Ihe mgbaàmà kachasị nke ọrịa ọrịa gallbladder bụ mgbu na akụkụ aka nri nke aka, ebe gallbladder dị. Dabere na ụdị ọrịa gallbladder dị ugbu a ma ọ bụrụ na nsogbu ọ bụla na-eme, mmadụ nwere ike ịnweta ahụ ọkụ, ọgbụgbọ, vomiting, na / ma ọ bụ jaundice.
Nsogbu nke ọrịa gallbladder na-esite na ọnụ ọgụgụ nke gallstones ma nwee ike ịgụnye ọrịa nke nnukwu mmiri bile (nke a na-akpọ cholangitis), mmụba nke pancreas (nke a na-akpọ pancreatitis), gangrene nke gallbladder (nke a na-akpọ cholecystitis), ma ọ bụ bowel igbochi site na gallstone (nke a na-akpọ gallstone ileus).
Mgbaàmà Ugboro ugboro
Mgbu na akuku aka nri nke afo bụ ihe mgbaàmà kachasị nke ọrịa ọrịa gallbladder na ihe na-esitekarị na gallstones.
Abdominal Mgbu
Ọ bụ ezie na ọtụtụ ụbụrụ na-anọ na gallbladder ma mee ka a ghara inwe ihe mgbaàmà, ụfọdụ na-abanye na eriri cystic (tube nke dị n'olu nke gallbladder) ma ọ bụ n'ahịrị bile bi na ya (tube nke na-eburu bile n'aka gallbladder na eriri afọ). Mgbochi a na - akpata mgbu abdominal, nke a na - akpọ biliary colic.
A na-akpọkarị Biliary colic dị ka nkwonkwo siri ike nke na-adịgide adịgide (ọ bụghị n'ezie colicky, n'agbanyeghị aha ya). Ọ bụ ezie na ihe mgbu na-adịkarị n'akụkụ aka nri nke afọ, ọ na-ahụ mgbe ụfọdụ na akụkụ nke etiti nke afọ (a na-akpọ epigastrium) nakwa, nke na-adịkarịghị, n'okpuru nku ogwu. Mgbe ụfọdụ, ihe mgbu na-aga (radiates) na aka nri aka. Biliary colic na-eme na ngosipụta ma na-abụkarị, ma ọ bụghị mgbe niile, kpatara site na iri ihe oriri bara ụba.
E wezụga mwakpo gallstone, ihe mgbu abdominal nwere ike isi n'akụkụ aka nri nwere ike ịda na ọrịa ndị ọzọ gallbladder, dịka:
- Cholecystitis: Ọnọdụ a na-ezo aka gallbladder mbufụt. Ọ bụ ezie na ọ na-abụkarị ihe mgbagwoju anya nke gallstones (nke a na-akpọ cholecystitis), ọ pụkwara ime na ndị mmadụ na-enweghị ụyọkọ (akpọ cholecystitis). N'adịghị ka mwakpo nke ụbụrụ, ụbụrụ biliary-dị ka cholecystitis dị ogologo oge karịa awa isii, ọ na-ejikarị ọkụ na nnukwu ọnụọgụ ọbara ọbara dị elu.
- Biliary Dyskinesia : Ọnọdụ a na-akpata mgbu abdominal n'elu ma na-eme mgbe sphincter nke Oddi (a na-emepụta muscular nke dị na nkwụsị ebe mmiri bile na-asọba n'ime eriri afọ) adịghị arụ ọrụ nke ọma, na-eme ka mkpọchi bile.
Ọrịa ụbụrụ na-arụ ọrụ : N'ọnọdụ a, mmadụ enweghi ihe àmà nke agba ma ọ bụ sphincter nke nsogbu Oddi mana ọ na-aga n'ihu na-enwe ọhụụ nke mgbu abdominal nke elu.
Nnukwu ọrịa cancer gallbladder: Onye nwere ọrịa gallbladder n'ozuzu enweghi ihe mgbaàmà. Ka ọrịa cancer na-etolite, ọ bụ ezie na ọnyá dị n'akụkụ aka nri nke afọ nwere ike ịdakwasị na lumps palpable na afọ, jaundice, ọgbụgbọ, ike ọgwụgwụ, na ọnwụ.
Jaundice
Jaundice, nke a na- egosi site na-acha odo odo nke ọcha na anya, nwere ike ime na ọrịa gallbladder nke na-egbochi bile ducts.
Nausea na Vomiting
Nausea na vomiting nwere ike ibute na mwakpo agha ma a na-ahụkarị na cholecystitis (mbufụt nke gallbladder) ma ọ bụ pancreatitis (mbufụt nke pancreas).
Ahụhụ
Ahụhụ ekwesịghị ime na mwakpo gallstone kama o nwere ike ime na gallbladder mbufụt ma ọ bụ na ọrịa / mbufụt nke biliary tract.
Mgbaàmà ndị dị ntakịrị
E wezụga ihe mgbu abdominal nke aka nri aka nri, ndị mmadụ ekwuwo ihe mgbaàmà ndị ọzọ nke ọrịa gallbladder.
Otú ọ dị, n'ihi ọdịdị ha, ndị ọkachamara na-ajụ ma ihe mgbaàmà ndị a ọ bụ akụkụ nke ọrịa ọrịa; N'ikwu ya n'ụzọ ọzọ, mmadụ nwere ike ịnata ụpọkọ na ọnọdụ ahụike ọzọ, dịka ọrịa GHD) ma ọ bụ ọrịa na-egbu egbu nke peptic .
