Choledocholithiasis

Choledocholithiasis ndi kupezeka kwa mwala umodzi mwanjira yodziwika ya bile. Mwalawo umatha kupangidwa ndimatumba amtundu wa bile kapena calcium ndi salt yamchere.

Pafupifupi 1 mwa anthu 7 omwe ali ndi ndulu amapeza miyala mumayendedwe wamba a bile. Ili ndiye chubu chaching'ono chomwe chimanyamula bile kuchokera ku ndulu kupita m'matumbo.

Zowopsa zimaphatikizapo mbiriyakale yamiyala. Komabe, choledocholithiasis imatha kupezeka mwa anthu omwe achotsedwa ndulu.

Kawirikawiri, palibe zizindikiro pokhapokha mwalawo utatseka njira yodziwika ya bile. Zizindikiro zimaphatikizapo:

• Kupweteka kumtunda chakumtunda kapena chapakati chapakati pamphindi zosachepera 30. Kupweteka kumatha kukhala kosalekeza komanso kwakukulu. Itha kukhala yofatsa kapena yayikulu.
• Malungo.
• Chikasu chachikopa ndi azungu amaso (jaundice).
• Kutaya njala.
• Nseru ndi kusanza.
• Zojambula zofiira.

Kuyesa komwe kumawonetsa malo amiyala mumkhalidwe wa bile ndi awa:

• M'mimba mwa CT scan
• M'mimba ultrasound
• Endoscopic retrograde cholangiography (ERCP)
• Endoscopic ultrasound
• Magnetic resonance cholangiopancreatography (MRCP)
• Percutaneous transhepatic cholangiogram (PTCA)

Wothandizira zaumoyo wanu akhoza kuyitanitsa mayeso amwazi awa:

• Bilirubin
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuyesa kwa chiwindi
• Mavitamini a Pancreatic

Cholinga cha chithandizo ndikuthetsa kutsekeka.

Chithandizo chitha kukhala:

• Opaleshoni yochotsa ndulu ndi miyala
• ERCP ndi njira yotchedwa sphincterotomy, yomwe imapangitsa kuti opaleshoni idulidwe muminyewa yomwe imafanana ndi bile kuti mvula idutse kapena kuchotsedwa

Kutsekedwa ndi matenda omwe amayamba chifukwa cha miyala m'magulu a biliary atha kukhala pachiwopsezo cha moyo. Nthawi zambiri, zotsatira zake zimakhala zabwino ngati vutoli lapezeka ndikuchiritsidwa msanga.

Zovuta zingaphatikizepo:

• Biliary matenda enaake
• Cholangitis
• Pancreatitis

Itanani omwe akukuthandizani ngati:

• Mumakhala ndi ululu wam'mimba, wopanda kapena kutentha thupi, ndipo palibe chifukwa chodziwika
• Mumakhala ndi jaundice
• Muli ndi zisonyezo zina za choledocholithiasis

Gallstone mu bile ritsa; Mwala wamiyala yamadzi

• Dongosolo m'mimba
• Impso chotupa ndi ma gallstones - CT scan
• Choledocholithiasis
• Chikhodzodzo
• Chikhodzodzo
• Njira yopanda madzi

Almeida R, Zenlea T. Choledocholithiasis. Mu: Ferri FF, Mkonzi. Mlangizi wa Zachipatala wa Ferri 2019. Philadelphia, PA: Elsevier; 2019: 317-318.

Fogel EL, Sherman S. Matenda a ndulu ndi ma ducts. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 155.

Jackson PG, Evans SRT. Dongosolo Biliary. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 54.