Ingabe une-bile duct evalekile? (Ukuvalwa kwe-bile duct) - Ake sithole ngalokhu!

Ingabe ngezinye izikhathi uzwa ubuhlungu obukhulu esiswini esingenhla, amehlo aphuzi, kanye nesikhumba siphuzi? Noma indle yakho iba nombala okhanyayo bese umchamo wakho uba mnyama? Lezi akuzona izimpawu okufanele uzishaye indiva. Zingaba uphawu lokuthile okuvimba imisele yakho yenyongo.

Kuyini Ukuvinjelwa Kwemibhobho Yenyongo?

Kalula nje, ukuvaleka kwe-bile duct yisimo lapho into ethile inamathela ngaphakathi kwe-bile ducts yakho, okuvimbela i-bile ukuthi igeleze kuyo.

Manje cishe uzibuza ukuthi iyini inyongo nokuthi iyini imibhobho yenyongo, akunjalo? Kulungile, ake sichaze nalokho futhi.

Inyongo iwuketshezi olusisiza ukugaya amafutha ekudleni esikudlayo. Ikhiqizwa esibindini sethu. Lenyongo, ekhiqizwa yisibindi, igcinwa enyongweni. Uma sidla, lenyongo iyakhishwa enyongweni bese iya emathunjini amancane ukuze isize ekugayeni ukudla. Kukhona okunye okukuyo, futhi lokho kungumkhiqizo ongcolile obizwa ngokuthi i-bilirubin . Le bilirubin ikhiqizwa lapho amangqamuzana abomvu egazi egazini lethu ewohloka. Isibindi sisusa le bilirubin emzimbeni ngenyongo.

Amapayipi enyongo afana nohlelo lwamapayipi amancane. Cabanga ngawo njengamapayipi amancane athwala amanzi. Lawa mapayipi athwala inyongo, ekhiqizwa esibindini, ayiyise enyongweni bese eya emathunjini amancane. Aphinde asize ekuthwaleni i-bilirubin iphume esibindini.

Ngakho-ke, uma kukhona okubhajwa kulezi zindawo zokudonsa inyongo, imisele yenyongo iyavaleka, bese inyongo iqala ukubuyela esibindini. Lokhu kungabangela ubuhlungu obukhulu futhi, uma kungelashwa kahle, kungaholela ezinkingeni ezinkulu zempilo .

Sivame kangakanani lesi simo?

Eqinisweni, inkinga evame kakhulu ethinta imisele yenyongo ukuvaleka . Cabanga nje, cishe abantu aba-5 kwabayi-1,000 bakha amatshe enyongo, angavimba imisele yenyongo. Amatshe enyongo awuhlobo lwetshe oluvela lapho izinto ezisenyongweni ziqoqana futhi ziqina. Amatshe enyongo ayimbangela eyinhloko yokuvaleka kwemisele yenyongo.

Ziyini izimpawu zokuvaleka kwe-bile duct?

Ngokuvamile, izimpawu zifana neze-gallstones kanye ne-jaundice. Izimpawu ze-jaundice ziyisibonakaliso sokuthi igazi lakho line-bilirubin eningi kakhulu.

Nakisisa lezi zici:

• Ubuhlungu besisu esingaphezulu: Lokhu kungase kuzwakale njengobuhlungu obuhlabayo, obungasheshi. Buyanda kancane kancane ngemva kwemizuzu embalwa.
• Ukuphuzi kwesikhumba noma ukuphuzi kwamehlo amhlophe:Yilokhu esikubiza nangokuthi i-jaundice.
• Indle enombala wobumba kanye nomchamo omnyama: Uma inyongo ingakhishelwanga kahle emathunjini, indle ishintsha umbala. Futhi, umchamo uba mnyama ngoba i-bilirubin eningi ikhishwa emchameni.
• Umkhuhlane kanye nokubanda.
• Isicanucanu nokuhlanza.
• Isikhumba esilumayo (ukucasuka): Lokhu kungase kubangelwe usawoti we-bile ohlala esikhumbeni.
• Ukudla akunambitheki.
• Ukuba mncane ngaphandle kwesizathu.
• Ukuzizwa ukhathele kakhulu (ukukhathala).

Yini ebangela ukuvaleka kwe-bile duct?

