Abin da za a yi Idan Kana Samun Harshen Zafin Gall

Wadatacce

• Shin ina samun ciwon gwal?
• Menene mafitsara?
• Shin dutsen gall ne?
• Yaya game da wasu matsalolin gallbladder wanda ke haifar da ciwo?
• Alamomin kamuwa da cutar fitsari
• Yaushe ake ganin likita
• Jiyya don gallbladder attack
• Magani
• Tiyata
• Hana wasu hare-hare
• Menene hangen nesa?

Shin ina samun ciwon gwal?

Hakanan ana kiran harin gallbladder a gallstone attack, m cholecystitis, ko biliary colic. Idan kana jin zafi a gefen dama na ciki na ciki, zai iya zama yana da alaƙa da mafitsara ta ciki. Ka tuna cewa akwai wasu dalilai na ciwo a wannan yankin kuma. Wadannan sun hada da:

• ƙwannafi (GERD)
• appendicitis
• hepatitis (hanta kumburi)
• peptic (ciki) miki
• namoniya
• hiatal hernia
• ciwon koda
• tsakuwar koda
• hanta kumburin ciki
• pancreatitis (pancreas kumburi)
• shingles kamuwa da cuta
• maƙarƙashiya mai tsanani

Menene mafitsara?

Maƙarƙashiron ciki ƙaramin buhu ne a cikin babba dama na sama, ƙasan hanta. Yayi kama da pear a gefe. Babban aikinta shine adana kimanin kashi hamsin (50%) na bile (gall) wanda hanta ke yi.

Jikin ku yana buƙatar bile don taimakawa wajen rarraba ƙwayoyi. Hakanan wannan ruwan yana taimaka muku ɗaukar wasu bitamin daga abinci. Lokacin da kake cin abinci mai mai, ana fitar da bile daga mafitsara da hanta zuwa cikin hanji. Abinci galibi ana narkar dashi a cikin hanjin hanji.

Shin dutsen gall ne?

Duwatsun gall kanana ne, da “wuya mai wuya” da aka yi daga mai, sunadarai, da kuma ma’adanai a cikin jikinku. Harshen gallbladder yawanci yakan faru yayin da duwatsun gall suka toshe bututun butul ko bututu. Lokacin da wannan ya faru, bile yana tasowa a cikin gallbladder.

Toshewa da kumburi suna haifar da ciwo. Harin yakan tsaya yayin da duwatsun gall suke motsi kuma bile na iya malalowa.

Akwai manyan nau'ikan duwatsu biyu:

• Duwatsu masu tarin yawa na Cholesterol. Wadannan sune mafi yawan nau'ikan duwatsun gall. Suna kama da fari ko rawaya saboda an yi su ne daga ƙwayar cholesterol ko mai.
• Duwatsun gall. Ana yin wadannan duwatsun azan lokacinda bile dinka tayi yawa da bilirubin. Suna da launin ruwan kasa mai duhu ko baƙi. Bilirubin shine launi ko launi wanda ke sa jajayen ƙwayoyin jini su zama ja.

Zaku iya samun duwatsu masu zafin ciki ba tare da samun harin gallbladder ba. A Amurka, kimanin kashi 9 na mata da kashi 6 na maza suna da duwatsu masu zafi ba tare da wata alama ba. Duwatsu masu tsakuwar kwalliyar da ba ta toshe ƙwanjin bile yawanci ba zai haifar da alamomi ba.

Yaya game da wasu matsalolin gallbladder wanda ke haifar da ciwo?

Sauran nau'ikan matsalolin gallbladder wanda zai iya haifar da ciwo sune:

• cholangitis (bile bututu ƙonewa)
• gallbladder sludge toshewa
• fashewar gallbladder
• cututtukan gallbladder ko gallbladder dyskinesia
• gallbladder polyps
• gallbladder ciwon daji

Alamomin kamuwa da cutar fitsari

Harshen gallbladder galibi yakan faru bayan cin babban abinci. Wannan yana faruwa ne saboda jikinka yana yin karin bile lokacin da kake cin abinci mai mai. Kina iya samun hari a yamma.

