Ob Txoj Kev Ciav Ciav Dab Tsi

Zoo Siab

• Hom ntawm cov kua tsib ducts
• Dab tsi ua kom muaj biliary nris?
• Dab tsi yog qhov muaj kev pheej hmoo?
• Cov tsos mob ntawm tus mob biliary zoo li cas?
• Yuav kuaj pom biliary li cas?
• Kuaj ntshav
• Ultrasonography
• Biliary radionuclide scan (HIDA scan)
• Cholangiography
• MRI Scan
• Sib nqus resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Yuav kho tus mob biliary li cas?
• Lwm yam teebmeem ntawm tus biliary duct rhuav txhua
• Puas tuaj yeem tiv thaiv biliary?

Dab tsi thaiv biliary?

Kev rhuav tshem biliary yog txhaws ntawm bile ducts. Cov kua tsib (duile ducts) nqa lub kua tsib los ntawm nplooj siab thiab lub zais plab los ntawm tus txiav mus rau duodenum, uas yog ib feem ntawm cov hnyuv. Kua tsib yog daj-ntsuab lossis daj-xim daj ua kua uas tsis pub dhau lub siab los zom cov rog. Tom qab koj noj, lub gallbladder tso cov kua tsib los pab hauv kev zom thiab rog kom tsawg. Bile kuj pab tshem lub siab ntawm cov khoom pov tseg.

Tus txheej txheem ib yam ntawm cov kua tsib no yog hu ua qhov biliary obstruction. Ntau yam mob uas cuam tshuam txog kev rhuav tshem biliary tuaj yeem kho tau zoo. Txawm li cas los xij, yog tias qhov blockage tseem tsis tau siv ntev ntev, nws tuaj yeem ua rau muaj kab mob tuag taus.

Hom ntawm cov kua tsib ducts

Koj muaj ob peb hom kua tsib ducts. Qhov ob hom kua tsib lub plab zom zaub mov yog lub plab txoj hnyuv tawm sab nraud thiab sab nrauv.

• Kev mob siab rau: Kev mob siab rau hauv lub plab yog txoj haujlwm ntawm txoj hlab dej me uas nyob hauv lub siab uas sau thiab thauj cov kua tsib mus rau cov hlab leeg.
• Extrahepatic ducts: Cov ciav hlau hnyav pib pib ua ob ntu, ib qho ntawm sab xis thiab lwm qhov chaw nyob sab laug. Raws li lawv nqis los ntawm daim siab, lawv sib sau ua ke rau daim hepatic duct. Qhov no sau ncaj qha rau txoj hnyuv.

Lub biliary duct, lossis tus nris tawm los ntawm lub zais zis, kuj qhib rau hauv cov nplooj siab hepatic. Bile duct txij ntawm no mus rau yav tom ntej yog lub npe hu ua bile duct lossis choledochus. Ua ntej nchuav mus rau txoj hnyuv, txoj hnyuv twm feem ntau hla dhau ntawm tus txiav.

Dab tsi ua kom muaj biliary nris?

Kev rhuav tshem biliary tuaj yeem tshwm sim los ntawm ntau yam uas cuam tshuam nrog rau:

• kua tsib ducts
• mob siab
• rab qau
• txiav
• txoj hnyuv me

Hauv qab no yog qee qhov teeb meem feem ntau ua rau txhawm rau txhawm rau txhawm rau:

• gallstones, uas yog cov feem ntau ua
• o ntawm cov kua tsib ducts
• kev poob plig
• biliary nruj me ntsis, uas yog qhov txawv txav ntawm lub ntsag
• txhawv
• tsam mob txhab ntshav
• pancreatitis
• ib qho kev raug mob ntsig txog mob qog lossis daim siab phais
• qog uas tau mus txog rau lub siab, mob plab, ntuav, txiav, lossis cov kua tsib
• kis kab mob, suav nrog kab mob siab
• cab
• cirrhosis, los yog caws pliav ntawm daim siab
• mob siab mob siab
• choledochal cyst (tam sim no hauv cov menyuam mos thaum yug los)

Dab tsi yog qhov muaj kev pheej hmoo?

Cov kev pheej hmoo txaus ntshai rau tus thaiv pob txha taub hau feem ntau yog nyob ntawm qhov ua kom muaj qhov thaiv. Feem ntau ntawm cov neeg mob tshwm sim los ntawm kev mob qog. Qhov no ua rau cov poj niam muaj kev pheej hmoo los tsim kev tiv thaiv biliary. Lwm yam kev pheej hmoo muaj xws li:

• keeb kwm ntawm gallstones
• mob txha taub hau
• pancreatic mob cancer
• raug mob rau sab xis ntawm lub plab
• rog dhau
• sai poob ceeb thawj
• cov mob ntsig txog qhov tawg ntawm cov ntshav liab, xws li mob ntshav liab rau lub ntsws

Cov tsos mob ntawm tus mob biliary zoo li cas?

