Choledocholithiasis

Choledocholithiasis shine kasancewar aƙalla gallstone ɗaya a cikin butar bile gama gari. Dutse na iya kasancewa daga launuka masu kama da ciki ko kuma alli da gishirin da ke cikin cholesterol.

Kusan 1 cikin mutane 7 da ke da duwatsun gall za su ci gaba da duwatsu a cikin butar bile gama gari. Wannan shine karamin bututun da ke dauke da bile daga mafitsara zuwa hanji.

Abubuwan haɗarin haɗari sun haɗa da tarihin gallstones. Koyaya, choledocholithiasis na iya faruwa a cikin mutanen da aka cire gallbladder ɗin su.

Yawancin lokaci, babu alamun bayyanar sai dai idan dutse ya toshe bututun bututun gama gari. Kwayar cutar na iya haɗawa da:

• Jin zafi a cikin babba dama ko tsakiyar babba na aƙalla aƙalla mintuna 30. Ciwo na iya zama mai ɗorewa kuma mai tsanani. Zai iya zama mai sauƙi ko mai tsanani.
• Zazzaɓi.
• Raunin fata da fararen idanu (jaundice).
• Rashin ci.
• Tashin zuciya da amai.
• Kujerun kala-kala.

Gwajin da ke nuna wurin duwatsu a cikin bututun bile sun haɗa da masu zuwa:

• CT scan na ciki
• Ciki duban dan tayi
• Endoscopic retrograde cholangiography (ERCP)
• Endoscopic duban dan tayi
• Magnetic rawa cholangiopancreatography (MRCP)
• Ercwararren ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa (PTCA)

Mai ba ku kiwon lafiya na iya yin oda da gwaje-gwajen jini masu zuwa:

• Bilirubin
• Kammala ƙididdigar jini (CBC)
• Gwajin aikin hanta
• Enzymes na Pancreatic

Makasudin magani shine don kawar da toshewar.

Jiyya na iya ƙunsar:

• Yin aikin tiyata don cire bawon ciki da duwatsu
• ERCP da aikin da ake kira sphincterotomy, wanda ke sanya tiyata a cikin tsoka a cikin bututun bile don a ba da damar duwatsu su wuce ko a cire su

Toshewa da kamuwa da cuta sakamakon duwatsu a cikin sashin biliary na iya zama barazanar rai. Mafi yawan lokuta, sakamakon yana da kyau idan aka gano matsalar kuma aka magance ta da wuri.

Matsaloli na iya haɗawa da:

• Biliary cirrhosis
• Cholangitis
• Pancreatitis

Kira mai ba da sabis idan:

• Kuna ci gaba da ciwon ciki, tare da ko ba tare da zazzabi ba, kuma babu wani sanannen sanadi
• Kuna ci gaba da jaundice
• Kuna da sauran alamun cututtukan choledocholithiasis

Gallstone a cikin bututun butul; Bile bututun dutse

• Tsarin narkewa
• Cwayar koda tare da duwatsu masu duwatsu - CT scan
• Choledocholithiasis
• Ruwan kwalliya
• Ruwan kwalliya
• Hanyar Bile

Almeida R, Zenlea T. Choledocholithiasis. A cikin: Ferri FF, ed. Ferri's Clinical Advisor 2019. Philadelphia, PA: Elsevier; 2019: 317-318.

Fogel EL, Sherman S. Cututtuka na gallbladder da bile ducts. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 155.

Jackson PG, Evans SRT. Biliary tsarin.A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 54.