Cutar cholecystitis mai tsanani da ci gaba: menene su, alamomi da magani

Wadatacce

• Babban bayyanar cututtuka
• 1. Mutuwar cholecystitis
• 2. Ciwan cholecystitis na kullum
• Yadda za a tabbatar da ganewar asali
• Menene sababi
• Yadda ake yin maganin

Cholecystitis shine kumburin gallbladder, ƙaramar 'yar jaka wacce ke hulɗa da hanta, kuma tana adana bile, wani ruwa mai mahimmanci ga narkewar mai. Wannan kumburin na iya zama mai tsanani, ana kiran shi cholecystitis mai saurin gaske, tare da tsananin saurin bayyanar cututtuka, ko na yau da kullun, tare da ƙaramin alamomin da zasu ɗauki makonni zuwa watanni.

Cutar cholecystitis na haifar da alamu da alamomi irin su ciwon ciki na ciki, tashin zuciya, amai, zazzabi da taushin ciki. Jin zafi fiye da awanni 6 yana taimakawa wajen bambancewa tsakanin m cholecystitis da ciwo mai zafi na cholelithiasis.

M ƙonewar gallbladder na iya faruwa ta hanyar hanyoyin 2:

• Lithiasic cholecystitis ko mara hankali: shine babban dalilin cholecystitis kuma yafi yawaita ga mata masu matsakaitan shekaru. Hakan na faruwa ne lokacin da dutse, wanda kuma ake kira dutse, ya haifar da toshewar bututun da ke zubar da bile. Sabili da haka, bile yana tarawa a cikin gallbladder kuma ya mai da shi da damuwa da kumbura. Fahimci abin da ke haifar da gallbladder dutse;

  
  
• Alithiasic cholecystitis: yana da wuya kuma yana haifar da kumburin gallbladder ba tare da kasancewar duwatsu ba. Alamomin sun yi kama da na lithiasic cholecystitis, amma maganin ya fi wuya kuma yana da mafi munin damar warkewa, kamar yadda yake yawanci yakan faru ne a cikin mutane da ke fama da rashin lafiya.

A kowane hali, ya kamata a kula da cholecystitis da wuri-wuri, kuma bai kamata mutum ya jira fiye da awanni 6 da fara bayyanar cututtukan ba, don kauce wa rikice-rikice masu tsanani kamar ɓarkewar mafitsara ko gama gari.

Babban bayyanar cututtuka

Babban alamar halayyar cholecystitis shine ciwon ciki, duk da haka, wasu alamun na iya bambanta idan yana da mummunan ciwo ko rashin lafiya.

1. Mutuwar cholecystitis

A mafi yawan lokuta, alamu da alamomin cutar cholecystitis sun haɗa da:

• Ciwon mara a cikin ɓangaren dama na ciki, yana ɗaukar sama da awanni 6. Wannan ciwo kuma na iya farawa sama da cibiya sannan kuma ya koma zuwa dama ta sama;
• Ciwon ciki wanda ke sheƙi zuwa kafaɗun dama ko baya;
• Sensitivity a cikin ciki yayin bugun jini akan binciken likita;
• Tashin zuciya da amai, tare da rasa ci;
• Zazzaɓi, ƙasa da 39ºC;
• Bayyanar rashin lafiyar gaba ɗaya;
• Saurin bugun zuciya;
• Fata mai launin rawaya da idanu, a wasu yanayi.

Baya ga waɗannan alamun, likita kuma yana neman alamar Murphy, wacce ta zama gama-gari a cikin cholecystitis kuma wacce ta ƙunshi tambayar mutum ya shaka sosai, yayin matse ciki a saman dama. Alamar ana daukarta tabbatacciya kuma, don haka, tana nuna alamar cholecystitis, lokacin da mutum ya riƙe numfashinsa, ya kasa ci gaba da shaƙar iska.

Kwayar cututtukan da aka nuna yawanci suna bayyana kusan awa 1 ko kaɗan bayan cin abinci mai mai, kamar yadda jiki ke amfani da bile don taimakawa narkewar mai da karɓar abubuwan gina jiki.

Koyaya, a cikin marasa lafiya sama da shekaru 60 ko fiye da nakasa, alamun cutar na iya zama daban. A irin wannan yanayi, yana da mahimmanci a san wasu alamomi kamar rikicewar hankali, zazzabi da sanyi, fata mai launi. A wannan yanayin, ya kamata ka je asibiti da sauri.

2. Ciwan cholecystitis na kullum

Cutar cholecystitis na dogon lokaci yana daɗewa, kumburi an kumbura. Hakan na faruwa ne ta hanyar tsari kwatankwacin na babban cholecystitis, kuma mai yuwuwa ko bazai haɗu da kasancewar dutse ba.

