Mmeghari Akpịrị Bilili

Ndinaya

• Dị eriri bile
• Gịnị na-akpata biliary mgbochi?
• Kedu ihe bụ nsogbu?
• Kedu ihe mgbaàmà nke mgbochi biliary?
• Kedu otu esi amata ihe di na ya?
• Nnwale ọbara
• Ultrasonography
• Biliary radionuclide scan (HIDA nyocha)
• Cholangiography
• MRI Nyocha
• Magnetik resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ
• Gịnị bụ ọgwụgwọ maka biliary mgbochi?
• Nsogbu nke mgbochi biliary duct
• Enwere ike igbochi biliary mgbochi?

Kedu ihe bụ mgbochi biliary?

Ihe mgbochi nke biliary bụ mgbochi nke eriri bile. Igwe mmiri bile na-ebu bile site na imeju na gallbladder site na pancreas ruo duodenum, nke bụ akụkụ nke eriri afọ. Bile bụ mmiri na-acha akwụkwọ ndụ akwụkwọ ndụ ma ọ bụ nke na-acha nchara nchara nke imeju zoro iji mee ka abụba gbaa abụba. You richaa nri, gallbladder na-ewepụta bile iji nyere aka na mgbaze na nke na-amị abụba. Bile na-enyekwa aka kpochapụ imeju nke ngwaahịa mkpofu.

A na-ezo aka mgbochi nke ọ bụla n'ime eriri ndị a dị ka biliary mgbochi. Enwere ike ịgwọ ọtụtụ ọnọdụ metụtara igbochi biliary. Otú ọ dị, ọ bụrụ na mgbochi ahụ anọgideghị na-agwọ ọrịa ruo ogologo oge, ọ nwere ike ibute ọrịa na-eyi ndụ egwu nke imeju.

Dị eriri bile

Have nwere ọtụtụ ụdị eriri afọ bile. Typesdị bile abụọ dị n'ime imeju bụ eriri intrahepatic na extrahepatic.

• Usoro intrahepatic: Intrahepatic ducts bụ sistemụ obere tubes n'ime imeju na-anakọta ma na-ebufe bile na ducthepatic duct.
• Usoro uzo ozo: Osimiri extrahepatic na-amalite dị ka akụkụ abụọ, otu n'aka nri nke imeju na nke ọzọ n'aka ekpe. Ka ha na-agbada site na imeju, ha na-agbakọta iji mepụta eriri hepatic nkịtị. Nke a na-aga kpọmkwem n’eriri afọ.

Akụkụ biliary, ma ọ bụ eriri sitere na gallbladder, na-emepekwa n'ime eriri hepatic nkịtị. A na-akpọ eriri bile site na nke a gaa n'ihu dị ka eriri bile ma ọ bụ choledochus. Tupu ịtaba n'ime eriri afọ, eriri afọ bile na-agafe na pancreas.

Gịnị na-akpata biliary mgbochi?

Enwere ike igbochi biliary site n'ọtụtụ ihe metụtara:

• bile ducts
• umeji
• eriri afọ
• pancreas
• obere eriri afọ

Ndị na-esonụ bụ ụfọdụ n'ime ihe ndị kachasị akpata nkwụsị biliary:

• nkume gall, nke bu ihe kariri
• mbufụt nke eriri mmiri
• trauma
• a biliary nlezianya, nke bu ndiiche warawara duct
• ihe otutu
• amụbawo lymph ọnụ
• pancreatitis
• mmerụ ahụ metụtara gallbladder ma ọ bụ ịwa ahụ imeju
• etuto ahụ ruru imeju, gallbladder, pancreas, ma ọ bụ bile ducts
• ọrịa, gụnyere ịba ọcha n'anya
• nje ndị ọzọ
• cirrhosis, ma ọ bụ ụfụ imeju
• nnukwu imebi imebi
• choledochal cyst (nke di na umuaka mgbe amuru ha)

Kedu ihe bụ nsogbu?

Ihe ndị dị ize ndụ maka igbochi biliary na-adaberekarị n'ihe kpatara mgbochi ahụ. Ọtụtụ ikpe bụ ihe sitere na gallstones. Nke a na - eme ka ụmụ nwanyị nwekwuo nsogbu ịmepe biliary mgbochi. Ihe ndị ọzọ dị ize ndụ gụnyere:

• akụkọ banyere gallstones
• ala ala pancreatitis
• ọrịa cancer
• mmerụ ahụ n'akụkụ aka nri nke afọ
• oke ibu
• ọnwụ ngwa ngwa
• ọnọdụ metụtara mbibi mkpụrụ ndụ ọbara uhie, dị ka ọrịa sickle cell anaemia

Kedu ihe mgbaàmà nke mgbochi biliary?

