Ngaba nawe ubukhe waba nomjelo wenyongo onciphileyo? Masifunde ngeBiliary Stricture.

Ngaba wakha weva ngemeko ebizwa ngokuba yi-biliary stricture? Mhlawumbi ukhe weva iintlungu kwicala eliphezulu lasekunene lesisu sakho kunye nokutyheli kolusu lwakho (njenge -jaundice )? Ke le yinto enokuba nomdla kuwe. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-biliary stricture . Ungakhathazeki, ukuqonda oku ngokufanelekileyo kunokukunceda ukusombulula iingxaki ezininzi.

Yintoni iBiliary Stricture? Masiyiqonde ngokulula!

Ngamafutshane, iBiliary Stricture kuxa imibhobho yenyongo emzimbeni wakho incipha ngenxa yesifo esithile, ukwenzakala , okanye ukuvaleka. Cinga ngayo njengombhobho wamanzi ovalekileyo, aze amanzi anciphe. Xa le mibhobho yenyongo incipha, ukuhamba kwenyongo ukusuka esibindini ukuya emathunjini amancinci kuyathintelwa. Kwenzeka ntoni emva koko? Inyongo iqala ukuqokelelana emzimbeni, nto leyo eyenza kube nzima ukugaya ukutya. Oku kukwabizwa ngokuba yi "bile duct stricture."

Ngoko ke zithini ezi ducts zenyongo?

Kulungile, ngoku makhe sijonge ukuba ziintoni ii-bile ducts. Ezi zifana neetyhubhu ezincinci ezidibanisa amalungu omzimba kwinkqubo yakho yokugaya ukutya . Isibindi sakho senza ulwelo olubizwa ngokuba yi-bile. Le bile ikunceda ekugayeni ukutya. Ngoko ke, ezi ducts ze-bile zithatha i-bile ziyise emathunjini akho amancinci. Apho, ii-asidi ezikwi-bile ziqhekeza amafutha kunye neeproteni ekutyeni kwakho kwaye zikuncede ekugayeni ukutya. I-bile duct yakho ikwaqhagamshela kwi-pancreatic duct yakho. Le pancreatic duct ikhupha ii-enzymes, uhlobo lweproteni, ezikunceda ekugayeni ukutya.

Kuqheleke kangakanani oku kuncitshiswa kwemisele yenyongo?

Iingcali azazi kakuhle ukuba bangaphi abantu abafumana olu hlobo lokuncitshiswa kwemisele yenyongo minyaka le. Nangona kunjalo, kubonakala ngathi le meko iya isiba yinto eqhelekileyo. Esinye isizathu sisenokuba kukwanda kotyando lokususa inyongo , ingakumbi i-laparoscopic cholecystectomy. Ngexesha lolu tyando, imibhobho yenyongo ngamanye amaxesha inokonakala kwaye ibe namanxeba, nto leyo enokubangela ukuba inciphe. Nangona kunjalo, le meko ayiqhelekanga kubantwana abancinci.

Zithini izizathu eziphambili zokucutheka kwe-bile duct?

Kunqabile kakhulu ukuba umntwana abe nomjelo wenyongo onciphileyo xa ezalwa. Yimeko yokuzalwa . Nangona kunjalo, kwiimeko ezininzi, malunga neentsana ezisixhenxe kwezilishumi, oku kuncitshiswa komjelo wenyongo kubangelwa ngumhlaza. Oku kuyinyani ngakumbi kumhlaza wepancreatic kunye ne -cholangiocarcinoma.Le yeyona nto ibangela oku. Ezi ntlobo zomhlaza zinokubangela ukucutheka kwe-bile duct:

• Umhlaza wenyongo
• Umhlaza wesibindi
• Umhlaza wesibindi
• I-Lymphoma
• Ukusasazeka komhlaza kwezinye iindawo zomzimba ( iMetastasis )
• Umhlaza wamathumbu amancinci

Zeziphi ezinye iimeko ngaphandle komhlaza ezinokubangela oku?

