Ihe ị ga - eme ọ bụrụ na ị na - enwe Mmegide Gallbladder

Ndinaya

• Enwere m ọgụ gallbladder?
• Gịnị bụ gallbladder?
• O nwere ike obu gall?
• Gịnị banyere nsogbu ndị ọzọ na-eme ka mmadụ nwee ihe mgbu?
• Mgbaàmà nke ọgụ gallbladder
• Mgbe ịhụ dọkịta
• Ọgwụgwọ maka gallbladder ọgụ
• Ọgwụ
• Wa ahụ
• Na-egbochi mwakpo ọzọ
• Kedu ihe bụ ebumnuche?

Enwere m ọgụ gallbladder?

A na-akpọkwa ọgụ gallbladder ọgụ gallstone, nnukwu cholecystitis, ma ọ bụ biliary colic. Ọ bụrụ na ị nwere ihe mgbu n'akụkụ aka nri nke afọ gị, ọ nwere ike ịbụ ihe gbasara gallbladder gị. Buru n'uche na enwere ihe ndi ozo na-akpata mgbu na mpaghara a. Ndị a gụnyere:

• nrekasi obi (GERD)
• appendicitis
• ịba ọcha n'anya (imeju mbufụt)
• peptic (afọ) ọnya afọ
• ọrịa oyi
• hiatal hainia
• akụrụ ọrịa
• nkume akụrụ
• imeju imeju
• pancreatitis (pancreas mbufụt)
• ọrịa shingles
• afọ ntachi siri ike

Gịnị bụ gallbladder?

Gallbladder bụ obere akpa n’akpa nri aka nri, n’okpuru imeju gị. Ọ dị ka ube n'akụkụ. Isi ọrụ ya bụ ịchekwa ihe dị ka pasent 50 nke bile (gall) nke imeju.

Ahụ gị chọrọ bile iji nyere aka mebie abụba. Mmiri a na - enyere gị aka ịmịkọrọ vitamin ụfọdụ na nri. Mgbe ị na-eri nri mara abụba, a na-ewepụta bile site na gallbladder na imeju n'ime eriri afọ. Ihe oriri na-agbari n'ime eriri afọ.

O nwere ike obu gall?

Gallstones dị obere, obere “pebbles” siri ike emere site na abụba, protein, na mineral n'ime ahụ gị. Ọrịa gallbladder na-emekarị mgbe gallstones na-egbochi eriri bile ma ọ bụ tube. Mgbe nke a mere, bile na-ewulite na gallbladder.

Mgbochi imechi na ọzịza na-akpalite ihe mgbu. Mwakpo ahụ na-akwụsịkarị mgbe gallstones na-akpụ akpụ ma bile nwere ike ịpụta.

E nwere ụdị nnukwu nkume gall abụọ:

• Nkume cholesterol. Ihe ndị a bụ ụdị gallstones. Ha na-acha ọcha ma ọ bụ na-acha odo odo n’ihi na ọ bụ nke cholesterol ma ọ bụ abụba mere ha.
• Nkume gallstig. Emere gallstones a mgbe bile gị nwere ọtụtụ bilirubin. Ha na-agba ọchịchịrị ma ọ bụ na-acha oji. Bilirubin bụ agba ma ọ bụ agba na-eme ka ọbara uhie uhie uhie.

Nwere ike ịnwe gallstones n’enweghị ọgụ gallbladder. Na United States, ihe dị ka 9 pasent nke ụmụ nwanyị na 6 pasent nke ụmụ nwoke nwere nkume gall na-enweghị ihe mgbaàmà ọ bụla. Nkume gall na-anaghị egbochi ọnya bile anaghị abụkarị ihe mgbaàmà.

Gịnị banyere nsogbu ndị ọzọ na-eme ka mmadụ nwee ihe mgbu?

Typesdị nsogbu gallbladder ndị ọzọ nwere ike ibute mgbu bụ:

• cholangitis (bile duct mbufụt)
• gallbladder sludge mkpọchi
• gallbladder mgbape
• ọrịa gallbladder ma ọ bụ gallbladder dyskinesia
• gallbladder polyps
• gallbladder cancer

Mgbaàmà nke ọgụ gallbladder

Ọrịa gallbladder na-emekarị mgbe ị risịrị nri buru ibu. Nke a na - eme n'ihi na ahụ gị na - eme ka bile ọzọ mgbe ị na - eri nri nwere abụba. O yikarịrị ka ị ga-enwe ọgụ na mgbede.