Ihe mgbaàmà nke mgbochi biliary nwere ike ịdabere na ihe kpatara mgbochi. Ndị nwere nsogbu biliary na-enwekarị:

• stool agba agba
• mmamịrị gbara ọchịchịrị
• jaundice (anya na-acha odo odo ma ọ bụ akpụkpọ)
• ọkọ
• mgbu n'elu aka nri nke afọ
• ọgbụgbọ
• agbọ agbọ
• ọnwụ ọnwụ
• ahụ ọkụ

Kedu otu esi amata ihe di na ya?

Ule di iche iche di maka ndi mmadu nwere ike inwe nsogbu biliary. Dabere na ihe kpatara mgbochi ahụ, dọkịta gị nwere ike ịkwado otu ma ọ bụ karịa n'ime ule ndị a.

Nnwale ọbara

Nnwale ọbara na-agụnye nyocha ọbara zuru oke (CBC) na ule ọrụ imeju. Ule ọbara nwere ike ịhapụ ụfọdụ ọnọdụ, dị ka:

• cholecystitis, nke bụ mbufụt nke gallbladder
• cholangitis, nke bụ mbufụt nke nsị bile du
• bilirubin conjugated gbagọrọ agbagọ, nke bụ ngwaahịa mkpofu nke imeju
• enzymes imeju dị elu
• ọkwa dị elu nke alkaline phosphatase

Otu n'ime ndị a nwere ike igosi ọnwụ nke mmiri bile.

Ultrasonography

Ultrasonography na-abụkarị ule mbụ emere na onye ọ bụla enyo enyo na ọ ga-egbochi ya. Ọ na-enye dọkịta gị ohere ịhụ gallstones n'ụzọ dị mfe.

Biliary radionuclide scan (HIDA nyocha)

A na-akpọkwa hepatobiliary iminodiacetic acid scan, ma ọ bụ HIDA scan, dị ka biliary radionuclide scan. Ọ na - eji ihe eji eme rediofọd nye ihe ọmụma bara uru banyere gallbladder na mgbochi ọ bụla enwere ike.

Cholangiography

Cholangiography bụ X-ray nke bile ducts.

MRI Nyocha

Nnyocha MRI na-enye nkọwa zuru ezu nke imeju, gallbladder, pancreas, na bile ducts.

Magnetik resonance cholangiopancreatography (MRCP)

A na-eji magnetik resonance cholangiopancreatography (MRCP) mee ihe maka nyocha nke obstructions biliary na ọrịa pancreatic.

Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ

Ihe endoscopic retrograde cholangiopancreatography (ERCP) gụnyere iji endoscope na X-ray. Ọ bụ ngwa nyocha na ọgwụgwọ. Ọ na - ekwe ka dọkịta na - awa gị hụ eriri bile na - ejikwa ya na ọgwụgwọ. Ngwá ọrụ a na-enye aka karịsịa n'ihi na dọkịta gị nwere ike iji ya wepu okwute ma were biopsy ma ọ bụrụ na ọ dị mkpa.

Gịnị bụ ọgwụgwọ maka biliary mgbochi?

Emere ọgwụgwọ iji dozie ihe kpatara ya. Ebumnuche bụ isi nke ọgwụgwọ ahụike ma ọ bụ ịwa ahụ bụ iji belata mgbochi ahụ. Fọdụ n'ime usoro ọgwụgwọ gụnyere cholecystectomy na ERCP.

Cholecystectomy bụ mwepụ nke gallbladder ma ọ bụrụ na enwere gallstones. ERCP nwere ike zuru oke iji wepu obere okwute site na eriri bile nkịtị ma ọ bụ tinye stent n'ime duct iji weghachite nsị bile. A na-ejikarị nke a eme ihe mgbe mgbochi na-akpata etuto.

Nsogbu nke mgbochi biliary duct

Enweghị ọgwụgwọ, ihe mgbochi nke biliary nwere ike bụrụ ihe na-eyi ndụ egwu. Nsogbu ndị nwere ike ibilite na-enweghị ọgwụgwọ gụnyere:

• ize ndụ buildup nke bilirubin
• na-efe efe
• sepsis
• ọrịa imeju na-adịghị ala ala
• biliary cirrhosis

Kpọtụrụ dọkịta gị ma ọ bụrụ na ị mepee jaundice ma ọ bụ hụ mgbanwe na agba nke stool gị ma ọ bụ mamịrị.

Enwere ike igbochi biliary mgbochi?

Ndị a bụ mgbanwe ole na ole ị nwere ike ime iji belata ohere ị nwere igbochi biliary mgbochi:

• Mee ka eriri dị na nri gị dịkwuo elu.
• Mee ka shuga na abụba jupụta na nri gị. Ihe ndị a nwere ike ibute nkume gall.
• Ọ bụrụ na ị buru oke ibu, jiri nwayọọ nwayọọ mee ka ịdị arọ gị banye na ahụike dị mma maka mmekọahụ, afọ, na ịdị elu gị.