Mgbapu ikuku mmiri

Ihe mgbochi eriri afọ bụ mgbochi na tubes na-ebu bile site na imeju ruo gallbladder na obere eriri afọ.

Bile bụ mmiri mmiri nke umeji na-ewepụta. O nwere cholesterol, salts bile, na ihe mkpofu dika bilirubin. Ngwunye nnu na-enyere ahụ gị aka ịkụda (mgbaze) abụba. Mkpụrụ na-esi na imeju na-esi na eriri bile ma na-echekwa ya na gallbladder. Emechaa nri, a tọhapụrụ ya n'ime eriri afọ.

Mgbe eriri afọ bile na-egbochi, bile na-eto n'ime imeju, jaundice (agba odo nke anụ ahụ) na-amalite n'ihi ọkwa bilirubin na-arịwanye elu n'ọbara.

Ihe ndi nwere ike ibute uzo bile egbochiri bu:

• Cysts nke otutu bile duct
• Llọ ọgwụ lymph amụbawanye na porta hepatis
• Nkume okwute
• Mbufụt nke bile ducts
• Mkpochapu mmiri nke mmiri bile site n'ichi
• Mmetụta site na ịwa ahụ gallbladder
• Tumor nke bile ducts ma obu pancreas
• Tumor agbasaala usoro biliary
• Imeju na bile duct ikpuru (flukes)

Ihe ize ndụ ndị a gụnyere:

• Akụkọ banyere gallstones, ọrịa pancreatitis na-adịghị ala ala, ma ọ bụ ọrịa kansa
• Emerụ ahụ na mpaghara abdominal
• Surgerywa ahụ na-adịbeghị anya
• Ọrịa biliary na-adịbeghị anya (dịka ọrịa cancer bile duct)

Ihe mgbochi a nwekwara ike ibute ọrịa. Nke a na-adịkarị n’ebe ndị mmadụ na-adịghị ike ọgụ.

Mgbaàmà nwere ike ịgụnye:

• Ime mgbu na elu aka nri
• Miri mamiri
• Ahụ ọkụ
• Itching
• Jaundice (agba agba odo)
• Ọgbọ na ọgbụgbọ
• Stool-achagharị agba

Onye na-ahụ maka ahụike gị ga-enyocha gị wee hụ afọ gị.

Nsonaazụ ule ọbara nwere ike ịbụ n'ihi mgbochi nwere ike:

• Ọbara ọkwa bilirubin
• Mụbara alkaline phosphatase dị elu
• Enzymes imeju na-aba ụba

Enwere ike iji ule ndị a mee nchọpụta ọnụọgụ nwere ike igbochi:

• Ime ultrasound
• Ime CT i scanomi
• Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ
• Percutaneous transhepatic cholangiogram (PTCA) Ọgwụ
• Magnetik resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Ihe mgbochi bile nwere ike ịgbanwe nsonaazụ nke ule ndị a:

• Nnyocha ọbara Amylase
• Gallbladder radionuclide nyocha
• Nyocha ọbara Lipase
• Oge Prothrombin (PT)
• Mmamịrị bilirubin

Ebumnuche nke ọgwụgwọ bụ iji gbochie mgbochi ahụ. Enwere ike iwepu okwute site na iji endoscope n’oge ERCP.

N'ọnọdụ ụfọdụ, achọrọ ịwa ahụ iji gafee mkpọchi ahụ. A ga-ejikarị ịwa ahụ na-awa ahụ gallbladder ma ọ bụrụ na mgbochi ahụ kpatara gallstones. Onye na-eweta gị nwere ike inye ọgwụ mgbochi ọgwụ ma ọ bụrụ na enyo enyo na ọ bụ ọrịa.

Ọ bụrụ na ọ bụ ọrịa kansa kpatara mgbochi ahụ, ọ ga-adị mkpa ka eriri ya gbasaa. A na-akpọ usoro a endoscopic ma ọ bụ percutaneous (site na akpụkpọ anụ n'akụkụ imeju). Ọ ga-adị mkpa itinye tub iji kwe ka ọpụpụ.

Ọ bụrụ na emezighị mkpọchi ahụ, ọ nwere ike ibute ọrịa na-eyi ndụ egwu na mbibi dị egwu nke bilirubin.

Ọ bụrụ na mgbochi ahụ dị ogologo oge, ọrịa imeju na-adịghị ala ala nwere ike ịpụta. Imirikiti ihe mgbochi nwere ike iji endoscopy ma ọ bụ ịwa ahụ gwọọ. Ihe mgbochi nke ọrịa kansa na-enwekarị nsonaazụ ka njọ.

Ọ bụrụ na a hapụghị ya, nsogbu ndị nwere ike ịgụnye ọrịa, sepsis, na ọrịa imeju, dịka ọrịa biliary cirrhosis.

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na

• Rịba ama mgbanwe na agba nke mmamịrị gị na stools
• Zụlite jaundice
• Nwee afọ mgbu nke na-adịghị agabiga ma ọ bụ na-eme ugboro ugboro

Mara ihe ọ bụla nwere nsogbu ị nwere, ka ị nwee ike nweta nchoputa na ọgwụgwọ ozugbo ma ọ bụrụ na egbochi ụzọ bile. Mgbapu n'onwe ya nwere ike ọ gaghị egbochi.

Ihe mgbochi Bilie

• Usoro nri
• Ọgwụ endocrine
• Okporo ụzọ
• Ihe mgbochi Bilili - usoro

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.

Lidofsky SD. Jaundice. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke 11. Philadelphia, PA: Elsevier; 2021: Isi 21.