Xakamaynta qashinka biilka

Cadaadiska xiidmaha xiidmaha waa soo koobid aan caadi ahayn oo ah xiidmaha xiidmaha guud. Kani waa tuubo ka guurta xiidmaha mindhicirka yar. Bile waa walax ka caawisa dheef-shiidka.

Cadaadiska kaadi mareenka badanaa waxaa sababa dhaawac ku yimaada marinka kaadi mareenka inta lagu jiro qalliinka. Tusaale ahaan, waxay dhici kartaa qalitaanka ka dib si meesha looga saaro xameetida.

Sababaha kale ee xaaladan waxaa ka mid ah:

• Kansarka marinka xiidmaha, beerka ama xammeetida
• Waxyeello iyo nabarro ay ugu wacan tahay xameeti ku jirta xiidanka xiidmaha
• Waxyeello ama nabar ka dib saarista xameetida
• Qanjirada
• Cudurka 'sclarosing cholangitis' ee aasaasiga ah

Calaamadaha waxaa ka mid ah:

• Xanuun caloosha ah dhinaca sare ee midig ee caloosha
• Qabow
• Qandho
• Cuncun
• Dareen guud oo raaxo la'aan ah
• Cunto xumo
• Cagaarshow
• Lalabbo iyo matag
• Saxaro midabkeedu yahay cirro ama dhoobo

Tijaabooyinka soo socda ayaa kaa caawin kara ogaanshaha xaaladan:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Qalliinka 'cholangiogram' ee 'pheutatic cholangiogram' (PTC)
• Magnetic resonance cholangiopancreatography (MRCP)
• Ultrasound-ka Endoscopic (EUS)

Baadhitaannada dhiigga ee soo socda ayaa kaa caawin kara muujinta dhibaatada nidaamka biliary.

• Phosphatase alkaline (ALP) ayaa ka sarreeya inta caadiga ah.
• Heerka enzyme GGT wuu ka sarreeyaa sida caadiga ah.
• Heerka Bilirubin wuu ka sarreeyaa sida caadiga ah.

Xaaladdan ayaa sidoo kale wax ka beddeli karta natiijooyinka tijaabooyinka soo socda:

• Heerka Amylase
• Heerka Lipase
• Kaadida bilirubin
• Waqtiga Prothrombin (PT)

Ujeedada daaweynta waa in la saxo cidhiidhiga. Tani waxay u oggolaaneysaa bile-ka inuu ka soo baxo beerka una soo galo xiidmaha.

Tani waxay ku lug yeelan kartaa:

• Qalliinka
• Kala-soocid endoscopic ama percutaneous ah ama gelinta stents iyada oo loo marayo adkeynta

Haddii qalliin la sameeyo, adkeynta ayaa laga saarayaa. Mindhicirka weyn ee xiidmaha ayaa dib loogu laaban doonaa mindhicirka yar.

Xaaladaha qaarkood, bir yar ama tubbo mesh caag ah (stent) ayaa la dhigayaa guud ahaan xiidmaha xiidmaha si ay u furnaato.

Daaweyntu waa mid guuleysata inta badan. Guusha muddada-dheer waxay kuxirantahay sababta adkeynta.

Bararka iyo yareynta marinka biyo-shubka ayaa laga yaabaa inay dadka qaar ku soo noqdaan. Khatar baa u jirta infekshanku ka sarreeyo aagga cidhiidhiga ah. Caqabadaha jira muddo dheer waxay u horseedi karaan dhaawac beerka ah (cirrhosis).

Wac daryeel caafimaad bixiyahaaga haddii calaamadaha soo noqnoqdaan ka dib markii ganaca, cholecystectomy, ama qalliin kale oo qalliin lagu sameeyo.

Xakamaynta qashinka biilka; Cadaadiska biiliyeerka

• Jidka Bile

Kabaha QM, Jones DEJ. Cagaarshowga. Gudaha: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Mabaadi'da Davidson iyo Tababbarka Daawada. 23aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 22.

Fogel EL, Sherman S. Cudurada xameetida iyo dheecaanka xiidmaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 146.

Ibrahim-zada I, Ahrendt SA. Maareynta xayiraadaha adag ee jilicsan. Gudaha: Cameron AM, Cameron JL, eds. Daaweynta Qalliinka ee Hadda. 13aad. Philadelphia, PA: Elsevier; 2020: baab 462-466.

Jackson PG, Evans SRT. Nidaamka Biliary. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 54.