Kunezimbangela eziningana ezingaba khona zokuvaleka kwe-bile duct. Ake sibheke eziyinhloko:

• Amatshe enyongo avimba imigudu yakho yenyongo: Lena imbangela evame kakhulu.
• Ama-cyst e-Choledochal: Lesi yisimo esingavamile, esizalwa naso. Lawa ma-cyst anciphisa ukugeleza kwe-bile.
• Ukuqina kwe-bile duct: Lokhu kuwukuncipha okungavamile kwe-bile duct. Lokhu kungabangelwa yisimo sezokwelapha noma amanxeba ngemva kokuhlinzwa.

Ukuminyana kwemisele yenyongo kungaba nezimbangela ezahlukahlukene (ezinomdlavuza kanye nezingezona ezibangela umdlavuza). Isibonelo, zingabangelwa ukuqhekeka kwezibazi ngemva kokuhlinzwa kokususwa kwenyongo (i-cholecystectomy).

Nazi ezinye izimbangela zokuvinjelwa kwe-bile duct okungaholela ekuvinjweni kwe-bile duct:

• Umdlavuza: Umdlavuza we-pancreatic, umdlavuza we-bile duct, umdlavuza wesibindi, kanye nomdlavuza osakazeke kakhulu.
• Izimo zokuzalwa: Izibonelo zifaka phakathi izimo ezifana `(Biliary atresia)` kanye `(Alagille syndrome)`.
• Ukuvuvukala okungapheli kwemigudu ye-bile: Izifo ezifana ne-`(Primary biliary cholangitis)` kanye ne-`(primary sclerosing cholangitis)`.
• I-Autoimmune pancreatitis kanye ne-pancreatitis evamile.
• Ukuvuvukala okubangelwa ukulimala, ukutheleleka ngamagciwane, noma izimuncagazi.
• Isimo esibizwa ngokuthi 'i-Mirizzi syndrome'.
• Ukuhlinzwa kokususa inyongo (Cholecystectomy).
• Ukwelashwa ngemisebe.

Yiziphi izinkinga ezingaba khona zokuvaleka kwe-bile duct?

Njengoba sishilo ngaphambili, lokhu kuvinjelwa kungabangela ukwakheka kwenyongo esibindini. Lokhu kungabangela ukuvuvukala okukhulu, futhi uma kungelashwa, izifo ezisongela ukuphila.Kungabangela futhi izibazi zesibindi ezihlala njalo, okungaholela esimweni esibizwa ngokuthi `(i-cirrhosis yesibindi)`. Nalokhu, uma kungaphathwanga kahle, kungaholela ekuhlulekeni kwesibindi.

Cabanga nje, uma inyongo inamathela emigudwini eduze kwenyongo yakho, ungaba nokutheleleka kwenyongo (i-cholecystitis).

Futhi, ngaphandle kwenyongo eyanele, amathumbu akho amancane awakwazi ukugaya amafutha. Lokhu kungaholela ekungondleki kahle .

Uthola kanjani ukuthi uvalekile yini umsele we-bile?

Uma uya kudokotela, uzobuza ngomlando wakho wezokwelapha, okuhlanganisa izimpawu zakho kanye nemithi oyiphuzayo. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba ukuze bahlole izimpawu zokuvaleka, njengobuhlungu besisu noma ukuqunjelwa.

Khumbula, uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.

Ngemuva kwalokho, kuzodingeka ukuthi uhlolwe igazi kanye nokuhlolwa okukhethekile kwezithombe ukuze kuqinisekiswe ukuvaleka nokuthola ukuthi yini ngempela ebangele lokho.

Ukuhlolwa kwegazi

Ukuhlolwa kwegazi kungabonisa izimpawu zokuvaleka. Udokotela wakho angase akucele ukuhlolwa okufana nalokhu:

• Ukubalwa kwegazi okuphelele (CBC): Ukubalwa kwegazi okuphelele (CBC) kungakunikeza umbono wempilo yakho iyonke.
• Ukuhlolwa kokusebenza kwesibindi: Uma amazinga e-bilirubin egazini lakho ephezulu, kungaba uphawu lokuvaleka. Futhi, uma ama-enzyme esibindi afana ne-alkaline phosphatase (ALP) kanye ne-gamma-glutamyltransferase (GGT) ephakeme kunokujwayelekile, kungasho ukuthi isibindi asisebenzi kahle ngenxa yokuvaleka.
• Ukuhlolwa kwegazi le-Pancreas: Uma ama-enzyme e-pancreatic afana ne-``(Amylase)`` kanye ne-``(lipase)`` ephakanyisiwe, kungaba uphawu lwenkinga ye-pancreatic ehlobene nokuvaleka kwe-bile duct.

