Bile duct nruj ua kom nruj

Bile duct rigure yog qhov txawv txav ntawm tus ntaws bile duct. Qhov no yog ib txoj hlab uas tshem cov kua tsib los ntawm lub siab mus rau txoj hnyuv. Bile yog ib yam khoom uas pab nrog kev zom.

Txoj kev cai bile duct nruj ua feem ntau los ntawm kev raug mob rau lub bile ducts thaum phais mob. Piv txwv li, nws yuav tshwm sim tom qab kev phais mob kom tshem tawm lub kem plab.

Lwm yam ua rau muaj tus mob no:

• Mob kheesxaws ntawm tus kab mob plab hnyuv txhaws, nplooj siab lossis nplooj siab
• Kev puas tsuaj thiab caws pliav vim yog gallstone nyob hauv cov kua tsib
• Puas tsuaj lossis caws pliav tom qab tshem tawm gallbladder
• Kev mob caj dab
• Thawj sclerosing cholangitis

Cov tsos mob muaj xws li:

• Mob plab yog nyob rau sab xis sab xis ntawm lub plab
• Ua daus no
• Ua npaws
• Khaus
• Qhov kev xav ntawm tsis xis nyob
• Tsis qab los noj mov
• Qhov muag daj
• Xeev siab thiab ntuav
• Tawv daj los yog xim av

Cov ntawv sim hauv qab no tuaj yeem pab txheeb xyuas tus mob no:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Kev Hloov Pauv Nruab Nrab cholangiogram (PTC)
• Sib nqus resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Kev kuaj ntshav hauv qab no tuaj yeem pab qhia qhov teeb meem nrog lub biliary system.

• Alkaline phosphatase (ALP) yog siab dua qhov qub.
• GGT qib enzyme yog siab dua li ib txwm.
• Bilirubin qib siab dua li qub.

Tus mob no tseem tuaj yeem pauv cov kev ntsuas hauv qab no:

• Amylase Qib
• Lipase qib
• Zis bilirubin
• Lub sijhawm Prothrombin (PT)

Lub hom phiaj ntawm kev kho mob yog los kho qhov nqaim. Qhov no yuav tso cai rau cov kua tsib los ntawm nplooj siab mus rau hauv txoj hnyuv.

Qhov no yuav koom nrog:

• Kev phais mob
• Lub qhov nqus pa lossis dej txav ib puag ncig lossis ntxig ntawm cov stents los ntawm kev nruj

Yog tias kev phais mob tiav, raug ntsuas nruj. Hom bile duct yuav rov koom nrog txoj hnyuv me.

Qee qhov xwm txheej me me, cov hlau me lossis cov yas me me (stent) tau tso thoob plaws hauv cov kua tsib lub raj kom nruj kom nws qhib.

Txoj kev kho yog ua tiav feem ntau. Kev vam meej mus ntev yog nyob ntawm qhov ua rau ntawm kev nruj.

Kev rov ua mob thiab txoj kev nqaim ntawm biliary duct tuaj yeem rov qab los ntawm qee tus neeg. Muaj kev pheej hmoo rau kev kis tus kab mob saum thaj chaw nqaim. Cov kev nruj me ntsis uas nyob twj ywm rau ib lub sijhawm ntev yuav ua rau daim siab puas (mob ntsws).

Hu rau koj tus kws kho mob yog tias cov tsos mob rov tom qab mob pancreatitis, cholecystectomy, lossis lwm yam kev phais mob biliary.

Bile lub tog raj tawv nruj; Biliary nruj

• Bile taug txoj kev

Anstee QM, Jones DEJ. Hepatology. Hauv: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Davidson Cov Ntsiab Lus thiab Kev Ua Tshuaj. 23rd ed. Philadelphia, PA: Elsevier; 2018: chap 22.

Cov Fogel EL, Sherman S. Cov kab mob ntawm lub gallbladder thiab kua tsib lub raj. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 146.

Ibrahim-zada Kuv, Ahrendt SA. Kev tswj cov benign biliary nruj. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim No. 13th ed. Philadelphia, PA: Elsevier; 2020: cha 462-466.

Jackson PG, Evans SRT. Biliary system. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho Mob. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 54.