Yu gal ston dɛnsɛf kin stɔp na di kɔmɔn bayl dakt? (Chodocholithiasis) Lɛ wi lan bɔt am!

Sɔntɛnde yu kin fil shap pen na di ɔp rayt say na yu bɛlɛ afta yu dɔn it? Yu kin fil lɛk yu nɔs ɔ yu kin fil lɛk fɔ vɔmit? Sɔntɛnde, yu kin fil se yu yay ɛn yu skin de tɔn yɔlɔ? Dis nɔto gud sayn fɔ jɔs ignore. Dɛn tin ya kin sho se wan ston dɔn stɔp na yu ‘Kɔmɔn Bayl Dakt’ . Tide, wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ‘Choledocholithiasis’.

Fɔ tɔk am simpul wan, wetin na dis (choledocholithiasis)?

Choledocholithiasis na wan sik we wan ɔ mɔ ston dɛn kin stɔp na yu kɔmɔn bayl dakt . "Choldocho" na di Latin nem fɔ di kɔmɔn bayl dakt. "Lithiasis" min ston. Galston na tin dɛn we at ɛn we tan lɛk ston we gɛt bayl. Dɛn ston ya kin mek ɛnisay na wi bɔdi usay di bayl de flɔ.

Naw yu kin de wɔnda wetin na dis bayl ɛn wetin na di bayl dakt dɛn. I rili simpul. Wi liva de mek dis bayl. Dis bayl de ɛp wi fɔ dayjɛst di it we wi de it, mɔ di fat. dis bayl de kכlekt na di gal blad. Frɔm de, i de travul tru wan smɔl tiub to di kɔmɔn bayl dakt, we de jɔyn di smɔl intestinal. So, if ston fɔm sɔmsay along dis joyn, di prɔblɛm na.

So (Chodocholithiasis) ɛn (Cholelithiasis) na tu difrɛn tin?

Yɛs, smɔl difrɛns de. Yu go dɔn yɛri di wɔd ‘cholelithiasis’. I min fɔ gɛt ston na di gal blad . Gal ston kin fכm na di gal blad insεf, na di bayl dakt dεm, כ na dεn tu. Ivin ston we de fכm na di gal blad kin leta muv go na di kכmכn bayl dakt.

Fɔ tɔk am simpul wan, ‘Cholelithiasis’ min galston. ‘Choldocholithiasis’ min ston (wan ɔ mɔ) we dɔn kɔmɔt na di gal blad ɛn stɔp na di kɔmɔn bayl dakt. Dɔn gɛt am?

Wetin na di difrɛns bitwin Choledocholithiasis ɛn Biliary Colic?

If yu gɛt kɔledokolitia, i min se yu gɛt at le wan ston na yu kɔmɔn bayl dakt. If di ston rili smɔl , yu nɔ go gɛt ɛni prɔblɛm. I kin ivin pas na yu insay ɛn kɔmɔt na yu bɔdi. Bɔt if di ston big ɛn blok di kɔmɔn bayl dakt, yu kin gɛt bad bad bɛlɛ pen we nɔ de dɔn ɛn yu kin gɛt jaundice.

biliary colic na wan kכndyushכn we de apin we ston de lod insay di biliary sistεm. I kin mɔs pan pipul dɛm wae gɛt gal ston. Bɔt if ston na di kɔmɔn bayl dakt lod ɛn blok di dakt, pɔsin we gɛt kɔledokɔlitia kin gɛt biliary kɔlik bak. Tink bɔt am lɛk ston we stɔp na wata paip, sɔntɛnde di wata kin flɔ, sɔntɛnde i nɔ kin flɔ.

Dis na imejensi? A nid tritmɛnt kwik kwik wan?

Fɔ gɛt ston ɔ ston na di kɔmɔn bayl dakt nɔto ɔltɛm na imejensi. Bɔt, prɔblɛm de we go mek yu gɛt prɔblɛm . As wi bin dɔn tɔk, smɔl smɔl ston dɛn kin pas kɔmɔt na di bɔdi. Bɔt di prɔblɛm na dat di ston dɛn kin stɔp de, gro big wan as tɛm de go, ɛn blok di dakt kpatakpata.