Ọ bụrụ na ị nweela gallbladder ọgụ, ị nọ n'ihe ize ndụ nke inwe ọzọ. Mgbu site na mwakpo gallbladder na-adịkarị iche na ụdị mgbu afọ ndị ọzọ. Nwere ike ịnwe:

• mberede na nkọ mgbu nke na-ewe nkeji na ọtụtụ awa
• dull ma ọ bụ ihe mgbochi mgbu nke na-emewanye ngwa ngwa n'akụkụ aka nri nke afọ gị
• oke mgbu n’etiti afọ gị, n’okpuru obere ọkpụkpụ ahụ
• oké ihe mgbu na-eme ka o sie ike ịnọdụ ala
• mgbu nke na-adịghị njọ ma ọ bụ gbanwee mgbe ị na-akwagharị
• obi nro

Mgbu site na mwakpo gallbladder nwere ike gbasaa site n'afọ ruo:

• laa azu n’etiti ubu gi
• aka nri

Nwekwara ike inwe mgbaàmà ndị ọzọ nke ọgụ gallbladder, dịka:

• ọgbụgbọ
• agbọ agbọ
• ahụ ọkụ
• akpata oyi
• akpukpo aru na anya
• ọchịchịrị ma ọ bụ tii nwere agba tii
• ọkụ ma ọ bụ ụrọ na-agba agba afọ

Mwakpo gallbladder nwere ike ibute nsogbu ndị ọzọ, nke ga - ebute mgbaàmà ndị ọzọ. Dịka ọmụmaatụ, ọ nwere ike ịkpalite nsogbu imeju. Nke a na - eme n'ihi na mgbochi nke eriri mmiri nwere ike ịkwado bile n'ime imeju. Nke a nwere ike ime ka ọrịa jaundice laa - ịkpa ya n’ahụ na - acha ọcha n’anya gị.

Mgbe ụfọdụ nkume gall nwere ike igbochi ụzọ pancreas. Pancreas na-emekwa ihe oriri na-agbari nri nke na - enyere gị aka imebi nri. Mgbapu nwere ike ibute nsogbu nke akpọrọ gallstone pancreatitis. Mgbaàmà ndị yiri nke a gallbladder ọgụ. I nwekwara ike inwe ihe mgbu n’ime afọ aka ekpe aka ekpe.

Mgbe ịhụ dọkịta

Naanị otu ụzọ n'ụzọ atọ nke ndị nwere gallstones ga-enwe ọgụ gallstone ma ọ bụ ajọ mgbaàmà. Mwakpo gallbladder bụ mberede ahụike nke chọrọ nlekọta ozugbo. Nwere ike ịchọ ọgwụgwọ iji gbochie nsogbu.

Elegharala ihe mgbu ahụ anya, ma ghara ịnwa iji ọgwụ na-egbu onwe gị na-agwọ onwe gị. Chọọ enyemaka site na dọkịta ozugbo ma ọ bụrụ na ịnwere nke ọ bụla n'ime ihe ịrịba ama ndị a nke ọgụ gallbladder:

• oké ihe mgbu
• nnukwu ahụ ọkụ
• akpata oyi
• akpụkpọ yellowing
• na-acha ọcha nke anya gị

Ọgwụgwọ maka gallbladder ọgụ

Na mbido, dibia ga-enye gi ogwu mgbu iji nyere aka belata ihe mgbu. Enwekwara ike ịnye gị ọgwụ ọgbụgbọ iji nyere aka belata mgbaàmà.Ọ bụrụ na dọkịta ahụ ekpebie na ị nwere ike ịla ụlọ na-enweghị ọgwụgwọ ọzọ, ị nwere ike ịnwale ụzọ enyemaka ihe mgbu sitere n'okike.

Mwakpo gị nke gallbladder nwere ike ịla onwe ya. Nke a nwere ike ime ma ọ bụrụ na gallstones gafere n'enweghị nsogbu ma ghara ịkpata nsogbu. Ka ga-achọkwa nleta na dọkịta gị.

Nwere ike ịchọ nyocha na nyocha iji gosipụta na ihe mgbu ahụ sitere na mwakpo gallbladder. Ndị a gụnyere:

• ultrasound
• afọ X-ray
• Nyocha CT
• imeju ọrụ nyocha ọbara
• HIDA nyocha

Ihe omimi nke afo bu uzo kachasi ngwa ngwa na ngwa ngwa nke dọkịta ka ị hu ma enwere gallstones.

Ọgwụ

Otu ọgwụ a na-akpọ ursodeoxycholic acid, nke a na-akpọ ursodiol (Actigall, Urso), na-enyere aka igbari gallstones. O nwere ike ịbụ ihe ziri ezi maka gị ma ọ bụrụ na mgbu gị na-apụ n'onwe ya ma ọ bụ na ị nweghị ihe mgbaàmà. Ọ na-arụ ọrụ na obere obere gallstones dị 2 ruo 3 millimeters naanị nha.

Nri a nwere ike were ọnwa iji rụọ ọrụ, ị nwere ike were ya ruo afọ abụọ. Nkume mmiri nwere ike ịlaghachi ozugbo ịkwụsị ị medicationụ ọgwụ.

Wa ahụ

Nwere ike ịchọ ịwa ahụ ma ọ bụrụ na ihe mgbu ahụ adịghị adalata ma ọ bụ ọ bụrụ na ịnwe ọgụ ọzọ. Swa ahụ ọgwụgwọ maka gallbladder agha bụ:

Cholecystectomy. Nke ịwa ahụ a na-ewepu dum gallbladder. Ọ na - egbochi gị inwe mmiri gallstall ma ọ bụ gallbladder ọgụ ọzọ. ’Ll ga-ehi ụra maka usoro ahụ. Ga-achọ ụbọchị ole na ole ruo izu ole na ole iji gbakee site na ịwa ahụ.

