Tso me me - biliary ib ntsuj av

Kev rho tawm biliary me me yog qhov kev tshem tawm cov hlwb me me thiab cov kua dej los ntawm duodenum, kua tsib lub plab, txiav txiav, los yog hlab ntaws. Qhov hnoos qeev raug kuaj hauv qab lub tshuab tsom.

Ib qhov hnoos qeev rau ib txoj hlab ntshav tawm mus ua ke tuaj yeem tau txais cov kev sib txawv.

Ib rab koob rab koob tuaj yeem ua tiav yog tias koj muaj cov qog ntshav txhais tau zoo.

• Lub chaw tso dej kom huv.
• Ib rab koob nyias nyias yog tso rau hauv qhov chaw coj mus kuaj, thiab cov hnoos qeev thiab cov kua dej tau raug tshem tawm.
• Lub koob tau muab tso tseg.
• Siab tso rau thaj chaw kom nres qhov ntshav txhaws. Lub xaib yuav tau them nrog bandage.

Yog tias koj muaj txoj kev nqaim los sis txhaws ntawm cov kua tsib los yog lub plab zom mov, yuav ua ib qho piv txwv thaum cov txheej txheem xws li:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Kev Hloov Pauv Nruab Nrab cholangiogram (PTCA)

Koj tuaj yeem tsis tuaj yeem noj lossis haus 8 rau 12 teev lossis ntau dua ua ntej ntsuas. Koj tus kws kho mob yuav qhia koj ua ntej tias koj yuav tau ua dab tsi.

Nco ntsoov tias muaj ib tug neeg coj koj rov qab mus tsev.

Kev ntsuas yuav zoo li cas nyob ntawm hom txheej txheem siv los tshem tawm cov qauv coj mus kuaj. Nrog rab koob siv rab koob, tej zaum koj yuav hnov ​​lub qhov khoob zoo li rab koob koob ntxig. Qee tus neeg hnov ​​mob plab zom zaws lossis txhaws zoo nkaus li tus txheej txheem hauv qhov txheej txheem.

Cov tshuaj noj kom txhob hnov ​​mob thiab pab kom koj ib ce ntaug yog siv rau lwm txoj kev siv los ua pob.

Kev kuaj mob me me yuav txiav txim siab yog tias ib qho qog pib nyob rau hauv lub siab lossis kis tawm los ntawm lwm qhov chaw. Nws kuj tuaj yeem txiav txim siab yog tias cov qog mob cancer.

Qhov kev ntsuas no tuaj yeem ua tiav:

• Tom qab kuaj mob lub cev, xoo hluav taws xob, MRI, CT scan, lossis ultrasound qhia kev loj hlob tsis zoo hauv koj cov pob txha
• Txhawm rau kuaj kab mob lossis kis kab mob

Qhov ib txwm tshwm sim txhais tau hais tias tsis muaj cov cim qhia tias muaj mob qog nqaij hlav, mob, lossis kis tus kab mob hauv qhov kev kuaj me.

Qhov ntsuas tsis zoo yuav yog vim:

• Khees xawj ntawm cov kua tsib (cholangiocarcinoma)
• Cov hlwv nqaij hauv lub siab
• Mob siab mob cancer
• Pancreatic mob cancer
• O ua pob thiab xoo pob txha ntawm caj pas (thawj sclerosing cholangitis)

Kev phom sij yog nyob ntawm seb qhov kev kuaj ntshav coj mus kuaj li cas.

Kev phom sij kuj yuav muaj xws li:

• Los ntshav nyob ntawm lub tsev tso zis
• Kab mob

Cytology tsom xam - cov tawv ncauj; Ob hom phaus plab me me

• Gallbladder endoscopy
• Kab lis kev cai

Chernecky CC, Berger BJ. Tso me me, qhov chaw tso quav tshwj xeeb. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2013: 199-201.

Stockland AH, Baron TH. Endoscopic thiab radiologic kev kho mob ntawm tus kab mob biliary. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 70.