Bikɔs ɔf dis risk, dɔktɔ dɛn kin trit kɔmɔn bayl dakt ston dɛn jɔs afta dɛn dɔn fɛn am. Bɔku tɛm dɛn kin se yu fɔ yuz ɛndoskopi fɔ chɛk ɛn pul di ston dɛn. Dis min se di dɔktɔ we de mɛn di bɛlɛ kin yuz wan smɔl tiub (kateta) we dɛn kin put dɔŋ yu trot fɔ rich di bayl dakt dɛn ɛn pul di ston dɛn. Nɔ wɔri, dɛn kin du dis ɔnda anestezi, so yu nɔ go fil bɔku diskɔmfɔt.

Wetin kin apin if dis sik (choledocholithiasis) kin kam tranga?

if ston stכk na di kכmכn bayl dakt εn stכp di bayl fכ fכlכ, i de afekt di כl biliary sistεm. dat min se כl di כda כgan dεm εn dakt dεm we di bayl de fכlכ tru. Dis kin mek yu gɛt inflamɛns, infɛkshɔn , ɛn ivin prɔblɛm dɛn we kin mek yu layf de pan denja.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm kayn sik lɛk dis, ɛn nɔr fɔ pe atɛnshɔn to dɛn.

Aw dis sik kin kɔmɔn?

Na avrej, na lɛk 10 pan ɔl 100 pipul dɛn gɛt gal ston. Bɔt bɔku pan dɛn ston dɛn de kin mek na di gal blad. כlmost 15% pan di pipul dεm we gεt gal ston de divεlכp ston na di kכmכn bayl dakt. Bɔku pipul dɛn nɔ kin ɛva gɛt ɛni prɔblɛm wit dɛn ston ya. Na lɛk 20% pan di pipul dɛm wae gɛt galston kin gɛt kɔmplikeshɔn wae nid tritmɛnt.

Wetin na di sayn dɛm wae de sho se yu gɛt Choledocholithiasis?

Sɔntɛm yu nɔ go gɛt ɛni sik. If gal ston nɔ blok yu gal blad, yu nɔ go ivin no se yu gɛt dɛn. Bɔt if yu de gɛt sɔm sayn dɛn, dat min se ston dɔn blok yu kɔmɔn bayl dakt. di fכs simptom dεm we de apin we di dakt blכk dεn kכl dεm biliary colic. Dɛn tin ya na:

• Bɛlɛ pen: Dis pen kin apin afta yu dɔn it. I kin las frɔm wan awa to sɔm awa. Di pen kin tranga fɔ di fɔs 20 minit, dɔn i kin stɔp smɔl smɔl. Bɔku pipul dɛn kin fil am na di ɔp rayt pat na dɛn bɛlɛ. Bɔt sɔntɛnde, di pen kin go na di rayt say ɔr sholda.
• Nɔs ɛn vɔmit: Na kɔmɔn tin fɔ gɛt nɔs ɛn vɔmit wit biliary colic. Bɔt yu go notis se, nɔ lɛk sɔm maygren, di pen nɔ kin dɔn afta yu vɔmit. If biliary colic nɔr bad, yu kin jɔs fil se yu nɔr want fɔ it.
• Jandis: .we di bayl nכ de fכlכ fayn εn bak כp insay di bכdi, yu skin εn di wayt dεm na yu yay kin tכn yכlכ. Yu urine kin tɔn dak bak. Jandis, lɛk biliary colic, kin kam ɛn go. Bɔt i kin kam ɛn go te dɛn pul di blɔk we de na di dakt.
• Fiva: If yu gɛt siriɔs inflamɛns na di biliary system, yu kin gɛt fiva. Fiva kin bi sayn bak fɔ se yu gɛt infekshɔn. we di bayl dakt dεm blכk, baktri dεm nכ kin kכmכt na di bכdi fayn fayn wan, we kin mek i izi fכ infεkshכn fכ divεlכp.

Us ɔda prɔblɛm dɛn dis kin mek pɔsin gɛt?

