Gallstone vangin pancreatitis pawh i vei tawh em? (Gallstone Pancreatitis) Hemi chungchang hi han sawi ila!

Gallstone hian pancreas chu nasa takin a ti hring emaw, a ti na emaw tih i hre ngai em? Hei hi Doctor ten `(Gallstone Pancreatitis)` emaw `(Biliary Pancreatitis)` emaw an tih chu a ni. Hei hi a takah chuan dinhmun khirh tak a ni thei. Mahse, lungngai suh, hei hi enkawl dan tha tak tak a awm avangin. Vawiin hian engkim hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Chuti a nih chuan he pancreas hi eng nge ni?

A awlsam zawngin sawi ila, pancreas hi kan pum chhunga awm, pum hnung lama awm, taksa peng pawimawh tak a ni. Kan taksaah factory te tak te ang mai a ni. Kan chaw ei tur kan ei theihna tura min puitu digestive enzyme pawimawh ber ber a siam chhuak thin. Kan ei hian, leh chaw chu small intestine a thlen chuan, pancreas hian heng enzyme te hi chhuah tir turin signal a dawng thin. Heng enzyme te hi pancreas atang hian tube te tak te (pancreatic duct) ah an kal a, tube lian deuh (common bile duct) ah an inzawm a ni. He tube lian tak zawh hian enzyme te chu liver leh gallbladder atanga bile te nen chuan small intestine chunglam ah an kal thin. Chutah chuan digestion process chu a thleng tak tak a ni.

Okay, chuti a nih chuan heng gallstone te hi eng nge ni?

Kan gallbladder ah hian gallstones a lo awm thin. Gallbladder hi bawm te tak te, bile khawlkhawm leh dahkhawmna a ni a, chu chu liver siam a ni. He bile hian thil chi hrang hrang a pai a. A châng chuan he bile-ah hian cholesterol emaw bilirubin emaw a tam lutuk chuan gallbladder hnuai lama sludge ang mai a ni thei. Gallbladder hi a hnim tha lo a nih chuan he sludge ang chi hi a pungkhawm thei a, hun kal zelah lung a siam thei bawk. Hengte hi gallstone kan tihte chu an ni.

Gallstones avanga pancreatitis hi a hlauhawm em?

Ni e, hei hi dinhmun khirh tak a ni . Pancreatitis i vei chuan a rang thei ang bera damdawi lam pan a pawimawh. A lan chhuah dan chu a na lo emaw, a na emaw pawh a ni thei. Mahse, enkawlna i hmuh loh rei poh leh i dinhmun a chhe zual zel ang. A bik takin lung pakhat chu bile duct-ah a tang a nih chuan harsatna a thlen tam zawk. A nasat chuan nunna atana hlauhawm tak a ni thei.

He natna hi engtiang chiahin nge a hluar?

Gallstone hi mi tam tak tan chuan harsatna awm fo a ni. Mahse, mi zawng zawngin an nei vek lo. Entirnan, United States-ah chuan mi 10% atanga 15% velin gallstone an nei nia chhut a ni. Mahse chutiang mi zinga 0.1% chauhvin gallstone vangin pancreatitis an vei a ni. Acute pancreatitis hian United States-a mipui 0.4% vel a vei a ni. Heng zinga 35% vel hi gallstones vang a ni. A chhan langsar ber pahnihna chu zu in hi a ni.

Eng thilin nge gallstones hi a thlen?

Gallstones awm chhan pakhat chiah hriat a harsa a, mahse thil engemaw zatin a thlen thei a ni:

• I thisen cholesterol level a san chuan i ei leh in vang emaw, metabolic disorder vang emaw a ni thei. Chutiang a nih chuan cholesterol pawh i bile-ah a pung khawm thei bawk.
• Liver natna i neih chuan i thisen leh bile-ah bilirubin level a sang thei.
• Functional disorder a awm a, chu chu gallbladder a empty tha lo a nih chuan.
• Estrogen tam lutuk hian gallbladder empty a tikhawtlai thei bawk. Hei vang hian naupai lai hian he hlauhawmna hi a sang zawk a ni.

Engtin nge gallstone hian pancreatitis a thlen?

I pancreas, gallbladder leh bile duct te chu common bile duct an tih tube hmanga inzawmkhawm niin han ngaihtuah teh. A tlangpuiin i gallbladder atanga bile chu he common bile duct kaltlangin i small intestine ah a luang lut thin. Mahse gallstone i neih chuan he duct hmang hian an kal thei bawk.

