Chiratidzo chinowanzoonekwa chenduruvladder chirwere chinorwadza mupamusoro kwepamusoro kwechidziro chemuviri, uko gorofu iripo. Zvichienderana nehutachiona hwehutano huripo uye kana kune matambudziko ari kuitika, munhu angasanganawo nefivha, kusuruvara, kurutsa, uye / kana jaundice.
Izvo zvinetso zve gallbladder zvirwere zvinowanzokonzerwa nekuvapo kwezviruru uye zvinogona kusanganisira utachiona hwebhinzi yakawanda (iyo inonzi yakakwira cholangitis), kuputika kwepancreas (inonzi pancreatitis), chirwere cheguruvladder (chinonzi gangrenous cholecystitis), kana chirwere kudziviswa kubva kune gorosi (inonzi gallstone ileus).
Zviratidzo Zvakare
Nhamo iri kumusoro kwepamusoro kwechidziro chiratidzo chinowanzoonekwa che gallbladder chirwere uye kakawanda zvinoguma kubva mumaronda.
Marwadzo emudumbu
Kunyange zvazvo matombo akawanda emaruva achigara mumaruva uye asingabvumi zviratidzo, vamwe vanowanikwa mumushonga we cystic (tube iri pamutsipa we gallgladder) kana mune imwe yakawanda bile duct (a tube inotakura bile kubva mumaronda kusvika mumatumbo). Izvi zvinokonzera marwadzo emimba, anonzi biliary colic.
Biliary colic inorondedzerwa sehupenzi hwakasimba, hunyoro hunogara huripo (kwete zvechokwadi colicky, pasinei nezita racho). Nepo marwadzo acho kazhinji ari munzvimbo yepamusoro yepamusoro yepamu, dzimwe nguva inowanikwa munzvimbo yepamusoro nepakati yedumbu (inonzi epigastrium) uye, zvisiri zvishoma, pasi pezamu. Dzimwe nguva kurwadziwa kunofamba (marara) kusvika kuruboshwe rwebandauko rorudyi. Biliary colic inowanikwa muzvikamu uye inowanzo, asi kwete nguva dzose, inokonzerwa nokudya kudya kwakakora.
Kunze kwekurwa kweguruva, kurwadziwa kwepamukati kwepamusoro kunogona kuitika kune dzimwe zvirwere zveganda, zvakadai se:
- Cholecystitis: Ichi chiitiko chinoreva chirwere chinoputika. Kunyange zvazvo inowanzowanzoita sechinhu chinokonzerwa nemakonduru (anonzi acute cholecystitis), zvinogonawo kuitika kune vanhu vasina mavara emvura (anonzi acalculous cholecystitis). Kusiyana nekurwiswa kweguruva, marwadzo-e-biliary-like of cholecystitis anogara kwenguva refu kudarika maawa matanhatu uye kazhinji anowanikwa nefivhiri uye yakasvibiswa tsvuku yeropa rekuyera.
- Biliary dyskinesia : Izvi zvinokonzera kurwadziwa kwepamuviri uye zvinoitika apo sphincter yeOdidi (musimba yakagadzika iri pamagetsi apo bhuti inokonzera mukati mudumbu ruduku) haiti kushanda zvakanaka, zvichiita kuti bluckage isanyanya.
Functional gallbladder disorder : Mukurwara uku, munhu haana uchapupu hwemapuranga kana kuti sphincter yezvinetso zveOdidi asi anoramba achiona zviitiko zvepamusoro zvinorwadza mumimba.
Kenza yakagadzirwa nekenza yepamusoro: Munhu ane kenza yeguruva kazhinji haana zviratidzo. Sezvo kenza inokura, kunyange zvakadaro, kurwadziwa mukumusoro kwepamusoro kwemuviri kunogona kuitika pamwe chete nemakumbo anogadzika mudumbu, jaundice, kusuruvara, kuneta, uye kuora kurasikirwa.
Jaundice
Jaundice, inoratidzwa nekuchena kwevatsvene vemaziso uye ganda, inogona kuitika muzvirwere zvegurubladder zvinodzivisa bile ducts.
Nausea uye Kuedza
Nausea nekurutsa zvinogona kuitika nekurwiswa kwegorova asi zvinowanzoonekwa mune cholecystitis (kuvhiringidza kweguruvladder) kana kuputika (kuputika kwepascreas).
Fever
Fivhiri haifaniri kuitika nehondo yeguru asi inogona kuitika ne gallbladder kuvhiringidza kana nehutachiona / kuvhiringidza kwebhuku rebhaariary.
Kazhinji Zviratidzo
Kunze kwekumusoro kwepamuviri kumarwadzo emimba, vanhu vakataurira zvimwe zviratidzo zveguruvladder chirwere.
Pamusana pehupenyu hwavo hunotyisa, kunyange zvakadaro, nyanzvi dzinobvunza kana zviratidzo izvi zvechokwadi chikamu chechirwere chinogara; mune mamwe mazwi, munhu angave ari kutarisana nemaronda uye mamwe marapirwo akadai, segastroesophageal reflux chirwere (GERD) kana chirwere chinonzi peptic ulcer .
