Ukuba ugqirha wakho acinga ukuba unakho i- gallstones , uya kuba nokuvavanya okungakumbi-okungenzeka ukucinga, njenge-ultrasound okanye i-computerized tomography (CT). Oku kukuqinisekisa ukuba unobungqina bakhe kwaye unokuncedisa ukulawula ezinye iimeko ezinokuthi zibe zidlala, njengentsholongwane yezintso, isifo sengqondo sesifo, okanye i-pancreatitis engapheliyo.
Nantsi ukujonga kwiimvavanyo kunye neenkqubo eziqhelekileyo ukuxilonga nokuvavanya i-gallbladder ne-biaryary tract disorders.
Iilebhu
Uvavanyo lwegazi aluyi kuhlola i-gallstones kwaye kuya kwenzeka ukuba yinto eqhelekileyo ukuba unomcimbi onzima, kodwa unokwenza umsebenzi wegazi okwenziwe nangoko ukujonga ukusuleleka okanye ukuvuvukala kwesibindi sakho, i-pancreas, i-bile ducts, okanye i-gallbladder. Iimvavanyo zingabonakalisa iingxaki ezivela kwi-gallstones, ezifana ne-pancreatitis okanye i-jaundice, kunye nokulawula ezinye izifo ezinempawu ezifanayo.
Ukucinga
Ukubona umfanekiso wezinto ezenzekayo kwi-gallbladder yakho kunye ne-bile ducts yinto ebalulekileyo yokwenza uvavanyo oluchanekileyo. Kukho iimvavanyo zokucinga ezigqithiseleyo ugqirha wakho angayisebenzisa ukuze ahlolisise i-gallstones kunye nokulawula ezinye iimeko.
Ultrasound
I-ultrasound isebenzisa amagagasi omsindo ukujonga ngokucacileyo i-bile ducts, isibindi kunye ne-pancreas. Xa i-gallstones ikhona, ibonakala kwi-gallbladder okanye i-bile ducts.
Kucingwa ukuba uvavanyo lokuya kwiimpawu ze-bilary colic kwaye uvavanyo lokuqala luqwalaselwa ukuba ugqirha ugxeka i-gallstones.
Umngcipheko omncinci unxulumene novavanyo lwama-ultrasound, kwaye luvavanyo oluqhelekileyo nolona luhle kakhulu lokufumanisa i-gallstones. I-ultrasound ayikwazi ukuthabatha i-gallstones kwizigulane ezigqithisileyo okanye kwizigulane ezandidla kutshanje.
Endoscopic Ultrasound
I-endoscopic ultrasound isebenzisa indawo ene-ultrasound ekupheleni kwesixhobo. Indawo ekhethekileyo ye-ultrasound idluliselwa emathunjini apho oogqirha bezobugqirha banokubonwa kwangaphakathi kwee-ducts ze-bile, gallbladder, ne-pancreas.
Uqeqesho olukhethekileyo lufuneka ukuba lusebenzise i-endoscopic ultrasound, edlalwa ngamanye amaxesha ukufumana amatye e-bile axhoxiswa yi-ultrasound rhoqo. Ezinye izinto ze-endoscopic ultrasound ziquka ukuxilongwa komhlaza we-pancreatic kunye nomhlaza we-bile ducts.
I-Tomography ye-Computing (CT)
Nangona i-CT iyakwazi ukubona i-gallstones, ngokuqhelekileyo ayinakusebenza njenge-ultrasound. I-CT scan ingahlola kwakhona umdlavuza kwisibindi kunye ne-pancreas. Olu vavanyo yindlela ekhethiweyo yokuvavanya ubunzima be-pancreatitis.
I-Endoscopic Retrograde i-Cholangiopancreatographyography (ERCP)
I-ERCP ngenye indlela yokuhlolwa kwe-endoscope eyenziwa nge-ray-ray evumela ukuba kufumaneke ukufikelela kwimidaka ye-bile kunye ne-pancreas. I-ERCP ibuye iyenze i-gallstones efunyanwe ngethuba lokukhutshwa kwimizila ye-bile okanye i-pancreas ducts. Olu vavanyo lungafanelekanga.
