Cholecystitis Chii? Zviratidzo, Zvinokonzera, & Kurapa

Cholecystitis ndeyokuvira kwe gallbladder yako, nhengo duku iri pasi pechiropa chako inobatsira pakudya mafuta. Paunenge gallbladder yako ichivava, inogona kukonzera kurwadziwa kukuru nekusaora mwoyo, kazhinji mudumbu rako rworudyi rwakakwirira. Iyi chirwere chinotapura mamirioni evanhu gore rega rega uye inosiyana kubva kune zviitiko zvinyoro zvinozvigadzirisa pachawo kusvika kune zvakakomba zvinoda rubatsiro rwekurapa nekukurumidza.

Cholecystitis Chii?

Cholecystitis inoitika apo madziro e gallbladder yako anovava uye anokwenya. Gallbladder yako yakaita sechikwama chiduku chekuchengetera bile, mvura yekudya chiropa chako chinoita kuti chiparadze mafuta mune zvaunodya.

Paunenge kuvira kuchikwira, gallbladder yako haigone kushanda zvakanaka. Kuvira kunogona kudzivirira kuyerera kwakajairwa kwe bile, zvichikonzera kurwadziwa nezvimwe zviratidzo zvisina kunaka. Fungidzira sekuvhara mugwagwa mune yako digestive system.

Kazhinji zviitiko zvinoitika kamwe kamwe uye zvinonzi acute cholecystitis. Zvisinei, vamwe vanhu vanosangana ne chronic cholecystitis, uko kuvira kunokura zvishoma nezvishoma kwemwedzi kana makore. Marudzi ese maviri anogona kukanganisa hupenyu hwako hwezuva nezuva kana asina kurapwa.

Zviratidzo zveCholecystitis Ndeapi?

Chiratidzo chakajairika ndekurwadziwa kwakasimba mudumbu rako rworudyi rwakakwirira, kazhinji richipinda muhudyu rako rworudyi kana kumashure. Ichi kurwadziwa kazhinji kunouya kamwe kamwe uye kunogona kunzwa kwakapinza, kukwenya, kana kusingaperi.

Aya ndiwo zviratidzo zvikuru zvaunogona kusangana nazvo:

• Kurwadziwa kwakasimba mudumbu kunowedzera paunotora mweya wakadzika
• Kusvotwa nekurutsa, kunyanya mushure mekudya zvekudya zvine mafuta
• Fivha nekudedera kana paine hutachiona
• Kunzwa kurwadziwa paunobata mudumbu rako rworudyi rwakakwirira
• Kutemwa nemhepo uye kunzwa wakazara zvisina kunaka
• Kushaya chido chekudya

Vamwe vanhu vanonzwawo zviratidzo zvavo zvichiwedzera mushure mekudya, kunyanya kudya kwakakwirira mafuta. Kurwadziwa kunogona kutanga zvishoma asi kunogona kukurumidza kuva kwakasimba zvakakwana kuti kukanganise mabasa emazuva ese.

Mukadiki kazhinji, unogona kusangana ne jaundice (kuvava kwepande yako nemaziso) kana gallstone ikavhara bile duct yako. Iyi inyaya yakakomba inoda rubatsiro rwekurapa nekukurumidza.

Marudzi eCholecystitis Ndeapi?

Cholecystitis ine mafomu maviri makuru: acute ne chronic. Acute cholecystitis inokura nekukurumidza, kazhinji mukati memaawa, uye inokonzera zviratidzo zvakasimba zvinoda rubatsiro rwekurapa nekukurumidza.

Acute cholecystitis kazhinji inobva ku gallstones dzichidzivirira bile ducts yako. Kudzivirirwa kunobata bile mukati me gallbladder yako, zvichikonzera kuunganidzwa kwekumanikidza, kuvira, uye dzimwe nguva hutachiona. Iyi mhando kazhinji inoda kupihwa kurapwa muchipatara uye kurapwa nekukurumidza.

