Biliary bututun toshewa

Wadatacce

• Nau'o'in bututun bile
• Me ke kawo cikas?
• Menene dalilai masu haɗari?
• Menene alamomin toshewar biliary?
• Yaya ake gano cikowar biliary?
• Gwajin jini
• Ultrasonography
• Biliary radionuclide scan (HIDA scan)
• Cholangiography
• MRI Scan
• Magnetic rawa mai tasiri (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Menene magani don toshewar biliary?
• Matsaloli na toshewar bututun biliary
• Shin za a iya hana toshewar biliary?

Menene toshewar biliary?

Toshewar ciki shine toshewar hanyoyin bile. Hanyoyin bile suna dauke da bile daga hanta da gallbladder ta cikin pancreas zuwa duodenum, wanda wani bangare ne na karamin hanji. Bile wani ruwa ne mai duhu-kore ko ruwan kasa mai launin ruwan hoda da hanta ke narkar da kitse. Bayan ka ci abinci, gallbladder na fitar da bile don taimakawa wajen narkewa da narkar da mai. Bile kuma yana taimakawa share hanta daga kayan sharar gida.

Takaita kowane ɗayan waɗannan bututun bile ana kiranta azaman toshewar jini. Yawancin yanayi da suka shafi toshewar biliary ana iya magance su cikin nasara. Koyaya, idan toshewar ta kasance ba a magance ta na dogon lokaci ba, zai iya haifar da cututtukan hanta masu barazanar rai.

Nau'o'in bututun bile

Kuna da nau'ikan bututun bile da yawa. Nau'o'in bile biyun da ke cikin hanta su ne bututun ciki da na karin jini.

• Hanyoyin Intrahepatic: Magungunan Intrahepatic wani tsari ne na ƙaramin bututu a cikin hanta wanda ke tattarawa da jigilar bile zuwa bututun ɓarna.
• Duarin bututun ƙarfe: Maganganan karin jini suna farawa kamar sassa biyu, ɗaya a hannun dama na hanta ɗayan kuma a hagu. Yayin da suke gangarowa daga hanta, sai su haɗu don samar da bututun hanta na yau da kullun. Wannan yana tafiya kai tsaye zuwa karamin hanji.

Har ila yau, bututun biliary, ko bututun daga gallbladder, shima yana buɗewa zuwa bututun hanta na yau da kullun. Ruwan bile daga wannan gaba zuwa gaba an san shi da bututun bile na yau da kullun ko choledochus. Kafin ɓoyewa cikin ƙaramin hanji, bututun bile na yau da kullun yana ratsa cikin ɓarke.

Me ke kawo cikas?

Rashin cikas na iya haifar da wasu dalilai wadanda suka shafi:

• bututun bile
• hanta
• gyambon ciki
• pancreas
• karamin hanji

Wadannan suna daga cikin sanannun sanadin toshewar biliary:

• duwatsun gall, waɗanda sune sanadin kowa
• kumburin bututun bile
• rauni
• tsananin ƙarfi na biliary, wanda ƙarancin bututu ne
• cysts
• kara narkarda lymph
• pancreatitis
• raunin da ya shafi gallbladder ko tiyatar hanta
• kumburin da ya isa hanta, gallbladder, pancreas, ko bile ducts
• cututtuka, ciki har da hepatitis
• parasites
• cirrhosis, ko raunin hanta
• mummunar hanta
• choledochal mafitsara (ba a cikin jarirai a lokacin haihuwa)

Menene dalilai masu haɗari?

Abubuwan haɗarin haɗarin hana biliary yawanci sun dogara da dalilin toshewar. Mafi yawan shari'o'in sakamakon sanyin dutse ne. Wannan yana sa mata su zama masu saukin kamuwa da toshewar biliary. Sauran abubuwan haɗarin sun haɗa da:

• tarihin gallstone
• kullum pancreatitis
• cutar sankarau
• rauni ga ɓangaren dama na ciki
• kiba
• asarar nauyi mai sauri
• yanayi mai alaƙa da lalacewar jajayen ƙwayoyin jini, kamar cutar sikila anemia

Menene alamomin toshewar biliary?

