Wakambovawo nemugero wenyongo wakamanikana here? Ngatidzidzei nezve Biliary Stricture.

Wakambonzwa nezvechirwere chinonzi biliary stricture here? Pamwe wakambonzwa kurwadziwa kumusoro kwedumbu rako uye ganda rako richitsvuka (senge jaundice )? Saka ichi chinhu chingakufadze. Nhasi tichataura nezvechirwere chinonzi biliary stricture . Usazvidya moyo, kunzwisisa izvi zvakanaka kunogona kukubatsira kugadzirisa matambudziko akawanda.

Chii chinonzi Biliary Stricture? Ngatinzwisise zviri nyore!

Zvichitaurwa zviri nyore, Biliary Stricture zvinoreva apo ducts dze bile mumuviri wako dzinoita diki nekuda kwechimwe chirwere, kukuvara , kana kuvharika. Funga nezvazvo sepombi yemvura yakavharika, uye mvura inoyerera zvishoma. Kana ducts idzi dzikava diki, kuyerera kwe bile kubva pachiropa kuenda kuura hudiki kunodzikira. Chii chinoitika ipapo? Bile rinotanga kuungana mumuviri, zvichiita kuti zviome kugaya chikafu. Izvi zvinonziwo "bile duct stricture."

Saka chii chinonzi bile ducts idzi?

Zvakanaka, ngatitarisei kuti maburi enyongo chii. Aya akafanana nemachubhu madiki anobatanidza nhengo dziri mudumbu rako. Chiropa chako chinoita mvura inonzi bile. Nyongo iyi inobatsira kugaya chikafu. Saka, maburi aya anotora bile oendesa kudumbu rako diki. Ikoko, maasidhi ari munyongo anopwanya mafuta nemapuroteni ari muchikafu chako uye anokubatsira kugaya. Nyongo yako inobatanawo nedumbu rako. Nyongo iyi inoburitsa ma enzymes, rudzi rweprotein, anobatsira kugaya chikafu.

Kudzikira kwenzira dzemudumbu kwakajairika sei?

Nyanzvi hadzizivi kuti vangani vanhu vanowana kuchekwa uku kwemugero wenyongo gore rega rega. Zvisinei, zvinoita sekunge chirwere ichi chiri kuramba chichiwanda. Chimwe chikonzero chingave kuwedzera kwekuvhiyiwa kwekubvisa nyongo , kunyanya laparoscopic cholecystectomy . Munguva yekuvhiyiwa uku, migero yenyongo dzimwe nguva inogona kukuvara uye kuva nemavanga, izvo zvinogona kukonzera kuti ichekwe. Zvisinei, chirwere ichi hachiwanzoitiki kuvana vadiki.

Ndezvipi zvikonzero zvikuru zvekuva nedundira remudumbu?

Kashoma, mwana anogona kuva nemugero wenyongo wakaita sewa ...Ichi ndicho chikonzero chikuru. Mhando idzi dzegomarara dzinogonawo kukonzera kutetepa kwemugero wenyongo:

• Kenza yenyongo
• Kansa yeropa
• Kenza yechiropa
• Lymphoma
• Kupararira kwegomarara kune dzimwe nhengo dzemuviri ( Metastasis )
• Kenza yemudumbu mudiki

Ndezvipi zvimwe zvirwere zvinogona kukonzera izvi kunze kwekenza?

Kutetepa kwenzira dzemudumbu kunogona kuitika nekuda kwezvirwere zvisina kenza (zvisina kunaka), izvo zvinoumba vanhu vanosvika 30 muzana. Zvinogonawo kukonzerwa nedzimwe nzira dzekurapa. Ngatitarisei kuti ndezvipi:

• Kukuvara mudumbu kana kukuvara
• Kuzvimba kwepancreatitis ye autoimmune uye pancreatitis (kuzvimba kwepancreas)
• Mavanga emutsinga wenyongo anobva mumatombo emunduru
• `Mirizzi syndrome` (izvi zvinoitika kana matombo emunduru akadzika munduru ovhara ducts dzemunduru)
• Chirwere chekutanga che biliary cholangitis
• Chirwere chekutanga che sclerosing cholangitis
• Kurapa nemwaranzi

Chii ichi chinonzi `(Anastomotic biliary stricture)`?

