I-Choledocholithiasis

I-Choledocholithiasis ukutholakala okungenani kwetshe elilodwa lenyongo emgudwini ovamile we-bile. Itshe lingahle lenziwe ngemibala ye-bile noma i-calcium kanye nosawoti we-cholesterol.

Cishe umuntu oyedwa kwabangu-7 onama-gallstones azothuthukisa amatshe emgodini ovamile we-bile. Lesi yishubhu elincane elithwala inyongo lisuka enyongweni liye emathunjini.

Izici zobungozi zifaka umlando wama-gallstones. Kodwa-ke, i-choledocholithiasis ingenzeka kubantu abakhishwe inyongo yabo.

Imvamisa, azikho izimpawu ngaphandle kokuthi itshe livimba umugqa ovamile we-bile. Izimpawu zingafaka:

• Ubuhlungu esiswini esingaphezulu phezulu noma esiphakathi esiswini okungenani imizuzu engama-30. Ubuhlungu bungaba njalo futhi bukhulu. Kungaba mnene noma kube nzima.
• Imfiva.
• Ukuphuzi kwesikhumba nabamhlophe bamehlo (i-jaundice).
• Ukuphelelwa isifiso sokudla.
• Isicanucanu nokuhlanza.
• Izitulo ezinombala wobumba.

Ukuhlolwa okukhombisa ukuthi amatshe atholakala kuphi komgudu wenyongo kufaka okulandelayo:

• Iskena se-CT esiswini
• I-ultrasound yesisu
• I-Endoscopic retrograde cholangiography (ERCP)
• I-endoscopic ultrasound
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-Percutaneous transhepatic cholangiogram (PTCA)

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda lokhu kuhlolwa kwegazi okulandelayo:

• I-Bilirubin
• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kokusebenza kwesibindi
• Ama-enzyme epancreatic

Inhloso yokwelashwa ukukhulula ukuvinjelwa.

Ukwelashwa kungafaka:

• Ukuhlinzwa ukususa i-gallbladder namatshe
• I-ERCP kanye nenqubo ebizwa nge-sphincterotomy, eyenza ukusika kokuhlinzwa emsipheni emgodini ovamile we-bile ukuvumela amatshe ukuba adlule noma asuswe

Ukuvinjelwa kanye nokutheleleka okubangelwa ngamatshe asepheshaneni le-biliary kungasongela impilo. Isikhathi esiningi, umphumela uba muhle uma inkinga itholakele futhi yelashwa kusenesikhathi.

Izinkinga zingafaka:

• I-cirrhosis yesibindi
• Cholangitis
• I-Pancreatitis

Shayela umhlinzeki wakho uma:

• Uba nobuhlungu besisu, noma ungenawo umkhuhlane, futhi asikho isizathu esaziwayo
• Uthuthukisa i-jaundice
• Unezinye izimpawu ze-choledocholithiasis

Gallstone emgodini we-bile; Itshe lemifudlana ebilisiwe

• Uhlelo lokugaya ukudla
• I-cyst yezinso enama-gallstones - i-CT scan
• I-Choledocholithiasis
• I-gallbladder
• I-gallbladder
• Indlela yeBile

U-Almeida R, uZenlea T. Choledocholithiasis. Ku: Ferri FF, ed. Umeluleki Wemitholampilo kaFerri 2019. IPhiladelphia, PA: Elsevier; 2019: 317-318.

UFogel EL, uSherman S. Izifo ze-gallbladder ne-bile ducts. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 155.

UJackson PG, u-Evans SRT. Uhlelo Biliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 54.