Wan ston we de blok di kɔmɔn bayl dakt de mek di bayl bak ɔp. dis kin afekt כda dakt dεm we kכnεkt to am, εn כgan dεm lεk di gal blad, pankrias, εn liva. Dis kin mek yu inflamɛns, infekshɔn, ɛn pwɛl di tisu fɔ lɔng tɛm. Di prɔblɛm dɛn we kin apin na:

• Infεkshכn: di bayl dakt we blכk na izi ples fכ baktri infεkshכn fכ go insay. Infεkshכn na di biliary sistεm kin rili denja . I kin skata to di liva ɛn blɔd. If wan infekshɔn spre to di blɔd (septicemia), i kin mek pɔsin gɛt siriɔs sik we go mek pɔsin in layf de pan denja (sepsis).
• Cholangitis: di men tin we de mek di kכmכn bayl dakt de inflameshn εn infεkshכn na ‘Choledocholithiasis’. di bayl dakt de swel bikoz fכ di bak we di bayl de kכmכt, εn di bayl fכ fכlכ de ivin slo. dis inflameshn εn infεkshכn kin kכmכt frכm di kכmכn bayl dakt to כda branch dεm, dat na to di dakt dεm we de pas tru di liva. Dis kin mek bak di liva swel.
• Kɔlesistaytis: Dis na inflamɛns na di gal blad. We di bayl bak ɔp insay di gal blad, i kin swel. Dis kin mek pɔsin fil pen. I kin mek di gal blad nɔ wok fayn bak ɛn as tɛm de go, i kin pwɛl am. Dis na di men tin we kin mek pɔsin gɛt di sik we de na di gal blad.
• Galstone Pancreatitis: yu bayl dakt εn pankrias dεn tu de opin insay di sכmכl intestכn (sכmכl intestכn). if dis kכmכn pasej de blok bay gal ston, di pankrεas sekreshכn kin stכp fכ muv. dis sekreshכn dεm gεt rili strכng εnzym dεm, we kin bak כp insay di pankrias, we kin mek i inflameshn bad bad wan εn כgan dεm de pwεl. Dɛn kɔl dis pankrias. Galston na di men tin we kin mek pɔsin gɛt pankrias we nɔ gɛt rɔm.

Wetin mek dis (choledocholithiasis) kin apin?

Wi liva de mek bayl frɔm di tin dɛn we i de filta frɔm wi blɔd. Dɛn tin ya na kɔlɔstrel, bilirubin, bayl sɔl, ɛn lɛsitin. Galston de fכm we wan pan dεn tin ya – we kin kכlestכl, sכmtεm bilirubin – de kam tu mכch. Dɔn, dɛn tin ya we pasmak kin gɛda lɛk slɔd.

dis tin we lεk sכl de kכlekt na di bכtכm pat pan di gal blad כ insay di kכmכn bayl dakt εn sכmtεm i de at. As mɔ slɔd de flɔ oba am, dɛn ston dɛn ya kin big smɔl smɔl. Dis kin tek sɔm ia. כl di gal ston dεm de fכm na di gal blad. Dɔn dɛn kin travul dɔŋ di bayl dakt ɛn dɔn na di kɔmɔn bayl dakt.

Wetin na de risk factor wae kin afekt dis?

Yu kin gɛt kɔmɔn bayl dakt ston fɔ dɛn rizin ya:

• Fɔ gɛt kɔlangitis we nɔ de mɛn: Kɔledocholithiasis na di men tin we kin mek pɔsin gɛt kɔlangitis. Bɔt i kin apin bak di ɔda we. If yu bayl dakt dεm inflamed fכ כda rizin, di bayl fכ fכlכ kin slo, we kin mek ston dεm fכm na di bayl dakt dεm.
• Gal ston we bin dɔn de bifo: Bɔrku pipul dɛm wae gɛt gal ston nɔr kin gɛt kɔmplikeshɔn. Bɔt pipul dɛn we dɔn gɛt galston bifo kin gɛt am bak. Ivin if dεn pul yu gal blad as tritmεnt fכ gal ston, insay rεre kes dεm, nyu ston kin fכm na yu bayl dakt dεm.

Ɔda tin dɛn we kin mek pɔsin gɛt galston na:

• di ay kכlestכl lεvεl: כl di gכl ston dεm (lεk 75%) de fכm frכm di kכlestכl we pasmak na di bכdi. di כda kכmכpכnεnt dεm na di bayl (bayl sכlt dεm εn lεsitin) dεn fכ sכlv dis kכlestכl. Bɔt if tin nɔ balans bitwin dɛn tin ya, i nɔ go wok fayn.
• Di ɔmon dɛn we uman kin gɛt: Ɛstrojen kin mek di kɔlɔstrel bɔku. di prכjestεron de dכn di gal blad kכntrikshכn εn i de mek di bayl fכ fכlכ bכku. Sɔntɛnde, dɛn tu ɔmon ya kin go ɔp we uman dɛn de bɔn pikin. Ɔmon riplesmɛnt tritmɛnt kin mek bak di kɔlɔstrel lɛvɛl go ɔp.

Aw dɛn kin no dis sik (choledocholithiasis)?

Bɔku tɛm dɛn kin no bɔt di ston we de na di bayl dakt afta di sayn dɛn dɔn kam. If yu go to dɔktɔ fɔ sɔm sayn dɛn lɛk biliary colic ɔ jaundice, yu dɔktɔ go du blɔd tɛst ɛn imej tɛst . Blɔd tɛst kin sho aw bɔku bayl dɔn gɛda. Imej tɛst kin ɛp fɔ no usay di blɔk de.

Us tɛst dɛn de du fɔ dis?

Blɔd tɛst dɛn:

• Kɔmplit blɔd kɔnt (CBC) .
• Bilirubin tɛst we dɛn kin du
• Test fɔ di wok we di pankrias de du
• Test fɔ di wok we di liva de du

As imej tɛst dɛn:

• Ɔltrasɔund na di bɛlɛ:Dis na simpul tɛst we nɔ de mek pɔsin fil pen. E kin gi yu fɔs aidia bɔt yu kɔndishɔn. I kin sho if ston de na yu gal blad. pan ɔl we i nɔ de sho di kɔmɔn bayl dakt rili klia wan, i kin sho if di dakt dɔn dilayt. Dis de sho se sɔntin dɔn blok. Di blɔk kin tan lɛk shado.
• εndoskopik כltra saund: dis tεst de kכmbayn כltra saund tεknכlכji wit כp εndoskopi fכ mek klia imej dεm fכ di bayl dakt dεm. Dis min se yu fɔ put smɔl tiub we gɛt kamɛra (ɛndoskɔp) dɔŋ yu trot ɛn insay yu bɛlɛ ɛn ɔp smɔl intestin. di כltra saund divays we de na di εnd pan di εndoskop de yuz sawnd wev fכ mek imej dεm fכ di biliary sistεm.
• MRCP (Magnetic Resonance Cholangiopancreatography): Dis na wan kayn MRI (Magnetic Resonance Imaging). I kin tek pikchɔ dɛn spɛshal wan fɔ di bayl dakt dɛn. I nɔ de ambɔg di bɔdi. i kin tek rili klia pikchכ dεm fכ di כl biliary sistεm, inklud di kכmכn bayl dakt. Di dɔktɔ kin du dis tɛst fɔs if i sɔprayz se ston de na di kɔmɔn bayl dakt. Bɔt if i gɛt ay prɔbabiliti fɔ se ston de, i kin go stret to ERCP.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Dis tεst de invayv sכmtεm pas di כda wan dεm. Bɔt i rili yusful fɔ fɛn galston. I kin pul ston dɛn bak. I de yuz ɔl tu di X-ray ɛn ɛndoskopi. we di εndoskop dכn כp insay di sכmכl intestin, di tεknishian de put כda sכm sכm tכb tru am εn gayd am insay di bayl dakt dεm. Dɔn, dɛn kin put wan spɛshal wata (day) insay di tiub, ɛn dɛn kin tek vidio X-ray (fluoroscopy) we di day de travul tru di dakt dɛn. If dɛn fɛn ston, dɛn kin trit am.

Aw dɔktɔ dɛn kin pul ston dɛn na di kɔmɔn bayl dakt?

Bɔku tɛm dɛn kin pul dɛn ston ya we dɛn de du ERCP. Dɔktɔ dɛn kin yuz spɛshal tin dɛn we dɛn kin tay na di ɛnd pan di ɛndoskɔp fɔ brok ɛn pul ston dɛn we dɛn fɛn dɛn. Sɔntɛnde, dɛn kin kɔt smɔl na di mɔsul na di dakt (sphincterotomy) fɔ mek di dakt big ɛn alaw di ston fɔ pas.

Yu tink se i nid fɔ du ɔpreshɔn fɔ di sik we dɛn kɔl Choledocholithiasis?

εndoskopik rεtrogrεd kolεjכpankrεatografi (ERCP) nכ nid fכ insay di bכdi fכ akses di bayl dakt dεm. Bɔt afta dɛn dɔn pul ston dɛn na di bayl dakt dɛn, bɔku tɛm dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pul di gal blad . di rizin fכ dis na fכ mek ston nכ kכmכt na di gal blad bak εn mek i gεt kכledocholithiasis.

A go nid ɔda tritmɛnt dɛn?

Dipen pan yu kɔndishɔn, yu kin nid ɔda tritmɛnt bifo dɛn pul yu gal ston. Fɔ ɛgzampul:

• If infekshɔn de , dɛn kin gi am antibayɔtik .
• biliary drenage mεtכd dεm fכ pul di akyumulet bayl.

Us prɔblɛm dɛn kin apin afta dɛn dɔn trit am?

dis komplikashכn dεm kin apin insay di sכt tεm afta dεn dכn pul di εndoskopik stכn:

• Blɔd we de kɔmɔt
• Sik we de prɛd
• Pankriaytis we gɛt sik

Dɛn tin ya kin apin fɔ lɔng tɛm afta dɛn dɔn trit am:

• Galston we de kam bak: Ivin if dεn pul כl di ston dεm na di bayl dakt, nyu ston dεm kin fכm leta. Pipul wae bin dɔn gɛt ston bifo kin gɛt am bak.
• di bayl dakt fibrosis: Ska tisu kin fכm we dεn kכt di bayl dakt. sכmtεm dis ska tisu kin mek di dakt sכmtεm sכmtεm (biliary stricture). dis kin mek difrεn kayn blכk na di kכmכn bayl dakt. I kin nid fɔ gɛt difrɛn tritmɛnt.

Yu tink se dɛn kin mek di sik we dɛn kɔl choledocholithiasis nɔ kam?

Bɔku pan di galston dɛn kin kɔmɔt frɔm di kɔlɔstrel, ɛn yu kin mek di kɔlɔstrel we de na yu blɔd go dɔŋ bay we yu chenj di we aw yu de it ɛn di we aw yu de liv yu layf. Dis kin ɛp fɔ ridyus yu risk. Dɔktɔ dɛn se fɔ avɔyd "yo-yo" it, we na fɔ lɔs yu wet wan tɛm ɛn afta dat yu fɔ gɛt am bak. If yu de lɔs yu wet, du am smɔl smɔl . If yu lɔs bɔku bɔku wet wan tɛm, dat kin mek yu gɛt mɔ galston.

Aw di tin kin bi afta dɛn dɔn trit am?

Fɔ bɔku pipul dɛn, di tritmɛnt simpul ɛn i kin wok fayn. Insay di kayn we we nɔ kin apin we pɔsin gɛt prɔblɛm afta dɛn dɔn trit am, dɛn kin trit dɛn prɔblɛm dɛn de. insay 10 to 20 ia, bitwin 5 εn 25 pipul dεm pan 100 pipul dεm go gεt nyu ston dεm na di bayl dakt dεm. Dis risk kin smɔl if dɛn dɔn pul di gal blad.

Wan galston atak kin bi wan tin wae de mek yu fil pen ɛn frayd, mɔr lɛk if yu nɔr bin no se yu gɛt ston bifo. Di kwik we yu gɛt tritmɛnt, na di mɔ yu go fil fayn kwik kwik wan. Biliary colic, ivin if i kam ɛn go, ɛn i nɔ tu bad, dɛn nɔ fɔ ɛva ignore am. I go jɔs wɔs te dɛn pul di blɔk we de na di bayl dakt.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so a op se yu naw geht beta andastan boht di ‘choledocholithiasis’ we wi tok boht tide.

Di tin we impɔtant pas ɔl na dat if yu gɛt sɔm sayn dɛn lɛk bad bad pen na di ɔp rayt say na yu bɛlɛ, yu de nɔs, yu de vɔmit, ɛn yu yay de yɔlɔ, nɔ jɔs ignore am ɛn go to dɔktɔ wantɛm wantɛm.

Gud tritmɛnt dɛn de fɔ dis sik. If dɛn no am kwik, dɛn kin mɛn am bifo siriɔs prɔblɛm dɛn kam. Nɔ panik, fala yu dɔktɔ in advays. Tek kia bak fɔ di tin dɛn we yu de it ɛn di we aw yu de liv yu layf. Dɔn yu kin rili sef frɔm dɛn kayn prɔblɛm dɛn de.

` Gal ston, kכmכn bayl dakt, kolεdokolitiasis, janda, bכdi pen, εndoskopi, ERCP