Kana chiremba wako achifunga kuti iwe unogona kuva nemapurisa , iwe unogona kunge uine kuongororwa-kunyanya kufungidzira, kufanana ne-ultrasound kana kuti computerized tomography (CT) scan. Izvi ndechekusimbisa kukanganwa kwake uye kuti zvingabatsira kubvisa kunze kwemamwe mimwe mamiriro ezvinhu angangodaro ari kutamba, zvakadai sehutachiona hwetsvo, hutsinye hwemapuviri, kana chirwere chisingaperi.
Hezvino kutarisa kuongororwa uye nzira dzinowanzoshandiswa kuongororongedza uye kuongorora zvirwere zvebigary uye biliary tract.
Labs
Kuongororwa kweropa hakungarangariri maitiro emaronda uye zvingangove zvakajeka kana iwe uine nyaya isina kuoma, asi iwe unogona kuva neropa rekuita rakaita chero zvakadaro kutarisa utachiona kana kuputika kwechiropa chako, pancreas, bile ducts, kana gallbladder. Miedzo inogona kuratidza zvinetso kubva mumaronda, zvakadai sepancreatitis kana jaundice, uyewo kutonga kunze kwezvirwere zvine zviratidzo zvakafanana.
Imaging
Kuona mufananidzo wezviri kuitika mu gallbladder yako uye bile ducts ndiyo chinhu chinonyanya kukosha kuti uone zvakajeka. Pane zviitiko zvekufungidzira izvo chiremba wako angashandisa kuti aongorore mararamiro uyewo kutonga kunze kwemamwe mamiriro.
Ultrasound
Ultrasound inoshandisa mazaya anonzwika kufungidzira kuti bile ducts, chiropa, uye pancreas. Apo mabheji aripo, anowanikwa mune yeguruvladder kana bile ducts.
Inofungidzirwa kuti kuenda-kuedza zviratidzo zve bilary colic uye ndiyo yekutanga kuongororwa kana chiremba anokanganisa maronda.
Kungozi kadiki inobatanidzwa ne test ultrasound, uye ndiyo yakajairika uye yakanakisisa muedzo wekuongororwa kweganda. Iyo ultrasound haigoni kutora ndera dzemakumbo mune varwere vakawanda kana kune varwere vakangodya kudya.
Endoscopic Ultrasound
An endoscopic ultrasound inoshandisa nzvimbo iyo ine ultrasound pamagumo echombo. Iko inonzi ultrasound yakareba inopinda mumatumbo apo vashandi vezvehutano vanogona kuwana kuonekwa kwemukati kwe bile ducts, gallbladder, uye pancreas ducts.
Kudzidziswa kwakakosha kunoshandiswa kushandisa endoscopic ultrasound, iyo dzimwe nguva inoshandiswa kuwana bile duct matombo angave akashaikwa newaini ultrasound. Zvimwe zvinoshandiswa pakugadzirisa zvinonzi ultrasound endoscopic zvinosanganisira kuongororwa kwepancreatic kansa uye kenza ye bile bile ducts.
Computerized Tomography (CT) Scan
Kunyange zvazvo CT scan inogona kutarisa mabheji, kazhinji haisi yakakosha seye ultrasound. A CT scan inogonawo kuongorora kenza muropa uye pancreas. Uyu muedzo ndiyo nzira inoshandiswa yekuongorora kuoma kwepascreatitis.
Endoscopic Retrograde Cholangiopancreatography (ERCP)
ERCP imwe mhando ye endoscope test yakaitwa ne x-rays inobvumira kuwanikwa kune bile ducts uye pancreas ducts. IE ERCP inogonesawo ma-gallstones anowanikwa panguva yekugadziriswa kubviswa kubva kune bile ducts kana pancreas ducts. Uyu muedzo unonyatsopindira.
