Ngati dokotala akuganiza kuti mungakhale ndi gallstones , mumakhala ndi chithunzi choyesera, monga chithunzi cha ultrasound kapena computers (tom). Izi zimatsimikiziranso zokayikira zake ndipo zingathandize kuthetsa mavuto ena omwe angakhale nawo, monga matenda a impso, matenda a m'mimba, kapena matenda opatsirana.
Pano pali kuyang'ana pa mayesero ndi njira zomwe zimagwiritsidwa ntchito kwambiri kuti azindikire ndi kuyesa matenda a bongo ndi biliary.
Labs
Kuyezetsa magazi sikungapezeko mankhwala amtundu wambiri ndipo zikhoza kukhala zachilendo ngati muli ndi vuto losamvetsetseka, koma mwina mungagwiritse ntchito magazi kuti muwone ngati mukudwala matenda kapena chifuwa cha chiwindi chanu, kapangidwe, ndulu, kapena ndulu. Mayesero angasonyezenso zovuta kuchokera ku ndondomeko, monga chifuwa chachikulu kapena jaundice, komanso kutulutsa matenda ena omwe ali ndi zizindikiro zofanana.
Kujambula
Kuwona chithunzi cha zomwe zikuchitika mu ndulu yanu ndi bile ducts ndi chinthu chofunikira kwambiri kuti mudziwe bwinobwino. Pali mayesero angapo omwe adokotala angagwiritse ntchito kuti azindikire mitsempha yamtundu komanso kuti athetse mavuto ena.
Ultrasound
Ultrasound imagwiritsa ntchito mafunde omveka kuti aganizire kuti bile, chiwindi, ndi zikondamoyo. Pamene gallstones alipo, iwo amawoneka mwina gallbladder kapena bile ducts.
Zimayesedwa kuti ndizokayezetsa zizindikiro za bilary colic ndipo ndizoyeso yoyamba yomwe imaganiziridwa ngati adakayikira milandu.
Kuopsa kochepa kumagwirizanitsidwa ndi mayeso a ultrasound, ndipo ndiyeso yabwino kwambiri komanso yowunikira kuti mupeze mayendedwe. The ultrasound silingatenge nyongolotsi mu odwala kwambiri kapena odwala omwe adya kumene.
Endoscopic Ultrasound
An endoscopic ultrasound amagwiritsa ntchito malo omwe ali ndi ultrasound kumapeto kwa chida. Mtundu wapadera wa ultrasound umadutsa m'matumbo kumene akatswiri azachipatala amatha kuwonetsera mkati mwa ma ducts, gallbladder, ndi pancreas ducts.
Maphunziro apadera amafunika kuti agwiritse ntchito endoscopic ultrasound, yomwe nthawi zina imagwiritsidwa ntchito kupeza miyala yamatope yomwe imasowa ndi ultrasound nthawi zonse. Ntchito zina za endoscopic ultrasound zimaphatikizapo matenda a khansa ya pancreatic ndi kansa ya ma ducts.
Kusinkhasinkha Tomography (CT)
Ngakhale kuti CT imagwiritsira ntchito nyongolotsi, nthawi zambiri sizothandiza ngati ultrasound. Kansalu ya CT imatha kudziwa kachilombo koyambitsa chiwindi ndi kapangidwe. Chiyeso ichi ndi njira yokonzedwera yoyesa kuopsa kwa chifuwa chachikulu.
Endoscopic Kubwezeretsanso Cholangiopancreatography (ERCP)
ERCP ndi mtundu wina wa testoscope yomwe imapangidwa ndi x-rays yomwe imalola kuti anthu azipeza mwayi wokafika ku dothi komanso phalaphala. ERCP imathandizanso kuti mafilist amapezeke panthawi yomwe amachotsedwa kuchoka ku bile kapena pancreas ducts. Chiyeso chimenechi n'chosavuta.