Lungte hi a naupan laiin awlsam takin kal mah se, bile thar a lo kal chuan zawi zawiin a lian chho zel a ni. Chuvangin, lung pakhat, awlsam taka kal thin chu a hnuah a tlakbuak thei a, a bik takin a duct chu a tawi a nih chuan. Gallstone hi pancreatic duct chhungah a tang thei a, duct pawnah a tang thei bawk a, pancreatitis a thlen thei bawk.

He blockage hian pancreatitis a thlen dan chungchangah hian theory pahnih a awm a:

1. Theory hmasa ber chu lung pakhat chu common bile duct pawnah a lo awm chuan bile chu hnunglam hawiin pancreas chhungah a luang lut thei tih hi a ni. Bile hi a corrosive hle a, chu chuan pancreas a ti na hle.

2. Theory pahnihna chu pancreatic enzymes te hian inflammation hi an siam a ni. Heng enzyme te hi small intestine-a protein, carbohydrates leh thau te digest turin an siam a ni. Chuvangin, an corrosive hle bawk. Kan intestine te hi hengte lakah hian mucus lining thick takin venhim ni mahse, pancreas hian chutiang venhimna chu a nei lo.

A tlangpuiin pancreatic enzyme te hi small intestine an thlen hnuah an thawk chhuak thin. Mahse, pancreatic duct-a blockage avanga pressure tam lutuk siam a nih chuan chu pressure chuan enzyme te chu a tichak thei a ni.

Mahse, gallstones leh acute pancreatitis te hi cause-and-effect inzawmna a awm tih kan hria. Damdawi inah enkawl tura i kal chuan bile duct-a lung awmte chu paih chhuah a nih veleh pancreatitis chu a dam leh ang.

Gallstones avanga pancreatitis natna lanchhuahna chu engte nge ni?

A lan chhuah dan tlangpui chu:

• Pum natna nasa tak. Hei hi i pum veilam chunglam, i pancreas awmnaah i hre mai thei. Chemtein a chil che emaw, a chhung lam atanga a rawn hnim emaw ang maiin a lang thei. He natna hi i rilru, i kekawrte emaw, i hnungzang emaw thlengin a darh thei bawk.
• Nausea leh luak chhuak.

He natna hi a na zual zel chuan heng ang symptoms hi a awm thei bawk:

• Pumpui a hring chhuak.
• Tui tlakchhamna (dehydration).
• Heart rate a sang chho zel.
• Thâwk rang emaw thawk harsa emaw.
• Thisen sang hniam.
• Taksa lumna hniam.
• Khawsik leh khawsik.
• Jaundice (mit leh vun sen).

Gallstones avanga pancreatitis natna avanga harsatna awmte chu engte nge ni?

I pancreas chu nasa taka a inflamed chhunzawm zel chuan a tissue te chu a chhe zauh zauh ang a, thisen supply pawh a tlahniam tan ang. Hei hian pancreas hnathawh a hloh phah thei a ni. Inflammation chhunzawm zel hian taksa peng hrang hrang inkara tissue-ah tui a awm khawm thei a (peritonitis). He tui hi rilru chhungah a darh chhuak thei a, lung leh thinlung a nawr thei a ni. He tui hi a pungkhawm chuan taksa thisen volume a tlahniam a, chu chuan tui tlakchhamna nasa tak a thlen thin. Hei hian kidney-ah tui a vawng reng thei a, a tawpah chuan hypovolemic shock tih hming pu dinhmun hlauhawm tak a thlen thei a ni.

Lung pakhat chu bile duct-ah a inkhar a nih chuan chu duct system nena inzawm taksa peng dangte tan harsatna a thlen thei a ni. Bile hi liver leh gallbladder-ah a back up thei a, cholecystitis leh liver disease a thlen thei a ni. Duct-a pressure a san chuan digestive fluids bile ang chi chu thisenah a leak thei a ni. Blockage hian small intestine atanga bacteria te chu ducts ah a back up thei a, chu chuan infection a thlen thei a ni. He natna hi thisenah a darh chuan systemic infection a thlen thei a, chu chuan taksa pum a nghawng thei a, septic shock tih hming pu thihna thlen thei dinhmun pawh a thlen thei bawk.

He natna hi engtin nge an hriat chhuah?

Damdawi ina i lo kal chuan natna lan chhuah dan tlangpui nen i lo kal chuan doctor chuan thisen test a ti hmasa ang a, i pancreatic enzyme level a enfiah ang. Tin, i liver enzyme level pawh an enfiah ang a, i liver-ah engzat nge chhiatna a thlen tawh tih an enfiah bawk ang. Tichuan, imaging test an ti ang a, i pancreas chu an en ang a, i inflammation nasat dan an hre ang.

Abdominal ultrasound hmangin bile duct-ah gallstone a awm tih hriat theih a ni. A tul chuan CT scan hmangin pancreas hi chipchiar zawkin a en thei a ni. A châng chuan, enkawl tûra i rawn luh hunah chuan, a natna bul ṭantu lung hmasa ber chu a mah chauhin a liam tawh mai thei. Mahse, a chhehvela lung dang a awm chuan doctor-te chuan a chhan a ni tih an hre thei.

Gallstones avanga pancreatitis hi engtin nge enkawl a nih?

I dinhmun a nasat chuan intensive care unit-ah dah i ni ang. A tam zawkah chuan (80%) vel i dinhmun chu chutiang taka na lo a nih chuan, supportive care hi enkawlna hmasa ber a ni. Hei hi pancreatitis enkawlna awmchhun a ni.

Supportive care

Enkawlna chu hetiang hian tan a ni:

• IV fluids: Mi tam takin tui an tlakchham avangin thisen volume siam that a ngai a ni. Medical team chuan i kut emaw kut emaw vein pakhatah saline catheter an dah ang a, tui an pe chhunzawm ang che. Heng fluid te hian electrolyte an nei bawk.
• Natna tihziaawmna:Mi tam tak chuan natna nasa tak an nei a, chuvangin natna tidamtu damdawi chak tak pek an ngai a, chu chu injection angin emaw, saline hmangin emaw a ni.
• Bowel rest: I pancreas a reh hma loh chuan ei i chawlhsan a ngai dawn a ni. Hei hi a chhan chu i ei hian i digestive system a active a, i pancreas chu enzyme tam zawk a chhuah tir a, i liver leh gallbladder te chuan bile tam zawk a chhuah tir bawk. Hei hian i bile ducts-a pressure a tipung zual thei a, chu chuan i dinhmun a ti na zual thei a ni.
• Nutritional support: I dinhmun nasat dan leh damdawi ina i awm rei dan azirin i medical team te chuan saline solution ah hian glucose tlem te te an dah belh thei a, chu chuan chakna a pe thei che a ni. Nasogastric tube emaw saline solution emaw hmangin nutrition an pe thei bawk.

Chu bakah, heng enkawlnate hi tih theih a ni bawk:

• Nausea damdawi.
• Oxygen pek chhuah.
• Infection a awm tih finfiah a nih chuan antibiotics pek tur a ni.
• Hnar kaltlangin nasogastric (NG) tube chu pum chhungah dahin, pum atanga tui lakchhuah a ni.
• Zun chhuahna tur leh zun chhuah zat tehna tur urinary catheter dah.

I pancreas a reh tan hma loh chuan he supportive care hi i neih a ngai dawn a ni. A na lo zawkah chuan hei hi ni engemaw zat hnuah a reh tlangpui. Supportive care hian lung chu a pawi zual hmain a mah chauhin a kal theih nan a pui thei bawk.

Gallstone lakchhuah dan `(Gallstone interventions)`

A hma emaw a hnu emaw chuan i duct-a gallstone awm zawng zawng chu paih chhuah a ngai dawn a ni. Hei hi emergency surgery angin tih theih a ni a, supportive care hnuah pawh tih theih a ni bawk. I dinhmun a zirin a ni. A blockage thlentu lung hmasa ber chu a bo tawh a nih pawhin lung dang zawng zawng chu lak chhuah vek a ngai dawn a ni.

Heng zinga pakhat emaw, a pahnih emaw hi i tih a ngai mai thei:

• ERCP (Endoscopic retrograde cholangiopancreatography): Hei hi a tawi zawngin ERCP an ti a. Hei hi a takah chuan internal examination a ni a, chutih laia doctor-te’n harsatna an tawh apiang siamthat theihna a siam bawk. Bile duct te hi X-ray leh endoscope (tube sei tak, camera dahna) hmangin an enfiah thin. He endoscope hi ril kaltlangin pum chhungah dah a ni a, chuta tang chuan tube dang chu bile ducts-ah a lut leh a ni. Doctor chuan heng duct te hi fluoroscopic X-ray technology hmangin a hmu thei a ni. Tube chhungah hian gallstones te paih chhuah nan instrument te kalpui theih a ni a, blockage te tihziaawm nan stent dah theih a ni bawk.
• Gallbladder lakchhuah dan:Gallstone vangin damdawi inah i awm a nih chuan harsatna i neih leh theihna a sang zawk. Chuvangin, gallstones harsatna thlentu enkawlna awmchhun chu gallbladder lakchhuah hi a ni. Hei hi kalphung him leh tangkai tak a ni. Hei hi laparoscopic cholecystectomy hmanga tih a ni tlangpui. Chumi awmzia chu incision te te tlemte siam a, incision pakhat kaltlangin laparoscope an tih camera dahin gallbladder lakchhuah a ni tihna a ni. Mi thenkhat chuan an dinhmun a zirin traditional open surgery an neih a ngai bawk.

Gallstone vanga pancreatitis hi ven theih a ni em?

Gallstones symptoms i neih tawh chuan chu chu warning sign a ni . I neih chuan check out leh remove tir ngei ngei tur a ni. Biliary colic hi red light a ni. I pum dinglam, i dinglam rib cage hnuai chiah, i gallbladder awmna hmuna natna a ni. Chaw ei zawhah a na zual thei a, rilru hahna nen a inzawm thei bawk. He biliary colic hi a lo kal a, a kal lo a nih chuan gallbladder emaw bile duct emaw-ah hian blockage a awm tihna a ni a, mahse blockage kimchang erawh a awm lo tihna a ni. He natna hi gallbladder a inzawm khawm leh a zau zel angin a lo thleng thei a, a kal thei bawk. Thil pawi zawkah awlsam takin a chang thei a ni.

Pawimawh: A bik takin chaw ei zawh hnua pum na leh riltam ang chi natna lanchhuahna te hi `(biliary colic)` chhinchhiahna a ni thei. Natna chu ngaihthah ngai suh. A chhan hriat theih nan damdawi lam thurawn zawng rawh. Pancreatitis enkawlna i hmuh hma chuan i dam lehna tur a tha zawk.

Hetiang dinhmun hi eng chen nge a daih ang?

Hei hi a tlangpuiin a mah chauhin a bo lo. Mahse, natna khirh lo tak, buaithlak lo tak i neih chuan damdawi ina ni engemaw zat supportive care neih chu a tha. Mahse, splint lakchhuah a la ngai mai thei.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Mi tam tak chuan an gallbladder lakchhuah nan cholecystectomy an neih a ngai thin. Recovery hun chhung hi eng surgery nge i neih tih ah a innghat. Laparoscopic surgery atanga a dam leh theih nan kar hnih vel a ngai a ni. Open surgery i neih chuan kar ruk atanga kar riat vel a ni.

Gallstone vanga pancreatitis vanga damdawi ina awmte dam lehna dinhmun chu eng nge ni?

Natna khirh tak emaw, buaithlak tak emaw i neih loh chuan, dam leh vek i beisei thei. Gallbladder lakchhuah hi operation tenau anga ngaih a ni a, harsatna a awm tlem hle. I gallbladder awm lo pawhin i chaw ei dan chu a pangngaiin a thawk thei a ni.

20% vel chu a nasat emaw, a buaithlak emaw a ni. Chutiang hunah chuan chhiatna thleng tawh chu tihdanglam a harsa hle. Intensive care-ah pawh hetiang case 25% vel chu thihna thlen thei a ni. Dam chhuakte chu an dam leh theih nan kar tam tak damdawi inah an awm a ngai a ni.

Gallstone i nei tih i hriat loh chuan (mi tam takin an nei lo) chuan gallstones avanga pancreatitis i vei thut chuan mak i ti a, i lungngai hle mai thei. A natna chu a na thei hle a, chhan awm lovin a lo thleng ang maiin a lang thei bawk. Gallstone i nei mai thei nia i ngaih chuan test hmasak phawt a finthlak.

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

Okay, chuvangin kan sawi tawh atanga i hriat reng tur thenkhat chu hetiang hi a ni:

• Gallstone pancreatitis hi natna khirh tak a ni. Chuvangin symptoms i neih chuan doctor pan nghal rawh.
• A lan chhuahna ber chu pum chunglam natna nasa tak, a bik takin veilam sir, luak chhuak, leh luak chhuak te hi a ni thei .
• Enkawlna hun rei zawk tihkhawtlai a nih chuan harsatna a awm tam zawk thei.
• Gallstone i nei tih i hriat chuan, emaw, a hmain `(biliary colic),` ang chi symptoms i neih tawh chuan fimkhur rawh.
• Vawi tam tak chu gallbladder lakchhuah hi a awm reng a, operation him tak a ni.
• Chaw ei zawha i pum dinglam chunglam na i neih chuan gallstones chhinchhiahna a ni thei. Chumi chungchang chu doctor nen sawiho rawh.

I hlauthawng lo a, damdawi lam thurawn dik tak i la a, enkawlna dik tak i neih chuan he natna atang hian i dam kim thei ang. Zawhna dang i neih chuan doctor nen inbiakna neih hreh suh.

` Gallstones, Pancreatitis, Gallstone Pancreatitis, Pum na, Gallbladder lakchhuah, ERCP, Pancreatitis, Bile