Bile duct kuvharirwa

Bile duct kuvharidzira ndeyekuvharwa mumachubhu anotakura bile kubva kuchiropa kuenda kune nduru uye mudumbu ura.

Bira imvura inosunungurwa nechiropa. Iine cholesterol, bile salts, uye zvigadzirwa zvemarara zvakaita sebilirubin. Bile munyu unobatsira muviri wako kuputsa (kugaya) mafuta. Bhairi rinopfuura kubva muchiropa kuburikidza nenyuchi ducts uye inochengeterwa munduru. Mushure mekudya, inosunungurwa mumatumbo madiki.

Kana iyo bile ducts ikavharwa, bile inovakwa muchiropa, uye jaundice (yero yeruvara rweganda) inokura nekuda kwekuwedzera kweye bilirubin muropa.

Izvo zvinogona kukonzeresa zvakavharwa bile duct zvinosanganisira:

• Ma cysts eakajairika bile duct
• Yakawedzera lymph node muiyo porta hepatis
• Matombo
• Kuzvimba kweiyo bile ducts
• Kuderedza kweiyo bile ducts kubva ku scarring
• Kukuvara kubva pakuvhiya nduru
• Mamota eiyo bile ducts kana pancreas
• Mamota akapararira kune biliary system
• Chiropa uye bile duct honye (flukes)

Izvo zvine njodzi zvinosanganisira:

• Nhoroondo ye gallstones, chisingaperi pancreatitis, kana pancreatic cancer
• Kukuvadza kunzvimbo yemudumbu
• Nguva pfupi yapfuura bhiariari kuvhiya
• Kenza yazvino biliary (senge bile duct cancer)

Kuvharirwa kwacho kunogona zvakare kukonzerwa nezvirwere. Izvi zvinowanzoitika kune vanhu vane immune system isina kusimba.

Zviratidzo zvinogona kusanganisira:

• Kusuruvara kwepamuviri kumusoro kwekurudyi
• Weti yakasviba
• Kupindwa nechando
• Itching
• Jaundice (yero ganda ruvara)
• Kusvotwa uye kurutsa
• Pale-mavara zvituru

Anokuchengetedza hutano anokuongorora uye obva anzwa dumbu rako.

Mhedzisiro yeropa inotevera mhedzisiro inogona kunge yakakonzerwa nekuvharika kunogona kuitika:

• Yakawedzera bilirubin level
• Yakawedzera alkaline phosphatase level
• Kuwedzera kwechiropa enzymes

Iyi miedzo inotevera inogona kushandiswa kuongorora inogona kuvharwa bile duct.

• Abdominal ultrasound
• Abdominal CT scan
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiogram (PTCA)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Iyo yakavharidzirwa bile duct inogona zvakare kuchinja mhedzisiro yezviedzo zvinotevera:

• Amylase ropa bvunzo
• Gallbladder radionuclide scan
• Lipase kuongorora ropa
• Prothrombin nguva (PT)
• Weti bilirubin

Chinangwa chekurapa ndechekusunungura iko kuvharika. Matombo anogona kubviswa uchishandisa endoscope panguva yeERCP.

Mune zvimwe zviitiko, kuvhiyiwa kunodikanwa kudarika kuvhara. Iyo nduru inowanzo bviswa kuvhiya kana iko kuvharirwa kuchikonzerwa nemaronda. Mupiki wako anogona kupa mishonga inorwisa mabhakitiriya kana hutachiona hunofungidzirwa.

Kana iko kuvhara kuchikonzerwa nekenza, iyo nzira inogona kuda kuwedzerwa. Iyi nzira inonzi endoscopic kana percutaneous (kuburikidza neganda padhuze nechiropa) kuwedzera. Chubhu ingangoda kuiswa kuti ibvumidze kubuda kwemvura.

Kana iko kuvhara kusinga gadziriswe, kunogona kutungamira kuhutachiona hunotyisidzira hupenyu uye kuvaka kune ngozi kwe bilirubin.

Kana iko kuvhara kuchitora nguva yakareba, chirwere chisingaperi chechiropa chinogona kukonzeresa. Zvipingamupinyi zvakawanda zvinogona kurapwa ne endoscopy kana kuvhiyiwa. Zvipingamupinyi zvinokonzerwa nekenza zvinowanzove nemhedzisiro yakaipa.

Kuruboshwe kusarapwa, zvinokwanisika kusangana zvinosanganisira hutachiona, sepsis, uye chirwere chechiropa, senge biliary cirrhosis.

Fonera mupiki wako kana iwe:

• Tarisa uone shanduko muvara rako weti uye zvigaro
• Gadzira jaundice
• Iva nemarwadzo emimba asingapfuuri kana anoramba achidzokororwa

Ziva nezve chero njodzi yauinayo, kuitira kuti iwe ugone kuwana nekukurumidza kuongororwa uye kurapwa kana iyo bile duct ikavharwa. Kuvharika kwacho kunogona kusadzivirika.

Biliary mhingaidzo

• Kugaya chirongwa
• Endocrine masero
• Bile nzira
• Biliary mhingaidzo - akatevedzana

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.

Lidofsky SD. Jaundice. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 21.