Hypertension Biliary: Description, Sababaha, Calaamadaha iyo Daaweynta

Sida laga soo xigtay xogta si cad u heli karo, hadda kor u kacay tirada cudurada nidaamka biliary. Tan waxa u sabab dhaqanka nololeed aan caafimaad qabin, cunto aan caafimaad lahayn, iyo cabista dhaxlo. Sanad kasta waxaa jiro koror ah cudurada la socda horumarinta hypertension biliary. Cudurku wuxuu halis ah oo looga doodayo in our article.

Features cudurka

hypertension Biliary waa muujinta ugu badan ee burooyin kansar sita u kacaya ee beerka iyo kaadi haysta. Inta badan, cudurada waxaa loo la socdo jaundice obstructive. Muuqday madaxa buro ganaca bilaabo inuu riix on shido bile ah, oo waxaa jira dhagaxyada ama burooyin kor dhacdo cadaadis oo aan siin socodka bile caadiga ah. Hypertension loola dhaqmo si hadduu yahay mid aan xumayn, iyadoo la kaashanayo endoscopy qalliinka.

sababaha

Biliary Hypertension waa inay awoodaan inay horumariyaan shuruudaha bahal soo socda:

• burooyin aan halis ahayn iyo malignant timi mid ka mid ah marinka biliary, taasoo keentay in carqalad ah dheecaanka. Waxaa intaas dheer, muuqaalka kore ee this cudurada riixo keentay of mid ka mid ah marinnada ay horumariyaan galay neoplasm ah xubnaha ku dhow.
• Cholelithiasis iyo cholecystitis calculous. cudurada noocan oo kale ah waxaa lagu gartaa formation of dhagaxyo beelaya in qaybo kala duwan oo nidaamka hepatobiliary iyo muuqaalka kore ee cagaarshow.
• Joogitaanka dulin xididada u - goryaamo.

Sidoo kale, cudurka this laga yaabaa in ay sabab u tahay curyaanimo dhasho mareenka biliary, kaas oo ay leeyihiin qaab doorsoon iyo dhexroor of Lumen ah. Xaaladdan oo kale, calaamadaha cudurka isu mariyo ee carruurnimada.

calaamadaha

Calaamadaha hypertension biliary marxalad hore ee dhinaca horumarinta, gebihaanba ma jirto jidka ha isu muujiyaan, taas oo ah sababta dad badan oo buka ay kiciyaan cudurka. Si kastaba ha ahaatee, waa in la dhawro oo la calaamadaha soo socda:

• itaaldarro,
• yaaqyaaqsi,
• shuban;
• xanuun Rubuca midigta sare.

Calaamadda ugu badan waa si cad u muujinaysaa biliary hypertension syndrome, waa in la kordhiyo mugga of caajisnimo la xiriira cadaadiska nidaamka portal ah. Waqti dambe dhacdaa anemia, Torombositobiiniya, leukopenia.

Oo saas aawadeed waxaa joonis iyada oo sababtu tahay cadaadiska farsamo on kaadi ah. dareere ku ururto laga yaabaa in saabka caloosha (ascites), taas oo feature waa in ay iska caabin ah daaweynta ka socda. Si aad u hesho takhaluso sida caadiga ah waxay qaadataa waqti dheer. bukaan-socodka wuxuu ku bilaabmaa in la kordhiyo mugga ee caloosha, cagaha oo barara, ballaarinta qaadataa meel on hore ee xididdada of derbiga caloosha.

muujinta ugu daran cudurka dhiigbax ah ee caloosha, mindhicirka ama hunguriga. Intaas oo dhan waxaa la socda matag dhiig. Haddii dhiig ka dhacdaa hunguriga, saxarada noqon doonaa dhiig.

Baadhista xanuunada

Hababka qalabka xarkaha ee cilmi-baarista waxaa lagu fuliyaa ee arrimaha soo socda:

• si loo xaqiijiyo joogitaanka hypertension biliary;
• in la dhiso cudurka, taas oo sababtay dhacdo ee cudurada sida.