Chronic cholecystitis inokura zvishoma nezvishoma kwemwedzi kana makore. Madziro e gallbladder yako anoita gobvu uye ane mabara kubva kune zviitiko zvakawanda zvekuvira kwakanyoro. Kunyangwe zviratidzo zvichinyanya kuve zvishoma pane zviitiko zvakakomba, chronic cholecystitis inogona kukonzera kusagadzikana kwenguva refu uye matambudziko ekudya.

Panewo rudzi rushoma runonzi acalculous cholecystitis, rinoitika pasina gallstones. Iyi fomu kazhinji inotapura vanhu vanorwara zvakanyanya, vane hutachiona hwakakomba, kana vanosangana nematambudziko makuru. Inomiririra anenge 5-10% yezviitiko zve cholecystitis zvese.

Zvinokonzera Cholecystitis Ndeapi?

Gallstones ndidzo dzinoita anenge 95% yezviitiko zve cholecystitis. Aya maduku, akasimba madiki anoita kana zvinhu zviri mubile yako zvisingaenzani uye zvichiita semakristasi ane chitarisiko chematombo.

Aya ndiwo makuru zvinokonzera izvi chirwere:

• Gallstones dzichidzivirira chubhu inotakura bile kubva mu gallbladder yako
• Bile sludge (bile yakakora, inonamira) isingakwanisi kuyerera zvakanaka
• Zvirwere zvinodzivirira kuyerera kwe bile, kunyangwe izvi zvisingawanzoitika
• Kurwara kwakakomba kana kuvhiyiwa kukuru kunokanganisa kuyerera kweropa kuenda ku gallbladder yako
• Zvimwe zvirwere zvinogona kuvira gallbladder yako zvakananga
• Matambudziko eropa anoderedza ropa rinopinda mu gallbladder

Paunenge gallstones ichidzivirira bile ducts yako, bile inodzoka mu gallbladder yako sekunge mvura iri kumashure kwemudzi. Iyi kuunganidzwa kunoumba kumanikidza nekukwenya, zvichikonzera kuvira nekurwadziwa.

Zvishoma, cholecystitis inogona kukura pasina gallstones. Izvi kazhinji zvinoitika kune vanhu vanorwara zvakanyanya, vane chirwere cheshuga, kana vakasangana nematambudziko makuru emuviri sekushanda kana kupiswa kwakakomba.

Rini Unofanira Kuona Chiremba weCholecystitis?

Unofanira kutsvaga rubatsiro rwekurapa nekukurumidza kana ukasangana nekurwadziwa kwakasimba mudumbu kunosakurumidza kuvandudzika mukati memaawa mashoma. Usambomira, kunyanya kana kurwadziwa kuchiperekedzwa nefivha, kudedera, kana kurutsa.

Fonera chiremba wako nekukurumidza kana ukaona kuvara kwepande yako kana maziso, sezvo izvi zvingaratidza bile duct yakavharwa. Fivha yakakwira (inopfuura 101°F) pamwe chete nekurwadziwa mudumbu zvinodawo kuongororwa nekukurumidza nevanachiremba.

Kunyangwe zviratidzo zvinyoro zvinoda kutarisirwa kana zvikaenderera kwezuva rimwe kana maviri. Kusvotwa kwenguva refu, kushaya chido chekudya, uye kurwadziwa mudumbu kunodzokororwa mushure mekudya kunogona kuratidza cholecystitis iri kukura inoda kuongororwa nemunyanzvi.

Tenda pfungwa dzako pamusoro pemuviri wako. Kana chimwe chinhu chichiita sekusina kunaka kana uri kunetseka nezviratidzo zvako, zviri nani kugara uchitarisa uye kubata nehutano hwako.

Zvinokonzera Njodzi dzeCholecystitis Ndeapi?

Zvinhu zvakati wandei zvinogona kuwedzera mikana yako yekuwana cholecystitis, nemakore nepabonde zvichiita basa rakakura. Vakadzi vanonyanya kunetseka ne gallstones ne cholecystitis, kunyanya avo vane makore anopfuura 40.