Ukuncitshiswa kwe-bile duct kunokwenzeka ngenxa yeemeko ezingezizo zomhlaza (ezingeyongozi), ezibangela malunga nama-30 ekhulwini amatyala. Oku kunokubangelwa naziindlela zonyango ezithile. Makhe sijonge ukuba zeziphi:

• Ukulimala kwesisu okanye ukwenzakala
• I-autoimmune pancreatitis kunye ne-pancreatitis (ukudumba kwe-pancreas)
• Imivumbo yenyongo evela kwi-gallstones
• `Mirizzi syndrome` (oku kwenzeka xa amatye enyongo ehlala kwinyongo aze avale imibhobho yenyongo)
• I-cholangitis yenyongo yokuqala
• I-cholangitis ye-sclerosis ephambili
• Unyango ngemitha

Yintoni le `(Anastomotic biliary stricture)`?

Ezinye iindlela zotyando, ezifana nenkqubo kaWhipple (utyando olukhulu lomhlaza wepancreatic) okanye ukufakelwa kwesibindi, zinokubangela ukuba i-biliary stricture ibe ne-anastomotic. Kolu tyando, ugqirha udibanisa kwakhona iityhubhu kwinkqubo yakho yokugaya ukutya. Olu xhulumaniso lubizwa ngokuba yi-anastomosis. Ngamanye amaxesha, imibhobho ye-bile inokonakala okanye ibe namanxeba kwaye inciphe kwindawo apho idibene khona. Oku kubizwa ngokuba yi-anastomotic biliary stricture.

Zithini iimpawu ze-bile duct stenosis?

Ukuba unale meko, unokufumana iimpawu ezifana nezi. Khumbula ukuba ukuba nenye okanye ezimbini kwezi mpawu akuthethi ukuba unesifo, kodwa kubalulekile ukuba uzazi.

• Intlungu kwicala eliphezulu lasekunene lesisu .
• Uziva ngathi ufumana umkhuhlane kwaye umzimba wakho uyabanda .
• Umbala wesihlalo sakho ungatshintsha . Unokuba ngwevu okanye ukhaphukhaphu, njengodongwe.
• Ukurhawuzelela rhoqo kwesikhumba (Pruritus).
• I-Jaundice : Oku kutyheli kwamhlophe emehlweni nakulusu.
• Ukulahlekelwa yintliziyo .
• Ukuziva unesicaphucaphu nokuhlanza .

Zeziphi iingxaki ezinokuvela ukuba oku kuyaqhubeka?

Ukuba umbhobho wenyongo uyancitshiswa okanye uvaleke ixesha elide, inyongo ingaqokelelana esibindini. Ukuba oku kuyenzeka, unokufumana usulelo , isifo sesibindi , kunye namanxeba esibindi, nto leyo enokukhokelela kwiimeko ezifana ne -cirrhosis yesibindi . Yiyo loo nto kubalulekile ukuba uqaphele ezi mpawu.

Ngugqirha onjani ofunekayo ukuze kuchongwe kwaye kunyangwe le meko?

Ukuba unale mpawu, kufuneka uqale ubonane nogqirha wezifo zesisu, ugqirha ogxile kwizifo ezinxulumene nenkqubo yokugaya ukutya . Nguye onokuzichonga aze azinyange ngokuchanekileyo ezi meko.

Oogqirha bakufumanisa njani oku kuncitshiswa kwemisele yenyongo?

Ingcali yakho ingenza iimvavanyo ezininzi ukuqinisekisa le meko.

• Uvavanyo lwegazi:
• Uvavanyo lweBilirubin: Xa imibhobho yenyongo incipha okanye ivalekile, imveliso yenkunkuma ebizwa ngokuba yibilirubin enyongweni iyaqokelelana emzimbeni. Olu vavanyo lulinganisa elo nqanaba.
• Uvavanyo lokusebenza kwesibindi: Olu vavanyo lujonga amanqanaba aphezulu eeenzyme zesibindi.

