Tinofanira kuziva chaizvo nezve ducts dze bile mumuviri wedu here?

Wakambodya chikafu chinonaka chose wobva wanzwa kurwadziwa kusinganzwisisike mudumbu rako rekumusoro kurudyi here? Dzimwe nguva izvi zvinogona kukonzerwa nedambudziko rine nzira diki, asi yakakosha zvikuru, iri mumiviri yedu yatisingataure zvakawanda nezvayo. Nhasi tiri kutaura nezvenzira yenzira yekugaya nyongo, iyo inokosha pakugaya kwedu.

Zvichitaurwa zviri nyore, chii chinonzi nyongo iyi?

Fungidzira nezvazvo senzira yemigero midiki iri mukati memiviri yedu. Migero ye bile ndeimwe yenzira dzakadaro. Aya ndiwo machubhu madiki anobatanidza nhengo dzinoverengeka huru mudumbu redu. Basa rawo guru nderekutakura mvura inonzi "bile" kubva kune imwe nzvimbo kuenda kune imwe.

Sisitimu yedu yenyongori yakabatana zvikuru nenhengo nhatu:

1. Chiropa: Nyongo inogadzirwa pano.

2. Dundira: Kabhegi kadiki kanochengeta nduru inogadzirwa nechiropa kusvika yave kudiwa.

3. Utumbu Hudiki: Uko chikamu chakakosha chekugaya chikafu chinoitika.

Bile imvura yeruvara rweyero-girini inogadzirwa nechiropa chedu. Ine maacid akasimba anobatsira kunyungudutsa mafuta nemapuroteni . Saka, tinoda nzira yakachengeteka yekuendesa bile iri kunzvimbo chaiyo yarinoda, panguva yarinoda. Ndizvo zvinoitwa nemaducts aya e bile.

Nhengo dzese idzi dzakabatana sei?

Iyi ihurongwa hwakaita semuti unobuda matavi. Ngatizvitarisei kubva pakutanga.

• Zvinotangira muchiropa: Rwendo urwu runotangira mumigero midiki yenyongo iri mukati mechiropa, iri kumusoro kurudyi kwedumbu redu. Chiropa pachinogadzira nyongo, chinounganidza nyongo iyoyo kuburikidza nemigero midiki iyi.
• Kuumbwa kwenzira huru dzemuropa: Aya zviuru zvenzira diki dziri mukati mechiropa dzinobatana kuti dzigadzire nzira huru mbiri dzakakura zvishoma, nzira huru dzemuropa dzerudyi nedzeruboshwe.
• Mugero wenyongori wakajairika: Kana migero iyi miviri yabuda muchiropa, inobatana kuti igadzire mugero wenyongori wakajairika .
• Kubatana negallbladder: Iyi common hepatic duct yakabatana ne cystic duct, iyo inobva mugallbladder yedu. Mugero mukuru uye mukuru unoumbwa kana izvi zviviri zvabatana unonzi common bile duct .

Zvino tarisai, inenge hafu yenyongo inobva muchiropa inoenda zvakananga pasi pemugero wenyongo. Imwe hafu inopinda munyongo uye inochengetwa kwenguva pfupi.

Patinodya hove ine mafuta akawanda kana muriwo une mupunga, ura hwedu hudiki hunokumbira rubatsiro rwekugaya mafuta aya. Panguva iyoyo, gallbladder inogumira sechipanji, uye inotumira bile rakachengetwa kuburikidza nemugero we bile muura hudiki. Iyi ndiyo nzira iyo bile inowedzerwa nayo mukugaya kwedu.

Ndezvipi zvinetso zvikuru zvinogona kuitika ne nyongo?

Kunyangwe muhurongwa uhwu hwemapombi madiki, matambudziko akakomba anogona kumuka. Ngatitarisei kuti matambudziko makuru ndeapi.

Chii chinoitika kana duct ye bile yakavharwa?

Izvi zvinogona kuva mamiriro ezvinhu ane njodzi zvikuru.

