Ọrịa Gallbladder

Ndinaya

• Kedu ụdị ọrịa gallbladder?
• Nkume okwute
• Cholecystitis
• Choledocholithiasis
• Ọrịa gallbladder na-arịa ọrịa
• Bilili dyskinesia
• Sclerosing cholangitis
• Gallbladder cancer
• Gallbladder polyps
• Gangrene nke gallbladder
• Afọ nke gallbladder
• Kedu ka esi achọpụta ọrịa gallbladder?
• Zuru ezu ọgwụ mere eme
• Nnyocha ahụ
• Obi na abdominal X-ray
• Ultrasound
• HIDA nyocha
• Nyocha ndị ọzọ
• Kedu ka esi agwọ ọrịa gallbladder?
• Ndụ na-agbanwe
• Ọgwụ ọgwụgwọ
• Wa ahụ
• Enwere nsogbu dị ogologo oge nke ọrịa gallbladder
• Enwere ike igbochi ọrịa gallbladder?

Isi nke ọrịa gallbladder

A na-eji ọrịa gallbladder ọtụtụ ụdị ọnọdụ nwere ike imetụta gallbladder gị.

Gallbladder bụ obere akpa yiri ube nke dị n'okpuru imeju gị. Ọrụ gallbladder gị bụ nnukwu ọrụ bụ ịchekwa bile nke imeju gị mepụtara ma nyefee ya na eriri nke na-asọba n'ime eriri afọ. Bile na-enyere gị aka ịgbari abụba na obere eriri afọ gị.

Mbufụt na-akpata ọtụtụ ọrịa gallbladder n'ihi iwe nke mgbidi gallbladder, nke a maara dị ka cholecystitis. Ọrịa a na-abụkarị n'ihi gallstones na-egbochi ọwa mmiri na-eduga na eriri afọ ma na-eme ka bile na-ewu. O nwere ike mechaa mee ka necrosis (anụ ahụ mbibi) ma ọ bụ gangrene.

Kedu ụdị ọrịa gallbladder?

Enwere ụdị ọrịa gallbladder dị iche iche.

Nkume okwute

Gallstones na-etolite mgbe ihe ndị dị na bile (dị ka cholesterol, nnu bile, na calcium) ma ọ bụ ihe ndị sitere na ọbara (dị ka bilirubin) na-etolite akwara siri ike nke na-egbochi ụzọ gafere gallbladder na bile ducts.

Gallstones na-etolitekwa mgbe gallbladder anaghị ekpochapu kpamkpam ma ọ bụ na-ezuru ya mgbe niile. Ha nwere ike ịdị obere dịka ọka ájá ma ọ bụ buru ibu dị ka bọl golf.

Ọtụtụ ihe na-atụnye ụtụ n'ihe egwu gị nke gallstones. Ndị a gụnyere:

• ibu ibu ma obu buo ibu
• na-arịa ọrịa shuga
• dị afọ 60 ma ọ bụ karịa
• na-a medicationsụ ọgwụ ndị nwere estrogen
• inwe akụkọ banyere ezinụlọ nke gallstones
• ịbụ nwanyị
• nwere ọrịa Crohn na ọnọdụ ndị ọzọ na-emetụta otú nri na-esi abanye
• nwere ọrịa cirrhosis ma ọ bụ ọrịa imeju ndị ọzọ

Cholecystitis

Cholecystitis bụ ụdị ọrịa gallbladder kachasị. Ọ na-egosi onwe ya dị ka nnukwu ma ọ bụ na-adịghị ala ala mbufụt nke gallbladder.

Nnukwu cholecystitis

Nnukwu cholecystitis na-emekarị site na gallstones. Ma ọ pụkwara ịbụ n'ihi etuto ma ọ bụ ọrịa ndị ọzọ dị iche iche.

Ọ nwere ike ibute na nhụjuanya n'akụkụ aka nri elu ma ọ bụ akụkụ etiti elu nke afọ. Mgbu a na - eme ozugbo ị risịrị nri ma site na ụfụ ụfụ na - afụ ụfụ nke nwere ike ịmị aka gị. Nnukwu cholecystitis nwekwara ike ịkpata:

• ahụ ọkụ
• ọgbụgbọ
• agbọ agbọ
• jaundice

Oge cholecystitis na-adịghị ala ala

Mgbe ọtụtụ ọgụ nke nnukwu cholecystitis, gallbladder nwere ike ịda mbà ma hapụ ike ya ịchekwa na ịhapụ bile. Afọ afọ, ọgbụgbọ, na ịgba agbọ nwere ike ịpụta. Surwa ahụ na-abụkarị ọgwụgwọ achọrọ maka cholecystitis na-adịghị ala ala.

