Gallbladder Chirwere

Zvemukati

• Ndedzipi mhando dzechirwere chenduru?
• Matombo
• Cholecystitis
• Choledocholithiasis
• Acalculous gallbladder chirwere
• Biliary dyskinesia
• Sclerosing cholangitis
• Gomarara redundiro
• Gallbladder polyps
• Gangrene yeguruva
• Kusuruvara kweguruva
• Chirwere chenduru chinoonekwa sei?
• Yakadzama nhoroondo yezvokurapa
• Kuongorora kwepanyama
• Chifuva uye mudumbu X-ray
• Ultrasound
• HIDA scan
• Mimwe bvunzo
• Chirwere chenduru chinorapwa sei?
• Mararamiro anochinja
• Kurapwa
• Kuvhiya
• Zvinogona kuitika kwenguva refu zvinonetsa zvechirwere chenduru
• Chirwere chenduru chinogona kudzivirirwa here?

Pfupiso yechirwere chenduru

Izwi rekuti chirwere chenduru rinoshandiswa kune akati wandei mamiriro ezvinhu anogona kukanganisa nduru yako.

Iyo gallbladder idiki pari-yakaumbwa saga iri pasi pechiropa chako. Basa rako guru renduru nderekuchengeta bile rinogadzirwa nechiropa chako uye nekuchipfuudza kuburikidza nemukoto unodurura ura mudumbu. Bhi inobatsira iwe kugaya mafuta mune ako mudumbu ura.

Kuzvimba kunokonzera ruzhinji rwezvirwere zvenduru nekuda kwekutsamwiswa kwemadziro enduru, ayo anozivikanwa se cholecystitis. Uku kuzvimba kunowanzoitika nekuda kwematombo anovharira ma ducts anotungamira kune ura mudiki uye zvichikonzera bile kuvaka. Inogona kuzopedzisira yaendesa kune necrosis (kuparadzwa kwetishu) kana gonda.

Ndedzipi mhando dzechirwere chenduru?

Kune akawanda marudzi akasiyana ehurwere hwenduru.

Matombo

Matombo eguruva anokura kana zvinhu zviri munyuchi (senge cholesterol, bile munyu, uye calcium) kana zvinhu zvinobva muropa (sebilirubin) zvinoumba zvimedu zvakaoma zvinodzivirira nzira dzinoenda kuguruva uye bile ducts.

Matombo ematombo anowanzoita kuumbika kana nduru isingadurure zvakakwana kana kazhinji zvakakwana. Vanogona kuve vadiki setsanga yejecha kana kukura sebhora regorofu.

Zvinhu zvakawanda zvinopa njodzi yako yematombo. Izvi zvinosanganisira:

• kunyanyisa kana kufutisa
• kuva nechirwere cheshuga
• kuva zera makumi matanhatu kana kudarika
• kutora mishonga ine estrogen
• kuva nenhoroondo yemhuri yematombo
• kuva mukadzi
• kuva nechirwere cheCrohn nezvimwe zvinokanganisa mashandiro anoita mishonga
• kuva necirrhosis kana zvimwe zvirwere zveropa

Cholecystitis

Cholecystitis ndiyo yakajairika mhando yechirwere chenduru. Inozviratidza seyakanyanya kana isingagumi kuzvimba kwenduru.

Acute cholecystitis

Acute cholecystitis inowanzo kukonzerwa ne gallstones. Asi zvinogona zvakare kuve mhedzisiro yemamota kana zvimwe zvakasiyana zvirwere.

Inogona kuunza nekurwadziwa kumusoro kwekurudyi kana yepamusoro yepakati chikamu chedumbu. Marwadzo anowanzoitika mushure mekudya uye anotenderera kubva pamarwadzo anopinza kusvika pakurwadza maaches anogona kubuda kubendekete rako rerudyi. Acute cholecystitis inogona zvakare kukonzera:

• kupindwa nechando
• kusvotwa
• kurutsa
• jaundice

Chirwere cholecystitis

Mushure mekurwiswa kwakawanda kweacute cholecystitis, iyo nduru inogona kudzikira uye kurasikirwa nekugona kwayo kuchengeta uye kusunungura bile. Kutambudzika kwepamuviri, kuda kurutsa, uye kurutsa zvinogona kuitika. Kuvhiya kunowanzo kuve kurapwa kunodiwa kwechirwere chisingaperi cholecystitis.

