Wakamborwadziwa nemudumbu zvakanyanya here, pasi pembabvu dzako dzepamusoro, nguva pfupi yadarika mushure mekudya chikafu chine mafuta? Pamwe pamwe nekusvotwa, zvairwadza zvekuti waisatombogona kufamba. Izvi ndizvo zvinongonzi nevanhu vazhinji 'kurwadziwa kwegallstone.' Mukurapa, tinoti chirwere ichi Biliary Colic. Hachisi chirwere chaicho, asi chiratidzo chechirwere chiripo. Saka nhasi, ngatitaurei nezvazvo.
Chii chinonzi Biliary Colic?
Zvichitaurwa zviri nyore, Biliary Colic kurwadziwa kwenguva pfupi, kwakanyanya mudumbu kunokonzerwa nechimwe chinhu chinovhara nzira yako yenyongori - ndiko kuti, nduru yako neducts dzenyongori. Fungidzira dombo diki rakanamirwa mupombi yemvura. Patinovhura pombi, kumanikidzwa kwemvura kunowedzera uye kunoita kuti pave nekumanikidzwa kwakawanda shure kwekuvharika, handiti? Ndizvo zviri kuitika pano.
Nyoro, mvura inogadzirwa nechiropa chedu, inochengetwa kwenguva pfupi munyongo. Patinodya chikafu, kunyanya chikafu chine mafuta, chinofamba nemumigero yenyongo yopinda muura hudiki. Izvi zvinobatsira mukugaya mafuta. Matombo enyongo ndiwo anonyanya kukonzera izvi. Kana dombo rikabatwa mumugero wenyongo kana parinobuda munyongo, kumanikidzwa kunowedzera sezvo nyongo ichibata, zvichikonzera kurwadziwa kwakanyanya.
Chii chiri rudzi uye nzvimbo yekurwadziwa uku?
Marwadzo emudumbu akasiyana zvishoma nemamwe marwadzo emudumbu. Ane zvinhu zvakasiyana-siyana.
| Hunhu hwekurwadziwa | Tsananguro chete |
|---|---|
| Chikamu | Kurwadziwa kunotanga kamwe kamwe, kwozosvika pakakwirira, kwozopera zvachose mukati memaawa mashoma. Hazvigari kwemazuva akawanda. |
| Kuramba uchienderera mberi | Izvi zvinoreva kuti marwadzo haauye oenda semafungu. Kana marwadzo atanga, anoramba akafanana kwemaawa akati wandei asingawedzere kana kuderera. |
| Zvakanyanya | Vanhu vazhinji vanorondedzera kurwadziwa kwacho sekurwadziwa kwakapinza, sebanga, kumonyoroka, kana kurwadziwa kwakapinza. Vamwe vanhu vanoona kwacho kwakanyanya zvekuti havakwanise kumira vakatwasuka. |
Unonzwa kurwadziwa kupi?
Kazhinji, kurwadziwa kunonzwa kumusoro kurudyi kwedumbu, pasi pembabvu. Ndipo pane nduru. Dzimwe nguva, kurwadziwa kunogona kupararira kusvika pafudzi rekurudyi kana kumusana.
Zvimwe zviratidzo zvinoperekedza kukosora
Kurwadziwa kweBiliary Colic kunogona kuperekedzwa nezviratidzo zvinotevera:
- Kusvotwa nekurutsa
- Kunyorova kwedumbu
- Kudikitira zvakanyanya (Kudikitira)
Kusiyana pakati peBiliary Colic nedzimwe zvirwere zvakakomba
Kana marwadzo e biliary colic akasapera mumaawa mashoma, anogona kunge ari chirwere chakakomba chakadai se cholecystitis (kuzvimba kwe gallbladder) kana cholangitis (kuzvimba kwe ducts dze bile). Zvakakosha kuziva mutsauko pakati peizvi.
| Chinzvimbo | Zvinhu zvikuru | Pfungwa dzakakosha |
|---|---|---|
| Biliary Colic | Kurwadziwa kwakanyanya (kunodzikira mukati memaawa mashoma), kuda kurutsa. | Hakuna fivha. Marwadzo acho ndeenguva pfupi. |
| Cholecystitis (kuzvimba kwenyongo) | Kurwadziwa kwakanyanya kunogara kwenguva refu, fivha , uye kurova kwemoyo nekukurumidza. | Izvi zvinogona kunge zvichikonzerwa nehutachiona hwemudumbu. Kurumidza kubatsirwa nachiremba. |
| Cholangitis (kuzvimba kwemutsinga dzenyongo) | Kurwadziwa kwemudumbu kurudyi, fivha, uye jaundice - zvinoreva kuti maziso neganda zvakatsvuka. | Uku hutachiona hwemutsinga dzenyongo. Idambudziko rinokurumidzira uye rakakomba. |
Chinhu chinonyanya kukosha ndechekuti, kana kurwadziwa kwako kukagara kwemaawa anopfuura mashanu kusvika matanhatu, kana kuti uine zviratidzo zvakaita sefivha, dzihwa, uye kutsvuka kwemaziso, enda kuchipatara kuEmergency Department (ETU) nekukasika.
Chii chinokonzera izvi?
Sezvatakambotaura, chinokonzera nyonganiso huru imatombo emunduru , asi panogona kunge paine zvimwe zvikonzero zvakare.
- Matombo eGallstone: Ichi ndicho chikonzero mu90% yezviitiko. Dombo rinombomira kwenguva pfupi mudura renyongo, zvichikonzera kumanikidzwa kwakanyanya uye kurwadziwa. Marwadzo anopera kana dombo richifamba-famba kana kuti nduru ikarega kugwinha.
- Kuoma kweBiliary: Kungave kwakabva pakuvhiyiwa kwakamboitwa kana kuti chirwere chekuzvimba kwenguva refu, nzira dzekubvisa bile dzinogona kuva nemavanga uye kutetepa, zvichivharira kuyerera kwebile.
- Kusagadzikana kweBiliary: Dzimwe nguva gallbladder haigadzikane zvakanaka, kana kuti sphincter yeOddi haivhurike zvakanaka. Matambudziko aya anogonawo kukonzera kuti bile riungane uye kuwedzera kumanikidzwa kweropa.
Ndezvipi zvinorapwa izvi?
Kana ukaona chiremba, achakuongorora uye achakuitira bvunzo, dzakadai sekuongororwa kweultrasound, kuti aone chikonzero chaicho. Kurapwa kunoenderana nechikonzero uye kuoma kwechirwere chacho.
1. Mishonga inouraya marwadzo: Mishonga inouraya marwadzo yakaita seNSAIDs (Nonsteroidal anti-inflammatory drugs) inopihwa kudzora marwadzo.
2. Kudya: Zvakakosha zvikuru kudzivirira kudya mafuta nemafuta akawanda (zvikafu zvakakangwa, nyama dzine mafuta, chikafu chemukaka, chizi, bota) . Nekuti zvekudya izvi zvinokurudzira nduru kuti iite manyemwe. Nekuderedza izvi, kudzoka kwemarwadzo kunogona kudzorwa zvakanyanya.
3. Mishonga inonyungudutsa matombo: Mishonga yakaita seUrsodeoxycholic acid inopihwa kunyungudutsa mamwe matombo madiki echolesterol. Zvisinei, izvi hazvina kukodzera munhu wese.
4. Endoscopy/ERCP: Kana dombo rakanamirwa mudura renyongo, nzira inonzi ERCP (Endoscopic Retrograde Cholangiopancreatography) inogona kushandiswa kubvisa dombo nekuisa chubhu ine kamera mumuromo uye kupfuudza zvishandiso zvakakosha nepariri.
5. Kuvhiyiwa: Kana chikonzero chikuru che biliary colic chiri matombo emunduru, uye chirwere ichi chikadzoka, mhinduro yakanakisisa uye inogara iripo ndeyeKuvhiyiwa kweCholecystectomy. Izvi zvinoitwa kakawanda kuburikidza nekuvhiyiwa kweburi rekiyi kunonzi laparoscopic surgery. Izvi zvinoita kuti mavanga asanyanya kuderera uye kuti munhu aporeswe nekukurumidza. Hazvisi dambudziko kurarama zvakanaka usina gallbladder.
Mharidzo Yekuenda Nayo Kumba
- Biliary Colic ikurwadziwa kwakanyanya, kunoitika nguva nenguva mudumbu. Kunowanzoitika mushure mekudya chikafu chine mafuta.
- Ichi chiratidzo chekunyevera nezvechimwe chirwere chiripo, chakadai sematombo emunduru, saka usambozvifuratira.
- Kana kurwadziwa kukaramba kuripo kwemaawa anopfuura mashoma, kana zviratidzo zvakaita sefivha kana jaundice zvikaonekwa, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kunyangwe kana kurwadziwa kwacho kukadzikira, iva nechokwadi chekuona chiremba kuti uwane chikonzero uye uwane kurapwa kwakakodzera.
- Kana kurapwa kwakakodzera, chirwere ichi chinogona kurapwa zvachose uye matambudziko akakomba anogona kudzivirirwa.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga