Une kurwadziwawo here mudumbu rako rekumusoro kurudyi? Ingava Mirizzi Syndrome here?

Wakambonzwa kurwadziwa kusinganzwisisike kana kusagadzikana mudumbu rako rekumusoro kurudyi mushure mekudya chikafu, kunyanya chikafu chine mafuta akawanda here? Dzimwe nguva kurwadziwa uku kunogona kuperekedzwa nezviratidzo zvakaita sekusvotwa uye kutsvuka kwemaziso, pamwe nefivha. Kazhinji, zvinhu izvi zvine chekuita nematambudziko anokonzerwa nematombo emunduru. Zvisinei, pane chirwere chisingawanzoitiki uye chakaoma, chatinodaidza kuti Mirizzi Syndrome. Nhasi, tichataura nezvazvo zvakadzama uye zviri nyore.

Chii chinonzi Mirizzi Syndrome? Ngatinzwisise zviri nyore.

Zvakanaka, ngatitangei tatarisa kuti matombo emunduru chii. Dumbu rako ibhegi diki rinounganidza nekuchengetera bile, iro rinogadzirwa nechiropa. Dumbu iri rinotibatsira kugaya chikafu chatinodya, kunyanya mafuta. Dzimwe nguva zviri mukati medumbu iri zvinooma kuita zvidimbu zvidiki, zvakaita sematombo emunduru zvinonzi matombo emunduru. Vanhu vazhinji havana zviratidzo kana vaine matombo aya. Asi dzimwe nguva matombo aya anogona kunamirwa mumigero ye bile, machubhu madiki anotakura bile.

Zvino, Mirizzi Syndrome idambudziko rinokonzerwa nematombo emunduru, asi nenzira yakasiyana zvishoma. Chinoitika pano ndechekuti dombo riri mukati menduru, kana mune imwe duct yenyongo, rinova rakakura zvekuti rinodzvanya rimwe duct guru renyongo rinomhanya pedyo. Fungidzira, kana mapaipi maviri emvura achifamba pedyo, chimwe chinhu chinonamira mukati mepaipi imwe uye chinozvimba mupaipi iyoyo, chichidzvanya kunze kwepaipi imwe. Ndizvo zvinoitikawo pano. Izvi zvinodzivisa kuyerera kwenyongo.

Kune mhando dzeMirizzi Syndrome here?

Ehe, vanachiremba vanoisa Mirizzi Syndrome mumapoka zvichienderana nerudzi rwechirwere uye kukura kwekukuvara kwemukoto wenyongo. Zvichitaurwa zviri nyore, mune dzimwe nguva, pane kungodzikira kwemukoto wenyongo kubva kunze. Mune dzimwe nyaya dzakaoma, panogona kunge paine kubatana kusingawanzoitiki pakati penduru nemukoto wenyongo wakamanikana, unonzi fistula. Kurongwa uku kwakakosha zvikuru kuti vanachiremba varonge kurapwa. Kana uchida kuziva zvakawanda nezveizvi, unogona kutaura nachiremba wako.

Dambudziko iri rakajairika zvakadii?

Mirizzi Syndrome chirwere chisingawanzoitiki . Chinowanzoitika zvekuti chinowanikwa muvanhu vasingasviki 2.5% vanobviswa cholecystectomy. Chinowanzo vhiringidzwa nezvimwe zvirwere zvakajairika, saka vanachiremba vanogona kungozvisimbisa panguva yekuvhiyiwa.

Ndezvipi zviratidzo zveMirizzi Syndrome?

Zviratidzo zvechirwere ichi zvinogona kukamurwa kuita mapoka matatu makuru:

1. Kuzvimba: Unogona kunzwa kurwadziwa nekuzvimba kumusoro kwedumbu rako. Kurwadziwa uku kunogona kugara kuripo kana kuti kunouya kwozopera.

2. Utachiona: Fivha inowanzovapo. Zviratidzo zvinogona kusanganisira kuda kurutsa, kurutsa, uye pamwe manyoka.

3. Jaundice: Chiratidzo chikuru cheizvi ganda rako rinoshanduka kuita yero, maziso machena achishanduka kuita yero. Unogonawo kuva neweti yero/brown yakasviba uye tsvina ine ruvara rwakajeka (yakaita sevhu).

Zvakakosha: Zviratidzo izvi hazvisi zveMirizzi Syndrome chete. Zvisinei, kana uine zviratidzo izvi, zvinogona kureva kuti pane chimwe chinhu chisina kumira zvakanaka mudumbu rako. Saka, zvakanaka kutsvaga rubatsiro rwechiremba nekukasika. Havasi vese vanozova nezviratidzo izvi zvese panguva imwe chete.

Sei Mirizzi Syndrome ichiitika? Chii chinokonzera?

Zvichitaurwa zviri nyore, Mirizzi Syndrome inokonzerwa nekudzvanywa kwedombo remunduru kunze kwemugero wenyongo. Ngatitsanangurei izvi zvishoma.

Funga nezve nduru yako sepeya. Pane chikamu chakakora chepeya, chakatetepa pamusoro, chakatumbuka zvishoma pamutsipa, uye pane hunde. Saka, nduru ine bhegi, mutsipa (unonzi nachiremba infundibulum kana kuti Hartmann's pouch), uye cystic duct inotakura bile kubva munduru.

Dumbu, mutsipa, uye cystic duct ndidzo nzvimbo dzakamanikana zvikuru apo dombo remudumbu rinogona kunamira. Zvakare, zvivakwa izvi zviri pedyo zvakanyanya. Mune vamwe vanhu, zviri pedyo kupfuura vamwe. Saka, kana dombo remudumbu rakanamira panzvimbo iyi, uye rikukura uye richizvimba, rinodzvanya paburi guru remudumbu riri pedyo (buri rinowanzo shandiswa - iri ndiro rinotakura bile kubva pachiropa nenduru kuenda kudumbu diki) kana buri rinowanzo shandiswa muropa (iri ndiro rinotakura bile kubva pachiropa) kubva kunze. Ndipo panoitika Mirizzi Syndrome.

Ndezvipi zvimwe zvinetso zvinogona kuitika nekuda kweMirizzi Syndrome?

Kana chirwere ichi chikasarapwa zvakanaka, mamwe matambudziko anogona kumuka. Mimwe mienzaniso ndeiyi:

• Cholestasis: Nekuti bile harigone kufamba zvakanaka, rinodzokera muchiropa, zvichikonzera kuzvimba kwechiropa.
• Cholangitis: Utachiona hwebhakitiriya hune bile hunogona kupararira kuchiropa, zvichikonzera hutachiona hwakakomba. Izvi zvine njodzi.
• Fistula: Nekuda kwekuzvimba kuri kuramba kuchiitika uye kuungana kwenyongo, madziro emugero wenyongo anogona kusasimba, zvichiita kuti pave neburi risingawanzoitiki, kana kuti buri.
• Jaundice: Nekuda kwekuungana kwenyongo, bilirubin ine pigment iri mairi inoungana muropa, zvichiita kuti ganda nemaziso zviite yero.
• Kusanyoroveswa kweropa: Kana nyongo isingakwanise kupinda zvakanaka muura hudiki, kugaya chikafu, kunyanya mapuroteni nezvimwe zvinovaka muviri, kunokanganiswa.

Vanachiremba vanoongorora sei chirwere cheMirizzi Syndrome?

Vanachiremba vachaita bvunzo dzakawanda kuti vaongorore matombo emudumbu pamwe nematambudziko akafanana nawo. Kutanga, vachaongorora dumbu rako kuti vaone kana rakazvimba. Zvadaro vachakubvunza nezvezviratidzo zvako uye nhoroondo yehutano hwako.

