Kodi mukumvanso kupweteka m'mimba mwanu pamwamba pa kumanja? Kodi kungakhale Mirizzi Syndrome?

Kodi mudamvapo ululu wachilendo kapena kusasangalala m'mimba mwanu mutadya chakudya, makamaka chakudya chamafuta? Nthawi zina ululuwu ukhoza kutsagana ndi zizindikiro monga nseru ndi chikasu cha maso, pamodzi ndi malungo. Nthawi zambiri, zinthuzi zimagwirizana ndi mavuto omwe amayamba chifukwa cha miyala ya m'matumbo. Komabe, pali vuto losowa kwambiri komanso lovuta pang'ono, lomwe timalitcha Mirizzi Syndrome. Lero, tikambirana za izi mwatsatanetsatane komanso mosavuta.

Kodi Mirizzi Syndrome ndi chiyani? Tiyeni timvetse mosavuta.

Chabwino, choyamba tiyeni tiwone zomwe miyala ya ndulu imatanthauza. Chidendene chanu ndi thumba laling'ono lomwe limasonkhanitsa ndikusunga ndulu, yomwe imapangidwa ndi chiwindi. Ndulu iyi imatithandiza kugaya chakudya chomwe timadya, makamaka mafuta. Nthawi zina zomwe zili mu ndulu iyi zimalimba kukhala tinthu tating'onoting'ono tofanana ndi miyala ya ndulu. Anthu ambiri sakhala ndi zizindikiro zilizonse akakhala ndi miyala iyi. Koma nthawi zina miyala iyi imatha kulowa mu ducts ya ndulu, machubu ang'onoang'ono omwe amanyamula ndulu.

Tsopano, Mirizzi Syndrome ndi vuto lomwe limabwera chifukwa cha miyala ya ndulu, koma mwanjira yosiyana pang'ono. Chomwe chimachitika apa ndichakuti mwala mkati mwa ndulu, kapena mu ndulu ina, umakhala waukulu kwambiri kotero kuti umakankhira pa ndulu ina yayikulu yomwe imayenda pafupi. Tangoganizirani, pamene mapaipi awiri amadzi akudutsa pafupi, china chake chimakakamira mkati mwa payipi imodzi ndikutupa mu payipiyo, ndikukankhira kunja kwa payipi inayo. Ndicho chomwe chimachitikanso apa. Izi zimalepheretsa kuyenda kwa ndulu.

Kodi pali mitundu ya Mirizzi Syndrome?

Inde, madokotala amagawa Mirizzi Syndrome molingana ndi mtundu wa vutoli komanso kuchuluka kwa kuwonongeka kwa ducts za bile. Mwachidule, nthawi zina, ducts za bile zimachepa kuchokera kunja. Nthawi zina zovuta kwambiri, pakhoza kukhala kulumikizana kosayenera pakati pa ndulu ndi ducts za bile zopapatiza, zotchedwa fistula. Kugawa kumeneku ndikofunikira kwambiri kuti madokotala akonzekere chithandizo. Ngati mukufuna kudziwa zambiri za izi, mutha kulankhula ndi dokotala wanu.

Kodi vutoli ndi lofala bwanji?

Matenda a Mirizzi ndi matenda osowa kwambiri . Ndi osowa kwambiri kotero kuti amapezeka mwa anthu osakwana 2.5% omwe amachotsedwa cholecystectomy. Nthawi zambiri amatha kusokonezedwa ndi matenda ena ofala, kotero madokotala amatha kutsimikizira izi pokhapokha panthawi ya opaleshoni.

Kodi zizindikiro za Mirizzi Syndrome ndi ziti?

Zizindikiro za vutoli zitha kugawidwa m'magulu atatu akuluakulu:

1. Kutupa: Mutha kumva ululu ndi kutupa kumtunda kwa mimba yanu. Ululu uwu ukhoza kukhala wokhazikika kapena umabwera ndi kutuluka.

