Bire dhayeti kusimbisa

Iyo bile duct solidure ndeye kudzikisira kusingawanzo kweyakajairika bile duct. Ichi chubhu inofambisa bile kubva pachiropa ichienda mudumbu dumbu. Bira chinhu chinobatsira kugaya.

Iyo bile duct solidure inowanzo kukonzerwa nekukuvara kune bile ducts panguva yekuvhiyiwa. Semuenzaniso, zvinogona kuitika mushure mekuvhiyiwa kubvisa nduru.

Zvimwe zvikonzero zveichi chiitiko zvinosanganisira:

• Kenza yeiyo bile duct, chiropa kana rwatata
• Kukuvadza uye kupora nekuda kweguroni mubhokisi re bile
• Kukuvadza kana kupora mushure mekubviswa kwenduru
• Pancreatitis
• Chikuru sclerosing cholangitis

Zviratidzo zvinosanganisira:

• Kusuruvara kwepamuviri kumusoro kwekurudyi kwedumbu
• Kutonhora
• Kupindwa nechando
• Itching
• Kazhinji kunzwa kwekusagadzikana
• Kupererwa nechido
• Jaundice
• Kusvotwa uye kurutsa
• Pale kana chevhu-chitsvuku zvituru

Iyi bvunzo inotevera inogona kubatsira kuongorora iyi mamiriro:

• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiogram (PTC)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Iyi inotevera yeropa bvunzo inogona kubatsira kuburitsa dambudziko ne biliary system.

• Alkaline phosphatase (ALP) iri pamusoro kupfuura zvakajairwa.
• GGT enzyme chikamu chakakwirira kupfuura zvakajairwa.
• Chikamu cheBilirubin chakakwirira kupfuura zvakajairwa.

Aya mamiriro anogona zvakare kuchinja mhedzisiro yeiyi inotevera bvunzo:

• Chikamu cheAmylase
• Lipase chikamu
• Weti bilirubin
• Prothrombin nguva (PT)

Chinangwa chekurapa ndechekugadzirisa iko kuderera. Izvi zvinobvumira bile kuyerera kubva muchiropa ichienda mumatumbu.

Izvi zvinogona kusanganisira:

• Kuvhiya
• Endoscopic kana percutaneous dilation kana kuiswa kwe stents kuburikidza neyakaomarara

Kana kuvhiya kwaitwa, iko kusimba kunobviswa. Iyo yakajairika bile duct inosanganiswazve neiyo dumbu ura.

Mune zvimwe zviitiko, diki simbi kana epurasitiki mesh chubhu (stent) inoiswa pamusoro peb bile duct solidure kuti irambe yakavhurika.

Kurapa kuri kubudirira nguva zhinji. Kubudirira kwenguva refu kunoenderana nechikonzero chechisimba.

Kuzvimba uye kudzikisira kwe bheri dhayeti kunogona kudzoka kune vamwe vanhu. Pane njodzi yekutapukirwa pamusoro penzvimbo yakamanikana. Zvimisikidzo zvinosara kwenguva yakareba zvinogona kutungamira kukuvara kwechiropa (cirrhosis).

Fonera wako mupi wezvehutano kana zviratidzo zvichidzoka mushure mekurwara nepancreatitis, cholecystectomy, kana kumwe kuvhiyiwa kwebhiriya.

Bile duct kuomesa; Biliary kuomarara

• Bile nzira

Anstee QM, Jones DEJ. Hepatology. Mune: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Misimboti yaDavidson uye Maitiro Ekurapa. 23rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.

Fogel EL, Sherman S. Zvirwere zveguruva uye bile ducts. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 146.

Ibrahim-zada I, Ahrendt SA. Manejimendi ebenign biliary strictures. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: chitsama 462-466.

Jackson PG, Evans SRT. Biliary maitiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.