So wo yafunu nifa nso yɛ wo yaw? Momma yensua cholecystitis ho ade!

So woanya yafunu mu yaw a wuntumi nnyina ano, titiriw ɛyaw a ɛba wo yafunu nifa so atifi, ne akisikuru ne ɔfe pɛn? Anaasɛ obi a wunim no ahu eyi? Ɛtɔ mmere bi a, saa nneɛma yi betumi ayɛ tebea bi a wɔfrɛ no cholecystitis ho sɛnkyerɛnne. Ɛnnɛ, momma yɛnka nea cholecystitis yɛ, nea enti a ɛba, ne nea wobetumi ayɛ ho asɛm.

Dɛn ne cholecystitis?

Sɛ yɛbɛka no tiawa a, cholecystitis yɛ wo gallbladder a ɛyɛ hyew anaasɛ ɛho ahonhon . Fa no sɛ kotoku ketewaa bi a ɛte sɛ pear wɔ wo mmerɛbo ase . Akisikuru no sie bile , nsu bi a mmerɛbo no yɛ bere tiaa bi. Sɛ yedi wie, titiriw nnuan a srade wom a, wɔde saa bile yi kɔ dwensɔtwaa ketewa no mu ma ɛboa ma yɛyam aduan. Saa bile yi fa akwan nketenkete a ɛte sɛ ntini a wɔfrɛ no bile ducts mu . Enti, sɛ ɔyare mmoawa anaasɛ asiw wɔ akisikuru anaa bile ntini a ɛka ho no mu a, ɔfe, ɛyaw, ne ɔfe no bɛba.

So cholecystitis ahorow ahorow wɔ hɔ?

Yiw, yebetumi akyekyɛ eyi mu ayɛ no akuw atitiriw pii:

• Acute inflammation : Eyi yɛ tebea a ɛba mpofirim a emu yɛ den.
• Ɔfe a enni sabea: Eyi yɛ tebea a ɛba nkakrankakra bere a bere kɔ so no, na ɛnyɛ den saa na mmom ɛkɔ so tra hɔ.
• Calculous inflammation: Eyi ne nea abu so sen biara. Ɛyɛ ɔfe a ɛnam akisikuru mu aboɔ so.
• Acalculous inflammation: Eyi yɛ ɔfe a ɛba esiane nneɛma afoforo a ɛnyɛ akisikuru mu abo nti.

Susuw ho hwɛ, sɛ ɔhaw kɛse bi nti akisikuru no hohoro mpofirim a, ɛyɛ ɔfe a emu yɛ den . Sɛ ɛnte saa a, sɛ akisikuru no hohoro nkakrankakra esiane ɔhaw nketenkete nti bere tenten a, ɛyɛ ɔfe a enni sabea . Mpɛn pii no, nea ɛde eyinom abien nyinaa ba ne akisikuru. Ɛno nti na nnuruyɛfo kyerɛ nsonsonoe a ɛda sɛ ebia abo na ɛde ba anaasɛ ɛnte saa no.

Saa tebea yi abu so dɛn?

Wɔkyerɛ sɛ wiase nnipa bɛyɛ 15% na wɔwɔ akisikuru. Wɔn mu bɛyɛ 20% nya nsɛnnennen esiane akisikuru mu abo te sɛ cholecystitis . Mma ɛnyɛ wo nwonwa, cholecystitis a ɛba no mu 95% fi akisikuru mu abo!

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya cholecystitis?

Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko kakra a egyina ɔfe no so.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ayɛ ɔfe a emu yɛ den:

• Ɛyaw a emu yɛ den wɔ yafunu no atifi, titiriw wɔ nifa so:Ɛyaw yi betumi ayɛ kɛse mpofirim na ayɛ nea wontumi nnyina ano. Ɛtɔ da bi a, ɛyaw yi tumi trɛw kɔ mmati nifa anaa akyi. Ɛyaw no betumi ayɛ te sɛ nea wɔde sekan abɔ obi, ɛyaw a ɛyɛ kusuu, anaa yafunu mu ntini a ɛkyinkyini. Ɛyaw no nso betumi ayɛ kɛse bere a wohome denneennen no. Nnipa binom di mfomso susuw sɛ eyi yɛ koko mu yaw anaa komayare . Wɔsan frɛ saa ɛyaw a ɛba mpofirim yi " Gallbladder Attack."
• Akisikuru ne ɔfe : Eyi nso yɛ sɛnkyerɛnne a ɛtaa ba a ɛtaa ka "akisikuru ntua" ho.
• Atiridiinini: Atiridii a ɛboro digrii Fahrenheit 100 (37.8 Celsius) betumi akyerɛ sɛ ɔyare mmoawa anaa ɔfe a emu yɛ den.

