Rutivi rwako rwerudyi rwemudumbu rwako rwunorwadzawo here? Ngatidzidzei nezve cholecystitis!

Wakambosangana nekurwadziwa kwemudumbu kusingatsungiririki here, kunyanya kurwadziwa mudumbu rekumusoro kurudyi, pamwe chete nekurutsa nekurutsa? Kana kuti pane mumwe munhu waunoziva akambosangana neizvi here? Izvi zvinogona dzimwe nguva kuva zviratidzo zvechirwere chinonzi cholecystitis. Nhasi, ngatitaurei nezvechinonzi cholecystitis , nei chichiitika, uye chii chingaitwa nacho.

Chii chinonzi cholecystitis?

Zvichitaurwa zviri nyore, cholecystitis kuzvimba kana kuzvimba kwenyongori yako. Funga nezvazvo sebhegi diki rakaita sepeya riri pasi pechiropa chako. Nyongori iyi inochengeta nyongori kwenguva pfupi, mvura inogadzirwa nechiropa. Mushure mekudya, kunyanya chikafu chine mafuta, nyongori iyi inotumirwa kuura hudiki kuti ibatsire kugaya chikafu. Nyongori iyi inofamba nemunzira diki dzakaita sechubhu dzinonzi ducts dzenyongori . Saka, kana paine hutachiona kana kuvharika kwenyongori kana ducts dzenyongori dzinobatana nayo, kuzvimba, kurwadziwa, uye kuzvimba zvichaitika.

Pane mhando dzakasiyana dzecholecystitis here?

Ehe, izvi zvinogona kukamurwa kuita zvikamu zvikuru zvakati wandei:

• Kuzvimba kwakanyanya: Ichi chirwere chinongoerekana chaitika, chakanyanya kuipa.
• Kuzvimba kwenguva refu: Ichi chirwere chinokura zvishoma nezvishoma nekufamba kwenguva uye hachina kunyanya kuipa asi chinoramba chiripo.
• Kuzvimba kunokonzerwa nemakemikari: Uku ndiko kuzvimba kunowanzo wanikwa. Kuzvimba kunokonzerwa nematombo emunduru.
• Kuzvimba kweAcalculus: Uku kuzvimba kunoitika nekuda kwezvimwe zvikonzero zvisiri matombo emunduru.

Funga nezvazvo, kana nduru ichizvimba kamwe kamwe nekuda kwedambudziko guru, kuzvimba kwakanyanya . Kana zvisina kudaro, kana nduru ichizvimba zvishoma nezvishoma nekuda kwematambudziko madiki kwenguva yakareba, kuzvimba kwenguva refu . Kazhinji, chikonzero chezvose izvi matombo enduru. Ndosaka vanachiremba vachisiyanisa kana zvichikonzerwa nematombo kana kwete.

Dambudziko iri rakajairika zvakadii?

Zvinonzi vanhu vanosvika 15% pasi rose vane matombo emunduru. Vanosvika 20% vavo vanowana matambudziko nekuda kwematombo emunduru, akadai secholecystitis . Musashamisika, 95% yezvirwere zvecholecystitis zvinokonzerwa nematombo emunduru!

Ndezvipi zviratidzo zve cholecystitis?

Zviratidzo izvi zvinogona kusiyana zvishoma zvichienderana nerudzi rwekuzvimba.

Zviratidzo zvekuzvimba kwakanyanya:

• Kurwadziwa kwakanyanya mudumbu repamusoro, kunyanya kurudyi:Kurwadziwa uku kunogona kuwedzera kamwe kamwe uye kusagone kushivirira. Dzimwe nguva kurwadziwa uku kunogona kupararira kusvika pafudzi rekurudyi kana kumusana. Kurwadziwa uku kunogona kunzwa sekunge kubayiwa netsono, kurwadziwa kusinganzwiki, kana kutenderedza tsandanyama dzemudumbu. Kurwadziwa uku kunogonawo kuwedzera kana ukafema zvakadzama. Vamwe vanhu vanofungidzira kuti izvi marwadzo echipfuva kana chirwere chemwoyo . Kurwadziwa uku kunongoerekana kwaitika kunonziwo " Gallbladder Attack."
• Kusvotwa nekurutsa : Ichi chiratidzo chinowanzoitika chinowanzo perekedzwa ne "gallbladder attack".
• Fivha: Fivha inodarika madhigirii 100 Fahrenheit (37.8 Celsius) inogona kuratidza hutachiona kana kuzvimba kwakanyanya.

