ʻO ke kahakaha a Biliary Duct

Anter

• Nā ʻano o nā kaha bile
• He aha ke kumu o ka ālai ʻana i biliary?
• He aha nā mea weliweli?
• He aha nā ʻōuli o ka ālai biliary?
• Pehea e ʻike ʻia ai kahi ālai biliary?
• Hōʻike koko
• ʻO Ultrasonography
• Biliary radionuclide scan (HIDA scan)
• ʻO Cholangiography
• MRI Scan NineManga.com
• Mākēneki resonance cholangiopancreatography (MRCP)
• ʻO endoscopic retrograde cholangiopancreatography (ERCP)
• He aha ka lāʻau no ka ālai ʻana i biliary?
• Nā pilikia o ka ālai ʻana o ke dule biliary
• Hiki ke pale ʻia i ka pale biliary?

He aha ke ālaina biliary?

ʻO kahi āpana biliary kahi paʻa o nā aʻa bili. Lawe nā kī ʻoi i ka bile mai ke ake a me ka gallbladder ma o ka pancreas i ka duodenum, kahi ʻāpana o ka ʻōpū liʻiliʻi. ʻO ka bile kahi ʻōmaʻomaʻo-ʻōmaʻomaʻo a i ʻole melemele-ʻeleʻele i hūnā ʻia e ke akepaʻa e ʻānai i nā momona. Ma hope o kāu ʻai ʻana, hoʻokuʻu ka gallbladder i ka bile e kōkua ai i ka digestion a me ka momona momona. Kōkua pū ʻo Bile e hoʻomaʻemaʻe i ke ake o nā huahana neoneo.

Kākoʻo ʻia ke kahakaha ʻana i kekahi o kēia mau aʻa o ka bile ma ke ʻano he biliary obstruction. ʻO nā kūlana e pili ana i nā ālai biliary hiki ke mālama maikaʻi ʻia. Eia nō naʻe, inā lōʻihi ka lōʻihi o ka mālama ʻia ʻana o ka palaka, hiki ke alakaʻi ʻia i nā maʻi hoʻoweliweli o ke ake.

Nā ʻano o nā kaha bile

Loaʻa iā ʻoe he mau ʻano dile bile. ʻO nā ʻano ʻelua o nā dile bile i ke akepaʻa nā aʻa intrahepatic a me extrahepatic.

• Nā iʻa Intrahepatic: ʻO nā kikowaena Intrahepatic kahi ʻōnaehana o nā paipu liʻiliʻi ma loko o ke ake e hōʻiliʻili a lawe i ka bile i nā kahawai extrahepatic.
• Nā ala keu Extrahepatic: Hoʻomaka nā kahe extrahepatic ma ke ʻano he ʻelua mau ʻāpana, hoʻokahi ma ka ʻākau o ke akepaʻa a ʻo kekahi ma ka hema. Ke iho mai lākou mai ke akepaʻa, hui lākou e hana i ke kahena hepatic maʻamau. Holo pololei kēia i ka ʻōpū liʻiliʻi.

ʻO ke dule biliary, a i ʻole ke duct mai ka gallbladder, wehe pū i loko o ke kahe hepatic maʻamau. ʻO ke kaila o ka bile mai kēia kiko ma luna i ʻike ʻia ʻo ke dile bile maʻamau a i ʻole choledochus. Ma mua o ka ninini ʻana i loko o ka ʻōpū liʻiliʻi, hele ke kahe o ka bile ma waena o ka pancreas.

He aha ke kumu o ka ālai ʻana i biliary?

Hoʻokumu ʻia paha kahi ālai biliary e kekahi mau kumu e pili ana i ka:

• nā aʻa oʻa
• ake
• ʻūpā
• pākaʻa
• ʻōpū liʻiliʻi

ʻO nā aʻe aʻe kekahi o nā kumu maʻamau o ka ālai ʻana i biliary:

• nā pōhaku ʻaʻa, ʻo ia nā kumu maʻamau
• pehu o nā aʻa aʻa
• ʻehaʻeha
• kahi paʻa biliary, ʻo ia ka hoʻopili liʻiliʻi ʻana o ke duct
• ʻākeke
• hoʻonui ʻia nā lymph node
• pancreatitis
• kahi ʻeha e pili ana i ka gallbladder a i ʻole ke ʻoki o ke ake
• nā tumors i hōʻea i ke akepaʻa, kahe o ka paepae, pancreas, a i ʻole nā ​​aʻa o ka bile
• nā maʻi, a me ka maʻi hepa
• parasites
• cirrhosis, a i ʻole ka ʻili ʻana o ke ake
• ʻinoʻino ate loa
• choledochal cyst (aia i nā pēpē i ka wā hānau)

He aha nā mea weliweli?

ʻO nā kumu pilikia no ka ālai ʻana o biliary ma muli o ke kumu o ka ālai. ʻO ka hapanui o nā hihia he hopena o nā gallstones. ʻO kēia ka mea e maʻalahi ai ka wahine i ka hoʻomohala ʻana i kahi ālai biliary. ʻO nā kumu ʻē aʻe e pili pū me:

• kahi moʻaukala o nā kāhili
• pancreatitis mau
• maʻi ʻaʻai pancreatic
• kahi ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū
• momona
• wikiwiki kaumaha
• nā kūlana e pili ana i ka haki ʻana o nā hunaola ʻulaʻula, e like me ka anemia maʻi maʻi

He aha nā ʻōuli o ka ālai biliary?

