Klatskinʻeho: Symptoms a me ka iapaau ana

Klatskinʻeho - he maʻi 'aʻai o ka proximal bile leki uea. I ka nani o kēia 'ano ua hana i loko o ka luna o ka biliary'āpana, kahi a lakou i puunaueiaʻi kona aina iwaena o ka akepaʻa lobes. Klatskinʻeho hiki e hanaʻia i loko o nā ducts, a ma kekahi o ia mau mea, e like me ka auoiaea, mai ke akepaʻa. Me ka maʻiʻeho hiki hohola i na ipu ake koko.

General 'ike e pili ana i ka maʻi

I loko nō o ka mea i ke kālā no lapaau i loaa i ka puu o ka mea pono keia mau mea paahana ma i oe ke huai ae a koke diagnose maʻi, Ka maʻi 'aʻai o ke ake, a pancreas i ua uuku? Anoee. Ma kekahi, keia kahua pili vnepechennogo Hoʻohana o ka digestive nenoaiu. Most susceptible i ʻeho Klatskin kekahi kamepiula pūʻulu. First - na keiki ma lalo o 5 makahiki o ka makahiki ka mea e ole e ae mai abnormalities o ka gastrointestinal'āpana. Ka lua - na kanaka, ka poe i hehi 60-makahiki milestone, mākou eʻike piʻi nui biliary'āpana functioning kāna hana.

Ka maʻi 'aʻai ke ala mai no keʻano o nā kumu, akā, laekahi lapaʻau Ho'ākāka' ke kēia:ʻawahia neoneo kuu i loko o ka lewa i loko o nui mea; stress a me ka 'ē aʻe ko mākou hopohopo kāna hana; ? aneie haumia ea; hewaʻano. Eia hou, i ke kumu no ka ho okumu Klatskin hikoko ke malama, a kūponoʻai:

• i ke ano o genetically Hoʻololi 'ai nā huahana;
• waiʻona hainā;
• ia e hoopau ana nui dala o preservatives a me ka ai mea hoʻonui.

Ka maʻi ikeia like me ka hopena o ka mea haawi ala i ka luna 'pilikia ' inikua kāna hana. Ka mea, ultimately kuahene hikoko o nāʻano likeʻole. Inā 'aʻole' oe e lohe i ka symptoms, a hoʻomaka i ka maʻi, e progresses hoʻomaka koke, a hoʻopakele nui discomfort.

Mea Maluna biliary hikoko

1. Benign: papillomas, lipomas, adenomas.
2. Malignant: cholangiocellular Ka maʻi 'aʻai, ka laau awaawa, bladder Ka maʻi' aʻai, Ka maʻi 'aʻai ana i ka bile ducts.
3. Klatskinʻeho.

Mea Maluna o ke kahua o ka IIeEeAIEUAA

• Ka heluna i ka bile ducts me hepatic ke'ō.
• Hoʻolilo i kekahi o na ducts.
• I ka make ana o na ducts elua.

hoʻomanawanui hoopii

Kēia maʻi ua diagnosed e lapaau loa kākaʻikahi. Holomua lapaʻau hilinaʻi nui ma luna o na mea he nui aʻe, akā, i ka loa nui - i kēia manawa, i ka lapaau ana i ka hoʻomanawanui i ke kauka. Inā he kanaka ua noi i ka hoʻomalu i ka manawa, hana maikaʻiʻole i loko o ka hapanui hoopii ka holomua, a ina i ka maʻi e holo, holomua nā haumāna i oi paha ia e manao ia. Nō kāu, Klatskinʻeho diagnosed i ka hookolokolo no ka mai o kekahi huʻi a maʻi kāna hana o ka digestive'āpana.

Ma nā hihia, e hoomanawanui i hele mai ai i ke kauka gastroenterologist no ke kōkua a me kēia pilikia. Ka loa e like me ka hoopii ana o nā mea maʻi i loko o keia hihia.

• ehaeha ma konaʻaoʻao;
• mau nawaliwali o ke kino a me ka luhi;
• undefined kaʻawaʻawa hoao a me ka mouthfeel;
• malaise.

Ka loa Ia oncology ua diagnosed ole pela poe noonoo ole. Ka mea i Klatskinʻeho - jaundice, e like me ka mea ua kapaia - he symptoms like i ka maʻi likeʻole, e like me ake parenchyma a me biliary'āpana.

symptoms

Ma hua'ōlelo o symptoms, ka maʻi i ka kēia mau hiʻona:

• he nui ka ho'ēmiʻana i loko o ke kaupaonaʻana no ka pōkole manawa;
• mimi i uala eleele malu māmā noho;
• me kaʻeleu maʻi Holomua i Konakele. itchyʻili,ʻili lapuwale ia;
• uluʻeho ke kumu eha ka waiʻona ma ke i loko o kekahi mau wahi o ka abdomen, iʻikeʻia ma hope o ke kahua o ka maʻi.

Etiological aʻe no ka hooulu ana i ka malignant 'ano o ka hoʻonaʻauao' ana i loko o ka extrahepatic bile ducts i Kokoke IKE OLE IA. Akā, i predisposing i ke kūpono 'ana o ka maʻi hiki ke hana like penei:

• pinepine i loko o kanaka mua o 60 Klatskinʻeho hihia i loko o ka huipūʻana me ka cholelithiasis;
• Ua mea o ka nui, a me ka aaiaoe predisposition, o ka oi aku no ka poʻe oʻo, akā,ʻaʻole wa e poohina ai;
• waena a hiki maʻi hiki ke noonoo iniiaiie sclerosing cholangitis ;
• Ka liʻiliʻi loa, he pono ole maʻi hōʻeleu hiki hookauwa hepatitis nā mea hoʻomaʻi B a me C.

Like hoike i ke alo o ka maʻi

mau ano hiki ke hoʻohana i ka hōʻikeʻeho Klatskin:

1. Transcutaneous transhepatic cholangiography - me kēia kaʻina hana, kauka loaa piha X-Ray o ka bile leki uea. No ka mea kaʻina hana, i ke ahonui ua pāpā no 6 hola mua ka mea, hoomaka ae la e ai a inu i ka mea ia manawa, ua haawi mai i kiaha dala. Ke Kaʻina Hana hoʻomaka me ka pōkole ma ka akau kahi o ka abdomen o ka kūloko anesthetic, a laila, ma ka ili i loko o ka biliary'āpana lawe i ka lahilahi kui kele ma i kalameaʻai ua injected. A laila, i ka X-kukuna, i hoike ina paha he mea kekahi paewaewa ma ka biliary'āpana. Ke holoʻokoʻa kaʻina hana no ka kéu i ka pololei o ke kuikele ka hili hoʻokō hoʻohana 'ultrasound mīkini. Ma mua a ma hope o percutaneous transhepatic cholangiography nā mea maʻi i hoakaka ia antibiotics i mea e pale aku i ka manawa kūpono o ka maʻiʻaʻai.
2. Angiography. ua ia kēiaʻano o kaʻike, inā i ka leki uea kahi kokoke i nui na moku ke koko o ke akepaʻa. Me ka angiography hoʻoholo paha hahau iho la i kaheʻeho moku. Ua Ua hoʻokō like penei: ma ka groin artery hoʻolauna iā 'he lahilahi Tube ma i ka kalameaʻai ua paa no kūikawā hana, a laila, hele i loko o ka arteries.
3. i hoʻohana 'ia i loko o ka hanana o ka maʻi' aʻai Percutaneous transhepatic cholangiography ua, ia mea pono ma kaʻeho iaʻi. Ua ua hana ia oi pololei hooholo i ka lōʻihi like 'ole o ka percolation pathological keʻano o ka hanaʻana ma hope o percutaneous transhepatic cholangiography.
4. ʻume mākenēki resonance Inc - kekahi o ka maikaʻi kāu kiʻina hana o ka hoʻokolokolo 'ana o kaʻeho. Ua apono 'oe e hoʻoholo i ka kiko'ī wahi a visualizes ka' ole o nā ipu a pau o ke akepaʻa.
5. Biopsy - ka loa ka hoʻokō hana. mea wale nō e leie aku oe i ka pololei hooholo i ke alo o kaʻeho, kona 'ole a me ke ano o ka'aʻaʻa. No ka hana ana i keia mau pōʻino, ua pauku ia puncture, i laila hoʻokolokolo ma microbiological Ka Ikepili. Kēia ke kaʻina hana no ka hana i loko o ka huipūʻana me ka percutaneous transhepatic cholangiography.

lapaau ana i ka maʻi

E like me ua oleloia, ia mea loa paakiki, e ike i kaʻeho Klatskin. cholangitis lapaau - o ka manaʻo o kekahi AEeAaOA o ana i ka pakele ana i ka maʻi. Inā manawa 'aʻole i hoʻomaka lapaau, i ka hoʻomanawanui makemake inevitably make i loko o 4-6 mahina. Cancer - he paakiki, e hana mai ia i ka mea ia 'ano a me kaʻeho Klatskin. Iapaau ana o keia maʻi pinepine komo ai i ka wehe 'ana o ka loli ana i nā'aʻaʻa. Ma keia hihia, ka mea pono e piha, i ua, ua weheʻia ka iʻa'aʻaʻa me ka lole maemae. Keia ua hana no laila, i ka hoʻohuli ai i nā wahi ua haʻalele malignant keena, i kekahi manawa, wehe 'ia mai kekahi lobe o ke akepaʻa. Inā kaʻeho Klatskin, a i keakea loa i ke kūpono 'ana o ke kēla hiki ole ke wehe no o ka pio ana o ka circulatory'ōnaehana o ke kino holoʻokoʻa ua hoʻohana' pāhawewe a me ka chemotherapy, akā, IeAUPIIe, IAa IO, ia mea ineffective.

Where e nānā no ka poomosch

I loko nō o ka mea i ka maʻi i loko o nīnau ua lōʻihi, uaʻikeʻia, a ma laila mau aoao, e hakakā ia ma ka wehe 'ana o'aʻaʻa, aohe mea koe, aohe makaainana e hoʻokokoke i ke kahe ana o ana i ka hana i kaʻeho Klatskin. Lapaʻau o suppurative cholangitis loa ana lawe mai i loko o kaʻIseraʻela i loko o nā keʻena lāʻau lapaʻau hana kūikawā no ka oncology lapaau. Aia ua lōʻihi i nā mea a pau e pono ke hana i ka lesion o keia ano akepaʻa. O i ike ole ia i Israel - he wahi o ka lehulehu o ka 'Oihana ikaika loa i loko o ka' inikua kula, no laila ia mea maopopo ke kumu ma laila e anaʻia a me kaʻeho Klatskin. Reviews o na nā mea maʻi lapaau ana ma laila, ka hōʻike i ka hana i loko oʻIseraʻela oncology nā keʻena lāʻau lapaʻau mea ma waena o nā kulanui.