Bile duct shine mafi mahimmancin nau'in bututu ga tsarin mu na narkewa. Ya ƙunshi haɗin kai tsakanin gabobin daban-daban guda uku, ciki har da hanta, gallbladder, da hanji. Wannan ƙaramin bututu yana wuce ruwan bile daga hanta zuwa gallbladder. Lokacin da sel suka zama mara kyau a cikin tashar bile duct canal, yana haifar da ciwon daji na bile duct a cikin marasa lafiya. Ciwon daji ne da ba kasafai ba, wanda ba a iya warkewa cikin sauki. Wannan matsalar na iya shafar ku a kowane zamani kuma galibi tana faruwa sama da shekaru 50. Akwai hanyoyi daban-daban na likita don maganin ciwon daji na bile, wanda tiyata shine mafi kyawun zaɓi ga marasa lafiya. Idan wannan zaɓin bai taimaka ba, to likita na iya yin hakan jiyyar cutar sankara ko radiation far. Hakanan ana ba da shawarar hanyar dashen hanta don magance wannan yanayin lafiya.

Nau'in Ciwon Bile Duct Cancer

Wannan yanayin lafiya iri uku ne. Wadannan su ne kamar haka:

Intrahepatic cholangiocarcinoma: Yana faruwa ne a sassa daban-daban na bile duct a cikin hanta. Wannan matsalar ba sabon abu bane kuma yawanci ana ɗaukarsa azaman ciwon hanta ga marasa lafiya.
Distal Cholangiocarcinoma: Ciwon daji na bile duct yakan tasowa a wajen hanta. Wannan matsalar ba kasafai ba ce kuma tana iya shafar kashi 20 ko 30 na mutane.
Perihilar Cholangiocarcinoma: Yawanci yana faruwa ne a mahadar hagu da dama na bile duct. Wannan matsalar tana shafar kashi 50 ko 60 na mutane, kuma alamunta suna kama da cholangiocarcinoma na nesa.

Alamomin Bile Duct Cancer

Alamomin wannan matsalar lafiya sune kamar haka.

Nausea da Vomiting
Dark fitsari
Kujeru masu launin haske
jaundice
Abun ciki na ciki
Baceccen asarar rashin lafiya
gajiya
Zazzabi da sanyi
Distended gallbladder
Pruritus
Rashin hasara

Ganewar Ciwon Bile Duct Cancer

Gwaje-gwajen bincike na wannan yanayin lafiya kamar haka:

Endoscopic Ultrasound: An endoscopy an haɗa shi tare da duban dan tayi don ɗaukar hotuna daga sashin gastrointestinal. Wannan hanya iri ɗaya ce da endoscopy na sama kuma galibi yana da amfani don tantance ciwon daji na bile duct a cikin marasa lafiya.
Angiography: Likita yana amfani da wannan hanya don kimanta toshewar cikin bile duct da hangen nesa na tasoshin jini a kusa da ƙari.
Endoscopy na Gastrointestinal: Ana shigar da ƙananan kayan aiki da sassauƙa, wanda aka sani da endoscope, a cikin maƙarƙashiya ta baki ko makogwaro. An haɗa shi da kyamara don nazarin tsarin narkewa. Yayin wannan tiyata, majiyyaci na iya buƙatar maganin sa barci ko jin zafi.
Endoscopic retrograde cholangiography: Likita na musamman yana allurar wani abu mai ban mamaki a cikin ɗigon bile ta hanyar endoscope. Shi ko ita kuma na iya ɗaukar hotuna na X-ray don haskaka abubuwan da ba su dace ba ciwon daji. Yayin wannan tiyatar, ana kuma iya yin gwajin biopsy don gano ƙwayar bile duct.
Percutaneous transhepatic cholangiography: Ana haɗe ƙaramin allura tare da ɗayan bile ducts kuma ana allurar wani abu mai bambanci ta wannan na'urar. Bayan yin allura, likita na iya ɗaukar hotunan X-ray don duba bishiyar biliary. Wannan hanya ta fi ERCP kyau tun da zai ba da damar shiga kai tsaye zuwa bututun bile.
Cholangioscopy: Ana shigar da na'urar endoscopic na musamman, wanda aka sani da, cholangioscopy a cikin bile duct, wanda likita zai iya duba ciwon cikin sauƙi. Za a yi wannan hanyar gano cutar yayin tiyatar ERCP.

Zaɓuɓɓukan Maganin Ciwon Bile Duct Cancer

Za a iya magance ciwon daji na bile duct ta hanyoyi da yawa. Waɗannan sun haɗa da:

Tiyata: Ya ƙunshi cirewar bile duct ɗin gaba ɗaya ko kaɗan. Hakanan ana ba da shawarar wannan hanyar magani don sarrafa bututun da aka toshe.
Chemotherapy: Ana amfani da magungunan magunguna masu ƙarfi don lalata ƙwayoyin cutar kansa ko rage ciwace-ciwacen daji a cikin marasa lafiya. Ana iya shigar da su cikin jijiya kuma a yi tafiya cikin jiki. Ana yin wannan hanyar tiyata kafin tiyatar dashen hanta. Yana da taimako ga ci-gaba cholangiocarcinoma wanda ke taimakawa rage jinkirin cutar da sauƙaƙa alamunta da alamunta.
Immunotherapy: Likita yana amfani da masu hana wuraren bincike, waɗanda ke taimakawa tsarin rigakafi don yaƙar ƙwayoyin cutar kansa. Wannan tsarin kulawa ya fi dacewa da ci-gaban ciwon daji na bile duct, lokacin da wasu fasahohin suka kasa magance wannan matsalar lafiya.
Maganin Radiation: Ana amfani da katako mai ƙarfi mai ƙarfi don kare ƙwayoyin cutar kansa. Ya ƙunshi na'ura wanda radiation a cikinsa ake nufi zuwa ƙari. Ma'aikacin kiwon lafiya yana amfani da ƙananan beads na radiation, waɗanda za a iya dasa su a cikin tasoshin jini. Wannan tiyata yana taimakawa wajen rage ciwace-ciwacen daji kuma yana ba da kariya daga wannan yanayin lafiya.
Ruwan Biliary: Ana sanya bututu mai bakin ciki a cikin bututun bile don fitar da ruwan bile mara kyau. Wannan yana taimakawa wajen kawar da toshewa a cikin wannan magudanar ruwa kuma yana rage alamun bayyanar cututtuka kamar jaundice, itching, da dai sauransu.