Uma udokotela wakho ecabanga ukuthi ungase ube nama- gallstones , cishe uzoba nokunye okucatshangelwa ukuhlola, okufana ne-ultrasound noma i-computerized tomography (CT). Lokhu kuqinisekisa ukusola kwakhe futhi kungasiza ekulawuleni noma yiziphi ezinye izimo ezingase zibe ukudlala, njengokutheleleka kwezinso, isifo sofuba esiyingozi, noma i-pancreatitis engapheli.
Nakhu ukuhlolwa nokusetshenziswa kwezinqubo ezivame ukusetshenziselwa ukuxilonga nokuhlola izinkinga ze-gallbladder kanye ne-biliary tract disorders.
Amalebhu
Ukuhlolwa kwegazi ngeke kutholakale i-gallstones futhi cishe kuyoba yinto evamile uma unenkinga engaqondakali, kodwa ungase wenze umsebenzi wegazi okwenziwe noma kunjalo ukuhlola ukutheleleka noma ukuvuvukala kwesibindi sakho, ama-pancreas, ama-bile, noma i-gallbladder. Izivivinywa zingabonisa futhi izinkinga ezivela ezigodini, ezifana ne-pancreatitis noma i-jaundice, kanye nokulawula ezinye izifo ezinezimpawu ezifanayo.
Ukucabanga
Ukubona isithombe sezinto okwenzekayo ezinyangeni zakho ze-gallbladder ne-bile kuyinto eyisihluthulelo sokwenza ukuxilongwa okunembile. Kunemibuzo eminingi yokuhlola okungenzeka udokotela wakho ayisebenzise ukuze ahlolisise ama-gallstones kanye nokulawula ezinye izimo.
I-Ultrasound
I-Ultrasound isebenzisa amagagasi omsindo ukubona ngeso lengqondo ama-duct, ubindi, nama-pancreas. Lapho ama-gallstones ekhona, abonakala ku-gallbladder noma i-bile ducts.
Kucatshangwa ukuhlolwa kokuya kwezimpawu ze-bilary colic futhi ukuhlolwa kokuqala kubhekwe uma udokotela ephikisa ama-gallstones.
Ingozi encane ihlotshaniswa nokuhlolwa kwe-ultrasound, futhi kuyisivivinyo esivamile kakhulu kunazo zonke ekuhloleni ama-gallstones. I-ultrasound ingase ingathathi i-gallstones ezigulini ezikhulu kakhulu noma ezigulini ezisanda kudliwa.
I-Endoscopic Ultrasound
I-ultrasound endoscopic isebenzisa ububanzi obune-ultrasound ekupheleni kwensimbi. Indawo ekhethekile ye-ultrasound idluliselwa emathunjini lapho ochwepheshe bezokwelapha bangathola khona ukubonakala kwangaphakathi kwamadada, i-gallbladder, ne-pancreas.
Ukuqeqeshwa okhethekile kuyadingeka ukusebenzisa i-endoscopic ultrasound, ngezinye izikhathi isetshenziselwa ukuthola amatshe angama-bile angase aphuthelwe yi-ultrasound evamile. Okunye okusetshenziselwa i-ultrasound endoscopic kubandakanya ukuxilongwa komdlavuza we-pancreatic nomdlavuza we-bile ducts.
Iskripthi se-Tomography (CT) yekhompuyutha
Ngenkathi i-CT yokuhlola ingabonakalisa ama-gallstones, ngokuvamile ayiphumeli njenge-ultrasound. I-CT scan ingabuye ihlolele umdlavuza esibindi nesibindi. Lokhu kuhlolwa kuyindlela ekhethiwe yokuhlola ubunzima be-pancreatitis.
I-Endoscopic Retrograde ye-Cholangiopancreatography (ERCP)
I-ERCP enye uhlobo lokuhlolwa kwe-endoscope olwenziwe ngama-x-ray avumela ukufinyelela kuma-ducts nama-pancreas ducts. I-ERCP ibuye ibuye ivumele ama-gallstones atholakalayo ngenkathi inqubo isuswa emidayeni ye-bile noma emiphakathini ye-pancreas. Lokhu kuvivinywa kungenasidingo.
I-Magnetic Resonance Cholangiopancreatography (MRCP)
I-MRCP isebenzisa imishini ye-resonance imaging (MRI) esebenzisa isofthiwe ekhethekile yekhompiyutha ukudala izithombe ze-bile ducts nama-pancreas. Lesi sivivinyo esingavumelekile senza lokhu ngendlela efana ne-ERCP ngaphandle kwesidingo sendawo yangaphakathi. Uma i-MRCP yembula imiphumela engavamile, ukuhlolwa okuqhubekayo (nge-ERCP) noma ukwelashwa (ngokuhlinzwa) kuyadingeka.
I-Hydroxyl Iminodiacetic Acid (HIDA) Skena
Eyaziwa nangokuthi i-hepatobiliary scan noma i-cholescintigraphy, lokhu kusetshenziselwa ukwaziswa okumsakazo emzimbeni wakho ukuze ubonise izithombe zekhasi lakho lezinhlamvu ezithathwe ikhamera ekhethekile. Ungaphinde unikezwe into eyenza inkontileka yakho ye-gallbladder ngakho-ke isithwebuli singakukhetha lokho.
Lokhu kuvame ukuvame ukusetshenziselwa ukubona ukuthi amadokodo akho we-bile avinjelwe noma i-gallbladder yakho ayikwenzi ngendlela efanele.
Ukwelashwa kwakho cishe kuxhomeke emiphumeleni yokuhlolwa kwe-imaging yakho. Uma ama-gallstones akho atholakala nge-imaging, kodwa ngaphandle kokubonisa izimpawu, udokotela wakho angase akululeke ukuthi ulinde futhi ubone ukuthi izimpawu ziyaqala yini. Ama-gallstones angenawo izimpawu, aziwa nangokuthi ama-gallstones angathuli, ngokuvamile awadingi ukwelashwa.
Ukuhlonza okuhlukile
Ngezinye izikhathi izimpawu ze-gallstones zingaba nezinye izimo. Ngenxa yalokhu, udokotela wakho uzodinga ukulawula lezi ezinye izifo ngaphandle kokukuthola ukuthi unamacilstones. Ukuhlolwa kwelabhu nokucabangela okukhulunywe ngenhla kungasiza ukuhlukanisa lezi zimo komunye nomunye.
Ezinye zezinkinga ezinezimpawu ezifanayo zangasese zomzimba futhi kufanele zicatshangwe kanye nama-gallstones zifaka:
- I-hepatitis
- I-pancreatitis engapheli
- I-syndrome e-irritable syndrome
- Ischemic isifo senhliziyo
- Isifo se-reflux se-gastroesophageal
- Isifo sesilonda se-Peptic
- Ukutheleleka kwezinso
- Amatshe okugcoba (amatshe e-ureter yakho)
- I-Functional gallbladder disorder, okuyinto lapho unesihlungu ku-gallbladder yakho kodwa akukho ama-gallstones
- I-Sphincter ye-Oddi yokukhubazeka, engabangela ubuhlungu kusukela emuva kwe-bile
Kungenzeka ukuthi ube neminye yalezi zimo ngokungeziwe futhi ungahambisani namagundane; ungaba nesifo sengqondo samathumbu kanye nesilongwe, isibonelo.
Futhi ngenxa yokuthi ama-gallstones angabangela ukukhathazeka kwezempilo okungeziwe, kungenzeka ukuthi umuntu ogama lakhe lingazange liphendulwe ukuze lihlangane ngokufanayo, okufaka phakathi i-cholecystitis ephawulekayo (i-gallbladder inflammation), i-choledocholithiasis (uma i-gallstone ibamba inye yezinyosi ze-bile), i-pancreatitis ejulile, kanye ne-cholangitis enesifo (ukutheleleka emathangeni we-bile).
Udokotela wakho angenza ukuhlolwa okungeziwe uma ecabanga ukuthi ungase ube nalunye lwezifo ezikude eceleni noma kunokuba ungcini.
> Imithombo:
> Abasebenzi beMayo Clinic. Ama-gallstones. I-Mayo Clinic. Kubuyekezwe ngoNovemba 17, 2017.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Ukuxilongwa kwamaGallstones. Izikhungo zezempilo zikazwelonke. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kubuyekezwe ngoNovemba 2017.
> Zakko SF. Isifo esiyinkimbinkimbi seGallstone kuBantu abadala. Kusesikhathini. Kubuyekezwe ngo-Februwari 28, 2017.