Zvakakosha: Zviratidzo izvi zvinogona kusiyana zvishoma kune munhu mukuru. Vanogona kunge vasina chido chekudya uye vaneta zvishoma. Fivha haiwanzoitikiwo pakati pevanhu vakuru.

Zvimwe zvinhu zvekuwedzera:

• Kuzvimba uye kupfava .
• Kuomarara kwetsandanyama kudivi rekurudyi redumbu.
• Kushaya simba uye kuneta , kunyanya kuvanhu vakuru.

Zviratidzo zvekuputika kwenguva refu:

Zviratidzo zvacho hazvinyanyi kuoma kupfuura kana uri mumamiriro ezvinhu akaipisisa uye zvinowanzouya zvoenda. Unogona kunzwa kurwadziwa mudumbu uye kuda kurutsa kunonzi "biliary colic" mushure mekudya chikafu chine mafuta akawanda. Izvi zvinokonzerwa nekuti chikafu chine mafuta chinoda nduru yakawanda kuti igaye. Sisitimu yako yekugaya inobva yataurira nduru kuti ibudise nduru yakawanda. Izvi zvinoita kuti nduru inyanye kusimba, zvichiwedzera kumanikidzwa mukati. Kurwadziwa uku kunogona kugara kwemaawa akati wandei.

Chikonzero chikuru cheizvi chii?

Kazhinji, kuzvimba kwakanyanya uye kwenguva refu kunokonzerwa nematombo emunduru anovhara ducts dzemunduru . Matombo emunduru zvinhu zvakaoma munduru zvinoungana nekufamba kwenguva uye zvinova matombo. Anowanzo kuumbwa pasi penduru, asi dzimwe nguva anogona kufamba-famba. Paanofamba, anonamira muducts dzemunduru kana pamuromo wenduru. Izvi zvinoita kuti nduru idzokere munduru, izvo zvinogona kukonzera hutachiona.

• Kuzvimba kwakanyanya:Izvi zvinoitika kana kubuda kwenyongo kubva munyongo kukadzivirwa zvachose nedombo. Nyongo inoramba ichizvimba uye mamiriro acho anowedzera kuipa.
• Kuzvimba kwenguva refu: Dzimwe nguva dombo rinogona kusavhara zvachose mugero weropa, asi rinogona kunamatira kwenguva yakati rebei rozobuda zvakare. Semuenzaniso, unogona kungonzwa kurwadziwa kana ganda remudumbu razvimba mushure mekudya chikafu chakawanda. Izvi ndizvo zvinokonzera kuzvimba kwenguva refu .

Ndezvipi zvimwe zvinokonzera kunze kwematombo emunduru?

Kunyangwe chikonzero chikuru chiri kuvharika kwenzira dzemudumbu nekuda kwematombo emudumbu, zvimwe zvinhu zvinogona kukonzera kuti dumbu remudumbu rizvimbe uye kudzivirira kuyerera kwedumbu. Heano mimwe mienzaniso mishoma:

• Kuoma kweBiliary : Kuzvimba kwenguva refu kwemutsinga dzenyongo kunogona kukonzera kuti mavanga aumbe uye kutetepa kwemutsinga, zvichivharira kuyerera kwenyongo.
• Biliary Dyskinesia: Ichi chirwere chinokanganisa mashandiro emhasuru dziri munduru . Zvikuru sei, nduru haikwenye zvakanaka sezvainofanira kuita, saka nduru haibude.
• Kugara kweBile: Kuyerera kweBile kunogona kukanganisa nekuda kwechirwere chechiropa chisingaperi kana kudya kwenguva refu kwevabereki (IV). Yeuka, kana usiri kutora chikafu nemuromo asi uchipiwa IV, haudi bile.
• Gomarara: Kunyange zvazvo risingawanzoitiki, bundu rekenza riri mudundira renyongo kana ducts dzenyongo rinogona kuvharira kuyerera kwenyongo.

