Biliary hauhawar jini: Description, Sanadin, Alamun kuma Jiyya

Kamar yadda a fili samuwa data, yanzu ya karu da yawan cututtuka na biliary tsarin. Wannan shi ne saboda da hali na wani m salon, m rage cin abinci, da kuma hereditary predisposition. A kowace shekara akwai wata karuwa da cututtuka tare da ci gaban biliary hauhawar jini. Wannan tsanani cutar da za a tattauna a cikin labarin.

Features da cutar

Biliary hauhawar jini ne ya fi kowa bayyanuwar marurai qazanta malignancy cewa taso a cikin hanta da kuma gallbladder. Sau da yawa sosai, wannan Pathology yana tare da obstructive jaundice. Bayyana a kai na pancreas ƙari fara latsa a kan bile ducts, kuma akwai duwatsu ko polyps inganta faru na matsa lamba da ba ya ba al'ada bile kwarara. Hauhawar jini bi don haka idan shi ne benign, tare da taimakon m endoscopy.

Sanadin

Biliary hauhawar jini ne su iya ci gaba da wadannan pathological yanayi:

• Yãfẽwa kuma m marurai tasowa a daya daga cikin biliary fili, abu don rushewa daga cikin outflow. Bugu da kari, bayyanar wannan Pathology sakamakon matsawa na daya daga cikin ducts ci gaba a cikin wani nan kusa Gabar neoplasm.
• Cholelithiasis da calculous cholecystitis. Irin wannan cututtuka ana halin da samuwar insoluble duwatsu a sassa daban-daban na cikin hepatobiliary tsarin da kuma bayyanar jaundice.
• A gaban parasites a cikin ducts - helminths.

Har ila yau, wannan cuta na iya ci gaba saboda nakasar malformations biliary fili, wanda da ƙẽƙasasshen siffar da diamita na lumen. A wannan yanayin, da bayyanar cututtuka da cutar bayyana kansu a cikin shimfiɗar jariri.

cututtuka

Bayyanar cututtuka na biliary hauhawar jini a farko mataki na ta ci gaba, babu albarkacin hanyar ba nuna kansu, wanda shi ne dalilin da ya sa da yawa marasa lafiya fararwa da cutar. Duk da haka, ya kamata a tsare tare da wadannan cututtuka:

• rauni.
• flatulence.
• zawo.
• zafi a dama babba quadrant.

Babban alama ne a fili nuni da biliary hauhawar jini ciwo, shi ne wani karuwa a cikin juz'i na baƙin ciki hade tare da matsa lamba a cikin portal tsarin. A wani daga baya mataki na faruwa anemia, thrombocytopenia, leukopenia.

Kamar wancan akwai jaundice a sakamakon inji matsa lamba a kan gallbladder. ruwa iya tara a cikin kogon ciki (ascites), wanda alama ne ta jure gudana far. Mu rabu da shi yawanci daukan lokaci mai tsawo. A haƙuri fara ƙara ƙara na ciki, kumbura ƙafa, da fadada faruwa a gaban veins na ciki bango.

A mafi tsanani bayyanuwar da cuta ne mai jini a ciki, ciwon ko esophagus. Duk wannan yana tare da amai jini. Idan jini ya auku a cikin esophagus, da stool zai zama jini.

bincikowa da

Instrumental hanyoyin bincike ne da za'ayi a cikin wadannan lokuta:

• tabbatar da kasancewar biliary hauhawar jini.
• kafa cuta, wanda ya sa abin da ya faru na wannan Pathology.

A mafi m suna dauke su a kasa da aka jera a hanyoyin.

duban dan tayi

Daya daga cikin muhimman maki a zabar wani magani shirin biliary hauhawar jini ne domin sanin matakin toshe bile ducts. A wannan yanayin, babban wadanda ba masu cin zali Hanyar aka dauke duban dan tayi jarrabawa na kogon ciki da kuma retroperitoneal sarari. Saboda irin wannan ganewar asali bayyana fadada extra- da intrahepatic bile ducts, wanda shi ne alama na wani Pathology.

