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.