Biliary Duct Kudzivirirwa

Zvemukati

• Mhando dze bile ducts
• Chii chinokonzera biliary mhingaidzo?
• Ndezvipi zvinhu zvine njodzi?
• Ndezvipi zviratidzo zvekudzivirira biliary?
• Chii chinonzi biliary obstruction chinoonekwa?
• Kuongorora ropa
• Ultrasonography
• Biliary radionuclide scan (HIDA scan)
• Cholangiography
• MRI Scan
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Chii chinonzi kurapwa kwekudzivirira biliary?
• Matambudziko eiyo biliary duct kuvharirwa
• Biliary kuvharirwa kunogona kudzivirirwa here?

Chii chinonzi biliary obstruction?

Kuvhiringidzika kwebhiriari kuvhara kweiyo ducts ducts. Iyo bile ducts inotakura bile kubva pachiropa uye nduru kuburikidza nepancreas kuenda kune duodenum, inova chikamu chemuviri mudumbu. Bira irima-girini-girini kana yero-shava fluid inovanziwa nechiropa kugaya mafuta. Mushure mekudya, iyo nduru inoburitsa bile kubatsira mukudya uye kunwa kwemafuta. Bira inobatsirawo kubvisa chiropa chemarara zvigadzirwa.

Kuvharirwa kwechero yeaya ma ducts anotumidzwa sekuvharirwa kwebiliary. Mazhinji emamiriro ezvinhu ane chekuita nekuvharirwa kwebhaariari anogona kurapwa zvinobudirira. Nekudaro, kana iko kuvharirwa kukaramba kusingarapwe kwenguva yakareba, kunogona kutungamira kuzvirwere zvinotyisa zvechiropa.

Mhando dze bile ducts

Iwe une akati wandei marudzi e bile ducts. Mhando mbiri dzema bile ducts muchiropa ndeye intrahepatic uye extrahepatic ducts.

• Intrahepatic ducts: Intrahepatic ducts inzira yetubhupu tudiki mukati mechiropa iyo inounganidza uye kutakura bile kuenda kune iyo extrahepatic ducts.
• Extrahepatic ducts: Nzira dzehepfenyuro dzinotanga sezvikamu zviviri, imwe kurudyi kwechiropa uye imwe kuruboshwe. Sezvo pavanodzika kubva pachiropa, vanobatana kuti vagadzire yakajairika hepatic duct. Izvi zvinomhanya zvakananga kumatumbu madiki.

Iyo biliary duct, kana iyo nzira kubva kune nduru, inozarurawo kune yakajairika hepatic duct. Iyo bile duct kubva panguva ino zvichienda mberi inozivikanwa seyakajairika bile duct kana choledochus. Usati wadurura mukati medumbu diki, yakajairika bile duct inopfuura nepascreas

Chii chinokonzera biliary mhingaidzo?

Kuvharirwa kwebhiriari kunogona kukonzerwa nezvinhu zvinoverengeka zvinosanganisira izvo:

• bile ducts
• chiropa
• nduru
• chirwatata
• ura hudiki

Izvi zvinotevera zvimwe zvezvikonzero zvakajairika zvekudzivirira biliary:

• nduru, ndidzo dzinonyanya kukonzera
• kuzvimba kwenyuchi ducts
• kushungurudzika
• biliary kuomesa, kunova kushomeka zvisina kujairika kwedhipi
• cysts
• akawedzera lymph node
• chirwatata
• kukuvara kwakanangana ne gallbladder kana kuvhiya kwechiropa
• mamota akasvika pachiropa, nduru, rwatata, kana bile ducts
• hutachiona, kusanganisira hepatitis
• utachiona
• cirrhosis, kana scarring yechiropa
• kukuvadza kwakakomba kwechiropa
• choledochal cyst (iripo muvacheche pakuzvarwa)

Ndezvipi zvinhu zvine njodzi?

Izvo zvinokonzerwa nenjodzi yekudzivirira biliary zvinowanzoenderana nechikonzero chekudzivirira. Mazhinji emakesi acho mhedzisiro yematombo. Izvi zvinoita kuti vakadzi vawedzere kunetseka kukudziridza biliary chipingaidzo. Zvimwe zvinhu zvine njodzi zvinosanganisira:

• nhoroondo yematombo
• chisingaperi pancreatitis
• gomarara repancreatic
• kukuvara kune kurudyi chikamu chedumbu
• kufutisa
• kukurumidza kuonda
• mamiriro ane chekuita nekuparara kwemasero matsvuku eropa, senge sekeresa anemia

Ndezvipi zviratidzo zvekudzivirira biliary?

Zviratidzo zve biliary kuvharirwa zvinogona kuvimba nechikonzero chekudzivirira. Vanhu vane biliary obstruction vanowanzo kuve ne:

• zvituru-zvine zvituru
• weti yakasviba
• jaundice (yero yero kana ganda)
• kuvava
• kurwadziwa kumusoro kwekurudyi kwedumbu
• kusvotwa
• kurutsa
• kuonda
• kupindwa nechando

Chii chinonzi biliary obstruction chinoonekwa?

Miedzo yakasiyana siyana inowanikwa kune vanhu vanogona kunge vaine biliary block. Zvichienderana nechikonzero chekudzivirirwa, chiremba wako anogona kukurudzira imwe kana yakawanda yemiedzo inotevera.

Kuongorora ropa

Kuongororwa kweropa kunosanganisira yakazara yeropa kuverenga (CBC) uye chiropa basa bvunzo. Kuongororwa kweropa kunogona kazhinji kutonga kunze mamwe mamiriro, akadai se:

• cholecystitis, kunova kuzvimba kwenduru
• cholangitis, kunova kuzvimba kweyakajairika bile duct
• yakawedzera nhanho ye conjugated bilirubin, inova tsvina chigadzirwa chechiropa
• yakawedzera mwero wechiropa enzymes
• yakawedzera mwero wealkaline phosphatase

Chero ipi yeiyi inogona kuratidza kurasikirwa kwerukova kuyerera.

Ultrasonography

Ultrasonography inowanzo kuve yekutanga bvunzo inoitwa pane chero munhu anofungidzirwa kuti biliary kuvharidzira. Iyo inobvumira chiremba wako kuti aone maturu zviri nyore.

Biliary radionuclide scan (HIDA scan)

Iyo hepatobiliary iminodiacetic acid scan, kana HIDA scan, inonziwo biliary radionuclide scan. Iyo inoshandisa radioactive zvinhu kupa yakakosha ruzivo nezve iyo nduru uye chero zvingangoita zvipingaidzo.

Cholangiography

A cholangiography ndeye X-ray yemaburi ducts.

MRI Scan

MRI scan inopa yakajeka mifananidzo yechiropa, nduru, rwatata, uye bile ducts.

Magnetic resonance cholangiopancreatography (MRCP)

Magnetic resonance cholangiopancreatography (MRCP) inoshandiswa kuongororwa kwe biliary obstructions uye chirwere chepancreatic.

Endoscopic kudzokorora cholangiopancreatography (ERCP)

Iyo endoscopic retrograde cholangiopancreatography (ERCP) inosanganisira kushandiswa kweiyo endoscope uye X-ray. Izvo zvese chishandiso chekuongorora uye chekurapa. Iyo inobvumira chiremba wako kuti aone iyo ducts ducts uye zvakare inoshandiswa mukurapa. Ichi chishandiso chinonyanya kubatsira nekuti chiremba wako anogona kuchishandisa kubvisa matombo uye kutora sampuli yebhiopsy kana zvichidikanwa.

Chii chinonzi kurapwa kwekudzivirira biliary?

Kurapa kunoitirwa kugadzirisa chiri kukonzera chikonzero. Chinangwa chekutanga chekurapa kana chekuvhiya kurapwa kudzora kuvharika. Dzimwe dzesarudzo dzekurapa dzinosanganisira cholecystectomy uye ERCP.

Cholecystectomy ndiko kubviswa kwenduru kana paine nduru. An ERCP inogona kukwana kubvisa mabwe madiki kubva kune yakajairwa bile duct kana kuisa stent mukati mekodhi kudzorera bile kuyerera. Izvi zvinowanzo shandiswa mune zviitiko apo kuvharirwa kunokonzerwa nebundu.

Matambudziko eiyo biliary duct kuvharirwa

Pasina kurapwa, biliary duct zvipingaidzo zvinogona kutyisidzira hupenyu. Zvinogona kuitika zvinogona kumuka pasina kurapwa zvinosanganisira:

• ngozi kuvaka kwe bilirubin
• zvirwere
• sepsis
• chirwere chisingaperi chechiropa
• biliary cirrhosis

Bata chiremba wako kana iwe uchikura jaundice kana ukaona shanduko muvara rechituru chako kana weti.

Biliary kuvharirwa kunogona kudzivirirwa here?

Heano shanduko shoma dzaungaite kudzikisira mikana yako yekukudziridza biliary kudzivirirwa:

• Wedzera huwandu hwefibisi mukudya kwako.
• Deredza huwandu hweshuga uye mafuta akazara mukudya kwako. Izvi zvinogona kukonzeresa nduru.
• Kana iwe uri kufutisa, zvishoma nezvishoma tora huremu hwako muhutano hwakanaka hwebonde rako, zera, uye hurefu.