Ukuhlolwa kwezithombe

Uma imiphumela yokuhlolwa kwegazi iphakamisa ukuthi kukhona ukuvaleka, kungadingeka ukuthi uhlolwe ngezithombe. Kungenziwa ukuhlolwa okukodwa noma ngaphezulu kwalokhu:

• I-Ultrasound: I-ultrasound isebenzisa amaza omsindo ukudala izithombe zangaphakathi lomzimba wakho. Lokhu kungasiza ekuboneni iziphambeko ezingase zibonise ukuvaleka. Ungadinga i-ultrasound ye-endoscopic, i-ultrasound yesisu, noma i-ultrasound yesibindi.
• I-abdominal computed tomography (CT scan): I-CT scan isebenzisa i-X-ray kanye nekhompyutha ukudala izithombe ezinemininingwane. Ingaphinde isuse ezinye izimbangela zezimpawu zakho ezingase zingabonakali ku-ultrasound.
• I-Endoscopic retrograde cholangiopancreatography (ERCP): Ukuhlolwa okubizwa ngokuthi i-ERCP kungasiza ekutholeni imbangela yokuvaleka kwesisu nokukwelapha. Kulokhu kuhlolwa, udokotela wakho ufaka ithubhu eliguquguqukayo (i-endoscope) elinokukhanya nekhamera enamathiselwe kuyo emigudwini yakho yenyongo. Izinsimbi zingasetshenziswa ukuthatha isampula yezicubu (i-biopsy) noma ukulungisa ukuvaleka kwesisu. Uzonikezwa umuthi wokudambisa ngesikhathi salokhu kuhlolwa.
• I-Magnetic resonance cholangiopancreatography (MRCP): Lolu ukuhlolwa kwe-MRI okuthuthukisiwe. Idayi ekhethekile ifakwa emigudwini yakho ye-bile njengoba idlula kuyo. Njenge-ERCP, ingabonisa imbangela yokuvaleka, njengamatshe enyongo noma ama-stricture. Kodwa-ke, ayihlaseli kakhulu kune-ERCP.
• Iskeni se-Hepatobiliary iminodiacetic acid (HIDA): Kuskeni se-HIDA, kusetshenziswa i-radioactive tracer ukudala izithombe njengoba ihamba ngemibhobho yakho ye-bile. Lokhu kungabonisa imbangela yokuvaleka, njengezinkinga ze-gallbladder noma izifo zokuzalwa ezibangela ukuncishiswa kwemibhobho.
• I-Percutaneous transhepatic cholangiography (PTC): Esivivinyweni se-"PTC", kusetshenziswa i-ultrasound noma i-X-ray ukuthatha izithombe zedayi ekhethekile edlula emigudwini yakho yenyongo ize ifike emathunjini akho amancane. Idayi ikhombisa noma yikuphi ukuvinjelwa emigudwini.

Ukwelapha kanjani lokhu kuvinjelwa kwe-bile duct?

Ukwelashwa kokuvaleka kwe-bile duct kuncike ekutheni udinga ukwelashwa ngokushesha kangakanani nokuthi yini ebangele ukuvaleka.

Kunezindlela eziningana zokwelapha:

• I-ERCP (i-Endoscopic retrograde cholangiopancreatography): Ngesikhathi se-ERCP, udokotela angasusa amatshe enyongo emigudwini yenyongo. Amatshe angachotshozwa futhi asuswe kusetshenziswa amathuluzi angaphakathi kwepayipi elishiwo ngenhla (i-endoscope).
• Ukuhlinzwa kokususwa kwenyongo: Uma unamatshe enyongo avame ukuvimba imisele yakho yenyongo, kungadingeka ukuthi ususwe inyongo yakho. Lokhu kuvame ukwenziwa ngokuhlinzwa okuncane okubizwa ngokuthi i-laparoscopy. Ungaphila impilo enempilo ngaphandle kwenyongo.
• Ama-stents: Udokotela wakho angafaka ithubhu elincane elenziwe ngensimbi noma ngepulasitiki, elibizwa ngokuthi "i-stent," emgudwini wakho we-bile ukuze livuleke noma lihlale livulekile. Uma ukuvaleka kubangelwa ukuqina, kungadingeka ufake "i-stent."
• Ukwelashwa komdlavuza:Uma ukuvaleka kubangelwa isimila, ungadinga ukuhlinzwa noma ezinye izindlela zokwelapha umdlavuza njenge-chemotherapy kanye ne-radiation.

Angakanani amathuba okululama ngemva kwalesi simo?

