Unonzwawo kurwadziwa kwakanyanya mudumbu rako rekurudyi, pasi pembabvu dzako, pamwe chete nekurutsa uye kurutsa here? Kazhinji, tinofunga kuti igomarara remudumbu, asi rinogona kunge riri dambudziko rakakomba. Nhasi, tichataura nezvechirwere chisingazivikanwe nevanhu vazhinji, asi chakakosha kuziva nezvacho. Kuzvimba kwegallbladder, kana kuti mukurapa, cholecystitis.
Chii chinonzi nduru iyi? Chii chinonzi kuzvimba uku?
Zvichitaurwa zviri nyore, nduru inhengo diki yakaita sepeya iri pasi pechiropa chedu. Basa rayo guru nderekuchengetedza kwenguva pfupi mvura inonzi "bile" inogadzirwa nechiropa. Patinodya chikafu chine mafuta akawanda kana mafuta, nduru inoburitsa nduru muura hwedu hudiki kuti ibatsire kuigaya. Nyoka iyi inofamba nemumachubhu madiki akafanana nemapombi emvura. Vanachiremba vanoti aya "machubhu enyongo."
Fungidzira, chii chinoitika kana imwe yenzira idzi dzemudumbu ikavharwa nekuda kwechimwe chikonzero, kana kuti kana dumbu rikabatwa nechirwere? Ndipo apo dumbu rinozvimba uye rinova rinorwadza uye rinozvimba. Tinodana chirwere ichi kuti cholecystitis .
Pane mhando huru dzekuzvimba kwenyongo here?
Ehe, tinogona kuona mamiriro ezvinhu aya nenzira mbiri huru.
1. Acute Cholecystitis: Ichi chirwere chakakomba chinotanga kamwe kamwe. Marwadzo acho akanyanya.
2. Chirwere cheCholecystitis Chisingaperi: Ichi hachisi chirwere chinongoerekana chaitika . Idambudziko rekuti gallbladder rinopera simba nekufamba kwenguva, zvichikonzera kurwadziwa kunopera nguva nenguva.
Pamusoro pezvo, inorongwawo zvichienderana nechikonzero. Kana ichikonzerwa nematombo emunduru, inonzi ``Calculous cholecystitis''. Kana ichikonzerwa nezvimwe zvikonzero zvisina matombo, inonzi ``Acalculous cholecystitis''. Zvisinei, zvakakosha kuyeuka kuti muzviitiko zvinenge 95%, chikonzero chacho imatombo emunduru .
Ndezvipi zviratidzo zvekuzvimba kwegallbladder?
Zvakakosha kuziva zviratidzo izvi nemazvo, kuitira kuti ugone kutsvaga rubatsiro rwechiremba nekukurumidza.
| Chiratidzo | Tsananguro |
|---|---|
| Kurwadziwa kwakanyanya mudumbu rekumusoro kurudyi | Ichi ndicho chiratidzo chikuru. Marwadzo anongoerekana awedzera uye anosvika pakakwirira. Vamwe vanhu vanogona kunzwa kurwadziwa uku kuchienda pafudzi rekurudyi kana kumusana. Marwadzo anogona kuwedzera kana uchifema zvakadzika. Vamwe vanhu vanotofungidzira izvi sekurwadziwa kwechipfuva kana kurwara nemoyo. |
| Kusvotwa nekurutsa | Zvinowanzoitika kurwadziwa mudumbu zvakanyanya pamwe nekurutsa nekurutsa. |
| Kupindwa nechando | Vamwe vanhu vanogona kuva nefivha inodarika madhigirii 100 Fahrenheit. Fivha inogona kureva kuti pane hutachiona kana kuzvimba kwakanyanya. Zvisinei, vanhu vakuru havawanzova nefivha. |
| Zvimwe zvinhu | Zviratidzo zvakaita sekuzvimba, kurwadziwa kana uchibata dumbu, kuneta, uye kushaya chido chekudya zvinogona kuonekwa, kunyanya kuvanhu vakuru. |
Chinhu chakakosha ndechekuti kana uine chirwere chisingaperi, zviratidzo izvi zvinogona kunge zvisina kunyanya kuipa. Mushure mekudya chikafu chine mafuta akawanda, unogona kunzwa kusagadzikana mudumbu uye kuda kurutsa kwemaawa mashoma uye zvinozopera.
Sei kuzvimba uku kwenyongo kuchiitika?
