Bile duct tsananin

Strictarfin bututun bututun ƙarfe ƙarancin bututu na mahaukaci ne. Wannan bututu ne wanda ke motsa bile daga hanta zuwa karamar hanji. Bile abu ne wanda yake taimakawa narkewa.

Biaƙarin ƙwayar ƙwayar ƙwayar ƙwayar cuta sau da yawa yakan haifar da rauni ga ƙwanjin bile yayin aikin tiyata. Misali, yana iya faruwa bayan tiyata cire gallbladder.

Sauran dalilan wannan yanayin sun hada da:

• Ciwon kansa na bututun bile, hanta ko kuma pancreas
• Lalacewa da tabo saboda gallstone a cikin bututun bututun ciki
• Lalacewa ko tabo bayan cirewar gall
• Pancreatitis
• Cutar sclerosing cholangitis

Kwayar cutar sun hada da:

• Ciwon ciki a saman gefen dama na ciki
• Jin sanyi
• Zazzaɓi
• Itching
• Jin gaba daya rashin jin daɗi
• Rashin ci
• Jaundice
• Tashin zuciya da amai
• Launi mai launi ko mai laushi

Gwaje-gwaje masu zuwa na iya taimakawa wajen gano wannan yanayin:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Ercwararren ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa (PTC)
• Magnetic rawa cholangiopancreatography (MRCP)
• Endoscopic duban dan tayi (EUS)

Gwajin jini na gaba na iya taimakawa wajen bayyana matsala tare da tsarin biliary.

• Alkalfin phosphatase (ALP) ya fi yadda yake.
• Matsayin enzyme na GGT ya fi yadda yake.
• Bilirubin ya fi yadda yake.

Wannan yanayin na iya canza sakamakon waɗannan gwaje-gwajen masu zuwa:

• Matsayin Amylase
• Matsayin Lipase
• Fitsarin bilirubin
• Lokacin Prothrombin (PT)

Manufar jiyya ita ce gyara taƙaitawar. Wannan zai ba da izinin bile ya kwarara daga hanta zuwa cikin hanji.

Wannan na iya haɗawa da:

• Tiyata
• Endoscopic ko fadada hanya ko sanya stents ta hanyar tsananin

Idan anyi aikin tiyata, an cire tsauraran. Za'a sake haɗa bututun bile na yau da hanji.

A wasu lokuta, ana sanya ƙaramin ƙarfe ko filastik raga (stent) a ƙetaren bile don tsananin buɗe shi.

Jiyya yana cin nasara mafi yawan lokuta. Nasara na dogon lokaci ya dogara da dalilin tsananin.

Kumburi da ƙuntataccen bututun biliary na iya dawowa cikin wasu mutane. Akwai haɗarin kamuwa da cuta sama da yankin da aka takura. Matsalolin da suka rage na dogon lokaci na iya haifar da lalata hanta (cirrhosis).

Kira mai ba da sabis na kiwon lafiya idan bayyanar cututtuka ta sake dawowa bayan cututtukan pancreatitis, cholecystectomy, ko sauran aikin tiyata.

Bile duct tsananin Iliarfafa Biliary

• Hanyar Bile

Jirgin QM QM, Jones DEJ. Hepatology. A cikin: Ralston SH, ID na Penman, Strachan MWJ, Hobson RP, eds. Ka'idodin Davidson da Aikin Magani. 23 ga ed. Philadelphia, PA: Elsevier; 2018: babi na 22.

Fogel EL, Sherman S. Cututtuka na gallbladder da bile ducts. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 146.

Ibrahim-zada I, Ahrendt SA. Gudanar da tsauraran matakan biliary. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: babi na 462-466.

Jackson PG, Evans SRT. Biliary tsarin. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 54.