Ilindle - umbala omdaka okanye odongwe

Izitshixo eziluthuthu, ezodongwe, okanye ezinombala onombala zinokubangelwa zii-biliary system. Inkqubo ye-biliary yinkqubo yokuhambisa amanzi kwi-gallbladder, isibindi kunye ne-pancreas.

Isibindi sikhupha iityuwa ze-bile kwisitulo, zisinike umbala oqhelekileyo omdaka. Unokuba nezihlalo ezinemibala yodongwe ukuba unesifo sesibindi esinciphisa ukuveliswa kwe-bile, okanye ukuba ukuphuma kwenyongo ngaphandle kwesibindi kuvaliwe.

Isikhumba esimthubi (i-jaundice) sihlala sivela kwizitulo ezinemibala yodongwe. Oku kunokuba ngenxa yokwakhiwa kweekhemikhali ze-bile emzimbeni.

Izizathu ezinokubangela izitulo ezinemibala yodongwe zibandakanya:

• Utywala hepatitis
• Isibindi sephepha
• Umhlaza okanye izilonda ezingenabungozi (ezinobungozi) zesibindi, inkqubo ye-biliary, okanye ipancreas
• Ingqele yemibhobho yenyongo
• Amatye egall
• Amanye amayeza
• Ukucuthwa kwemibhobho yenyongo (i-biliary strictures)
• Ukubola kwe-cholangitis
• Iingxaki zesakhiwo kwinkqubo ye-biliary ekhoyo ukusuka ekuzalweni (kokuzalwa)
• Intsholongwane yesibindi

Kunokubakho ezinye izizathu ezingadweliswanga apha.

Fowunela umboneleli wakho wezempilo ukuba izitulo zakho aziwona umbala oqhelekileyo omdaka kangangeentsuku ezininzi.

Umboneleli uya kwenza uvavanyo lomzimba. Baza kubuza imibuzo malunga nembali yakho yonyango kunye neempawu. Imibuzo inokubandakanya:

• Lwaqala nini olu phawu?
• Ngaba zonke izitulo zitshintshiwe?
• Ngawaphi amayeza owasebenzisayo?
• Zeziphi ezinye iimpawu onazo?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi, kubandakanya uvavanyo lokujonga ukusebenza kwesibindi kunye neentsholongwane ezinokuthi zichaphazele isibindi
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Izifundo zokulinganisa, ezinje nge-ultrasound yesisu, i-CT scan, okanye iMRI yesibindi kunye nemibhobho yenyongo

• Umzimba wokugaya osezantsi

I-Korenblat KM, iBerk PD. Indlela eya kwisigulana esine-jaundice okanye iimvavanyo zesibindi ezingaqhelekanga. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 138.

ILidofsky SD. I-jaundice. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: Isahluko 21.

Amanqaku RA, Saxena R. Izifo zesibindi zobuntwana. Ku: Saxena R, ed. I-Hepatic Pathology esebenzayo: Indlela yokuChonga. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 5.