Mafi yawan alamun bayyanar cututtuka na ciwon gallbladder shine ciwo a cikin gefen dama na ciki, inda aka samo gallbladder. Dangane da irin cutar rashin lafiya da ke faruwa yanzu kuma ko akwai matsalolin da ke faruwa, mutum zai iya shawo kan zazzaɓi, tashin zuciya, vomiting, da / ko jaundice.
Matsalolin cutar cututtuka ya haifar da yaduwa daga gaban gallstones kuma zai iya hada da kamuwa da kamuwa da ƙwayar bile (wanda ake kira cholangitis), ƙonewa na pancreas (wanda ake kira pancreatitis), gangrene na gallbladder (wanda ake kira gangrenous cholecystitis), ko kuma jinji ƙuntatawa daga gallstone (wanda ake kira gallstone ileus).
Kwayoyin cututtuka na yau da kullum
Pain a cikin hagu na gefen dama na ciki ita ce alama mafi yawan gaske na cutar cututtuka da kuma yawancin sakamako daga gallstones.
Abun ciki na ciki
Yayinda yawancin gallstones zasu kasance a cikin gallbladder kuma basu haifar da wani bayyanar cututtuka, wasu suna zama a cikin kwarin gwano (tube wanda yake a wuyan gallbladder) ko kuma a cikin ƙwayar bile na kowa (tube wanda ke dauke da bile daga gallbladder zuwa intestines). Wannan ƙyama yana haifar da ciwon ciki, wanda ake kira biliary colic.
Biliary colic an kwatanta shi a matsayin al'ada, mummunan ciwo wanda yake ci gaba (ba da gaske ba, duk da sunansa). Yayin da yawancin ciwon yakan kasance a cikin hagu na dama na ciki, a wasu lokuta ana sa a cikin ɓangaren sama na tsakiya na ciki (wanda ake kira epigastrium) da kuma, ƙananan, ƙarƙashin ƙirjin ƙirjin. Wani lokacin zafi yana tafiya (radiates) zuwa hannun dama kafada. Biliary colic yana faruwa ne a lokuta kuma sau da yawa, amma ba koyaushe ba, ya haifar da cin abinci maras kyau.
Baya ga magungunan gallstone, babba na gefen hagu na ciki zai iya faruwa a wasu cututtuka na gallbladder, kamar:
- Cholecystitis: Wannan yanayin yana nufin gallbladder ƙonewa. Yayinda yawancin ya faru ne a matsayin ƙwayar gallstones (wanda ake kira m cholecystitis), yana iya faruwa a cikin mutane ba tare da gallstones (wanda ake kira bala'in cholecystitis). Ba kamar lalacewa ba, irin ciwon cholecystitis na tsawon lokaci ya wuce sa'o'i shida kuma yawanci ana danganta shi da zazzaɓi da kuma ƙwayar jini mai daraja.
- Dyskinesia biliary : Wannan yanayin yana haifar da zafi mai tsanani kuma yana faruwa a lokacin da Oddi ya kasance (wani sashin kwayar halitta wanda yake a cikin jigon inda bile ducts ya ragu cikin ƙananan hanji) ba ya aiki yadda ya kamata, yana haddasa farfadowa na bile.
Sakamakon cutar rashin lafiya : A cikin wannan cuta, mutum ba shi da wani shaida na gallstones ko nazarin matsalolin Oddi amma yana ci gaba da samun layin ciwo na ciwo na ciki.
Ciwon daji na ciwon gallbladder ci gaba: Mutumin da ke fama da ciwon gallbladder kullum ba shi da alamun bayyanar. Yayin da ciwon daji ke tsiro, duk da haka, ciwo a cikin hagu na dama na ciki zai iya faruwa tare da lumba mai kwakwalwa akan ciki, jaundice, tashin zuciya, gajiya, da asarar nauyi.
Jaundice
Jaundice, alamar ta yellowing daga cikin fata na idanu da fata, na iya faruwa a cututtuka na gallbladder da ke hana bile ducts.
Nausea da Vomiting
Nuna da zubar da jini na iya faruwa tare da wani hari amma an fi gani sosai a cikin cholecystitis (ƙumburi na gallbladder) ko pancreatitis (ƙumburi na pancreas).
Fever
Ba za a yi mummunan lalacewa ba tare da haɗuwa da gallstone amma zai iya faruwa tare da ciwon ƙananan ƙwayar cuta ko kuma kamuwa da kamuwa da cuta / kumburi na yankin biliary.
Ƙananan cututtuka
Bayan magunguna na ciki na dama, mutane sun bayar da rahoton wasu cututtuka na cutar gallbladder.
Saboda yanayin da suke ciki, ko da yake, masana sunyi tambaya ko waɗannan bayyanar cututtuka sun kasance ainihin ɓangare na cutar tare; a wasu kalmomi, mutum yana iya fuskantar gallstones da wani yanayin likita, kamar cutar gizon gastroesophageal (GERD) ko cutar cututtuka na peptic .