2. Matenda: Malungo nthawi zambiri amakhalapo. Zizindikiro zake zingakhale nseru, kusanza, komanso kutsegula m'mimba.

3. Jaundice: Chizindikiro chachikulu cha izi ndi chakuti khungu lanu limasintha kukhala lachikasu, maso oyera akukhala achikasu. Mungakhalenso ndi mkodzo wakuda wachikasu/bulauni komanso ndowe zowala (zofanana ndi dongo).

Chofunika: Zizindikiro izi sizili za Mirizzi Syndrome yokha. Komabe, ngati muli ndi zizindikirozi, zingatanthauze kuti pali vuto ndi dongosolo lanu la ndulu. Chifukwa chake, ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo. Si aliyense amene adzakhala ndi zizindikiro zonsezi nthawi imodzi.

N’chifukwa chiyani Mirizzi Syndrome imachitika? Kodi chifukwa chake n’chiyani?

Mwachidule, Mirizzi Syndrome imayamba chifukwa cha kukanikizidwa kwa miyala ya ndulu kunja kwa ndulu. Tiyeni tifotokoze izi pang'ono.

Ganizirani za ndulu yanu ngati peyala. Pali gawo lonenepa la peyala, lopyapyala pang'ono pamwamba, lotupa pang'ono pakhosi, kenako pali tsinde. Choncho, ndulu ili ndi thumba, khosi (lomwe madokotala amalitcha kuti infundibulum kapena Hartmann's pouch), ndi njira yotupa yomwe imanyamula ndulu kuchokera mu ndulu.

Chidendene, khosi, ndi njira yolumikizira ndulu ndi malo opapatiza kwambiri komwe mwala wa ndulu umakakamira kwambiri. Komanso, mapangidwe awa amakhala pafupi kwambiri. Mwa anthu ena, amakhala pafupi kwambiri kuposa ena. Chifukwa chake, mwala wa ndulu ukakakamira pamalo awa, ndipo umakula ndikutupa, umakankhira pa njira yayikulu ya ndulu yapafupi (njira ya ndulu yamba - iyi ndi yomwe imanyamula ndulu kuchokera ku chiwindi ndi ndulu kupita kumatumbo ang'onoang'ono) kapena njira yolumikizira ndulu yamba (iyi ndi yomwe imanyamula ndulu kuchokera ku chiwindi) kuchokera kunja. Pamenepo ndi pomwe Mirizzi Syndrome imachitika.

Ndi mavuto ena ati omwe angachitike chifukwa cha Mirizzi Syndrome?

Ngati vutoli silinachiritsidwe bwino, mavuto ena angabuke. Zitsanzo zina ndi izi:

• Cholestasis: Chifukwa chakuti ndulu siimayenda bwino, imabwerera m'chiwindi, zomwe zimayambitsa kutupa kwa chiwindi.
• Cholangitis: Matenda a bakiteriya omwe ali ndi ndulu amatha kufalikira ku chiwindi, zomwe zimayambitsa matenda oopsa. Izi ndi zoopsa.
• Fistula: Chifukwa cha kutupa kosalekeza ndi kusonkhana kwa ndulu, makoma a ndulu amatha kufooka, zomwe zimapangitsa kuti pakhale kutsegula kwachilendo, kapena dzenje.
• Jaundice: Chifukwa cha kuchulukana kwa ndulu, bilirubin ya pigment yomwe ili mmenemo imasonkhana m'magazi, zomwe zimapangitsa khungu ndi maso kukhala achikasu.
• Kusamwa bwino kwa ndulu: Ngati ndulu siingalowe bwino m'matumbo ang'onoang'ono, kugaya chakudya, makamaka mapuloteni ndi michere ina, kumasokonekera.

Kodi madokotala amazindikira bwanji matenda a Mirizzi?

Madokotala adzachita mayeso angapo kuti adziwe matenda a ndulu ndi mavuto ena okhudzana nawo. Choyamba, adzakuyesani thupi kuti aone mimba yanu ndikuyesa kutupa. Kenako adzakufunsani za zizindikiro zanu komanso mbiri yanu ya thanzi.

Ngati muli ndi zizindikiro za matenda kapena jaundice, dokotala wanu angakupatseni mayeso a magazi monga awa:

• Kuchuluka kwa magazi (CBC)
• Mayeso a ntchito ya chiwindi

Kuphatikiza apo, mayeso angapo ojambulira zithunzi angachitike. Ena mwa awa ndi awa:

• Ultrasound ya m'mimba
• Kujambula kwa CT (computed tomography scan)
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Mu njirayi, endoscope (chubu chokhala ndi kamera) imayikidwa kudzera pakamwa kuti ione ducts ya ndulu.
• Kujambula kwa HIDA: Uku ndi kujambula kwapadera komwe kumayang'ana momwe ndulu imagwirira ntchito.
• Mayeso a MRI (magnetic resonance imaging)

Mayeso amenewa amathandiza kudziwa momwe ndulu ilili, komwe miyala ili, komanso ngati pali Mirizzi Syndrome.

Kodi izi zimachiritsidwa bwanji?

Chithandizo chachikulu cha Mirizzi Syndrome ndi opaleshoni . Komabe, palibe opaleshoni yofanana. Opaleshoniyo idzakonzedwa kuti igwirizane ndi vuto lanu.

Kawirikawiri, ndulu imachotsedwa (cholecystectomy) ndipo ndulu yotsekeka imakonzedwa. Nthawi zina zovuta, ndulu yotsekeka ingachotsedwe, kapena chubu chaching'ono chotchedwa stent chingaikidwe kuti nduluyo ikhale yotseguka. Dokotala wa opaleshoni angachite opaleshoniyi mopanda kulowerera kwambiri, zomwe zimachitika pogwiritsa ntchito laparoscopically (njira yomwe imagwiritsa ntchito kamera ndipo imaphatikizapo kudula pang'ono), kapena ngati njira yotseguka (laparotomy). Izi zimadalira kuopsa kwa vuto lanu.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Opaleshoni ya Mirizzi Syndrome nthawi zina imakhala yovuta pang'ono. Chifukwa kutupa kumapangitsa kuti zikhale zovuta kuwona minofu yozungulira bwino. Chifukwa chake, ngati ndulu yawonongeka mwangozi panthawi ya opaleshoni, mavuto monga:

• Kutuluka kwa ndulu
• Kutuluka magazi kwambiri
• Zilonda za ndulu yanu

Komanso, pali zinthu zina zomwe zingakhale zofala pa opaleshoni iliyonse:

• Ululu
• Kutuluka magazi
• Matenda
• Zotsatira za mankhwala oletsa ululu

Dokotala wanu adzakufotokozerani izi musanachite opaleshoni.

Kodi palibe njira yopewera kukula kwa Mirizzi Syndrome iyi?

N'zovuta kupewa Mirizzi Syndrome kwathunthu. Komabe, mutha kuchepetsa chiopsezo chanu pang'ono pochepetsa zinthu zomwe zimayambitsa kupanga miyala ya ndulu. Mwachitsanzo, ndi bwino kuchepetsa zakudya ndi zakumwa zomwe zili ndi cholesterol yambiri. Funsani dokotala wanu ngati pali zinthu zinazake zomwe mungachite kuti mupewe kutsekeka kwa ndulu.

Kodi chidzachitike n’chiyani munthu akachira? Kodi chiyembekezo chili bwanji?

Nthawi zambiri anthu omwe achira matenda a Mirizzi Syndrome akachitidwa opaleshoni amakhala abwino . Chofunika kwambiri ndikuwachiza mwachangu asanayambe kudwala matendawa kwa nthawi yayitali.

Ziwalo zanu ndi ndulu zikawonongeka kwambiri, opaleshoniyo imakhala yovuta kwambiri. Opaleshoniyo ikavuta kwambiri, nthawi yanu yochira imakhalanso yayitali. Koma, mwambiri, anthu ambiri amatha kukhala bwino popanda ndulu.

Kodi ndiyenera kupita kwa dokotala liti? Ndi zizindikiro ziti zomwe ndiyenera kukhala nazo?

Ngati mwadzidzidzi mukumva kupweteka kwambiri m'mimba, komanso kuzizira ndi kunjenjemera, nseru, malungo, kapena zizindikiro za jaundice (monga mkodzo wakuda ndi ndowe zotumbululuka), pitani kwa dokotala nthawi yomweyo .

Komanso, ngati mutakhala ndi zizindikiro za matenda oopsa otchedwa sepsis (monga kugunda kwa mtima mofulumira, kutuluka thukuta, komanso kupuma movutikira) mutachita opaleshoni, ndi ngozi yaikulu yomwe ingakupheni. Chifukwa chake, ngati mukukumana ndi zizindikiro izi, pitani kuchipatala nthawi yomweyo.

Kodi pali kugwirizana pakati pa Mirizzi Syndrome ndi khansa?

Kafukufuku wapeza kuti anthu omwe ali ndi Mirizzi Syndrome ali ndi chiopsezo chowonjezeka pang'ono chotenga khansa ya ndulu. Komabe, izi sizikutanthauza kuti Mirizzi Syndrome yokha ndiyo imayambitsa khansa.

Akatswiri amakhulupirira kuti matenda omwewo omwe amayambitsa matenda a Mirizzi (monga kutupa kosatha, kusunga ndulu mu ndulu) nawonso amathandizira kukula kwa khansa. Malinga ndi ziwerengero, pakati pa 5% ndi 28% ya anthu omwe ali ndi matenda a Mirizzi adapezeka ndi khansa ya ndulu.

Kodi vutoli lingakhale loopsa?

Matenda a Mirizzi ndi ochiritsika .vuto. Komabe, mukayamba chithandizo mochedwa, chiopsezo chimakhala chachikulu. Chiwerengero cha imfa chomwe chikugwirizana ndi vutoli chimanenedwa kuti chili pakati pa 5% ndi 30%. Chitha kuchitika chifukwa cha zinthu monga sepsis, kulephera kwa chiwindi, kapena khansa ya ndulu.

Mungakhale ndi kupweteka m'mimba nthawi zina mukatha kudya. Koma ngati mutadzuka m'mawa muli ndi kupweteka m'mimba kosalekeza, malungo, kapena nseru, kungakhale chizindikiro cha vuto lalikulu. Mwina simungadziwe kuti muli ndi miyala ya ndulu. Komabe, ikakula mokwanira kutseka njira ya ndulu, zizindikiro zimatha kukhala zowopsa komanso zobwerezabwereza. Ngati mukumva ngati pali vuto, musadikire. Mukapita kuchipatala msanga, zimakhala bwino.

Pomaliza, zinthu zofunika kwambiri kukumbukira

Kotero, ndikukhulupirira kuti tsopano mwamvetsa bwino za matenda osowa otchedwa Mirizzi Syndrome omwe takambirana lero. Kumbukirani:

• Ngati muli ndi zizindikiro monga kupweteka kosalekeza kumtunda kwa kumanja kwa mimba yanu, malungo, kapena chikasu, musanyalanyaze .
• Fufuzani upangiri wa dokotala nthawi yomweyo. Matendawa akadziwika msanga ndikuchiritsidwa, mavuto omwe angakhalepo ndi ochepa ndipo mudzachira mwachangu.
• Ngati mukudziwa kuti muli ndi miyala ya m'mimba, tsatirani malangizo a dokotala wanu molondola.
• Kudya zakudya zabwino kungathandize kuchepetsa chiopsezo cha matenda a ndulu.

Ngati muli ndi mafunso ena, musazengereze kulankhula ndi dokotala wa banja lanu kapena katswiri. Khalani ndi thanzi labwino!

Mirizzi Syndrome, miyala ya ndulu, njira ya ndulu, jaundice, kupweteka m'mimba, opaleshoni, cholecystectomy