Mawallafi: Gregory Harris
Ranar Halitta: 11 Afrilu 2021
Sabuntawa: 22 Nuwamba 2024
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Biliary Atresia – Pediatrics | Lecturio
Video: Biliary Atresia – Pediatrics | Lecturio

Biliary atresia shine toshewa a cikin bututu (bututu) wanda ke ɗauke da ruwa wanda ake kira bile daga hanta zuwa gallbladder.

Biliary atresia na faruwa yayin da ƙwanjin bile a ciki ko wajen hanta ya kasance kunkuntar hanya, an katange shi, ko ba ya nan. Bututun bile suna ɗauke da ruwan narkewa daga hanta zuwa ƙananan hanji don karya ƙwayoyi da kuma tace sharar daga jiki.

Dalilin cutar ba a bayyana ba. Yana iya zama saboda:

  • Kwayar cuta ta kwayar cuta bayan haihuwa
  • Bayyana abubuwa masu guba
  • Yawancin dalilai na kwayoyin
  • Raunin haihuwa
  • Wasu magunguna kamar su carbamazepine

Ya fi shafar mutane daga Asiya ta Gabas da Ba-Amurke.

Hanyoyin bile suna taimakawa cire sharar daga hanta da ɗaukar gishirin da ke taimakawa ƙaramar hanji ta farfasa (narkewar) kitse.

A cikin jariran da ke fama da cutar atresia, an toshe bile daga hanta zuwa gallbladder. Wannan na iya haifar da lalacewar hanta da kuma cirrhosis na hanta, wanda zai iya zama m.

Kwayar cutar yawanci tana fara faruwa tsakanin makonni 2 zuwa 8. Jaundice (launi mai launin rawaya zuwa fata da gamsai) yana girma a hankali makonni 2 zuwa 3 bayan haihuwa. Jariri na iya yin nauyi kullum ga watan farko. Bayan wannan lokacin, jariri zai rasa nauyi kuma ya zama mai saurin fushi, kuma zai kasance yana ci gaba da jaundice.


Sauran cututtuka na iya haɗawa da:

  • Fitsarin duhu
  • Ciki ya kumbura
  • Wari mara kyau da kuma kango
  • Launi mai launi ko mai laushi
  • Sannu a hankali

Mai ba da lafiyarku zai ɗauki tarihin lafiyar ɗanku kuma ya yi gwajin jiki don bincika ƙara girman hanta.

Gwaje-gwajen don gano rashin lafiyar atresia sun hada da:

  • X-ray na ciki don bincika hanta da saifa
  • Cikakken duban dan tayi don duba gabobin ciki
  • Gwajin jini don bincika duka kuma kai tsaye matakan bilirubin
  • Hepatobiliary scintigraphy ko HIDA scan don bincika ko ƙwayoyin bile da gallbladder suna aiki da kyau
  • Kwayar halittar hanta don duba tsananin cutar cirrhosis ko kuma kawar da wasu dalilai na cutar cizon sauro
  • X-ray na bile ducts (cholangiogram) don bincika idan an buɗe ko rufe rufin bile

Aiki da ake kira Kasai ake yi don haɗa hanta da ƙaramar hanji. Ana keta hanyoyin da ba na al'ada ba. Yin aikin ya fi nasara idan aka yi shi kafin jaririn ya cika makonni 8 da haihuwa.


Ana iya buƙatar dasa ƙwayar hanta kafin shekara 20 a cikin mafi yawan al'amuran.

Yin tiyata da wuri zai inganta rayuwar fiye da kashi ɗaya bisa uku na jarirai masu wannan yanayin. Ba a san fa'idar dogon lokaci na dashen hanta ba, amma ana sa ran inganta rayuwa.

Matsaloli na iya haɗawa da:

  • Kamuwa da cuta
  • Ciwon cirrhosis da ba a iya sakewa
  • Rashin hanta
  • Rikicin tiyata, gami da gazawar aikin Kasai

Kirawo mai ba da sabis idan ɗanka ya bayyana baƙi, ko kuma idan wasu alamun alamun rashin ƙarfi na atresia na ci gaba.

Jaundice jarirai - biliary atresia; Yaran jaundice - biliary atresia; Ctarin ductopenia; Ci gaba mai lalacewa cholangiopathy

  • Sabon jaundice - fitarwa
  • Yarinyar jaundice - abin da za a tambayi likitanka
  • Bile da aka samar a cikin hanta

Berlin SC. Hoto na binciko hoto na jariri. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 38.


Cazares J, Ure B, Yamataka A. Biliary atresia. A cikin: Holcomb GW, Murphy JP, St. Peter SD, eds. Holcomb da Ashcraft ta ilimin aikin likita na yara. 7th ed. Philadelphia, PA: Elsevier; 2020: babi na 43.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC. Cholestasis. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 383.

O'Hara SM. Hantar yara da baƙin ciki. A cikin: Rumack CM, Levine D, eds. Binciken Duban dan tayi. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 51.

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