Pachimake cholecystitis

Pachimake cholecystitis ndi mwadzidzidzi kutupa ndi mkwiyo wa ndulu. Zimayambitsa kupweteka kwambiri m'mimba.

Ndulu ndi chiwalo chomwe chimakhala pansi pa chiwindi. Amasunga bile, yomwe imapangidwa m'chiwindi. Thupi lanu limagwiritsa ntchito bile kupukusa mafuta m'matumbo ang'onoang'ono.

Pachimake cholecystitis chimachitika ndulu ikamagwidwa mu ndulu. Izi zimachitika nthawi zambiri chifukwa mwala wamtengo wapatali umatseka chotumphukira, chubu chomwe bile imadutsa ndikutuluka mu ndulu. Mwala ukatseka njirayi, bile imakhazikika, ndikuyambitsa kukwiya komanso kukakamiza mu ndulu. Izi zitha kubweretsa kutupa ndi matenda.

Zina mwa zifukwa zake ndi izi:

• Matenda akulu, monga HIV kapena matenda ashuga
• Zotupa za ndulu (zosowa)

Anthu ena amakhala pachiwopsezo chopeza ndulu. Zowopsa ndi izi:

• Kukhala wamkazi
• Mimba
• Thandizo la mahomoni
• Ukalamba
• Kukhala Amwenye Achimereka kapena Achipanishi
• Kunenepa kwambiri
• Kuchepetsa kapena kunenepa mwachangu
• Matenda a shuga

Nthawi zina, njira ya bile imatsekedwa kwakanthawi. Izi zikachitika mobwerezabwereza, zimatha kubweretsa cholecystitis yayitali (yayitali). Uku ndikutupa komanso kukwiya komwe kumapitilira pakapita nthawi. Potsirizira pake, nduluyo imakhala yolimba komanso yolimba. Silisunga ndi kumasula bile monga momwe idachitiranso.

Chizindikiro chachikulu ndikumva kupweteka kumanja chakumanja kapena kumtunda kwa mimba yanu komwe kumatha pafupifupi mphindi 30. Mutha kumva:

• Kupweteka kwakuthwa, kupunduka, kapena kuzimiririka
• Kupweteka kokhazikika
• Ululu womwe umafalikira kumbuyo kwanu kapena pansi paphewa lanu lamanja

Zizindikiro zina zomwe zingachitike ndi monga:

• Zojambula zofiira
• Malungo
• Nseru ndi kusanza
• Chikasu chachikopa ndi azungu amaso (jaundice)

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za matenda anu. Pakati pa kuyezetsa thupi, mudzakhala ndi ululu pamene wothandizira akukukhudzani m'mimba.

Wopereka wanu atha kuyitanitsa mayeso amwazi awa:

• Amylase ndi lipase
• Bilirubin
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kuyesa kwa chiwindi

Kuyesa kuyerekezera kumatha kuwonetsa ma gallstones kapena kutupa. Mutha kukhala ndi mayesero amodzi kapena angapo:

• M'mimba ultrasound
• M'mimba mwa CT scan kapena pa MRI scan
• X-ray m'mimba
• Cholecystogram pakamwa
• Gallbladder radionuclide scan

Ngati mukumva kuwawa m'mimba, pitani kuchipatala nthawi yomweyo.

M'chipinda chodzidzimutsa, mupatsidwa madzi kudzera mumitsempha. Muthanso kupatsidwa maantibayotiki kuti muthane ndi matenda.

Cholecystitis imatha kuwonekera yokha. Komabe, ngati muli ndi miyala yamtengo wapatali, mudzafunika kuchitidwa opaleshoni kuti muchotse ndulu yanu.

Chithandizo chopanda chithandizo chimaphatikizapo:

• Maantibayotiki omwe mumatenga kunyumba kuti athane ndi matenda
• Zakudya zamafuta ochepa (ngati mungathe kudya)
• Mankhwala opweteka

Mungafunike kuchitidwa opaleshoni mwadzidzidzi ngati muli ndi zovuta monga:

• Chiwombankhanga (kufa kwa minofu) ya ndulu
• Kuwonongeka (dzenje lomwe limapangidwa pakhoma la ndulu)
• Pancreatitis (kapamba wotupa)
• Kupitilira kwamitsempha ya bile yolimbikira
• Kutupa kwa njira yodziwika ya bile

Ngati mukudwala kwambiri, chubu imatha kuyikidwa kupyola m'mimba mwanu mu ndulu yanu kuti muimitse. Mukakhala bwino, omwe akukuthandizani angakulimbikitseni kuti muchitidwe opaleshoni.

Anthu ambiri omwe achita opaleshoni kuti achotse ndulu yawo amachira kwathunthu.

Cholecystitis osachizidwa imatha kubweretsa mavuto aliwonse awa:

• Empyema (mafinya mu ndulu)
• Chiwombankhanga
• Kuvulaza ma ducts omwe amatulutsa chiwindi (atha kuchitika pambuyo pa opaleshoni ya ndulu)
• Pancreatitis
• Kuwonongeka
• Peritonitis (kutupa kwamkati pamimba)

Itanani omwe akukuthandizani ngati muli ndi:

• Zowawa zam'mimba zomwe sizimatha
• Zizindikiro za cholecystitis kubwerera

Kuchotsa ndulu ndi ma gallstones kumateteza kuukira kwina.

Cholecystitis - pachimake; Miyala - pachimake cholecystitis

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

• Dongosolo m'mimba
• Cholecystitis, CT kusanthula
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Miyala, cholangiogram
• Kuchotsa ndulu - Mndandanda

Glasgow RE, Mulvihill SJ. Chithandizo cha matenda am'mimba. 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 66.

Jackson PG, Evans SRT. Dongosolo Biliary. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 54.

Wang DQ-H, Afdhal NH. Matenda amtundu. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 65.