Maa maa

Gallstones o ni tupe teu faigata e fausia i totonu o le gallbladder. Atonu e laʻititi e pei o le oneone pe faʻapito e pei o le polo tapolo.

E eseese le mafuaʻaga o maʻamaʻa. E i ai lua autu ituaiga o maʻa:

• Maʻa e faia mai le toto - O le ituaiga masani lea. O Cholesterol gallstones e le faʻatatau i le maualuga o le toto i le toto. I le tele o tulaga, latou te le o vaʻaia i luga o le CT scans.
• Maʻa e faia i le bilirubin - O nei mea e taʻua o maʻa lanu. E tupu pe a faʻatamaʻia sela mumu o le toto ma tele ai le bilirubin o loʻo i le faʻamaʻi.

Gallstones e sili ona taatele i:

• Feusuaiga fafine
• Tagatanuu o Amerika ma tagata o lona tupuʻaga Hispanic
• Tagata ua silia ma le 40 tausaga
• Tagata ua soona mamafa
• Tagata ma talaʻaga aiga o maʻamaʻa

O mea o loʻo sosoʻo atu e atili ai ona e atiina aʻe maa:

• Sone ponaivi poʻo le totoina totoga totoga
• Maʻi suka
• Le mafai o le gallbladder e faʻafofoa lelei talala (o lenei e ono tupu i le taimi o maitaga)
• Ate cirrhosis ma siama tamaʻi biliary (maʻa pigment)
• Tulaga faʻafomaʻi e mafua ai le tele o sela mumu e faʻaumatia
• Leiloa vave leiloa paʻu mai le 'ai i se sili maualalo-kalori taumafataga, pe a maeʻa mamafa paʻu le taotoga
• Mauaina o meaʻai e ala i se alatoto mo se taimi umi o le taimi (fafagaina intravenous)
• Taina o fualaʻau taofiofia ai fanau

Tele o tagata e iai maʻa maʻamaʻa e leai ni faʻailoga. Nei e masani ona maua i le taimi o masani x-ray, manava taotoga, poʻo isi togafitiga togafitiga.

Peitaʻi, afai e poloka se maʻa tele se paipa poʻo se alavai e faʻamaligiina le gallbladder, oe ono maua se tiga cramping i le ogatotonu i le taumatau luga taumatau. E taʻua lenei mea o le biliary colic. E aluese le tiga pe a pasi le maʻa i le vaega muamua o le tamaʻi manava.

Faʻailoga e ono tupu e aofia ai:

• Tigā i le taumatau pito i luga poʻo le ogatotonu manava mo le le itiiti ifo i le 30 minute. O le tiga atonu e tumau pe cramping. E mafai ona lagona maʻai pe le malie.
• Fiva.
• Lanu samasama o paʻu ma papaʻe o mata (jaundice).

O isi faʻailoga e mafai ona aofia ai:

• Fata e lanu samasama
• Faanoi ma puaʻi

O faʻataʻitaʻiga na faʻaaoga e iloa ai gallstones poʻo le gallbladder inflammation aofia ai:

• Ultrasound, manava
• CT scan, manava
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Suʻesuʻega o le radionuclide
• Endoscopic ultrasound
• Maneta resonance cholangiopancreatography (MRCP)
• Cholutanogram transhepatic faʻasolitulafono (PTCA)

E mafai ona faʻatonu e lau tausi soifua maloloina nei suʻesuʻega ile toto:

• Bilirubin
• Suʻega gaioiga ole ate
• Faitau atoa le toto
• Enzyme Pancreatic

Taotoga

Tele o taimi, e le manaʻomia se taotoga seʻi vagana ua amata faʻailoga. Peitaʻi, o tagata o loʻo fuafuaina le faʻamamaina o le mamafa o taotoga atonu e manaʻomia le aveese o maʻamaʻa aʻo leʻi faia le taualumaga. I se tulaga aoao, o tagata e iai auga o le a manaʻomia vave taotoga pe vave ona maua le maa.

• O se metotia faʻaigoaina laparoscopic cholecystectomy e masani ona faʻaaogaina. O lenei faʻagaioiga e faʻaaoga ai ni taʻotoga laiti, e mafai ai ona toe faʻaleleia vave. O se tagata maʻi e masani ona mafai ona alu i le fale mai le falemaʻi i totonu o le 1 aso o taʻotoga.
• I taimi ua tuanaʻi, o le matala o le cholecystectomy (aveʻesega o le gallbladder) sa masani ona faia. Peitai, o lenei metotia ua seasea taatele i le taimi nei.

Endoscopic retrograde cholangiopancreatography (ERCP) ma se auala e taʻua o le sphincterotomy e mafai ona faia e suʻe pe togafitia ai gallstones i le masani o le bile duct.

O VAILAʻAU

O vailaʻau e mafai ona tuʻuina atu i le foma i pepa e faʻatamaʻia ai gallstones o le cholesterol. Peitai, o nei vailaʻau ono mafai ona 2 tausaga pe sili atu foʻi e galue ai, ma o maa e ono toe foʻi mai pe a uma togafitiga.

E seasea lava, vailaʻau e pasi i totonu o le gallbladder i totonu o le catheter. O le vailaʻau faʻavavevave faʻamaligiina maa maa. O lenei togafitiga e faigata ona faʻatino, o lea e le masani ona faia. O vailaʻau o loʻo faʻaaogaina e mafai ona oona, ma e ono mafai ona toe foi mai le maa.

LITOTELE

O le Shock wave lithotripsy (ESWL) o le gallbladder sa faʻaaogaina foi mo tagata e le mafai ona faia se taotoga. O lenei togafitiga e le masani ona faʻaaogaina e pei ona masani ai ona e masani ona toe foʻi mai gallstones.

Atonu e manaʻomia lou i ai i se vai inu poʻo le faia o isi laʻasaga e avatu ai lau gallbladder se malologa pe a uma ona togafitia oe. O le a avatua e lau tautua ni faʻatonuga pe a e tuua le falemaʻi.

O le avanoa o faʻailoga poʻo faʻalavelave mai i taotoga o maʻamaʻa e maualalo. Toetoe lava o tagata uma o loʻo faia taotoga o le gallbladder latou te le maua o latou faʻailoga.

Ole poloka e ala ile maa e ono mafua ai le fulafula poʻo le faʻamaʻi i le:

• Gallbladder (cholecystitis)
• Faagaau e feaveaʻi le maile mai le ate i le afu oona ma gaʻo (cholangitis)
• Pancreas (pancreatitis)

Valaʻau lau tautua peʻa iai sau:

• Tiga i le itu i luga o lou manava
• Lanu samasama o le paʻu poʻo papaʻe o mata

I le tele o tagata, e le mafai ona puipuia ni maaʻauʻau. I tagata ua lapoʻa, o le aloese mai le vave faʻamamaina o le pauna e mafai ona fesoasoani i le puipuia o papa.

Cholelithiasis; Osofaʻi Gallbladder; Kolisi o le Biliary; Osofaʻiga o Gallstone; Faʻatusatusaga o le Biliary: gallstones chenodeoxycholic acid (CDCA); Ursodeoxycholic acid (UDCA, ursodiol); Endoscopic retrograde cholangiopancreatography (ERCP) - maa faʻamaʻa

• Aveesea o le lapisi - laparoscopic - tiaʻi
• Aveesea o le lapisi - tatala - lafoa
• Maa maa - faʻateʻaina

• Polokalama Digestive
• Fatugao cyst ma maa faʻapitoa - CT scan
• Gallstones, cholangiogram
• Cholecystolithiasis
• Cholelithiasis
• Faafefe
• Aveesea o le lapisi - Faasologa

Fogel EL, Sherman S. Faʻamaʻi o le gallbladder ma bile ducts. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 25th lomiga. Filatelefaia, PA: Elsevier Saunders; 2016: mata 155

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.

Wang D Q-H, Afdhal NH. Faamaʻi Gallstone I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi ole: Pathophysiology / Diagnosis / Pulega. 10 ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 65.