Choledocholithiasis

Nkume gall nwere ike dinara na olu gallbladder ma obu na ikuku bile. Mgbe gallbladder na-agbanye n'ụzọ dị otú a, bile enweghị ike ịpụ. Nke a nwere ike ibute gallbladder na-agba ọkụ ma ọ bụ na-ewe iwe.

Ihe nkwụnye bile a kwụchiri ga-egbochikwu bile site na imeju site na imeju ruo eriri afọ. Choledocholithiasis nwere ike ibute:

• oké ihe mgbu n'etiti afọ gị elu
• ahụ ọkụ
• akpata oyi
• ọgbụgbọ
• agbọ agbọ
• jaundice
• paịl ma ọ bụ akwa ụrọ nwere agba

Ọrịa gallbladder na-arịa ọrịa

Ọrịa gallbladder na-egbuke egbuke bụ mbufụt nke gallbladder nke na-eme na-enweghị ọnụnọ gallstones. Inwe nnukwu ọrịa na-adịghị ala ala ma ọ bụ ọnọdụ ahụike siri ike egosila na ọ ga-ebute ihe.

Mgbaàmà ndị yiri nke nnukwu cholecystitis nwere gallstones. Factorsfọdụ ihe egwu dị na ọnọdụ ahụ gụnyere:

• nnukwu ahụ trauma
• ịwa obi
• ịwa ahụ afọ
• nnukwu ọkụ
• autoimmune ọnọdụ dị ka lupus
• ọbara-efe efe ofufe
• na-enweta nri na-edozi ahụ (IV)
• nnukwu nje ma ọ bụ ọrịa nje

Bilili dyskinesia

Bilkinary dyskinesia na-eme mgbe gallbladder nwere ọrụ dị ala karịa nke nkịtị. Ọnọdụ a nwere ike ibute ọrịa gallbladder na-aga n'ihu.

Mgbaàmà nwere ike ịgụnye mgbu afọ nke afọ mgbe ị risịrị nri, ọgbụgbọ, bloating, na afọ mgbu. Iri nri mara abụba nwere ike ịkpalite mgbaàmà. Enweghi gallstones na gallbladder nwere dyskinesia biliary.

Dọkịta gị nwere ike ịchọ iji nnwale a na-akpọ nyocha HIDA iji nyere aka chọpụta nchoputa a. Nnwale a na-arụ ọrụ gallbladder. Ọ bụrụ na gallbladder nwere ike ịhapụ 35 ka 40 pasent nke ọdịnaya ya ma ọ bụ obere, mgbe ahụ a na-achọpụtakarị dyskinesia biliary.

Sclerosing cholangitis

Mbufụt na-aga n'ihu na mmebi nke usoro nsị bile nwere ike iduga n'ichihịa. A na-akpọ ọnọdụ a dị ka sclerosing cholangitis. Otú ọ dị, a maghị ihe na-akpata ọrịa a.

Ihe fọrọ nke nta ka ọ bụrụ ọkara ndị nwere ọnọdụ a enweghị ihe mgbaàmà. Ọ bụrụ na mgbaàmà emee, ha nwere ike ịgụnye:

• ahụ ọkụ
• jaundice
• ọkọ
• mgbakasị ahụ dị n'elu.

Ihe dị ka ndị nwere ọnọdụ a nwekwara ọnya afọ. Inwe ọnọdụ a na - abawanye n'ihe ize ndụ nke kansa cancer. Ka ọ dị ugbu a, nanị ọgwụgwọ a maara bụ ịmịnye umeji.

Ọgwụ ndị na-egbochi usoro ahụ ji alụso ọrịa ọgụ na ndị na-enyere aka ịkwụsị bile nwere ike inyere aka ijikwa mgbaàmà.

Gallbladder cancer

Ọrịa cancer nke gallbladder bụ ọrịa na-adịghị ahụkebe. Enwere ụdị ọrịa kansa gallbladder dị iche iche. Ha nwere ike isi ike ịgwọ n'ihi na anaghị achọpụta ha ọtụtụ oge ruo na mbubreyo ọrịa na-aga n'ihu. Nkume gallst bụ ihe na-akpatakarị maka ọrịa gallbladder.

