Une duct ye bile yakavharika here? (Kuvharwa kweduct ye bile) - Ngationei nezveizvi!

Dzimwe nguva unonzwa kurwadziwa kwakanyanya mudumbu, maziso achitsvuka, uye ganda richitsvuka here? Kana kuti tsvina yako yava neruvara rwakachenuruka uye weti yako yava nerima? Izvi hazvisi zviratidzo zvekusateerera. Zvinogona kuva chiratidzo chechinhu chinovhara ducts dzenyongo.

Chii chinonzi Bile Duct Obstruction?

Zvichitaurwa zviri nyore, kuvharika kwemugero wenyongori chirwere apo chimwe chinhu chinonamira mukati memugero wenyongori, zvichidzivirira nyongori kuti isafambe nepairi.

Zvino pamwe uri kufunga kuti nyongo chii uye nyongo chii, handiti? Zvakanaka, ngatitsanangure izvozvo zvakare.

Bile imvura inotibatsira kugaya mafuta muchikafu chatinodya. Inogadzirwa muchiropa chedu. Bile iri, rinogadzirwa nechiropa, rinochengetwa munduru. Patinodya, nduru iyi inoburitswa munduru yoenda muura hudiki kuti ibatsire kugaya chikafu. Pane chimwe chinhu chiri munduru iyi, uye tsvina inonzi bilirubin . Bilirubin iyi inogadzirwa kana masero matsvuku eropa redu achiputsika. Chiropa chinobvisa bilirubin iyi mumuviri kuburikidza nenduru.

Mapaipi enyongo akaita semapombi madiki. Funga nezvawo semapaipi madiki anotakura mvura. Mapaipi aya anotakura nyongo, inogadzirwa muchiropa, kuenda kunyongo uye obva aenda kuura hudiki. Anobatsirawo kutakura bilirubin kubva muchiropa.

Saka, kana chimwe chinhu chikabatirira mumaburi aya enyongori, maburi enyongori anovharika, uye nyongori inotanga kudzokera muchiropa. Izvi zvinogona kukonzera kurwadziwa kwakanyanya uye, kana zvikasarapwa zvakanaka, zvinogona kukonzera matambudziko makuru ehutano .

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, dambudziko rinowanzo kanganisa ducts dze bile nderekuvharika . Chimbofungai, vanhu vanosvika vashanu pavanhu chiuru vanova nematombo emunduru, ayo anogona kuvhara ducts dze bile. Matombo emunduru rudzi rwematombo anoumbwa kana zvinhu zviri munyongo zvikaungana uye zvikaoma. Matombo emunduru ndiwo anonyanya kukonzera kuvharika kweducts dze bile.

Ndezvipi zviratidzo zvekuvharika kwemugero we bile?

Kazhinji, zviratidzo zvakafanana nezvematombo emunduru uye jaundice. Zviratidzo zvejaundice chiratidzo chekuti ropa rako rine bilirubin yakawandisa.

Nyatsoteerera zvinhu izvi:

• Kurwadziwa kwemudumbu: Izvi zvinogona kuita sekurwadziwa kunorwadza zvishoma nezvishoma, kunobaya, uye kusingafadzi. Kunowedzera zvishoma nezvishoma mumaminitsi akati wandei.
• Kutsvuka kweganda kana kutsvuka kwemaziso:Izvi ndizvo zvatinodaidzawo kuti jaundice.
• Tsvina ine ruvara rwevhu uye weti yakasviba: Kana nyongo isina kuburitswa zvakanaka muura, tsvina inochinja ruvara. Uyewo, weti inosviba nekuti bilirubin yakawanda inobuda muweti.
• Fivha nechando.
• Kusvotwa nekurutsa.
• Ganda rinokwenya (pruritus): Izvi zvinogona kunge zvichikonzerwa nemunyu wenyongo uri kuzara paganda.
• Chikafu hachina kunaka.
• Kuonda pasina chikonzero.
• Kunzwa kuneta zvakanyanya (kuneta).

Chii chinokonzera kuvharika kwenzira dzemudumbu?

