Ðe wò aɖuɖɔtoemekpewo hã tsi ʋuka si bɔ mea? (Choldocholithiasis) Mina míasrɔ̃ nu tso eŋu!

Ðe nèsea veve vevie ɣeaɖewoɣi le wò ƒodo ƒe ɖusime ƒe akpa si le etame le nuɖuɖu vɔ megbea? Ðe nèsena le ɖokuiwò me be yeƒe lãme le ʋuʋum alo ɖe nèdi be yeaɖe aɖuɖɔa? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ŋkuwo kple ŋutigbalẽ le ɣie? Esiawo menye dzesi nyui siwo dzi woaŋe aɖaba aƒu ko o. Esiawo ate ŋu afia be kpe aɖe tsi wò ‘Common Bile Duct’ me . Egbea, míaƒo nu tso nɔnɔme sia si woyɔna be ‘Choledocholithiasis’ ŋu.

Kpuie ko la, nukae nye esia (choledocholithiasis)?

Choledocholithiasis nye nɔnɔme si me kpe ɖeka alo esi wu nenema tsi wò ʋuka si bɔ me . "Choldocho" nye Latingbe me ŋkɔ na ʋumenugbagbeviɣidɔ si bɔ. "Lithiasis" gɔmee nye kpe. Gallstones nye ʋumenugbagbeviɣi kakɛ sesẽ siwo le abe kpe gbadzɛwo ene. Kpe siawo ate ŋu adzɔ le míaƒe ŋutilã ƒe akpa ɖesiaɖe si ʋumenugbagbeviɣiwo sina le.

Fifia ɖewohĩ èle ɖokuiwò biam be nukae nye ʋumenugbagbeviɣidɔ sia kple nukae nye ʋumenugbagbeviɣiwo hã. Ele bɔbɔe ŋutɔ. Míaƒe aklãe wɔa ʋumenugbagbeviɣi sia. Ʋumenugbagbeviɣi sia kpena ɖe mía ŋu míeɖua nuɖuɖu siwo míeɖuna, vevietɔ amiwo. Ʋumenugbagbeviɣi sia ƒoa ƒu ɖe aɖuɖɔtoea me. Tso afima la, etoa mɔ̃ sue aɖe me yia ʋuka si bɔ, si va kpena ɖe dɔgbo suea ŋu emegbe. Eyata ne kpe aɖe dzɔ le teƒe aɖe le mɔzɔzɔ sia me la, kuxiae nye.

Eyata ɖe (Chodocholithiasis) kple (Cholelithiasis) nye nu vovovo evea?

Ẽ, vovototo sue aɖe le wo dome. Ðewohĩ èse nya ‘cholelithiasis’ kpɔ. Efia be kpewo nanɔ ʋuka me . Aɖuɖɔtoemekpewo ate ŋu adzɔ le aɖuɖɔtoea ŋutɔ me, le ʋumenugbagbeviɣiwo me, alo le evea siaa me. Kpe si dzɔna le aɖuɖɔtoea me gɔ̃ hã ate ŋu aʋu ayi ʋuka si bɔ me emegbe.

Kpuie ko la, ‘Cholelithiasis’ gɔmee nye aɖuɖɔtoemekpewo. ‘Choldocholithiasis’ fia kpewo (ɖeka alo esi wu nenema) siwo do tso aɖuɖɔtoe me eye wotsi ʋumenugbagbeviɣidɔ si bɔ me. See?

Vovototo kae le Choledocholithiasis kple Biliary Colic dome?

Ne choledocholithiasis le ŋuwò la, efia be kpe ɖeka ya teti le wò ʋumenugbagbeviɣidɔ si bɔ me. Ne kpea le sue ŋutɔ la , ɖewohĩ kuxi aɖeke manɔ ŋuwò o. Ate ŋu ato wò dɔgbowo me gɔ̃ hã ado go le wò ŋutilã me. Gake ne kpea lolo eye wòxe ʋumenugbagbeviɣidɔ si bɔ la, àte ŋu ase ƒodo ƒe vevesese sesẽ si nu metsina o kple ʋumenugbagbeviɣidɔ.

Biliary colic nye nɔnɔme si dzɔna ne kpe aɖe ge ɖe biliary system me. Ebɔ ɖe amesiwo ŋu aɖuɖɔtoemekpe le la me wu. Gake ne kpe aɖe si le ʋuka si bɔ me la ge ɖe ʋuka me eye wòxe ʋukaa la, amesi ŋu ʋumenugbagbeviɣidɔ le hã ate ŋu axɔ ʋumenugbagbeviɣidɔ. Bu eŋu abe kpe si tsi pɔmpi me ene, ɣeaɖewoɣi tsia sina, ɣeaɖewoɣi mesina o.

Ðe esia nye nudzɔdzɔ kpata aɖea? Ðe wòhiã be woawɔ atike nam enumakea?

Kpe alo kpewo ƒe anyinɔnɔ le ʋumenugbagbeviɣidɔ si bɔ me menyea nusi dzɔna kpata ɣesiaɣi o. Gake afɔku aɖe li . Abe alesi míegblɔe va yi ene la, kpe suesuesuewo te ŋu toa ametia me. Gake afɔkuae nye be kpeawo ate ŋu atɔ ɖe afima, woalolo le ɣeyiɣi aɖe megbe, eye woaxe mɔa keŋkeŋ.

Le afɔku sia ta la, zi geɖe la, ɖɔktawo daa ʋumenugbagbeviɣidɔ me kpe siwo bɔ ne wonya ke ɖe wo ŋu ko. Zi geɖe la, woɖoa aɖaŋu be woazã endoscopy atsɔ ado kpeawo akpɔ ahaɖe wo ɖa. Esia fia be dɔgboŋutinunyala zãa mɔ̃ sue aɖe (catheter) si wotsɔ dea wò ŋɔti me be wòaɖo ʋukawo me eye wòaɖe kpeawo ɖa. Mègatsi dzi o, wowɔa esia le atike si naa alɔ̃dɔdɔ ame me, ale be màse veve boo o.

Nukae dzɔna ne nɔnɔme sia (choledocholithiasis) va nu sẽ?

Ne kpe aɖe tsi ʋuka si bɔ me eye wòtɔ te ʋumenugbagbeviɣi ƒe sisi la, egblẽa nu le ʋumenugbagbeviɣidɔ bliboa ŋu. Eyae nye ŋutinu kple mɔ̃ bubu siwo katã me ʋumenugbagbeviɣidɔ tona. Esia ate ŋu ahe abi, dɔlékuiwo , kple kuxi siwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã vɛ.

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesi siawo tɔgbe le ŋuwò, evɔ màŋe aɖaba aƒu wo dzi o.

Aleke gbegbee nɔnɔme sia bɔe?

Le mamã dedie nu la, aɖuɖɔtoewo le ame 10 le 100 ɖesiaɖe me. Gake kpe mawo ƒe akpa gãtɔ dzɔna le aɖuɖɔtoe me. Ame siwo ŋu aɖuɖɔtoemekpe le la dometɔ siwo ade 15% xɔa kpe le ʋumenugbagbeviɣidɔ si bɔ me. Ame akpa gãtɔ mekpɔa kuxi aɖeke le kpe siawo ŋu gbeɖe o. Ame siwo ŋu aɖuɖɔtoemekpe le la dometɔ siwo ade 20% koe xɔa kuxi siwo hiã be woawɔ atike na wo.

Nukae nye Choledocholithiasis ƒe dzesiwo?

