyongo ndiyo nyongo huru yatinayo. Yakareba masendimita gumi. Mamwe nyongo dzese dzinobva pane izvi. nyongo yedu yepancreatic inobatanidzawo panzvimbo imwe chete iyo nyongo yenyongo iyi inovhura mudumbu diki, asi segwara rakasiyana. Wanzwisisa here?

Ndezvipi zvirwere zvinokanganisa ducts dze bile?

Zvakanaka, saka ngationei kuti ndeapi marudzi ezvirwere anogona kukanganisa sisitimu iyi inokosha yemutsinga dzenyongo.

1. Kuzvimba

Mamwe hutachiona nezvimwe zvirwere zvinozvimba zvinogona kukonzera matambudziko mumigero ye bile. Izvi zvinogona kuva zvenguva pfupi kana kuti kwenguva refu. Munguva pfupi, kuzvimba kwakanyanya kunogona kuvhara migero uye kumisa kuyerera kwe bile. Zvisinei, munguva refu, kuzvimba kwenguva refu kunogona kukonzera mavanga mukati memigero ye bile. Iyi migero inoita kuti migero itete - izvi zvinonzi stricture . Pakupedzisira, ropa rinobviswa uye migero ye bile inogona kukuvara. Kuzvimba uku kwemigero ye bile kunonzi cholangitis . Utachiona nekuvharika kunogona kukonzera acute cholangitis . Zvakare, zvirwere zve autoimmune zvinogona kukonzera chronic cholangitis . Primary Biliary Cholangitis (PBC) uye Primary Sclerosing Cholangitis (PSC) zvirwere zviviri zvakadaro zvisingaperi.

2. Kuvharira

Chinhu chinonyanya kukonzera matambudziko emutsinga wenyongo kuvharika . Chimwe chezvinhu zvinonyanya kuitika matombo enyongo . Matombo aya makristaro anoumbwa mutsinga dzenyongo kana nyongo. Anokura zvishoma nezvishoma kwemakore mazhinji. Kazhinji, matombo enyongo anobuda opinda mutsinga dzenyongo. Chirwere ichi chinonzi choledocholithiasis.Kana matombo aya ari mukati memugero wenyongo akava makuru, anogona kuvharira kuyerera kwenyongo. Uyewo, kutetepa kwemugero wenyongo , kunova kutetepa kwemugero wenyongo, kunogona kuvharira kuyerera kwenyongo. Kuzvimba kwenguva refu kunogona kukonzera mavanga mumigero yenyongo, zvichiita kuti itete nenzira iyi. Mamwe matambudziko ekuzvarwa nawo - semuenzaniso , nyongo yenyongo neAlagille Syndrome - zvinogonawo kukonzera chirwere ichi.

3. Gomarara

Kenza yemudumbu inonzi cholangiocarcinoma . Inogona kukura mumidumbu iri kunze kwechiropa - iyo inonyanya kuwanikwa - kana mumidumbu iri mukati mechiropa (intrahepatic ducts). Izvi zvakasiyana nekenza yechiropa. Zvisinei, kana kenza yechiropa ikaitika, inogonawo kukuvadza midumbu iri mukati mechiropa nekukonzera kuzvimba kana kuvharika.

Chii chinoitika kana duct yenyongo ikavharwa?

Kungofanana nedhiraini rakavharika, kana nyongo isingakwanise kuyerera nemumigero yenyongo, inodzokera shure yotanga kuungana munhengo dzemuviri. Izvi zvinogona kukonzera kuzvimba nekukuvadza nhengo idzodzo. Semuenzaniso, kuzvimba kwenyongo ( cholecystitis ), kuzvimba kwepancreas ( gallstone pancreatitis ), uye kuzvimba kwechiropa nemigero yenyongo pachazvo. Kana kuyerera kwenyongo kukamira ( cholestasis ), hutachiona hunowanzoitika. Utachiona muhurongwa hwenyongo hunorwadza zvikuru uye hune njodzi. Kana hukapararira kuchiropa, hunogona kupinda muropa uye hunokonzera septicemia mumuviri wese, zvichikonzera chirwere chine njodzi chinonzi sepsis .

Zvakakosha: Sepsis idambudziko rinotyisidzira hupenyu.

Uyewo, kana bile rinobuda rikatanga kubuda muropa, zvinogona kukonzera zvirwere zvakasiyana-siyana. Unogona kuva nejaundice - kutsvuka kweganda nemaziso - kuda kurutsa, kuvaviwa, uye dzimwe nguva kusagadzikana kwepfungwa (hepatic encephalopathy) . Maburi ebile akavharika haagone kuburitsa bile zvakanaka muura hudiki. Izvi zvinogona kukonzera matambudziko ekugaya. Sisitimu yako yekugaya ine dambudziko rekugaya mafuta uye kutora mavhitamini anonyungudika mafuta. Kusanwa mafuta zvakanaka uku kunogonawo kukonzera kushaya chikafu chakakwana .

Ungaziva sei kana uine dambudziko remugero we bile?

Zvirwere zvisingaperi zvinowanzo tanga zvishoma nezvishoma kwemakore mazhinji. Saka ungasava nezviratidzo kusvika ducts dzenyongo dzako dzakuvara zvakanyanya. Zvisinei, kana uine chirwere chakanyanya , chakadai sekuvharika kana hutachiona, unowanzoona zviratidzo zvinonzi biliary colic . Chii chinonzi biliary colic?

• Uku kurwadziwa kwemudumbu.
• Kazhinji kacho kunouya nekurutsa , uye dzimwe nguva kurutsa .
• Izvi zvinowanzoitika mushure mekudya chikafu chine mafuta akawanda .
• Kurwadziwa kunotanga zvishoma nezvishoma, zvishoma nezvishoma kunowedzera simba mukati meawa imwe chete, uye kwozopera zvakare mukati meawa imwe kana maviri.

Rudzi urwu rwe biliary colic runoitika kana nyongo yako ichiedza kutumira nyongo muura hwako hudiki kuti ibatsire kugaya chikafu. Ganda rinozogumira, izvo zvinowedzera kumanikidzwa mukati me nyongo. Kana nyongo yako yakabatwa nehutachiona kana kuti yakavharwa, kumanikidzwa ikoko ndiko kunokonzera kurwadziwa.

Yeuka: Kana uine zviratidzo zve biliary colic, kunyangwe zvisina kunyanya kuipa, enda kuchipatara nekukasika . Kuongororwa kwechiremba kunogona kukurumidza kuona kuti dambudziko nderei. Kana usina kurwadziwa kwakanyanya, asi uine zvimwe zviratidzo zvine chekuita ne biliary system, zvakaita se jaundice , zvinogona kuva chiratidzo chechirwere chisingaperi.

Nzira yekurapa sei duct ye bile yakavharika?

Kune nzira dzakasiyana-siyana dzinoshandiswa navanachiremba kuwana nekubvisa kuvharika kwemutsinga dzenyongo. Nzira yauri kukurudzirwa inoenderana nemamiriro ako ezvinhu, ingave chirwere chenguva refu kana kuti chakanyanya, uye kuti chinokurumidza sei.

• Endoscopic Retrograde Cholangiopancreatography (ERCP): Iyi inzira isiri yekuvhiya. Chubhu refu ine kamera yakabatana (endoscope) inopinzwa nemuromo yoendeswa mudumbu. Chiremba anogona kuita zvinhu zvinodiwa kuburikidza ne endoscope iyi.
• Kuongorora nzira dzekubvisa bile: Uku kuvhiya. Kunowanzoitwa uchishandisa nzira dzisinganyanyi kupindira mumuviri . Kureva , kuvhiya kwe laparoscopic, kunosanganisira kucheka kamwe chete kana kupfuura diki mudumbu. Dzimwe nguva kunoitirwa panguva yekuvhiya kubvisa nyongo ye gallbladder.

Chiremba anogona kucheka duct ye bile kuti abvise kuvharika kwayo kana kuisa stent kuti irambe yakavhurika. Dzimwe nguva zvese zvinoitwa. Kana duct ye bile yakafara zvikuru (yakakura) nekuda kwemavanga uye stenosis, vanogonawo kubvisa zvikamu zveduct.

Ndingachengetedza sei ducts dze bile dzangu?

Njodzi huru kune ducts dze bile imatombo emudumbu . Chikonzero chikuru chematombo emudumbu icholesterol yakawandisa muropa. Cholesterol yakawandisa muropa inogona kuzoungana muducts dze bile, zvichiita kuti dziome uye dzigadzire matombo echolesterol. Unogona kuderedza njodzi iyi nekuderedza cholesterol mukudya kwako . Njodzi yechipiri huru chirwere chechiropa . Kana uine chirwere chechiropa chisingaperi, unogona kuderedza kukuvara kwechiropa chako nehurongwa hwe biliary nekugara uine mararamiro ane hutano.

• Ita maekisesaizi .
• Deredza mafuta ekudya kubva mukudya kwako.
• Dzivisa doro nezvinodhaka.

Izvi zvichabatsira zvikuru.

Mapaipi enyongori madiki kwazvo, asi anoita basa rakanaka kwazvo kumiviri yedu. Zuva nezuva, nhengo dzedu dzakawanda uye maitiro emuviri zvinoenderana nemapaipi aya enyongori. Kana nyongori ikasasvika kwainofanira kuenda, inogona kubuda ropa muropa yokanganisa muviri wese.

Matambudziko emutsinga dzenyongo anogona kukanganisa dzimwe nhengo dziri mutsinga dzenyongo. Zvinetso munhengo idzodzo zvinogona kukanganisa mitsinga dzenyongo. Saka, kana uine zviratidzo zvine chekuita netsinga dzenyongo, zvakaita se biliary colic kana jaundice, tsvaga rubatsiro rwechiremba nekukasika . Izvi zvinogona kubatsira kudziviriratsinga dzenyongo dzakaoma, kusanganisira mitsinga dzenyongo.

Saka, ndezvipi zvinhu zvakakosha zvekurangarira kubva pane zvatataura nezvazvo nhasi?

• Dumbu renyongori inzira diki asi inokosha zvikuru yemigero inotakura nyongo pakati pechiropa chedu, nduru, neura hudiki.
• Matombo emudumbu nekuzvimba ndiwo matambudziko makuru anokanganisa ducts dzemudumbu.
• Chenjerera kana ukaona zviratidzo zvakaita sekurwadziwa mudumbu (biliary colic) uye jaundice mushure mekudya chikafu chine mafuta.
• Kudya zvine hutano uye mararamiro akanaka kwakakosha zvikuru pahutano hwemigero yenyongo.
• Kana uine zviratidzo, kuona chiremba nekukasika uye kutsvaga mazano zvinogona kukubatsira kudzivirira matambudziko makuru.