Pane zvikonzero zvakawanda zvinogona kukonzera kuvharika kwenzira dzemudumbu. Ngatitarisei zvinhu zvikuru:

• Matombo emunduru anovhara ducts dzenyongo: Ichi ndicho chikonzero chinowanzoitika.
• Matumbu eCholedochal: Ichi chirwere chisingawanzoitiki, chinoitika pakuzvarwa nacho. Matumbu aya anononotsa kubuda kwenyongo.
• Kuoma kwemugero wenyongo: Uku kutetepa kwemugero wenyongo kusingawanzoitiki. Izvi zvinogona kukonzerwa nechirwere kana mavanga mushure mekuvhiyiwa.

Kuoma kwenzira dzemudumbu kunogona kuva nezvikonzero zvakasiyana-siyana (zvekenza uye zvisiri zvekenza). Semuenzaniso, zvinogona kukonzerwa nemavanga mushure mekuvhiyiwa kwekubvisa nduru (cholecystectomy).

Heano zvimwe zvikonzero zvekuoma kwemugero we bile zvinogona kukonzera kuvharika kwemugero we bile:

• Kenza: Kenza yepancreatic, kenza yemudumbu, kenza yechiropa, uye kenza inopararira mumuviri.
• Zvirwere zvekuzvarwa nazvo: Mienzaniso inosanganisira zvirwere zvakaita se `(Biliary atresia)` uye `(Alagille syndrome)`.
• Kuzvimba kwenguva refu kwemutsinga dzenyongo: Zvirwere zvakaita se `(Primary biliary cholangitis)` uye `(primary sclerosing cholangitis)`.
• Kuzvirwisa kwemuviri pancreatitis uye chirwere chepancreatitis chakajairika.
• Kuzvimba kunokonzerwa nekukuvara, utachiona, kana hutachiona.
• Chirwere chinonzi `Mirizzi syndrome`.
• Kuvhiyiwa kwekubvisa dundira (Cholecystectomy).
• Kurapa nemwaranzi.

Ndezvipi zvinetso zvinogona kuitika kana duct ye bile yavharika?

Sezvatakambotaura, kuvharika uku kunogona kukonzera nyongo muropa. Izvi zvinogona kukonzera kuzvimba kwakanyanya uye, kana zvikasarapwa, zvirwere zvinogona kuisa upenyu panjodzi.Zvinogonawo kukonzera mavanga echiropa asingaperi, izvo zvinogona kukonzera chirwere chinonzi `(cirrhosis yechiropa)`. Izvi zvakare, kana zvikasatarisirwa zvakanaka, zvinogona kukonzera kutadza kwechiropa.

Fungidzira, kana bile rikaramba riri mumapaipi ari pedyo negallbladder yako, unogona kutanga chirwere chegallbladder (cholecystitis).

Uyewo, kana nyongo yakakwana, ura hwako hudiki hahugone kugaya mafuta. Izvi zvinogonawo kukonzera kushaya chikafu chakakwana .

Ungaziva sei kana uine duct ye bile yakavharika?

Paunoenda kunoona chiremba, iye achakubvunza nezvenhoroondo yako yehutano, kusanganisira zviratidzo zvako nemishonga yaunotora. Zvadaro, vachakuongororwa kuti vaone kana paine zviratidzo zvekuvharika kwemuviri, zvakaita sekurwadziwa mudumbu kana kuzvimba.

Yeuka, kana uine zviratidzo zvakaita seizvi, zvakakosha kuona chiremba nekukurumidza.

Zvadaro, muchafanirwa kuongororwa ropa uye kuongororwa kwakakosha kuti musimbise kuvharika kweropa uye kuti muone kuti chii chaizvo chakakonzera izvozvo.

Kuongororwa kweropa

Kuongororwa kweropa kunogona kuratidza zviratidzo zvekuvharika kweropa. Chiremba wako anogona kuraira bvunzo dzakadai sedzinotevera:

• Kuverengwa kweropa rose (CBC): Kuverengwa kweropa rose (CBC) kunogona kukupa pfungwa yehutano hwako hwese.
• Kuongororwa kwebasa rechiropa: Kana bilirubin muropa rako yakakwira, zvinogona kuva chiratidzo chekuvharika. Uyewo, kana ma enzymes echiropa akadai sealkaline phosphatase (ALP) ne gamma-glutamyltransferase (GGT) akakwira kupfuura zvakajairika, zvinogona kureva kuti chiropa hachishande zvakanaka nekuda kwekuvharika kwacho.
• Kuongororwa kweropa repancreas: Kana ma enzymes epancreas akadai se ``(Amylase)`` uye ``(lipase)`` akakwira, zvinogona kunge zviri chiratidzo chedambudziko repancreas rine chekuita nekuvharika kwenzira ye bile.