Choledocholithiasis

Matombo anogona kugadzika mumutsipa weiyo nduru kana mumaburi ducts. Kana iyo nduru yakavharwa nenzira iyi, bile haigone kubuda. Izvi zvinogona kutungamira kune iyo nduru inoputika kana kukanganiswa.

Izvo zvakavharwa bile ducts zvinowedzera kudzivirira bile kubva mukufamba kubva pachiropa kuenda kumatumbu. Choledocholithiasis inogona kukonzera:

• kurwadziwa kwakanyanya mukati medumbu rako repamusoro
• kupindwa nechando
• chills
• kusvotwa
• kurutsa
• jaundice
• akacheneruka- kana zvitema zvine ruvara rwevhu

Acalculous gallbladder chirwere

Acalculous gallbladder chirwere kuputika kwenduru kunoitika pasina kuvapo kwematombo. Kuva nechirwere chakakosha chisingaperi kana chakakomba chirwere chakaratidzirwa kukonzera chiitiko.

Zviratidzo zvakafanana neacute cholecystitis ine nduru. Zvimwe zvinokonzeresa mamiriro ezvinhu zvinosanganisira:

• kushungurudzika kwakanyanya mumuviri
• kuvhiyiwa mwoyo
• kuvhiyiwa mudumbu
• kutsva kwakanyanya
• autoimmune mamiriro akaita lupus
• ropa reropa hutachiona
• Kugamuchira kudya kunovaka muviri (IV)
• hwakakosha hutachiona kana hutachiona hutachiona

Biliary dyskinesia

Biliary dyskinesia inoitika kana iyo nduru ine yakaderera-kupfuura-yakajairwa basa. Aya mamiriro angave ane hukama nekuenderera mberi kwenduru kuzvimba.

Zviratidzo zvinogona kusanganisira kurwadziwa kwepamusoro mudumbu mushure mekudya, kuda kurutsa, kuzvimba, uye kugaya. Kudya chikafu chine mafuta kunogona kukonzera zviratidzo. Iko kazhinji hakuna maronda ari muguruva ne biliary dyskinesia.

Chiremba wako angangoda kushandisa bvunzo inonzi HIDA scan kuti ubatsire kuongorora mamiriro aya. Uyu muyedzo unoyera nduru basa. Kana iyo nduru ingangoburitsa makumi matatu neshanu kusvika makumi mana muzana yezviri mukati kana zvishoma, saka biliary dyskinesia inowanzoonekwa.

Sclerosing cholangitis

Kuenderera mberi kwekuzvimba uye kukuvara kune iyo bile duct system kunogona kutungamira kukuvara. Aya mamiriro anonzi se sclerosing cholangitis. Zvisinei, hazvizivikanwe kuti chii chaizvo chinokonzera chirwere ichi.

Vanenge hafu yevanhu vane chirwere ichi havana zviratidzo. Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• kupindwa nechando
• jaundice
• kuvava
• kusagadzikana kwepamusoro mudumbu.

Vanenge vanhu vane chirwere ichi vanewo ulcerative colitis. Kuva nemamiriro aya kunowedzera mukana wekenza yechiropa futi. Parizvino, iro chete rinozivikanwa mushonga kurapa chiropa.

Mishonga inodzvinyirira immune immune uye ayo anobatsira kupaza rakakora bile inogona kubatsira kubata zviratidzo.

Gomarara redundiro

Gomarara renduru chirwere chisingawanzoitika. Kune mhando dzakasiyana dzegomarara reguranda. Vanogona kuve vakaoma kurapa nekuti havawanzo kuongororwa kusvika kunonoka kwechirwere ichi. Gallstones inowanzo kuve nengozi yekenza yegurbladder.