Kwayar cutar galibi tana bayyana ne bayan cin abinci mai mai mai yawa kuma a ƙarshen rana, suna kama da waɗanda ke fama da mummunan cholecystitis, amma masu sauƙi:

• Jin zafi a ɓangaren dama na dama na ciki, haskakawa zuwa kafaɗar dama ko baya;
• Morearin rikicewar ciwo mai tsanani, wanda ke haɓaka bayan fewan awanni kaɗan, biliary colic;
• Sensitivity a cikin ciki yayin bugun jini akan binciken likita;
• Jin jiri, amai, rashin cin abinci, jin kumburi da ƙaruwar iskar gas;
• Jin rashin jin daɗi;
• Fata mai launin rawaya da idanu, a wasu yanayi.

Cutar cholecystitis na yau da kullun yana faruwa ne ta ƙananan ƙananan ɓangaren kumburin gallbladder, wanda ke faruwa sau da yawa, a kan lokaci. Sakamakon wadannan rikice-rikicen da aka maimaita, gallbladder na iya fuskantar canje-canje, ya zama karami kuma tare da bango mai kauri. Hakanan zai iya kawo ƙarshen rikice-rikice, kamar ƙididdigar ganuwarta, da ake kira vesel aƙalar, samuwar fistulas, ciwon sanƙara ko ma ci gaban kansa.

Yadda za a tabbatar da ganewar asali

Lokacin da alamun bayyanar da ke nuna alamun cholecystitis suka bayyana, ana ba da shawarar a tuntuɓi babban likita ko likitan ciki don nazarin lamarin da yin gwaje-gwajen bincike, kamar gwajin jini, duban dan tayi ko cholecintilography.

Sau da yawa ana amfani da Cholecintilography lokacin da sakamakon duban dan tayi bai bayyana sosai ba don tantance ko gallbladder yayi kauri ko mai kumburi, ko kuma idan yana da matsalar cika shi.

Menene sababi

A mafi yawan lokuta, cholecystitis ana samun sa ne daga gallstones, wanda ke haifar da toshewar bile din a wata tashar da ake kira cystic duct, wanda ke ba da damar bile ya tsere daga gallbladder. Yawancin lokuta ma suna faruwa ne tare da yanayin gallstone, wanda ƙila ba shi da alamomin, tare da kusan ¼ na mutane da duwatsu da za su iya haifar da mummunan cholecystitis a wani lokaci.

A wasu lokuta, toshewar ba saboda dutse ba ne, amma saboda dunƙulewa, ƙari, kasancewar ƙwayoyin cuta ko ma bayan an yi musu tiyata a kan hanyoyin bile.

A cikin al'amuran alitiásic cholecystitis, kumburi a cikin gallbladder yana faruwa ne sanadiyar dalilan da har yanzu ba a fahimce su sosai ba, amma tsofaffi, waɗanda ba su da lafiya, waɗanda suka yi aikin tiyata mai wuya ko kuma masu ciwon sukari, alal misali, suna cikin haɗari.

Yadda ake yin maganin

Jiyya don cholecystitis yawanci ana farawa tare da shiga asibiti don taimakawa magance kumburi da sauƙaƙe zafi, sannan kuma a yi aikin cire mafitsara na mafitsara. Kullum ana ba da shawarar cewa a yi aiki da gallbladder a tsakanin kwanaki 3 na fara farkon kumburi.

Don haka, magani na iya haɗawa da:

• Azumi: kamar yadda ake amfani da gallbladder don narkewa, likita na iya ba da shawarar dakatar da cin abinci da ruwa na wani lokaci don sauƙaƙa matsin lamba kan gallbladder da inganta alamomin;
• Ruwaye-tafiye kai tsaye cikin jijiya: saboda ƙuntatawa don ci ko sha, ya zama dole a kula da ƙarancin kwayar halitta tare da gishirin kai tsaye a cikin jijiya;
• Maganin rigakafi: a cikin fiye da rabin al'amuran, maziyyi ya kamu da cutar cikin awanni 48 bayan fara cutar cholecystitis, saboda karkatar da shi yana taimakawa yaduwar kwayoyin cuta a ciki;
• Masu rage zafi: ana iya amfani dashi har sai ciwon ya huce kuma an rage kumburin gall mafitsara;
• Tiyata don cire gallbladder: laparoscopic cholecystectomy shine babban nau'in tiyata don magance cholecystitis. Wannan hanya tana ba da damar saurin warkewa, saboda ba ta da tashin hankali ga jiki. Fahimci yadda ake yin tiyatar mafitsara da kuma murmurewa.

A cikin yanayin da cholecystitis yayi tsanani sosai kuma mai haƙuri baya iya yin tiyata nan da nan, ana yin magudanar gallbladder, wanda ke taimakawa cire matsi daga cikin gallbladder da rage kumburi, ta haka yana iya buɗe hanyar da aka toshe. A lokaci guda, ana ba da magungunan rigakafi don hana gallbladder kamuwa da cutar. Bayan yanayin ya fi karko, za a iya yin tiyata don cire gallbladder.