Kodi munayamba mwamvapo kupweteka m'mimba kwambiri, pansi pa nthiti zanu zakumtunda, mutangodya chakudya chonenepa? Mwina limodzi ndi nseru, zinali zovuta kwambiri moti simunkatha ngakhale kusuntha. Izi ndi zomwe anthu ambiri amangotcha 'kupweteka kwa ndulu.' Malinga ndi zamankhwala, vutoli timalitcha Biliary Colic. Si matenda kwenikweni, koma chizindikiro cha vuto linalake. Choncho lero, tiyeni tikambirane za vutoli.
Kodi Biliary Colic ndi chiyani?
Mwachidule, Biliary Colic ndi ululu wakanthawi, woopsa m'mimba womwe umachitika chifukwa cha chinthu chomwe chimatseka njira yanu ya ndulu - kutanthauza, ndulu yanu ndi ndulu. Tangoganizirani mwala wawung'ono womwe waikidwa mu chitoliro cha madzi. Tikatsegula pompo, kuthamanga kwa madzi kumawonjezeka ndipo kumabweretsa kupanikizika kwakukulu kumbuyo kwa kutsekeka, sichoncho? Ndicho chimene chikuchitika apa.
Ndudu, madzi omwe amapangidwa ndi chiwindi chathu, amasungidwa kwakanthawi mu ndulu. Tikamadya chakudya, makamaka zakudya zamafuta, zimayenda kudzera mu ndulu ndikulowa m'matumbo ang'onoang'ono. Izi zimathandiza kugaya mafuta. Miyala ya ndulu ndiye chifukwa chachikulu cha izi. Mwala ukakodwa mu ndulu kapena komwe umatuluka mu ndulu, kuthamanga kwa magazi kumawonjezeka pamene ndulu ikugwa, zomwe zimapangitsa kupweteka kwambiri.
Kodi ululu uwu ndi wotani ndipo uli kuti?
Kupweteka kwa biliary colic kumasiyana pang'ono ndi kupweteka kwina kwa m'mimba. Kuli ndi zizindikiro zingapo.
| Mtundu wa ululu | Kungofotokoza chabe |
|---|---|
| Gawo | Ululu umayamba mwadzidzidzi, umafika pachimake, kenako umatha kwathunthu mkati mwa maola ochepa. Siumatenga masiku ambiri. |
| Kupitirizabe | Izi zikutanthauza kuti ululu subwera ndi kutha ngati mafunde. Ululu ukayamba, umakhala womwewo kwa maola angapo osawonjezeka kapena kuchepa. |
| Zoopsa | Anthu ambiri amaufotokoza ngati ululu wakuthwa, wobaya, monga mpeni, kupindika, kapena kupweteka kwambiri. Anthu ena amauona kukhala woopsa kwambiri moti sangathe ngakhale kuyimirira molunjika. |
Kodi mukumva ululu kuti?
Nthawi zambiri, ululu umamveka mbali yakumanja ya mimba, pansi pa nthiti. Pamenepo ndi pomwe pali ndulu. Nthawi zina, ululuwu ukhoza kufalikira mpaka ku phewa lamanja kapena kumbuyo.
Zizindikiro zina zomwe zimayenderana ndi chifuwa
Kupweteka kwa biliary colic kungaphatikizepo zizindikiro zotsatirazi:
- Kusanza ndi kusanza
- Kupweteka m'mimba
- Kutuluka thukuta kwambiri (Thukuta)
Kusiyana pakati pa Biliary Colic ndi matenda ena aakulu
Ngati ululu wa biliary colic sutha mkati mwa maola ochepa, ukhoza kukhala vuto lalikulu monga cholecystitis (kutupa kwa ndulu) kapena cholangitis (kutupa kwa ndulu). Ndikofunikira kudziwa kusiyana pakati pa izi.
| Udindo | Zinthu zazikulu | Mfundo zofunika |
|---|---|---|
| Chotupa cha Biliary | Ululu waukulu (kuchepa mkati mwa maola ochepa), nseru. | Palibe malungo. Ululu ndi wa kanthawi kochepa. |
| Cholecystitis (kutupa kwa ndulu) | Kupweteka kwambiri kosalekeza, kutentha thupi , komanso kugunda kwa mtima mofulumira. | Izi zitha kukhala chifukwa cha matenda a ndulu. Kufunika thandizo lachipatala mwachangu. |
| Cholangitis (kutupa kwa ndulu) | Kupweteka kwa m'mimba kumanja, malungo, ndi jaundice - zomwe zikutanthauza chikasu cha maso ndi khungu. | Uwu ndi matenda a m'mitsempha ya ndulu. Ndi vuto lofunika kwambiri komanso loopsa. |
Chofunika kwambiri ndichakuti, ngati ululu wanu umatenga maola opitilira 5-6, kapena ngati muli ndi zizindikiro monga malungo, kuzizira, ndi chikasu cha maso, pitani ku Dipatimenti Yodzidzimutsa ya Chipatala (ETU) nthawi yomweyo.
