Faʻafitauli ala o le Biliary

Anotusi

• Ituaiga o gaʻo gaʻo
• O le a le mafuaʻaga faʻalavelaveina biliary?
• O a ni tulaga lamatia?
• O a faʻailoga o le polokaina o le biliary?
• Faʻafefea ona maua se faʻamaʻi ole biliary?
• Tofotofoga toto
• Ultrasonography
• Biliary radionuclide scan (HIDA scan)
• Cholangiography
• MRI faitau vave
• Maneta resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• O le a le togafiti mo le faʻalavelave ole biliary?
• Faʻafitauli o le faʻaletonu o le toto
• E mafai ona taofia le faʻalavelave ole biliary?

O le a le mea ole papala ole papala?

O le poloka poloka o se poloka o le sela afu. O totoga o le puta e ave ai le gaʻo mai le ate ma le papala e ala atu i le papala i le duodenum, o se vaega lea o le tamaʻi gaʻo. Bile o se pogisa-lanumeamata poʻo le samasama-enaena suavai faʻalilolilo e le ate e faʻamama gaʻo. A maeʻa lau 'ai, ona faʻamatuʻu mai lea e le gallbladder le bile e fesoasoani ai i le faʻaluina o meaai ma le lolomiina o gaʻo. O le faʻamaile e fesoasoani foi e faʻamama le ate o oloa lapisi.

Faʻalavelaveina o soʻo se tasi o nei faʻamaʻi laina o loʻo taʻua o le biliary obstruction. Tele o tuʻutuʻuga e fesoʻotaʻi ma le poloka o le biliary e mafai ona togafitia lelei. Peitai, afai o le poloka tumau tumau le togafitia mo se taimi umi, e mafai ona taitai atu ai i le ola lamatiaga faamai o le ate.

Ituaiga o gaʻo gaʻo

E i ai ni au ituaiga o autafa o sela. O ituaiga e lua o gaʻo i le ate o loʻo tafe mai i totonu o le ate ma isi vailaʻau.

• Vaʻaia Intrahepatic: Intrahepatic ducts o se faʻavae o tamaʻi paipa i totonu o le ate e aoina ma feaveaʻi le maile i le extrahepatic ducts.
• Ala faʻaola faʻaopoopo: O le extrahepatic ducts amata o lua vaega, tasi i le taumatau o le ate ma le isi i le agavale. A o latou o ifo mai le ate, latou tuʻufaʻatasia e fausia ai le masani hepatic ala. O lenei e tau saʻo agai i le tamaʻi manava.

O le auala biliary, poʻo le auala mai le gallbladder, tatala foi i totonu o le masani hepatic duct. O le gaʻo o le gaʻo mai lenei taimi agaʻi i luga ua lauiloa o le masani o le bile duct poʻo le choledochus. Ae e leʻi lafoaʻia i totonu o le tamaititi le manava, o le masani ai le gaʻo o le ala e ui atu i le papala.

O le a le mafuaʻaga faʻalavelaveina biliary?

O le poloka biliary ono mafua mai i le tele o itu e aofia ai le:

• talatala
• ate
• gallbladder
• pancreas
• tootoo laititi

Nei o ni nisi o sili ona taatele mafuaʻaga o le biliary poloka.

• maa afuafua, o mafuaaga masani ia
• fulafula o gaʻo gaʻo
• manua
• o le faʻamautuina o le biliary, o se faʻalauteleina o le auala
• cyst
• faʻalauteleina lymph nodes
• pancreatitis
• se manua e fesoʻotaʻi ma le gallbladder poʻo le taotoga o le ate
• patu ua oʻo i le ate, gallbladder, pancreas, poʻo afu o le puta
• faʻamaʻi pipisi, e aofia ai ma le hepatitis
• siama
• cirrhosis, poʻo le maʻila o le ate
• matua afaina le ate
• choledochal cyst (i ai i pepe pe a fananau mai)

O a ni tulaga lamatia?

O mea e ono aʻafia ai le faʻaletonu ole biliary e masani lava ona faʻamoemoe ile mafuaʻaga ole papala. O le tele o mataupu o se faʻaiuga o maʻa maa. O lenei mea e sili atu ai ona vaivai fafine i le atiaʻe o le poloka poloka. Isi lamatiaga tulaga aofia ai:

• o le talafaʻasolopito o maʻa maa
• pancreatitis faaumiumi
• kanesa o le pancreatic
• o se manuʻa i le itu taumatau o le manava
• puta lapoʻa
• vave leiloa mamafa
• tulaga e fesoʻotaʻi ma le malepe o sela mumu o le toto, e pei o le sickle cell anemia

O a faʻailoga o le polokaina o le biliary?

O faʻailoga o le poloka o le biliary e mafai ona faʻamoemoe i le mafuaʻaga o le faʻalavelave. Tagata e iai faʻalavelave ole biliary e masani ona iai:

• nofoa mafolafola lanu malamalama
• miaga pogisa
• jaundice (samasama mata poʻo le paʻu)
• mageso
• tiga i le itu taumatau i luga o le manava
• niniva
• puaʻi
• paʻu pauna
• fiva

Faʻafefea ona maua se faʻamaʻi ole biliary?

E tele suʻega e avanoa mo tagata e ono iai se poloka poloka. Faʻavae i luga o le mafuaʻaga o le faʻalavelave, e ono fautuaina e lau fomaʻi se tasi poʻo le sili atu foi o nei suʻega.

Tofotofoga toto

O le suʻega toto e aofia ai le atoa o le toto (CBC) ma le galue o le ate. O suʻega ile toto e masani lava ona faʻatonuina ni tuutuuga, pei ole:

• cholecystitis, o le pupuga o le gallbladder
• cholangitis, o se pupuga o le masani tafe gaʻo
• o le faʻateleina o le faʻatuputeleina o le bilirubin, o se faʻamaimauga o le ate
• se faʻateleina maualuga o le ate o le enzymes
• se maualuga faʻateleina o alkaline phosphatase

Soʻo se tasi o nei mea e ono faʻailoa mai ai le leiloa o le tafe o le puta.

Ultrasonography

Ultrasonography e masani lava o le muamua faʻataʻitaʻiga faia i soʻo se tasi e masalomia o se faʻalavelave pipisi. E faʻataga lau fomaʻi e vaʻai faigofie i maʻamaʻa.

Biliary radionuclide scan (HIDA scan)

O le hepatobiliary iminodiacetic acid scan, poʻo le HIDA scan, e taua foi o le biliary radionuclide scan. Na te faʻaaogaina leitio mea e maua ai faʻamatalaga taua e uiga i le faʻafefe ma soʻo se mea e ono poloka ai.

Cholangiography

O le cholangiography o se X-ray o le bile ducts.

MRI faitau vave

O se faʻataʻitaʻiga MRI maua ai auiliiliga ata o le ate, gallbladder, pancreas, ma bile ducts.

Maneta resonance cholangiopancreatography (MRCP)

Magnetic resonance cholangiopancreatography (MRCP) o loʻo faʻaaogaina mo le suʻesuʻeina o faʻafitauli o le biliary ma faʻamaʻi pancreatic.

Endoscopic retrograde cholangiopancreatography (ERCP)

O le endoscopic retrograde cholangiopancreatography (ERCP) e aofia ai le faʻaaogaina o le endoscope ma le X-ray. E le gata o se diagnostic ma togafitiga mea faigaluega. E faʻatagaina lau fomaʻi tipitipi e vaʻai i faʻamaʻa totoga ma e faʻaaogaina foi i togafitiga. E aoga tele lenei mea faigaluega aua e mafai e lau fomaʻi ona faʻaaoga e aveʻese ai maʻa ma ave ni faʻataʻitaʻiga o le biopsy pe a manaʻomia.

O le a le togafiti mo le faʻalavelave ole biliary?

Togafitiga e fuafua ile faʻasaʻoina o le mafuaʻaga mafuaʻaga. O le autu faʻamoemoega o togafitiga faʻafomaʻi poʻo taotoga o le faʻaitiitia o le poloka. O nisi o togafitiga togafitiga e aofia ai le cholecystectomy ma le ERCP.

O le cholecystectomy o le aveʻesega o le gallbladder peʻa iai ni maʻamaʻa. O se ERCP e ono lava e aveʻese ai ni maʻa laiti mai le masani masani o le gaʻo pe tuʻu ai se stent i totonu o le auala e toe faʻaleleia ai le tafe. Lenei e masani ona faʻaaogaina i tulaga o faʻalavelave e mafua mai i le tumo.

Faʻafitauli o le faʻaletonu o le toto

A leai se togafiti, o poloka poloka poloka poloka e mafai ona lamatia ai le ola. Faʻafitauli e ono aliaʻe e aunoa ma se togafitiga e aofia ai:

• fausia matautia o le bilirubin
• faʻamaʻi pipisi
• sepsis
• faʻamaʻi masani o le ate
• cirrhosis biliary

Faʻafesoʻotaʻi lau fomaʻi pe a fai e te maua i le jaundice pe maitau se suiga i le lanu o lau nofoa poʻo lau miaga.

E mafai ona taofia le faʻalavelave ole biliary?

Nei o ni nai suiga e mafai ona e faia e tuʻu ai i lalo ou avanoa o le atiaʻe o se biliary poloka:

• Faateleina le aofaʻi o alava i lau taumafataga.
• Faʻaititia le aofaʻi o suka ma gaʻo gaʻo i lau taumafataga. O nei uma mafai mafua mafuaʻaga maa.
• Afai ua ova lou mamafa, faifai malie ona ave lou mamafa i totonu o se maloloina tulaga mo lau itupa, tausaga, ma le maualuga.