Acute cholecystitis

Acute cholecystitis kukurumidza kuzvimba uye kutsamwa kwegongo. Inokonzera kurwadziwa kwakanyanya kwedumbu.

Iyo nduru inhengo inogara pasi pechiropa. Iyo inochengeta bile, iyo inogadzirwa muchiropa. Muviri wako unoshandisa bile kugaya mafuta ari mudumbu ura.

Acute cholecystitis inoitika kana bile ichivharirwa muguru. Izvi zvinowanzoitika nekuti dombo rinodzivirira dutu recystic, iyo chubhu iyo iyo bile inopinda mukati nekubuda muguruva. Kana dombo richivharira mugero uyu, bile inovaka, ichikonzera kutsamwa uye kumanikidza muguruva. Izvi zvinogona kutungamira kuzvimba uye hutachiona.

Zvimwe zvikonzero zvinosanganisira:

• Zvirwere zvakakomba, zvakaita seHIV kana chirwere cheshuga
• Mamota eguruva (zvisingawanzoitika)

Vamwe vanhu vari panjodzi yematombo. Njodzi zvinhu zvinosanganisira:

• Kuva mukadzi
• Kubata pamuviri
• Hormone kurapa
• Kukwegura
• Kuva weNative American kana Hispanic
• Kufutisa
• Kurasikirwa kana kuwedzera uremu nekukurumidza
• Chirwere cheshuga

Dzimwe nguva, iyo bile duct inozovharwa kwechinguva. Kana izvi zvikaitika kakawanda, zvinogona kutungamira kune kwenguva refu (chisingaperi) cholecystitis. Uku kuzvimba uye kutsamwa kunoenderera nekufamba kwenguva. Pakupedzisira, iyo nduru inova yakaoma uye yakaoma. Iyo haichengetedze uye kusunungura bile pamwe nezvayakaita.

Chiratidzo chikuru marwadzo muchikamu chepamusoro chekurudyi kana chepakati chepakati chedumbu rako icho chinowanzo garira kwemaminitsi makumi matatu. Unogona kunzwa:

• Kupinza, kupwanya, kana kurwadziwa
• Kudzikama kurwadziwa
• Marwadzo anopararira kumusana kwako kana pazasi pefudzi rako rerudyi

Zvimwe zviratidzo zvinogona kuitika zvinosanganisira:

• Zvigaro zvine ruvara rwevhu
• Kupindwa nechando
• Kusvotwa uye kurutsa
• Kuchena kweganda uye vachena vemeso (jaundice)

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako. Munguva yekuongorora kwepanyama, iwe unogona kunge uchirwadziwa kana iye mupi achibata dumbu rako.

Wako mupi anogona kuraira zvinotevera kuongororwa kweropa:

• Amylase uye lipase
• Bilirubin
• Yakazara kuverenga ropa (CBC)
• Chiropa basa bvunzo

Kufungidzira bvunzo kunogona kuratidza nduru kana kuzvimba. Unogona kuve neumwe kana kupfuura ebvunzo idzi:

• Abdominal ultrasound
• Abdominal CT scan kana MRI scan
• Abdominal x-ray
• Oral cholecystogram
• Gallbladder radionuclide scan

Kana iwe uine kurwadziwa kwakanyanya kwedumbu, tsvaga kurapwa pakarepo.

Mukamuri rekukurumidzira, iwe unozopihwa zvinwiwa kuburikidza nemutsinga. Iwe zvakare unogona kupihwa maantibiotic ekurwisa hutachiona.

Cholecystitis inogona kujekesa yega. Nekudaro, kana uine matombo enduru, iwe ungangoda kuvhiyiwa kuti ubvise nduru yako.

Kurapa kwekusavhiya kunosanganisira:

• Mishonga inorwisa mabhakitiriya yaunotora kumba kurwisa hutachiona
• Kudya kwemafuta mashoma (kana uchikwanisa kudya)
• Mishonga yemarwadzo

Ungangoda kuvhiiwa nechimbichimbi kana uine matambudziko akadai se:

• Gangrene (tishu kufa) yeguruva
• Perforation (gomba rinoumbika pamadziro egunduru)
• Pancreatitis (inopisa pancreas)
• Kuenderera mberi bile duct kuvhara
• Kuzvimba kweiyo yakajairika bile duct

Kana iwe uchinyanya kurwara, chubhu inogona kuiswa kuburikidza nedumbu rako mukati meguruva rako kuti uiburitse. Paunenge uchinzwa zvirinani, mupi wako anogona kukurudzira kuti iwe uvhiyiwe.

Vazhinji vanhu vakavhiyiwa kubvisa nduru yavo vanopora zvakakwana.

Kusarapwa, cholecystitis inogona kutungamira kune chero eanotevera matambudziko ehutano:

• Empyema (pus munduru)
• Chikwata
• Kukuvadza kune bile ducts inodurura chiropa (inogona kuitika mushure mekuvhiyiwa kwegurbladder)
• Pancreatitis
• Kukanganiswa
• Peritonitis (kuzvimba kwemukati wedumbu)

Fonera mupiki wako kana iwe uine:

• Kutambudzika kwakanyanya kwedumbu kusingaendi
• Zviratidzo zvecholecystitis kudzoka

Kubvisa nduru uye nduru zvinodzivirira kumwe kurwiswa.

Cholecystitis - yakaoma; Gallstones - yakaoma cholecystitis

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

• Kugaya chirongwa
• Cholecystitis, CT scan
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Gallstones, cholangiogram
• Kubviswa kweGallbladder - Series

Glasgow RE, Mulvihill SJ. Kurapa kwechirwere chenduru. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsamba 66.

Jackson PG, Evans SRT. Biliary maitiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 54.

Wang DQ-H, Afdhal NH. Gallstone chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 65.