Kumwe kuvhiyiwa, kwakadai sekuita Whipple procedure (kuvhiyiwa kukuru kwekenza yepancreas) kana kuisirwa chiropa, kunogona kukonzera anastomotic biliary stricture. Mukuvhiyiwa uku, chiremba anosanganisa machubhu ari mudumbu mako. Kubatanidzwa uku kunonzi anastomosis. Dzimwe nguva, ducts dze bile dzinogona kukuvara kana kukuvadzwa uye kutetepa panzvimbo padzinobatanidzwa. Izvi zvinonzi anastomotic biliary stricture.

Ndezvipi zviratidzo zve bile duct stenosis?

Kana uine chirwere ichi, unogona kuona zviratidzo zvakaita seizvi. Rangarira kuti kuva nechimwe kana zviviri zvezviratidzo izvi chete hazvirevi kuti une chirwere ichi, asi zvakakosha kuti uzvizive.

• Kurwadziwa mudumbu rekumusoro kurudyi .
• Kunzwa sekunge uri kurwara nefivha uye muviri wako wava kutonhorwa .
• Ruvara rwechitsiko chako runogona kuchinja . Runogona kuva grey kana kuti rakapfava, sevhu.
• Kugara uchikwenya ganda (Pruritus).
• Jaundice : Uku kutsvuka kwemavara machena emaziso neganda.
• Kushaya chido chekudya .
• Kunzwa kuda kurutsa uye kurutsa .

Ndezvipi zvinetso zvingamuka kana izvi zvikaramba zvichiitika?

Kana nzira ye bile ikavharika kwenguva yakareba, bile inogona kuungana muchiropa. Kana izvi zvikaitika, unogona kutanga kutapukirwa nehutachiona , chirwere chechiropa , uye mavanga echiropa, izvo zvinogona kukonzera zvirwere zvakaita secirrhosis yechiropa . Ndosaka zvichikosha kuziva zviratidzo izvi.

Ndeupi rudzi rwechiremba anodiwa kuti aongorore uye arape chirwere ichi?

Kana uine zviratidzo izvi, unofanira kutanga waona chiremba wezvekudya, chiremba ane ruzivo rwezvirwere zvine chekuita nekugaya chikafu . Ndiye anogona kuona nekurapa zvirwere izvi nemazvo.

Vanachiremba vanoongorora sei kutetepa uku kwemutsinga dzenyongo?

Nyanzvi yako inogona kuita bvunzo dzinoverengeka kuti isimbise chirwere ichi.

• Kuongororwa kweropa:
• Kuongororwa kweBilirubin: Kana nzira dze bile dzikava dzakatetepa kana kuti dzakavharika, tsvina inonzi bilirubin iri mubile inoungana mumuviri. Kuongororwa uku kunoyera huwandu ihwohwo.
• Kuongororwa kwebasa rechiropa: Izvi zvinoongorora huwandu hwakakwira hwema enzyme echiropa.

• Miedzo yekufungidzira: Miedzo iyi inogona kutarisa mamiriro emaburi enyongo mukati memuviri.
• Ultrasound: Izvi zvinoshandisa mafungu eruzha kutora mifananidzo yemigero yenyongo kuratidza kuvharika kana kutetepa. Unogona zvakare kuitiswa endoscopic ultrasound ( ultrasound inoitiswa kuburikidza nechubhu uchishandisa kamera), abdominal ultrasound, kana liver ultrasound.
• Endoscopic retrograde cholangiopancreatography (ERCP): Uyu musanganiswa we upper endoscopy ne X-ray. Huro yako yave nechinhu chisina simba uye endoscope (chubhu inochinjika ine kamera) inoiswa kuti ione nhengo dziri mudumbu mako ne nyongo. Panguva ino, sampuro yenyama inogona kutorwa uchishandisa michina yakakosha uye inotumirwa kuti iongororwe . Iyi biopsy inogona zvakare kushandiswa kutarisa masero egomarara.
• Magnetic resonance cholangiopancreatography (MRCP): Iyi bvunzo yeMRI yepamusoro inogona kutora mifananidzo yakajeka yemutsinga dzemudumbu, chiropa, pancreas, uye gallbladder.
• Percutaneous transhepatic cholangiography (PTC): Iyi i X-ray test yakakosha. Muongororo iyi, chiremba anobaya dhayi chaiyo (contrast dye) kuburikidza nechiropa chako mumigero ye bile. MaX-ray anozoshandiswa kuona kuti dhayi inofamba sei nemumigero ye bile ichipinda muura hudiki. Dhayi inogona kuratidza chero chipi zvacho chakavharika.

Kudzikira uku kwemugero wenyongo kunorapwa sei ?

Dzimwe nguva, vanachiremba vanogonawo kurapa chinokonzera kuvharika kwemugero wenyongo panguva imwe chete nekuita ERCP kana PTC. Zvichienderana nechikonzero chacho, chiremba anogona kuita zvinhu zvakaita se:

• Kana paine matombo munduru, apwanye woabvisa.
• Uchishandisa mudziyo wakaita sebharumu kuwedzera duct yenyongo yakamanikana, stent (chubhu diki yakagadzirwa nesimbi kana plastiki) inoiswa kudzivirira kuti isamanikana zvakare.
• Kubvisa bundu, kana riripo.

Ndezvipi zvirongwa zvekuvhiya?

Vanhu vashoma chete ndivo vanoda kuvhiyiwa kuti vagadzirise nzira yekubvisa bile yakamanikana. Kana kumanikana kwacho kuchikonzerwa nekenza, kuvhiyiwa kunogona kuitika. Sarudzo dzekuvhiya dzinosanganisira:

• Kuvhiyiwa kwekubvisa tsvina kunoitwa kuti nyongo ipinde mudumbu diki uye kuti nyongo ipinde mudumbu.
• Kuvhiyiwa kwekubvisa nyongo kunosanganisira kucheka chikamu chemugero wenyongo chine chirwere uye kubatanidza chikamu chakasimba (anastomosis).

Dambudziko iri rinogona kudzokazve here mushure mekurapwa?

Ehe, zvinokwanisika kuti duct ye bile iite diki zvakare mushure mekurapwa nekuvhurwa. Kana izvi zvikaitika, chiremba wako anogona kuita oparesheni yekuongorora duct ye bile kuti abvise duct ye bile yakamanikana. Mushure mekubviswa, duct ye bile ine hutano neura hudiki zvinobatanidzwa zvakare.

Pane matambudziko here mushure mekurapwa?

Matambudziko mushure mekurapwa anosiyana zvichienderana nekurapwa. Vamwe vanhu vanogona kuzvimba kwepancreas mushure meERCP. Saka, zvakakosha kutevedzera mirairo yachiremba wako nokungwarira.

Pane zvatingaita here kudzivirira kuti duct iyi yenyongo iite diki?

Pane zvinhu zvaunogona kuita kuderedza njodzi yako yekubatwa nezvimwe zvirwere zvinogona kukonzera kutetepa kwemugero wenyongo. Semuenzaniso:

• Idya chikafu chine hutano chine michero nemiriwo mitsva.
• Deredza huwandu hwecholesterol mumuviri wako . Izvi zvichabatsira kuchengetedza hutano hwenduru uye kudzivirira kuumbwa kwematombo emunduru.
• Ramba uine huremu hwakanaka hunokunakira.
• Kana uine matambudziko nekushandisa doro, tsvaga rubatsiro. Izvi zvinogona kubatsira kudzivirira pancreatitis uye kumwe kukuvara kwechiropa.

