Taikaha rewa

Ko te taikaha o te pona he kikii rerekee o te huu pounamu noa. He ngongo tenei ka neke i te ate mai i te ate ki te whekau iti. Ko te ate he taonga hei awhina i te kai nakunaku.

Ko te taikaha o te ngongo pounamu ka whara i te waa ki te wa o te pokanga. Hei tauira, tera pea ka tupu i muri o te pokanga kia tangohia te kaawha.

Ko etahi atu take o tenei ahuatanga ko:

• Te mate pukupuku o te ngongo rewharewha, te ate, te mate ranei
• Te pakaru me te maru o te kohatu ki te kawa o te ate
• He pakaru, he paroro ranei i muri i te tangohanga o te aporo
• Pancreatitis
• Ko te cholangitis sclerosing tuatahi

Tohu tohu:

• Te mamae o te kopu i te taha matau o runga o te kopu
• Chills
• Fever
• Ngatata
• Te ahua whanui o te ngakau
• Ngaro o te hiahia
• Jaundice
• Te whakapairuaki me te ruaki
• He peke he tae tae-paru ranei

Ko nga whakamatautau e whai ake nei ka awhina i te tohu i tenei ahuatanga:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Cholangiogram transhepatic whakawhitinga (PTC)
• Aukume Resonance cholangiopancreatography (MRCP)
• Ultrasound Whakamutunga (EUS)

Ko nga whakamatautau toto e whai ake nei ka awhina i te raruraru ki te punaha biliary.

• Ko te phosphatase Alkaline (ALP) he teitei ake i te tikanga.
• Ko te taumata whākōkī GGT he teitei ake i te tikanga.
• Ko te taumata Bilirubin he teitei ake i te waa noa.

Ma tenei ahuatanga pea e whakarereke nga hua o nga whakamatautau e whai ake nei:

• Taumata amylase
• Taumata Lipase
• Bilirubin mimi
• Te wa Prothrombin (PT)

Ko te whainga o te maimoatanga ko te whakatika i te whaiti. Ma tenei ka rere te ate mai i te ate ki te whekau.

Ka uru pea tenei ki:

• Pokanga
• Ko te Endoscopic tera ranei o te pekerangi ranei o te whakauru ranei o te stent i roto i te tino pakari

Mena kua oti te pokanga, ka tangohia te taikaha. Ka honoa ano te ngongo taapiri ma te kopu iti.

Ki etahi keehi, he putunga ngongo iti he kirihou kirihou ranei (stent) ka whakatakotoria puta noa i te taikaha o te pona hei whakatuwhera.

He angitu te maimoatanga i te nuinga o nga wa. Ko te angitu mo te wa roa ka whakawhirinaki ki te take o te tino pakari.

Ko te mumura me te kuiti o te huu biliary ka hoki mai ano ki etahi taangata. He raru mo te mate i runga ake i te rohe whaiti. Ko nga taahiraa e noho ana mo te wa roa ka mate te ate (cirrhosis).

Karangahia to kaiwhakarato hauora mena ka hoki mai ano nga tohu i muri o te pancreatitis, cholecystectomy, me etahi atu taatai ​​biliary ranei.

Te whakapau kaha ki te kokiri; Whakatutukitanga Biliary

• Ara Hae

Anstee QM, Jones DEJ. Hepatology. I roto i: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nga Tikanga me nga Mahi a te Taakuta a Davidson. 23rd ed. Philadelphia, PA: Elsevier; 2018: chap 22.

Fogel EL, Sherman S. Nga mate o te kahereti me te ngongo ate. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 146.

Ibrahim-zada I, Ahrendt SA. Te whakahaere i nga taumahatanga biliary painga. I roto i: Cameron AM, Cameron JL, eds. Te Huringa Haumaru o Naianei. 13th ed. Philadelphia, PA: Elsevier; 2020: chap 462-466.

Jackson PG, Evans SRT. Punaha Biliary. I roto i: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Pukapuka Tuhinga Sabiston o te Taatai. Ed 20 Philadelphia, PA: Elsevier; 2017: chap 54.