Zvirwere izvi zvinowanzo tanga zvishoma nezvishoma, zvichikonzera chirwere che acalculous cholecystitis chisingaperi . Zvisinei, zvinogonawo kufambira mberi kuita acute acalculous cholecystitis . Zvimwe zvinokonzera zvinosanganisira:

• Ischemia: Kana ropa rinoenda kunyongori diki, zvinogona kukonzera kuzvimba kwakanyanya kana kusingaperi , zvichienderana nekuti kwakanyanya sei. Izvi zvinogona kuitika nekuda kwechirwere chakakomba kana tsaona. Zvinogonawo kukonzerwa nekuvharika kwetsinga dzeropa (vascular occlusion) kana vasculitis .
• Utachiona: Utachiona hwebhakitiriya hunogona kuitika mudundira renyongo kana nduru, kunyangwe pasina kuvharika. Izvi hazviwanzoitiki. Izvi zvinowanzoitika kune vanhu vane masoja emuviri asina simba. Utachiona hunogonawo kukuvadza ganda renyongo.

Ndiani ari panjodzi huru yekuzviwana?

Kana uine matombo emunduru, une mukana mukuru wekuwana cholecystitis. Vanhu vane mukana mukuru wekuwana matombo emunduru vanosanganisira:

• Vakadzi
• Kune vakadzi vane pamuviri
• Kune avo vane kufuta zvakanyanya
• Kune avo vane chirwere cheshuga
• Kune avo vane cholesterol yakakwira
• Kune avo vakarasikirwa nehuremu kamwe kamwe uye nekukurumidza (Rapid Weight Loss)
• Kune avo vane makore anopfuura makumi mana
• (Mamwe maitiro emuviri uye mararamiro zvinogonawo kuita basa racho)

Chirwere ichi checholecystitis chakakomba zvakadii?

Chirwere checholecystitis chinowanzo kukonzerwa nekuvharika kwekufamba kwenyongo. Hachingokanganisi nduru chete. Chinogona kukanganisa sisitimu yako yese yenyongo - sisitimu yenhengo dzinotakura nyongo kuburikidza neducts dzenyongo - uye chinokonzera kuzvimba nehutachiona. Nyongo yakaungana inogona kuzara muropa uye inokukonzera kurwara. Inodzivirirawo sisitimu yako yekugaya kuti isawane nyongo yaunoda. Kuzvimba kwakanyanya uye kuzvimba kunogona kukonzera kufa kwenyama (gangrene) . Kana izvi zvikaitika, nhengo inogona kuputika kana kubooka. Izvi zvinonzi gangrenous cholecystitis . Kuzvimba kusingaperi kazhinji hakuna kuipa zvakanyanya, asi kuzvimba kwenguva refu kunogonawo kukonzera kukuvara kukuru. Mavanga anogona kuumbwa munyongo yako uye kudzivirira kuti isabatane zvakanaka. Izvi zvinogonawo kudzivirira kuyerera kwenyongo.

Matambudziko eCholecystitis:

• Kukuvadzwa kwechiropa chako, ducts ye bile, kana pancreatitis (semuenzaniso, pancreatitis ).
• Kusagadzikana kwekugaya chikafu uye kupinza zvinovaka muviri muura hudiki.
• Kuzvimba kwenguva refu kunokonzera mavanga munyongo (Gallbladder Fibrosis) uye kutadza kushanda zvakanaka kwenhengo dzemuviri.
• Kufa kwenyama nekuda kwekuzvimba (necrosis) uye gangrenous cholecystitis .
• Kuboorwa kwenyongo , zvichikonzera hutachiona mudumbu (peritonitis).
• Peritonitis inogona kukonzera tupukanana kana chepfu muropa (`Septicemia`).

Ichi hachisi chinhu chekungorasa, nekuti kukuvara kunogona kuitika kwakanyanya.

Izvi zvinoonekwa sei?