Magnetic Resonance Cholangiopancreatography (MRCP)
MRCP inoshandisa magnetic resonance imaging (MRI) midziyo inoshandisa purogiramu yakakonzerwa yekombiyuta kugadzira mifananidzo yeB bile ducts uye pancreas ducts. Iyi miedzo isingasviki inoita izvi nenzira yakafanana ne ERCP pasina chidimbu chemukati. Apo MRCP inoratidzira migumisiro isingaenzaniswi, kupfuurira mberi (pamwe ne ERCP) kana kurapwa (nekuvhiyiwa) kunokosha.
Hydroxyl Iminodiacetic Acid (HIDA) Scan
Iyo inozivikanwawo sehepatobiliary scan kana cholescintigraphy, izvi zvinoshandisa mazai e-radioactive mujenya muvheiri yenyu kuratidzira mifananidzo yebhaariary yako yakatorwa nekamera yakakosha. Iwe unogonawo kugoverwa chinhu chinogadzira chibvumirano chako chenduru kuitira kuti scan ikwanise kutora izvozvo zvakare.
Uyu muedzo unowanzoshandiswa kuone kana yako bile ducts yakavharwa kana chirwere chako chisina kubvumirana nenzira iyo inofanira kuva nayo.
Mishonga yako ingangodaro inobva pamigumisiro yekufungidzira kwako. Kana mazamu ako akawanikwa nemufananidzo, asi pasina kupa zviratidzo, chiremba wako angakukurudzira iwe kumirira uye kuona kana zviratidzo zvichiitika. Gallstones asina zviratidzo, anozivikanwawo semarara emarara, kazhinji haadi chirwere.
Kusiyanisa Kuongorora
Dzimwe nguva zviratidzo zvemasimba emaguru zvinogona kuwirirana nemamwe mamiriro ezvinhu. Nemhaka yeizvi, chiremba wako achada kutonga mamwe mamwe matambudziko kunze kwekuona kuti iwe une nduru. Matambudziko uye mazano ekufungidzira akakurukurwa pamusoro apa anogona kubatsira kusiyanisa mamiriro aya kubva kune mumwe.
Zvimwe zvevhiringidzi izvo zvine zviratidzo zvepamusoro zvepamusoro uye zvinofanirwa kufungwa pamwe chete nemakonduru zvinosanganisira:
- Hepatitis
- Chronic pancreatitis
- Irritable bowel syndrome
- Ischemic heart disease
- Gastroesophageal reflux chirwere
- Peptic ulcer chirwere
- Kukohwa kwepyoyo
- Mabwe eUreteral (matombo muunreter yako)
- Functional gallbladder disorder, iyo ndiyo apo iwe une marwadzo muhombe yako asi kwete mavara
- Sphincter ye Oddi dysfunction, iyo inogona kukonzera marwadzo kubva kumashure kwebe
Zvinokwanisika kuva nedzimwe yemamiriro aya nekuwedzera uye asingabatanidzi nematombo; iwe unogona kuita zvose zvinoshungurudza bowel syndrome uye gallstone, somuenzaniso.
Uye nokuti zvipfeko zvinogona kukonzera zvimwe zvinetso zvehutano, zvinogoneka kune mumwe munhu ane mazamu anoenda asingateereri kuti ave panguva imwechete akaongororwa ane chinetso chakafanana, kusanganisira acute cholecystitis (gallbladder inflammation), choledocholithiasis (apo gorosi rinowanikwa mune imwe ye-bile ducts), pancreatitis yakaoma, uye acute cholangitis (utachiona mu bile ducts).
Chiremba wako anogona kuwedzera kuongororwa kana iye achifunga iwe unogona kunge uine chimwe chezvimwe zvinetso izvi pamwe chete kana kuti pane maronda.
> Sources:
> Mayo Clinic Staff. Gallstones. Mayo Clinic. Yakapedzwa musi waNovember 17, 2017.
> National Institute of Diabetes and Digestive and Kidney Diseases. Kuongororwa kweGallstones. National Institutes of Health. Dhipatimendi reUnited Health Health and Human Services. Yakavandudzwa munaNovember 2017.
> Zakko SF. Kusagadzikana Gallstone Dambudziko muVakuru. Kusvika pari zvino. Yakavandudzwa February 28, 2017.