Magnetic Resonance Cholangiopancreatography (MRCP)
MRCP imagwiritsa ntchito zipangizo zamagetsi zamagetsi (MRI) zomwe zimagwiritsa ntchito mapulogalamu apadera a pakompyuta kupanga mapangidwe a madontho a bile ndi makoswe. Mayesero osayenererawa amachititsa izi m'njira yofanana ndi ERCP popanda kufunika kokhala mkati. Pamene MRCP iwonetsa zotsatira zosayenerera, kupitanso patsogolo (ndi ERCP) kapena mankhwala (ndi opaleshoni) ndi ofunikira.
Matenda a Hydroxyl Iminodiacetic (HIDA) Sakanizani
Kachilombo ka hepatobiliary kapena cholescintigraphy, izi zimagwiritsa ntchito mankhwala opangira mavitamini mu jekeseni wanu kuti asonyeze zithunzi za kapangidwe kako kabwino kamene kamatengedwa ndi kamera yapadera. Mukhozanso kupatsidwa chinthu chomwe chimapanga mgwirizano wanu wa ndulu kuti sewerolo likhozenso.
Mayesowa amagwiritsidwa ntchito kuti awone ngati makoti ako ali otsekedwa kapena ndulu yanu sikutengera momwe iyenera kukhalira.
Chithandizo chanu chikhoza kudalira zotsatira za mayesero anu. Ngati ndondomeko zanu zimapezeka ndi mafano, koma popanda chizindikiro, dokotala wanu angakulimbikitseni kuti mudikire ndikuwona ngati zizindikiro zikuyamba. Zingwe zopanda zizindikilo, zomwe zimadziwikanso kuti zimbudzi zamtendere, nthawi zambiri sizifuna mankhwala.
Kusanthula Kusiyanasiyana
Nthawi zina zizindikiro za ndondomeko zimakhala zosiyana ndi zina. Chifukwa cha ichi, dokotala wanu adzafunika kulamulira matenda enawa musanadziwe kuti muli ndi ndulu. Mayesero a labu ndi mafano omwe takambirana pamwambawa angathandize kusiyanitsa izi.
Zina mwa matenda omwe ali ndi zizindikiro zofanana za m'mimba ndipo ziyenera kuganiziridwa pamodzi ndi ndondomeko zamtundu monga:
- Chiwindi cha chiwindi
- Kuperewera kwapang'onopang'ono
- Matenda owopsa a m'mimba
- Ischemic matenda a mtima
- Matenda a reflux a m'mimba
- Peptic ulcer matenda
- Matenda a impso
- Mwala wosakanikirana (miyala yanu mu ureter)
- Ntchito yogwiritsira ntchito ndulu, yomwe ili ndi ululu mu ndulu yanu koma palibe gallstones
- Sphincter Oddi kufooka, komwe kungayambitse ululu kuchokera kumbuyo kwa bile
N'zotheka kukhala ndi zina mwazimenezi kuphatikizapo zogwirizana ndi zitsulo zam'mimba; Mutha kukhala ndi matenda opweteka m'mimba ndi gallstone.
Ndipo chifukwa chakuti zimbudzi zingayambitse matenda ena, ndizotheka kuti munthu amene gallstones amachoka asatengedwe kuti athandizidwe kuti ali ndi vuto lofanana, kuphatikizapo cholecystitis (gallbladder inflammation), choledocholithiasis (pamene gallstone imakhala mu imodzi mwa mankhwala) kupweteka koopsa, ndi pachilonda cholangitis (matenda m'matope a bile).
Dokotala wanu akhoza kuchita zowonjezera zowonjezereka ngati akuganiza kuti mwina muli ndi vuto linalake pambali kapena m'malo mopweteka.
> Zotsatira:
> Chipatala cha Mayo Clinic. Miyala. Chipatala cha Mayo. Idasinthidwa November 17, 2017.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Kuzindikira kwa Magalasi. National Institutes of Health. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Kusinthidwa November 2017.
> Zakko SF. Matenda Osakanizika Amtundu Waakulu. Zaposachedwa. Idasinthidwa pa February 28, 2017.