Chinhu chinonyanya kukosha ndechekuedza kuchengetedza mararamiro ane hutano. Zvinhu zvakaita sekudya zvine mwero uye kurovedza muviri zvinokudzivirira kubva kuzvirwere zvakawanda.

Ndeipi tarisiro yekupora kune munhu ane chirwere ichi?

Mikana yako yekupora inoenderana nechikonzero chekuvharika kwemugero wenyongori. Kurapa kunovhura mugero wenyongori wakavharika kunowanzobudirira. Zvisinei, chirwere chakakonzera kuvharika kwacho (senge kenza) chingada kurapwa kwakaoma.

Nguva yekupora inoonekwa sei mushure mekurapwa?

Nguva yako yekupora, zvinoreva kuti unogona kudzokera kubasa nekukurumidza sei, kuchikoro, uye kumabasa emazuva ese, ichasiyana zvichienderana nerudzi rwekurapwa kwawakaitwa. Kurapa kusinganyanyi kupindira mumuviri senge ERCP kunowanzova nekukurumidza uye kusingarwadzi kupfuura kuvhiyiwa kwakavhurika kunoda kucheka kukuru. Zvakakosha kutevedzera mirairo yachiremba wako nokungwarira kuti uve nechokwadi chekupora kwakachengeteka. Unogona kuudzwa kuti udye chikafu chemvura chisina kusimba kwenguva yakati, kana kuti uchinje kudya kwako kuti ubatanidze chikafu chiri nyore kugaya .

Ndinofanira kuona chiremba rini?

Kana uine chimwe chezviratidzo izvi, enda kuna chiremba nekukasika:

• Fivha isingaperi.
• Kurwadziwa kwemudumbu repamusoro kunoramba kuchiitika.
• Zviratidzo zvehutachiona mushure mekurapwa (semuenzaniso, kubuda kwehurwa kubva paronda, kutsvuka).
• Kudzikira uremu pasina chikonzero, kunzwa kuda kurutsa, kana kurutsa.
• Machena emaziso kana ganda anoshanduka kuita yero (jaundice) .

Chii chandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Chii chiri kukonzera kutetepa kwenzira dzemudumbu dzangu?
• Ndeipi nzira yekurapa yakandinakira?
• Pane zvandingaita here kuderedza njodzi yekuti mhando iyi yemugero wenyongo iite zvakare?

Zviratidzo zvakaita sekurwadziwa mudumbu, fivha, dzihwa, uye jaundice zvinogona kunetsa zvikuru, kunyanya kana zvikaitika kamwe kamwe. Kana ukaona chimwe chezviratidzo izvi, zvakanaka kuudza chiremba wako nekukasika. Vanogona kuita bvunzo kuti vawane chikonzero uye vanokurudzira kurapwa kwakakodzera.

Mharidzo Yekuenda Kumba: Zvinhu Zvakakosha Kuyeuka

Saka, ndinovimba kuti wava kunzwisisa zviri nani nezve ducture ye biliary yatataura nezvayo nhasi.

• Uku kupfupika kwenzira dzemudumbu, izvo zvinotadzisa kufamba kwemudumbu.
• Panogona kuva nezvikonzero zvakawanda; zvinhu zvakaita semavanga ekuvhiyiwa, matombo emunduru, uye kenza.
• Ziva zviratidzo zvakaita sekurwadziwa mudumbu, jaundice, kuvaviwa, uye kuchinja kweruvara rwetsvina.
• Kana ukaona zviratidzo izvi, enda kuna chiremba wezvekudya nekukasika.
• Kune mishonga, saka musavhunduka. Kana ikaongororwa nekukurumidza uye ikarapwa, mhedzisiro yacho inova nani.
• Kurarama hupenyu hune hutano kunobatsira zvikuru mukudzivirira matambudziko akadaro.

Kana muine mimwe mibvunzo nezveizvi, musazeza kutaura nachiremba wenyu. Rambai muine hutano hwakanaka!