Oludda lwo olwa ddyo olw’olubuto nalwo lukuluma? Ka tuyige ku bulwadde bwa cholecystitis!

Wali ofunye obulumi mu lubuto obutagumiikiriza naddala okulumwa ku ludda olwa waggulu olwa ddyo olw’olubuto lwo, wamu n’okuziyira n’okusiiyibwa? Oba waliwo omuntu gw’omanyi eyayitamu kino? Ebintu bino oluusi biyinza okuba obubonero bw’embeera eyitibwa ‘cholecystitis’. Leero, ka twogere ku bulwadde bwa cholecystitis kye ki, lwaki bubaawo, ne kiki ekiyinza okukolebwako.

Obulwadde bw’okusannyalala kye ki?

Mu ngeri ennyangu, obulwadde bwa cholecystitis buzimba oba okuzimba mu nnywanto yo . Kilowoozeeko ng’ensawo entono eringa amapeera wansi w’ekibumba kyo . Ennyindo etereka okumala akaseera katono bile , amazzi agakolebwa ekibumba. Bwe tumala okulya naddala emmere erimu amasavu, omusulo guno gusindikibwa mu kyenda ekitono okuyamba okugaaya emmere. Entuuyo eno etambula mu bitundu ebitonotono ebiringa ttanka ebiyitibwa emikutu gy’entuuyo . Kale, singa wabaawo yinfekisoni oba okuzibikira mu nnywanto oba emikutu gy’entuuyo egikwatagana nayo, okuzimba, obulumi n’okuzimba bijja kubaawo.

Waliwo ebika by’obulwadde bwa ‘cholecystitis’ obw’enjawulo?

Yee, kino kiyinza okwawulwamu ebika ebikulu ebiwerako:

• Acute inflammation : Eno mbeera ya mangu, ya maanyi.
• Okuzimba okutambula obutasalako: Eno mbeera ekula mpola okumala ekiseera era si ya maanyi nnyo wabula esigalawo.
• Okuzimba okuyitibwa Calculous inflammation: Kino kye kika ekisinga okubeerawo. Buba buzimba obuva ku mayinja mu nnyindo.
• Acalculous inflammation: Buno buzimba obubaawo olw’ensonga endala okuggyako amayinja g’omu nnyindo.

Lowooza ku kino, singa ekibumba kizimba mu bwangu olw’ekizibu ekinene, kiba kizimba kya maanyi . Bwe kitaba ekyo, singa ekibumba kizimba mpolampola olw’obuzibu obutonotono okumala ebbanga eddene, kiba kizimba ekitawona . Emirundi egisinga, ekivaako bino byombi ge mayinja mu nnyindo. Eno y’ensonga lwaki abasawo baawula oba kiva ku mayinja oba nedda.

Embeera eno ya bulijjo etya?

Kigambibwa nti abantu nga 15% mu nsi yonna balina amayinja mu nnyindo. Ebitundu nga 20% ku bo bafuna ebizibu olw’amayinja mu nnyindo, gamba ng’obulwadde bw’ekibumba . Tewewuunya, ebitundu 95% ku balwadde ba cholecystitis bava ku mayinja ga gallstones!

Bubonero ki obulaga obulwadde bwa cholecystitis?

Obubonero buno buyinza okwawukana katono okusinziira ku kika ky’okuzimba.

Obubonero bw’okuzimba okw’amaanyi:

• Obulumi obw’amaanyi mu lubuto olwa waggulu naddala ku ludda olwa ddyo:Obulumi buno buyinza okweyongera mu bwangu ne butagumiikiriza. Oluusi obulumi buno busobola okusaasaana ne butuuka ku kibegabega oba omugongo ogwa ddyo. Obulumi buno buyinza okuwulira ng’okufumita empiso, okulumwa ennyo oba okunyiga ebinywa by’olubuto. Obulumi buno era buyinza okweyongera ng’ossa omukka omungi. Abantu abamu kino bakikyamusa nti kiruma mu kifuba oba okulwala omutima . Obulumi buno obw'amangu era buyitibwa " Gallbladder Attack."
• Okuziyira n'okusiiyibwa : Kano era kabonero ka bulijjo akatera okuwerekera "okulumbibwa ennywanto."
• Omusujja: Omusujja ogusukka mu diguli 100 (37.8 Celsius) guyinza okulaga nti alina yinfekisoni oba okuzimba okw’amaanyi.

