Choledocholithiasis

Choledocholithiasis bụ ọnụnọ nke ọ dịkarịa ala otu gallstone na nsị bile du. Okwute ahụ nwere ike mejuputa pigmenti bile ma ọ bụ calcium na salts.

Ihe dị ka mmadụ 1 n'ime mmadụ asaa ọ bụla nwere gallstones ga-etolite okwute n'ime ọnya bile du. Nke a bụ obere tube nke na-ebu mmiri site na gallbladder na eriri afọ.

Ihe egwu nwere akuko gallstones. Otú ọ dị, choledocholithiasis nwere ike ime na ndị wepụsịworo gallbladder ha.

Ọtụtụ mgbe, enweghi ihe mgbaàmà ọ gwụla ma nkume ahụ na-egbochi eriri bile du. Mgbaàmà nwere ike ịgụnye:

• Mgbu dị n'akụkụ aka nri elu ma ọ bụ n'etiti nke elu dịkarịa ala minit 30. Mgbu ahụ nwere ike ịdị ogologo ma sie ike. Ọ nwere ike ịdị nro ma ọ bụ sie ike.
• Ahụ ọkụ.
• Yellowing nke anụ na ọcha nke anya (jaundice).
• Loss nke agụụ.
• Ọgbọ na ọgbụgbọ.
• Akwa odo odo.

Ule nke na-egosi ọnọdụ nke nkume n'ime eriri bile gụnyere ndị a:

• Ime CT i scanomi
• Ime ultrasound
• Endoscopic retrograde cholangiography (ERCP) Ọgwụgwụ
• 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
• Ọnụọgụ ọbara zuru ezu (CBC)
• Nnwale ọrụ imeju
• Enzymes Pancreatic

Ebumnuche nke ọgwụgwọ bụ iji gbochie mgbochi ahụ.

Ọgwụgwọ nwere ike ịgụnye:

• Wa ahụ iji wepụ gallbladder na nkume
• ERCP na usoro a na - akpọ sphincterotomy, nke na - eme ka ịwa ahụ banye ahụ ike dị na eriri bile iji kwe ka nkume gafere ma ọ bụ wepu ya

Mgbochi na ọrịa nke nkume na-akpata na biliary tract nwere ike bụrụ ihe na-eyi ndụ egwu. Ọtụtụ oge, nsonaazụ ya na-adị mma ma ọ bụrụ na achọpụtara ma dozie nsogbu ahụ n'oge.

Nsogbu nwere ike ịgụnye:

• Bilili cirrhosis
• Cholangitis
• Pancreatitis

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Develop na-etolite mgbu abdominal, ma ọ bụ na-enweghị ahụ ọkụ, ọ nweghịkwa ihe kpatara ya
• Develop mepee jaundice
• Have nwere mgbaàmà ndị ọzọ nke choledocholithiasis

Gallstone ke bia bial duct; Bile duct nkume

• Usoro nri
• Akụrụ akụrụ na gallstones - CT scan
• Choledocholithiasis
• Gallbladder
• Gallbladder
• Okporo ụzọ

Almeida R, Zenlea T. Choledocholithiasis. Na: Ferri FF, ed. Ndụmọdụ gbasara ahụike Ferri na 2019. Philadelphia, PA: Elsevier; 2019: 317-318.

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.