Alamomin toshewar biliary na iya dogaro da dalilin toshewar. Mutanen da ke toshewar biliary yawanci suna da:

• kujerun launuka masu haske
• fitsari mai duhu
• jaundice (idanu rawaya ko fata)
• ƙaiƙayi
• zafi a gefen dama na sama na ciki
• tashin zuciya
• amai
• asarar nauyi
• zazzaɓi

Yaya ake gano cikowar biliary?

Akwai gwaje-gwaje iri-iri ga mutanen da ke iya samun cikas. Dangane da dalilin toshewar, likitanka na iya bayar da shawarar ɗaya ko fiye na waɗannan gwaje-gwajen masu zuwa.

Gwajin jini

Gwajin jini ya haɗa da cikakken ƙidayar jini (CBC) da gwajin aikin hanta. Gwajin jini yawanci na iya fitar da wasu yanayi, kamar su:

• cholecystitis, wanda shine kumburi na gallbladder
• cholangitis, wanda shine ƙonewa na bututun bile na yau da kullun
• wani matakin karuwa na bilirubin hade, wanda yake sharar hanta ne
• increasedara yawan hanta enzymes
• increasedara yawan matakin alkaline phosphatase

Kowane ɗayan waɗannan na iya nuna asarar kwararar bile.

Ultrasonography

Ultrasonography yawanci shine gwaji na farko da akeyi akan duk wanda ake zargi da toshewar iska. Yana bawa likitanku damar duba tsakuwa cikin sauƙi.

Biliary radionuclide scan (HIDA scan)

Hakanan ana kiransa hoton hepatobiliary iminodiacetic acid, ko HIDA scan, a matsayin biliary radionuclide scan. Yana amfani da kayan aikin rediyo don bayar da bayanai masu mahimmanci game da gallbladder da duk wasu abubuwan hanawa.

Cholangiography

A cholangiography shine X-ray na bile ducts.

MRI Scan

Binciken MRI yana ba da cikakken hoto game da hanta, gallbladder, pancreas, da bile ducts.

Magnetic rawa mai tasiri (MRCP)

Ana amfani da haɓakar maganadisu na sihiri (MRCP) don gano ƙwanƙwasa biliary da cutar pancreatic.

Endoscopic retrograde cholangiopancreatography (ERCP)

An endoscopic retrograde cholangiopancreatography (ERCP) ya haɗa da amfani da ƙwanƙwasawa da X-ray. Dukansu kayan aikin bincike ne da na warkewa. Yana bawa likitan ku damar ganin bututun bile kuma ana amfani dashi a magani. Wannan kayan aikin yana taimakawa musamman saboda likitanka na iya amfani dashi don cire duwatsu da ɗaukar samfurin biopsy idan ya cancanta.

Menene magani don toshewar biliary?

Ana nufin jiyya don gyara dalilin. Babban manufar likitanci ko tiyata shi ne sauƙaƙa matsalar. Wasu daga zaɓuɓɓukan maganin sun haɗa da cholecystectomy da ERCP.

A cholecystectomy shine cire gallbladder idan akwai gallstall. ERCP na iya isa don cire ƙananan duwatsu daga bututun bile na yau da kullun ko kuma sanya mara ƙarfi a cikin bututun don dawo da kwararar bile. Ana amfani da wannan sau da yawa a lokuta inda toshewar cuta ta haifar da ƙari.

Matsaloli na toshewar bututun biliary

Ba tare da magani ba, toshewar hanyoyin bututun jini na iya zama barazanar rai. Matsalolin da ka iya faruwa ba tare da magani ba sun hada da:

• hadari na bilirubin
• cututtuka
• sepsis
• cutar hanta na kullum
• biliary cirrhosis

Tuntuɓi likitanka idan ka kamu da cutar jaundice ko ka lura da canjin launi na kumatunka ko fitsari.

Shin za a iya hana toshewar biliary?

Anan ga ‘yan canje-canje da zaku iya yi don rage damar ku na haifar da toshewar biliary:

• Ara yawan fiber a cikin abincinku.
• Rage adadin sukari da mai a cikin abincinku. Waɗannan na iya haifar da duwatsun gall.
• Idan kin yi kiba, sannu a hankali sanya nauyin ki ya zama cikin kewayon lafiya don jima'i, shekarun ki, da tsayin ki.