Ekikulu: Obubonero buno buyinza okuba obw’enjawulo katono ku muntu omukadde. Bayinza okuba nga tebakyayagala mmere n’okukoowa katono. Omusujja era tegutera kubeera mu bakadde.

Ebirala ebirala ebigenda okukolebwa:

• Okuzimba n'okunyirira .
• Okukaluba kw’ebinywa ku ludda olwa ddyo olw’olubuto.
• Obunafu n’obukoowu , naddala mu bakadde.

Obubonero bw’okuzimba obutawona:

Obubonero buno butera obutaba bwa maanyi nnyo okusinga mu mbeera ez’amaanyi era butera okujja n’okugenda. Oyinza okufuna obulumi mu lubuto n'okuziyira ekiyitibwa "biliary colic" oluvannyuma lw'okulya emmere erimu amasavu era enzito. Kino kiri bwe kityo kubanga emmere erimu amasavu yeetaaga entuuyo nnyingi okusobola okugaaya. Olwo enkola yo ey’okugaaya emmere ekola akabonero ku nnywanto okufulumya entuuyo eziwera. Kino kireetera ennywanto okukonziba ennyo, ne kyongera puleesa munda. Obulumi buno busobola okumala essaawa eziwera.

Kiki ekikulu ekivaako kino?

Emirundi egisinga, okuzimba okw’amaanyi n’okutawona kuva ku mayinja g’omu nnyindo agaziyiza emikutu gy’entuuyo . Amayinja g’omu lubuto bintu ebikalu mu ntuuyo ebikuŋŋaanyiziddwa okumala ekiseera ne bifuuka ng’amayinja. Zitera okutondebwa wansi mu nnywanto, naye oluusi zisobola okutambula. Bwe zitambula, zisibira mu mudumu gw’entuuyo oba ku mumwa gw’ennywanto. Kino kireetera omusulo okudda waggulu mu nnywanto ekiyinza okuvaako okukwatibwa yinfekisoni.

• Okuzimba okw’amaanyi:Kino kibaawo ng’okutambula kw’entuuyo okuva mu nnywanto kuzibiddwa ddala ejjinja. Ennyindo yeeyongera okuzimba era embeera yeeyongera okwonooneka.
• Okuzimba okutambula obutasalako: Oluusi ejjinja liyinza obutazibikira ddala omukutu, naye liyinza okusibira okumala akaseera ate ne liddamu okuzirika. Okugeza oyinza okuwulira obulumi ng’ennywanto zikonziba ng’omaze okulya emmere enzito. Kino kye kivaako okuzimba okutambula obutasalako .

Biki ebirala ebivaako ng’oggyeeko amayinja mu nnyindo?

Wadde ng’ekisinga okuvaako kwe kuzibikira emikutu gy’entuuyo olw’amayinja ag’omu nnyindo, n’ensonga endala ziyinza okuvaako enseke okuzimba n’okuziyiza okutambula kw’entuuyo. Wano waliwo ebyokulabirako ebitonotono:

• Biliary Stricture : Okuzimba emikutu gy’entuuyo obutawona kuyinza okuvaako ebitundu by’enkovu okukola n’okufunda emikutu, ne kiremesa okutambula kw’entuuyo.
• Biliary Dyskinesia: Eno mbeera ekosa enkola y’ebinywa mu nnyindo . Okusingira ddala, ekibumba tekikonziba bulungi nga bwe kisaanidde, n’olwekyo omusulo tegukulukuta.
• Bile Stasis: Okutambula kw’ekibumba kuyinza okukosebwa olw’obulwadde bw’ekibumba obutawona oba endya y’ekibumba okumala ebbanga eddene (IV). Jjukira nti bw’oba ​​tomira mmere mu kamwa naye ng’oliisibwa IV, teweetaaga ntuuyo.
• Kookolo: Wadde nga tatera kubaawo, ekizimba kya kookolo mu nnyindo oba mu mifulejje gy’entuuyo kiyinza okuziyiza entuuyo okutambula.

