Izindle - ziphaphathekile noma zinombala wobumba

Izindwangu eziphaphathekile, ubumba, noma umbala obomvu kungenzeka ngenxa yezinkinga ohlelweni lwe-biliary. Uhlelo lwe-biliary uhlelo lokudonsa amanzi lwenyongo, isibindi, namanyikwe.

Isibindi sikhipha usawoti we-bile esitokisini, usinikeze umbala ojwayelekile onsundu. Ungaba nezitulo ezinombala wobumba uma unesifo sesibindi esinciphisa ukukhiqizwa kwe-bile, noma uma ukuphuma kwesibindi kuphuma esibindini kuvinjiwe.

Isikhumba esiphuzi (i-jaundice) sivame ukwenzeka ngezitulo ezinombala wobumba. Lokhu kungahle kube ngenxa yokwakhiwa kwamakhemikhali enyongo emzimbeni.

Izimbangela ezingaba khona zezitulo ezinombala wobumba zifaka:

• Isifo sokusha kwesibindi esidakayo
• I-cirrhosis yesibindi
• Izilonda zomdlavuza noma ezingenalo umdlavuza wesibindi, uhlelo lwe-biliary, noma amanyikwe
• Ama-cysts wemibhobho yenyongo
• Amatshe amatshe amade
• Eminye imithi
• Ukuncipha kwamapayipi e-bile (ukuqina kwama-biliary)
• I-sclerosing cholangitis
• Izinkinga zesakhiwo ohlelweni lwe-biliary olukhona kusukela ekuzalweni (kokuzalwa)
• I-hepatitis yegciwane

Kungaba nezinye izimbangela ezingabhalisiwe lapha.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma indle yakho ingewona umbala onsundu ojwayelekile izinsuku ezimbalwa.

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba. Bazokubuza imibuzo ngomlando wakho wezokwelapha nezimpawu. Imibuzo ingafaka:

• Lesi sifo sivele nini okokuqala?
• Ngabe yonke indle ibalahlile?
• Imiphi imithi oyiphuzayo?
• Yiziphi ezinye izimpawu onazo?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi, kufaka phakathi ukuhlolwa kokuhlola ukusebenza kwesibindi kanye namagciwane angathinta isibindi
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Izifundo zokufanekisa, njenge-ultrasound yesisu, i-CT scan, noma i-MRI yesibindi ne-bile ducts

• I-anatomy yokugaya engaphansi

I-Korenblat KM, iBerk PD. Sondela esigulini nge-jaundice noma ngokuhlolwa kwesibindi okungavamile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 138.

ILidofsky SD. I-jaundice. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 21.

Amamaki RA, Saxena R. Izifo zesibindi zobuntwana. Ku: Saxena R, ed. I-Hepatic Pathology Esebenzayo: Indlela Yokuxilonga. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 5.