Biliary Hypertension: Description, 'ehaʻeha ka, Symptoms a me ka iapaau ana

E like me ke akea i loaʻa aeaiiua, e māhuahua ka helu o nā maʻi o ka biliary nenoaiu. O ke kumu ho i ka hana o ka unhealthy Aloha Hawaii, unhealthyʻai, a me ka hereditary predisposition. O na makahiki malaila o ka hua o nā maʻi pu ma ka hooulu ana o biliary hypertension. Ua kaumaha mai, a e e kūkākūkā i loko o kā mākou 'atikala.

Hiʻona o ka maʻi

Biliary hypertension o ka loa e like me ka hoike ana o ka hikoko e lawe ana i malignancy e kupu ana ma ka ake a me ka gallbladder. Loa pinepine, keia pathology ua pu ma obstructive jaundice. ʻikeʻia ma ke poo o ka pancreasʻeho hoʻomaka e holo ikaika ma luna o ka bile ducts, a he mau pohaku a me polyps paipai hanana o ka puʻe a, aole ia e haawi maʻamau bile pele. Hypertension lapaau ai ina mea benign, a me ke kōkua o keʻoki lāʻau lapaʻau endoscopy.

kumu o ka

Biliary Hypertension mea hiki ke kūkulu i ka i kēia pathological keia:

• Benign a malignant hikoko i kupu i loko o kekahi o ka biliary'āpana, e alakai ana i ka hoʻohuikau 'o ka outflow. Eia hou, i keʻano o kēia pathology kūpono mīkini'opihia o kekahi o na ducts hoʻomōhala i loko o ka kokoke hui, neoplasm.
• Cholelithiasis a calculous cholecystitis. Na maʻi i wehewehe aku ma ke kahua o ka insoluble pōhaku i loko o nā wahi likeʻole o ka hepatobiliary'ōnaehana a me ka helehelena o ka jaundice.
• Ke alo o parasites i loko o nā ducts - helminths.

Nō hoʻi, i kēia maʻi e hoʻomōhala ma muli o ke congenital malformations biliary'āpana, a i ka hoololi shape a me ke anawaena o ka lumen. Ma kēia hihia, na symptoms o ka maʻi hoike mai ai ia lakou iho i loko o kamaliʻi.

symptoms

Symptoms o biliary hypertension ma ka loiloi mua kahua o kona? Acaeoey, loa i ala mai e hōʻike iā lākou iho, i mea no ke aha la he nui loa nā mea maʻi kāhea i ka maʻi. Naʻe, ka mea e mālama i ka kēia symptoms:

• nawaliwali;
• flatulence;
• diarrhea;
• eha ma ka akau maluna quadrant.

I ka papa kuhikuhiE symptom Ua maopopo hōʻike o biliary hypertension maʻi pale, o ka ulu i loko o ka buke o ke spleen pili me ka puʻe i loko o ka nū nenoaiu. Ma ka hope ke kahua me ia lŘlŘ anaemia, thrombocytopenia, leukopenia.

Pela i jaundice like me ka hopena o mechanical e puʻe ma ka gallbladder. wai i loaa i loko o ka abdominal lua (ascites), a hiʻona o kona ia'ku i ka mākau alu Inc. E kiʻi pohaku uinihepa, no ka mea, IeAUPIIe, IAa IO i he lōʻihi manawa. Ke hoomanawanui hoʻomaka e hoomahuahua i ka buke o ka opu, pehu mau wawae, i ka? Anoe? Aiey i wahi ma luna o ka alo ana o na aa koko o ka abdominal pa.

Ka loa hanahana loa hoike ana o ka maʻi o ke kahe ana ke koko i loko o ka'ōpū, AeXIeAaOIePEAaI paha esophagus. A pau keia ua pu ma ka luaʻi koko. Inā kahe ana ke koko ia lŘlŘ i loko o ka esophagus, ke noho e ia ke koko.

lapaʻau '

Instrumental ano o ka noiʻi ua lawe mai i loko o ka kēia hihia.

• e hoʻokūpaʻa i ke alo o biliary hypertension;
• e hookupaa mai, a kena ae la i ka hanana o ia pathology.

Ka loa informative i manaoia e ia ma lalo o ka helu 'ia ma ki ina hana like.

ultrasound

Kekahi o ka mea nui kumu i koho i ka iapaau ana kumumanao biliary hypertension mea e hooholo i ke kiʻekiʻe o aeie i ka bile ducts. Ma kēia hihia, na ka papa ole-invasive iaoia ua manaoia ultrasound hookolokolo ana o ka abdominal lua a me ka retroperitoneal ka lewa. Ma muli o ka meaʻike, hōʻike? Anoe? Extra- a intrahepatic bile ducts, i mea symptom o ka pathology.

