Chirwere cholecystitis

Chisingaperi cholecystitis iko kuzvimba uye kutsamwa kwegongo rinoramba richienderera nekufamba kwenguva.

Iyo nduru isaga iri pasi pechiropa. Iyo inochengeta bile iyo inogadzirwa muchiropa.

Bira rinobatsira nekuzeya kwemafuta ari mudumbu ura.

Kazhinji yenguva, chorecystitis chisingaperi inokonzerwa nekurwiswa kwakanyanya kweacute (kamwe) cholecystitis. Mazhinji ekurwiswa uku anokonzerwa nenduru dziri muguruva.

Uku kurwisa kunokonzera madziro eguruva kukura. Iyo nduru inotanga kudzikira. Nekufamba kwenguva, iyo gallbladder isingakwanise kuisa pfungwa, kuchengeta, uye kusunungura bile.

Chirwere ichi chinowanzoitika kuvakadzi kupfuura varume. Izvo zvinowanzoitika mushure memakore makumi mana. Kubata mapiritsi uye nhumbu zvinhu zvinowedzera njodzi yematombo.

Acute cholecystitis chirwere chinorwadza chinotungamira kune chisingaperi cholecystitis. Hazvisi pachena kana chisingaperi cholecystitis inokonzeresa chero zviratidzo.

Zviratidzo zveacute cholecystitis zvinogona kusanganisira:

• Sharp, cramping, kana dull pain kumusoro kwepamusoro kurudyi kana kumusoro kwepamuviri wako
• Kudzikama kurwadziwa kunogara kwemaminitsi makumi matatu
• Marwadzo anopararira kumusana kwako kana pazasi pefudzi rako rerudyi
• Zvigaro zvine ruvara rwevhu
• Kupindwa nechando
• Kusvotwa uye kurutsa
• Kuchena kweganda uye vachena vemeso (jaundice)

Mubatsiri wako wehutano anogona kuraira zvinotevera kuongororwa kweropa:

• Amylase uye lipase kuitira kuti uongorore zvirwere zvepancreas
• Yakazara kuverenga ropa (CBC)
• Chiropa chinoshanda bvunzo kuitira kuti uone kuti chiropa chiri kushanda sei

Kuyedza kunoratidza nduru kana kuzvimba muguruva kunosanganisira:

• Abdominal ultrasound
• Abdominal CT scan
• Gallbladder scan (HIDA scan)
• Oral cholecystogram

Kuvhiya ndiyo inonyanya kurapwa. Kuvhiya kubvisa nduru inonzi cholecystectomy.

• Laparoscopic cholecystectomy inowanzoitwa. Kuvhiya uku kunoshandisa zvidimbu zvidiki zvekuvhiya, izvo zvinoguma nekukurumidza kupora. Vanhu vazhinji vanokwanisa kuenda kumba kubva kuchipatara pazuva rimwechete sekuvhiyiwa, kana mangwanani anotevera.
• Vhura cholecystectomy inoda kutemwa kwakakura muchikamu chepamusoro-kurudyi chedumbu.

Kana iwe uchinge uchirwara zvekusakwanisa kuvhiyiwa nekuda kwezvimwe zvirwere kana mamiriro, maturu anogona kuputswa nemushonga waunotora nemuromo. Nekudaro, izvi zvinogona kutora makore maviri kana kupfuura kushanda. Matombo anogona kudzoka mushure mekurapwa.

Cholecystectomy maitiro akajairika ane njodzi yakaderera.

Zvinetso zvinogona kusanganisira:

• Gomarara renduru (kashoma)
• Jaundice
• Pancreatitis
• Kuwedzera kwemamiriro acho

Fonera mupiki wako kana iwe ukaita zviratidzo zve cholecystitis.

Mamiriro acho haagone kudzivirirwa nguva dzose. Kudya zvishoma zvine mafuta chikafu kunogona kubvisa zviratidzo muvanhu. Zvisinei, kubatsirwa kwekudya kwemafuta mashoma hakuna kuratidzirwa.

Cholecystitis - chisingaperi

• Gallbladder kubviswa - laparoscopic - kubuda
• Gallbladder kubviswa - kuvhura - kubuda
• Matombo emabwe - kubuda

• Cholecystitis, CT scan
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Gallstones, cholangiogram
• Wemakemesoft

Quigley BC, Adsay NV. Zvirwere zvenduru. Mune: Burt AD, Ferrell LD, Hubscher SG, eds. MacSween's Pathology yeRopa. 7th ed. Philadelphia, PA: Elsevier; 2018: chits.

Theise ND. Chiropa uye nduru. Mune: Kumar V, Abbas AK, Aster JC, eds. Robbins uye Cotran Pathologic Hwaro hweHosha. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.

Wang DQH, Afdhal NH. Gallstone chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 65.