Gallbladder cancer nwere ike gbasaa site na mgbidi nke gallbladder ruo na mpụta ahụ wee banye na imeju, lymph nodes, na akụkụ ndị ọzọ. Ihe mgbaàmà nke ọrịa gallbladder nwere ike iyi nke nke nnukwu cholecystitis, mana enwere ike enweghị mgbaàmà ọ bụla.

Gallbladder polyps

Gallbladder polyps bụ ọnya ma ọ bụ uto nke na-eme n'ime gallbladder. Ha na-adịkarị mma ma ghara inwe mgbaàmà ọ bụla. Otú ọ dị, a na-atụkarị aro iwepụ gallbladder maka polyps karịrị 1 centimita. Ha nwere ohere ka ukwuu nke ịrịa kansa.

Gangrene nke gallbladder

Gangrene nwere ike ime mgbe gallbladder na - amalite usoro ọbara na - erughị eru. Nke a bụ otu nsogbu kachasị njọ nke nnukwu cholecystitis. Ihe ndị na - eme ka nsogbu a dịkwuo njọ gụnyere:

• ịbụ nwoke ma karịa 45 afọ
• na-arịa ọrịa shuga

Mgbaàmà nke gallbladder gangrene nwere ike ịgụnye:

• dull mgbu na gallbladder mpaghara
• ahụ ọkụ
• ọgbụgbọ ma ọ bụ agbọ
• enweghị atụ
• ọbara mgbali elu

Afọ nke gallbladder

Mwepu nke gallbladder na-apụta mgbe gallbladder na-afụ ọkụ na abu. Pus bụ mkpụkọ nke mkpụrụ ndụ ọbara ọcha, anụ ahụ nwụrụ anwụ, na nje bacteria. Mgbaàmà nwere ike ịgụnye mgbu aka nri nke aka nri na afọ yana yana ahụ ọkụ na akpata oyi.

Ọnọdụ a nwere ike ime n'oge nnukwu cholecystitis mgbe gallstone na-egbochi gallbladder kpamkpam, na-ekwe ka gallbladder jupụta na abu. Ọ na-ahụkarị ndị nwere ọrịa shuga na ọrịa obi.

Kedu ka esi achọpụta ọrịa gallbladder?

Iji chọpụta ọrịa gallbladder, dọkịta gị ga-ajụ gị gbasara akụkọ gbasara ahụike gị wee mee nyocha nke afọ. Nke a ga-agụnye ịlele maka ihe mgbu n'ime afọ. Enwere ike iji otu ma ọ bụ karịa n'ime ule na usoro ndị a:

Zuru ezu ọgwụ mere eme

Ndepụta nke mgbaàmà ị na-ahụ na akụkọ ọ bụla gbasara onwe gị ma ọ bụ nke ezinụlọ nke ọrịa gallbladder dị mkpa. Enwekwara ike ịme nyocha ahụike zuru oke iji chọpụta ma enwere ihe ịrịba ama ọ bụla nke ọrịa gallbladder ogologo oge.

Nnyocha ahụ

Dọkịta gị nwere ike ịmegharị ihe pụrụ iche n'oge ule afọ iji chọọ ihe a na-akpọ "akara Murphy."

N'ime usoro a, dọkịta gị ga-etinye aka ha n'ime afọ gị n'akụkụ mpaghara gallbladder. Ha ga-agwa gị ka ị ku ume mgbe ị na-enyocha ma na-eche mpaghara ahụ. Ọ bụrụ n’inwee nnukwu ihe mgbu, ọ na-atụ aro na ị nwere ike ịnwe ọrịa gallbladder.

Obi na abdominal X-ray

Symptomatic cholecystitis ga-egosi mgbe ụfọdụ nkume na ụzarị ọkụ ma ọ bụrụ na nkume ndị ahụ nwere calcium. Igwe X-ray nke igbe nwere ike igosi ikike ma ọ bụ oyi baa.

Otú ọ dị, X-ray abụghị ule kachasị mma maka ịmata ọrịa gallbladder. A na-ejikarị ha eme ihe iji wepụ ihe ndị ọzọ nwere ike ịkpata ihe mgbu na-enweghị njikọta na gallstall, gallbladder, ma ọ bụ imeju.