Embeera zino zitera okukula mpolampola, ne kivaako obulwadde bw’okusannyalala obutawona (chronic acalculous cholecystitis ) . Kyokka, era basobola okugenda mu maaso ne bafuuka obulwadde bw’ekibumba obuyitibwa acute acalculous cholecystitis . Ebirala ebiyinza okuvaako ensonga eno mulimu:

• Ischemia: Omusaayi ogugenda mu nnyindo bwe gukendeera, guyinza okuvaako okuzimba okw’amaanyi oba okutambula obutasalako okusinziira ku ngeri gye gubaamu. Kino kiyinza okutera okubaawo ng’omuntu afunye obulwadde obw’amaanyi oba akabenje. Era kiyinza okuva ku kuzibikira kw’emisuwa (okuzibikira emisuwa) oba okuzimba emisuwa .
• Obulwadde: Obulwadde bwa bakitiriya busobola okubaawo mu nnywanto oba mu mifulejje, ne bwe kiba nga tewali kizibikira kyonna. Kino tekitera kubaawo. Kino kisinga kubaawo mu bantu abalina abaserikale b’omubiri abanafuye. Obulwadde buno era busobola okwonoona ebitundu by’ennywanto.

Ani ali mu bulabe obw’amaanyi obw’okufuna kino?

Bw’oba ​​olina amayinja mu nnyindo, otera okulwala obulwadde bwa ‘cholecystitis’. Abantu abatera okufuna amayinja mu nnyindo kuliko:

• Ku bakyala
• Ku bakyala ab’embuto
• Ku abo abalina omugejjo
• Eri abalina obulwadde bwa sukaali
• Ku abo abalina kolesterol omungi
• Ku abo abagejja mu bwangu era mu bwangu (Rapid Weight Loss)
• Ku abo abasukka mu myaka 40
• (Ebimu ku bikwata ku buzaale n’engeri y’obulamu nabyo biyinza okukola kinene)

Obulwadde bw’ekibumba buno bwa maanyi butya?

Acute cholecystitis etera okuva ku kuzibikira mu kutambula kw’entuuyo. Tekikosa nnyindo yokka. Kiyinza okukosa enkola yo yonna ey’omusulo - enkola y’ebitundu ebitambuza omusulo okuyita mu mifulejje - ne kireeta okuzimba n’okukwatibwa yinfekisoni. Omusulo ogukung’aanyiziddwa gusobola okukulukuta mu musaayi ne gukulwaza. Era kiremesa enkola yo ey’okugaaya emmere okufuna omusulo gwe yeetaaga. Okuzimba n’okuzimba ennyo biyinza okuvaako ebitundu by’omubiri okufa (gangrene) . Kino bwe kibaawo, ekitundu ekyo kiyinza okukutuka oba okufuuka ebituli. Kino kiyitibwa obulwadde bwa gangrenous cholecystitis . Obuzimba obutawona butera obutaba bwa maanyi nnyo, naye okuzimba okumala ebbanga eddene nakyo kiyinza okuleeta obulabe obw’amaanyi. Ebitundu by’enkovu biyinza okutondebwa mu nnywanto yo ne biremesa okukwata obulungi. Kino nakyo kisobola okuziyiza okutambula kw’entuuyo.

Ebizibu ebiva mu bulwadde bwa Cholecystitis:

• Okwonooneka kw’ekibumba kyo, emikutu gy’omusaayi oba olubuto (e.g., pancreatitis ).
• Obuzibu mu kugaaya emmere n’okunyiga ebiriisa mu kyenda ekitono.
• Okuzimba okumala ebbanga eddene kireeta enkovu mu nnywanto (Gallbladder Fibrosis) n’okukosa emirimu.
• Okufa kw’ebitundu by’omubiri olw’okuzimba (necrosis) n’obulwadde bwa gangrenous cholecystitis .
• Gallbladder perforation , ekivaamu okukwatibwa yinfekisoni mu lubuto (peritonitis).
• Obulwadde bw’olubuto buyinza okuvaako ekizimba oba obutwa mu musaayi (`Septicemia`).

Kino si kintu kya kusuula busuula, kubanga okwonooneka okuyinza okubaawo kuyitiridde.

Kino kizuulibwa kitya?