Gallbladder ịwa ahụ nwere ike iji keyhole (laparoscope) ịwa ahụ ma ọ bụ ịwa ahụ mepere emepe.

Endoscopic retrograde cholangiopancreatography (ERCP). Na ERCP, ị ga-ehi ụra n'okpuru ọgwụ mgbochi. Dọkịta gị ga-agafe obere mkpa, na-agbanwe agbanwe yana igwefoto na ya site n'ọnụ gị ruo n'ọnụ ụzọ nke eriri bile.

Enwere ike iji usoro a chọta ma wepu nkume gallst na duct. Enweghi ike iwepu okwute na gallbladder. Ga-achọ obere oge mgbake n'ihi na enweghị mgbatị na ERCP.

Percutaneous cholecystostomy tube. Nke a bụ usoro ịwa ahụ drainage maka gallbladder. Mgbe ị nọ n'okpuru ọgwụ mgbochi ọrịa n'ozuzu, a na-etinye ọkpọba n'ime eriri afọ gị site na obere ịkpụ n'ime afọ gị. Ihe oyiyi Ultrasound ma ọ bụ X-ray na-enyere aka duzie dọkịta na-awa ahụ. Ejikọtara ọkpọkọ ahụ na akpa. Gallstones na extra bile igbapu n'ime akpa.

Na-egbochi mwakpo ọzọ

Nkume mmiri nwere ike ịbụ mkpụrụ ndụ ihe nketa. Agbanyeghị, ịnwere ike ịgbanwe ndụ ụfọdụ iji belata ihe egwu gị nke inweta gallstones na ọgụ ọgụ gallbladder.

• Kwụsị ibu ibu. Beingbụ ibu ma ọ bụ ibu ibu na-eme ka ihe ize ndụ gị. Nke a bụ n'ihi na ọ nwere ike ime ka bile gị baa ụba na cholesterol.
• Na-emega ahụ ma na-agagharị. Lifestyle ebi ndụ adịghị arụ ọrụ ma ọ bụ itinye oge dị ukwuu na-ebuli ihe ize ndụ gị.
• Jiri nwayọọ nwayọọ nweta ndụ dị mma karị. Weighthapụ ibu ngwa ngwa na-eme ka ohere ị nwere ịrịa gallstones. Nke a na - eme n'ihi na ịdị nfe n’ibu ọsọ na - eme ka imeju gị mee ọtụtụ cholesterol. Zere ịnwale nri nri, ịmị nri, na ịnwe mgbakwunye mgbatị ibu.

Nọgide na-eri nri ahụike kwa ụbọchị na mmega ahụ oge niile ka ị ghara ibu ibu n’enweghị nsogbu. Nri iji nyere aka igbochi gallstine gụnyere izere abụba na-adịghị mma na nri shuga ma ọ bụ starch. Riekwuo nri na-enyere aka ịbelata cholesterol. Nke a gụnyere nri nwere fiber dị ukwuu, dị ka:

• akwukwo nri ohuru na oyi kpoo
• mkpụrụ osisi ọhụrụ, oyi kpọnwụrụ, na nke a mịrị amị
• achịcha niile na pasta
• osikapa agba aja aja
• lentil
• agwa
• quinoa
• nwa nwanne nna

Kedu ihe bụ ebumnuche?

Ọ bụrụ na ị nwere ọgụ gallbladder, gwa dọkịta gị ụzọ iji gbochie inwe nke ọzọ. Nwere ike mkpa ịwa ahụ gallbladder. Nwere ike ịnwe mgbaze nkịtị, gbasiri ike na-enweghị eriri afọ.

Mara na ị nwere ike ịnweta gallstone ọ bụrụgodi na ị na-eri nri dị mma, nke kwesịrị ekwesị ma na-emega ahụ. I nweghi ike ichikota ihe dika:

• mkpụrụ ndụ ihe nketa (gallstones na-agba ọsọ n'ime ezinụlọ)
• ịbụ nwanyị (estrogen na-eme ka cholesterol dị na bile)
• ịbụ ihe karịrị afọ 40 (cholesterol na-abawanye na afọ)
• inwe ihe nketa nke ndị America ma ọ bụ Mexico (ụfọdụ agbụrụ na agbụrụ dị iche iche na-enwekarị gallstones)

Ọnọdụ ndị nwere ike ibute ihe egwu gị nke ọgụ gallbladder bụ:

• pịnye 1 ọrịa shuga
• pịnye ụdị ọrịa shuga abụọ
• Ọrịa Crohn

Gwa dọkịta gị ma ọ bụrụ na ị nwere akụkọ ihe mere eme nke ezinụlọ nke gallstones ma ọ bụ ọ bụrụ na ị nwere otu ma ọ bụ karịa ihe egwu. Ultrasound nwere ike inyere aka ịchọpụta ma ị nwere nkume gall. Ọ bụrụ na ị nweela ọgụ gallbladder, gakwuru dọkịta gị maka nhọpụta ndị na-esochi, ọbụlagodi na ịchọghị ọgwụgwọ.