Idan ka sami gallbladder attack, kana cikin haɗarin samun wani. Jin zafi daga harin gallbladder yawanci ya sha bamban da sauran nau'in ciwon ciki. Kuna iya samun:

• farat ɗaya da ciwo mai kaifi wanda ke ɗaukar mintuna zuwa awanni
• dullum ko ciwo mai wahala wanda ke saurin lalacewa a ɓangaren dama na ciki na ciki
• zafi mai zafi a tsakiyar cikinka, ƙasan ƙashin ƙirji
• matsanancin zafi wanda ke sa wahalar zama a tsaye
• zafi wanda ba ya tsanantawa ko canzawa lokacin da kake motsawa
• taushin ciki

Jin zafi daga harin gallbladder na iya yaɗuwa daga ciki zuwa:

• dawo tsakanin sandunan kafada
• kafada ta dama

Hakanan zaka iya samun wasu alamun alamun kamuwa da cutar giya, kamar:

• tashin zuciya
• amai
• zazzaɓi
• jin sanyi
• fata da ido rawaya
• fitsari mai duhu ko mai shayi
• haske na hanji ko launuka mai launi

Harshen giya zai iya haifar da wasu rikice-rikice, wanda zai haifar da wasu alamun. Misali, zai iya haifar da matsalolin hanta. Wannan na faruwa ne saboda toshewar bututu a cikin bututun na iya dawo da bile a hanta. Wannan na iya haifar da cutar jaundice - raunin fata da fararen idanun ku.

Wani lokaci duwatsun gall na iya toshe hanyar zuwa pancreas. Hakanan pancreas suna sanya ruwan narkewa wanda zai taimake ka ka karya abinci. Toshewa na iya haifar da wani rikici wanda ake kira gallstone pancreatitis. Kwayar cututtukan suna kama da harin gallbladder. Hakanan zaka iya samun ciwo a cikin ciki na hagu na sama.

Yaushe ake ganin likita

Kusan kashi ɗaya bisa uku na mutanen da ke da duwatsun gall ne kawai za su kamu da ciwon gallstone ko kuma alamun rashin lafiya mai tsanani. Harshen gallbladder shine gaggawa na gaggawa wanda ke buƙatar kulawa nan da nan. Kuna iya buƙatar magani don hana rikitarwa.

Kar a yi watsi da zafin, kuma kar a yi ƙoƙari ku ba da kanku da magungunan rage zafin ciwo. Nemi taimako daga likita yanzunnan idan kuna da ɗayan waɗannan alamun alamun gallbladder:

• zafi mai tsanani
• zazzabi mai zafi
• jin sanyi
• rawaya fata
• raunin idanuwanki

Jiyya don gallbladder attack

Da farko, likita zai baku maganin ciwo don taimakawa sauƙin zafin. Hakanan za'a iya baka magungunan anti-tashin zuciya don taimakawa bayyanar cututtuka.Idan likita ya yanke shawara cewa zaku iya komawa gida ba tare da ƙarin magani ba, kuna iya gwada hanyoyin sauƙaƙe na ciwo kuma.

Hawan gwal ɗin ku na iya tafiya da kansa. Wannan na iya faruwa idan gallstones lafiya ya wuce kuma baya haifar da rikitarwa. Har yanzu kuna buƙatar ziyarar ta gaba tare da likitanku.

Kuna iya buƙatar sikanin gwaje-gwaje da gwaje-gwaje don tabbatar da cewa ciwon yana fitowa ne daga harin gallbladder. Wadannan sun hada da:

• duban dan tayi
• X-ray na ciki
• CT dubawa
• hanta aikin gwajin jini
• Binciken HIDA

Hanyar duban dan tayi shine mafi mahimmanci kuma hanya mafi sauri ga likita don duba idan kuna da duwatsun gall.

Magani

Wani magani na baka wanda ake kira ursodeoxycholic acid, wanda kuma ake kira ursodiol (Actigall, Urso), na taimakawa narkewar ƙwayoyin ƙwayar cholesterol. Zai iya zama daidai a gare ka idan ciwon ka ya tafi da kansa ko ba ka da alamomi. Yana aiki akan ƙananan gallstones waɗanda girman su yakai milimita 2 zuwa 3.

Wannan magani na iya ɗaukar watanni don aiki, kuma kuna iya buƙatar ɗaukar shi har zuwa shekaru biyu. Duwatsun tsakuwa na iya dawowa da zarar ka daina shan shan magani.

Tiyata

Kuna iya buƙatar tiyata idan ciwo bai sauƙaƙe ba ko kuma idan kuna da maimaita hare-hare. Magungunan tiyata don kai harin gallbladder sune:

Cholecystectomy. Wannan tiyatar na cire dukkan gallbladder din. Yana hana ka samun ciwon duwatsun tsakuwa ko kamuwa da cutar gwal. Za ku yi barci don aikin. Kuna buƙatar 'yan kwanaki zuwa' yan makonni don murmurewa daga aikin.