Aya ndiwo makuru zvinokonzera njodzi zvekuziva:

• Kuva mudzimai, kunyanya vakadzi vane makore anopfuura 40
• Nhoroondo yemhuri ye gallbladder chirwere
• Kutadza uremu kana kuderedza uremu nekukurumidza
• Kukura kana kukura kwakaitwa munguva pfupi yapfuura
• Chirwere cheshuga kana insulin resistance
• Cholesterol yakakwira
• Hupenyu husingashande
• Kudya kwakakwirira mafuta uye kwakaderera fiber
• Mishonga yakati wandei senge mapiritsi ekudzivirira pamuviri kana hormone therapy

Mamwe mapoka emarudzi, kusanganisira Native Americans ne Mexican Americans, ane huwandu hwakakwira hwe gallbladder chirwere. Makore anoitawo basa, sezvo njodzi ichikwira zvakanyanya mushure memakore 60.

Kuderedza uremu nekukurumidza, kungave kubva pakudya kana kuvhiyiwa kwe bariatric, kunogona kukonzera gallstone kuumbwa. Zvinoshamisa, kuzara uremu nekuderedza uremu nekukurumidza zvinoumba mamiriro anoita kuti cholecystitis ikure.

Matambudziko Anogona Kuitika eCholecystitis Ndeapi?

Kunyangwe zviitiko zvakawanda zve cholecystitis zvichigadziriswa nerurapwo rwakakodzera, kuvira kusina kurapwa kunogona kukonzera matambudziko akakomba. Aya matambudziko ndiwo anoita kuti kutsvaga rubatsiro rwekurapa nekukurumidza kuve kwakakosha kwazvo.

Matambudziko akajairika anosanganisira:

• Hutachiona hwe gallbladder (empyema), hunogona kupararira kune nhengo dziri pedyo
• Gallbladder rupture kana perforation, zvichikonzera bile kubuda mudumbu rako
• Gangrene ye gallbladder tissue kana ropa risina kukwana
• Bile duct obstruction inokonzera jaundice nematambudziko echiropa
• Pancreatitis kana gallstones ikavhara pancreatic duct
• Kuumbwa kwe abscess kutenderera gallbladder

Aya matambudziko anogona kutyisidzira hupenyu uye kazhinji anoda kuvhiyiwa kwekukurumidza. Hutachiona hunogona kupararira mudumbu rako rese, zvichikonzera mamiriro anonzi peritonitis anoda kurapwa nekukurumidza kwazvo.

Zvinofadza kuti, nerubatsiro rwekurapa nekukurumidza, vanhu vazhinji vane cholecystitis vanodzoka zvakakwana pasina kusangana neaya matambudziko akakomba. Kuita zvinhu nekukurumidza ndicho chinhu chikuru chekudzivirira aya migumisiro yakakomba.

Cholecystitis Inogona Kudzivirirwa Sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zve cholecystitis, sarudzo dzehupenyu dzakati wandei dzinogona kuderedza njodzi yako zvakanyanya. Chinhu chikuru ndechekuchengetedza tsika dzinotsigira gallbladder yakasimba uye kudzivirira gallstone kuumbwa.

Tarisisa pakuchengetedza uremu hwakanaka kuburikidza nezvinhu zvishoma nezvishoma, zvinogara kwenguva refu pane kudya kwenguva pfupi. Kuderedza uremu nekukurumidza kunogona kukonzera gallstone kuumbwa, saka edza kuderedza 1-2 mapaundi pavhiki kana uchida kuderedza uremu.

Dya kudya kwakakwana kwakakwirira mu fiber kubva kuzvibereko, miriwo, uye zviyo zvizere. Deredza mafuta asina kunaka nezvekudya zvakagadzirwa, izvo zvinogona kukonzera gallstone kuumbwa. Kudya kazhinji kunobatsirawo gallbladder yako kubuda zvakanaka.

Rambai muchiita zvemitambo nekuita zvemitambo nguva dzose, kunyangwe kungofamba kwemaminitsi makumi matatu mazuva mazhinji. Kuita zvemitambo kunobatsira kuchengetedza cholesterol yakasimba uye kunotsigira hutano hwe digestive.

Kana uri panjodzi nekuda kwenhoroondo yemhuri kana zvimwe zvinhu, kurukurai nzira dzekudzivirira nachiremba wako. Vanogona kukurudzira kuchinja kwe kudya kana kukutevera zvakanyanya kuti uone zviratidzo zve gallbladder matambudziko.

Cholecystitis Inoziviswa Sei?

Chiremba wako anotanga nekubvunza nezviratidzo zvako uye kuongorora mudumbu rako, kunyanya kutarisa kana paine kurwadziwa kurutivi rwako rworudyi. Vachaongororawo nhoroondo yako yekurapa nenhoroondo yemhuri ye gallbladder chirwere.

Kuongororwa kweropa kazhinji ndiyo nhanho yekutanga yekuongorora. Izvi zvinogona kuratidza zviratidzo zvekuvira, hutachiona, kana matambudziko e chiropa anoratidza cholecystitis. Kuwedzera kwe white blood cell count kazhinji kunoratidza kuvira kana hutachiona.

Kuongororwa kwemifananidzo kunopa mufananidzo wakajeka wezviri kuitika mu gallbladder yako. Ultrasound kazhinji ndiyo yekutanga kuongororwa kwemifananidzo nekuti yakachengeteka, isina kurwadza, uye inoshanda zvikuru pakutsvaga gallstones ne gallbladder kuvira.

Mukadiki kazhinji, chiremba wako anogona kuraira CT scan kana MRI kuti awane mifananidzo yakadzama. Kuongororwa kunonzi HIDA scan kunogona kuratidza kuti gallbladder yako iri kushanda sei nekutevera kuyerera kwe radioactive tracer kuburikidza ne bile ducts yako.

Aya kuongororwa anobatsira chiremba wako kuona kwete chete kana uine cholecystitis, asiwo kuti yakakomba sei uye kuti nzira ipi yekurapa ichaita zvakanaka munyaya yako.

Kurapa kweCholecystitis Chii?

Kurapa kwe cholecystitis kunoenderana nekuoma kwemamiriro ako uye kana paine matambudziko. Kazhinji zviitiko zvinoda kupihwa kurapwa muchipatara, pakutanga, kuti vadzore kurwadziwa uye kuongorora.

Kurapwa nekukurumidza kazhinji kunosanganisira mvura inopihwa muchipatara, mushonga wekurwadziwa, uye maantibayotiki kana paine hutachiona. Chiremba wako anogona kukurudzira kusadya pakutanga kuti ape gallbladder yako mukana wekupumha uye kuderedza kuvira.

Kuvhiyiwa ndicho kurapa kwakakwana kwezviitiko zvakawanda zve cholecystitis. Laparoscopic cholecystectomy (kubvisa gallbladder kuburikidza nekucheka duku) ndiro nzira yakajairwa. Iyi nzira isina kukanganisa kazhinji inobvumira kupora nekukurumidza kupfuura kuvhiyiwa kwakajairwa.

Nguva yekuvhiyiwa inoenderana nemamiriro ako chaiwo. Vamwe vanhu vanoita kuvhiyiwa mukati memaawa 24-48 mushure mekuongororwa, nepo vamwe vangamirira kusvikira kuvira kwakakomba kwadzoka. Timu yako yekuvhiyiwa ichaona nguva yakakodzera zvichienderana nehutano hwako hwese uye kuomarara kwezviratidzo.

Kune vanhu vasina kukwanisa kuvhiyiwa nekuda kwemamiriro ehutano, kurapwa kwakasiyana senge nzira dzekubudisa kana mishonga yekuparadza gallstones inogona kufungwa, kunyangwe kuvhiyiwa kuchiri mhinduro yakakwana kwenguva refu.

Maitiro ekutora Kurapa Kumba panguva yeCholecystitis?

