I-Bile Duct Cancer: Ukuthi Usithinta Kanjani Isibindi Sakho Nezimpawu Okufanele Uziqaphele

Amapayipi ebhili angamashubhu amancane axhuma izitho ezihlukene ndawonye. Basiza ukuthwala i-bile, uketshezi lokugaya olukhiqizwa isibindi, luyise emathunjini amancane, lapho lusiza khona ukugaya amafutha ekudleni. Ngokuhlangene, ama-bile ducts nezitho ezixhunywe kuwo zakha uhlelo lwe-biliary. Njenganoma yisiphi esinye isitho noma ingxenye yomzimba, ama-bile ducts nawo angenwa amangqamuzana anomdlavuza, futhi uma kwenzeka kwakheka isimila esiyingozi, singaba nomthelela ongemuhle ekusebenzeni kwesibindi. Ekhuluma nethimba le-OnlyMyHealth, uDkt Akash Chaudhary, uMqondisi Womtholampilo kanye Nomeluleki Omkhulu Wezokwelapha Zokugaya Ukudla, Izibhedlela ze-CARE, i-Banjara Hills, i-Hyderabad, usikhanyisele ngalokhu.

Iyini I-Bile Duct Cancer?

“Umdlavuza webile, owaziwa nangokuthi i-cholangiocarcinoma, uwuhlobo lomdlavuza oluyivelakancane kodwa oluhlaselayo oluvela emiseleni yenyongo,” kusho uDkt Chaudhary.

Ngokusho kwe-American Cancer Society (ACS), kunezinhlobo ezintathu zomdlavuza we-bile duct, kuye ngokuthi zikuphi. Lokhu kubandakanya:

• Umdlavuza we-intrahepatic bile duct
• I-Perihilar (ebizwa nangokuthi i-hilar) i-bile duct cancers
• Umdlavuza we-bile duct

Nakuba imbangela yomdlavuza ingaziwa kakhulu, izici ezimbalwa eziyingozi zingase zikhulise amathuba okuba nalo mdlavuza, njengoba kusho uDkt Chaudhary. Lokhu kubandakanya:

• Kubonakala sengathi abantu abaneminyaka engu-50 bathambekele kakhulu ekubeni nomdlavuza we-bile duct. Ukwengeza, kubonakala kwenzeka kaningi emadodeni kunakwabesifazane.
• Abantu abane-Primary Sclerosing Cholangitis (PSC), isifo sesibindi esingamahlalakhona esibonakala ngokuvuvukala kanye nezibazi ze-bile ducts, banengozi eyengeziwe yokuba nomdlavuza we-bile duct.
• Ukuvuvukala okuphindaphindiwe noma ukucasuka kwemigudu ye-bile ngenxa yamatshe e-biliary kungase kukhuphule ingozi.
• Kwezinye izifunda, ukutheleleka kwe-parasitic okubizwa ngokuthi i-liver fluke kungandisa ingozi yomdlavuza we-bile duct.
• Ukutheleleka kwe-biliary okungamahlalakhona kungaba nomthelela ekukhuleni komdlavuza.

Kusithinta Kanjani Isibindi Sakho?

NgokukaDkt Chaudhary, umdlavuza wenyongo uthinta ngqo isibindi ngoba uvela emiseleni yenyongo, eyingxenye ebalulekile yokusebenza kwesibindi.

Uthe, “Njengoba umdlavuza uqhubeka ungavimbela ukugeleza kwenyongo, okuholela ekubutheni kwenyongo esibindini. Lokhu kungase kubangele ukulimala kwesibindi, i-jaundice (isikhumba namehlo sibe phuzi) nezinye izinkinga.”

NgokweNational Cancer Institute (NCI), umdlavuza ungakheka emiseleni yenyongo ngaphakathi nangaphandle kwesibindi. Lona owenzeka ngaphakathi ubizwa ngokuthi umdlavuza we-intrahepatic bile duct, kanti owakheka ngaphandle waziwa njengomdlavuza we-extrahepatic bile duct.

Izimpawu Ezivamile Okufanele Uziqaphele

Izimpawu zomdlavuza we-bile duct zingahluka, kodwa ezinye zezimpawu ezijwayelekile zihlanganisa:

• I-Jaundice (isikhumba namehlo aphuzi)
• Ubuhlungu besisu, ikakhulukazi ohlangothini olungaphezulu kwesokudla
• Ukulahlekelwa kwesisindo esingachaziwe
• Isikhumba esinamahloni
• Indle enemibala ephaphathekile
• Umchamo omnyama
• Ukukhathala
• Fever

Ukuxilongwa Nokwelashwa

Ukuhlonza umdlavuza we-bile duct ngokuvamile kubandakanya inhlanganisela yokuhlolwa kwesithombe, ukuhlolwa kwegazi, kanye nesinye isikhathi i-biopsy, kusho uDkt Chaudhary, wengeza ngokuthi izifundo zokuthatha izithombe zihlanganisa izikena ze-Computed Tomography (CT) kanye ne-Magnetic Resonance Imaging (MRI). Ukwengeza, i-Endoscopic Retrograde Cholangiopancreatography (ERCP) kanye ne-stenting isiza ukunciphisa i-jaundice, futhi ukuxubha kungasiza ekuxilongweni kobuhlungu, wanezela.

Esimeni sokuxilongwa komdlavuza we-bile duct, izinketho zokwelashwa zingabandakanya ukuhlinzwa, ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma inhlanganisela yalokhu. Ukukhethwa kokwelashwa kuncike ezicini ezifana nesigaba somdlavuza, indawo yesimila, kanye nempilo yonke yesiguli, ngokusho kukadokotela.

Isiphetho

Nakuba kungavamile, umdlavuza we-bile duct ubeka usongo olukhulu lwezempilo ngamandla awo okuthuthuka emiseleni ethwala i-bile isuka esibindini iye emathunjini amancane. Kungaba nomthelela omkhulu esibindini futhi kuphazamise ukusebenza kwesibindi okuvamile, kuphazamise ukugaya nokumuncwa kwezakhi. Njengoba umdlavuza ungenazo izimpawu eziphawulekayo ezinyathelweni zokuqala, kungaholela ekubambezelekeni kokuxilongwa nokwelashwa, okuholela ekuqaguleni okubi. Ngakho-ke, ukuhlolwa okuvamile kuyelulekwa, futhi ngisho nokungajwayelekile okungasho lutho kufanele kubikwe ngokushesha.

Isixhumanisi Esiyisethenjwa

https://www.onlymyhealth.com/impact-of-bile-duct-cancer-on-liver-and-symptoms-to-note-1705648927