Kodi n’chiyani chimayambitsa izi?
Monga tanenera kale, vuto lalikulu ndi miyala ya ndulu , koma pakhoza kukhalanso zifukwa zina.
- Miyala ya m'mimba: Ichi ndi chomwe chimayambitsa matendawa m'ma 90% a milandu. Mwala umamatira kwakanthawi mu duct ya ndulu, zomwe zimapangitsa kuti kupanikizika ndi kupweteka kuchuluke. Ululu umatha pamene mwalawo ukusuntha kapena pamene ndulu yasiya kugwira ntchito.
- Kutsekeka kwa ndulu: Kaya ndi opaleshoni yakale kapena kutupa kwa nthawi yayitali, njira zotulutsira ndulu zimatha kukhala ndi zipsera ndi kucheperachepera, zomwe zimalepheretsa kutuluka kwa ndulu.
- Matenda a Biliary Dyskinesia: Nthawi zina ndulu siimakokana bwino, kapena sphincter ya Oddi siimatseguka bwino. Mavutowa angayambitsenso kuti ndulu ikulungike ndikuwonjezera kuthamanga kwa magazi.
Kodi mankhwala ochizira izi ndi otani?
Mukapita kwa dokotala, adzakuyesani ndikuchita mayeso, monga ultrasound scan, kuti adziwe chomwe chikuyambitsa vutoli. Chithandizo chidzadalira chomwe chikuyambitsa vutoli komanso kuopsa kwake.
1. Mankhwala ochepetsa ululu: Mankhwala ochepetsa ululu monga NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) amaperekedwa kuti achepetse ululu.
2. Ndondomeko ya Chakudya: Ndikofunikira kwambiri kupewa zakudya zokhala ndi mafuta ambiri (zakudya zokazinga, nyama zonenepa, zakudya za mkaka, tchizi, batala) . Chifukwa zakudya zimenezi zimapangitsa kuti ndulu igwire bwino ntchito. Mwa kuchepetsa izi, kupweteka kubwereranso kumatha kuchepetsedwa kwambiri.
3. Mankhwala osungunula miyala: Mankhwala monga Ursodeoxycholic acid amaperekedwa kuti asungunule miyala ina yaing'ono ya cholesterol. Komabe, izi sizoyenera aliyense.
4. Endoscopy/ERCP: Ngati mwala wakodwa mu ndulu, njira yotchedwa ERCP (Endoscopic Retrograde Cholangiopancreatography) ingagwiritsidwe ntchito kuchotsa mwalawo poika chubu chokhala ndi kamera mkamwa ndikudutsamo zida zapadera.
5. Opaleshoni: Ngati chifukwa chachikulu cha biliary colic ndi miyala ya ndulu, ndipo vutoli libwereranso, yankho labwino komanso lokhazikika ndiKuchotsa Cholecystectomy. Izi nthawi zambiri zimachitika kudzera mu opaleshoni ya pabowo lolowera lomwe limatchedwa laparoscopic surgery. Izi zimapangitsa kuti zipsera zichepe komanso kuti munthu achire mwachangu. Si vuto kukhala ndi moyo wabwinobwino popanda ndulu.
Uthenga Wopita Nawo Kunyumba
- Kupweteka kwa ndulu ndi kupweteka kwakukulu komwe kumachitika nthawi ndi nthawi kumtunda kwa kumanja kwa mimba. Nthawi zambiri kumachitika mutadya zakudya zonenepa.
- Ichi ndi chizindikiro chochenjeza cha vuto linalake, monga miyala ya m'ndulu, choncho musachinyalanyaze.
- Ngati ululu ukupitirira kwa maola opitilira angapo, kapena ngati zizindikiro monga malungo kapena jaundice ziyamba, pitani ku Dipatimenti Yodzidzimutsa ya Chipatala (ETU) nthawi yomweyo.
- Ngakhale ululu utachepa, onetsetsani kuti mwaonana ndi dokotala kuti mudziwe chomwe chikuyambitsa vutoli ndikulandira chithandizo choyenera.
- Ndi chithandizo choyenera, vutoli lingathe kuchiritsidwa kwathunthu ndipo mavuto aakulu angathe kupewedwa.
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