Choledocholithiasis

I-Choledocholithiasis bubukho bendoda encinci yenyongo kwi-bile duct eqhelekileyo. Ilitye lingenziwa ngee-pigment ze-bile okanye i-calcium kunye neetyuwa ze-cholesterol.

Phantse umntu omnye kwabasi-7 abanama-gallstones aya kuphuhlisa amatye kwi-bile duct. Le yityhubhu encinci ephethe inyongo isuka kwinyongo iye emathunjini.

Imiba yomngcipheko ibandakanya imbali yeenyongo. Nangona kunjalo, i-choledocholithiasis inokwenzeka kubantu abaye basuswa i-gallbladder yabo.

Rhoqo, akukho zimpawu ngaphandle kokuba ilitye livimba indawo eqhelekileyo yenyongo. Iimpawu zingabandakanya:

• Ubuhlungu kwisisu esikwinqanaba eliphezulu okanye esiphakathi esiswini ubuncinci imizuzu engama-30. Intlungu inokuhlala ihlala kwaye inamandla. Ingaba nobulali okanye bunzima.
• Ifiva.
• Ukuthungwa kwesikhumba kunye nabamhlophe bamehlo (i-jaundice).
• Ukuphelelwa ngumdla wokutya.
• Isicaphucaphu nokugabha.
• Izitulo zombala wodongwe.

Uvavanyo olubonisa indawo yamatye kwindawo ye-bile kubandakanya oku kulandelayo:

• Ukuskena kwe-CT esiswini
• I-ultrasound yesisu
• I-Endoscopic retrograde cholangiography (ERCP)
• I-endoscopic ultrasound
• Imagnetic resonance cholangiopancreatography (MRCP)
• Ipolututaticatichephepatic cholangiogram (PTCA)

Umboneleli wakho wezempilo unokuyalela olu vavanyo lwegazi lulandelayo:

• Bilirubin
• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lomsebenzi wesibindi
• Iipenzyme zepancreatic

Injongo yonyango kukhulula ukubhloka.

Unyango lunokubandakanya:

• Utyando lokususa i-gallbladder kunye namatye
• I-ERCP kunye nenkqubo ebizwa ngokuba yi-sphincterotomy, eyenza ukusikwa kotyando kwisihlunu kwindawo eqhelekileyo ye-bile yokuvumela amatye ukuba adlule okanye asuswe

Ukuvaleka kunye nosulelo olubangelwa ngamatye kwiphecana le-biliary kunokubusongela ubomi. Uninzi lwexesha, iziphumo zilungile ukuba ingxaki ifunyenwe kwaye inyangwa kwangoko.

Iingxaki zinokubandakanya:

• Isibindi sephepha
• Cholangitis
• Ipancreatitis

Fowunela umnikezeli wakho ukuba:

• Ukhula neentlungu esiswini, kunye okanye ngaphandle komkhuhlane, kwaye akukho sizathu saziwayo
• Uphuhlisa i-jaundice
• Unazo ezinye iimpawu ze-choledocholithiasis

Ilitye kwilitye lenyongo; Ilitye lebhedi

• Inkqubo yokwetyisa
• Izintso zezintso ezinama-gallstones - i-CT scan
• Choledocholithiasis
• Inyongo
• Inyongo
• Indlela yendlela

UAlmeida R, uZenlea T. Choledocholithiasis. Ku: Ferri FF, ed. Umcebisi weKlinikhi kaFerri 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 317-318.

UFogel EL, uSherman S. Izifo ze-gallbladder kunye ne-bile ducts. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 155.

UJackson PG, uEvans SRT. Inkqubo yeBiliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 54.