Ụfọdụ n'ime ihe mgbaàmà ndị a na-ejighị nkịtị gụnyere:
- Ihe mgbochi akpụ
- Burping
- Na-enwe mmetụta zuru oke karịa ka ọ dịbu mgbe i risịrị nri
- Mmiri na-achịkwa mmiri
- Ịbanye ọbara
- Ọkụ na-enwu ọkụ n'azụ nku ma ọ bụ n'ime ime ụlọ etiti dị n'elu
- Nausea na / ma ọ bụ vomiting na-enweghị biliary colic
Pruritus
Pruritus (itching) bụ ihe mgbaàmà ọzọ, na-emekarị na ọnọdụ a na-akpọ sclerosis cholangitis , ọrịa na-adịghị ala ala, ọrịa na-egbu egbu nke ma gallbladder na imeju.
Onye pruritus na-emekarị ka ọ daa mbà, o yikarịrị ka ọ ga-esi na ya pụta. Ndị nwere isi sclerosing cholangitis nwekwara ike ịnweta nhụjuanya abdominal, ụbụrụ, na ike ọgwụgwụ.
Nsogbu
Enwere otutu nsogbu nwere ike ime n'ihi ọrịa gallbladder.
Nnukwu Cholangitis
Nnukwu cholangitis kpatara ọrịa nje bacteria nke biliary tract na onye na-egbochi biliary. Na mgbakwunye na ahụ ọkụ na aka mgbochi abdominal aka nri, onye nwere ike ịnweta jaundice, ọbara mgbali elu, na ọgba aghara.
Pancreatitis
Pancreatitis na- ezo aka mbufụt nke pancreas na ọtụtụ na-eme dị ka mgbagwoju nke gallstones. Nke a bụ n'ihi na gallbladder na pancreas na-eso ụzọ mmiri drainage, n'ihi ya, ihe na-egbochi gallstone nwere ike igbochi mgbaba nke enzymes pancreatic.
Ihe mgbaàmà nke pancreatitis gallstone gụnyere mgbagwoju anya nke oké njọ, ihe mgbu na-akpata, nakwa nke ọgbụgba na vomiting. Ọgwụgwọ gụnyere mmụba, nchịkwa ihe mgbu, nlekota oru, na iwepu mkpọchi ahụ. A na-emekarị nkwụsị nke gallbladder.
Cholecystitis dị egwu
Nke a bụ ihe mgbagwoju anya nke cholecystitis, karịsịa ndị agadi, ndị na-arịa ọrịa shuga, ma ọ bụ ndị na-egbu oge na-achọ ọgwụgwọ maka ọgụ ha gallbladder. A na-ewere cholecystitis dị egwu dịka ihe mberede ahụike, na-achọ ka mwepụ nke ọrịa gallbladder (cholecystectomy) ozugbo.
Gallbladder Perforation
Ọ bụrụ na ụbụrụ gallbladder ahụ dị njọ, nkwụsị (ma ọ bụ oghere dị na mgbidi nke gallbladder) nwere ike ịmalite ịmalite abanye n'ime ya (nchịkọta nke pus n'ime gallbladder). Ngwakọta a bụ ihe dị egwu ma dị egwu, na-achọ ka cholecystectomy na-apụtaghị ìhè.
Cholecystoenteric Fistula / Gallstone Ileus
Ọ bụrụ na oghere (perforation) dị iche iche na gallbladder, a na-enwe ike ịmalite inwe eriri afọ (fistula) n'ime obere eriri afọ. Ọ bụrụ na ụyọkọ gallstone gafere site na fistula, a ga-egbochi imechi ikpere ụkwụ (a na-akpọ gallstone ileus).
Cholecystitis a na-atụghị anya ya
Ọrịa nke mgbidi gallbladder nwere nje bacteria nwere ike iduga cholecystitis mgbakasị. Ndị mmadụ nọ n'ihe ize ndụ maka nsogbu a gallbladder gụnyere ndị agadi na ndị nwere ọrịa shuga.
Mgbe ị ga-ahụ dọkịta / Gaa na Ọgwụ
Ọ bụrụ na ị na-enwe ihe mgbu abdominal, ọ dị mkpa ịhụ dọkịta gị maka nchoputa kwesịrị ekwesị. Ọ bụrụ na dọkịta gị na - achọpụta gị na agba, ọ nwere ike ịkọ gị maka nyocha ịgwọ ahụ, karịsịa ma ọ bụrụ na ị na - enwe ngosipụta nke biliary colic.
Ọ bụrụ na ị na-enwe nhụjuanya abdominal nke dị njọ, na-adịgide adịgide, na / ma ọ bụ metụtara ọrịa ọkụ, ọgbụgbọ siri ike, vomiting, na / ma ọ bụ jaundice, jide n'aka na ị ga-achọ ọgwụ ozugbo na ụlọ ọgwụ.
> Isi mmalite:
> American Cancer Society. (2016). Ihe ịrịba ama na mgbaàmà nke ọrịa Gallbladder.
> Zakko SF, Afdhal NH. (2016). Nnukwu cholecystitis: Pathogenesis, ihe gbasara ahụike, na nyocha. Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Ụbọchị N, Meseeha. (2017). Akwukwo ozi. Biliary Colic.
> Zakko SF. (2017). Ọrịa gallstone na-akpata mgbagwoju anya na ndị okenye. Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Zaliekas J, Munson JL. Ihe mgbaàmà nke gallstones: ọrịa Mirizzi, gallstone ileus, pancreatitis gallstone, nsogbu nke "gallstones" furu efu. Surg Clin North Am . 2008 Dec; 88 (6): 1345-68.