Idan likitanka yana zaton za ka iya samun gallstones , ƙila za ka sami ƙarin gwaji-mafi mahimmanci hotunan, kamar yadda aka yi nazarin hotuna ta Intrasound ko Cisco. Wannan shi ne tabbatar da shakkarsa ko kuma taimakawa wajen taimakawa mulki daga duk wani yanayi wanda zai iya kasancewa a wasa, kamar kamuwa da cutar koda, ciwo mai jijiyar zuciya, ko ciwo mai tsanani.
A nan ne kallon gwaje-gwaje da hanyoyin da aka saba amfani dasu don tantancewa da kuma kimantawa da cututtuka da lalata biliary tract.
Labs
Jarabawar jini ba zai iya gane asali ba kuma zai iya zama al'ada idan kana da wata matsala marar rikici, amma zaka iya samun aikin jini don yin la'akari da kamuwa da cuta ko ƙumburi na hanta, pancreas, bile ducts, ko gallbladder. Gwaje-gwaje na iya nuna rikitarwa daga gallstones, irin su pancreatitis ko jaundice, da kuma fitar da sauran cututtuka da irin wannan alamun bayyanar.
Hoto
Ganin hoto na abin da ke faruwa a cikin gallbladder da kuma bile ducts shine mahimmin hanyar da za a gano ainihin ganewa. Akwai matakan gwaje-gwajen hotunan da likitanku zasu iya amfani dasu don gano asali gallstones kuma ya yi sarauta akan wasu yanayi.
Duban dan tayi
Duban dan tayi yana amfani da raƙuman motsa jiki don ganin yadda bile ducts, hanta, da kuma pancreas. Lokacin da gallstones ke kasancewa, ana ganin su a ko dai gallbladder ko bile ducts.
Ana dauke da tafi - don gwada gwajin bayyanar bilary colic kuma shine gwajin farko idan an gwada likitan gallstones.
Ƙananan haɗari yana haɗuwa da gwajin duban dan tayi, kuma yana da gwaji mafi kyau don gwaji gallstones. A duban dan tayi bazai karba gallstones a cikin marasa lafiya marasa lafiya ko a marasa lafiya da suka ci abinci kwanan nan.
Endoscopic duban dan tayi
An endoscopic duban dan tayi amfani da ikon yinsa da cewa yana da duban dan tayi a karshen kayan aiki. An ƙaddamar da samfurin ƙwararraki na musamman a cikin intestines inda likitoci na likita zasu iya samun hangen nesa na bile ducts, gallbladder, and pancreas ducts.
Ana buƙatar horo na musamman don amfani da ultrasound endoscopic, wanda ake amfani dashi a wasu lokuta don gano wuraren duwatsun bile da mayaƙancin yau da kullum zasu rasa. Sauran amfani don ultrasound endoscopic sun hada da ganewar asibiti da ciwon daji na bile ducts.
Tomography Computer (CT) Scan
Duk da yake CT scan zai iya gane launi, yawanci ba a matsayin tasiri kamar duban dan tayi ba. Cibiyar CT zata iya gwada ciwon daji a cikin hanta da kuma pancreas. Wannan jarabawar shine hanyar da aka fi so don tantance ƙimar pancreatitis.
Endoscopic Retrograde Cholangiopancreatography (ERCP)
ERCP wani nau'i ne na gwajin gwajin endoscope da aka yi tare da hasken rana wanda ke ba da dama ga hanyoyin bile da pancreas ducts. Har ila yau, ERCP yana ba da gallstones da aka gano a yayin lokacin da za a cire shi daga bile ducts ko kuma gandun daji. Wannan gwaji yana da kyau.
Magnetic Resonance Cholangiopancreatography (MRCP)
MRCP yayi amfani da kayan haɓaka mai kwakwalwa (MRI) wanda ke amfani da software na musamman don ƙirƙirar hotunan bile da pancreas ducts. Wannan gwaji ba tare da zabin ba wannan yana cikin hanyar da take kama da ERCP ba tare da buƙatar ɗaukar ciki ba. Lokacin da MRCP ya nuna sakamako masu banƙyama, ƙarin kimantawa (tare da ERCP) ko magani (tare da tiyata) yana da muhimmanci.
Hydroxyl Iminodiacetic Acid (HIDA) Scan
Har ila yau an san shi a matsayin mai launi ko cututtuka, wannan yana amfani da kayan aikin rediyo wanda aka allura a cikin jikinka don nuna hotunan gidanka na biliary da kamara ta musamman. Za a iya ba ku wani abu wanda zai sa kuɗin kwangilarku don yin la'akari da haka.
Ana yin amfani da wannan gwaji don ganin idan an katange igiyoyin bile din ku ko gallbladder ba yayi kwangila yadda ya kamata ba.
Maganinku zai iya dogara ne akan sakamakon binciken ku na hoto. Idan an gano gallstones ta hanyar hoto, amma ba tare da nuna alamun bayyanar ba, likita zai iya ba da shawarar ka jira ka ga idan bayyanar cututtuka ta ci gaba. Gallstones ba tare da bayyanar cututtuka ba, kuma ba a bukatar magani ba.
Bincike daban-daban
Wasu lokuta alamar cututtuka na gallstones iya farfado da wasu yanayi. Saboda haka, likitan ku na bukatar yin sarauta akan wadannan cututtuka kafin ku binciki ku da gallstones. Labarin da jarrabawar hoto da aka tattauna a sama zasu taimaka wajen rarrabe waɗannan yanayi daga juna.
Wasu daga cikin cututtukan da suke da irin wannan ɓangaren bayyanar cututtuka kuma dole ne a yi la'akari tare da gallstones sun hada da:
- Hepatitis
- Hanyar kwanciyar hankali
- Madaici ciwon ciwo
- Ischemic cututtukan zuciya
- Gastroesophageal dislux cuta
- Peptic miki ciwo
- Koda kamuwa da cuta
- Ƙananan duwatsun (duwatsu a cikin tsararren ku)
- Magani gallbladder cuta, wanda shine lokacin da kake da ciwo a cikin gallbladder amma ba gallstones
- Sphincter na Oddi dysfunction, wanda zai iya haifar da ciwon daga baya na bile
Yana yiwuwa a sami wasu daga cikin waɗannan yanayi a baya kuma ba tare da alaƙa ga gallstones; Kuna iya samun ciwo mai jiji da gallstone, alal misali.
Kuma saboda gallstones zai iya haifar da ƙarin damuwa da lafiyar jiki, yana iya yiwuwa ga wanda wanda ba'a lasafta shi ba tare da nuna rashin amincewa ba a lokaci guda da aka gano shi tare da wasu matsaloli, ciki har da cholecystitis mai tsanani (gallbladder inflammation), choledocholithiasis (a lokacin da aka jefa gallstone a cikin ɗayan bile ducts) babban pancreatitis, da kuma m cholangitis (wani kamuwa da cuta a bile ducts).
Kwararka na iya yin ƙarin gwajin idan yana tsammani za ka iya samun ɗaya daga cikin wadannan cututtuka tare da ko maimakon gallstones.
> Sources:
> Mayo Clinic Staff. Gallstones. Mayo Clinic. Updated Nuwamba 17, 2017.
> Cibiyar Cibiyar Ciwon Ciwon sukari da Kwayoyin Kwayoyi da Kwayoyin Kwayoyi. Binciken asalin Gallstones. Cibiyoyin Lafiya na Ƙasar. Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. Updated Nuwamba 2017.
> Zakko SF. Cutar Gallstone ba tare da rikici ba a cikin manya. Na zamani. Updated Fabrairu 28, 2017.