Chiremba achatanga nekukubvunza nezvezviratidzo zvako. Kana vachifungidzira kuti une cholecystitis , vachakukumbira kuti ufeme zvakadzika wodzvanya divi rekumusoro rekurudyi redumbu rako. Kana uchinzwa kurwadziwa, ichi chiratidzo chinozivikanwa chechirwere ichi ( Murphy's Sign ). Vachaita bvunzo, dzakadai sekuongorora mifananidzo yekutarisa gallbladder ne bile ducts yako, uye kuongororwa kweropa kuti uwane rumwe ruzivo. Mimwe yeongororo dzinoitwa dzeizvi dzinosanganisira:

• Kuwanda Kweropa Rakazara (CBC)
• Kuedzwa kweChiropa
• Ultrasound yedumbu
• Ultrasound yeEndoscopic
• Kuskena kweCT (CT Scan - Kuskena kweComputed Tomography)
• Kuskena kweHIDA (HIDA Scan - Kuskena kweHepatobiliary Iminodiacetic Acid)

Ko chirwere ichi checholecystitis chichapora chega here?

Kwete. Zvikonzero zvese zve cholecystitis zvinoda kurapwa. Dzimwe nguva dombo rinovhara gallbladder kana bile duct rinogona kupararira roga uye zviratidzo zvako zvinopera. Asi kumirira kuti izvozvo zviitike haisi pfungwa yakanaka - zvinorwadza uye zvine njodzi. Kunyangwe zvakadaro, hazvizogadziri matambudziko ako. Dombo rimwe chete kana rimwe dombo rinogona kunamira zvakare.

Kurapwa kweizvi ndekupi?

Cholecystitis inorapwa nekukasika muchipatara. Kurapa kunotanga nezvinotevera:

• Kupa muviri mvura yemutsinga uku uchizorora kugaya chikafu.
• Kupa mishonga inorwisa utachiona mutsinga (IV antibiotics) kudzivirira kana kurapa hutachiona.
• Kubatsira vanhu vazhinji kuderedza marwadzo kuburikidza netsinga dzemutsinga, izvo zvinodiwa nevanhu vazhinji.

Mushonga unogara kwenguva refu weizvi kuvhiyiwa kubvisa gallbladder (cholecystectomy) . Zvinhu zvakawanda zvinokonzera cholecystitis, zvakaita sematombo emunduru, zvinotangira mugallbladder. Kashoma, kana chikonzero checholecystitis yako chiri chinhu chinogona kurapwa chakasiyana nematombo emunduru (senge hutachiona), kuvhiyiwa kungasave kwakakosha. Zvakare, zvichienderana nezvimwe zvirwere zvako, ungangoda kumisa kuvhiyiwa kana kusaita. Kana uri kunonoka kana kusaita kuvhiyiwa, unogona kuita zvinotevera:

• Kuburitsa mvura kubva munduru uye kuderedza kumanikidzwa: Chiremba anogona kugadzira kaburi kadiki mudumbu mako oisa chubhu yekubuditsa mvura munduru yako. Kana, vanogona kushandisa endoscopic ultrasound kutungamira chubhu kuburikidza nemuromo wako kuti ibudise mvura kubva munduru yako ichipinda mudumbu mako.
• Kubviswa kwematombo emudumbu muEndoscopic: ERCP (Endoscopic Retrograde Cholangiopancreatography) inzira inoshandisa endoscope kuburikidza nemuromo wako kuti utarise system yako yemudumbu uchishandisa tekinoroji yeX-ray. Izvi zvinobvumira kuti zvishandiso zvidiki zvipinzwe kuburikidza ne endoscope kubvisa matombo anenge anamatira mumigero yemudumbu. Izvi zvinogona kuderedza zviratidzo zvako zvepakarepo.

Kuvhiyiwa (Cholecystectomy)

Kunyangwe kana cholecystitis yako yapera - kureva kuti, dombo raive rakanamira harichanamira, uye zviratidzo zvakaita kuti uende kuchipatara hazvichaonekwi - chirwere chisingaperi uye chakanyanya.Mhando dzese dzecholecystitis dzinogona kudzoka. Matombo emudumbu akambokonzera kuputika kweganda ane mukana wekudzoka zvakare. Kuputika kweganda kakawanda kunogona kutungamira kuzvimba kwenguva refu, uye zvese zvinogona kukonzera kukuvara kwenguva refu. Kudzivirira migumisiro yekudzoka kwecholecystitis, vanachiremba vanokurudzira kuvhiyiwa kubvisa gallbladder (cholecystectomy) . Iyi inzira yakajairika, diki isina migumisiro yakawanda. Kune vanhu vazhinji, izvi zvinogona kuitwa ne laparoscopically - kuburikidza nekucheka kudiki kushoma, kunozivikanwawo se "keyhole surgery." Muzviitiko zvakaoma, kuvhiyiwa kwakavhurika kunogona kudiwa.

Chii chinoitika mushure mekuvhiyiwa?

Sisitimu yako yenyongori uye sisitimu yekugaya chikafu zvinogona kushanda zvakanaka pasina nyongori yako. Nyongori inzvimbo yekuchengetera nyongori, iyo inogadzirwa nechiropa. Kana chiremba achibvisa nyongori yako, anochinja nzira dzemumachubhu enyongori kuitira kuti nyongori iyerere zvakananga kubva pachiropa chako ichienda muura hwako hudiki. Zvinogona kutora mavhiki mashoma kana mwedzi kuti muviri wako ugadzirire shanduko iyi. Munguva iyi, unogona kuona zviratidzo zvenguva pfupi zvakaita se:

• Kunzwa kumanikidzwa kana kurwadziwa mu nyongo nekuda kwekunonoka kwe nyongo.
• Zvikafu zvine mafuta zvinonetsa kugaya, zvichikonzera manyoka kune vamwe vanhu.

Ndeipi tarisiro yemunhu ane cholecystitis?

Chero rudzi kana chikonzero, cholecystitis inoda kurapwa kuchipatara. Chipatara chinokupa zororo nekukurumidza uye chinotsvaga chikonzero chacho. Kazhinji idombo renduru, kunyange zvisiri nguva dzose. Kazhinji, vanachiremba vanokurudzira kurapwa kwechigarire kuburikidza nekuvhiyiwa. Vanhu vazhinji vanowana mhedzisiro yakanaka kwazvo. Kana ikasarapwa, matambudziko ane njodzi anogona kuitika.

Kurwadziwa kwakanyanya mudumbu kunowanzova dambudziko rehutano. Kana zvikaratidza zviratidzo zvekurwadziwa kwenyongo — kureva kuti, kana zvikaitika kamwe kamwe uye zvakanyanya kurutivi rwekumusoro rwerudyi rwedumbu, pamwe nekurutsa — kuchenjera kuenda zvakananga kuchipatara.

Kunyangwe kana gallbladder yako iri diki, nyongo yako yese inogona kuva panjodzi kana ikamanikidzwa. Zviratidzo zve cholecystitis zvinogona kupera, asi chikonzero chayo chinoramba chiripo. Zviratidzo zvinogona kudzoka, uye cholecystitis icharamba ichikuvadza gallbladder yako kusvika wawana kurapwa kwakakodzera.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Saka, mukupedzisa, cholecystitis haisi chinhu chekungotamba nacho.

• Kana uine zviratidzo zvakaita sekurwadziwa kwakanyanya mudumbu, kuda kurutsa, kurutsa, uye fivha, unofanira kuona chiremba. Usanonoka.
• Kazhinji, izvi zvinokonzerwa nematombo emunduru, asi panogona kunge paine zvimwe zvikonzero zvakare.
• Kana ukarapa zvakanaka, dambudziko iri rinogona kurapwa zvachose. Kazhinji, kubviswa kwenyongori nepamusana ndiyo mhinduro yakanakisisa.
• Kana zvikasarapwa , matambudziko akakomba anogona kutoisa upenyu panjodzi anogona kuitika.

Saka, kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, usazeza kutsvaga mazano kuna chiremba. Kugara uine hutano ndicho chinhu chakakosha!