Hiki i nā ʻōuli o ke kūpaʻa biliary ke hilinaʻi i ke kumu o ka ālai. ʻO ka poʻe me ka ʻōpala biliary he:

• nā noho waihoʻoluʻu kukui
• mimi ʻeleʻele
• jaundice (ʻōmaʻomaʻo maka a ʻili paha)
• ʻūlili
• ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• nausea
• ka luaʻi
• Kaumaha emi
• fiva

Pehea e ʻike ʻia ai kahi ālai biliary?

Loaʻa nā hoʻāʻo like ʻole no ka poʻe i loaʻa i kahi ālai biliary. Ma muli o ke kumu o ka ālai, hiki i kāu kauka ke paipai i hoʻokahi a ʻoi paha o nā hōʻike aʻe.

Hōʻike koko

Hoʻopili kahi hōʻike koko i kahi helu piha o ke koko (CBC) a me ka hoʻāʻo ʻana o ka ate. Hiki i nā hoʻokolohua koko ke kāpae i kekahi mau ʻano, e like me:

• cholecystitis, kahi pehu o ka gallbladder
• cholangitis, kahi pehu o ke kahe o ka bile maʻamau
• kahi pae hoʻonui o bilirubin i hoʻopili ʻia, kahi huahana ʻōpala o ke ake
• kahi kiʻekiʻe o nā ʻenema ate
• kahi pae i hoʻonui ʻia o ka alkaline phosphatase

Hōʻike paha kekahi o kēia mau mea i ka nalo o ke kahe o ka bile.

ʻO Ultrasonography

ʻO ka Ultrasonography ka hōʻike mua i hana ʻia ma luna o ka poʻe i manaʻo ʻia he ālai biliary. ʻAe ia i kāu kauka e ʻike maʻalahi i nā pōhaku ʻaʻa.

Biliary radionuclide scan (HIDA scan)

ʻO ka scankani iminodiacetic hepatobiliary iminodiacetic, a i ʻole ʻo HIDA scan, kahi i kapa ʻia he scanner radionuclide biliary. Hoʻohana ia i nā mea radioactive e hāʻawi i ka ʻike waiwai e pili ana i ka huahuakai a me nā mea keakea ʻia.

ʻO Cholangiography

ʻO kahi cholangiography kahi X-ray o nā aʻa bili.

MRI Scan NineManga.com

Hāʻawi kahi scanner MRI i nā kiʻi kikoʻī o ke akepaʻa, ka paewaewa, ka pancreas, a me nā aʻa bili.

Mākēneki resonance cholangiopancreatography (MRCP)

Hoʻohana ʻia ka magnetic resonance cholangiopancreatography (MRCP) no ka hōʻoia ʻana i nā ālai biliary a me ka maʻi pancreatic.

ʻO endoscopic retrograde cholangiopancreatography (ERCP)

ʻO kahi endoscopic retrograde cholangiopancreatography (ERCP) pili i ka hoʻohana ʻana i kahi endoscope a me X-ray. He diagnostic a me kahi mea pono therapeutic. Hāʻawi ia i kāu kauka lāʻau e ʻike i nā dile bile a hoʻohana ʻia ia i ka lāʻau lapaʻau. He mea kōkua nui kēia mea hana no ka mea hiki i kāu kauka ke hoʻohana iā ia e hemo i nā pōhaku a lawe i kahi laʻana biopsy inā pono.

He aha ka lāʻau no ka ālai ʻana i biliary?

Hoʻopaʻa ʻia ka mālama ʻana i ka hoʻoponopono ʻana i ke kumu kumu. ʻO ka pahuhopu kumu o ka lāʻau lapaʻau a lāʻau lapaʻau paha e hoʻoliʻiliʻi i ka palaka. ʻO kekahi o nā koho lapaʻau me kahi cholecystectomy a me kahi ERCP.

ʻO kahi cholecystectomy ka hemo ʻana o ka gallbladder inā he mau pōhaku he. Lawa paha kahi ERCP e hemo i nā pōhaku liʻiliʻi mai ke kahena o ka bile maʻamau a i ʻole e kau i kahi stent i loko o ke kōpana e hoʻihoʻi i ke kahe o ka iwi. Hoʻohana pinepine ʻia kēia i nā hihia kahi e hoʻokumu ʻia ai ka ālai e ka tumo.

Nā pilikia o ka ālai ʻana o ke dule biliary

Me ka ʻole o ka mālama ʻana, hiki ke hoʻoweliweli i nā kaola biliary ke hoʻoweliweli i ke ola. ʻO nā pilikia kūpono e hiki ke ala aʻe me ka ʻole o ka lapaʻau.

• kūkulu weliweli o bilirubin
• nā maʻi maʻi
• sepsis
• maʻi maʻi ate
• biliary cirrhosis

Kāhea aku i kāu kauka inā hoʻomohala ʻoe i ka jaundice a ʻike paha i kahi loli o ke kala o kāu pahu a mimi paha.

Hiki ke pale ʻia i ka pale biliary?

Eia kekahi mau hoʻololi i hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou manawa o ka hoʻomohala ʻana i kahi ālai biliary:

• E hoʻonui i ka nui o ka fiber i kāu papaʻai.
• E hoʻemi i ka nui o ke kō a me nā momona momona i kāu papaʻai. Hiki i kēia mau mea ke hana i nā gallstones.
• Inā kaumaha nui ʻoe, e hoʻoliʻiliʻi i kou kaumaha i kahi pae olakino no kāu moekolohe, makahiki, a me ke kiʻekiʻe.