Kunyangwe cholecystitis ichida kurapwa kwechiremba, pane matanho ekutsigira aunogona kutora kumba kuti ubatsire kudzora zviratidzo uye kubatsira kupora kwako. Tevedzera mirayiridzo chaiyo yechiremba wako uye usambomira kurapa zviratidzo zvakakomba wega.

Kudzorwa kwekurwadziwa kumba kunofanira kungoitwa chete nezviratidzo zvinyoro kana sezvakarayirwa nehutano hwako. Mishonga yekurwadziwa inowanikwa pasina kuraira senge acetaminophen inogona kubatsira, asi usatora aspirin kana ibuprofen sezvo inogona kuwedzera njodzi yekubuda ropa kana kuvhiyiwa kuchidikanwa.

Panguva yekupora, tarisa pakudya zviduku, zvekudya zvinowanzoitika zvine mafuta mashoma. Tanga nezvinwiwa zvakajeka uye zvishoma nezvishoma uende kune zvekudya zvisina kunaka senge toast, mupunga, nemabhanana sezvinobvumidzwa. Dzivisa mafuta, akakangwa, kana zvekudya zvinopisa zvinogona kukonzera zviratidzo.

Isa kupisa kwakanyoro mudumbu rako rworudyi rwakakwirira uchishandisa heating pad pane yakaderera kwemaminitsi 15-20 panguva. Izvi zvinogona kupa zororo, asi usashandise kupisa kana uine fivha kana zviratidzo zvehutachiona.

Kuzorora kwakakosha pakurapa. Dzivisa mabasa ane simba uye zorora zvakakwana kuti ubatsire muviri wako kupora. Rambai muchinwa mvura zuva rese, kunyanya kana muri kurutsa.

Unofanira Kugadzirira Sei Kune Chiremba Wako?

Usati wasvika pakuchata, nyora zviratidzo zvako zvese, kusanganisira pavakatanga uye zvinhu zvinoita kuti zvive nani kana zvakanyanya kuipa. Cherechedza zvekudya kana mabasa anoita sekukonzera kurwadziwa kwako, sezvo ruzivo urwu ruchibatsira chiremba wako kuita kuongororwa kwakakwana.

Gadzira rondedzero yakakwana yemishonga yese yaunotora, kusanganisira mishonga inorayirwa nachiremba, mishonga inowanikwa pasina kuraira, uye zvinowedzerwa. Unganidzawo ruzivo pamusoro penhoroondo yako yekurapa nenhoroondo yemhuri ye gallbladder kana chiropa chirwere.

Chengetedza bhuku rakareruka rekurwadziwa kwemazuva mashoma usati wasvika pakuchata kana zvichibvira. Rondedzera kurwadziwa kwako pane chiyero che 1-10 uye cherechedza zvawaiita pazvaitika. Izvi zvinobatsira chiremba wako kunzwisisa muenzaniso nekuomarara kwezviratidzo zvako.

Nyora mibvunzo yaunoda kubvunza chiremba wako. Sanganisira kunetseka nezve nzira dzekurapa, nguva yekupora, kuchinja kwe kudya, uye rini unofanira kutsvaga rubatsiro rwekukurumidza. Kuva nemibvunzo yako yakagadzirira kunoita kuti usakanganwe nyaya dzakakosha panguva yekuchata kwako.

Uyai neshamwari inotsigira kana nhengo yemhuri kana zvichibvira. Vanogona kukubatsira kuyeuka ruzivo rwakataurwa panguva yekuchata kwako uye kupa rutsigiro kana uri kunzwa kunetseka nezviratidzo zvako.

Chii Chinonyanya Kukosha Nezve Cholecystitis?

Cholecystitis chirwere chakajairika asi chakakomba chinoda rubatsiro rwekurapa nekukurumidza kana zviratidzo zvikaonekwa. Kunyangwe kurwadziwa nekusaora mwoyo zvingatyisa, vanhu vazhinji vanodzoka zvakakwana nerurapwo rwakakodzera.

Chinhu chakakosha chokuyeuka ndechekusarega kurwadziwa kwakasimba mudumbu, kunyanya kana kuchiperekedzwa nefivha, kusvotwa, kana kurutsa. Kuita zvinhu nekukurumidza kunogona kudzivirira matambudziko uye kazhinji kunotungamira kumigumisiro iri nani.

Kuvhiyiwa kubvisa gallbladder kwakanyanya kushanda uye kunobvumira vanhu vazhinji kudzoka kumabasa emazuva ese mukati mevhiki mashoma. Unogona kurarama hupenyu hwakanaka zvachose pasina gallbladder yako, sezvo chiropa chako chichaenderera mberi kuchigadzira bile yekudya.

Kudzivirira kuburikidza nesarudzo dzehupenyu hwakanaka kunogona kuderedza njodzi yako yekuwana cholecystitis. Kuchengetedza uremu hwakanaka, kudya kudya kwakakwana, uye kuramba uchiita zvemitambo zvinotsigira hutano hwe gallbladder.

Mibvunzo InowanzoBvunzwa Nezve Cholecystitis

Unogona kurarama zvakanaka pasina gallbladder?

Hongu, unogona kurarama hupenyu hwakanaka zvachose pasina gallbladder yako. Chiropa chako chinoenderera mberi kuchigadzira bile yekudya, uye kunyangwe vamwe vanhu vachisangana nekuchinja kwe digestive kwenguva pfupi mushure mekuvhiyiwa, vazhinji vanoshanduka nekukurumidza. Vanhu vazhinji vanonzwa zvakanaka mushure mekubviswa kwe gallbladder nekuti havacharwadziwa nekusaora mwoyo kwe cholecystitis.

Zvinotora nguva yakareba sei kupora kubva pakuvhiyiwa kwe gallbladder?

Kupora kubva pakubviswa kwe laparoscopic gallbladder kazhinji kunotora mavhiki 1-2 emabasa emazuva ese uye mavhiki 4-6 ekupora zvizere. Unogona kudzokera kumba zuva rimwe chete kana mushure meusiku humwe muchipatara. Vanhu vazhinji vanogona kudzokera kubasa mukati mevhiki, kunyangwe kukwidza zvinorema kunofanira kudziviswa kwemavhiki akawanda.

Zvekudya zvaunofanira kudzivisa mushure mekuvhiyiwa kwe gallbladder ndeipi?

Pakutanga mushure mekuvhiyiwa, unoda kudzivisa zvekudya zvine mafuta akawanda senge zvinhu zvakakangwa, nyama ine mafuta, uye madeserts ane mafuta. Tanga nezviduku, zvekudya zvinowanzoitika zvine mafuta mashoma uye zvishoma nezvishoma udzokere kune zvimwe zvekudya sezvinobvumidzwa. Vanhu vazhinji vanogona pakupedzisira kudzokera kune zvekudya zvavo zvakajairwa, kunyangwe vamwe vangada kuderedza zvekudya zvine mafuta akawanda.

Cholecystitis inogara ichikonzerwa ne gallstones here?

Kunyangwe gallstones ichikonzeresa anenge 95% yezviitiko zve cholecystitis, mamiriro acho anogona kuitika pasina matombo aripo. Izvi zvinonzi acalculous cholecystitis uye kazhinji zvinotapura vanhu vanorwara zvakanyanya, vane hutachiona hwakakomba, kana vakasangana nematambudziko makuru. Zvisinei, cholecystitis ine chokuita ne gallstones ndicho chikamu chikuru.

Cholecystitis inogona kudzokera mushure mekurapwa here?

Kana gallbladder yako ikabviswa nekuvhiyiwa, cholecystitis haigone kudzokera nekuti nhengo yacho haisipo. Zvisinei, kana uri kurapwa nemishonga kana mamwe maitiro asina kuvhiyiwa, zviratidzo zvinogona kudzokera. Ndosaka kubviswa nekuvhiyiwa kuchifungwa kurapa kwakakwana kwezviitiko zvakawanda zve cholecystitis.