Miedzo yemifananidzo

Kana zvakabuda muongororo yeropa zvichiratidza kuti ropa ravharika, ungangoda kuongororwa kwemifananidzo. Imwe kana kupfuura yeiyi bvunzo inogona kuitwa:

• Ultrasound: Ultrasound inoshandisa mafungu eruzha kugadzira mifananidzo yemukati memuviri wako. Izvi zvinogona kubatsira kuona zvisizvo zvinogona kuratidza kuvharika. Ungangoda endoscopic ultrasound, abdominal ultrasound, kana liver ultrasound.
• Kuongororwa kwemudumbu (CT scan): Kuongororwa kweCT kunoshandisa X-rays nekombiyuta kugadzira mifananidzo yakadzama. Kunogonawo kubvisa zvimwe zvinokonzera zviratidzo zvako zvingasaonekwa pa ultrasound.
• Endoscopic retrograde cholangiopancreatography (ERCP): Bvunzo inonzi ERCP inogona kubatsira kuwana chikonzero chekuvharika kweropa uye kurirapa. Mubvunzo uyu, chiremba wako anoisa chubhu inochinjika (endoscope) ine chiedza nekamera zvakabatanidzwa pairi mumigero yenyu yeropa. Zvishandiso zvinogona kushandiswa kutora sampuli yenyama (biopsy) kana kugadzirisa kuvharika kwaro. Ucharapwa panguva yebvunzo iyi.
• Magnetic resonance cholangiopancreatography (MRCP): Iyi iongororo yeMRI yepamusoro. Dhayi yakakosha inopinzwa mumigero yenyongo yako painopfuudzwa nepakati payo. Kufanana neERCP, inogona kuratidza chikonzero chekuvharika, senge matombo emunduru kana strictures. Zvisinei, haipindi zvakanyanya pane ERCP.
• Hepatobiliary iminodiacetic acid (HIDA) scan: MuHIDA scan, radioactive tracer inoshandiswa kugadzira mifananidzo painofamba nemumigero yenyu ye bile. Izvi zvinogona kuratidza chikonzero chekuvharika, zvakaita sematambudziko egallbladder kana zvirwere zvekuzvarwa nazvo zvinokonzera kutetepa kwemigero.
• Percutaneous transhepatic cholangiography (PTC): Mubvunzo we "PTC", ultrasound kana X-rays zvinoshandiswa kutora mifananidzo yedhayi yakakosha inopfuudzwa nemumaburi enyongo kusvika yasvika muura hwako hudiki. Dhayi inoratidza chero kuvharika mumaburi enyongo.

Ungarapa sei kuvharika kwemugero wenyongo?

Kurapa kwekuvhara kwemugero wenyongo kunoenderana nekuti unoda kurapwa nekukurumidza sei uye chii chakakonzera kuvharika kwawo.

Kune nzira dzakasiyana-siyana dzekurapa:

• ERCP (Endoscopic retrograde cholangiopancreatography): Panguva yeERCP, chiremba anogona kubvisa matombo emunduru kubva mumigero yenyongo. Matombo anogona kupwanywa obviswa achishandisa zvishandiso zviri mukati mechubhu yataurwa pamusoro apa (endoscope).
• Kuvhiyiwa kwekubvisa nduru: Kana uine matombo enduru anovhara ducts dzenduru yako kakawanda, ungangoda kubviswa nduru yako. Izvi zvinowanzoitwa kuburikidza nekuvhiyiwa kusingapindiki kunonzi laparoscopy. Unogona kurarama hupenyu hwakanaka usina nduru.
• Ma stents: Chiremba wako anogona kuisa chubhu diki yakagadzirwa nesimbi kana purasitiki, inonzi ``stent,'' mu duct yako ye bile kuti ikure kana kuti irambe yakavhurika. Kana kuvharika kwacho kuchikonzerwa nekuoma kwemasero, ungangoda kuisa ``stent.''
• Kurapa kenza:Kana kuvharika kwacho kuchikonzerwa nebundu, ungangoda kuvhiyiwa kana mamwe marapirwo egomarara akadai se chemotherapy ne radiation.

Mikana yekupora mushure memamiriro ezvinhu aya ndeipi?