• Kukuvadzwa kwenhengo: Dundira rinozadza rinogona kudzokera shure rotanga kukuvadza gallbladder (cholecystitis), pancreatitis (gallstone pancreatitis), nechiropa.
• Utachiona:Kana bile rikaramba richimira (cholestasis), hutachiona hwemabhakitiriya hunowanzo itika. Kana hutachiona uhu hukapinda muropa, hunogona kupararira mumuviri wese uye hunokonzera chirwere chinouraya chinonzi `sepsis'.
• Jaundice: Kana nyongo yatanga kuungana muropa, machena emaziso neganda anotanga kuita yero. Izvi ndizvo zvatinodaidza kuti jaundice.
• Zvimwe zviratidzo zvinosanganisira kuda kurutsa uye kuvaviwa kwakanyanya kweganda.
• Matambudziko ekugaya: Nekuti bile haripindi muura hudiki, kugaya mafuta uye kunwa mavhitamini anonyungudika mumafuta (A, D, E, K) zvinokanganiswa.

Ungaziva sei kana uine dambudziko remugero we bile?

Muizvi, tinogona kutarisa zviratidzo zvikuru zviviri.

1. Kurwadziwa kwedumbu (Biliary Colic):

Izvi hazvina kufanana nekurwadziwa kwemudumbu kwakajairika.

• Zvinowanzoitika mushure mekudya mafuta akawanda kana mafuta akawanda.
• Marwadzo acho anobva kudivi rekumusoro rerudyi remudumbu.
• Kurwadziwa kunowedzera zvishoma nezvishoma, kwosvika painenge awa imwe chete, kwozopera zvishoma nezvishoma mumaawa maviri kusvika matatu anotevera.
• Izvi zvinogonawo kukonzera kuda kurutsa kana kurutsa.

2. Jaundice:

• Kutsvuka kwemaziso neganda.
• Weti yero yakasviba kana yebrown.
• Chituru chakachenuruka kana kuti chepfu.

Ungarapa sei duct ye bile yakavharika?

Vanachiremba vanoshandisa nzira dzakasiyana siyana kubvisa zvipingamupinyi izvi. Nzira yakanakisisa inoenderana nemamiriro ako ezvinhu.

• ERCP (Endoscopic Retrograde Cholangiopancreatography): Uku hakusi kuvhiyiwa. Kamera (endoscope) yakabatana nechubhu refu inopfuudzwa nemuromo, mudumbu, uye mumigero yenyongo. Chiremba anogona kuisa zvishandiso zvidiki kuburikidza nechubhu iyi kubvisa matombo anenge anamatira.
• Kuvhiyiwa: Dzimwe nguva kuvhiyiwa kunodiwa. Mazuva ano, kazhinji, kunoitwa nekucheka kudiki, uchishandisa kamera nezvishandiso (zvinonzi laparoscopic surgery). Kana dambudziko racho rikakonzerwa nematombo emudumbu, dumbu remudumbu rinowanzobviswa panguva imwe chete.
• Kuiswa kwe stent: Kana tsinga yeropa ikaita diki nekuda kwemavanga mukati, chubhu diki yakaita se mesh (stent) inoiswa kuti irambe yakavhurika.

Tingachengetedza sei migero yedu yenyongori iine hutano?

Kuchinja kudiki mumararamiro edu kunogona kuderedza njodzi iyi zvikuru.

• Dzora cholesterol: Chikonzero chikuru chekuumbwa kwematombo emunduru ihuwandu hwakawanda hwecholesterol muropa. Cholesterol yakawedzerwa inoungana munyongo yogadzira matombo. Saka, zvakakosha kudya zvinhu zvakaita semafuta, mukaka wekokonati, chikafu chinokurumidza, uye chikafu chakagadziriswa zvine mwero.
• Chengetedza chiropa chako: Zvirwere zvechiropa zvinogonawo kukanganisa ducts dze bile. Nokudaro, unogona kuchengetedza chiropa chako chine hutano nekudzivisa doro, kudzivisa mishonga isingakoshi, uye kurovedza muviri nguva dzose .

Kunyangwe nduru iri chikamu chidiki chemuviri wedu, basa rayo rakakura. Saka, ibasa redu kuritarisirawo.