Biliary hypertension distal aeie pae ua wehewehe aku ma ke anoe o ka hepaticocholedochus, akā, ma hope o kekahi manawa hoʻonui intrahepatic ducts, a me he mea he mea ulu i loko o ka nui o ka gallbladder. Ka leki uea anawaena Ua oi ma mua o 10 mm o ka hihia o neoplasms. No ka kiʻekiʻe loaʻao pa alima huai ae hiamoe ana gallbladder a? Anoe? Intrahepatic ducts. Kaʻeho Ua malama i ka 51,3% o ka hihia.

Me tomography

HI no ka abdomen a me ka retroperitoneal makahiki kōkua e visualize i nā hiʻona o ka 'ole o na mea he nui nā loko. Ua like hoʻolako ka manawa e kiʻi pololei hualoaʻa ku e nui me ka ho okumu a Loiloi i ka nui o kā lākou germination mai ai i loko o ka pili 'ole.

Radiopaque noiʻi ki ina hana like

Inā he mea e hoʻohuoiʻia o ka pathology e like me biliary hypertension, i ka poe akamai i pinepine pana aku au i retroholangiopankreatografiyu a endoscopic cholangiography. Introduction o radiopaque mea no ia mau ki ina hana like lawe mai i loko o nāʻaoʻao, akā, i kekahi like ia. Ma muli o ia mea, o ka waiwai i loko o ka radiograph ke manaʻo i ke degere o ka patency o ka leki uea nenoaiu.

biopsy

Oia noiʻi ua manaoia e e invasive, a, Kamuela iā ia wale nō i loko o ka luna 'hihia, oia ka manawa o kēia malignantʻeho. Nō kāu hana ka makemakeʻana trepanobiopsy akepaʻa, ma lalo o ultrasound alakaʻi. A uuku ka nui o ka'aʻaʻa ia, mai ke kumu mai o pathology, a ua hoolilo i ka histopathological ninaninau. Kēia hopena i mea e hiki ai e hoʻoponopono i ke ano o ka neoplasm.

PalekanaEND_LINK laparoscopy

Inā ka mea ma luna o PalekanaEND_LINK kāu kiʻina hana ke ole e hōʻike ana i ke kumu o biliary hypertension, ua lawe mai ka hana. Ua hiki ke hana ma ka laparoscopy a laparotomy, a me ka manawa i ka manawa e pana aku au i like me ka lapaʻau 'ana a me ka pākōleaʻoki lāʻau lapaʻau kaʻina hana. E ho ohana i lapaʻau 'ana i hana' ana intraoperative kiʻi a me ka biopsy. i ka hanaiaʻoki lāʻau lapaʻau kaʻina hana e like me ke ano o ka pathology pilikia.

lapaʻau

Inā 'oe i diagnosed me biliary hypertension, lapaʻau mea makeʻe kulana aʻoki lāʻau lapaʻau' ana.

ua ana lawe makeʻe kulana lapaʻau mai i loko o ooieoeiiaeuiuo kāna hana, i ka hoʻopau o ka i ua hua mai ma na ai 'like "Atenolol" "Nitroglycerin", "Monopril," "Inderal", "Nitrosorbide" "Sulodexide", "ednit".

ʻoki lāʻau lapaʻau lapaʻau ua lawe mai wale ina i ole haawi i kekahi hopena o ka helu 'ia ai'. Ke hana ua lawe mai ma ka loaʻaʻana mai o ascites, intestinal kahe ana ke koko, a me ka opu esophagus, e like me ka ulu ana o gipersplenicheskogo maʻi pale. Hoikehonua, ki ina hana like pū i ka hoʻohana 'ana iʻoki lāʻau lapaʻau laparoscopy, i mea minimally invasiveʻoki kino me ka akahai hoike ma liʻiliʻi incisions lahilahi Tube me ka pahupaʻiwikiō, a kau iho micromanipulators. Ma ka kanaka hoʻoponopono, aia no he kiʻi, hoʻomālama ma ka lapaau mea i ka wehe 'ana o nā pilikia.

I ole hihia e pakiko-lapaʻau a me ka lawe ai 'a me Nine Inch, e wehe i kaʻeho, hoemi i ka buke o nā pōhaku abdomen, a wehe ole i ka kuhikuhi. Eia kekahi, ina o ka 'akomi i biliary hypertension, ake a me ka laau awaawa, bladder, hana i kēia lapaauʻanuʻu:

• Ka mea, e haawi aku i ka dropper e malama i e pono ai ke loli pae a me ka electrolyte;
• hoʻohana 'ana i lapaʻauʻia i ka hoʻoikaika' ana i ke koko kahe, a no kou kino ake keena;
• lawe antibacterial Inc;
• pana aku au i biliary decompression alanui.

ka hopena

Penei, biliary hypertension ua manaoia e ia i ka maʻi loa nui. Holo nōhie maʻi e alakai ana i keia maʻi e hana surgically. Akā, mai e makau oe, no ka mea, 'eleu lapaau i ke kauka ke hoʻopau i ka mole kumu o keia hypertension a me ka pathology iho.