Bile duct nlezianya

Uzo ahihia nke bile nke oma bu uzo di nkpa nke uzo di nkpa. Nke a bụ ọkpọkọ nke na - eme ka bile si na imeju banye na eriri afọ. Bile bụ ihe na-enyere aka na mgbaze.

A na-enwekarị nsogbu bile duct na-emerụ ahụ site na mmerụ ahụ na mmiri bile n'oge ịwa ahụ. Dịka ọmụmaatụ, ọ nwere ike ime mgbe ịwachara ahụ iji wepu eriri afọ.

Ihe ndị ọzọ kpatara ọnọdụ a gụnyere:

• Ọrịa cancer nke bile, imeju ma ọ bụ pancreas
• Mmebi na nchapu n'ihi gallstone na bile duct
• Mmebi ma ọ bụ ịchafụ mgbe iwepụ gallbladder
• Pancreatitis
• Isi sclerosing cholangitis

Mgbaàmà gụnyere:

• Ime mgbu na elu aka nri nke afọ
• Chills
• Ahụ ọkụ
• Itching
• Izugbe nke erughị ala
• Loss nke agụụ
• Jaundice
• Ọgbọ na ọgbụgbọ
• Icha akwa ma ọ bụ ụrọ nwere agba

Ule ndị a nwere ike inyere aka chọpụta ọnọdụ a:

• Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ
• Percutaneous transhepatic cholangiogram (PTC) Nnukwu
• Magnetik resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Nyocha ọbara ndị a nwere ike inyere aka kpughee nsogbu gbasara usoro biliary.

• Alkaline phosphatase (ALP) dị elu karịa nkịtị.
• GGT enzyme larịị dị elu karịa nkịtị.
• Bilirubin dị elu karịa nkịtị.

Ọnọdụ a nwekwara ike ịgbanwe nsonaazụ ule ndị a:

• Amylase ọkwa
• Lipase larịị
• Mmamịrị bilirubin
• Oge Prothrombin (PT)

Ebumnuche nke ọgwụgwọ bụ iji dozie warara ahụ. Nke a ga - enyere bile ka o site na imeju banye n’ime eriri afọ.

Nke a nwere ike ịgụnye:

• Gerywa ahụ
• Endoscopic ma ọ bụ percutaneous dilation ma ọ bụ ntinye nke stents site na nlezianya

Ọ bụrụ na ịwa ahụ na-eme, ndị nlezianya na-ewepụ. A ga-ejikọ eriri afọ ndị ọzọ na eriri afọ.

N'ọnọdụ ụfọdụ, a na-etinye obere metal ma ọ bụ plastic mesh tube (stent) gafee eriri bile duct ka ọ mepee.

Ọgwụgwọ na-aga nke ọma ọtụtụ oge. Ogologo oge na-adabere n'ihe kpatara mmanye ahụ.

Mbufụt na ibelata eriri biliary nwere ike ịlaghachi na ụfọdụ ndị mmadụ. Enwere ihe egwu maka ibute ọrịa karịa mpaghara ahụ dị warara. Mgbochi ndị na-adịru ogologo oge nwere ike ibute mmebi imeju (cirrhosis).

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na mgbaàmà abịaghachi mgbe pancreatitis, cholecystectomy, ma ọ bụ ịwa ahụ ọzọ.

Bile duct nlezianya; Iwu siri ike

• Okporo ụzọ

Anstee QM, Jones DEJ. Ọrịa. Na: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Davidkpụrụ Davidson na Omume nke Medicine. 23 nke ed. Philadelphia, PA: Elsevier; 2018: isi 22.

Fogel EL, Sherman S. Ọrịa nke gallbladder na bile ducts. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 146.

Ibrahim-zada I, Ahrendt SA. Nchịkwa nke nlezianya biliary siri ike. Na: Cameron AM, Cameron JL, eds. Usoro ọgwụgwọ ịwa ahụ ugbu a. Nke 13. Philadelphia, PA: Elsevier; 2020: isi 462-466.

Jackson PG, Evans SRT. Usoro biliary. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 54.