Za a iya yin aikin tiyatar cikin-ciki tare da tiyatar maɓalli (laparoscope) ko kuma a buɗe tiyata.

Endoscopic retrograde cholangiopancreatography (ERCP). A cikin ERCP, zaku yi barci a ƙarƙashin maganin sa barci. Likitanku zai wuce ta siriri, sassauƙa iyaka tare da kyamara a kanta ta bakinku har zuwa buɗe igiyar bile.

Ana iya amfani da wannan hanyar don gano da cire duwatsun da ke cikin bututun. Ba zai iya cire duwatsu a cikin gallbladder ba. Kuna buƙatar ɗan gajeren lokacin dawowa saboda yawanci babu yankan a cikin ERCP.

Percutaneous cholecystostomy bututu. Wannan hanya ce ta aikin tiyata domin gallbladder. Yayinda kake cikin maganin rigakafi na gaba ɗaya, ana sanya bututu a cikin mafitsara ta cikin ɗan kankanin ciki a ciki. Hotunan duban dan tayi ko hoton-ray suna taimakawa wajen jagorantar likitan. An haɗa bututun da jaka. Duwatsu masu daraja da ƙarin bile a cikin jaka.

Hana wasu hare-hare

Duwatsun tsakuwa na iya zama na asali. Koyaya, zaku iya yin wasu canje-canje na rayuwa don rage haɗarin kamuwa da duwatsun da ke cikin gallbladder.

• Rage nauyi. Yin kiba ko kiba yana ƙara haɗarin ka. Wannan saboda yana iya sanya bile ɗinka wadataccen cholesterol.
• Motsa jiki da motsawa. Rashin salon rayuwa ko yawan lokacin zaune yana daga haɗarinka.
• Cimma daidaitaccen salon rayuwa ahankali. Rashin nauyi da sauri yana kara yawan hadarin gallstones. Wannan na faruwa ne saboda saurin rage nauyi yana sa hanta ta kara yawan cholesterol. Guji kokarin cin abinci mara amfani, tsallake abinci, da shan ƙarin asara mai nauyi.

Kasance tare da lafiyayyen abincin yau da kullun da motsa jiki na yau da kullun don rasa nauyi lafiya. Abincin da zai taimaka wajan hana kamuwa da duwatsun gall ya hada da nisantar kitsen mara lafiya da abinci mai zaƙi da sitaci. Moreara yawan abincin da ke taimakawa rage ƙwayar cholesterol. Wannan ya hada da abinci mai-fiber, kamar:

• sabo ne da daskararre kayan lambu
• sabo, daskararre, da busasshen 'ya'yan itace
• burodin hatsi da taliya
• shinkafar ruwan kasa
• lentil
• wake
• quinoa
• dan uwan

Menene hangen nesa?

Idan kana da matsalar gallbladder, yi magana da likitanka game da hanyoyin da zaka kiyaye samun wani. Kuna iya buƙatar aikin tiyatar cirewar gall. Zaka iya samun narkewar abinci na yau da kullun, ba tare da gallbladder ba.

Yi la'akari da cewa zaka iya samun tsakuwar duwatsu koda kuwa zaka ci lafiyayyu, daidaitaccen abinci kuma ka samu motsa jiki sosai. Ba za ku iya sarrafa sanadi kamar:

• kwayoyin halitta (gallstones suna gudana a cikin iyali)
• kasancewa mace (estrogen yana ƙara yawan ƙwayar cholesterol a cikin bile)
• kasancewa sama da shekaru 40 (cholesterol yana ƙaruwa da shekaru)
• samun asalin ƙasar Amurka ko na Meziko (wasu jinsi da ƙabilanci sun fi saukin kamuwa da duwatsun gall)

Yanayin da zasu iya haifar da haɗarin kamuwa da gallbladder sune:

• rubuta 1 ciwon sukari
• rubuta ciwon sukari na 2
• Cutar Crohn

Yi magana da likitanka idan kuna da tarihin tarihin gallstone ko kuma kuna da ɗayan ko fiye da haɗarin haɗari. Wani duban dan tayi zai iya taimakawa gano idan kana da duwatsun gall. Idan ka sami gallbladder attack, ga likitanka don duk alƙawarin da ya biyo baya, koda kuwa ba ka buƙatar magani.