Nkume okwute
Gallstones bụ ego siri ike nke na-etolite n’ime gallbladder. Ndị a nwere ike ịdị ntakịrị dịka ọka ájá ma ọ bụ buru ibu dị ka bọl golf.
Ihe na-akpata gallstones dị iche. E nwere ụdị gallstones abụọ dị mkpa:
- Okwute nke cholesterol - Nke a bụ ụdị kachasị. Cholesterol gallstones emetụtaghị ọkwa kọlesterol na ọbara. Ọtụtụ oge, anaghị ahụ ha na nyocha CT.
- Nkume nke bilirubin - A na-akpọ ya ihe ndị na-acha odo odo. Ha na-eme mgbe ebibi mkpụrụ ndụ ọbara uhie na oke bilirubin dị na bile.
Nkume gall na-ejikarị:
- Mmekọahụ nwanyị
- Ativemụ amaala America na ndị agbụrụ Hispanic
- Ndị karịrị afọ 40
- Ndị buru oke ibu
- Ndị mmadụ nwere akụkọ banyere ezinụlọ nke gallstones
Ihe ndị a na - emekwa ka o yikarịrị ka ị ga - azụlite okwute gall:
- Ọkpụkpụ ma ọ bụ ọkpụkpụ akụkụ ahụ siri ike
- Ọrịa shuga
- Enweghi ike nke gallbladder ka efu efu nke oma (nke a nwere ike ime n'oge ime ime)
- Imeju cirrhosis na ọrịa biliary tract (pigmenti nkume)
- Ọnọdụ ahụike na-eme ka ọtụtụ mbibi ọbara uhie laa
- Ọnwụ dị ngwa n’eri nri obere kalori, ma ọ bụ mgbe a wachara ịwa ahụ
- Nata nri na-edozi ahụ site na akwara ruo ogologo oge (nri nri intravenous)
- Ụ ọgwụ mgbochi ime
Ọtụtụ ndị nwere nkume gall enweghị ihe mgbaàmà ọ bụla. A na-ahụkarị ha oge a na-eme x-ray, ịwa ahụ afọ, ma ọ bụ usoro ọgwụgwọ ọzọ.
Otú ọ dị, ọ bụrụ na nnukwu okwute egbochi tub ma ọ bụ eriri nke na-agba gallbladder, ị nwere ike inwe ihe mgbu na-egbu mgbu n'etiti n'etiti aka nri dị n'elu. A maara nke a dị ka biliary colic. Mgbu ahụ na-apụ ma ọ bụrụ na nkume gafere akụkụ mbụ nke eriri afọ.
Mgbaàmà nwere ike ime gụnyere:
- Mgbu dị n'akụkụ aka nri elu ma ọ bụ n'etiti nke elu dịkarịa ala minit 30. Mgbu ahụ nwere ike ịdị ogologo oge ma ọ bụ na mkpagide O nwere ike ịdị nkọ ma ọ bụ dull.
- Ahụ ọkụ.
- Yellowing nke anụ na ọcha nke anya (jaundice).
Mgbaàmà ndị ọzọ nwere ike ịgụnye:
- Akwa odo odo
- Ọgbọ na ọgbụgbọ
Ule eji achọpụta gallstones ma ọ bụ gallbladder mbufụt gụnyere:
- Ultrasound, afọ
- Nyocha CT, afọ
- Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ
- Gallbladder radionuclide nyocha
- Endoscopic ultrasound
- Magnetik resonance cholangiopancreatography (MRCP)
- Percutaneous transhepatic cholangiogram (PTCA) Ọgwụ
Onye na-ahụ maka ahụike gị nwere ike ịtụ ihe nyocha ọbara ndị a:
- Bilirubin
- Nnwale ọrụ imeju
- Ọnwụ ọbara zuru ezu
- Enzyme Pancreatic
SGW. AH.
Ọtụtụ mgbe, ọ dịghị mkpa ịwa ahụ ọ gwụla ma mgbaàmà amalite. Otú ọ dị, ndị mmadụ na-eme atụmatụ ịwa ahụ ọnwụ na-adị mkpa nwere ike wepụ gallstones tupu ha amalite usoro ahụ. N'ozuzu, ndị nwere ihe mgbaàmà ga-achọ ịwa ahụ ozugbo ma ọ bụ n'oge na-adịghị anya mgbe achọtara nkume ahụ.