The ugu wargelin ah waxaa loo arkaa in ay hoos hababka ku qoran.

ultrasound

Mid ka mid ah qodobada muhiimka ah ee doorashada daaweynta hypertension qorshaha biliary ah waa in la go'aamiyo heerka xannibi laga shido bile ah. Xaaladdan oo kale, habka ugu weyn ee non-invasive waxaa loo arkaa baaritaan ultrasound ee saabka caloosha iyo meel retroperitoneal. Sababo la xiriira cudurka sida waxyooday fadhi aan ballaarinta iyo marinnada bile intrahepatic, taas oo calaamad u ah cudurada a.

hypertension Biliary heerka block distal waxa lagu gartaa ballaarinta hepaticocholedochus, laakiin muddo ka dib la ballaariyo marinnada intrahepatic, oo uu jiro korodh ah ee size ee kaadi ah. dhexroor koollo waa in ka badan 10 mm lacala neoplasms. Waayo, unit helitaanka sare loo ogaado hurdada kaadi haysta iyo ballaarinta marinnada intrahepatic. burada lagu arkay 51.3% ee kiisaska.

raajito loogu xisaabiyaa

CT ee bannaan ee caloosha iyo retroperitoneal ka caawisaa in ay arki sifooyinka of qaab dhismeedka xubnaha badan. daraasaddan waxay bixisaa fursad si aad u hesho natiijo sax ah ka gees ah qaababka waaweyn iyo la qiimeeyo sida badan ay biqilka ka dhacay dhismaha ku xiga.

Hababka cilmi-gale

Haddii uu jiro tuhun ah in cudurada sida hypertension biliary, khubarada inta badan ku qaataan retroholangiopankreatografiyu ama cholangiography endoscopic. Hordhac qalabka gale ah habab sida fuliyay oo siyaabo kala duwan, laakiin waxay leedahay saameyn la mid ah. Sababo la walax in radiograph sida qiyaaso kartaa heerka uu patency nidaamka koollo ah.

biopsy

cilmi noocan oo kale ah waxaa loo arkaa inay invasive, oo door biday in ay kaliya in kiiska adag, kuwaas oo mararka of shakisan yahay buro malignant. Caadi ahaan lagu sameeyaa beerka dooneysa trepanobiopsy hoos hanuun ultrasound. Qaddar yar oo unug laga soo qaatay ilaha of cudurada, kaas oo la hoos geliyey in ay baaritaan histopathological. Natiijadan waxay suuro gelineysaa in xukumi nooca neoplasm ah.

laparoscopy ogaanshaha

Haddii hababka ogaanshaha kor ku xusan ma aqoonsan karaa Jidka hypertension biliary, waxa uu wadaa qaliin. Waxaa la samayn karaa by laparoscopy ama laparotomy, fursad ay waqti in ay qaataan sida qalliin ogaanshaha iyo daweynta. Isticmaalka Baadhista sameeyaa imaging intraoperative toos ah iyo biopsy. qalliin ayaana la sameeyey si waafaqsan nooca cudurada ay la kulmeen.

daaweynta

Haddii aad cudurka hypertension biliary, daaweynta waa hab muxaafidka ah ama qalliin.

sida caadiga ah daawaynta Conservative waa la fuliyay in cudurada functional, tirtiridda kaasoo lagu soo saaro by daawooyin sida "Atenolol" "Nitroglycerin", "Monopril," "Inderal", "Nitrosorbide" "Sulodexide", "ednit".

daaweynta Qalliinka waa la fuliyay oo kaliya haddii daawooyinka ku qoran ma ay koreen oo natiijo kasta. Howlgalka ayaa waxaa lagu fuliyaa by ogaanshaha ascites, dhiig xiidmaha, caloosha iyo hunguriga, iyo sidoo kale horumarinta gipersplenicheskogo syndrome. Hababka casriga ah ku lug isticmaalka laparoscopy qalliinka, taas oo yar yahay qaliin invasive hordhac u tur marayo jeexitaanada yaryar tube khafiif ah oo leh micromanipulators camera iyo iftiiminta. On kormeeraha, waxaa jira sawir, oo diiradda saaraya dhakhtarka ka dhigaysa ka kaxayntu ay of caqabado.

Xaaladdan oo kale ma noqon is-Dawada iyo qaadato daawooyinka iyo kiimikada in meesha laga saaro burada, yaraynta mugga of dhagaxyada caloosha oo ay ka saareen aan qoro. Intaa waxaa dheer, haddii hypertension, beerka iyo xammeetida kaadi ogaado biliary, oofiyey socda tallaabooyinka daawaynta:

• Waxay ku siin walax ah si ay u ilaaliyaan heerarka dheecaanka fiicnayn iyo elektrolytka;
• isticmaalka daawooyinka in loo hagaajiyo socodka dhiigga iyo unugyada beerka nafaqada;
• qaadeen therapy bakteeriyada,
• qaataan Jidka decompression biliary.

gunaanad

Sayidka, hypertension biliary waxaa loo arkaa inay cudur aad u daran. Asal ahaan cudurada oo keeni xanuun this waxaa lagu daaweeyaa qalitaan. Laakiin ha ka baqin, waayo, daaweynta waqtigii dhakhtarka baabiin karta sababta asalka u ah hypertension iyo cudurada laftiisa this ah.