Thibelo ea Tsela ea Biliary

Litaba

• Mefuta ea methapo ea bile
• Ke eng e bakang tšitiso ea biliary?
• Lisosa tsa kotsi ke life?
• Matšoao a thibelo ea biliary ke afe?
• Tšitiso ea biliary e fumanoa joang?
• Teko ea mali
• Ultrasonography
• Sesebelisoa sa biliary radionuclide (scan ea HIDA)
• Cholangiography
• Sesebelisoa sa MRI
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Kalafo ea tšitiso ea biliary ke efe?
• Mathata a tšitiso ea phepelo ea biliary
• Na tšitiso ea biliary e ka thibeloa?

Tšitiso ea biliary ke eng?

Tšitiso ea biliary ke ho koaloa ha methapo ea bile. Li-ducts tsa bile li jara bile ho tsoa sebeteng le gallbladder ho pholletsa le manyeme ho ea duodenum, e leng karolo ea mala a manyane. Bile ke mokelikeli o botala bo lefifi kapa bosehla bo bosehla o ntšitsoeng ke sebete ho sila mafura. Kamora hore u je, gallbladder e ntša bile ho thusa ho cheka le ho monya mafura. Bile e boetse e thusa ho hlakola sebete sa lihlahisoa tsa litšila.

Thibelo ea efe kapa efe ea methapo ena ea bile e bitsoa tšitiso ea biliary. Maemo a mangata a amanang le lithibelo tsa biliary a ka phekoloa ka katleho. Leha ho le joalo, haeba ho thiba ho lula ho sa alafuoe nako e telele, ho ka lebisa mafung a sokelang bophelo a sebete.

Mefuta ea methapo ea bile

U na le mefuta e 'maloa ea methapo ea bile. Mefuta e 'meli ea methapo ea bile sebeteng ke methapo ea intrahepatic le extrahepatic.

• Litsela tsa Intrahepatic: Li-ducts tsa Intrahepatic ke sistimi ea li-tubes tse nyane kahare ho sebete tse bokellang le ho tsamaisa bile ho li-duep tsa extrahepatic.
• Litsela tsa Extrahepatic: Litsela tsa extrahepatic li qala e le likarolo tse peli, e 'ngoe ka letsohong le letona la sebete' me e 'ngoe ka ho le letšehali. Ha li ntse li theoha sebeteng, lia kopana ho etsa mothapo o tloaelehileng oa sebete. Sena se matha ka kotloloho ho ea mala a manyane.

Tsela ea biliary, kapa foropo e tsoang ho gallbladder, le eona e bula tsela e tloaelehileng ea hepatic. Mokokotlo oa bile ho tloha mona ho ea pele o tsejoa e le mokokotlo o tloaelehileng oa bile kapa choledochus. Pele o tšolla mala a manyane, mothapo o tloaelehileng oa bile o feta ka har'a manyeme.

Ke eng e bakang tšitiso ea biliary?

Tšitiso ea biliary e ka bakoa ke lintlha tse 'maloa tse amanang le:

• methapo ea bile
• sebete
• nyoko
• manyeme
• mala a manyane

Tse latelang ke tse ling tsa lisosa tse tloaelehileng tsa tšitiso ea biliary:

• gallstones, e leng sesosa se atileng haholo
• ho ruruha ha methapo ea bile
• tsieleho
• khatello ea biliary, e leng ho fokotsa tsela e sa tloaelehang
• li-cysts
• li-lymph node tse atolositsoeng
• ho fokola ha masapo
• kotsi e amanang le ho petsoha hoa nyooko kapa sebete
• lihlahala tse fihletseng sebeteng, gallbladder, manyeme, kapa methapo ea bile
• tšoaetso, ho kenyelletsa lefu la sebete
• likokoana-hloko
• ho thatafala ha sebete, kapa ho ruruha ha sebete
• tšenyo e matla ea sebete
• choledochal cyst (e teng ho masea nakong ea tsoalo)

Lisosa tsa kotsi ke life?

Lisosa tsa kotsi ea tšitiso ea biliary hangata li ipapisitse le sesosa sa tšitiso. Boholo ba linyeoe ke phello ea li-gallstones. Sena se etsa hore basali ba be tlokotsing ea ho ba le tšitiso ea biliary. Mabaka a mang a kotsi a kenyelletsa:

• nalane ea majoe
• Pherekano e sa foleng
• kankere ea pancreatic
• kotsi ho karolo e nepahetseng ya mpa
• botenya
• ho fokotsa boima ba 'mele ka potlako
• maemo a amanang le ho senyeha ha lisele tse khubelu tsa mali, joalo ka "sickle cell anemia"

Matšoao a thibelo ea biliary ke afe?