- A na-ejikarị usoro akpọrọ laparoscopic cholecystectomy. Usoro a na-eji obere ịwa ahụ, nke na-enye ohere maka mgbake ngwa ngwa. Onye ọrịa nwere ike ịla ụlọ ọgwụ mgbe ọ bụla n'ụlọ ọgwụ n'ime ụbọchị 1 nke ịwa ahụ.
- N'oge gara aga, a na-emekarị cholecystectomy na-emeghe (iwepụ gallbladder). Otú ọ dị, usoro a adịkarịghị ugbu a.
Endoscopic retrograde cholangiopancreatography (ERCP) na usoro a na-akpọ sphincterotomy nwere ike ime iji chọta ma ọ bụ mesoo gallstones na mmiri bile duct.
ỌGWỤ
Enwere ike inye ọgwụ na pill n'ụdị igbari gallstones. Otú ọ dị, ọgwụ ndị a nwere ike were afọ 2 ma ọ bụ karịa rụọ ọrụ, na okwute nwere ike ịlaghachi mgbe ọgwụgwọ gwụchara.
Ọ dịkarịghị, a na-ebufe kemịkal n'ime gallbladder site na catheter. Chemical na-agbaze nkume cholesterol ngwa ngwa. Ọgwụgwọ a siri ike ịme, ya mere anaghị eme ya oge niile. Chemicals ndị a na-eji eme ihe nwere ike ịdị na-egbu egbu, na gallstones nwere ike ịlaghachi.
AKWKWỌ
Shock wave lithotripsy (ESWL) nke gallbladder ka ejirila maka ndị na-enweghị ike ịwa ahụ. A naghị eji ọgwụgwọ a eme ihe oge niile dịka ọ dị na mbụ n'ihi na okwute na-alọghachi mgbe mgbe.
Nwere ike ịdị na nri mmiri mmiri ma ọ bụ were usoro ndị ọzọ iji nye gallbladder gị ezumike mgbe emesịrị gị. Onye na-eweta gị ga-enye gị ntuziaka mgbe ịpụ n’ụlọ ọgwụ.
Ohere nke mgbaàmà ma ọ bụ nsogbu site na ịwa ahụ gallst dị obere. Ihe fọrọ nke nta ka ọ bụrụ ndị niile nwere ịwa ahụ gallbladder enweghị mgbaàmà ha.
Mgbapu site na gallstones nwere ike ibute ọzịza ma ọ bụ ọrịa na:
- Gallbladder (cholecystitis)
- Akpụkpọ nke na-ebu bile site na imeju ruo gallbladder na eriri afọ (cholangitis)
- Pancreas (pancreatitis)
Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na ịnwee:
- Mgbu dị n'akụkụ elu nke afọ gị
- Na-acha edo edo ma ọ bụ na-acha ọcha nke anya
N'ọtụtụ mmadụ, enweghị ike igbochi nkume gall. N’ebe ndị buru oke ibu nọ, izere ịdị na-ebu ibu ngwa ngwa nwere ike inye aka gbochie nkume gallstones.
Cholelithiasis; Gallbladder ọgụ; Bilis colic; Mwakpo gallstone; Biliary calculus: gallstones chenodeoxycholic acids (CDCA); Ursodeoxycholic acid (UDCA, ursodiol); Endoscopic retrograde cholangiopancreatography (ERCP) - nkume gallstones
- Gallbladder mwepụ - laparoscopic - nhapu
- Mwepụ nke Gallbladder - emeghe - nhapu
- Gallstones - ihapu
- Usoro nri
- Akụrụ akụrụ na gallstones - CT scan
- Gallstones, cholangiogram
- Cholecystolithiasis
- Cholelithiasis
- Gallbladder
- Gallbladder iwepụ - Usoro
Fogel EL, Sherman S. Ọrịa nke gallbladder na bile ducts. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 155.
Jackson PG, Evans SRT. Usoro biliary. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 54.
Wang D Q-H, Afdhal NH. Ọrịa gallstone. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 65.