Cov quav - daj ntseg lossis xim av
Cov quav uas yog xim daj, av nplaum, lossis qog xim yuav yog vim muaj teeb meem hauv cov txheej txheem biliary. Txoj kev biliary yog txoj kev tso dej tawm ntawm lub zais plab, nplooj siab, thiab lub qhov quav.
Lub siab tso tawm cov kua tsib ntsev rau hauv cov quav, muab cov xim av ua xim rau ib txwm. Koj yuav muaj cov quav av nplaum ua yog tias koj muaj kab mob siab uas ua kom cov kua paug tawm ntau, lossis yog cov kua ntws tawm hauv lub siab tawm mus.
Cov tawv daj daj (daj daj) feem ntau tshwm sim nrog cov av-cov quav. Qhov no tuaj yeem vim yog qhov ua cov bile chemical hauv lub cev.
Cov teeb meem ua rau cov quav pleev quav tawv:
- Cawv muaj tus kab mob siab
- Biliary mob plawv
- Mob khees xaws lossis mob ua tsis mob (benign) mob qog, mob plab, lossis mob hlab ntsws hlav
- Hlawv ntawm lub bile ducts
- Gallstones
- Qee yam tshuaj
- Qhov nqaim ntawm bile ducts (biliary rigures)
- Sclerosing cholangitis
- Cov teeb meem hauv cov txheej txheem hauv cov biliary uas tam sim no txij thaum yug los (yug los ua ke)
- Kab mob siab
Tej zaum yuav muaj lwm qhov laj thawj uas tsis muaj npe nyob ntawm no.
Hu rau koj tus kws saib xyuas kev noj qab haus huv yog tias koj cov quav tsis yog xim daj li qub tau ob peb hnub.
Tus kws khomob yuav kuaj ib ce lub cev. Lawv yuav nug txog koj li kev mob thiab cov tsos mob. Cov lus nug yuav muaj xws li:
- Thaum twg cov tsos mob tshwm sim thawj zaug?
- Txhua cov quav puas tso quav?
- Koj noj tshuaj dab tsi?
- Koj muaj lwm cov tsos mob zoo li cas?
Kev ntsuam xyuas uas yuav ua tau muaj xws li:
- Kev kuaj ntshav, nrog rau kev ntsuam xyuas txhawm rau kuaj xyuas lub siab ua haujlwm thiab rau cov kabmob uas yuav cuam tshuam rau lub siab
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Kev tshawb nrhiav duab, xws li kev ntsuas plab, ntsuas CT, lossis MRI ntawm daim siab thiab kua tsib lub plab
- Kev txo qis qhov quav ntawm lub cev
Korenblat KM, Berk PD. Txoj kev rau tus neeg mob jaundice lossis kuaj lub siab tsis zoo. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 138.
Lidofsky SD. Qhov muag daj. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 21.
Cim RA, Saxena R. Kab mob siab thaum yau. Hauv: Saxena R, ed. Tswv yim Hepatic Pathology: Ib Txoj Kev Ntsuas Kev Pom ZooCov. 2nd ed. Philadelphia, PA: Elsevier; 2018: chap 5.