Cov tsos mob ntawm tus mob biliary tuaj yeem yog nyob ntawm qhov laj thawj. Cov tib neeg muaj tus kab mob biliary muaj:

• lub teeb xim ua kom nruj
• tsaus zis
• daj daj ntseg (qhov muag daj lossis tawv nqaij)
• khaus
• mob mob sab saud hauv plab plab
• xeev siab
• ntuav
• poob phaus
• ua npaws

Yuav kuaj pom biliary li cas?

Muaj ntau yam kev kuaj rau cov neeg uas yuav muaj tus tiv thaiv tsis txhaws tawm. Raws li qhov ua rau muaj kev cuam tshuam dab tsi, koj tus kws kho mob yuav pom zoo ib lossis ntau yam ntawm cov hauv qab no.

Kuaj ntshav

Ib qho kev kuaj ntshav muaj xws li ua tiav kev suav cov ntshav (CBC) thiab kuaj lub siab ua haujlwm. Kev kuaj ntshav tuaj yeem txiav tawm qee yam kev mob, xws li:

• cholecystitis, uas yog ib qho mob ntawm lub ncauj zais
• cholangitis, uas yog ib qho mob ntawm cov kua tsib feem ntau
• nce qib ntawm conjugated bilirubin, uas yog khib nyiab ntawm lub siab
• nce qib ntawm daim siab enzymes
• nce qib ntawm alkaline phosphatase

Ib qho ntawm cov no yuav qhia qhov kev poob ntawm cov kua tsib ntws tawm.

Ultrasonography

Ultrasonography feem ntau yog thawj qhov kev sim ua rau ib tus neeg uas xav tias tsam nkaug tawm tsam. Nws tso cai rau koj tus kws kho mob kom pom cov mob qog tau yooj yim.

Biliary radionuclide scan (HIDA scan)

Ib tug kab mob hepatobiliary iminodiacetic acid scan, los yog HIDA scan, tseem raug xa mus ua biliary radionuclide scan. Nws siv cov khoom siv xov tooj cua los muab cov ntaub ntawv muaj txiaj ntsig txog lub zais zis thiab txhua yam uas thaiv tau.

Cholangiography

Tus cholangiography yog xoo hluav taws xob ntawm lub bile ducts.

MRI Scan

Kev thaij MRI muab cov ncauj lus kom ntxaws ntawm daim siab, gallbladder, txiav nplooj zeeg, thiab cov kua tsib.

Sib nqus resonance cholangiopancreatography (MRCP)

Magnetic resonance cholangiopancreatography (MRCP) yog siv rau kev soj ntsuam ntawm obiliary obstructions thiab kab mob pancreatic.

Endoscopic retrograde cholangiopancreatography (ERCP)

Qhov kev cuam tshuam qhov endoscopic chrogin chinanganancreatography (ERCP) koom nrog kev siv qhov endoscope thiab xoo hluav taws xob. Nws yog ob qho tib si los kuaj thiab kho cov cuab yeej. Nws tso cai rau koj tus kws phais mob kom pom lub bile ducts thiab nws kuj tseem siv rau hauv kev kho mob. Qhov cuab yeej no tau pab tshwj xeeb vim tias koj tus kws kho mob tuaj yeem siv nws los tshem pob zeb thiab kuaj pob kuaj yog tias tsim nyog.

Yuav kho tus mob biliary li cas?

Txoj kev kho yog npaj los kho qhov ua rau. Lub hom phiaj tseem ceeb ntawm kev kho mob lossis kev phais mob txhawm rau txhawm rau txhawm rau txhaws. Qee qhov kev xaiv kho mob suav nrog cholecystectomy thiab ERCP.

Ib tug cholecystectomy yog qhov kev tshem tawm ntawm lub qog yog tias muaj gallstones. ERCP yuav tuaj yeem txaus tshem cov pob zeb me me ntawm cov kua tsib uas feem ntau los yog tso rau hauv qhov chaws txhawm rau txhaws ntws rov los. Qhov no feem ntau siv nyob rau hauv rooj plaub uas cuam tshuam kev mob los ntawm cov qog.

Lwm yam teebmeem ntawm tus biliary duct rhuav txhua

Yog tias tsis muaj kev kho mob, biliary duct obstructions tuaj yeem tuag taus. Cov teeb meem tshwm sim uas tuaj yeem tshwm sim yam tsis tau kho yog:

• txaus ntshai buildup ntawm bilirubin
• kis tau tus mob
• sepsis
• kab mob siab
• biliary mob kas cees

Hu rau koj tus kws kho mob yog tias koj muaj mob daj ntseg lossis hnov ​​qhov txawv txav ntawm koj cov quav lossis zis.

Puas tuaj yeem tiv thaiv biliary?

Nov yog qee qhov kev hloov koj tuaj yeem ua kom qis koj txoj kev pheej hmoo los tsim kev rhuav tshem txoj kev biliary:

• Ua kom cov fiber ntau hauv koj cov kev noj haus.
• Txo cov piam thaj thiab cov rog tsawg hauv koj cov zaub mov kom tsawg. Cov no tuaj yeem ob leeg ua rau mob gallstones.
• Yog tias koj lub cev rog dhau lawm, maj mam ua kom koj lub cev yuag mus rau qhov tsis muaj mob rau koj tus pojniam, hnub nyoog, thiab qhov siab.