Zvimwe zvezviratidzo izvi zvinowanzosanganisira:
- Chipfuva chepfu
- Burping
- Kunzwa uchizadza nekukurumidza kupfuura nguva dzose mushure mekudya
- Kudzorera mvura
- Bloating
- Kupisa manzwiro mushure mekufukidzira kana kuti mumusoro wepamusoro nepamuviri
- Nausea uye / kana kurutsa pasina biliary colic
Pruritus
Pruritus (itching) chimwe chiratidzo, chinowanzoitika nemamiriro ezvinhu anonzi primary sclerosis cholangitis , chirwere chisingagumi, chinoputika chenduru uye chiropa.
I-pruritus inowanzoipisa zvikuru uye inogona kunge inokonzerwa neB bile acid accumulation. Vanhu vane chekuita sclerosing cholangitis vanogonawo kuva nepamusoro-soro pamarwadzo emimba, jaundice, uye kuneta.
Matambudziko
Pane zvinetso zvakawanda zvinogona kuitika semugumisiro we gallbladder chirwere.
Acute Cholangitis
Acute cholangitis inokonzerwa nehutachiona hwehutachiona hwebhariyari mumunhu ane biliary inodzivisa. Mukuwedzera kune fivhiri uye kumusoro kwepamusoro-marwadzo emimba, munhu angava nejerice, kuderera kweropa, uye kuvhiringidzika.
Pancreatitis
Pancreatitis inoreva kuvhiringidza kwepakreas uye kazhinji inowanzoita sechinhu chinokonzera maronda. Izvi ndechokuti gorovladder uye pancreas zvinokonzera duct drainage drainage, saka ganda rinodzivisa rinogona kudzivirira kutenderera kwepencreatic enzymes.
Zviratidzo zvekunyengera kwepachirwere zvinosanganisira nguva inowanzokurumidzika yekutambudzika, kurwadziwa kwepagastric, pamwe nekushushikana uye kurutsa. Kurapa kunosanganisira mvura, kurwadziwa, kuongorora, uye kubvisa kuvhara. Kubviswa kwegorobladder kunowanzoitwawo.
Gangrenous Cholecystitis
Ichi ndicho chinetso chakajairika che cholecystitis, kunyanya kune vakwegura, vanhu vane chirwere cheshuga, kana vanhu vanonoka kutsvaga kurapwa kwemafuro avo. Gangrenous cholecystitis inoonekwa sechirwere chekukurumidzira, ichida kubviswa kwegorovladder (cholecystectomy) pakarepo.
Gallbladder Perforation
Kana chirwere chikava chigunun'una, kupisa (kana gomba mumadziro ehururu) kunogona kukura zvichikonzera kuvhara kwema pericholecystic (kukohwa kwepus mukati megungwa). Izvi zvinopesana uye zvinopisa upenyu, zvinoda cholecystectomy inokurumidza.
Cholecystoenteric Fistula / Gallstone Ileus
Kana gomba (kuputika) rinoumba mumaruva, fistula (inopinda) mumukomana muduku inogona kukura. Kana gorosi richipfuura nepakati pefistula, chidziro chemuviri chinogona kuitika (chinonzi gallstone ileus).
Emphysematous Cholecystitis
Kuvharirwa kwemasvingo e-gallbladder ne-gas-forming bacteria kunogona kutungamirira kumhepo inokonzera cholecystitis. Vanhu vakawanda vari panjodzi yekunyanya kunetseka uku kunosanganisira avo vekwegura uye avo vane chirwere cheshuga.
Nguva Yokuona Chiremba / Enda kuChipatara
Kana uri kutambura kurwadziwa kwepamuviri, zvakakosha kuona chiremba wako kunyatsoongorora. Kana chiremba wako achikuongorora iwe nemapurisa, angangokutaurira kuti uongororwe, kunyanya kana uri kuwana zvikamu zvekare zvebiliary colic.
Kana uri kurwadziwa kwepamuviri kwakanyanya, kusingagumi, uye / kana kufambidzana nefivha, kushungurudza kwakakomba, kurutsa, uye / kana jaundice, iva nechokwadi chekutsvaga kurapwa pakarepo kuchipatara.
> Sources:
> America Cancer Society. (2016). Zviratidzo nezviratidzo zveGallbladder Cancer.
> Zakko SF, Afdhal NH. (2016). Acute cholecystitis: Pathogenesis, zvipatara, uye kuongororwa. Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Dayal N, Meseeha. (2017). StatPearls. Biliary Colic.
> Zakko SF. (2017). Kusanzwisisika gorova chirwere muvanhu vakuru. Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Zaliekas J, Munson JL. Matambudziko ematombo emhepo: Mirizzi chirwere, gallstone ileus, gallstone pancreatitis, zvinetso zve "rakarashika" maronda. Surging Clinic North Am . 2008 Dec; 88 (6): 1345-68.