Nea ɛho hia: Saa sɛnkyerɛnne ahorow yi betumi ayɛ soronko kakra ama obi a ne mfe akɔ anim. Ebia wɔn aduan ho akɔnnɔ a ɛyera na wɔayɛ mmerɛw kakra kɛkɛ. Atiridiinini nso ntaa mma wɔn a wɔn mfe akɔ anim mu.

Nneɛma afoforo a wɔde ka ho:

• Ɔhohoro ne akisikuru .
• Ntini a ɛyɛ den wɔ yafunu no fã nifa so.
• Mmerewa ne ɔbrɛ , titiriw wɔ nnipa a wɔn mfe akɔ anim mu.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi ayɛ ɔfe a enni sabea:

Mpɛn pii no, sɛnkyerɛnne ahorow no mu nyɛ den pii sɛnea ɛte wɔ tebea horow a emu yɛ den mu na ɛtaa ba na ɛkɔ. Ebia wobɛte yafunu mu yaw ne akisikuru a wɔfrɛ no "biliary colic" bere a woadi aduan a srade wom na emu yɛ duru akyi. Nea enti a ɛte saa ne sɛ nnuan a srade wom hia bile pii ansa na atumi ayam. Afei wo aduan mu nhyehyɛe no kyerɛ sɛ akisikuru no nyi bile pii mfi hɔ. Eyi ma akisikuru no twetwe denneennen, na ɛma nhyɛso a ɛwɔ mu no yɛ kɛse. Saa ɛyaw yi betumi atra hɔ nnɔnhwerew pii.

Dɛn titiriw nti na ɛte saa?

Mpɛn pii no, ɔfe a emu yɛ den ne nea enni sabea nyinaa fi akisikuru mu abo a esiw ntini a ɛma mogya tu no . Gallstones yɛ nneɛma a ayɛ den wɔ bile no mu a bere kɔ so no aboaboa ano na ayɛ te sɛ abo. Wɔtaa ba wɔ akisikuru no ase, nanso ɛtɔ mmere bi a wotumi di akɔneaba. Bere a wɔretu no, wɔde wɔn ho kɔhyɛ mogya ntini bi mu anaa akisikuru no ano. Eyi ma bile no san kɔ akisikuru no mu, na ebetumi ama obi anya ɔyare mmoawa.

• Ɔfe a emu yɛ den:Eyi ba bere a ɔbo bi asiw bile a efi akisikuru no mu no kwan koraa no. Akisikuru no ho ahonhon kɛse na tebea no mu yɛ den.
• Ɔfe a enni sabea: Ɛtɔ mmere bi a, ebia ɔbo bi rensiw ntini no kwan koraa, nanso ebetumi akɔhyɛ mu kakra na afei asan atɔ piti bio. Sɛ nhwɛso no, ebia wobɛte ɛyaw nka bere a akisikuru no twetwe bere a woadi aduan a emu yɛ duru awie no nkutoo. Eyi ne nea ɛde ɔfe a enni sabea ba .

Dɛn ne nneɛma afoforo a ɛde ba a ɛnyɛ akisikuru?

Ɛwom sɛ nea ɛtaa de ba ne sɛ akisikuru ntini no siw de, nanso nneɛma afoforo nso betumi ama akisikuru no ahonhon na asiw akisikuru no kwan. Nhwɛso kakraa bi ni:

• Biliary Stricture : Biliary ducts a ɛyɛ hyew bere tenten no betumi ama akuru ntini ayɛ na ayɛ ducts no, na asiw bile no kwan.
• Biliary Dyskinesia: Eyi yɛ tebea a ɛka ntini a ɛwɔ akisikuru mu no dwumadi . Ne titiriw no, akisikuru no ntumi ntwitwiw yiye sɛnea ɛsɛ sɛ ɛyɛ, enti bile nsen mfi mu.
• Bile Stasis: Bile flow betumi asɛe esiane mmerɛbo mu yare a enni sabea anaasɛ aduan a wɔde ma wɔ anom bere tenten (IV) nti. Kae sɛ, sɛ womfa w’ano nnom aduan nanso wɔma wo IV a, wunhia bile.
• Kokoram: Ɛwom sɛ ɛntaa nsi de, nanso kokoram akisikuru a ɛwɔ akisikuru anaa mogya ntini mu no betumi asiw akisikuru no kwan.

Saa tebea horow yi taa ba nkakrankakra, na ɛde acalculous cholecystitis a enni sabea ba . Nanso, wobetumi anya nkɔso nso abɛyɛ acute acalculous cholecystitis . Nneɛma afoforo a ebetumi de aba ne:

• Ischemia: Sɛ mogya a ɛkɔ akisikuru no mu no so tew a, ebetumi ama obi ayɛ ɔfe a emu yɛ den anaa nea enni sabea , a egyina sɛnea emu yɛ den no so. Mpɛn pii no, eyi betumi aba bere a obi anya yare anaa akwanhyia a emu yɛ den. Ebetumi nso afi mogya ntini a asiw (ntini a ɛsiw) anaasɛ ntini mu yare .
• Nyarewa: Mmoawa bi betumi aba wɔ akisikuru anaa ntini a ɛma mogya tu no mu, mpo a biribiara nsiw ano. Eyi ho yɛ na. Eyi taa ba nnipa a wɔn nipadua mu tumi a ɛko tia nyarewa no ayɛ mmerɛw no so. Ɔyare mmoawa nso betumi asɛe akisikuru ntini no.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Sɛ wowɔ gallstones a, ɛda adi sɛ wubenya cholecystitis. Nnipa a ɛda adi sɛ wobenya akisikuru no bi ne:

• Wɔ mmea fam
• Wɔ mmea a wɔyem fam
• Wɔn a wɔayɛ kɛse mmoroso no fam
• Wɔn a wɔwɔ asikreyare no fam
• Wɔn a srade dɔɔso wom no fam
• Wɔn a wɔn mu duru so atew mpofirim na wɔayɛ no ntɛmntɛm (Rapid Weight Loss) .
• Wɔn a wɔadi boro mfe 40 no fam
• (Awosu mu nkɛntɛnso ne asetra kwan bi nso betumi adi dwuma bi)

Saa cholecystitis yi yɛ aniberesɛm dɛn?

Mpɛn pii no, mogya mu nsu a ɛsen no siw kwan na ɛde cholecystitis a emu yɛ den ba. Ɛnyɛ akisikuru no nkutoo na ɛka. Ebetumi aka wo biliary nhyehyɛe nyinaa - akwaa nhyehyɛe a ɛde bile fa bile ducts mu - na ɛde ɔfe ne ɔyare mmoawa aba. Nsu a aboaboa ano no betumi ayiri akɔ mogya no mu na ama woayare. Ɛmma wo aduan mu ntini nso nnya bile a ehia no. Ɔfe ne ɔfe a emu yɛ den betumi ama ntini ahorow awuwu (gangrene) . Sɛ eyi ba a, akwaa no betumi apaapae anaasɛ ato mu. Wɔfrɛ eyi gangrenous cholecystitis . Mpɛn pii no, ɔfe a enni sabea nyɛ aniberesɛm kɛse, nanso ɔfe a ɛtra hɔ kyɛ nso betumi asɛe ade kɛse. Ebia akuru ntini bɛba wo gallbladder mu na asiw ano yiye. Eyi nso betumi asiw bile a ɛsen no kwan.

Nsɛnnennen a ɛwɔ Cholecystitis mu:

• Wo mmerɛbo, bile ntini, anaa dwensɔtwaa a ɛsɛe (sɛ nhwɛso no, dwensɔtwaa mu yare ).
• Nnuan a wɔyam ne aduannuru a ɛtwetwe wɔ dwensɔtwaa ketewa no mu a ɛnyɛ yiye.
• Ɔfe a ɛkyɛ no ma akisikuru ba akisikuru (Gallbladder Fibrosis) na ɛnyɛ adwuma yiye.
• Ntini a ewu esiane ɔfe (necrosis) ne gangrenous cholecystitis nti .
• Gallbladder perforation , a ɛde ɔyare mmoawa ba yafunu no mu (peritonitis).
• Peritonitis betumi ama obi anya akisikuru anaa mogya mu awuduru (`Septicemia`).

Eyi nyɛ biribi a ɛsɛ sɛ wɔtow gu kɛkɛ, efisɛ ɔsɛe a ebetumi aba no sõ dodo.

Ɔkwan bɛn so na wohu eyi?