Omusawo ajja kusooka kukubuuza ku bubonero bwo. Bwe baba bateebereza obulwadde bwa cholecystitis , bajja kukusaba okussa omukka omungi n’onyiga ku ludda olwa waggulu olwa ddyo olw’olubuto lwo. Bw’oba ​​owulira obulumi, kano kabonero akamanyiddwa ennyo ak’embeera eno ( Murphy’s Sign ). Olwo bajja kukola okukebera, gamba ng’okukebera ebifaananyi okutunuulira ennywanto zo n’emikutu gy’omusaayi, n’okukebera omusaayi okuzuula amawulire amalala. Ebimu ku bigezo ebikolebwa ku kino mulimu:

• Okubala Omusaayi mu bujjuvu (CBC) .
• Okukebera Enkola y’Ekibumba
• Ultrasound y’olubuto
• Endoscopic Ultrasound ey’okukebera omubiri (Endoscopic Ultrasound).
• CT Scan (CT Scan - Sikaani ya kompyuta) .
• HIDA Scan (HIDA Scan - Okukebera asidi ow’ekibumba n’omusaayi) .

Obulwadde buno obw’omu lubuto bunatereera ku bwabwo?

Nedda, byonna ebivaako obulwadde bwa cholecystitis byetaaga okujjanjabibwa. Oluusi ejjinja erizibikira omusulo oba omukutu gw’entuuyo liyinza okuyita ku bwalyo obubonero bwo ne bugenda. Naye okulinda ekyo okubaawo si kirungi - kiruma era kya bulabe. Ne mu kiseera ekyo, tekijja kugonjoola bizibu byo. Ejjinja lye limu oba ejjinja eddala liyinza okuddamu okusibira.

Bujjanjabi ki eri kino?

Obulwadde bwa Cholecystitis bujjanjabwa mangu mu ddwaaliro. Obujjanjabi butandikira ku bino wammanga:

• Okuwa amazzi mu IV ate ng’owa enkola yo ey’okugaaya emmere ekiwummulo.
• Okuwa eddagala eritta obuwuka mu misuwa (IV antibiotics) okuziyiza oba okujjanjaba yinfekisoni.
• Okuwa IV eddagala eriweweeza ku bulumi, abantu bangi lye beetaaga.

Obujjanjabi obusinga okuba obw’olubeerera ku kino kwe kulongoosa okuggyamu ennywanto (cholecystectomy) . Ebintu bingi ebivaako obulwadde bwa cholecystitis, gamba ng’amayinja mu nnyindo, bitandikira mu nnywanto. Tekitera kubaawo, singa ekivaako obulwadde bw’ekibumba kyo kiba kintu ekiyinza okujjanjabibwa okwawukana ku mayinja g’omu nnyindo (nga yinfekisoni), kiyinza obuteetaagisa kulongoosebwa. Ate era okusinziira ku mbeera z’obulamu bwo endala, oyinza okwagala okwongezaayo oba obutalongoosebwa. Bw’oba ​​ogenda okwongezaayo oba tolongoosebwa, osobola okukola bino wammanga:

• Okufulumya amazzi mu nnyindo n’okukendeeza ku puleesa: Omusawo asobola okukusala akatundu akatono mu lubuto n’ayingiza ekyuma ekifulumya amazzi mu nnyindo yo. Oba, basobola okukozesa endoscopic ultrasound okulungamya tube okuyita mu kamwa ko okufulumya amazzi okuva mu gallbladder yo mu nkola yo ey’okugaaya emmere.
• Okuggyamu amayinja mu nnyindo mu ngeri ey’okukebera: ERCP (Endoscopic Retrograde Cholangiopancreatography) nkola ekozesa endoscope okuyita mu kamwa ko okutunuulira enkola yo ey’omusaayi ng’okozesa tekinologiya wa X-ray. Kino kisobozesa obuuma obutonotono okuyingizibwa nga buyita mu endoscope okuggyawo amayinja agasibye mu mifulejje gy’entuuyo. Kino kiyinza okumalawo obubonero bwo obw’amangu.

Okulongoosa (Colecystectomy) .

Ne bwe kiba nti obulwadde bw’ekibumba bw’olina kati bugonjoddwa - kwe kugamba, ejjinja eryali likwatiddwa terikyasibira, era obubonero obwakuviirako okugenda mu ddwaaliro tebukyaliwo - obutawona era bwa maanyiEbika byombi eby’obulwadde bwa cholecystitis bisobola okuddamu. Amayinja g’omu nnyindo agavuddeko omuliro omulundi gumu gatera okuddamu okukikola. Okubumbulukuka enfunda n’enfunda kiyinza okuvaako okuzimba okutambula obutasalako, era byombi bisobola okwonooneka okumala ebbanga eddene. Okusobola okuziyiza ebiva mu bulwadde bw’ennywanto obuddamu, abasawo bagamba nti omuntu alongoosebwe okuggyamu ennywanto (cholecystectomy) . Eno nkola ya bulijjo, ntono ate nga n’ebizibu ebitono ebivaamu. Ku bantu bangi, kino kiyinza okukolebwa mu ngeri ya laparoscopically - okuyita mu bitundu ebitonotono ebisala, era ebimanyiddwa nga "keyhole surgery." Mu mbeera enzibu ennyo, kiyinza okwetaagisa okulongoosebwa mu lwatu.

Kiki ekibaawo oluvannyuma lw’okulongoosebwa?

Enkola yo ey’omusaayi n’enkola y’okugaaya emmere bisobola okukola obulungi nga tolina nnywanto yo. Ennyindo okusinga kifo kyokka we batereka entuuyo, ezikolebwa ekibumba. Omusawo alongoosa bw’aggyayo ennywanto yo, akyusa ekkubo ly’emikutu gy’entuuyo olwo omusulo ne gukulukuta butereevu okuva mu kibumba kyo ne guyingira mu kyenda kyo ekitono. Kiyinza okutwala wiiki oba emyezi mitono omubiri gwo okumanyiira enkyukakyuka eno. Mu kiseera kino oyinza okufuna obubonero obw’akaseera obuseera nga:

• Okuwulira puleesa oba obulumi mu nkola y’omusaayi olw’entuuyo okutambula mpola.
• Emmere erimu amasavu kizibu okugaaya ekivaako ekiddukano mu bantu abamu.

Endowooza etya eri omuntu alina obulwadde bwa cholecystitis?

Ka kibeere kika ki oba kivaako, obulwadde bw’ekibumba kyetaagisa okujjanjabibwa mu ddwaaliro. Eddwaaliro lijja kukuwa okukendeeza amangu obulumi era linoonye ekivaako. Ebiseera ebisinga kiba jjinja lya nnyindo wadde nga si bulijjo. Emirundi egisinga abasawo bagamba nti omuntu awonye enkalakkalira ng’ayita mu kulongoosebwa. Abantu bangi bavaamu ebirungi nnyo. Singa tebujjanjabwa, ebizibu eby’akabi bisobola okubaawo.

Obulumi obw’amaanyi mu lubuto bulijjo kiba kya mangu mu by’obujjanjabi. Singa kiraga obubonero bw’okulumwa ennywanto — kwe kugamba, singa kijja mu bwangu era mu ngeri ey’amaanyi mu ludda olwa waggulu olwa ddyo olw’olubuto, nga kiwerekerwako okuziyira — kiba kya magezi okugenda butereevu mu kisenge ky’abalwadde ab’amangu mu ddwaaliro.

Ne bwe kiba nti ekibumba kyo kitono, enkola yo yonna ey’okufulumya omusaayi eyinza okuba mu kabi singa bagiteekako puleesa. Obubonero bw’obulwadde bw’ekibumba buyinza okuggwaawo, naye ekizibu ekivaako obulwadde buno bukyaliwo. Obubonero buyinza okuddamu, era obulwadde bw’ekibumba bujja kweyongera okwonoona ennywanto yo okutuusa lw’onoofuna obujjanjabi obwetaagisa.

Ebintu ebikulu by'olina okukuuma mu birowoozo (Take-Home Message)

Kale, mu kumaliriza, obulwadde bwa cholecystitis si kintu kya kutunuulirwa.

• Bw’oba ​​olina obubonero ng’obulumi obw’amaanyi ku ludda olwa waggulu olwa ddyo olw’olubuto lwo, okuziyira, okusiiyibwa, n’omusujja, mazima ddala olina okugenda ew’omusawo. Tolwawo.
• Ebiseera ebisinga, kino kiva ku mayinja mu nnyindo, naye era wayinza okubaawo n’ebirala ebivaako.
• Singa obulwadde buno bujjanjabiddwa bulungi, embeera eno esobola okuwona ddala. Ebiseera ebisinga, okulongoosa okuggyamu ennywanto y’ekibumba kye kisinga okugonjoola ensonga eno.
• If left untreated , ebizibu eby’amaanyi ebiyinza n’okuteeka obulamu mu matigga biyinza okubaawo.

Kale, bw’oba ​​ggwe oba omuntu gw’omanyi alina obubonero buno, tolwawo kunoonya magezi ga musawo. Okusigala nga oli mulamu bulungi kye kintu ekisinga obukulu!