Sezvatakambotaura, chikonzero chikuru uye chinowanzoonekwa matombo emunduru . Izvi zvinoumbwa kana zvinhu zvakasiyana-siyana zviri munduru zvikaungana uye zvikaoma nekufamba kwenguva, sematombo. Kana matombo aya akabatwa munduru kana mudura remunduru, nduru haigone kubuda youngana mukati menduru. Ipapo nduru inozvimba, inozvimba, uye inogona kutotapukirwa nemabhakitiriya.
Asi hazvisi matombo chete, panogona kunge paine zvimwe zvikonzero zvakare.
- Kuoma kwenyongo: Zvimwe zvirwere zvinogona kukonzera mavanga mumigero yenyongo uye kuita kuti ive mitete.
- Biliary dyskinesia: Tsandanyama dziri munyongo hadzina kusimba zvakanaka, zvichiita kuti nyongo isaburitswe.
- Kenza yenyongo: Kashoma, kenza yenyongo kana ducts dzenyongo inogonawo kukonzera kuvharika kweducts dzenyongo.
- Kuderera kweropa rinopihwa (Ischemia): Kana huwandu hweropa rinopihwa kunyongo hukadzikira nekuda kwechimwe chikonzero, kuzvimba kunogona kuitika.
- Utachiona:Kunyangwe pasina matombo emunduru, nduru haigoni kutapukirwa nehutachiona nekuda kwehutachiona hwebhakitiriya.
Ndiani ari panjodzi huru yekuva nechirwere ichi?
Vanhu vane mukana mukuru wekuva nematombo emunduru vari panjodzi huru yekuzvimba uku. Ndivo:
- Vakadzi
- Madzimai ane pamuviri
- Kufuta (kufuta zvakanyanya)
- Vanhu vane chirwere cheshuga
- Vanhu vane cholesterol yakakwira muropa
- Vanhu vakangoerekana vadzikira uremu zvakanyanya
- Vanhu vane makore anopfuura makumi mana
Dambudziko iri rakakomba here? Ndezvipi zvingangoitika?
Ehe, ichi hachisi chinhu chinofanira kutorwa sechisina basa . Kana paine chirwere chakanyanya, nzira yekubvisa bile inovharika, zvichiita kuti bile idzokere muropa. Izvi zvinogona kukonzera kuti muviri wese unzwe wakaremerwa.
Mamwe ematambudziko makuru anogona kuitika kana akasarapwa ndeaya:
- Kufa kwenyama yemudumbu (Gangrene): Kuzvimba zvakanyanya kunogona kukanganisa kufamba kweropa kuenda kudumbu uye kukonzera kufa kwenyama.
- Kuboorwa kwenyongo: Mushure mekufa kwenyama, madziro enyongo anoboorwa, zvichiita kuti nyongo ne chepfu zvibude mudumbu.
- Peritonitis: Kana nyongo ichipinda mudumbu, utachiona hunogona kupinda mudumbu rokonzera hutachiona hwakakomba.
- Septicemia: Kana hutachiona uhu hukapararira muropa, hunogona kuisa upenyu panjodzi.
- Pancreatitis: Zvichienderana nenzvimbo yedombo, pancreas inogonawo kukanganiswa.
Saka, kana uine zviratidzo zvakaita seizvi, chinhu chakanakisa chekuita ndechekuona chiremba nekukasika , pane kugara kumba uchifunga kuti "ingave gastritis."
Chiremba anoongorora sei izvi?
Paunoenda kuna chiremba, achakubvunza nezvezviratidzo zvako. Zvadaro achakuongorora. Pane bvunzo inozivikanwa yekutarisa kuzvimba kwenduru. Mariri, chiremba achadzvanya divi rekumusoro rekurudyi redumbu rako okukumbira kuti ufeme zvakadzika. Kana uchinzwa kurwadziwa kwakanyanya, ndicho chiratidzo chikuru chekuzvimba kwenduru (`Murphy's sign`).
Mushure meizvozvo, unogona kutarisa bvunzo dzinotevera kuti usimbise chirwere ichi:
- Kuongororwa kweropa: Kuongororwa kweropa rose (CBC) uye kuongororwa kwebasa rechiropa.
- Ultrasound yemudumbu: Izvi zvinogona kuona zvinhu zvakaita sematombo emudumbu nekuzvimba.