I-Magnetic Resonance Cholangiopancreatographyography (MRCP)
UMRCP isebenzisa izixhobo ze-imaging (i-MRI) ezisebenzayo ezisebenzisa i-software ekhethekileyo yekhompyutheni ukwenza imifanekiso yamadada kunye ne-pancreas. Olu vavanyo olungenakuvakala lukwenza ngale ndlela efana ne-ERCP ngaphandle kwemfuneko yendawo yangaphakathi. Xa i-MRCP ibonisa iziphumo ezingavumelekanga, uvavanyo olongezelelweyo (kunye ne-ERCP) okanye unyango (kunye nokuhlinzwa) luyimfuneko.
I-Hydroxyl Iminodiacetic Acid (HIDA) Scan
Eyaziwa nangokuthi i-hepatobiliary scan okanye i-cholescintigraphy, le nto isebenzisa izinto ezifakwe kwi-radioactive injected in your vein ukubonisa imifanekiso yebhiliyari yakho ethathwe ikhamera ekhethekileyo. Unako unikwe inkunkuma eyenza inkontileka yakho ye-gallbladder ukwenzela ukuba i-scan ikhethe kwakhona.
Olu vavanyo lusetyenziswa ukuba lubone ukuba i-bile ducts ivinjiwe okanye i-gallbladder yakho ayiyikontrakthi ngendlela efanele.
Unyango lwakho luya kuxhomekeka kwimiphumo yakho yokuhlola. Ukuba ama-gallstones akho afunyenwe ngokusebenzisa i-imaging, kodwa ngaphandle kokubonisa iimpawu, ugqirha wakho unokukucebisa ukuba ulinde uze ubone ukuba iimpawu ziyaqhubeka. AmaGallstones angenazo iimpawu, ezibizwa ngokuba ngama-gallstones angenanto, ngokuqhelekileyo azifunanga unyango.
Ukuxilongwa okuhlukeneyo
Ngamanye amaxesha iimpawu ze-gallstones zinokuphelelwa kwezinye iimeko. Ngenxa yoko, ugqirha uya kufuna ukulawula ezi ezinye iziphazamiso ngaphandle kokukufumanisa ngezigulane. Iimvavanyo zelabhu kunye neengcamango ezixutyushwa ngasentla zinokukunceda ukuhlukanisa le miqathango komnye.
Ezinye zeziphazamiso ezinempawu ezifanayo zangasese zomzimba kwaye kufuneka ziqwalaselwe kunye kunye nama-gallstones ziquka:
- I-hepatitis
- I-pancreatitis engapheliyo
- I-irritable bowel syndrome
- Ischemic heart disease
- Isifo se-reflux se-Gastroesophageal
- Isifo sesilonda sePeptic
- Usulelo lweentsholongwane
- Amatye e-ureteral (amatye kwi-ureter yakho)
- Ingxaki yokusebenza eyi-gallbladder, okuyiyo xa unentlungu kwi-gallbladder yakho kodwa ayikho i-gallstones
- I-Sphincter ye-Oddi i-dysfunction, enokubangela ubuhlungu kwi-back up of bile
Kungenzeka ukuba ezinye zeemeko zongezeleleke kwaye zingabandakanyekanga kwiintsimbi zamanzi; Unako ukufumana isifo sesifuba esicasulayo kunye nesilongwe, umzekelo.
Kwaye ngenxa yokuba izigulane zingabangela ukhathazeka kwempilo engakumbi, kunokwenzeka ukuba umntu onama-gallstones ahambe angakhange aphendulwe ukuba axilongwe kunye nenkathazo enxulumene nayo, kubandakanya i-cholecystitis ephawulekayo (i-gallbladder inflammation), i-choledocholithiasis (xa i-gallstone igxinwa kwelinye lala ma-ducts) i-pancreatitis enobuhlungu, kunye ne-cholangitis enesifo (intsholongwane kwi-bin ducts).
Ugqirha wakho unokwenza uvavanyo olongezelelweyo ukuba ucinga ukuba unalo lwezinye iziphazamiso ecaleni okanye kunokuba usebenzise izigulane.
> Imithombo:
> Abasebenzi beKliniki yabasebenzi. Gallstones. Clinical Mayo. Ukuhlaziywa ngoNovemba 17, 2017.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Ukuxilongwa kweGallstones. AmaZiko eZiko lezeMpilo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa ngoNovemba 2017.
> Zakko SF. Isifo seGallstone esiyinkimbinkimbi kubantu abadala. Isemgangathweno. Ukuhlaziywa ngoFebruwari 28, 2017.