Matenda cholecystitis

Matenda a cholecystitis ndikutupa komanso kukwiya kwa ndulu yomwe imapitilira pakapita nthawi.

Ndulu ndi thumba lomwe lili pansi pa chiwindi. Amasunga bile yomwe imapangidwa m'chiwindi.

Kupaka kumathandiza pakudya mafuta m'matumbo ang'onoang'ono.

Nthawi zambiri, cholecystitis yayikulu imayamba chifukwa cha kuukira mobwerezabwereza kwa cholecystitis (mwadzidzidzi). Zambiri mwaziwopsezozi zimachitika chifukwa cha ndulu zam'matumbo.

Kuukira kumeneku kumapangitsa makoma a ndulu kukula. Nduluyo imayamba kuchepa. Popita nthawi, ndulu imalephera kusumika, kusunga, ndi kutulutsa bile.

Matendawa amapezeka kwambiri mwa amayi kuposa amuna. Zimakhala zofala pambuyo pa zaka 40. Mapiritsi oletsa kubereka ndi mimba ndizomwe zimawonjezera chiopsezo cha ndulu.

Cholecystitis pachimake ndichopweteka chomwe chimayambitsa matenda a cholecystitis. Sizikudziwika ngati cholecystitis yayikulu imayambitsa zizindikilo zilizonse.

Zizindikiro za pachimake cholecystitis zitha kuphatikiza:

• Kukupweteka, kupindika, kapena kupweteka pang'ono kumtunda chakumanja kapena kumtunda kwa mimba yanu
• Kupweteka kosatha kumatenga pafupifupi mphindi 30
• Ululu womwe umafalikira kumbuyo kwanu kapena pansi paphewa lanu lamanja
• Zojambula zofiira
• Malungo
• Nseru ndi kusanza
• Chikasu chachikopa ndi azungu amaso (jaundice)

Wothandizira zaumoyo wanu akhoza kuyitanitsa mayeso amwazi awa:

• Amylase ndi lipase kuti athe kuzindikira matenda a kapamba
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuyesa kwa chiwindi kuti muwone momwe chiwindi chikugwirira ntchito

Mayeso omwe amawulula ma gallstones kapena kutupa mu ndulu ndi awa:

• M'mimba ultrasound
• M'mimba mwa CT scan
• Kujambula kwa gallbladder (HIDA scan)
• Cholecystogram pakamwa

Opaleshoni ndiyo mankhwala ofala kwambiri. Opaleshoni yochotsa ndulu amatchedwa cholecystectomy.

• Laparoscopic cholecystectomy nthawi zambiri imachitika. Opaleshoniyi imagwiritsa ntchito mabala ocheperako, omwe amachira mwachangu. Anthu ambiri amatha kupita kunyumba kuchokera kuchipatala tsiku lomwelo ngati opaleshoni, kapena m'mawa mwake.
• Tsegulani cholecystectomy imafuna kudulidwa kwakukulu kumtunda wakumanja kwamimba.

Ngati mukudwala kwambiri kuti musachite opareshoni chifukwa cha matenda ena kapena zovuta zina, ma gallstones amatha kusungunuka ndi mankhwala omwe mumamwa. Komabe, izi zitha kutenga zaka 2 kapena kupitilira apo kuti zigwire ntchito. Miyala imatha kubwerera atalandira chithandizo.

Cholecystectomy ndi njira yodziwika bwino yomwe imakhala ndi chiopsezo chochepa.

Zovuta zingaphatikizepo:

• Khansa ya ndulu (kawirikawiri)
• Jaundice
• Pancreatitis
• Kukula kwa vutoli

Itanani omwe akukuthandizani ngati mukudwala matenda a cholecystitis.

Vutoli sikuti limalephereka nthawi zonse. Kudya zakudya zonenepetsa kungachepetse zizindikiro mwa anthu. Komabe, phindu la zakudya zopanda mafuta sizinatsimikizidwe.

Cholecystitis - matenda

• Kuchotsa gallbladder - laparoscopic - kutulutsa
• Kuchotsa ndulu - kutsegula - kutulutsa
• Miyala - kutulutsa

• Cholecystitis, CT kusanthula
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Miyala, cholangiogram
• Cholecystogram

Quigley BC, Adsay NV. Matenda a ndulu. Mu: Burt AD, Ferrell LD, Hubscher SG, olemba. MacSween's Pathology ya Chiwindi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 10.

Nkhani ND. Chiwindi ndi ndulu. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Ma Robbins ndi Matenda a Cotran Pathologic. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap.

Wang DQH, Afdhal NH. Matenda amtundu. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 65.