Biliary hauhawar jini distal block matakin ne halin da fadada hepaticocholedochus, amma bayan wani lokaci fadada intrahepatic ducts, kuma akwai wata karuwa a cikin size na gallbladder. A bututu diamita ne fiye da 10 mm a hali na neoplasms. Don high kasancewa naúrar gane barci gallbladder da kuma fadada intrahepatic ducts. A ƙari an lura a 51.3% na lokuta.

lissafta tomography

CT na ciki da kuma retroperitoneal sarari taimaka wajen ganin siffofin da tsarin yawa gabobin. Wannan binciken samar da wata dama don samun cikakken sakamakon da manyan tsarin da kuma tantance yadda da yawa su germination faru a cikin m tsarin.

Radiopaque bincike hanyoyin

Idan akwai tuhuma da Pathology kamar biliary hauhawar jini, da masana sau da yawa ciyar retroholangiopankreatografiyu ko endoscopic cholangiography. Gabatarwa na radiopaque kayan for irin hanyoyin da za'ayi a cikin hanyoyi daban-daban, amma yana da irin wannan sakamako. Saboda irin wannan abu a cikin radiograph iya kimanta mataki na patency na bututu tsarin.

biopsy

Irin wannan bincike da aka dauke su cin zali, da kuma koma ga shi kawai a cikin hadaddun hali, wato a lokuta da ake zargin m ƙari. Yawanci yin saiti trepanobiopsy hanta karkashin duban dan tayi shiriya. A kananan adadin nama dauka daga tushen Pathology, wanda aka hõre histopathological jarrabawa. Wannan sakamakon ya sa ya yiwu ya yi hukunci da yanayin da neoplasm.

diagnostic laparoscopy

Idan sama bincike hanyoyin ba gano hanyar biliary hauhawar jini, an dauke da fitar da wani aiki. Yana za a iya yi da laparoscopy ko laparotomy, tare da wata damar a lokaci zuwa ciyar a matsayin bincike da warkewa m hanyoyin. Amfani bincikowa da yi kai tsaye intraoperative Dabarar kuma biopsy. M hanyoyin da aka yi bisa ga yanayin da Pathology ci karo.

magani

Idan ka kamu da aka biliary hauhawar jini, magani ne ra'ayin mazan jiya, ko m wajen.

Conservative magani mafi yawa ana da za'ayi a cikin aikin cuta, da kawar da wanda aka samar da irin wannan kwayoyi a matsayin "Atenolol" "Nitroglycerin", "Monopril," "Inderal", "Nitrosorbide" "Sulodexide", "ednit".

M magani ne da za'ayi ne kawai idan aka jera kwayoyi ba bada wani sakamakon. The aiki ne da za'ayi ta ganewa na ascites, na hanji na jini, ciki da kuma esophagus, kazalika da ci gaba da gipersplenicheskogo ciwo. Hanyoyin zamani unsa da amfani da m laparoscopy, wanda shi ne minimally cin zali tiyata tare da m gabatarwa ta hanyar kananan incisions bakin ciki tube tare da kyamara da lighting micromanipulators. A cikin duba, akwai wani hoto, mayar da hankali a kan likita sa kau da cikas.

A wani hali a kai-medicate kuma dauki kwayoyi da kuma sunadarai zuwa cire ƙari, rage girma na ciki da kuma cire duwatsu ba tare da takardar sayen magani. Bugu da ƙari, idan gano biliary hauhawar jini, hanta da kuma gall mafitsara, yin wadannan magani matakai:

• Su ba a dropper don kula da mafi kyau duka m matakan da electrolyte.
• yin amfani da magunguna da cewa inganta jini ya kwarara da kuma abinci mai gina jiki hanta Kwayoyin.
• za'ayi antibacterial far.
• ciyar biliary decompression hanya.

ƙarshe

Saboda haka, biliary hauhawar jini da aka dauke su a ƙwarai da gaske cuta. M cututtuka da kai ga wannan ciwo suna bi surgically. Amma kada ka ji tsoro, saboda dace magani ga likita zai iya kawar da tushen wannan hauhawar jini da kuma Pathology kanta.