Choledocholithiasis

Choledocholithiasis ndiko kuvepo kweinenge imwe dombo mudura rakajairika duct. Dombo rinogona kunge riine bile pigments kana calcium uye cholesterol munyu.

Vanenge munhu mumwe muvanhu vanomwe vane nduru dzinogadzira matombo mune yakajairwa bile duct. Iyi ndiyo chubhu diki inotakura bile kubva kune nduru kuenda kuura.

Njodzi zvinhu zvinosanganisira nhoroondo yematombo. Zvisinei, choledocholithiasis inogona kuitika kune vanhu vakabviswa nduru yavo.

Kazhinji, hapana zviratidzo kunze kwekunge iro dombo richivhara iyo yakajairika bile duct. Zviratidzo zvinogona kusanganisira:

• Marwadzo ari mudumbu repamusoro kana epakati kumusoro padumbu kwemaminitsi makumi matatu. Marwadzo anogona kunge achigara uye akasimba. Inogona kuve yakapfava kana yakaoma.
• Kupindwa nechando.
• Yero yeganda uye chena yemeso (jaundice).
• Kupererwa nechido.
• Kusvotwa uye kurutsa.
• Zvigaro zvine ruvara rwevhu.

Kuyedzwa kunoratidza nzvimbo yematombo muiyo bile duct inosanganisira zvinotevera:

• Abdominal CT scan
• Abdominal ultrasound
• Endoscopic kudzokorora cholangiography (ERCP)
• Endoscopic Ultrasound
• Magnetic resonance cholangiopancreatography (MRCP)
• Percutaneous transhepatic cholangiogram (PTCA)

Mubatsiri wako wehutano anogona kuraira zvinotevera kuongororwa kweropa:

• Bilirubin
• Yakazara kuverenga ropa (CBC)
• Chiropa basa bvunzo
• Pancreatic enzymes

Chinangwa chekurapa ndechekusunungura iko kuvharika.

Kurapa kunogona kusanganisira:

• Kuvhiya kubvisa nduru nematombo
• ERCP uye maitiro anonzi sphincterotomy, ayo anoita kuti kuvhiya kuteme mumhasuru mune yakajairwa bile duct kubvumira matombo kupfuura kana kubviswa

Kuvharika uye hutachiona hunokonzerwa nematombo mune biliary turakiti zvinogona kutyisidzira hupenyu. Kazhinji yenguva, mhedzisiro yakanaka kana dambudziko rikaonekwa nekurapwa nekukurumidza.

Zvinetso zvinogona kusanganisira:

• Biliary cirrhosis
• Cholangitis
• Pancreatitis

Fonera mupiki wako kana:

• Unokudziridza kurwadziwa mudumbu, uine kana usina kupisa, uye hapana chinozivikanwa chikonzero
• Unovandudza jaundice
• Iwe une zvimwe zviratidzo zve choledocholithiasis

Dombo rebwe riri mumugwagwa we bile; Bhairi duct dombo

• Kugaya chirongwa
• Itsvo cyst ine nduru - CT scan
• Choledocholithiasis
• Gallbladder
• Gallbladder
• Bile nzira

Almeida R, Zenlea T. Choledocholithiasis. Muna: Ferri FF, rakanyorwa. Ferri's Clinical Mupi wezano 2019. Philadelphia, PA: Elsevier; 2019: 317-318.

Fogel EL, Sherman S. Zvirwere zveguruva uye bile ducts. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 155.

Jackson PG, Evans SRT. Biliary maitiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.