Mantle - a putswa kapa a 'mala oa letsopa

Mantle a bosootho, a letsopa kapa a 'mala oa putty a ka bakoa ke mathata a biliary system. Tsamaiso ea biliary ke sistimi ea drainage ea gallbladder, sebete le manyeme.

Sebete se ntša matsoai a bile ka setuloaneng, 'me se a fa' mala o sootho o tloaelehileng. U kanna oa ba le litulo tsa 'mala oa letsopa haeba u na le ts'oaetso ea sebete e fokotsang tlhahiso ea bile, kapa haeba phallo ea bile e tsoang sebeteng e koetsoe.

Letlalo le mosehla (jaundice) hangata le hlaha ka litulo tse 'mala oa letsopa. Sena se ka etsahala ka lebaka la bongata ba lik'hemik'hale tsa bile 'meleng.

Lisosa tse ka bang teng tsa litulo tse 'mala oa letsopa li kenyelletsa:

• Joala ba lefu la sebete
• Pherekano ea lefu la sebete
• Kankere kapa lihlahala tse se nang kankere (benign) sebeteng, sisteme ea biliary kapa manyeme
• Li-cysts tsa methapo ea bile
• Majoe a majoe
• Meriana e meng
• Ho khutsuoa ha methapo ea bile (likhahla tsa biliary)
• Sclerosing cholangitis
• Mathata a sebopeho sa biliary system a teng ho tloha tsoalong (congenital)
• Hepatitis ea vaerase

Ho kanna ha ba le lisosa tse ling tse sa thathamisoang mona.

Bitsa mofani oa tlhokomelo ea bophelo haeba litulo tsa hau e se 'mala o sootho o tloaelehileng matsatsi a' maloa.

Mofani oa thepa o tla etsa tlhahlobo ea 'mele. Ba tla botsa lipotso mabapi le nalane ea hau ea bongaka le matšoao a hau. Lipotso li ka kenyelletsa:

• Letšoao leo le qalile ho hlaha neng?
• Na setulo se seng le se seng se soeufetse?
• U noa meriana efe?
• U na le matšoao afe a mang?

Liteko tse ka etsoang li kenyelletsa:

• Liteko tsa mali, ho kenyeletsoa liteko tsa ho hlahloba ts'ebetso ea sebete le livaerase tse ka amang sebete
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Ho etsa lithuto tsa ho etsa litšoantšo, joalo ka ultrasound ea mpeng, CT scan, kapa MRI ea sebete le methapo ea bile

• Tsela e tlase ea tšilo ea lijo

Korenblat KM, Berk PD. Atamela mokuli ka liteko tsa jaundice kapa tse sa tloaelehang tsa sebete. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 138.

Lidofsky SD. Jaundice. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 21.

Marks RA, Saxena R. Maloetse a sebete a bongoaneng. Ka: Saxena R, ed. E sebetsang ea Hepatic Pathology: Mokhoa oa ho Itlhahloba. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2018: khaolo ea 5.