Tlhokomelo ea mokokotlo oa Bile

Tlhokomelo ea bile e fokotseha ka tsela e sa tloaelehang ea tsela e tloaelehileng ea bile. Ena ke tube e tsamaisang bile ho tloha sebeteng ho ea mala a manyane. Bile ke ntho e thusang ka tšilo ea lijo.

Hangata khatello ea bile e bakoa ke ho lemala ha methapo ea bile nakong ea ts'ebetso. Mohlala, e kanna ea hlaha kamora ho buuoa ho tlosa gallbladder.

Lisosa tse ling tsa boemo bona li kenyelletsa:

• Kankere ea methapo ea bile, sebete kapa manyeme
• Tšenyo le mabali ka lebaka la lejoe la lejoe le mokokotlong oa bile
• Tšenyo kapa lesapo kamora ho tlosa gallbladder
• Pancreatitis
• Sclerosing cholangitis ea mantlha

Matšoao a kenyelletsa:

• Bohloko ba mpeng ka lehlakoreng le ka holimo le letona la mpa
• Ho bata
• Feberu
• Ho hlohlona
• Boikutlo bo tloaelehileng ba ho se phutholohe
• Ho felloa ke takatso ea lijo
• Jaundice
• Ho nyekeloa le ho hlatsa
• Litulo tse pente kapa tse 'mala oa letsopa

Liteko tse latelang li ka thusa ho fumana boemo bona:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiogram (PTC)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Liteko tse latelang tsa mali li ka thusa ho senola bothata ka sistimi ea biliary.

• Alkaline phosphatase (ALP) e phahame ho feta e tloaelehileng.
• Boemo ba enzyme ea GGT bo phahame ho feta bo tloaelehileng.
• Boemo ba Bilirubin bo phahame ho feta bo tloaelehileng.

Boemo bona bo ka fetola le litholoana tsa liteko tse latelang:

• Boemo ba Amylase
• Boemo ba Lipase
• Moroto bilirubin
• Nako ea Prothrombin (PT)

Morero oa kalafo ke ho lokisa ho fokotseha. Sena se tla lumella bile ho phalla ho tloha sebeteng ho ea mala.

Sena se ka kenyelletsa:

• Phekolo
• Endoscopic kapa percutaneous dilation kapa ho kenyetsoa ha stents ka setlamo

Haeba ho etsoa opereishene, khatello e tlosoa. Tsela e tloaelehileng ea bile e tla boela e kopane le mala a manyenyane.

Maemong a mang, tšepe e nyane kapa polasetiki ea mesh tube (stent) e beoa holima tšitiso ea bile e le hore e lule e butsoe.

Kalafo e atleha hangata. Katleho ea nako e telele e ipapisitse le sesosa sa botsitso.

Ho ruruha le ho fokotsa mokokotlo oa biliary ho ka khutlela ho batho ba bang. Ho na le kotsi ea tšoaetso kaholimo ho sebaka se patisaneng. Meetso e setseng nako e telele e ka baka tšenyo ea sebete (cirrhosis).

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba matšoao a khutla kamora ho ts'oaetso, cholecystectomy kapa ho buuoa ka biliary.

Tlhokomelo ea mokokotlo oa mokokotlo; Tlhomamiso ea biliary

• Tsela ea Bile

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Fogel EL, Sherman S. Maloetse a gallbladder le bile ducts. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 146.

Ibrahim-zada I, Ahrendt SA. Tsamaiso ea litšitiso tse ntle tsa biliary. Ka: Cameron AM, Cameron JL, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 13th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 462-466.

Jackson PG, Evans SRT. Tsamaiso ea biliary. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 54.