• Uvavanyo lokufota: Olu vavanyo lunokujonga imeko yemibhobho yenyongo emzimbeni.
• I-Ultrasound: Oku kusebenzisa amaza esandi ukuthatha imifanekiso yemibhobho yenyongo ukubonisa ukuvaleka okanye ukuncitshiswa. Usenokuba ne -ultrasound ye-endoscopic ( i-ultrasound eyenziwa ngetyhubhu enekhamera), i-ultrasound yesisu, okanye i-ultrasound yesibindi.
• I-Endoscopic retrograde cholangiopancreatography (ERCP): Le yindibaniselwano ye-endoscopy ephezulu kunye ne-X-ray. Umphimbo wakho uphelelwe ngamandla kwaye kufakwa i-endoscope (ityhubhu eguquguqukayo enekhamera) ukujonga amalungu esiswini sakho kunye nemibhobho yenyongo. Ngeli xesha, isampuli yethishu ingathathwa kusetyenziswa izixhobo ezikhethekileyo kwaye ithunyelwe kwi -biopsy . Le biopsy ingasetyenziselwa ukujonga iiseli zomhlaza.
• I-Magnetic resonance cholangiopancreatography (MRCP): Olu luvavanyo lwe-MRI oluphambili olungathatha imifanekiso ecacileyo ye-bile ducts yakho, isibindi, i-pancreas, kunye ne-gallbladder.
• I-Percutaneous transhepatic cholangiography (PTC): Olu luvavanyo olukhethekileyo lwe-X-ray. Kolu vavanyo, ugqirha ufaka idayi ekhethekileyo (idayi yokwahlula) ngesibindi sakho kwimibhobho yakho yenyongo. Emva koko ii-X-ray zisetyenziselwa ukubona indlela idayi ehamba ngayo kwimibhobho yenyongo iye emathunjini amancinci. Idayi ingabonisa naziphi na izithintelo.

Kunyangwa njani oku kuncitshiswa kombhobho wenyongo?

Ngamanye amaxesha, oogqirha banokunyanga unobangela wokuvaleka kwe-bile duct ngaxeshanye njengoko besenza i-ERCP okanye i-PTC. Ngokuxhomekeke kwisizathu, ugqirha unokwenza izinto ezinje:

• Ukuba kukho amatye kwinyongo, waqhekeze uze uwasuse.
• Kusetyenziswa isixhobo esifana nebhaluni ukwandisa umjelo wenyongo onciphileyo, kufakwa i -stent (ityhubhu encinci eyenziwe ngesinyithi okanye ngeplastiki) ukuthintela ukuba inganciphi kwakhona.
• Ukususa iithumba, ukuba zikhona.

Zithini iindlela zonyango zotyando?

Linani elincinci labantu abafuna utyando ukuze kulungiswe umbhobho wenyongo onciphileyo. Ukuba ukuncipha kubangelwa ngumhlaza, utyando lunokwenzeka. Iindlela zotyando ziquka:

• Utyando lwe-bypass lwenziwa ukuze kudlule umbhobho we-bile ovalekileyo kwaye kuthunyelwe i-bile emathunjini amancinci.
• Ukususwa kwesisu kubandakanya ukusika inxalenye enesifo yombhobho wenyongo nokudibanisa kwakhona inxalenye ephilileyo (i-anastomosis).

Ingaba le meko ingaphinda ivele emva konyango?

Ewe, kunokwenzeka ukuba umsele wenyongo uphinde ube mxinwa emva konyango nokuvulwa kwawo. Ukuba oku kuyenzeka, ugqirha wakho unokwenza utyando lokuhlola umsele wenyongo ukuze asuse umsele wenyongo onciphileyo. Emva kokususwa, umsele wenyongo ophilileyo kunye namathumbu amancinci ziyaxhunyaniswa kwakhona.

Ngaba kukho naziphi na iingxaki emva konyango?

Iingxaki emva konyango ziyahluka ngokuxhomekeke kunyango. Abanye abantu banokuba ne -acute pancreatitis (ukudumba kwe-pancreas) emva kwe-ERCP. Ngoko ke, kubalulekile ukulandela imiyalelo kagqirha wakho ngononophelo.

Ngaba kukho into esinokuyenza ukuthintela le duct yenyongo ukuba inciphe?

Kukho izinto onokuzenza ukunciphisa umngcipheko wokuba nezinye iimeko ezinokubangela ukucutheka kombhobho wenyongo. Umzekelo:

• Yitya ukutya okunempilo okuneziqhamo nemifuno emitsha.
• Yehlisa amanqanaba akho e-cholesterol . Oku kuya kunceda ukugcina impilo ye-gallbladder kunye nokuthintela ukwakheka kwamatye e-gallstones.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Ukuba uneengxaki zokusebenzisa utywala, fumana uncedo. Oku kunokunceda ukuthintela i-pancreatitis kunye neminye imiphumo emibi yesibindi.

Eyona nto ibalulekileyo kukuzama ukugcina indlela yokuphila esempilweni. Izinto ezifana nokutya okunesondlo kunye nokuzilolonga ziya kukukhusela kwizifo ezininzi.

Iyintoni imbono yokuchacha kumntu onesi sifo?

Amathuba akho okuchacha axhomekeke kwisizathu sokuvaleka kombhobho wakho wenyongo. Unyango oluvula umbhobho wenyongo ovalekileyo ludla ngokuba yimpumelelo. Nangona kunjalo, imeko ebangela ukuvaleka (njengomhlaza) inokufuna unyango olunzima ngakumbi.

Linjani ixesha lokuchacha emva konyango?

Ixesha lakho lokuchacha, oko kuthetha ukuba ungabuyela ngokukhawuleza kangakanani emsebenzini, esikolweni, nakwimisebenzi eqhelekileyo, liya kwahluka ngokuxhomekeke kuhlobo lonyango oluye lwafunyanwa. Unyango olungenalusini kangako olufana ne-ERCP ludla ngokuba lukhawuleza kwaye lungabi buhlungu kangako kunotyando oluvulekileyo olufuna ukunqunyulwa okukhulu. Kubalulekile ukulandela imiyalelo kagqirha wakho ngononophelo ukuqinisekisa ukuba uphilile ngokukhuselekileyo. Ungaxelelwa ukuba utye ukutya okumanzi, okungeyondlwantyala okwethutyana, okanye utshintshe ukutya kwakho ukuze kuquke ukutya okulula ukukwetyiswa .

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha ngokukhawuleza:

• Umkhuhlane ongapheliyo.
• Intlungu yesisu esingaphezulu ephindaphindayo.
• Iimpawu zosulelo emva konyango (umz., ukuphuma kobofu enxebeni, ukubomvu).
• Ukunciphisa umzimba ngaphandle kwesizathu, ukuziva unesicaphucaphu, okanye ukuhlanza.
• Amhlophe emehlweni okanye kulusu ajika abe tyheli (i-jaundice) .

Ndimele ndibuze ntoni kugqirha wam?

Ungabuza ugqirha imibuzo efana nale:

• Yintoni ebangela oku kuncitshiswa kwemisele yenyongo yam?
• Loluphi unyango olungcono kum?
• Ngaba kukho izinto endinokuzenza ukunciphisa umngcipheko wokuba olu hlobo lwe-bile duct luphinde lunciphe?

Iimpawu ezifana neentlungu zesisu, umkhuhlane, ukubanda, kunye ne-jaundice zinokuba yingozi kakhulu, ingakumbi ukuba zivele ngequbuliso. Ukuba ufumana naziphi na kwezi mpawu, kungcono ukuxelela ugqirha wakho ngoko nangoko. Banokwenza uvavanyo lokufumana unobangela kwaye bacebise unyango olufanelekileyo.

Umyalezo Omele Uwuthathe Ekhaya: Ezona zinto zibalulekileyo ekufuneka uzikhumbule

Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono ingxaki yenyongo esithethe ngayo namhlanje.

• Oku kukunciphisa imibhobho yenyongo, nto leyo ethintela ukuhamba kwenyongo.
• Zininzi izizathu ezinokubangela oku; izinto ezifana nezibazi ezibangelwa kutyando, amatye enyongo, kunye nomhlaza.
• Qaphela iimpawu ezinje ngeentlungu zesisu, i-jaundice, ukurhawuzelelwa, kunye notshintsho kumbala wendle.
• Ukuba ufumana ezi mpawu, bonana nogqirha wezifo zamathumbu ngokukhawuleza.
• Kukho unyango, ngoko ke musa ukoyika. Okukhona ifunyaniswa ngokukhawuleza kwaye inyangwa, kokukhona iziphumo ziba ngcono.
• Ukuphila ubomi obusempilweni kunceda kakhulu ekuthinteleni ezo meko.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Hlala usempilweni!