Choledocholithiasis

Choledocholithiasis ke boteng ba bonyane lejoe le le leng ka har'a pitsa e tloaelehileng ea bile. Lejoe leo le ka 'na la etsoa ka' mala oa bile kapa matsoai a k'halsiamo le k'holeseterole.

Hoo e ka bang motho a le mong ho ba 7 ea nang le li-gallstones o tla hlahisa majoe ka har'a pitsa e tloaelehileng ea bile. Ena ke phala e nyane e tsamaisang bile ho tloha ho gallbladder ho ea mala.

Mabaka a kotsi a kenyelletsa nalane ea li-gallstones. Leha ho le joalo, choledocholithiasis e ka hlaha ho batho ba tlositsoeng nyooko.

Hangata, ha ho na matšoao ntle le haeba lejoe le thibela tsela e tloaelehileng ea bile. Matšoao a ka kenyelletsa:

• Bohloko bo ka mpeng e ka holimo e ka holimo kapa e bohareng kahare bonyane metsotso e 30. Bohloko bo ka ba khafetsa ebile bo matla. E ka ba bonolo kapa e matla.
• Feberu.
• Letlalo le mosehla le makhooa a mahlo (jaundice).
• Ho felloa ke takatso ea lijo.
• Ho nyekeloa le ho hlatsa.
• Litulo tsa 'mala oa letsopa.

Liteko tse bonts'a sebaka sa majoe ka har'a mokoti oa bile li kenyelletsa tse latelang:

• Tlhaloso ea mpa ea mpa
• Mpa ea ka mpeng
• Endoscopic retrograde cholangiography (ERCP)
• Endoscopic ultrasound
• Magnetic resonance cholangiopancreatography (MRCP)
• Percutaneous transhepatic cholangiogram (PTCA)

Mofani oa hao oa tlhokomelo ea bophelo a ka odara liteko tse latelang tsa mali:

• Bilirubin
• Palo e felletseng ea mali (CBC)
• Liteko tsa ts'ebetso ea sebete
• Li-enzyme tsa pancreatic

Morero oa kalafo ke ho imolla thibelo.

Kalafo e ka kenyelletsa:

• Ho buoa ho tlosa gallbladder le majoe
• ERCP le ts'ebetso e bitsoang sphincterotomy, e etsang hore ho phunyeletsoe ka har'a mesifa ka har'a seporo se tloaelehileng sa bile ho lumella majoe hore a fete kapa a tlosoe

Thibelo le ts'oaetso tse bakoang ke majoe a pampitšana ea biliary li ka beha bophelo kotsing. Boholo ba nako, sephetho se setle haeba bothata bo fumanoa 'me bo phekoloa kapele.

Mathata a ka kenyelletsa:

• Pherekano ea lefu la sebete
• Cholangitis
• Pancreatitis

Bitsa mofani oa hau haeba:

• U ba le bohloko ba mpeng, ka feberu kapa ntle le eona, 'me ha ho na sesosa se tsebahalang
• U ba le jaundice
• O na le matšoao a mang a choledocholithiasis

Lejoe la majoe ka mokokotlong oa bile; Lejoe la mokokotlo oa bile

• Tsamaiso ea ho sila lijo
• Liphio cyst le gallstones - CT scan
• Choledocholithiasis
• Sefuba
• Sefuba
• Tsela ea Bile

Almeida R, Zenlea T. Choledocholithiasis. Ka: Ferri FF, e hlophisitsoeng. Moeletsi oa Bongaka oa Ferri oa 2019. Philadelphia, PA: Elsevier; 2019: 317-318.

Fogel EL, Sherman S. Maloetse a gallbladder le bile ducts. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 155.

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.