Kufanotaura kwako kunoenderana nechikonzero chekuvharika kwechirwere ichi. Semuenzaniso, kana chikonzero chacho chiri matombo emunduru, kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kudzivirira matambudziko. Nekurapwa, vanhu vazhinji vanopora zvizere.

Zvisinei, kuvharika kwenzira dzemudumbu kunokonzerwa nekenza kana chirwere chechiropa chisingaperi kunogona kuoma kugadzirisa.

Haasi mamiriro ezvinhu evanhu vese akafanana. Chiremba wako achakutsanangurira zvaunogona kutarisira kubva mukurapwa zvichienderana nechikonzero chekuvharika kwechirwere uye kuti chinokanganisa sei hutano hwako.

Kuvharika kwenzira dze bile kunogona kudzivirirwa here?

Kuvharika kwenzira dzemanyowa hakugone kudzivirirwa nguva dzose.

Zvisinei, unogona kuderedza njodzi yako yekubatwa nematombo emunduru, inova ndiyo honzeri huru , nekuderedza huwandu hwecholesterol mukudya kwako. Unogonawo kuderedza njodzi yako yezvirwere zvechiropa zvinogona kukonzera strictures:

• Kurovedza muviri zvakakwana.
• Kudya zvekudya zvinovaka muviri zvisina mafuta akawanda.
• Kuramba uine huremu hwakanaka hunokunakira.
• Kudzivisa kunwa doro, kana kunwa doro zvishoma chete.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zvekuvharika kwemugero wenyongo, iva nechokwadi chekuona chiremba . Zviratidzo zvakawanda zvakajairika, zvakaita sekurwadziwa mudumbu, kuda kurutsa, uye kurutsa, zvinogona kukonzerwa nemamiriro akasiyana-siyana. Saka, zvakakosha kukurumidza kuona kana dambudziko racho rakavharika - matambudziko asati amuka nekuda kwekuunganidzwa kwenyongo.

Ko duct yenyongo yakavharika idambudziko here?

Ehe, zvinogona kuva dambudziko rekukurumidza. Kunyanya kana nduru ichikonzera kuzvimba kwakanyanya uye hutachiona. Chinhu chakanakisa chekuita ndechekuona chiremba nekukurumidza paunongoona zviratidzo kuti izvi zvisaitike.

Nyoro inokosha kuti ducts dzenyoro dzifambe zvakanaka, zvichibatsira miviri yedu kugaya chikafu uye kubvisa bilirubin (chinhu chinoraswa). Ndosaka zvichikosha kugadzira kuvharika uku. Nyoro inofanira kuyerera muura hwako hudiki kuti iparadze mafuta. Bilirubin inofanirawo kubuda muchiropa chako kudzivirira matambudziko akadai sechirwere chechiropa kana hutachiona. Kana uine kuvharika, chiremba wako anogona kukuudza nzira dzakanakisa dzekuibvisa.

Chekupedzisira, zvinhu zvinonyanya kukosha zvekurangarira

Zvakanaka, tataura zvakawanda nezve Bile Duct Obstruction. Heano zvinhu zvikuru zvaunofanira kurangarira kubva munyaya iyi:

• Kuvharika kwenzira dzemudumbu (bile duct) chirwere chinoda kugadziriswa . Kana uine zviratidzo zvakaita sekurwadziwa kwemudumbu, kutsvuka kwemaziso, kana kuchinja ruvara rwetsvina , enda kuna chiremba usingatambise nguva.
• Kazhinji, izvi zvinokonzerwa nematombo emunduru , asi panogonawo kuva nezvimwe zvikonzero zvakakomba, zvakaita sekenza.
• Kana chirwere chikaonekwa nekukurumidza uye chikarapwa nemazvo, munhu anogona kupora zvizere.
• Kuramba uine mararamiro ane hutano (kudya zvine hutano, kurovedza muviri, kudzora doro) kunogona kuderedza zvimwe zvinhu zvinoisa njodzi.
• Kana muine kusava nechokwadi kana mibvunzo, musanyara kubvunza chiremba wenyu. Varipo kuti vakubatsirei.

Hutano hwako hwakakosha zvikuru kwauri. Saka hutarisire. Usazvidya moyo, kune mhinduro yedambudziko rega rega!

Kuvharirwa kwenzira dzemudumbu , Matombo emudumbu, Jaundice, Chiropa, Dundira, Kuvharirwa kwenzira dzemudumbu, Jaundice