Ukubikezela kwakho kuncike embangeni yokuvaleka. Isibonelo, uma imbangela kungamatshe enyongo, ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekuvimbeleni izinkinga. Ngokwelashwa, abantu abaningi balulama ngokugcwele.

Kodwa-ke, ukuvaleka kwemisele yenyongo okubangelwa umdlavuza noma isifo sesibindi esingamahlalakhona kungaba nzima kakhulu ukuyilawula.

Isimo sabo bonke abantu asifani. Udokotela wakho uzokuchazela ukuthi yini ongayilindela ekwelashweni ngokusekelwe embangweni wokuvaleka kanye nendlela okuthinta ngayo impilo yakho.

Ingabe ukuvinjelwa kwemisele yenyongo kungavinjelwa?

Ukuvaleka kwepayipi lenyongo akukwazi ukuvinjelwa ngaso sonke isikhathi.

Kodwa-ke, unganciphisa ingozi yakho yokuthola amatshe enyongo, okuyimbangela eyinhloko , ngokunciphisa inani le-cholesterol ekudleni kwakho. Unganciphisa nengozi yakho yezifo eziningana zesibindi ezingabangela ukuqina kwesibindi:

• Ukuzivocavoca okwanele.
• Ukudla ukudla okunempilo okunamafutha agcwele aphansi.
• Ukugcina isisindo esinempilo esikufanele.
• Ukugwema ukuphuza utshwala, noma ukuphuza utshwala ngobuningi obuncane kakhulu.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokuvaleka komsele wenyongo, qiniseka ukuthi ubona udokotela . Izimpawu eziningana ezivamile, njengobuhlungu besisu, isicanucanu, nokuhlanza, zingabangelwa yizimo ezahlukahlukene. Ngakho-ke, kubalulekile ukunquma ngokushesha ukuthi inkinga empeleni iwukuvaleka - ngaphambi kokuba kuvele izinkinga ngenxa yokuqongelela kwenyongo.

Ingabe i-bile duct evalekile iyisimo esiphuthumayo?

Yebo, kungaba yisimo esiphuthumayo. Ikakhulukazi uma i-bile reflux ibangela ukuvuvukala okukhulu kanye nokutheleleka. Into engcono kakhulu ongayenza ukubona udokotela ngokushesha nje lapho ubona izimpawu zokuqala ukuze uvimbele lokhu ukuthi kungenzeki.

Inyongo ibalulekile ukuze imisele yenyongo igeleze kahle, isize imizimba yethu ukuthi igaye ukudla futhi isuse i-bilirubin (umkhiqizo ongcolile). Yingakho kubaluleke kakhulu ukudala lokhu kuvinjelwa. Inyongo idinga ukugeleza iye emathunjini akho amancane ukuze iphule amafutha. I-Bilirubin idinga futhi ukushiya isibindi sakho ukuze ivimbele izinkinga ezifana nesifo sesibindi noma ukutheleleka. Uma uvinjiwe, udokotela wakho angakutshela ukuthi yiziphi izinketho ezingcono kakhulu zokukususa.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Kulungile, sesikhulume kakhulu nge-Bile Duct Obstruction. Nazi izinto eziyinhloko okudingeka uzikhumbule kule ndaba:

• Ukuvaleka kwepayipi lenyongo yisimo esidinga ukunakekelwa . Uma unezimpawu ezifana nobuhlungu besisu esingenhla, ukuphuzi kwamehlo, noma ukushintsha kombala wendle , bona udokotela ngaphandle kokuchitha isikhathi.
• Ngokuvamile, lokhu kubangelwa amatshe enyongo , kodwa kungaba khona nezinye izimbangela ezinkulu, njengomdlavuza.
• Uma lesi sifo sitholakala kusenesikhathi futhi selashwa kahle, ukululama okuphelele kungatholakala kaningi.
• Ukulondoloza indlela yokuphila enempilo (ukudla okunempilo, ukuvivinya umzimba, ukulawula utshwala) kunganciphisa ezinye zezinto eziyingozi.
• Uma unemibuzo noma ukungabaza, ungabi namahloni okubuza udokotela wakho. Bakhona ukuzokusiza.

Impilo yakho ibaluleke kakhulu kuwe. Ngakho-ke yinakekele. Ungakhathazeki, kukhona ikhambi lazo zonke izinkinga!

Ukuvinjelwa Kwemibhobho Yenyongo , Amatshe Enyongo, I-Jaundice, Isibindi, Inyongo, Ukuvinjelwa Kwemibhobho Yenyongo, I-Jaundice