Tus Sau: Gregory Harris
Hnub Kev Tsim: 11 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 22 Lub Kaum Ib Hli Ntuj 2024
Anonim
Biliary Atresia – Pediatrics | Lecturio
Daim Duab: Biliary Atresia – Pediatrics | Lecturio

Biliary atresia yog qhov txhaws hauv cov hlab (ducts) uas nqa cov kua hu ua kua tsib los ntawm daim siab mus rau lub zais zis.

Biliary atresia tshwm sim thaum cov kua tsib lub plab sab hauv lossis sab hauv lub siab ua lub siab tsis ua haujlwm, txhaws, lossis tsis tuaj. Cov kua tsib cov kua tsib muaj lub plab ua kua los ntawm nplooj siab mus rau plab me me kom zom cov rog thiab lim tawm cov zaub mov pov tseg los ntawm lub cev.

Cov ua kom muaj tus kab mob no tsis paub meej. Nws yuav yog vim:

  • Tus mob kis tau tom qab tus me nyuam yug los
  • Raug ntawm cov khoom lom
  • Ntau yam caj ces
  • Kev raug mob Perinatal
  • Qee yam tshuaj xws li carbamazepine

Nws muaj feem ntau cuam tshuam rau tib neeg ntawm Cov Neeg Esxias Sab Qab Teb thiab Neeg Asmeskas Dub.

Cov kua tsib (duile ducts) pab tshem cov plua plav tawm ntawm daim siab thiab nqa cov ntsev uas pab txoj hnyuv kom zom (zom) rog.

Hauv cov menyuam yaus uas muaj tus kab mob biliary atresia, cov kua tsib tawm los ntawm lub siab mus rau lub zais plab yog txhaws. Qhov no tuaj yeem ua rau lub siab puas tsuaj thiab mob ntsws ua rau daim siab, tuaj yeem ua rau tuag taus.

Cov tsos mob feem ntau pib tshwm sim ntawm 2 txog 8 lub lis piam. Jaundice (xim daj rau daim tawv thiab hnoos qeev) pib qeeb zuj zus 2 mus rau 3 lis piam tom qab yug. Tus menyuam mos yuav lub cev hnyav tuaj thawj lub hlis. Tom qab kis ntawd, tus menyuam yuav poob ceeb thawj thiab yuav chim siab, thiab yuav muaj nqaij tawv daj ntseg ntau ntxiv.


Lwm cov tsos mob tuaj yeem suav nrog:

  • Tsaus zis
  • Ntaj plab
  • Ua quav tsw ntxhiab thiab ntab
  • Tawv daj los yog xim av
  • Kev loj hlob qeeb

Koj tus kws kho mob yuav siv koj tus menyuam li keeb kwm kho mob thiab kuaj lub cev kom kuaj xyuas seb puas muaj lub siab.

Kev tshuaj ntsuam xyuas seb puas muaj tus kab mob biliary atresia muaj xws li:

  • Lub plab xoo hluav taws xob rau kev kuaj mob rau daim siab thiab hnoos qeev
  • Txoj hlab ntaws hauv plab los kuaj xyuas cov khoom hauv nruab nrog cev
  • Kev kuaj ntshav los xyuas tag nrho thiab ncaj qha ntawm bilirubin ntau ntau
  • Hepatobiliary hepatobiliary scintigraphy lossis HIDA scan los tshawb xyuas seb lub bile ducts thiab lub zais zis ua haujlwm zoo li cas
  • Kev kuaj mob rau lub cev mus kuaj seb puas muaj kab mob siab lossis mob lwm yam ua rau mob daj ntseg
  • Xoo hluav taws xob ntawm lub bile ducts (cholangiogram) los kuaj xyuas yog tias cov kua tsib lub plab yog qhib lossis kaw.

Kev ua haujlwm hu ua Kasai tus txheej txheem yog ua tiav los txuas lub siab rau cov hnyuv. Qhov txawv txav ducts yog bypassed. Qhov kev phais mob zoo dua yog ua tiav ua ntej tus menyuam muaj 8 lub lis piam.


Yuav tsum tau hloov lub siab ua ntej hnub nyoog 20 xyoo nyob rau hauv feem ntau ntawm cov mob.

Kev phais thaum ntxov yuav txhim kho txoj kev ua neej nyob ntau dua li ib feem peb ntawm cov menyuam yaus uas muaj tus mob no. Lub sijhawm ntev tau txais txiaj ntsig ntawm daim siab hloov pauv tseem tsis tau paub, tab sis nws xav kom txhim kho kev muaj sia nyob ntev.

Teeb meem yuav suav nrog:

  • Kab mob
  • Irreversible cirrhosis
  • Daim siab ua haujlwm
  • Kev phais mob, suav nrog kev tsis ua raws li tus txheej txheem Kasai

Hu rau koj tus kws kho mob yog tias koj tus menyuam lub ntsej muag daj, lossis yog tias muaj lwm cov tsos mob ntawm tus mob biliary atresia.

Jaundice cov menyuam mos yug tshiab - biliary atresia; Tus menyuam mos liab daj liab txiv neej - biliary atresia; Cov pa txhaws txhaws ntswg; Zaus obliterative cholangiopathy

  • Tus me nyuam mos liab daj - tso zis
  • Tus menyuam mos liab daj deev - dab tsi yuav nug koj tus kws kho mob
  • Bile tsim tawm hauv lub siab

Berlin SC. Kev kuaj mob ntawm qhov neonate. Hauv: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff thiab Martin's Neonatal-Perinatal TshuajCov. 11th ed. Philadelphia, PA: Elsevier; 2020: cha 38.


Cazares J, Ure B, Yamataka A. Biliary atresia. Hauv: Holcomb GW, Murphy JP, St. Peter SD, eds. Holcomb thiab Ashcraft's Kev Ntsuam Xyuas Menyuam MosCov. 7 tus ed. Philadelphia, PA: Elsevier; 2020: cha 43.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC. Cholestasis. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 383.

O'Hara SM. Pediatric daim siab thiab tus po. Hauv: Rumack CM, Levine D, eds. Kev kuaj mob UltrasoundCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 51.

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