Gomarara regallbladder rinogona kupararira kubva pamadziro emukati enduru kuenda kumatanda ekunze uyezve nekuchiropa, lymph node, uye dzimwe nhengo. Zviratidzo zvegomarara regurbladder zvinogona kunge zvakafanana nezveacute cholecystitis, asi panogona kunge paine pasina kana zviratidzo zvachose.

Gallbladder polyps

Gallbladder polyps maronda kana kukura kunoitika mukati meguruva. Ivo vanowanzo kuve benign uye vasina zviratidzo. Zvisinei, zvinowanzokurudzirwa kuti nduru ibviswe polyps yakakura kudarika 1 sentimita. Vane mukana wakakura wekuva nekenza.

Gangrene yeguruva

Gangrene inogona kuitika kana iyo nduru ichikura isina kukwana kuyerera kweropa. Ichi ndicho chimwe chezvinetso zvakakomba zveacute cholecystitis. Zvinhu zvinowedzera njodzi yeichi chinetso zvinosanganisira:

• kuva murume uye anopfuura makore makumi mashanu nemashanu
• kuva nechirwere cheshuga

Zviratidzo zvegurbladder gangrene zvinogona kusanganisira:

• kurwadziwa kusingaite mudunhu renduru
• kupindwa nechando
• kusvotwa kana kurutsa
• kunyongana
• yakaderera BP

Kusuruvara kweguruva

Kusuruvara kweguruva kunoguma apo nduru inopiswa ne pus. Pus iko kuunganidzwa kwemasero machena eropa, nyama dzakafa, uye hutachiona. Zviratidzo zvinogona kusanganisira kurwadziwa kwepamusoro-kurudyi mudumbu pamwe nefivha uye kuzunza kutonhora.

Aya mamiriro anogona kuitika panguva yakaoma cholecystitis apo nduru inovhara nduru zvachose, ichibvumira iyo nduru kuzadza pus. Izvo zvinowanzoitika kune vanhu vane chirwere cheshuga uye chirwere chemwoyo.

Chirwere chenduru chinoonekwa sei?

Kuti uongorore chirwere chenduru, chiremba wako achakubvunza nezvenhoroondo yako yezvokurapa uye aite bvunzo yemudumbu. Izvi zvinosanganisira kutarisa kurwadziwa mudumbu. Imwe kana yakawanda yeinotevera bvunzo uye maitiro anogona kushandiswa:

Yakadzama nhoroondo yezvokurapa

Rondedzero yezviratidzo zvauri kusangana nazvo uye chero zvemunhu kana zvemhuri nhoroondo ye nduru chirwere zvakakosha. Ongororo yehutano yakajairika inogona kuitwawo kuti uone kana paine chero zviratidzo zverefu-refu nduru chirwere.

Kuongorora kwepanyama

Chiremba wako anogona kuita manejimendi akakosha panguva yekuongorora kwepamuviri kutsvaga izvo zvinonzi "Chiratidzo chaMurphy."

Munguva yekufambisa uku, chiremba wako achaisa ruoko rwake padumbu rako pamusoro penzvimbo yeguruva. Vanozokukumbira kuti utore mweya uchiongorora nekunzwa nzvimbo. Kana iwe uchinzwa kurwadziwa kwakanyanya, zvinoratidza kuti iwe unogona kunge uine chirwere chenduru.

Chifuva uye mudumbu X-ray

Symptomatic cholecystitis dzimwe nguva inoratidza matombo padumbu maX-ray kana mabwe aine calcium. X-ray yechipfuva inogona kuratidza pleurisy kana pneumonia.

Zvisinei, X-rays haisi iyo yakanakisa bvunzo yekuziva chirwere chenduru. Ivo anowanzo shandiswa kutonga kunze zvimwe zvinogona kukonzeresa zvekurwadziwa izvo zvisina hukama nematombo, iyo nduru, kana chiropa.

Ultrasound

Iyo ultrasound inoshandisa mafungu eruzha kugadzira mifananidzo mukati memuviri wako. Uyu muedzo ndeimwe yenzira huru dzinoshandiswa nachiremba wako kuti aongorore chirwere chenduru. Iyo ultrasound inogona kuongorora iyo nduru yekuvapo kwematombo, akaomeswa madziro, polyps, kana masasi. Inogona zvakare kuona chero nyaya mukati mechiropa chako.

HIDA scan

Iyo HIDA scan inotarisa iyo duct system mukati meguruva uye chiropa. Inowanzo shandiswa kana munhu aine nduru zviratidzo asi iyo ultrasound haina kuratidza chikonzero chezviratidzo. HIDA scan inogona zvakare kushandiswa kunyatsoongorora iyo bile duct system.

Bvunzo iyi inogona kuongorora mashandiro eguruva rinoshandisa chinhu chisingakuvadzi chine radioactive. Chinhu chacho chinopinzwa mutsinga chobva chatariswa painenge ichifamba nenduru. Imwe kemikari inogona zvakare kuiswa jekiseni iyo inoita kuti nduru iburitse bile.

Iyo HIDA scan inoratidza kuti iyo nduru inofamba sei bile kuburikidza neiyo bile duct system. Iyo inogona zvakare kuyera mwero we bile kubuda kunze kweguruva. Izvi zvinozivikanwa sechikamu chekubvisa. Chikamu chakajairwa chekubvisa chenduru chinotariswa pakati pe35 kusvika 65 muzana.

Mimwe bvunzo

Mimwe bvunzo dzekufungidzira, senge CT neMRI scan, inogona zvakare kushandiswa. Kuongororwa kweropa kunoitwawo kuongorora kuwanda kwemasero eropa kuwanda uye kushomeka kwechiropa.

Endoscopic retrograde cholangiopancreatography (ERCP) bvunzo inotyisa asi inobatsira. Kamera inochinjika inoiswa mumuromo uye pasi ichidarika dumbu kupinda muura hudiki. Musiyano wedhayi wakajowa kuratidza iyo bile duct system ine yakasarudzika X-ray.

ERCP muedzo unonyanya kubatsira kana kuvharirwa nekuda kwematombo kuri kufungidzirwa. Chero dombo rinokonzeresa kuvharika rinogona kubviswa panguva iyi maitiro

Chirwere chenduru chinorapwa sei?

Mararamiro anochinja

Sezvo mamwe mamiriro ehutano achiwedzera njodzi yekuumbwa kwenduru, shanduko mumararamiro inogona kubatsira kubata chirwere chenduru mune vanhu vasina zviratidzo. Kuva wakafuta uye uine chirwere cheshuga kunowedzera mukana wematombo. Kuderedza uremu uye kugona kudzora chirwere cheshuga kunogona kubatsira kudzikisa njodzi yako.

Nekudaro, kukurumidza kurasikirwa uremu kunogona zvakare kukonzera matombo kuumbwa. Taura nachiremba wako nezvenzira dzakachengeteka dzokuderedza uremu.

Kuwedzera chiitiko chemuviri zvakare kunoratidzika kunge kunodzikisa kuumbwa kweguroni pamwe chete nekuderedza kwakakwirira triglycerides, rudzi rwemafuta muropa. Inowanzo kukurudzirwa kurega kuputa uye kudzikisira kunwa doro zvakare.

Kurapwa

Chikamu chekutanga chenduru yekudzivirira chinowanzo kurapwa nemishonga yekurwadziwa. Nekuti kurwadziwa kunowanzo kuve kwakakomba, mishonga yemishonga inodiwa. Chiremba wako anogona kupa mishonga ne codeine kana hydrocodone. IV inorayirwa anti-inflammatories inogona kupihwa, kana yakasimba mishonga yekurwadziwa se morphine.

