Faʻamalosia amioga tamaʻiala

O le faʻamaʻa o le tamaʻi poloka o se vaʻaiga masani o le taatele o le gaʻo. Ole paipa lea e faʻasolo le gaʻo mai le ate i le tamaʻi manava. Bile o se vailaʻau e fesoasoani i le faʻasoesa.

O le faʻamaʻa o le sela e mafua mai i le manuʻa i le alatoto i le taimi o le taotoga. Mo se faʻataʻitaʻiga, e ono tupu pe a maeʻa le taotoga e aveʻese le gallbladder.

Isi mafuaʻaga o lenei tulaga aofia ai:

• Kanesa ole gaʻo ole ate, ate poʻo pancreas
• Faʻaleagaina ma maʻila ona o le maʻamaʻa i le alatoto
• Faʻaleagaina poʻo faʻailogaina pe a uma le aveʻesea o le gallbladder
• Pancreatitis
• Cholangitis Peraimeri sclerosing

Faʻailoga aofia ai:

• Manava manava i le itu taumatau i luga o le manava
• Chills
• Fiva
• Mageso
• Lagona lautele o le le mautonu
• Leai o le fiaai
• Jaundice
• Faanoi ma puaʻi
• Putu poʻo ni kelei-lanu o faʻataʻavalevale

O suʻesuʻega nei e mafai ona fesoasoani e faʻamaonia lenei tulaga:

• Endoscopic retrograde cholangiopancreatography (ERCP)
• Cholutanogram transhepatic faʻasolitulafono (PTC)
• Maneta resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

O suʻesuʻega o le toto e mafai ona fesoasoani e faʻaalia ai se faʻafitauli i le biliary system.

• Alkaline phosphatase (ALP) e maualuga atu nai lo le mea masani.
• Ole maualuga ole enzyme ole GGT e maualuga atu nai lo le mea masani.
• Maualuga maualuga Bilirubin maualuga nai lo masani.

O lenei tulaga e mafai foi ona suia ai iʻuga o suʻega nei:

• Amylase tulaga
• Lipase tulaga
• Mimi bilirubin
• Prothrombin taimi (PT)

O le faʻamoemoe o togafitiga o le faʻasaʻo o le vaiti. Ole mea lea o le a faʻatagaina ai le puta mai le ate i totonu ole gaʻau.

E ono aʻafia ai:

• Taotoga
• Faʻalautelega endoscopic poʻo percutaneous poʻo le faʻaofiina o stents ala i le maʻi

A maeʻa le taotoga, ona aveʻesea loa lea. O le taatele gaʻo gaʻo o le a toe faʻafouina ma le laʻau laʻititi.

I nisi tulaga, o se tamaʻi uʻamea poʻo se palasitika faʻasologa paʻu (stent) o loʻo tuʻu i luga atu o le faʻamaʻa o le tamaʻitaʻi e tatala ai.

Togafitiga e alualu i luma le tele o taimi. O le manuia tumau e faʻamoemoe i le mafuaʻaga o le maopoopo.

O le fulafula ma le vaapiapi o le biliary duct mafai ona toe foi mai i nisi tagata. E i ai le aʻafiaga o faʻamaʻi i luga atu o le vaapiapi. Faʻamau e tumau mo se taimi umi e mafai ona taitai atu ai i le ate faʻaleagaina (cirrhosis).

Valaʻau lau fomaʻi pe a fai o faʻailoga e toe tupu pe a uma le pancreatitis, cholecystectomy, poʻo isi taotoga biliary.

Faʻamalosia amioga tafe; Faʻamalosia o le Biliary

• Ala Bile

Anstee QM, Jones DEJ. Hepatology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Davidson's Principles ma Faʻataʻitaʻiga o Faʻafomaʻi. 23rd ed. Filatelefia, PA: Elsevier; 2018: mata 22.

Fogel EL, Sherman S. Faʻamaʻi o le gallbladder ma bile ducts. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 146

Ibrahim-zada I, Ahrendt SA. Faʻatonutonuina o faʻamaoniga lelei o le biliary. I: Cameron AM, Cameron JL, eds. Togafitiga i le taimi nei. 13th lomiga. Filatelefia, PA: Elsevier; 2020: mata 462-466.

Jackson PG, Evans SRT. Faʻamaumauga I totonu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Tusitusiga o Taʻotoga. 20 ed. Filatelefia, PA: Elsevier; 2017: mata 54.