Ultrasound

Ultrasound na-eji ebili mmiri iji mepụta onyonyo n'ime ahụ gị. Ule a bu otu uzo isi nke dibia gi ji eme oria gallbladder. Otu ultrasound nwere ike nyochaa gallbladder maka ọnụnọ gallstones, mgbidi gbara agba, polyps, ma ọ bụ ọtụtụ. O nwekwara ike ịchọpụta nsogbu ọ bụla dị n'ime imeju gị.

HIDA nyocha

Ihe nyocha HIDA na-elele sistemụ duct n'ime eriri afọ na imeju. A na-ejikarị ya eme ihe mgbe mmadụ nwere mgbaàmà gallbladder mana ultrasound egosighi ihe kpatara mgbaàmà ahụ. Enwere ike iji HIDA nyocha maka nyocha nke ọma banyere usoro bile duct.

Ule a nwere ike inyocha oru nke gallbladder site na iji ihe ojoo redioactive. A na-agbanye ihe ahụ n'ime akwara wee lelee ya ka ọ na-agagharị na gallbladder. Enwere ike ịgbanye ọgwụ ọzọ na-eme ka gallbladder hapụ bile.

Nyocha HIDA na-egosi otu gallbladder si agagharị bile site na sistem bile duct. Ọ nwekwara ike ịlele ọnụọgụ nke bile na-esi na gallbladder pụta. Nke a ka a maara dị ka ejection nta. A na-ahụta ọfụma nsị maka gallbladder n'etiti 35 ka 65 percent.

Nyocha ndị ọzọ

A pụkwara iji ule nyocha ọzọ, dị ka CT na MRI scan. A na-anwale ọbara iji chọpụta maka ọnụọgụ ọbara na-acha ọcha na ọrụ imeju na-adịghị mma.

Endoscopic retrograde cholangiopancreatography (ERCP) bụ ule na-emebi emebi ma bara uru. A na-etinye igwefoto na-agbanwe agbanwe n'ime ọnụ ya gbadata gafee afọ n'ime eriri afọ. A na-agbanye mgbatị dị iche iji gosipụta usoro bile nke nwere X-ray pụrụ iche.

ERCP bụ ule bara uru karịsịa ma ọ bụrụ na a na-enyo ihe mgbochi n'ihi nkume gall. Enwere ike iwepụ gallstone ọ bụla nke na - akpata mkpọchi n'oge usoro a.

Kedu ka esi agwọ ọrịa gallbladder?

Ndụ na-agbanwe

Ebe ọ bụ na ụfọdụ ọnọdụ ahụike na-eme ka ohere nke ịta mmiri gallstone, mgbanwe nke ndụ nwere ike inye aka ijikwa ọrịa gallbladder na ndị na-enweghị mgbaàmà. Ibu ibu na ịrịa ọrịa shuga na-eme ka ohere nke gallstones dịkwuo elu. Lostụlata ibu na ịchịkwa ọrịa shuga nke ọma pụrụ inye aka belata ihe ize ndụ gị.

Agbanyeghị, ibu ọnwụ ngwa ngwa nwekwara ike ịkpalite gallstone. Gwa dọkịta gị gbasara ụzọ dị mma iji belata ibu.

Physicalba ụba nke ahụ na-egosipụtakwa mkpụmkpụ gallstone yana iweda triglycerides dị elu, ụdị abụba dị n'ọbara. A na-atụkarị aro ka ị kwụsị ị smokingụ sịga ma belata ị alcoholụ mmanya na-aba n'anya.

Ọgwụ ọgwụgwọ

Ihe omume izizi nke gallbladder mbufụt na-ejikarị ọgwụ mgbu. N'ihi na ihe mgbu na-adịkarị njọ, achọrọ ọgwụ ọgwụ. Dọkịta gị nwere ike ịnye ọgwụ ọgwụ na codeine ma ọ bụ hydrocodone. Enwere ike ịde ọgwụ ọgwụ mgbochi IV, ma ọ bụ ọgwụ mgbu dị ike dị ka morphine.

Enwere ike ghara iji ọgwụ mgbochi oke dị ka ibuprofen (Advil) na naproxen (Aleve) oge niile n'ihi ọnya ọgbụgbọ na ọgbụgbọ. Ọ bụrụ na mmiri agwụla gị, ọgwụ ndị na-egbochi mkpali pụkwara ịkpata nsogbu akụrụ.

