Ukuqiniswa kwedreyini yenyani

Uxinzelelo lwe-bile duct kukunciphisa ngokungaqhelekanga kwendlela eqhelekileyo yenyongo. Le yityhubhu ehambisa inyongo ukusuka kwisibindi ukuya kumathumbu amancinci. Ibile yinto enceda ekucoleni ukutya.

Uxinzelelo lwe-bile duct lubangelwa kukonzakala kwimibhobho yenyongo ngexesha lotyando. Umzekelo, kunokwenzeka emva kotyando ukususa i-gallbladder.

Ezinye izizathu zale meko zibandakanya:

• Umhlaza wendlela yenyongo, isibindi okanye ipancreas
• Ukonakaliswa kunye nokunqongophala ngenxa yelitye lenyongo kumzila wenyongo
• Umonakalo okanye ukonakala emva kokususwa kwenyongo
• Ipancreatitis
• Isiseko se-sclerosing cholangitis

Iimpawu zibandakanya:

• Iintlungu zesisu kwicala lasekunene lesisu
• Ukugodola
• Ifiva
• Ukurhawuzelela
• Ukuziva ungonwabanga ngokubanzi
• Ukuphelelwa ngumdla wokutya
• I-jaundice
• Isicaphucaphu nokugabha
• Ipeyinti okanye izitulo ezinombala wodongwe

Olu vavanyo lulandelayo lunokunceda ukufumanisa le meko:

• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Ipolututaticatichephepatic cholangiogram (PTC)
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-endoscopic ultrasound (i-EUS)

Olu vavanyo lwegazi lulandelayo lunokunceda ukuveza ingxaki kwinkqubo yonyango.

• I-alkaline phosphatase (ALP) iphezulu kuneqhelekileyo.
• Inqanaba le-enzyme ye-GGT liphezulu kunesiqhelo.
• Inqanaba leBilirubin liphezulu kuneqhelekileyo.

Le meko inokutshintsha iziphumo zolu vavanyo lulandelayo:

• Inqanaba le-Amylase
• Inqanaba likaLipase
• Umchamo bilirubin
• Ixesha leprothrombin (PT)

Injongo yonyango kukulungisa ukunciphisa. Oku kuyakuvumela inyongo ukuba iphume kwisibindi iye emathunjini.

Oku kunokubandakanya:

• Ugqirha
• I-Endoscopic okanye i-percutaneous dilation okanye ukufakwa kwee-stents ngokuqiniswa

Ukuba utyando lwenziwe, ukungqinisisa kuyasuswa. I-bile duct eqhelekileyo iya kuphinda idityaniswe namathumbu amancinci.

Kwezinye iimeko, ityhubhu encinci yentsimbi okanye iplastiki (i-stent) ibekwe ngapha komgaqo wendlela yokuyigcina ivulekile.

Unyango luyaphumelela amaxesha amaninzi. Impumelelo yexesha elide ixhomekeke kwisizathu sokungqinelana.

Ukudumba kunye nokunciphisa i-biliary duct inokubuyela kwabanye abantu. Kukho umngcipheko wosulelo ngaphezulu kwendawo encinci. Izithambiso ezihlala ixesha elide zinokukhokelela kumonakalo wesibindi (i-cirrhosis).

Fowunela umboneleli wakho wezempilo ukuba iimpawu ziphindaphindeka emva kwepancreatitis, cholecystectomy, okanye olunye utyando lwe-biliary.

Ukuqiniswa kwendlela emileyo; Ulawulo lweBiliary

• Indlela yendlela

I-Anstee QM, uJones DEJ. Isifo seHepatology. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, ii-eds. Imigaqo kaDavidson kunye nokuSebenza kweyeza. Umhla we-23. IPhiladelphia, PA: Elsevier; I-2018: isahluko 22.

UFogel EL, uSherman S. Izifo ze-gallbladder kunye ne-bile ducts. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 146.

U-Ibrahim-zada I, uAhrendt SA. Ulawulo lweempawu ezinobungozi ezinobungozi. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; 2020: isahluko 462-466.

UJackson PG, uEvans SRT. Inkqubo yeBiliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 54.