I gallstone pawh hi common bile duct-ah a tang ve em? (Chodocholithiasis) A chanchin hi i zir chiang ang u!

Chaw ei zawhah i pum dinglam chunglam chu na tak tak i nei fo thin em? I rilru a na emaw, i luak duh emaw? A chang chuan i mit leh vun chu a sen deuh niin i hria em? Hengte hi ngaihthah mai mai tur symptom tha tak a ni lo. Hengte hian i ‘Common Bile Duct’ -ah lung a lo awm tih a tilang thei a ni. Vawiin hian he natna ‘Choledocholithiasis’ an tih hi kan sawi dawn a ni.

A awlsam zawngin, hei hi eng nge ni (choledocholithiasis)?

Choledocholithiasis hi i common bile duct ah lung pakhat emaw a aia tam emaw a awm a . "Choldocho" tih hi Latin tawnga common bile duct sawina a ni. "Lithiasis" tih awmzia chu lung tihna a ni. Gallstones hi bile chi hrang hrang khauh tak, lungpui ang maia siam a ni. Heng lungte hi kan taksa hmun apiangah bile a luang chhuak thei a ni.

Tunah chuan he bile hi eng nge a nih a, bile duct te hi eng nge ni tih i ngaihtuah mai thei. A awlsam khawp mai. Kan thin (liver) hian he bile hi a siam chhuak thin. He bile hian kan ei tur, a bik takin thau te chu a digest thei a ni. He bile hi gallbladder ah a khawlkhawm thin. Chuta tang chuan tube te tak te hmangin common bile duct-ah a kal a, chu chuan small intestine a zawm ta a ni. Chuvangin, he zinkawngah hian khawi emaw laiah lung a lo awm a nih chuan buaina chu a ni.

Chuti a nih chuan (Chodocholithiasis) leh (Cholelithiasis) hi thil hrang hrang pahnih a ni em?

Ni e, a danglamna tlem a awm. ‘cholelithiasis’ tih thumal hi i hre tawh mai thei. Gallbladder ah lung awm tihna a ni . Gallstone hi gallbladder chhung ngeiah emaw, bile ducts-ah emaw, a pahnih ah emaw a lo awm thei a ni. Gallbladder-a lung lo awm pawh hi a hnuah common bile duct-ah a kal thei a ni.

A awlsam zawngin ‘Cholelithiasis’ tih awmzia chu gallstone tihna a ni. ‘Choldocholithiasis’ tih hian lung (pakhat emaw a aia tam emaw) gallbladder atanga lo chhuak a, common bile duct-a tangte a kawk a ni. Hrethiam e?

Choledocholithiasis leh Biliary Colic hi eng nge an danglamna?

Choledocholithiasis i neih chuan i common bile duct-ah lung pakhat tal i nei tihna a ni. Lung chu a te hle a nih chuan , harsatna i nei lo mai thei. I intestine kal tlangin i taksa atanga chhuak pawh a ni thei. Mahse lung chu a lian a, common bile duct a block chuan pum na na tak, a awm reng thei a, jaundice i nei thei bawk.

Biliary colic hi lung pakhat biliary system-a a lo awm chuan a lo awm thin a ni . Gallstone nei zingah a tam ber. Mahse, common bile duct-a lung pakhat a lo awm a, duct a block chuan choledocholithiasis vei chuan biliary colic a nei thei bawk. Tui pipe-a lung inkhung ang maiin han ngaihtuah teh, a chang chuan tui a luang a, a chang chuan a luang lo.

Hei hi emergency a ni em? Enkawl vat ka mamawh em?

Common bile duct-a lung emaw lung emaw awm hi emergency a ni ngai lo. Mahse, risk a awm . A hmaa kan sawi tawh ang khan lung te te hi taksa a\angin a kal chhuak thei a. Mahse, a hlauhawmna chu lungte chu chutah chuan a tang thei a, hun kal zelah a lian chho thei a, duct chu a tikhawlo vek thei a ni.

Hetiang hlauhawmna avang hian doctor-te chuan common bile duct lung hi an hmuh veleh an enkawl nghal mai thin. Lungte enfiah leh lakchhuah nan endoscopy hman an rawt fo thin. Chumi awmzia chu gastroenterologist chuan i rilru hnuai lama tube te tak te (catheter) dahin bile ducts a thlen a, lungte chu a paih chhuak tihna a ni. Lungngai suh, hei hi anesthesia hmanga tih a nih avangin i hrehawm vak lo ang.

He natna (choledocholithiasis) hi a nasat chuan eng nge thleng ang?

Lung pakhat chu common bile duct-ah a tang a, bile luang chhuak a titawp a nih chuan biliary system pumpui a nghawng a ni. Chu chu bile kalna taksa peng leh kawng dang zawng zawng tihna a ni. Hei hian inflammation, infection , leh nunna atana hlauhawm harsatna pawh a thlen thei a ni.

A pawimawh ber chu hetiang symptoms i neih chuan doctor thurawn la nghal mai tur a ni a, ngaihthah lovin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

A vaiin mi 100 zinga 10 velin gallstone an nei a ni. Mahse, chu lung tam zawk chu gallbladder-ah a lo awm a ni. Gallstone vei zinga 15% vel chuan common bile duct-ah lung an nei thin. Mi tam zawk chuan heng lungte hi harsatna an nei ngai lo. Gallstone vei zinga 20% vel chauh hian harsatna an nei a, chu chu enkawl ngai a ni.

Choledocholithiasis natna lan chhuah dan chu engte nge ni?

Symptoms i nei lo mai thei. I gallbladder chu gallstone-in a block loh chuan i nei tih pawh i hre lo mai thei. Mahse, symptoms i neih chuan i common bile duct chu lungin a block tihna a ni. Duct block a nih chuan symptoms hmasa ber chu biliary colic an ti a. Chung zingah chuan:

• Pum na: He natna hi chaw ei zawhah a awm thin. Darkar khat atanga darkar engemaw zat thleng a daih thei. Minute 20 hmasa berah a natna chu a na hle a, chutah chuan a reh zauh zauh thin. Mi tam zawk chuan kan pum dinglam chunglam ah an hre thin. Mahse a chang chuan a natna chu a dinglam emaw, kekawrte emaw thlengin a darh thei.
• Nausea leh vomiting: Biliary colic nen hian nausea leh vomiting hi a awm fo thin. Mahse, migraine thenkhat ang lo takin, luak chhuak hnuah a natna chu a reh lo tih i hmu ang. Biliary colic a nasat loh chuan ei duh lohna i nei mai thei.
• Jaundice natna: 1.1.Bile a luang tha lo a, thisenah a back up chuan i vun leh i mit var te chu a sen thei a ni. I zun pawh a dum thei bawk. Jaundice hi biliary colic ang maiin a lo thleng a, a kal zel bawk. Mahse duct chhunga blockage awm chu a bo hma loh chuan a lo kal thei a, a kal thei bawk.
• Fever: Biliary system-ah inflammation na tak i neih chuan khawsik i nei thei. Khawsik hi infection chhinchhiahna a ni thei bawk. Bile ducts a block chuan bacteria chu taksa atangin a chhuak tha thei lo va, chu chuan infection a siam awlsam phah a ni.

Hei hian eng harsatna dang nge a thlen theih?

Lung chuan common bile duct a block chuan bile a back up thin. Hei hian a nena inzawm duct dangte a nghawng thei a, chubakah organs, gallbladder, pancreas, leh liver te pawh a nghawng thei bawk. Hei hian inflammation, infection, leh tissue tichhe rei tak a thlen thei a ni. Harsatna awm thei te chu:

• Infection: Bile duct blocked hi bacteria infection luh awlsamna hmun a ni. Biliary system a infection hi a hlauhawm hle a ni . Thin leh thisenah a darh thei a ni. Infection chu thisenah a darh (septicemia) chuan natna khirh tak, nunna atana hlauhawm (sepsis) a thlen thei a ni.
• Cholangitis: Common bile duct-a inflammation leh infection thlentu ber chu ‘Choledocholithiasis’ a ni. Bile hnunglam hawia a punkhawm avangin bile duct a lo hring a, bile luang chu a slow lehzual bawk. He inflammation leh infection hi common bile duct atang hian branch dang ah a darh thei a, chu chu liver kal tlanga duct ah a darh thei a ni. Hei hian thin a ti na thei bawk.
• Cholecystitis: Hei hi gallbladder inflammation a ni. Bile chu gallbladder-ah a back up chuan a lo hring chhuak thin. Hei hi a pawi hle mai. Gallbladder hnathawh a tichhe thei bawk a, hun kal zelah a tichhe thei bawk. Hei hi gallbladder natna thlentu ber a ni.
• Gallstone Pancreatitis: I bile duct leh pancreas te hi small intestine (small intestine) ah an inhawng vek a. He common passage hi gallstones in a block chuan pancreatic secretions te chu a che thei tawh lo thei a ni. Heng secretion te hian enzyme chak tak tak a pai a, chu chu pancreas chhungah a back up thei a, inflammation nasa tak leh organ tichhe thei a ni . Hei hi pancreatitis an ti a. Gallstones hi non-alcoholic pancreatitis thlentu ber a ni.

Engvangin nge hetiang (choledocholithiasis) hi a lo awm?

Kan thin hian kan thisen atanga a filter chhuah thil atang hian bile a siam thin. Heng thilte hi cholesterol, bilirubin, bile salt, leh lecithin te an ni. Heng thil pakhat – a tlangpuiin cholesterol, a chang chuan bilirubin – a tam lutuk hian gallstone a lo awm thin. Tichuan, heng thil tam lutuk te hi sludge ang maiin an lo piang ta a ni.