Wasu daga cikin wadannan marasa lafiya sun hada da:
- Ƙunƙun zuma
- Burping
- Jin dadi sosai fiye da sabawa bayan cin abinci
- Rijistar ruwa
- Ruwan jini
- Ƙunƙashin wuta a bayan nono ko a cikin tsakiyar ciki
- Nuna da / ko vomiting ba tare da biliary colic ba
Pruritus
Pruritus (itching) wata alama ce, wadda take faruwa da yanayin da ake kira firamare sclerosis cholangitis , cuta mai tsanani, cututtuka na ƙwayar cuta da gallbladder da hanta.
Pruritus sau da yawa yana da haushi kuma yana iya faruwa ne sakamakon sakamakon bile acid. Mutane tare da filayen sclerosing cholangitis na iya shawo kan ciwon ciki, jaundice, da kuma gajiya.
Matsaloli
Akwai matsaloli masu yawa wanda zai iya faruwa a sakamakon cutar cututtuka.
Ƙara Cholangitis
Makiyar cholangitis mai lalacewa ta haifar da kamuwa da kwayar cuta na biliary a cikin mutumin da ke rufewa da biliary. Bugu da ƙari, zazzaɓi da kuma ciwon ciki na hagu na dama, mutum zai iya shan jaundice, ƙananan jini, da rikicewa.
Pancreatitis
Pancreatitis tana nufin ƙonewa na pancreas kuma mafi yawan yakan faru ne a matsayin wahalar gallstones. Wannan shi ne saboda gallbladder da pancreas raba rassan mailile, wanda ya hana katako mai yuwuwa zai iya hana yaduwar kwakwalwa.
Magungunan cututtuka na mummunan ƙwayar gallstone sun hada da sau da yawa saurin saurin mai tsanani, zafi ciwo, da tashin hankali da kuma zubar da jini. Jiyya ya hada da ruwa, kula da ciwo, saka idanu, da kuma cire cirewa. Ana cirewa daga gallbladder kullum.
Gwanin Cholecystitis
Wannan shi ne karo na musamman na cholecystitis, musamman a cikin tsofaffin mutane, mutanen da ke fama da ciwon sukari, ko kuma mutanen da ke jinkirta neman magani ga hare-haren su. An yi la'akari da ƙwayar cholecystitis kamar gaggawa na gaggawa, yana buƙatar cire cirewa daga cikin ƙwayar cuta (cholecystectomy) nan da nan.
Gallbladder Perforation
Idan gallbladder ya zama mummunan raguwa, raguwa (ko rami a bango na gallbladder) zai iya haifar da sakamakon ƙwayar ƙwayar cututtuka (tarin motsi cikin gallbladder). Wannan rikitarwa yana da mummunan barazanar rayuwa, yana buƙatar magungunan cholecystectomy.
Cholecystoenteric Fistula / Gallstone Ileus
Idan rami (perforation) ya kasance a cikin gallbladder, fistula (sashi) zuwa ƙananan hanji zai iya bunkasa. Idan wani gallstone ya wuce ta fistula, ƙwarewar hanji zai iya faruwa (wanda ake kira gallstone ileus).
Emphysematous Cholecystitis
Rashin kamuwa da ganuwar gallbladder tare da kwayoyin halitta yana iya haifar da cholecystitis na emphysematous. Mutane da yawa a hadari don wannan gallbladder complication sun hada da wadanda suka tsufa da wadanda ke da ciwon sukari.
Lokacin da za a ga likitan / je zuwa asibitin
Idan kana fuskantar duk wani ciwo na ciki, yana da muhimmanci a ga likitan ku don ganewar asali. Idan likita ya bincikar ku da gallstones, zai iya mayar da ku don ƙwarewa, musamman ma idan kuna fuskantar ɓangarori na biliary colic.
Idan kuna fama da zafi na ciki wanda yake da tsanani, dagewa, da / ko hade da zazzabi, tashin zuciya mai tsanani, vomiting, da / ko jaundice, tabbatar da neman likita a hankali a asibitin.
> Sources:
> Cibiyar Ciwon Ƙwayar Yammacin Amirka. (2016). Alamai da cututtuka na Gallbladder Ciwon daji.
> Zakko SF, Afdhal NH. (2016). Ƙananan cholecystitis: Pathogenesis, siffofin asibiti, da kuma ganewar asali. Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Dayal N, Mesea. (2017). Lambobi. Biliary Colic.
> Zakko SF. (2017). Matsalar cuta mai rikitarwa ba a cikin manya ba. Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Zaliekas J, Munson JL. Rigar gallstones: Murizzi ciwo, gallstone ileus, gallstone pancreatitis, rikitarwa na "rasa" gallstones. Surg Clin North Am . 2008 Dec; 88 (6): 1345-68.