Oduruyɛfo bi bedi kan abisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Sɛ wosusuw sɛ cholecystitis , wɔbɛka akyerɛ wo sɛ home denneennen na mia wo yafunu no atifi nifa so. Sɛ wote ɛyaw nka a, eyi yɛ tebea no ho sɛnkyerɛnne a wonim no yiye ( Murphy’s Sign ). Afei wɔbɛyɛ nhwehwɛmu ahorow, te sɛ mfoninitwa nhwehwɛmu de ahwɛ wo gallbladder ne bile ducts, ne mogya mu nhwehwɛmu de ahu nsɛm afoforo. Sɔhwɛ ahorow a wɔyɛ ma eyi no bi ne:

• Mogya Dodow a Edi Mu (CBC) .
• Mmɛn Dwumadi Ho Nhwehwɛmu
• Yafunu mu Ultrasound a Wɔde Yɛ
• Endoscopic Ultrasound a Wɔde Yɛ Adwuma
• CT Scan (CT Scan - Kɔmputa so Tomography Scan) .
• HIDA Scan (HIDA Scan - Hepatobiliary Iminodiacetic Acid Nhwehwɛmu) .

So cholecystitis yi ankasa bɛyɛ yiye?

Dabi, nneɛma a ɛde cholecystitis ba nyinaa hia ayaresa. Ɛtɔ da bi a ɔbo a esiw gallbladder anaa bile duct no betumi afa ne ho na wo sɛnkyerɛnne no afi hɔ. Nanso twɛn a wobɛtwɛn ama ɛno aba no nyɛ adwene pa - ɛyɛ yaw na asiane wom. Ɛno mpo no, ɛrenni wo haw ahorow ho dwuma. Ebia ɔbo koro no ara anaa ɔbo foforo bi bɛka bio.

Dɛn ne ayaresa a wɔde sa eyi?

Wɔsa cholecystitis ntɛm ara wɔ ayaresabea. Wɔde nea edidi so yi fi ayaresa ase:

• Nsu a wɔde fa IV mu a wode bɛma bere a woma wo aduan mu nhyehyɛe no ahomegye no.
• Nnuru a wɔde kum ɔyare mmoawa (IV antibiotics) a wɔde ma de siw ɔyare mmoawa ano anaasɛ wɔde sa.
• Ɛyaw ano aduru a wɔde IV ma, a nnipa pii hia.

Eyi ho ayaresa a ɛtra hɔ daa sen biara ne oprehyɛn a wɔyɛ de yi akisikuru no (cholecystectomy) . Nneɛma pii a ɛde cholecystitis ba te sɛ akisikuru mu abo no fi ase wɔ akisikuru mu. Ɛntaa mma sɛ, sɛ nea ɛde wo cholecystitis ba no yɛ biribi a wobetumi ayɛ no soronko afi akisikuru mu abo (te sɛ ɔyare mmoawa) ho a, ebia ɛho renhia sɛ wɔyɛ oprehyɛn. Afei nso, egyina w’akwahosan tebea afoforo so no, ebia wobɛpɛ sɛ wotwentwɛn wo nan ase anaasɛ worennyɛ wo oprehyɛn. Sɛ woretu oprehyɛn no akɔ akyiri anaasɛ worenyɛ oprehyɛn a, wubetumi ayɛ nea edidi so yi:

• Nsu a wobɛtwe afi akisikuru no mu ne nhyɛso a ɛbɛma wo ho atɔ wo: Oduruyɛfo betumi atwa wo yafunu mu ketewaa bi na ɔde nsu a ɛkɔ wo yafunu mu ahyɛ wo yafunu mu. Anaasɛ, wobetumi de endoscopic ultrasound adi dwuma de akyerɛ tube bi kwan afa w’anom ma nsu afi wo gallbladder mu akɔ wo digestive tract mu.
• Endoscopic Gallstone Removal: ERCP (Endoscopic Retrograde Cholangiopancreatography) yɛ adeyɛ a wɔde endoscope fa w’ano di dwuma de hwɛ wo biliary system denam X-ray mfiridwuma so. Eyi ma wotumi de nnwinnade nketewa fa endoscope no mu de yi abo a akɔhyɛ bile ntini no mu no fi hɔ. Eyi betumi ama wo yare no ho sɛnkyerɛnne a ɛba ntɛm ara no afi hɔ.

Oprehyɛn (Cholecystectomy) a Wɔyɛ .

Sɛ mpo wo mprempren cholecystitis no asiesie - kyerɛ sɛ, ɔbo a na ɛkyeree no no ntumi nkɔ bio, na nsɛnkyerɛnne a ɛde wo kɔ ayaresabea no nni hɔ bio - a enni sabea ne nea ɛyɛ huCholecystitis ahorow abien no nyinaa betumi asan aba bio. Abo a ɛwɔ akisikuru a ama ayɛ hyew pɛnkoro no taa yɛ saa bio. Sɛ obi ho hyew mpɛn pii a, ebetumi ama ɔfe a enni sabea aba, na abien no nyinaa betumi asɛe ade bere tenten. Nea ɛbɛyɛ na wɔasiw nkɛntɛnso a cholecystitis a ɛsan ba no ano no, nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn nyi akisikuru no (cholecystectomy) . Eyi yɛ adeyɛ ketewaa bi a wɔtaa yɛ a nsunsuanso bɔne kakraa bi na ɛwom. Wɔ nnipa pii fam no, wobetumi ayɛ eyi wɔ laparoscopically - denam ntwitwiridii nketenkete kakraa bi so, a wɔsan frɛ no "keyhole surgery." Wɔ nsɛm a emu yɛ den kɛse mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn a wɔabue ano.

Dɛn na ɛba wɔ oprehyɛn no akyi?

Wo biliary system ne digestive system betumi ayɛ adwuma yiye a wo gallbladder nka ho. Ne titiriw no, akisikuru no yɛ baabi a wɔkora bile a mmerɛbo no na ɛyɛ no ara kwa. Sɛ oduruyɛfo a ɔyɛ oprehyɛn yi wo gallbladder no a, ɔsan fa bile ntini no kwan ma ɛsen fi wo mmerɛbo mu kɔ wo dwensɔtwaa ketewa no mu tẽẽ. Ebia ebegye adapɛn anaa asram kakraa bi ansa na wo nipadua no ayɛ nsakrae wɔ nsakrae yi mu. Saa bere yi mu no, wubetumi anya bere tiaa mu sɛnkyerɛnne ahorow te sɛ:

• Nhyɛso anaa ɛyaw a wɔte nka wɔ biliary nhyehyɛe no mu esiane bile a ɛsen brɛoo nti.
• Ɛyɛ den sɛ wobɛyam nnuan a srade wom, na ɛma nnipa binom nya akisikuru.

Dɛn na obi a ɔwɔ cholecystitis betumi ahwɛ?

Ɛmfa ho sɛnea ɛyɛ anaa nea ɛde ba biara no, cholecystitis hwehwɛ sɛ wɔsa no ayaresabea. Ayaresabea no bɛma wo ɛyaw ano aduru ntɛm ara na wɔahwehwɛ nea ɛde ba. Mpɛn pii no ɛyɛ akisikuru, ɛwom sɛ ɛnyɛ bere nyinaa de. Mpɛn pii no, nnuruyɛfo kamfo kyerɛ sɛ wɔnam oprehyɛn so sa yare no daa. Nnipa pii fi mu ba pa ara. Sɛ wɔansa a, nsɛnnennen a asiane wom betumi aba.

Yafunu mu yaw a emu yɛ den yɛ aduruyɛ mu asɛm a egye ntɛmpɛ bere nyinaa. Sɛ ɛda sɛnkyerɛnne ahorow adi sɛ ɛyɛ yaw wɔ akisikuru mu — kyerɛ sɛ, sɛ ɛba mpofirim na emu yɛ den wɔ yafunu no atifi nifa so, a akisikuru ka ho a — nyansa wom sɛ wobɛkɔ ayaresabea dan a wɔhwɛ ntɛmpɛ so tẽẽ.

Sɛ wo gallbladder no sua mpo a, wo biliary system nyinaa betumi akɔ asiane mu sɛ wɔde nhyɛso ba so a. Ebia cholecystitis ho sɛnkyerɛnne no befi hɔ, nanso nea ɛde ba titiriw no da so ara wɔ hɔ. Nsɛnkyerɛnne no betumi asan aba bio, na cholecystitis bɛkɔ so asɛe wo gallbladder kosi sɛ wubenya ayaresa a ɛho hia.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Enti, sɛ yɛde rewie a, cholecystitis nyɛ biribi a ɛsɛ sɛ wobu no adewa.

• Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ɛyaw a emu yɛ den wɔ wo yafunu nifa atifi, akisikuru, ɔfe, ne atiridiinini a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Ntwentwɛn wo nan ase.
• Mpɛn pii no, eyi fi akisikuru mu, nanso nneɛma afoforo nso betumi de aba.
• Sɛ wɔsa yare yi yiye a, wobetumi asa saa tebea yi koraa. Mpɛn pii no, oprehyɛn a wɔde yi akisikuru no ne ano aduru a eye sen biara.
• Sɛ wɔansa , nsɛnnennen a emu yɛ den a ebetumi de nkwa mpo ato asiane mu betumi aba.

Enti, sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne ahorow yi a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛ mu afotu. Apɔwmuden a wobɛkɔ so atra hɔ no ne ade a ɛho hia sen biara!