Cholecystitis

Mutsago unovhara mvura yero-girini inogadzirwa nechiropa, inonzi bile. Bile inoyerera kubva kuchiropa ichienda kumutsago. Inoramba iri mumutsago kusvika pazvinenge zvichidiwa kuti ibatsire pakudya. Panguva yekudya, mutsago unoburitsa bile mudumbu rebile. Dumbu rinotora bile kuenda kumusoro kwematumbu maduku, anonzi duodenum, kuti abvise mafuta ari mukudya.

Cholecystitis (ko-luh-sis-TIE-tis) kuzvimba nekutsamwa, kunonzi kuzvimba, kwemutsago. Mutsago ndiwo muviri mudiki, une chimiro chepea, uri kurudyi rwebvudzi pasi pechiropa. Mutsago unovhara mvura inodya chikafu. Mvura iyi inonzi bile. Mutsago unoburitsa bile mudumbu duku.

Kazhinji kazhinji, matombo emutsago anovhara chubhu inobuda mumutsago ndiyo inokonzera cholecystitis. Izvi zvinoita kuti bile iunganidzwe inogona kukonzera kuzvimba. Zvimwe zvinokonzera cholecystitis zvinosanganisira kuchinja kwe bile duct, zvironda, chirwere chakakomba uye mamwe mahutachiona.

Kana isina kurapwa, cholecystitis inogona kukonzera matambudziko akakomba, akadai sekuparara kwemutsago. Izvi zvinogona kutyisidzira hupenyu. Kurapwa kwe cholecystitis kazhinji kunosanganisira kuvhiya kubvisa mutsago.

Zviratidzo zve cholecystitis zvinogona kusanganisira: Kurwadziwa kwakanyanya mudumbu rine kurudyi kana pakati. Kurwadziwa kunopararira kugokora rworudyi kana kumashure. Munhu anonzwa kurwadziwa kana mudumbu rake rabatiswa. Kusvotwa. Kuita manyoka. Kupisa. Zviratidzo zve cholecystitis kazhinji zvinoitika mushure mekudya. Kudya kukuru kana kwakakora mafuta ndiko kunonyanya kukonzera zviratidzo. Ita musangano nachiremba wako kana uine zviratidzo zvinokunetsa. Kana kurwadziwa kwemudumbu kwakasimba zvekuti haugone kugara kana kunyarara, ita kuti mumwe munhu akutakure ku emergency room.

Enda kuongorori wako wehutano kana uine zviratidzo zvinokunetsa. Kana kurwadziwa kwemudumbu kwako kuri kukura zvekuti haugone kugara kana kunyarara, ita kuti mumwe munhu akutakure kuimba rekuvhuvhuta.

Cholecystitis chirwere chinokonzera kuzvimba kwe gallbladder. Kuchema kwe gallbladder kunogona kukonzerwa ne:

• Matombo emarara. Kazhinji, cholecystitis inokonzerwa ne zvidimbu zvakaoma zvebile zvinogona kuumbwa mu gallbladder, zvinonzi gallstones. Gallstones inogona kudzivirira chubhu inotakura bile painobva mu gallbladder. Chubhu yacho inonzi cystic duct. Bile inoungana mu gallbladder, ichikonzera kuzvimba nekutsamwa.
• Tumor. Tumor inogona kudzivirira bile kubva pakubuda mu gallbladder sezvaifanira. Izvi zvinoita kuti bile iungane izvo zvinogona kutungamira ku cholecystitis.
• Kuchena kwe bile duct. Matombo kana bile yakakora uye zvidimbu zvidiki zvinonzi sludge zvinogona kudzivirira bile duct uye kutungamira ku cholecystitis. Kuita kinking kana kuita mavara e bile ducts kunogona zvakare kukonzera kuvhara.
• Hutachiona. AIDS nezvimwe zvirwere zvinokonzerwa nemavhairasi zvinogona kukonzera kuzvimba kwe gallbladder nekutsamwa.
• Chirwere chakakomba. Chirwere chakakomba zvikuru chinogona kukuvadza midziyero yeropa uye kuderedza kuyerera kweropa kuenda ku gallbladder. Izvi zvinogona kutungamira ku cholecystitis.

Kuva nemabwe emura muura ndicho chinhu chikuru chinokonzera cholecystitis.

