I pum dinglam pawh a na em? Cholecystitis chungchang hi i zir dawn teh ang!

I pum na tuar theih loh, a bik takin i pum dinglam chunglam natna, chubakah rilru hahna leh luak chhuak i tawk tawh em? A nih loh leh i hriat mi pakhatin hetiang hi a tawng tawh em? Heng thilte hi a chang chuan cholecystitis an tih natna chhinchhiahna a ni thei bawk. Vawiin hian cholecystitis hi eng nge a nih, engvangin nge a lo awm tih leh eng nge tih theih ang tih te han sawi ila.

Cholecystitis hi eng nge ni?

A awlsam zawngin, cholecystitis chu i gallbladder inflammation emaw swelling emaw a ni . I liver hnuaia pear ang maia lian bawm te tak te angin ngaihtuah rawh . Gallbladder hian rei lo te chhung atan bile , liver siam tui a dahkhawm thin. Kan ei zawhah, a bik takin ei tur thau tak takte chu he bile hi small intestine-ah thawn a ni a, chu chuan ei tur a digest thei a ni. He bile hi tube ang chi kawngpui te tak te, bile ducts . Chuvangin, gallbladder emaw, a inzawm bile duct emaw-ah infection emaw blockage emaw a awm chuan inflammation, na leh swelling a awm ang.

Cholecystitis chi hrang hrang a awm em?

Ni e, hei hi chi hrang hrangah then theih a ni:

• Acute inflammation : Hei hi natna khirh tak, natna khirh tak a ni.
• Chronic inflammation: Hei hi hun kal zelah zawi zawiin a lo awm a, chutiang chuan a na lo va, a awm reng a ni.
• Calculous inflammation: Hei hi inflammation chi khat zingah chuan a tam ber a ni. Gallstone avanga inflammation a ni.
• Acalculous inflammation: Hei hi gallstone tih loh thil dang avanga inflammation lo awm a ni.

Ngaihtuah teh, harsatna lian tak avanga gallbladder a lo hring nghal a nih chuan acute inflammation a ni . Chutiang a nih loh chuan, hun rei tak chhunga harsatna tenau te avanga gallbladder chu a lo hring tlem a nih chuan chronic inflammation a ni . A tam zawkah chuan heng pahnih hi a chhan chu gallstones a ni. Chuvang chuan doctor-te chuan lung avanga lo awm nge ni lo tih an thliar hrang thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel mihring 15% velin gallstone an nei niin an sawi. An zinga 20% vel chuan gallstone vangin harsatna an nei a, chu chu cholecystitis . Mak ti suh, cholecystitis vei zinga 95% hi gallstone vang a ni!

Cholecystitis natna lan chhuahna chu engte nge ni?

Heng symptoms te hi inflammation chi hrang hrang a zirin a danglam deuh thei.

Acute inflammation natna lan chhuah dan:

• Pum chunglam, a bik takin dinglamah natna nasa tak:He natna hi rang takin a pung thei a, tuar theih loh khawpin a lo awm thei bawk. A chang chuan he natna hi ke dinglam emaw, hnungzang dinglam emaw thlengin a darh thei bawk. A natna chu needle-a kah ang maiin a awm thei a, dull ache ang maiin a awm thei a, a nih loh leh pum ruh a twisting ang maiin a lang thei bawk. Thâwk i lak chuan a na a zual thei bawk. Mi thenkhat chuan hei hi rilru natna emaw heart attack emaw tiin an ngai sual a ni . He natna rang tak hi " Gallbladder Attack" an ti bawk.
• Nausea leh vomiting : Hei hi symptom tlangpui a ni bawk a, "gallbladder attack" nen a inzawm fo bawk.
• Khua: Khawsik 100 degree Fahrenheit (37.8 Celsius) aia sang chuan natna hrik emaw, inflammation na tak emaw a awm tih a tilang thei.

Pawimawh: Kum upa lam tan chuan heng symptoms te hi a danglam deuh thei. Chaw ei duh lohna leh rilru hahna tlemte chauh an nei mai thei. Kum upa lam zingah pawh khawsik hi a tam lo hle.

Thil dang dangte chu:

• Bloating leh tenderness .
• Pum dinglamah taksa ruh (muscle stiffness) a awm.
• Chak lohna leh hahna , a bik takin kum upa lam tan.

Chronic inflammation natna lan chhuah dan:

A natna lan chhuah dan hi acute condition aiin a na lo zawk a, a lo kal leh chhuak fo thin. Chaw thau leh rit tak ei hnuah pum na leh "biliary colic" an tih nausea i nei thei. Hei hi a chhan chu chaw thau tak takte hian an ei theih nan bile tam zawk an mamawh a ni. Chumi hnuah i digestive system chuan gallbladder chu bile tam zawk chhuah tir turin signal a pe a. Hei hian gallbladder chu a ti contract na zawk a, a chhunga pressure a ti sang hle. He natna hi darkar eng emaw zat a awm thei.

Hei hi eng nge a chhan ber?

A tam zawkah chuan acute leh chronic inflammation pahnih hi gallstones avanga bile ducts block vang a ni . Gallstones hi bile chhunga thil solidified, hun kal zelah a lo awm khawm a, lung ang maia lo awm a ni. Gallbladder hnuai lamah an lo piang tlangpui a, mahse a chang chuan an inher kual thei bawk. An kal zel chuan bile duct-ah emaw, gallbladder hmuiah emaw an tang a ni. Hei hian bile chu gallbladder-ah a back up a, chu chuan infection a thlen thei a ni.

• Acute inflammation a awm chuan:Hei hi gallbladder atanga bile luang chhuak chu lungin a lo dang vek a nih chuan a thleng thin. Gallbladder chu a hring zual a, a natna a zual zel bawk.
• Chronic inflammation: A chang chuan lung hian duct chu a block vek lo thei a, mahse rei vak lo a tang a, a pass out leh thei bawk. Entirnan, chaw rit tak ei hnua gallbladder a inzawm chuan chauh natna i nei thei. Hei hi chronic inflammation thlentu a ni .

Gallstones tih loh chhan dang eng nge awm?

A chhan ber chu gallstone-in bile duct a block vang ni mahse, thil dang vangin gallbladder a lo hring chhuak thei a, bile kal pawh a tikhawlo thei bawk. Entirna tlemte chu hetiang hi a ni:

• Biliary Stricture : Bili ducts-a chronic inflammation hian scar tissue a siam thei a, ducts a ti tawi thei a, bile kalna tur a tikhawlo thei bawk.
• Biliary Dyskinesia: Hei hi gallbladder chhunga taksa peng hrang hrangte hnathawh tichhe thei natna a ni . A bik takin gallbladder hi a contract tur angin a contract tha lo va, chuvangin bile a luang chhuak lo.
• Bile Stasis: Liver natna rei tak emaw, parenteral nutrition rei tak (IV) avanga bile flow a tichhe thei. Chaw ei tur i ei loh laiin IV i pek lai hian bile i mamawh lo tih hre reng ang che.
• Cancer: A tlem hle nachungin, gallbladder emaw bile ducts-a cancer natna awm chuan bile kal dan a tikhawlo thei a ni.

Heng dinhmunte hi a lo awm zauh zauh tlangpui a, chu chuan chronic acalculous cholecystitis . Mahse, acute acalculous cholecystitis -ah pawh an kal thei bawk. A chhan awm thei dangte chu:

• Ischemia: Gallbladder-a thisen kalna a tlahniam chuan a nasat dan azirin acute emaw chronic inflammation emaw a thlen thei a ni. Hei hi natna khirh tak emaw, accident emaw chhanna atan a thleng fo thin. Thisen kalna kawng (vascular occlusion) emaw, vasculitis emaw vang pawh a ni thei bawk.
• Infection: Bacteria infection hi gallbladder emaw bile duct emaw-ah a awm thei a, engmah block loh pawhin a awm thei. Hei hi a tlem hle. Hei hi immune system chak loteah a thleng tam zawk. Infection hian gallbladder tissue a tichhe thei bawk.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Gallstone i neih chuan cholecystitis i vei tam zawk. Gallstone vei tam zawkte chu:

• Hmeichhia tan
• Hmeichhe naupai tan
• Thau lutuk nei tan
• Zunthlum vei tan
• Cholesterol sang nei tan chuan
• A taksa rihna tlahniam nghal leh rang taka tlahniam tawhte tan (Rapid Weight Loss)
• Kum 40 chunglam tan
• (Genetic influence leh nunphung thenkhat pawhin hmun a chang thei bawk)

He cholecystitis hi engtiang chiahin nge a nasat?