Ðewohĩ dzesi aɖeke manɔ ŋuwò o. Ne aɖuɖɔtoemekpewo mexe wò ʋuka me o la, ɖewohĩ mànya gɔ̃ hã be wole ye ŋu o. Gake ne dzesiwo le fu ɖem na wò la, efia be kpe aɖe xe wò ʋumenugbagbeviɣidɔ si bɔ. Woyɔa dzesi gbãtɔ siwo dzena ne ʋukaa xe. Wo dometɔ aɖewoe nye:

• Dɔgbo ƒe vevesese: Vevesese sia dzɔna le nuɖuɖu vɔ megbe. Ate ŋu anɔ anyi tso gaƒoƒo ɖeka va ɖo gaƒoƒo geɖe. Vevesesea nu sẽna le miniti 20 gbãtɔawo me, emegbe vivivi la, eɖiɖina. Ame akpa gãtɔ senɛ le wo ɖokui me le dɔgboa ƒe ɖusime ƒe akpa si le etame. Gake ɣeaɖewoɣi la, vevesesea ate ŋu akaka ɖe ɖusime alo abɔta.
• Aɖuɖɔtoe kple aɖuɖɔtoe: Ebɔ be woakpɔ ʋuʋudedi kple ʋuʋudedi kple biliary colic. Gake àde dzesii be, to vovo na taɖuame aɖewo la, vevesesea nu meyina le ʋuɖɔɖɔ vɔ megbe o. Ne biliary colic mesẽ o la, ɖeko nàse le ɖokuiwò me be nuɖuɖu megale ye ŋu o.
• Aɖuɖɔtoedɔ:Ne ʋumenugbagbeviɣia me sina nyuie o eye wògatrɔna yia ʋua me la, wò ŋutigbalẽ kple wò ŋku ƒe ɣiwo ate ŋu azu ɣie. Wò aɖuɖɔ hã ate ŋu ado viviti. Jaundice, abe biliary colic ene, va eye wòdzona. Gake ate ŋu ava eye wòadzo vaseɖe esime woaɖe mɔxenu si le mɔ̃a me ɖa.
• Asrã: Ne dɔdzẽ sesẽ aɖe le ŋuwò le ʋuka me la, àte ŋu axɔ asrã. Asrã ate ŋu anye dɔlékui aɖe ƒe dzesi hã. Ne ʋukawo xe la, dɔlékuiwo mate ŋu ado le ŋutilãa me nyuie o, si wɔnɛ be dɔlékuiwo xɔxɔ nɔa bɔbɔe.

Kuxi bubu kawoe esia ate ŋu ahe vɛ?

Kpe si xe mɔ na ʋumenugbagbeviɣidɔ si bɔ la nana ʋumenugbagbeviɣidɔ gagbugbɔna ɖe megbe. Esia ate ŋu akpɔ ŋusẽ ɖe mɔ̃ bubu siwo do ƒome kplii, kpakple ŋutinuwo abe aɖuɖɔtoe, dɔgbo, kple aklã ene dzi. Esia ate ŋu ana ame naxɔ abi, axɔ dɔlékuiwo, eye wòagblẽ nu le lãmekawo ŋu ɣeyiɣi didi. Kuxi siwo ate ŋu ado tso eme dometɔ aɖewoe nye:

• Dɔlékuiwo xɔxɔ: Ʋumenugbagbeviɣidɔ si xe nye teƒe si dɔlékuiwo ƒe dɔlékuiwo gena ɖo bɔbɔe. Dɔlékui si le ʋumenugbagbeviɣidɔ me nye afɔku gã aɖe . Ate ŋu akaka ɖe aklã kple ʋu me. Ne dɔlékui aɖe kaka ɖe ʋua me (septicemia) la, ate ŋu ahe dɔléle sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me (sepsis) vɛ.
• Cholangitis: Nu vevitɔ si hea abi kple dɔlékui si le ʋumenugbagbeviɣidɔ si bɔ me vɛ enye ‘Choledocholithiasis’. Ʋumenugbagbeviɣidɔa vuvu le ʋumenugbagbeviɣi ƒe ƒoƒo ɖe megbe ta, eye ʋumenugbagbeviɣia ƒe sisi va nɔa blewu gɔ̃ hã. Dzoxɔxɔ kple dɔlékui sia ate ŋu atso ʋumenugbagbeviɣidɔ si bɔ me ayi alɔ bubuwo me, si fia be ʋuka siwo to aklãa me. Esia ate ŋu ana aklã hã navuvu.
• Cholecystitis: Esia nye aɖuɖɔtoe ƒe dɔdzẽ. Ne ʋumenugbagbeviɣi trɔ yi ʋuka me la, evuvuna. Esia nye vevesese. Ate ŋu agblẽ nu le aɖuɖɔtoea ƒe dɔwɔwɔ hã ŋu eye le ɣeyiɣi aɖe megbe la, agblẽ nu le eŋu. Esia koŋue hea aɖuɖɔtoedɔléle vɛ.
• Gallstone Pancreatitis: Wò ʋuka kple dɔgbo siaa ʋuna yia dɔgbo suea (dɔgbo sue) me. Ne aɖuɖɔtoemekpewo xe mɔ sia si bɔ la, dɔgboa me tsiwo ate ŋu adzudzɔ ʋuʋu. Enzyme sesẽ ŋutɔwo le tsi siawo me, siwo ate ŋu agbugbɔ ayi dɔgboa me, si ana wòaxɔ abi vevie eye wòagblẽ nu le ŋutinuwo ŋu. Woyɔa esia be dɔdzẽ. Aɖuɖɔtoemekpewoe nye nu vevitɔ si hea dɔdzẽ si menye aha sesẽ o vɛ.

Nukatae esia (choledocholithiasis) dzɔna?

Míaƒe aklã wɔa ʋumenugbagbeviɣi tso nusiwo wòɖena le míaƒe ʋu me. Nu siawo dometɔ aɖewoe nye ʋumemi, bilirubin, ʋumemi, kple lecithin. Gallstones dzɔna ne nu siawo dometɔ ɖeka – zi geɖe la, ʋumemi, ɣeaɖewoɣi bilirubin – va sɔ gbɔ akpa. Emegbe, nu siawo siwo sɔ gbɔ la ƒoa ƒu abe ʋuʋudedi ene.

Nu sia si le abe ʋuʋudedi ene la ƒoa ƒu ɖe aɖuɖɔtoea gɔme alo le ʋumenugbagbeviɣidɔ si bɔ me eye wòsesẽna vivivi. Ne ʋuʋudedi geɖe le sisim ɖe edzi la, kpe siawo va lolona vivivi. Esia ate ŋu axɔ ƒe geɖe. Aɖuɖɔtoe me kpe akpa gãtɔ dzɔna le aɖuɖɔtoe me. Emegbe wozɔa mɔ toa ʋuka si me ʋu sina tona me eye wova wu enu ɖe ​​ʋuka si bɔ me.

Nukawoe nye afɔku siwo gblẽa nu le esia ŋu?

Ðewohĩ anɔ eme be kpe siwo bɔ ɖe ʋumenugbagbeviɣiwo me nadze dziwò le susu siwo gbɔna ta:

• Dɔdzẽ si nɔa anyi didi ƒe amesinɔnɔ: Choledocholithiasis ye nye nu vevitɔ si gbɔ ʋumenugbagbeviɣidɔ tsona. Gake ate ŋu adzɔ le mɔ bubu nu hã. Ne wò ʋukawo xɔ abi le susu bubu aɖe ta la, ʋumenugbagbeviɣi ƒe sisi ate ŋu agbɔdzɔ, si ana kpewo nado ɖe ʋumenugbagbeviɣiwo me.
• Aɖuɖɔtoemekpe siwo nɔ ame ŋu va yi: Ame akpa gãtɔ siwo ŋu aɖuɖɔtoemekpewo le la mekpɔa kuxi aɖeke o. Gake anɔ eme be amesiwo ŋu aɖuɖɔtoemekpewo nɔ tsã la gadzea wo ake. Ne woɖe wò aɖuɖɔtoea ɖa abe aɖuɖɔtoemekpewo dada ene hã la, le go siwo mebɔ o me la, kpe yeyewo ate ŋu ado ɖe wò ʋukawo me.

Afɔku bubu siwo nana aɖuɖɔtoemekpewo dzɔna zi geɖe dometɔ aɖewoe nye:

• Lãmetsiŋusẽ si sɔ gbɔ: ʋumemi si sɔ gbɔ ɖe ʋua me gbɔe ʋumemi ƒe akpa gãtɔ (anɔ abe 75%) dzɔna. Wosusu be ʋumemi ƒe akpa bubuawo (bile dze kple lecithin) nana ʋumemi sia ʋẽna. Gake ne dadasɔ mele nusiawo dome o la, mawɔ dɔ nyuie o.
• Nyɔnuwo ƒe lãmetsiwo: Estrogen dzia ʋumemi ɖe edzi. Progesterone ɖea aɖuɖɔtoe ƒe ʋuʋu dzi kpɔtɔna eye wònaa ʋumenugbagbeviɣidɔ dzina ɖe edzi. Lãmetsiŋusẽ siawo evea siaa dzina ɖe edzi ɣeaɖewoɣi le nyɔnuwo ƒe vidzidzi ƒewo me. Lãmetsiŋusẽ ɖɔliɖɔli ƒe atikewɔwɔ hã ate ŋu ana ʋumemi ƒe agbɔsɔsɔ nadzi ɖe edzi.

Aleke wokpɔa dɔléle sia (choledocholithiasis) dzea sii?

Zi geɖe la, woke ɖe ʋukawo me kpewo ŋu ne dzesiawo dze egɔme vɔ. Ne èyi atikewɔƒe hena dzesiwo abe biliary colic alo jaundice ene la, wò ɖɔkta awɔ ʋudodokpɔwo kple nɔnɔmetatawo dodokpɔwo . Ʋudodokpɔ ate ŋu afia alesi ʋumenugbagbeviɣidɔ ƒo ƒui. Nɔnɔmetatawo dodokpɔ ate ŋu akpe ɖe ame ŋu woanya afisi mɔxenua le.

Dodokpɔ kawoe wole wɔwɔm na esia?

Ʋudodokpɔ:

• Ʋu ƒe xexlẽme bliboa (CBC) .
• Bilirubin dodokpɔ
• Dɔdzẽ ƒe dɔwɔwɔ dodokpɔwo
• Aklã ƒe dɔwɔwɔ dodokpɔwo

Abe nɔnɔmetatawo dodokpɔwo ene la:

• Ƒodo me ultrasound:Esia nye dodokpɔ bɔbɔe aɖe si me vevesese aɖeke mele o. Ate ŋu ana nàkpɔ wò nɔnɔmea le gɔmedzedzea me. Ate ŋu aɖee afia ne kpewo le wò ʋuka me. Togbɔ be meɖea ʋuka si bɔ la fiana nyuie o hã la, ate ŋu aɖee afia ne ʋukaa keke. Esia fia be mɔxenu aɖe li. Mɔxenua ate ŋu adze abe vɔvɔli ene.
• Endoscopic ultrasound: Dodokpɔ sia tsɔa ultrasound mɔ̃ɖaŋununya kple endoscopy si le etame tsakana be woakpɔ ʋumenugbagbeviɣiwo ƒe nɔnɔmetata siwo me kɔ. Esia bia be nàde mɔ̃ sue aɖe si me fotoɖemɔ̃ le (endoscope) wò ŋɔti me ayi wò dɔgbo kple dɔgbo sue si le etame la me. Ultrasound-mɔ̃ si le endoscope ƒe nuwuwu zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa biliary system ƒe nɔnɔmetatawo.
• MRCP (Magnetic Resonance Cholangiopancreatography): Esia nye MRI (Magnetic Resonance Imaging) ƒomevi aɖe. Eɖea ʋumenugbagbeviɣiwo ƒe fotowo koŋ. Megblẽa nu le ŋutilã ŋu o. Ate ŋu aɖe ʋumenugbagbeviɣidɔ bliboa ƒe foto siwo me kɔ ŋutɔ, siwo dome ʋumenugbagbeviɣidɔ si bɔ hã le. Ðɔktaa ate ŋu awɔ dodokpɔ sia gbã ne esusu be kpe aɖe le ʋumenugbagbeviɣidɔ si bɔ me. Gake ne kakaɖedzi gã aɖe li be kpe aɖe li la, ate ŋu ayi ERCP gbɔ tẽ.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Dodokpɔ sia xɔa ame me vie wu bubuawo. Gake eɖea vi ŋutɔ le aɖuɖɔtoemekpewo didi me. Ate ŋu aɖe kpewo hã ɖa. Ezãa X-ray kple endoscopy siaa. Ne endoscope la nya ɖo dzi le dɔgbo suea me ko la, mɔ̃ɖaŋudɔwɔla la tsɔa mɔ̃ sue bubu dea eme eye wòfiaa mɔe yia ʋumenugbagbeviɣiwo me. Emegbe wodoa tsi tɔxɛ aɖe (amadede) to mɔ̃a me, eye woɖea video X-ray (fluoroscopy) ne amadedea le zɔzɔm to mɔ̃awo me. Ne wokpɔ kpewo la, woate ŋu ada wo.

Aleke ɖɔktawo ɖea kpe siwo le ʋumenugbagbeviɣidɔ si bɔ me ɖa?

Zi geɖe la, woɖea kpe siawo le ERCP dɔwɔwɔ me. Ðɔktawo ate ŋu azã dɔwɔnu tɔxɛ siwo wotsɔ bla ɖe dɔlékuiwutikea ƒe nuwuwu atsɔ agbã kpewo ahaɖe wo ɖa ne woke ɖe wo ŋu. Ɣeaɖewoɣi la, wotsoa lãmeka sue aɖe le ʋukaa ƒe lãmeka me (sphincterotomy) be wòakeke ʋukaa eye wòana kpea nato eme.

Ðe amekoko hiã na Choledocholithiasis?

Endoscopic retrograde cholangiopancreatography (ERCP) mehiã be woatso ƒodo me hafi age ɖe ʋumenugbagbeviɣiwo me o. Gake ne ɖɔktawo ɖe kpewo ɖa le ʋukawo me vɔ la, zi geɖe la, kafua aɖaŋu be woawɔ dɔ na ame be woaɖe aɖuɖɔtoea ɖa . Nusitae nye be woaxe mɔ na kpewo be woagado le tsinyegoea me ake eye woahe choledocholithiasis vɛ o.

Ðe mahiã be woawɔ atike bubuwo na ma?

Le wò nɔnɔmea nu la, ahiã be woawɔ atike bubuwo hafi woaɖe wò aɖuɖɔtoemekpewo ɖa. Le kpɔɖeŋu me:

• Ne dɔlékui aɖe li la , woŋlɔa dɔlékuiwutikewo na ame.
• Biliary drainage mɔnuwo be woaɖe ʋumenugbagbeviɣi si ƒo ƒu la ɖa.

Kuxi kawoe ate ŋu ado mo ɖa le atikewɔwɔ vɔ megbe?

Kuxi siwo gbɔna ate ŋu ado mo ɖa le ɣeyiɣi kpui aɖe me le kpe ɖeɖeɖa to dɔgboa me megbe:

• Ʋu si le dodom
• Dɔdzedze
• Dɔgbo ƒe dɔléle

Nusiwo gbɔna ate ŋu adzɔ le ɣeyiɣi didi me le atikewɔwɔ vɔ megbe:

• Gallstone gbugbɔgadzɔ: Ne woɖe kpe siwo katã le ʋumenugbagbeviɣiwo me ɖa hã la, kpe yeyewo ate ŋu ava emegbe. Anɔ bɔbɔe be ame siwo ŋu kpewo nɔ tsã la gadzea wo ake.
• Bile duct fibrosis: Abi ate ŋu adzɔ ne wotso ʋuka si me ʋu sina tona. Ɣeaɖewoɣi la, abi ƒe lãkusi sia ate ŋu ana ʋukaa naxe (biliary stricture). Esia ate ŋu ana ʋumenugbagbeviɣidɔ si bɔ la naxe mɔ bubu. Ate ŋu abia be woawɔ atike nɛ ɖe vovo.

Ðe woate ŋu axe mɔ ɖe choledocholithiasis ƒe dzɔdzɔ nua?

Lãmetsiŋusẽ gbɔe ʋumemi ƒe akpa gãtɔ tsona, eye àte ŋu aɖe ʋumemi ƒe agbɔsɔsɔ si le ʋu me dzi akpɔtɔ ne èwɔ tɔtrɔ le wò nuɖuɖu kple agbenɔnɔ ŋu. Esia ate ŋu akpe ɖe ŋuwò nàɖe wò afɔkua dzi akpɔtɔ. Ðɔktawo gblɔ be woaƒo asa na "yo-yo" nuɖuɖu, si nye lolo dzi ɖeɖe kpɔtɔ zi ɖeka eye emegbe wògadzi ɖe edzi. Ne èɖe wò lolo dzi kpɔtɔ la, wɔe vivivi . Ne èɖe wò lolo geɖe dzi kpɔtɔ zi ɖeka la, edzia wò afɔku be nàxɔ aɖuɖɔtoemekpewo ɖe edzi.

Aleke nɔnɔmea le le atikewɔwɔ vɔ megbe?

Le ame akpa gãtɔ gome la, atikewɔwɔ le bɔbɔe eye wòkpɔa dzidzedze. Le nɔnɔme si mebɔ o me be kuxiwo va dze ame aɖe dzi le atikewɔwɔ vɔ megbe la, woate ŋu ada kuxi mawo. Le ƒe 10 va ɖo 20 me la, ame 5 va ɖo 25 le ame 100 me axɔ kpe yeyewo le ʋumenugbagbeviɣiwo me. Afɔku sia dzi ɖena kpɔtɔna ne woɖe aɖuɖɔtoea ɖa.

Gallstone ƒe amedzidzedze ate ŋu anye nuteƒekpɔkpɔ si me vevesese le ŋutɔ eye wòado vɔvɔ̃ na ame, vevietɔ ne mènya be kpe le ye ŋu tsã o. Zi alesi nèxɔ atike kaba la, zi nenemae wò lãme asẽ kabae. Mele be woaŋe aɖaba aƒu biliary colic, ne eva eye wòdzona, eye mesẽ akpa o gɔ̃ hã la, mele be woaŋe aɖaba aƒu edzi gbeɖe o. Ðeko wòagavlo ɖe edzi vaseɖe esime woaɖe ʋuka si me ʋu sina tona la ƒe xexe ɖa.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata mele mɔ kpɔm be fifia miese ‘choledocholithiasis’ si ŋu míeƒo nu tsoe egbea la gɔme nyuie wu.

Nu vevitɔe nye be ne dzesiwo le ŋuwò abe vevesese sesẽ le wò ƒodo ƒe ɖusime ƒe akpa si le etame, ʋuʋudedi, ʋuʋudedi, kple ŋkuwo ƒe ɣie ene la, mègaŋe aɖaba ƒu edzi ko eye nàkpɔ ɖɔkta enumake o.

Atike nyuiwo li na dɔléle sia. Ne wokpɔe kaba la, woate ŋu adae hafi kuxi sesẽwo do mo ɖa. Mègatsi dzodzodzoe o, wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi. Lé be na wò nuɖuɖu kple agbenɔnɔ hã. Ekema àte ŋu anɔ dedie le akpa gãtɔ me tso kuxi mawo me.

` Gallstones, common bile duct, choledocholithiasis, jaundice, ƒodo ƒe vevesese, endoscopy, ERCP