Kana isingarapwa, cholecystitis inogona kukonzera matambudziko akakomba, anosanganisira:

• Kuvira mukati megallbladder. Kana bile ikaunganidzwa mu gallbladder, bile inogona kuvira.
• Kufa kwe tishu ye gallbladder. Cholecystitis isingarapwi inogona kukonzera kuti tishu iri mu gallbladder ife. Izvi zvinonzi gangrene. Ichi chikanganiso chinonyanya kukanganisa vanhu vakwegura, avo vanokurumidza kurapwa uye avo vane chirwere cheshuga. Gangrene inogona kukonzera kuchema mu gallbladder. Kana kuti inogona kukonzera kuti gallbladder iputike.
• Gallbladder yakabvaruka. Kuchema, kunonzi perforation, mu gallbladder kunogona kubva pakukura kwe gallbladder kana kuvira kana kufa kwe tishu ye gallbladder.

Unogona kuderedza njodzi yako ye cholecystitis nekutevera matanho anotevera ekudzivirira gallstones:

• Deredza uremu zvishoma nezvishoma. Kurasikirwa neuremu nekukurumidza kunogona kuwedzera njodzi ye gallstones.
• Iva neuremu hwakakodzera. Kuwanda kwemuviri kunokupa mukana mukuru wekuwana gallstones. Kuti uwane uremu hwakakodzera, cheka macalorie uye wedzera basa rako remuviri. Gara uchirema zvakakodzera kuburikidza nekudya kwakanaka uye kurovedza muviri.
• Sarudza chirongwa chekudya chine hutano. Kudya zvokudya zvine mafuta mazhinji uye zvishoma mu fiber kunogona kuwedzera njodzi ye gallstones. Kuti uderedze njodzi yako, dyisa michero yakawanda, miriwo nemagorosi ese.

Kuongorora cholecystitis, mushandi wehutano wako anoita bvunzo yemuviri uye anokubvunza nezve zviratidzo zvako uye nhoroondo yako yezvokurapa. Kuongororwa uye nzira dzinoshandiswa kuongorora cholecystitis dzinosanganisira:

• Kuongororwa kweropa. Kuongororwa kweropa kunogona kutsvaga zviratidzo zvehutachiona kana zvimwe zvinetso zve gallbladder.
• Kuongororwa kwemuenzaniso kunoratidza gallbladder yako. Ultrasound yepamuviri, endoscopic ultrasound, CT scan kana magnetic resonance cholangiopancreatography inogona kutora mifananidzo ye gallbladder yako uye bile ducts. Mifananidzo iyi inogona kuratidza zviratidzo zve cholecystitis kana matombo ari mubile ducts ne gallbladder.
• Kuongororwa kunoratidza kufamba kwe bile mumuviri. Hepatobiliary iminodiacetic acid (HIDA) scan inotevera kugadzirwa nekufamba kwe bile kubva muchiropa kuenda mumatumbo maduku. HIDA scan inosanganisira kuisa dye inobuda mwaranzi mumuviri wako. Dye inonamira kumasero anoita bile. Panguva yekuongororwa, dye inogona kuonekwa sezvinofamba ne bile kuburikidza ne bile ducts. Izvi zvinogona kuratidza chero matambudziko.

Endoscopic retrograde cholangiopancreatography Enlarge image Close Endoscopic retrograde cholangiopancreatography Endoscopic retrograde cholangiopancreatography Endoscopic retrograde cholangiopancreatography (ERCP) inoshandisa dhayi kuratidza nzira dzebile pamifananidzo yeX-ray. Iyo yakatetepa, inochinjika chubhu ine kamera pamagumo, inonzi endoscope, inopfuura nemuhuro uye ichipinda mudumbu diki. Dhayi inopinda munzira kuburikidza nechubhu diki ine mhango, inonzi catheter, inopfuura nepakati peendoscope. Zvishandiso zvidiki zvinopfuura nepakati pecatheter zvinogona zvakare kushandiswa kubvisa matombo egall. Laparoscopic cholecystectomy Enlarge image Close Laparoscopic cholecystectomy Laparoscopic cholecystectomy Zvishandiso zvekuvhiya zvakakosha uye kamera diki yevhidhiyo zvinoiswa kuburikidza nekucheka, kunonzi incisions, mudumbu panguva ye laparoscopic cholecystectomy. Carbon dioxide gas inozadza dumbu kuti iite nzvimbo yekuti chiremba ave kushanda nezvishandiso zvekuvhiya. Kurapwa kwecholecystitis kazhinji kunosanganisira kugara muchipatara kudzora kuzvimba uye kutsamwa, kunonzi kuzvimba, mudumbu rako. Dzimwe nguva, kuvhiyiwa kunodiwa. Muchipatara, marapirwo ekudzora zviratidzo zvako anogona kusanganisira: Kutsanya. Unogona kusakwanisa kudya kana kunwa pakutanga kuti ubvise kushushikana padumbu rako rakazvimba. Mvura kuburikidza netsinga muruoko rwako. Kurapwa uku kunobatsira kudzivirira kurasikirwa kwemvura yemuviri, kunonzi dehydration. Mishonga inorwisa mabhakitiriya kurwisa hutachiona. Unogona kuda izvi kana dumbu rako riine hutachiona. Mishonga yekudzora marwadzo. Izvi zvinogona kubatsira kudzora marwadzo kusvikira kuzvimba mudumbu rako kwadzikira. Maitiro ekubvisa matombo. Unogona kuve nemaitiro anonzi endoscopic retrograde cholangiopancreatography (ERCP). Maitiro aya anoshandisa dhayi kuita kuti nzira dzebile dziratidze panguva yekufungidzira. Ipapo nyanzvi yehutano inogona kushandisa zvishandiso kubvisa matombo anovhara nzira dzebile kana cystic duct. Kubvisa mvura mudumbu. Dzimwe nguva, kubvisa mvura mudumbu, kunonzi cholecystostomy, kunogona kubvisa hutachiona. Unogona kuve nemaitiro aya kana usingakwanise kuvhiyiwa kubvisa dumbu rako. Kubvisa mvura mudumbu, nyanzvi yehutano inogona kupfuura nepaganda padumbu. Iyi nzira inonzi percutaneous drainage. Kana nyanzvi yehutano yaigona kupfuudza chikwangwani nemuromo, kunonzi endoscopic drainage. Zviratidzo zvako zvinogona kuita zviri nani mumazuva maviri kusvika matatu. Asi kuzvimba kwedumbu kunowanzo dzoka. Nekufamba kwenguva, vanhu vazhinji vane cholecystitis vanoda kuvhiyiwa kubvisa dumbu. Kuvhiyiwa kwekubvisa dumbu Maitiro ekubvisa dumbu anonzi cholecystectomy. Kazhinji, iyi inzira isinganyanyi kukuvadza inonzi laparoscopic cholecystectomy. Rudzi urwu rwekuvhiya runoshandisa kucheka kudiki kunonzi incisions mudumbu rako. Maitiro akavhurika, umo kucheka kwakareba kunoitwa mudumbu rako, hakudiwi kazhinji. Nguva yekuvhiyiwa inoenderana nekuti zviratidzo zvako zvakaipa sei uye njodzi yako yese yezvinetso panguva uye mushure mekuvhiyiwa. Kana njodzi yako yekuvhiyiwa iri pasi, unogona kuve nekuvhiyiwa panguva yekugara kwako muchipatara. Kana dumbu rako rabviswa, bile inoyerera kubva pachiropa chako ichipinda mudumbu diki, pane kuchengetwa mudumbu. Unogona kuramba uchigaya chikafu usina dumbu. Kumbira nguva yekuongororwa Pane dambudziko neruzivo rwakasimbiswa pazasi uye woitumira fomu zvakare. Tora ruzivo rwezvehutano kubva kuMayo Clinic rwunotumirwa kune yako inbox. Nyorera mahara uye gamuchira gwara rako rakadzama rehutano hwekugaya. Dzvanya pano kuti uwane email preview. Email kero Kukanganisa Email ndiyo inodiwa Kukanganisa Isa email kero inoshanda Kero 1 Nyorera Dzidza zvakawanda nezve kushandisa kweMayo Clinic kwedata. Kuti tikupe ruzivo rwakakosha uye runobatsira, uye tinzwisise kuti ndeipi ruzivo runobatsira, tinogona kusanganisa email yako neruzivo rwekushandisa webhusaiti nerumwe ruzivo rwatinaro nezvako. Kana uri murwere weMayo Clinic, izvi zvinogona kusanganisira ruzivo rwehutano rwakachengetedzwa. Kana tikabatanidza ruzivo urwu neruzivo rwako rwehutano rwakachengetedzwa, tichabata ruzivo rwese irworwo seruzivo rwehutano rwakachengetedzwa uye tichangoshandisa kana kuburitsa ruzivo irworwo sezvakatarwa muchiziviso chedu chekuchengetedza kuvanzika. Unogona kusarudza kubvisa kunyorerana kwemaemail chero nguva nekudzvanya pane unsubscribe link muemail. Ndatenda nekunyorera Gwara rako rakadzama rehutano hwekugaya richava muinbox yako munguva pfupi. Uchagamuchirawo maemail kubva kuMayo Clinic nezvenhau dzehutano, tsvakiridzo, uye kutarisirwa. Kana ukasagamuchira email yedu mukati memaminitsi mashanu, tarisa muSPAM folder yako, wobva wabata nesu pane [email protected]. Ndine urombo chimwe chinhu chakakanganisika nekunyorerana kwako Ndapota, edza zvakare mumaminitsi mashoma Edza zvakare