Saxaro - midab cirro leh ama midab dhoobo leh

Saxaro cirro leh, dhoobo ah, ama midab buluug ah leh waxaa laga yaabaa inay sabab u tahay dhibaatooyinka nidaamka biliary. Nidaamka biliary waa nidaamka dheecaanka xameetida, beerka, iyo xammeetida.

Beerka ayaa saxarada ku sii deynaya cusbada xiidmaha, isaga oo siinaya midab bunni ah oo caadi ah. Waxaad yeelan kartaa saxaro midabkiisu dhoobo yahay haddii aad qabto infekshinka beerka ee yareeya wax soo saarka xiidmaha, ama haddii socodka xiidmaha ee ka baxa beerka uu xirmo.

Maqaarka huruudda ah (cagaarshowga) badanaa wuxuu ku dhacaa saxarada midabada dhoobada leh. Tan waxaa laga yaabaa inay ugu wacan tahay isku soo ururinta kiimikooyinka bile ee jirka ku jira.

Sababaha suuragalka ah ee saxaro midabkiisu dhoobo leeyahay waxaa ka mid ah:

• Cagaarshowga khamriga
• Cudurka 'Biliary cirrhosis'
• Kansarka ama burooyinka aan caadiga ahayn (benign) ee beerka, nidaamka biliary, ama xammeetida
• Feexyada dheecaanka xiidmaha
• Dhagxaanta
• Daawooyinka qaarkood
• Koobida xiidmaha xiidmaha (adkeynta qashinka)
• Cudurka 'sclarosing cholangitis'
• Dhibaatooyinka qaabdhismeedka ee nidaamka biliary ee jira laga bilaabo dhalashada (congenital)
• Cagaarshowga fayraska

Waxa jiri kara sababo kale oo aan halkan ku taxnayn.

Wac daryeel caafimaad bixiyahaaga haddii saxaradaadu aysan ahayn midabka caadiga ah ee bunni dhawr maalmood ah.

Bixiyaha ayaa sameyn doona baaritaan jireed. Waxay ku weydiin doonaan su'aalo ku saabsan taariikhdaada caafimaad iyo astaamahaaga. Su'aalaha waxaa ka mid noqon kara:

• Goorma ayuu astaamuhu marki hore dhacay?
• Saxaro kastaa ma midabbay?
• Dawooyin noocee ah ayaad qaadataa?
• Maxaa astaamo kale oo aad leedahay?

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Baadhitaannada dhiigga, oo ay ku jiraan baadhitaannada lagu hubinayo shaqada beerka iyo fayrasyada waxyeelleyn kara beerka
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Daraasado sawir leh, sida ultrasound-ka caloosha, CT scan, ama MRI ee beerka iyo xiidmaha

• Jirka anatomy

Korenblat KM, Berk PD. U dhowaanshaha bukaanka cagaarshow ama baaritaanno aan caadi ahayn oo beerka ah. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 138.

Lidofsky SD. Cagaarshow Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 11aad. Philadelphia, PA: Elsevier; 2021: cutubka 21.

Calaamadaha RA, Saxena R. Cudurrada beerka ee carruurnimada. Gudaha: Saxena R, ed. Cudurka Cudurka Cudurka Cagaarshowga: Qaab Baaritaan. 2aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 5.