Kupfuura-the-counter mishonga senge ibuprofen (Advil) uye naproxen (Aleve) inogona kusashandiswa kazhinji nekuda kwenjodzi yekuwedzera kwekusvotwa uye kurutsa. Kana iwe wakashayiwa mvura, anti-anogumbura zvinodhaka zvinogona zvakare kukonzera zvakakomba zveitsvo.

Vazhinji vanhu vanonetseka kugadzirisa marwadzo uye ayo anotevera zviratidzo kumba. Taura nachiremba wako kuti ukurukure nezvekurapa kwakanyanya iwe.

Kuenderera mberi kwekutsvaga kuri kutarisa mukushandiswa kwemushonga ezetimibe uye nebasa rayo mukuderedza kuumbwa kwecholesterol matombo. Uyu mushonga unoshandura mashandiro anoita muviri cholesterol kubva mudumbu remukati.

Kuvhiya

Kuvhiya kunokurudzirwa kubvisa yako nduru kana iwe wakasangana nezvakawanda zvikamu zvekuputika. Kuvhiyiwa kwegallbladder kunoenderera kuve iri nzira inoshanda kwazvo yekurapa chirwere chenduru chinoshanda.

Kuvhiya kwacho kunogona kuitwa chero nekuvhura dumbu rako ne incision, kana laparoscopically. Izvi zvinosanganisira kugadzira makomba akati wandei kuburikidza nemadziro emudumbu uye kuisa kamera. Laparoscopic kuvhiyiwa inobvumira kukurumidza kupora. Iyi nzira inosarudzwa kune vanhu vasina matambudziko eakakosha nduru chirwere.

Mushure mekuvhiyiwa nduru neimwe nzira, zvakajairika kuti vanhu vawane mamwe manyoka. Sekureva kweMayo Clinic, vanhu vanosvika vatatu pagumi vanogona kuita manyoka mushure mekuvhiyiwa nduru.

Kune vanhu vazhinji, manyoka achangogara mavhiki mashoma. Asi mune mashoma kesi, inogona kugara kwemakore. Kana manyoka ari kuenderera mushure mekuvhiyiwa kweanopfuura vhiki mbiri, taura nachiremba wako. Zvichienderana nezvimwe zviratidzo, ungangoda kuteedzera-kwekuyedza.

Zvinogona kuitika kwenguva refu zvinonetsa zvechirwere chenduru

Iyo nduru inogona kuumba nzira isina kujairika, kana fistula, iri pakati penduru uye ura kubatsira kubatsira bile reropa. Izvi zvinowanzo kuve kusanzwisisika kwekusingaperi kuzvimba zvine chekuita nenduru.

Zvimwe zvinonetsa zvinogona kusanganisira:

• kuvharika kwematumbo
• kuzvimba uye vanga
• kuputika (gomba muguruva)
• kusvibiswa kwebhakitiriya mudumbu, inozivikanwa se peritonitis
• shanduko yakaipa (maseru ekuchinja anozoita bundu rekenza)

Chirwere chenduru chinogona kudzivirirwa here?

Zvimwe zvinenjodzi zvinokonzera chirwere chenduru, senge bonde nezera, hazvigone kuchinjwa. Zvisinei, kudya kwako kunogona kuita basa mukugadzira maronda. Sekureva kweNational Institute of Diabetes uye Digestive uye Kidney Zvirwere (NIDDK), zvekudya zvine fiber uye mafuta ane hutano zvinogona kubatsira kudzivirira matombo.

Mbeu dzakanatswa (dzinowanikwa muzviyo zvine shuga uye mupunga muchena, chingwa, uye pasta) uye zvihwitsi zvine shuga zvine hukama nenjodzi yakakwira yechirwere chenduru. Mbeu dzese dzakadai semupunga wakasvibira uye chingwa chegorosi uye mafuta kubva kuhove nemafuta emuorivhi zvinokurudzirwa.

Matambudziko ekutanga enduru anozivikanwa nekurapwa, matambudziko asinganyanyi kukosha achaitika. Izvo zvakakosha kuti utaure nachiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona.