Cholecystitis

K'alla gallan qoricha jaama'aa fi gaggabaa, kan akka bile jedhamu, qabata. Bile irraa gara k'alla gallatti ni deemata. Nyaata fayyadamuu qofaaf yeroo barbaachisuutti k'alla gallaatti ni jiraata. Nyaata yommuu nyaannu, k'alla gallan bile gara bile daaktii keessa ni erga. Daaktiin kun bile gara kutaa ol aanaa garaa xinnaatti, kan duodenum jedhamu, geessa, nyaata keessa jiru boba'aa diiguu gargaaruuf.

Cholecystitis (ko-luh-sis-TIE-tis) k'alla gallan gad ofii fi dhiphina, kan akka wal'aansaa jedhamu, dha. K'alla gallan qaama xinnoo, akka pear fakkaatu, gara mirga keessa, lafti irraa gadi, jiraata. K'alla gallan nyaata diiguu qoricha qabata. Qoricha kana bile jedhama. K'alla gallan bile gara garaa xinnaatti ni erga.

Yeroo baay'ee, k'alla gallan keessaa ba'u tuuba dhaamu dhagaa k'alla gallan cholecystitis sababa. Kun wal'aansaa uumu dandeessu bile guutummaa keessa ni fidda. Cholecystitis sababoota biroo keessaa, bile daaktii jijjiirama, tuumoora, dhukkuba cimaa fi dhibee tokko tokko of keessa qabaata.

Yommuu hin yaalamu, cholecystitis rakkoo cimaa, kan akka k'alla gallan cabu, geessisa. Kun lubbuu balaa fidu dandeessa. Cholecystitis yaalaa baay'ee k'alla gallan baasu hojii qabata.

Mallattoowwan cholecystitis kanneen armaan gadiitti dabalamuudha:

• Dhukkubbii cimaa iddoo gara mirgaa ykn gidduu galaa baalaa jiru.
• Dhukkubbii gara garaa mirgaa ykn duubaatti faca'u.
• Yeroo tuqamu baalaa irratti wal'aansaa.
• Haalaa kufuu.
• Deebii.
• Ho'i. Mallattoowwan cholecystitis yeroo baay'ee nyaata booda dhuftu. Nyaata guddaa ykn nyaata lafee baay'ee qabu mallattoowwan uumachuu caalaatti mala. Yoo mallattoowwan si yaaddessan qabaatte, beektoota fayyaa kee wajjin waliigaltee godhadhu. Yoo dhukkubbii baalaa kee baay'ee cimaa ta'ee, taa'uu ykn tasgabbaa'uu hin dandeessine, nama tokko gara mana yaalaa hatattamaan geessi.

Yoo simtoonni nama yaaddessan si qabu, fayyaa eeggannaa gochuu wajjin waliin beellama godhadhu. Yoo dhukkubni hiddi kee baay'ee cimaa ta'ee, osoo hin taa'in ykn tasgabbaa'iin hin dandeenye, nama tokko gara mana yaalaa hatattamaa akka si geessu godhi.

Cholecystitis jechu, qalqallaa keessan hadhaawuudha. Hadhaawuudha qalqallaa kanaaf sababoonni armaan gadiitti argamu:

• Dhagguuwwan qalqallaa. Yeroo baay'ee, cholecystitis kun, qalqallaa keessa uumamuu danda'an, qaama cimaa bile jedhamu irraa kan dhufudha. Dhagguuwwan qalqallaa kun, tuuba bilee qalqallaarraa bahu yeroo itti darbu itti cufuu danda'a. Tuubichi, cystic duct jedhama. Bileen qalqallaa keessa guutamee, gadhiifannaa fi dhiphinnaan uuma.
• Tumor. Tumor tokko, bileen akkaataa itti bahu irraa ittisuu danda'a. Kunis, bileen walitti guutummaa kan fidu yoo ta'e, cholecystitisitti geessisa.
• Cufama tuuba bilee. Dhagaa ykn bileen ciccimoo fi qaama xixiqqaa 'sludge' jedhamuun tuuba bilee cufuu danda'u, cholecystitisitti geessisa. Tuubaa bilee walitti guutummaa ykn gadi aanaa isaa miidhamus cufamatti geessisa.
• Sirreeffama. AIDS fi sirreeffamni kaaniin vaayirasiin uumaman, qalqallaa gadhiifannaa fi dhiphinnaatti geessisa.
• Dhukkuba cimaa. Dhukkuba cimaan, sibiila sibiilaa miidhaa, fi socho'ina dhiigaa gara qalqallaatti hir'isuudha. Kunis, cholecystitisitti geessisa.

Dhukkuba dhagaa qaama madaa keessa jiraachuun sababa guddaa dhukkuba qaama madaa (cholecystitis) qabaachuufidha.

Yoo hin yaadamne, cholecystitis rakkoolee gurguddaa geessisa, kanneen keessaa:

• Infeekshinii qaama qalqaloo keessa. Yoo baay'iin qalqaloo keessa guutame, baay'iin sun qabamuun danda'a.
• Du'a qaama qalqaloo. Cholecystitis yaadamuun yoo hin danda'amne, qaama qalqaloo keessa jiru du'a danda'a. Kunis gangreen jedhama. Rakkoo kanaa baay'inaan nama umurii guddaa ta'een, yaadamee wal'aansa fudhachuu eeggatuu fi dhukkuba sukkaara qaban irratti mul'ata. Gangreenni, qalqaloo caccabuu danda'a. Yookiin qalqaloo cabuuf sababa ta'uu danda'a.
• Qalqaloo caccabuu. Caccabuun, perforeeshinii jedhamu, qalqaloo keessa jiru, gadaduu yookiin infeekshinii qalqaloo yookiin du'a qaama qalqaloo irraa uumamuu danda'a.

Yaadattii qaamaa qarsaa hir'isuuf tarkaanfiin armaan gadiitti fayyadamuu dandeessa:

• **Yaraa gadi aarii dhaaba. **Yaraa ariifatti dhaabuu dhukkuba qaamaa qarsaa uumaa danda'a.
• **Sirna qaamaa fayyaa qaba. **Qaamni baay'ee ulfaataa ta'uun dhukkuba qaamaa qarsaa argachuuf si barbaachisa. Sirna qaamaa fayyaa argachuuf, caloriin hir'isiifi sochii qaamaa dabali. Nyaata fayyaa fi sochii qaamaatiin sirna qaamaa fayyaa irra jiraadhu.
• **Karoora nyaata fayyaa filadhu. **Nyaata baay'ee buruqaa fi fiibara gadi dhabuun dhukkuba qaamaa qarsaa uumaa danda'a. Dhukkuba kana hir'isuuf, baay'inaan firii, gogaan fi daadhii guutuu nyaadhu.

Cholecystitis'n hubachuuf, ogeessi fayyaa kee qormaata qaamaa ni raawwata, akkasumas rakkoo kee fi seenaa fayyaa kee ni gaafata. Qormaata fi tarkaanfiileen cholecystitis'n hubachuuf fayyadamaniidha:

• Qormaata dhiiga. Qormaata dhiigaa infekshinii ykn rakkoo qaamaa madaa biraa argisiisu ni barbaada.
• Qormaata suuraa qaamaa madaa kee agarsiisan. Ultrrasaundii addabbii, ultrrasaundii endoskoopii, skaanii CT ykn maagneetik rizonans kolanjiyoopanikriyograafii suuraa qaamaa madaa kee fi tuubilee baayilii ni uuma. Suuraan kun mallattoowwan cholecystitis ykn dhagaa tuubilee baayilii fi qaamaa madaa keessa jiran ni agarsiisa.
• Skaanii sochii baayilii qaama keessa darbu agarsiisu. Skaanii hepaatobiliyaari iminodiyaaseetik asiid (HIDA) hojii fi sochii baayilii irraa liviir gara garaa xinniin xinnooitti ni hordofa. Skaanii HIDA keessatti, midhaan raadiyooaktiiv keessa keessa galcha. Midhaan kun selli baayilii hojjetanitti ni maxxanta. Yeroo skaanichaa, midhaan kun baayilii waliin tuubilee baayilii keessa darbuun ni mul'ata. Kun dhagaa itti cufne kamiyyuu ni agarsiisa.

Treating Gallbladder Inflammation (Cholecystitis)

Gallbladder inflammation, called cholecystitis, can cause pain and discomfort. It often requires treatment, sometimes leading to surgery. Here are common methods:

Diagnosing and Treating Gallstones:

One common way to diagnose and treat gallstones is through a procedure called endoscopic retrograde cholangiopancreatography (ERCP). During ERCP, a thin, flexible tube with a camera (endoscope) is inserted through the mouth and into the small intestine. A special dye is then injected into the bile ducts, allowing doctors to see them clearly on X-rays. A small tube (catheter) is used to deliver the dye and potentially remove gallstones. These gallstones can block the ducts, causing inflammation.

Laparoscopic Cholecystectomy (Minimally Invasive Gallbladder Removal):

If gallstones are a problem, a minimally invasive surgery called laparoscopic cholecystectomy is often the best option. In this procedure, small cuts are made in the abdomen. A tiny video camera and surgical tools are inserted through these cuts. Carbon dioxide gas is used to inflate the abdomen, providing more space for the surgeon to work.

Hospital Treatments for Cholecystitis:

When you're hospitalized for cholecystitis, treatments focus on easing the inflammation:

• Fasting: You might not be allowed to eat or drink initially to give your inflamed gallbladder a break.
• IV Fluids: Intravenous (IV) fluids are given to prevent dehydration.
• Antibiotics: If there's an infection, antibiotics may be necessary.
• Pain Medications: These help manage pain until the inflammation subsides.

Procedures to Remove Obstructions:

If gallstones are blocking the bile ducts, a procedure like ERCP can help. The dye used in ERCP helps identify the blockage, and tools can be used to remove the stones or clear the cystic duct.

Gallbladder Drainage (Cholecystostomy):

Sometimes, if surgery isn't possible, a procedure called cholecystostomy (gallbladder drainage) can be performed. This might involve:

• Percutaneous Drainage: A small tube is inserted through the skin of the abdomen.
• Endoscopic Drainage: A scope is passed through the mouth.

Recovery and Potential Recurrence:

Symptoms usually improve within 2-3 days. However, gallbladder inflammation can sometimes return. In many cases, eventually, surgery to remove the gallbladder is needed.

Gallbladder Removal Surgery (Cholecystectomy):

The most common method for gallbladder removal is laparoscopic cholecystectomy. This is a less invasive procedure compared to traditional open surgery (where a larger incision is made). The decision about whether to do the surgery during the hospital stay depends on the severity of your symptoms and your individual risk factors. After removal, bile flows directly from the liver to the small intestine, and you can still digest food normally.

Important Note: This information is for educational purposes only and is not a substitute for professional medical advice. Always consult with a healthcare provider for any health concerns or before making any decisions related to your health or treatment.