Kana uine zviratidzo zvehutachiona kana jaundice, chiremba wako anogona kuraira kuongororwa kweropa seizvi:

• Kuverengwa kweropa rose (CBC)
• Kuongororwa kwebasa rechiropa

Pamusoro pezvo, bvunzo dzakasiyana-siyana dzemifananidzo dzinogona kuitwa. Dzimwe dzacho dzinosanganisira:

• Ultrasound yemudumbu
• CT scan (kombiyuta inonzi tomography scan)
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Mukuita uku, endoscope (chubhu ine kamera) inopinzwa nemuromo kuti ione ducts dzenyongo.
• HIDA scan: Iyi i scan chaiyo inotarisa mashandiro anoita gallbladder.
• Bvunzo reMRI (magnetic resonance imaging)

Miedzo iyi inobatsira kuona mamiriro emutsinga dzenyongo, nzvimbo yematombo, uye kana Mirizzi Syndrome iripo.

Izvi zvinorapwa sei?

Kurapa kukuru kweMirizzi Syndrome kuvhiyiwa . Zvisinei, hapana kuvhiyiwa kwakafanana. Kuvhiyiwa kwacho kuchagadzirirwa mamiriro ako chaiwo.

Kazhinji, gallbladder inobviswa (cholecystectomy) uye duct yenyongo yakavharika inogadziriswa. Mune zvimwe zviitiko zvakaoma, duct yenyongo yakavharika inogona kubviswa, kana kuti chubhu diki inonzi stent inogona kuiswa kuti duct irambe yakavhurika. Chiremba anogona kuita kuvhiya uku asingapindi zvakanyanya, izvo zvinoitwa ne laparoscopically (nzira inoshandisa kamera uye inosanganisira kucheka zvidimbu zvidiki), kana senzira yakavhurika (laparotomy). Izvi zvinoenderana nekuoma kwechirwere chako.

Pane migumisiro yakaipa here yekurapwa kwacho?

Kuvhiyiwa kweMirizzi Syndrome dzimwe nguva kunogona kuoma. Nekuti kuzvimba kunoita kuti zviome kuona nyama yakapoteredza zvakajeka. Saka, kana ducts dze bile dzikakuvara netsaona panguva yekuvhiyiwa, matambudziko akadai se:

• Kubuda kwenyongo
• Kubuda ropa zvakanyanya
• Mavanga emutsinga dzenyongo

Uyewo, kune zvimwe zvinhu zvinogona kunge zvakajairika pakuvhiyiwa chero kupi zvako:

• Marwadzo
• Kubuda ropa
• Utachiona
• Maitiro ekushandisa mushonga weanesthesia

Chiremba wako achakutsanangurira izvi usati wavhiyiwa.

Hapana nzira yekudzivirira kukura kweMirizzi Syndrome iyi here?

Zvakaoma kudzivirira zvachose Mirizzi Syndrome. Zvisinei, unogona kuderedza njodzi yako kusvika pamwero wakati nekuderedza zvinhu zvinokonzera njodzi dzinokonzera kuumbwa kwematombo emunduru. Semuenzaniso, zvakanaka kuderedza chikafu nezvinwiwa zvine cholesterol yakawanda. Bvunza chiremba wako kana paine zvinhu chaizvo zvaunogona kuita kudzivirira kuvharika kwenzira dzemudumbu.

Chii chichaitika mushure mekupora? Ndeipi tarisiro?

Kufanotaura kwevanhu vanopora kubva kuMirizzi Syndrome mushure mekuvhiyiwa kazhinji kwakanaka . Chinhu chakakosha ndechekurapa nekukurumidza usati waona migumisiro yenguva refu.

Kana nhengo dzako dzemuviri netsinga dzemudumbu zvikanyanya kukuvara, kuvhiyiwa kwacho kunowedzera kuoma. Kana kuvhiyiwa kwacho kwakaoma, nguva yako yekupora icharamba yakareba. Asi, kazhinji, vanhu vazhinji vanogona kurarama zvakanaka vasina gallbladder.

Ndinofanira kuona chiremba riini? Ndezvipi zviratidzo zvandinofanira kuva nazvo?

Kana ukangoerekana wava nekurwadziwa kwakanyanya mudumbu, pamwe nechando nekudedera, kuda kurutsa, fivha, kana zviratidzo zvejaundice (senge weti yakasviba netsvina yakachenuruka), enda kuna chiremba nekukasika .

Uyewo, kana ukaona zviratidzo zvehutachiona hune njodzi hunonzi sepsis (zvakadai sekurova kwemoyo nekukurumidza, kudikitira, uye kuoma kufema) mushure mekuvhiyiwa, idambudziko rinotyisidzira hupenyu. Saka, kana ukaona chimwe chezviratidzo izvi, tsvaga rubatsiro rwechiremba nekukasika.

Pane hukama huripo pakati peMirizzi Syndrome negomarara here?

Ongororo yakawana kuti vanhu vane Mirizzi Syndrome vane mukana wakawedzera wekuva nekenza yemudumbu. Zvisinei, izvi hazvirevi kuti Mirizzi Syndrome pachayo ndiyo inokonzera kenza.

Nyanzvi dzinotenda kuti zvirwere zvakafanana zvinokonzera Mirizzi syndrome (kureva, kuzvimba kwenguva refu, kugara kwenyongo mugallbladder) zvinobatsirawo mukukura kwegomarara. Maererano nehuwandu, pakati pe5% ne28% yevanhu vane Mirizzi syndrome vakaonekwa vaine gomarara mugallbladder.

Dambudziko iri rinogona kuuraya here?

Mirizzi Syndrome inorapika .chirwere. Zvisinei, kana ukatanga kurapwa kwenguva pfupi, njodzi yacho inowedzera. Huwandu hwevanhu vanofa nekuda kwechirwere ichi hunonzi huri pakati pe5% ne30%. Chinogona kukonzerwa nezvinhu zvakaita se sepsis, kutadza kushanda kwechiropa, kana kenza yemunduru.

Unogona kuva nekurwadziwa mudumbu nguva nenguva mushure mekudya. Asi kana ukamuka mangwanani uine kurwadziwa mudumbu, fivha, kana kuda kurutsa, zvinogona kuva chiratidzo chedambudziko guru. Ungasatomboziva kuti une matombo emunduru. Zvisinei, kana akakura zvakakwana kuvhara duct ye bile, zviratidzo zvinogona kuwedzera uye kuwanda. Kana uchinzwa sekunge pane chakaipa, usamirira. Kana ukatsvaga rubatsiro rwechiremba nekukurumidza, zviri nani.

Chekupedzisira, zvinhu zvinonyanya kukosha zvekurangarira

Saka, ndinovimba kuti ikozvino mava kunzwisisa zviri nani chirwere chisingawanzoitiki chinonzi Mirizzi Syndrome chatakakurukura nhasi. Yeukai:

• Kana uine zviratidzo zvakaita sekurwadziwa kunogara kuripo mudumbu, fivha, kana jaundice, usazviregeredza .
• Tsvaga rubatsiro rwechiremba nekukasika. Kana chirwere chikazivikanwa nekukasika uye chikarapwa, matambudziko aungave nawo akaderera uye kupora kwako kunokurumidza.
• Kana uchiziva kuti une matombo emunduru, tevera mirairo yachiremba wako nemazvo.
• Kudya zvine hutano kunogona kubatsira kuderedza njodzi yekubatwa nematombo emudumbu.

Kana muine mimwe mibvunzo, musazeza kutaura nachiremba wemhuri yenyu kana nyanzvi. Rambai muine hutano hwakanaka!

Mirizzi Syndrome, matombo emunduru, duct ye bile, jaundice, kurwadziwa mudumbu, kuvhiyiwa, cholecystectomy