He sludge ang chi hi gallbladder hnuai lamah emaw, common bile duct-ah emaw a awm khawm a, zawi zawiin a khauh chho ta a ni. A chungah hian leivut tam zawk a luang chhuak a, heng lungte hi zawi zawiin an lian chho zel a ni. Hei hian kum tam tak a daih thei. Gallstone tam zawk hi gallbladder-ah a lo awm thin. Tichuan bile duct hnuaiah an kal thla a, common bile duct-ah an tawp ta a ni.

Hei hi eng risk factors nge a nghawng?

A hnuaia thilte avang hian common bile duct stones i vei tam zawk mai thei:

• Chronic cholangitis neih: Choledocholithiasis hi cholangitis thlentu ber a ni. Mahse a lehlamah a thleng thei bawk. I bile ducts te hi chhan dang avanga inflamed a nih chuan bile flow a slow thei a, bile ducts ah lung a lo awm thei a ni.
• Gallstone hmasa: Gallstone nei tam zawk chuan harsatna an nei lo. Mahse, a hmaa gallstone nei tawhte chuan an nei leh duh zawk. Gallstones enkawlna atan i gallbladder hi lakchhuah ni mahse, a tlem berah chuan i bile ducts-ah lung thar a lo awm thei a ni.

Gallstones lo awm chhan tlangpui risk factor dangte chu:

• Cholesterol Level sang: Gallstone tam zawk (75%) hi thisen a cholesterol tam lutuk atanga siam a ni. Bile-a thil dang (bile salts leh lecithin) te hian he cholesterol hi a tithianghlim tura ngaih a ni. Mahse hengte inkarah hian inthlauhna a awm chuan a thawk tha lo ang.
• Hmeichhe hormone: Estrogen hian cholesterol a tipung a. Progesterone hian gallbladder contraction a ti tlem a, bile flow a tipung bawk. Heng hormone pahnihte hi a chang chuan hmeichhiate naupai lai hian a sang chho thin. Hormone replacement therapy hian cholesterol level a tisang thei bawk.

He natna (choledocholithiasis) hi engtin nge an hriat theih?

Bile duct lung hi a lan chhuah hnuah hmuhchhuah a ni fo thin. Biliary colic emaw jaundice emaw ang chi symptoms i neih chuan doctor pan i nih chuan i doctor chuan thisen test leh imaging test a ti ang . Thisen test hian bile engzat nge a khawlkhawm tih a hriat theih. Imaging test hmang hian blockage awmna hmun hriat theih a ni.

Hemi atan hian eng test nge tih a nih?

Thisen test dan: 1.1.

• Thisen chhiar kim (CBC) 1.1.
• Bilirubin test a ni
• Pancreas hnathawh dan test a ni
• Liver hnathawh dan test a ni

Imaging test angin:

• Pum chhunga ultrasound hmanga enfiah: 1.1.Hei hi test awlsam tak, hrehawm lo tak a ni. I dinhmun hriat hmasak ber a pe thei che a ni. I gallbladder-ah lung a awm leh awm loh a lantir thei. Common bile duct chu chiang takin a lantir lo nain, duct chu a dilated a nih chuan a lantir thei. Hei hian blockage a awm tih a tilang a ni. Blockage chu thlalak ang maiin a lang thei.
• Endoscopic ultrasound: He test hian ultrasound technology leh upper endoscopy hmangin bile ducts thlalak chiang tak a siam chhuak thin. Hei hian camera hmanga siam tube (endoscope) te tak te chu i rilru hnuai lam leh i pum leh upper small intestine chhungah dah a ni. Endoscope tawp lama ultrasound device hian sound wave hmangin biliary system thlalak a siam a.
• MRCP (Magnetic Resonance Cholangiopancreatography): Hei hi MRI (Magnetic Resonance Imaging) chi khat a ni. A bik takin bile ducts thlalak a la thin. Taksa tan a pawi lo. Biliary system pumpui thlalak chiang tak tak a la thei a, common bile duct pawh a la thei bawk. Doctor chuan common bile duct-ah lung a awm nia a rinhlelh chuan he test hi a ti hmasa thei a ni. Mahse, lung a awm theihna chance sang tak a awm chuan ERCP-ah a kal nghal mai thei.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): He test hi a dang aiin a invasive deuh deuh a ni. Mahse gallstone zawn nan a tangkai hle. Lung a paih chhuak thei bawk. X-ray leh endoscopy te a hmang vek a ni. Endoscope chu small intestine-ah a awm tawh chuan technician chuan chuta tang chuan tube te tak te dang a dah lut a, bile duct-ah a hruai lut ta a ni. Tichuan, tube kaltlangin tui bik (dye) an inject a, dye chu duct kaltlangin a kal laiin video X-ray (fluoroscopy) an la a ni. Lung hmuh a nih chuan enkawl theih a ni.

Engtin nge doctor-te hian common bile duct-a lung awmte chu an paih chhuah?

Heng lungte hi ERCP procedure neih laiin lakchhuah a ni fo thin. Doctor-te chuan endoscope tawp lama hmanraw bik bun hmangin lung an hmuh hunah an tikehsawm thei a, an paih chhuak thei bawk. A châng chuan, duct muscle (sphincterotomy)-ah hian cut te tak te an siam a, chu chuan duct chu a zau a, lung chu a kal tlang thei a ni.

Choledocholithiasis natna hi operation neih a ngai em?

Endoscopic retrograde cholangiopancreatography (ERCP) hmang hian bile ducts lut tur chuan pum chhunga incision a ngai lo. Mahse, bile duct-a lung an lak chhuah hnuah doctor-te chuan gallbladder lakchhuahna surgery neih an rawt fo . A chhan chu gallbladder atanga lung chhuak leh tur leh choledocholithiasis thlen loh nan a ni.

Enkawlna dang ka mamawh ang em?

I dinhmun a zirin i gallstones te lakchhuah hmain enkawlna dang i mamawh thei bawk. Entir nan:

• Infection a awm chuan , antibiotics an pe thin.
• Biliary drainage hmanga bile accumulated paih chhuah dan.

Enkawlna hnuah eng harsatna nge thleng thei?

Endoscopic stone lakchhuah hnu hun rei lote chhungin a hnuaia harsatna te hi a awm thei a ni:

• Thisen chhuak
• Kaichhawng
• Pancreatitis natna a ni

Enkawlna hnu rei takah a hnuaia mite hi a thleng thei a ni:

• Gallstone recurrence: Bile duct-a lung awm zawng zawng chu paih vek ni mah se, a hnuah lung thar a lo piang thei a ni. Lung nei tawhte chuan an lo vei leh duh zawk.
• Bile duct fibrosis: Bile duct an tan chuan Scar tissue a lo awm thei. A chang chuan he scar tissue hian duct a ti tawi thei (biliary stricture). Hei hian common bile duct-ah blockage chi hrang hrang a thlen thei a ni. A hranpaa enkawl a ngai mai thei.

Choledocholithiasis lo awm tur hi ven theih a ni em?

Gallstone tam zawk hi cholesterol vang a ni a, i ei leh in leh nunphung tihdanglamna hmangin i thisen cholesterol level i tihniam thei a ni. Hei hian i risk tihziaawmna kawngah a pui thei a ni. Doctor-te chuan "yo-yo" dieting tih loh tur an ti a, chu chu vawi khatah taksa rihna tihtlem a, chu chu tihpun leh a ni. I taksa rihna i tihtlem chuan zawi zawiin ti rawh . Vawi khata taksa rihna tam tak tihtlem hian gallstones vei theihna a tipung a ni.

Enkawl hnuah eng dinhmun nge a awm?

Mi tam zawk tan chuan enkawlna hi a awlsamin a hlawhtling hle. Enkawlna hnua mi pakhatin harsatna a neih tam loh chuan chu harsatna chu enkawl theih a ni. Kum 10 atanga kum 20 chhungin mi 100 zinga 5 atanga 25 inkar velin bile duct-ah lung thar an nei ang. He risk hi gallbladder lakchhuah a nih chuan a hniam zawk.

Gallstone attack hi thil hrehawm leh hlauhawm tak a ni thei a, a bik takin lung i nei tih i hriat loh chuan. Enkawlna i hmuh hma poh leh i rilru a hahdam thuai ang. Biliary colic hi a lo kal a, a lo kal a, a na lutuk lo pawh ni se, ngaihthah ngai lo tur a ni. Bile duct-a blockage awm chu a chhuah hma loh chuan a na zual chauh ang.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin tunah chuan vawiin a kan sawi ‘choledocholithiasis’ hi in hriatthiam ka beisei.

A pawimawh ber chu, i pum dinglam sir chunglam natna nasa tak, luak chhuak, luak chhuak, mit sen te ang chi symptoms i neih chuan ngaihthah mai mai suh la, doctor pan nghal mai tur a ni.

Hetiang dinhmun hi enkawlna tha tak tak a awm. A hmaa hmuhchhuah a nih chuan harsatna lian tham a thlen hmain tihdam theih a ni. Hlauthawng suh, i doctor thurawn zawm rawh. Tin, i ei leh in leh nunphung pawh uluk takin enkawl bawk ang che. Tichuan, chutiang harsatna lakah chuan a tam zawkah chuan i him thei ang.

` Gallstones, common bile duct, choledocholithiasis, jaundice, pum na, endoscopy, ERCP