Nnukwu cholecystitis

Nnukwu cholecystitis bụ ọzịza mberede na iwe nke gallbladder. Ọ na-ebute oke mgbu afọ.

Gallbladder bụ akụkụ nke na-anọdụ n'okpuru imeju. Ọ na-echekwa bile, nke emepụtara na imeju. Ahụ gị na-eji bile gbaa abụba na obere eriri afọ.

Nnukwu cholecystitis na-eme mgbe bile na-atọ n'ime gallbladder. Nke a na-eme n'ihi na gallstone na-egbochi oghere cystic, ọkpọkọ nke bile na-esi abanye na nke gallbladder. Mgbe nkume na-egbochi eriri mmiri a, bile na-ewuli elu, na-akpata iwe na nrụgide na gallbladder. Nke a nwere ike ibute ọzịza na ọrịa.

Ihe ndị ọzọ gụnyere:

• Ọrịa ndị siri ike, dị ka nje HIV ma ọ bụ ọrịa shuga
• Tumo nke gallbladder (obere)

Peoplefọdụ ndị mmadụ nọ n’ọnọdụ dị egwu maka nkume gall. Ihe egwu nwere:

• Femalebụ nwanyị
• Ime afọ ime
• Ọgwụgwọ mmiri ọgwụ
• Erka nká
• Beingbụ onye amaala America ma ọ bụ onye Hispanic
• Ibu
• Ingghara ma ọ bụ ibu ibu ngwa ngwa
• Ọrịa shuga

Mgbe ụfọdụ, a na-egbochi eriri bile ruo nwa oge. Mgbe nke a mere ugboro ugboro, ọ nwere ike ibute ogologo oge (ala ala) cholecystitis. Nke a bụ ọzịza na mgbakasị na-aga n'ihu na oge. N’ikpeazụ, gallbladder na-ebuwanye ibu ma sie ike. Ọ naghị echekwa ma hapụ bile dị ka o mere.

Ihe mgbaàmà bụ isi bụ ihe mgbu n'akụkụ aka nri nke elu ma ọ bụ n'etiti etiti afọ gị nke na-ewekarị ma ọ dịkarịa ala minit 30. I nwere ike iche:

• Mgbu, cramping, ma ọ bụ dull mgbu
• Ihe nkwụsị
• Mgbu nke na-agbasa n’azụ gị ma ọ bụ n’okpuru ubu aka nri gị

Mgbaàmà ndị ọzọ nwere ike ime gụnyere:

• Akwa odo odo
• Ahụ ọkụ
• Ọgbọ na ọgbụgbọ
• Yellowing nke anụ na ọcha nke anya (jaundice)

Onye nlekọta ahụike gị ga-eme nyocha anụ ahụ wee jụọ maka ihe mgbaàmà gị. N'oge nyocha ahụ, ọ ga-abụ na ị ga-enwe ihe mgbu mgbe onye na-eweta ọrụ metụrụ afọ gị aka.

Onye na-eweta gị nwere ike ịtụ ihe nyocha ọbara ndị a:

• Amylase na egbugbere ọnụ
• Bilirubin
• Ọnụọgụ ọbara zuru ezu (CBC)
• Nnwale ọrụ imeju

Nnwale onyonyo nwere ike igosi gallstine ma ọ bụ mbufụt. Nwere ike ịnwe otu ma ọ bụ karịa n'ime ule ndị a:

• Ime ultrasound
• Ime CT i scanomi ma ọ bụ MRI i scanomi
• Ime x-ray
• Oral cholecystogram
• Gallbladder radionuclide nyocha

Ọ bụrụ na ị nwere oke nrịanya afọ, chọọ nlekọta ahụike ozugbo.

N'ime ụlọ mberede, a ga-enye gị mmiri mmiri site na akwara. Enwekwara ike inye gị ọgwụ nje iji lụso ọrịa ọgụ.

Cholecystitis nwere ike ikpocha n'onwe ya. Otú ọ dị, ọ bụrụ na ị nwere nkume gallst, eleghị anya ị ga-achọ ịwa ahụ iji wepụ gallbladder gị.

Ọgwụgwọ na-enweghị ọgwụgwọ gụnyere:

• Ọgwụ nje na-eburu gị n'ụlọ iji lụso ọrịa ọgụ
• Nri nwere obere abụba (ọ bụrụ na ị nwere ike iri)
• Ọgwụ mgbu

Nwere ike ịchọrọ ịwa ahụ mberede ma ọ bụrụ na ị nwere nsogbu dịka:

• Gangrene (ọnwụ anụ ahụ) nke gallbladder
• Perforation (oghere nke na-etolite na mgbidi nke gallbladder)
• Pancreatitis (ọkụ pancreas)
• Mgbochi mkpọchi bile na-adịgide
• Mbufụt nke eriri igwe bile

Ọ bụrụ na ị na-arịa ọrịa, enwere ike itinye eriri n'ime afọ gị n'ime eriri afọ gị iji kpoo ya. Ozugbo obi dị gị mma, onye na-eweta gị nwere ike ịkwado ịwa ahụ.

Imirikiti ndị mmadụ nwere ịwa ahụ iji wepụ gallbladder ha na-agbake kpamkpam.

Enweghị ọgwụgwọ, cholecystitis nwere ike ibute nke ọ bụla n'ime nsogbu ahụike ndị a:

• Empyema (pus na gallbladder)
• Gangrene
• Mmetụta nke nsị bile na-agba umeji (nwere ike ime mgbe ịwa ahụ gallbladder)
• Pancreatitis
• Perforation
• Peritonitis (mbufụt nke lining nke afo)

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na ịnwee:

• Oké afọ mgbu na-anaghị apụ
• Mgbaàmà nke cholecystitis laghachi

Iwepu gallbladder na gallstones ga-egbochi mwakpo ọzọ.

Cholecystitis - nnukwu; Gallstones - nnukwu cholecystitis

• Gallbladder mwepụ - laparoscopic - nhapu
• Mwepụ nke Gallbladder - emeghe - nhapu
• Gallstones - ihapu

• Usoro nri
• Cholecystitis, nyocha CT
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Gallstones, cholangiogram
• Gallbladder iwepụ - Usoro

Glasgow RE, Mulvihill SJ. Ọgwụgwọ ọrịa gallstone. Na: Feldman M, Friedman LS, Brandt LJ, eds. Ọrịa Cancer Sleisenger na Ọrịa Cancer nke Fordtran. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 66.

Jackson PG, Evans SRT. Usoro biliary. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ: Ntọala Nduzi nke Omume Ahụhụ Oge a. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 54.

Wang DQ-H, Afdhal NH. Ọrịa gallstone. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 65.