Kukhazikika kwazitsulo

Kukhazikika kwa bile ndikutsika kwachilendo kwa njira yolumikizira bile. Ichi ndi chubu chomwe chimasuntha bile kuchokera pachiwindi kupita m'matumbo ang'onoang'ono. Kuphulika ndi chinthu chomwe chimathandiza kugaya chakudya.

Kukhazikika kwa bile nthawi zambiri kumayambitsidwa ndi kuvulala kwamitsempha ya ndulu panthawi yochita opareshoni. Mwachitsanzo, zitha kuchitika atachitidwa opaleshoni kuti achotse ndulu.

Zina mwazimene zimayambitsa matendawa ndi monga:

• Khansa ya ndulu, bile kapena kapamba
• Kuwonongeka ndi zipsera chifukwa cha ndulu mu ndulu ya ndulu
• Kuwonongeka kapena mabala pambuyo pa kuchotsa ndulu
• Pancreatitis
• Pulayimale sclerosing cholangitis

Zizindikiro zake ndi izi:

• Kupweteka m'mimba kumtunda chakumanja kwamimba
• Kuzizira
• Malungo
• Kuyabwa
• Kumva kusapeza bwino
• Kutaya njala
• Jaundice
• Nseru ndi kusanza
• Zojambula zofiirira kapena zadongo

Mayesero otsatirawa angathandize kuzindikira vutoli:

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

Kuyesa magazi kotsatiraku kungathandize kuwulula vuto la biliary system.

• Zamchere phosphatase (ALP) ndizapamwamba kuposa zachilendo.
• Mulingo wa enzyme wa GGT ndiwokwera kuposa wabwinobwino.
• Mulingo wa Bilirubin ndiwokwera kuposa wabwinobwino.

Izi zitha kusinthanso zotsatira za mayeso otsatirawa:

• Mulingo wa Amylase
• Mulingo wa Lipase
• Mkodzo bilirubin
• Nthawi ya Prothrombin (PT)

Cholinga cha chithandizo ndikukonzekera kuchepetsa. Izi zidzalola kuti ndulu iziyenda kuchokera m'chiwindi kupita m'matumbo.

Izi zitha kuphatikiza:

• Opaleshoni
• Endoscopic kapena percutaneous dilation kapena kuyika kwa stents kupyola muyeso

Ngati opareshoni yachitika, kusinthaku kumachotsedwa. Mchitidwe wamba wa bile udzakumananso ndi matumbo ang'onoang'ono.

Nthawi zina, tinthu tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tomwe timayikidwa timadontho timene timayikidwa kuti titsegule.

Chithandizo chimayenda bwino nthawi zambiri. Kupambana kwakanthawi kumatengera chifukwa cha kukhazikika.

Kutupa ndi kuchepa kwa njira ya biliary kumatha kubwerera kwa anthu ena. Pali chiopsezo chotenga kachilombo pamwamba pa malo ochepera. Mitsempha yomwe imakhalapo kwa nthawi yayitali imatha kuwononga chiwindi (cirrhosis).

Itanani yemwe amakuthandizani azaumoyo ngati matenda amabwereranso pambuyo pokuphulika, cholecystectomy, kapena opaleshoni ina ya biliary.

Kukhazikika kwazitsulo; Biliary kukhazikika

• Njira yopanda madzi

Anstee QM, Jones DEJ. Matenda a chiwindi. Mu: Ralston SH, ID ya Penman, Strachan MWJ, Hobson RP, olemba. Mfundo ndi Zochita za Mankhwala a Davidson. Wachitatu. Philadelphia, PA: Elsevier; 2018: mutu 22.

Fogel EL, Sherman S. Matenda a ndulu ndi ma ducts. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 146.

Ibrahim-zada I, Ahrendt SA. Kuwongolera ma stigament abwinobwino. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: mutu 462-466.

Jackson PG, Evans SRT. Dongosolo Biliary. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 54.