- CT scan: Izvi zvinoitwa kana mufananidzo wakajeka uchida.
- HIDA scan: Izvi zvinogona kuona nemazvo kuti gallbladder iri kushanda zvakanaka sei uye kana paine kuvharika kwenzira dze bile.
Inorapwa sei? Izvi zvinogona kurapwa here?
Ehe, zvechokwadi. Kana ukaonekwa uine kuzvimba kwenyongo, uchapinda muchipatara uye kurapwa kuchatanga.
Kurapa kwekutanga:
- Saline (IV fluids): Iyi imushonga wemvura unopa muviri wako mvura yaunoda uku uchizorora kugaya kwako.
- Mishonga inorwisa mabhakitiriya mutsinga: Mishonga inorwisa mabhakitiriya inopiwa kuburikidza netsinga kudzivirira kana kurapa hutachiona kana huripo.
- Mushonga wekuderedza marwadzo netsinga: Mushonga wekurwadziwa une simba unopihwa kudzora marwadzo akanyanya.
Kurapa kukuru uye kwechigarire:
Mushonga unogara kwenguva refu uye wakanakisa wekubvisa matombo emunduru nekuvhiyiwa (`Cholecystectomy`) . Kazhinji, chikonzero chikuru chematambudziko aya iguruva nematombo ari mariri, uye kubviswa kwaro kunogadzirisa dambudziko racho zvachose.
Usatya kuvhiyiwa "oh, kuvhiyiwa!" Uku kuvhiyiwa kwakajairika uye kune njodzi shoma ikozvino. Kazhinji, kunoitwa ne laparoscopically . Izvi zvinoreva kuti gallbladder inobviswa uchishandisa kamera pane kuchekwa kukuru mudumbu. Izvi zvinogona kukubatsira kuti upore nekukurumidza uye kuderedza kugara kwako muchipatara. Zvisinei, mune dzimwe nguva dzakaoma, kuvhiyiwa kwakavhurika kunogona kudiwa.
Pane dzimwe nzira here dzevanhu vasingagoni kuvhiyiwa?
Dzimwe nguva, munhu ane zvimwe zvirwere zvakakomba angasakwanisa kuvhiyiwa nekukasika. Muzviitiko zvakadaro, nzira yechinguvana inonzi drainage inogona kushandiswa kuderedza kumanikidzwa kwegallbladder. Kana, nzira inonzi endoscopic retrograde cholangiopancreatography (ERCP) inogona kushandiswa kubvisa matombo kubva mumigero ye bile. Zvisinei, idzi dzinowanzova mhinduro dzechinguvana. Pakupedzisira, mhinduro yakanakisa ndeyekubvisa gallbladder.
Hapana dambudziko here mushure mekubvisa gallbladder?
Uyu mubvunzo unowanzo bvunzwa nevanhu vazhinji. Zvinokwanisika here kurarama usina nduru? Zvechokwadi. Basa renduru raive rekuchengetedza nduru. Kana yabviswa, nduru inobva muchiropa inopinda zvakananga muura hudiki.
Zvinogona kutora mavhiki kana mwedzi mishoma kuti muviri ujairane nehurongwa hutsva uhwu. Munguva iyoyo, vamwe vanhu vanogona kunzwa kusagadzikana kwenguva pfupi, senge:
- Zvakaoma zvishoma kugaya chikafu chine mafuta nemafuta.
- Vamwe vanhu vanonzwa zviratidzo zvakaita semanyoka.
Asi nekufamba kwenguva, muviri wako uchajaira izvi. Chiremba wako achakupa mazano ekudya kwakakodzera.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa kwakanyanya mudumbu, kuda kurutsa, uye fivha zvinogona kuva zviratidzo zvekuzvimba kwenyongo. Usazviregeredza, uchifunga kuti i "gastritis."
- Chikonzero chikuru cheizvi matombo emunduru.
- Kana zvikasarapwa, izvi zvinogona kukura kuva chirwere chakakomba chinogona kukonzera kuputika kwenyongo, hutachiona hwemudumbu, uye kunyange matambudziko anotyisidzira hupenyu.
- Kana uine zviratidzo izvi, enda kuna chiremba nekukasika. Kana zvichidikanwa, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kubviswa kwenyongori nepamusana ndiyo nzira yekurapa inogara kwenguva refu uye yakachengeteka. Hapana chinokutadzisa kurarama hupenyu hwakajairika usina nyongori.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga