Zojambula - zotumbululuka kapena zadongo

Zinyalala zomwe zili zotumbululuka, dongo, kapena utoto wowoneka bwino zitha kukhala chifukwa cha mavuto am'mabedi. Ndondomeko ya biliary ndi dongosolo la ndulu, chiwindi, kapamba.

Chiwindi chimatulutsa mchere wa bile mu chopondapo, ndikupatsa mtundu wabuluu wabwinobwino. Mutha kukhala ndi zimbudzi zadothi ngati muli ndi matenda a chiwindi omwe amachepetsa kupanga kwa ndulu, kapena ngati kutuluka kwa ndulu kunja kwa chiwindi kutsekedwa.

Khungu lachikaso (jaundice) nthawi zambiri limachitika ndimipando yofiirira. Izi zikhoza kukhala chifukwa cha kuchuluka kwa mankhwala a bile m'thupi.

Zomwe zingayambitse zinyumba zadongo ndi izi:

• Mowa wa chiwindi
• Biliary matenda enaake
• Khansa kapena zotupa (zopanda vuto) zotupa pachiwindi, biliary system, kapena kapamba
• Ziphuphu zam'mimba
• Miyala
• Mankhwala ena
• Kupendekera kwa ma ducts a biliary
• Kukula kwa cholangitis
• Mavuto amachitidwe mu biliary system omwe amapezeka kuyambira pakubadwa (kobadwa nako)
• Matenda a chiwindi

Pakhoza kukhala zifukwa zina zomwe sizinalembedwe apa.

Itanani omwe akukuthandizani ngati chimbudzi chanu sichabuluu masiku angapo.

Woperekayo ayesa mayeso. Adzafunsa mafunso okhudza mbiri yanu yazachipatala ndi zomwe adakumana nazo. Mafunso angaphatikizepo:

• Kodi chizindikirocho chinayamba liti?
• Kodi chimbudzi chilichonse chatsegulidwa?
• Mumamwa mankhwala ati?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Mayeso omwe angachitike ndi awa:

• Kuyezetsa magazi, kuphatikiza kuyeserera kwa chiwindi komanso ma virus omwe angakhudze chiwindi
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Kujambula maphunziro, monga m'mimba ultrasound, CT scan, kapena MRI ya chiwindi ndi bile ducts

• Kutaya m'mimba pang'ono

Korenblat KM, Berk PD. Yandikirani kwa wodwala yemwe ali ndi jaundice kapena mayeso osadziwika a chiwindi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 138.

Lidofsky Sd. Jaundice. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 21.

Maliko RA, Saxena R. Matenda a chiwindi aubwana. Mu: Saxena R, mkonzi. Yothandiza Hepatic Pathology: Njira Yodziwitsa. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 5.