Imirikiti ndị mmadụ na-enwe nsogbu ijikwa mgbu na ihe mgbaàmà ya na-eso ya n'ụlọ. Soro dọkịta gị kwurịtara iji kwurịta ọgwụgwọ kacha mma maka gị.

Nnyocha na-aga n'ihu na-eleba anya n'iji ọgwụ ezetimibe na ọrụ ya na-ebelata nguzo nke cholesterol gallstones. Nri a na-agbanwe ka aru mmadụ si amịkọ cholesterol n’akwara eriri afọ.

Wa ahụ

Gerywa ahụ ga-atụ aro ka iwepu gị gallbladder ma ọ bụrụ na ị nweela ọtụtụ ngosipụta nke mbufụt. Gallbladder ịwa ahụ na-aga n'ihu ịbụ usoro kachasị dị irè maka ịgwọ ọrịa gallbladder na-arụ ọrụ.

Enwere ike ịwa ahụ ahụ site na imeghe afọ gị na mbepụ, ma ọ bụ laparoscopically. Nke a gụnyere ịme ọtụtụ oghere dị iche iche site na mgbidi afọ na ịtinye igwefoto. Surgerywa ahụ laparoscopic na-enye ohere maka mgbake ngwa ngwa. A na - ahọrọ usoro a maka ndị na - enweghị nsogbu nke nnukwu gallbladder.

Mgbe ịwa ahụ gallbladder site na usoro ọ bụla, ọ bụghị ihe a na-ahụkarị maka ndị mmadụ na-enweta afọ ọsịsa ụfọdụ. Dị ka yolọ Ọgwụ Mayo si kwuo, ihe ruru mmadụ 3 n’ime mmadụ iri ọ bụla nwere ike ịrịa afọ ọsịsa mgbe a wachara anyị ahụ.

Maka ọtụtụ ndị mmadụ, afọ ọsịsa ga-anọ naanị izu ole na ole. Ma na ole na ole, ọ nwere ike ịdịru ọtụtụ afọ. Ọ bụrụ na afọ ọsịsa na-aga n'ihu mgbe ịwachara ahụ karịa izu abụọ, gwa dọkịta gị. Dabere na mgbaàmà ndị ọzọ, ị nwere ike ịchọ nyocha nyocha.

Enwere nsogbu dị ogologo oge nke ọrịa gallbladder

Gallbladder nwere ike ịmalite ụzọ na-adịghị mma, ma ọ bụ fistula, n'etiti gallbladder na eriri afọ iji nyere aka ịhazi bile imeju. Nke a na-abụkarị ihe mgbagwoju anya nke mbufụt na-adịghị ala ala nke metụtara gallstones.

Nsogbu ndị ọzọ nwere ike ịgụnye:

• mgbochi nke eriri afọ
• mbufụt na ọnya
• perforation (onu ke gallbladder)
• nje na-efe efe nke afọ, nke a maara dị ka peritonitis
• ajọ ngbanwe (mkpụrụ ndụ mgbanwe na-aghọ akpụ akpụ)

Enwere ike igbochi ọrịa gallbladder?

Can’tfọdụ ihe egwu maka ọrịa gallbladder, dịka mmekọahụ na afọ, enweghị ike ịgbanwe. Agbanyeghị, nri gị nwere ike iso rụọ ọrụ iji mepụta nkume gall. Dabere na National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), nri dị elu na fiber na abụba ahụike nwere ike inye aka gbochie nkume gallstones.

A na-ejikọ mkpụrụ ọka a nụchara anụcha (nke a hụrụ na mkpụrụ osisi sugari na osikapa ọcha, achịcha na pasta) na ihe na-atọ ụtọ na shuga nwere ihe ịga nke ọma nke ọrịa gallbladder. A na-akwado ọka niile dị ka osikapa agba aja aja na achịcha ọka wit na abụba sitere na azụ na mmanụ oliv.

A na-amata nsogbu gallbladder na mbụ ma na-emeso ya, obere nsogbu dị egwu ga-eme. Ọ dị mkpa ka gị na dọkịta gị kwurịta okwu ma ọ bụrụ na ị na-ahụ ihe ịrịba ama ma ọ bụ ihe mgbaàmà ọ bụla nke ọrịa gallbladder.