Acute cholecystitis hi bile kal dan a block vang a ni tlangpui. Gallbladder chauh a nghawng lo. I biliary system zawng zawng - bile duct kaltlanga bile phurtu taksa peng hrang hrangte chu a nghawng thei a, inflammation leh infection a thlen thei bawk. Bile accumulated chu thisenah a luang lut thei a, a ti na thei bawk. I digestive system pawhin a mamawh bile a hmuh loh nan a veng bawk. Inflammation leh swelling na tak chuan tissue thihna (gangrene) a thlen thei . Chutiang a nih chuan organ chu a chhe thei a, a perforated thei bawk. Hei hi gangrenous cholecystitis an ti a . Chronic inflammation hi a nasat loh tlangpui a, mahse hun rei tak inflammation hian chhiatna nasa tak a thlen thei bawk. I gallbladder-ah hian Scar tissue a lo awm thei a, a inzawm tha lo thei bawk. Hei hian bile kal dan pawh a tikhawlo thei bawk.

Cholecystitis natna avanga harsatna awm thei:

• I liver, bile ducts, emaw pancreas emaw chhiatna (e.g., pancreatitis ).
• Small intestine-a ei leh in leh ei tur tha (nutrients) lakluh that lohna.
• Hun rei tak inflammation hian gallbladder-ah scarring (Gallbladder Fibrosis) a thlen a, hnathawh a tichhe bawk.
• Tissue thihna chu a hring (necrosis) leh gangrenous cholecystitis vang a ni .
• Gallbladder perforation , chu chuan pum chhunga natna (peritonitis) a thlen thin.
• Peritonitis hian abscess emaw thisen rimchhia (`Septicemia`) a thlen thei.

Hei hi paih mai mai tur a ni lo, a chhan chu chhiatna thlen thei chu a nasa lutuk a ni.

Engtin nge hei hi hriat chhuah a nih?

Doctor chuan i symptoms te a zawt hmasa ang che. Cholecystitis an rinhlelh chuan thawk la turin an ti ang che a, i pum dinglam sir chunglam chu press turin an ti ang che. Natna i neih chuan hei hi i natna chhinchhiahna hriat lar tak a ni ( Murphy’s Sign ). Chumi hnuah chuan test an ti ang a, chu chu i gallbladder leh bile duct enfiah nan imaging test te , leh thu dang hriat tumin thisen test te an ti ang. Chumi atana test tih thin thenkhat chu:

• Thisen chhiar kim (CBC) 1.1.
• Liver hnathawh dan enfiahna
• Abdominal Ultrasound hmanga tih a ni
• Endoscopic Ultrasound hmanga tih a ni
• CT Scan (CT Scan - Computed Tomography Scan) hmanga tih theih a ni.
• HIDA Scan (HIDA Scan - Hepatobiliary Iminodiacetic Acid Scan) hmanga tihchhuah a ni.

He cholecystitis hi a mah chauhin a dam leh dawn em ni?

No. Cholecystitis thlentu zawng zawng hi enkawl a ngai a ni. A châng chuan lungin gallbladder emaw bile duct emaw a tikhawlo thei a, a mah chauhin a kal thei a, i natna lan chhuahna chu a reh mai thei. Mahse chutiang thil thleng tur nghah chu thil tha tak a ni lo - a hrehawm a, a hlauhawm bawk. Chuti chung pawh chuan i harsatna a chinfel sak dawn lo. Lung ang chiah emaw, lung dang emaw chu a tlakbuak leh thei bawk.

Hei hi eng enkawl dan nge ni ang?

Cholecystitis hi damdawi inah enkawl nghal a ni. Enkawlna chu a hnuaia mi ang hian tan a ni:

• I chaw ei leh in (digestive system) chawlh hahdamna pe chungin IV fluid pek.
• Infection laka invenna emaw, enkawlna emaw atan intravenous antibiotics (IV antibiotics) pek.
• IV pain relief pek, mi tam takin an mamawh.

Hei hi enkawlna nghet ber chu gallbladder lakchhuahna operation (cholecystectomy) a ni . Cholecystitis thlentu thil tam tak, gallstones te hi gallbladder atanga tan a ni. A tlem berah chuan i cholecystitis thlentu chu gallstone (infection ang chi) atanga a hrana enkawl theih thil a nih chuan operation neih a ngai lo mai thei. Tin, i hriselna dinhmun dang a zirin operation tihkhawtlai emaw tih loh emaw pawh i duh thei bawk. Surgery i sawn hma emaw, i neih loh emaw chuan a hnuaia mi ang hian i ti thei ang:

• Gallbladder atanga tui chhuah leh pressure tihziaawm: Doctor chuan i pum chhungah incision te tak te a siam thei a, i gallbladder chhungah drainage tube a dah thei bawk. A nih loh leh, endoscopic ultrasound hmangin i hmui kaltlangin tube hmangin i gallbladder atanga tui chu i chaw ei kawngah a chhuah tir thei bawk.
• Endoscopic Gallstone Removal: ERCP (Endoscopic Retrograde Cholangiopancreatography) hi i hmui kaltlangin endoscope hmangin X-ray technology hmanga i biliary system enfiah thin a ni. Hei hian endoscope hmangin instrument te te dahin bile duct-a lung awmte chu a paih chhuak thei a ni. Hei hian i natna lanchhuahna nghal chu a tiziaawm thei a ni.

Surgery (Cholecystectomy) tih a ni.

Tuna i cholecystitis hi a reh tawh a nih pawhin - chu chu lung a tang kha a tang tawh lo a, damdawi ina i kalna tur symptoms te pawh a awm tawh lo - chronic leh acuteCholecystitis chi hnih hi a lo lang leh thei a ni. Vawi khat flare-up thlen tawh gallstones te hian an ti leh thei zawk. Flare-up nawn fo hian chronic inflammation a thlen thei a, an pahnih hian hun rei tak chhung chhiatna a thlen thei bawk. Cholecystitis lo awm leh zel tur ven nan doctor-te chuan gallbladder (cholecystectomy) lakchhuah nan operation neih an rawt a ni. Hei hi thil tih dan tlangpui, thil tenau tak a ni a, side effects tlemte chauh a awm. Mi tam tak tan chuan hei hi laparoscopic hmanga tih theih a ni - incision tenau tlemte hmangin, "keyhole surgery" tia hriat bawk. Thil buaithlak zawkah chuan open surgery neih a ngai mai thei.

Surgery hnuah eng nge thleng?

I gallbladder tel lo chuan i biliary system leh digestive system te chu a thawk tha thei hle. Gallbladder hi a bul berah chuan bile dahna hmun mai a ni a, chu chu liver siam a ni. Surgeon chuan i gallbladder a lakchhuah hian bile ducts chu a reroute a, chutiang chuan bile chu i liver atanga i small intestine ah a luang lut nghal a ni. He inthlak danglamna hi i taksain a insiamrem theih nan kar engemaw zat emaw, thla engemaw zat emaw a la ngai thei. Hemi chhung hian hun eng emaw chen atan natna lan chhuahna i nei thei a, chungte chu:

• Bile flow slow lutuk avanga biliary system-a pressure emaw natna emaw hriat.
• Chaw thau tak takte hi ei harsa a ni a, mi thenkhatah chuan riltam a awm thin.

Cholecystitis vei tan chuan eng nge a hmalam hun?

Eng chi emaw, a chhan emaw pawh ni se, cholecystitis hi damdawi in enkawl a ngai a ni. Hospital chuan natna tihziaawmna a pe nghal ang che a, a chhan pawh a zawng ang. A tlangpuiin gallstone a ni a, a ni lo nain. A tam zawkah chuan doctor-te chuan operation hmanga tihdamna nghet tak neih an rawt thin. Mi tam takin result tha tak tak an nei thin. Enkawl loh chuan harsatna hlauhawm tak tak a thleng thei a ni.

Pum natna nasa tak hi medical emergency a ni fo thin. Gallbladder natna chhinchhiahna a lan chuan — chu chu pum dinglam chunglam ah a lo lang nghal a, na takin a lo lang a, chu chu natna nen a inzawm a nih chuan — damdawi in emergency room-a kal nghal mai chu a finthlak hle.

I gallbladder chu a te hle a nih pawhin, i biliary system zawng zawng chu pressure dah a nih chuan a hlauhawm thei a ni. Cholecystitis symptoms chu a bo thei a, mahse a chhan bulpui chu a la awm reng thung. Symptoms a lo lang leh thei a, cholecystitis hian i gallbladder a tichhe chhunzawm zel ang a, a tul anga enkawlna i hmuh hma loh chuan.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Chuvangin, thutawp atan chuan, cholecystitis hi thil tenawm tak a ni lo.

• I pum dinglam chunglam natna nasa tak, rilru hahna, luak chhuak, leh khawsik ang chi symptoms i neih chuan doctor pan ngei ngei tur a ni. Tikhawtlai suh.
• A tam zawkah chuan hei hi gallstone vang a ni a, mahse a chhan dang pawh a awm thei bawk.
• Enkawlna dik tak a awm chuan he natna hi a dam vek thei a ni. Vawi tam tak chu surgery hmanga gallbladder lakchhuah hi a solution tha ber a ni.
• If left untreated , harsatna na tak tak, nunna atana hlauhawm pawh a thleng thei.

Chuvangin, nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan doctor thurawn la hreh suh. Hrisel taka awm hi a pawimawh ber!