Matšoao a tšitiso ea biliary a ka ipapisa le sesosa sa tšitiso. Batho ba nang le tšitiso ea biliary hangata ba na le:

• litulo tse khanyang
• moroto o lefifi
• jaundice (mahlo a bosehla kapa letlalo)
• ho hlohlona
• bohloko lehlakoreng le ka holimo le letona la mpa
• ho nyekeloa ke pelo
• ho hlatsa
• boima ba 'mele
• feberu

Tšitiso ea biliary e fumanoa joang?

Liteko tse fapaneng li teng bakeng sa batho ba ka bang le tšitiso ea biliary. Ho ipapisitsoe le sesosa sa tšitiso, ngaka ea hau e ka khothaletsa e le 'ngoe kapa tse' maloa tsa liteko tse latelang.

Teko ea mali

Teko ea mali e kenyelletsa palo e felletseng ea mali (CBC) le tlhahlobo ea ts'ebetso ea sebete. Liteko tsa mali hangata li ka hlahisa maemo a itseng, joalo ka:

• cholecystitis, e leng ho ruruha ha gallbladder
• cholangitis, e leng ho ruruha ha tsela e tloaelehileng ea bile
• boemo bo eketsehileng ba bilirubin e kopantsoeng, e leng sehlahisoa sa litšila sebeteng
• boemo bo eketsehileng ba li-enzyme tsa sebete
• boemo bo eketsehileng ba alkaline phosphatase

E ngoe ea tsena e kanna ea bontša tahlehelo ea phallo ea bile.

Ultrasonography

Ultrasonography hangata ke teko ea pele e etsoang ho mang kapa mang ea belaelloang ke tšitiso ea biliary. E lumella ngaka ea hau ho bona li-gallstones habonolo.

Sesebelisoa sa biliary radionuclide (scan ea HIDA)

Sesepa sa hepatobiliary iminodiacetic acid scan, kapa scan ea HIDA, e boetse e bitsoa scan bion radionuclide. E sebelisa lisebelisoa tsa mahlaseli a kotsi ho fana ka tlhaiso-leseling ea bohlokoa mabapi le gallbladder le litšitiso life kapa life tse ka bang teng.

Cholangiography

Cholangiography ke X-ray ea methapo ea bile.

Sesebelisoa sa MRI

Sesebelisoa sa MRI se fana ka litšoantšo tse qaqileng tsa sebete, gallbladder, manyeme le methapo ea bile.

Magnetic resonance cholangiopancreatography (MRCP)

Magnetic resonance cholangiopancreatography (MRCP) e sebelisetsoa ho fumana litšitiso tsa biliary le lefu la pancreatic.

Endoscopic retrograde cholangiopancreatography (ERCP)

Endoscopic retrograde cholangiopancreatography (ERCP) e kenyelletsa ts'ebeliso ea endoscope le X-ray. Ka bobeli ke sesebelisoa sa ho hlahloba le ho phekola. E lumella ngaka ea hau e buoang ho bona methapo ea bile hape e sebelisoa kalafong. Sesebelisoa sena se thusa haholo hobane ngaka ea hau e ka e sebelisa ho tlosa majoe le ho nka mehlala ea biopsy ha ho hlokahala.

Kalafo ea tšitiso ea biliary ke efe?

Kalafo e etselitsoe ho lokisa sesosa sa sesosa. Morero oa mantlha oa kalafo ea bongaka kapa ea ho buoa ke ho fokotsa thibelo. Tse ling tsa likhetho tsa kalafo li kenyelletsa cholecystectomy le ERCP.

Cholecystectomy ke ho tlosa gallbladder haeba ho na le li-gallstones. ERCP e kanna ea lekana ho tlosa majoe a manyane mokokotlong o tloaelehileng oa bile kapa ho beha stent kahare ho phepelo ea bile. Hangata hona ho sebelisoa maemong ao tšitiso e bakoang ke hlahala.

Mathata a tšitiso ea phepelo ea biliary

Ntle le kalafo, litšitiso tsa li-biliary duct li ka beha bophelo kotsing. Mathata a ka bang teng ntle le kalafo a kenyelletsa:

• kotsi ea bilirubin
• tšoaetso
• sepsis
• lefu le sa foleng la sebete
• lefu la ho thatafala ha biliary

Ikopanye le ngaka ea hau haeba u tšoaroa ke jaundice kapa u hlokomela phetoho ea 'mala oa setulo kapa moroto oa hau.

Na tšitiso ea biliary e ka thibeloa?

Mona ke liphetoho tse 'maloa tseo u ka li etsang ho fokotsa menyetla ea hau ea ho ba le tšitiso ea biliary:

• Eketsa palo ea fiber lijong tsa hau.
• Fokotsa palo ea tsoekere le mafura a mangata lijong tsa hau. Tsena ka bobeli li ka baka li-gallstones.
• Haeba u nonne haholo, butle-butle etsa hore boima ba hau bo be boemong bo phetseng hantle bakeng sa bong ba hau, lilemo, le bolelele.