Yin jiyya ga cutar gallbladder ya dogara ne da irin cutar da ke akwai. Yayin da ake zalunta gallstones , akwai zaɓin abubuwa guda uku-tsarin kula da "kallo da jira" idan babu alamun bayyanar cututtuka, tiyata don cire ƙwayar cuta da duwatsu, ko magani don karya gallstones. Yin maganin sauran ƙwayoyin cuta ko matsalolin bile, irin su dutse da aka ajiye a cikin ɗakin bile na kowa, na iya buƙatar hanyar ƙwarewa da ake kira ERCP.
"Ku jira kuma Ku jira" Gabatarwa
Mafi yawan bayyanar cutar cutar gallbladder shine gallstones. Yawancin gallstones, duk da haka, basu haifar da alamar cututtuka kuma sabili da haka ba garanti magani ba.
Yayin da suke sa ciwo, duk da haka, ana tilastawa aikin tiyata. Ana yin amfani da magungunan maganin gallstones, ko da yake ana amfani da su don magance ciwo na cutar gallbladder.
Magunguna
A lokacin da kake kula da cutar gallbladder, likitanka zai so ya bi duka alamar alamarka da ganewar asali.
Yin maganin cututtuka
Mafi yawan bayyanar cututtuka na cututtukan cutar gallbladder shine ciwo, yawanci a cikin gefen dama na ciki. Kwararka zai iya magance ciwo tare da mai cutar ƙwayar cuta (NSAID) kamar ibuprofen, ko opioid kamar morphine.
Yana da muhimmanci a lura cewa opioids sau da yawa yakan sa mutane su yi barci da kuma dalilin da zai haifar da maƙarƙashiya, wanda shine dalilin da ya sa likita za su iya ba da shawarar yin amfani da laxative tare da kwayar cutar ka.
Biyan maganin matsalar Gallbladder
Za a iya amfani da kwayar bile acid irin su Actigall (ursodiol) don karya gashin cholesterol, wanda shine mafi yawan nau'in gallstone a Amurka. Yayinda wannan kwayar cutar ta ci gaba sosai, wasu mutane suna cigaba da zazzagewa, ko da yake yana wucewa tare da lokaci.
Rashin ciwo na kwayar bile acid shine cewa zai iya ɗaukar shekaru masu yawa don gallstones su warware duka; don haka kwayar bile acid ba wani zaɓi mai kyau ba ne ga mutanen da ke ci gaba da kai hare hare.
Idan mutum yana da shaida game da kamuwa da cuta daga gallbladder ko na biliary tract (wani nau'in gallstones) zai buƙaci maganin rigakafi (aka ba a asibiti), tare da ruwaye da kuma kula da ciwo, har sai mahimmancin magani kamar aikin tiyata ko ERCP ( duba ƙasa) an yi.
Hanyar Musamman
Mafi mahimmancin magani ga yawancin cututtukan cututtukan da ke cikin gallbladder shine cirewa daga cikin gallbladder, wanda ake kira cholecystectomy.
Duk da haka, akwai wasu samfurori marasa zina, mafi yawa ga mutanen da suke da haɗari mai tsanani don shan tiyata. Halin ƙananan zaɓuɓɓuka ba shine cewa gallbladder har yanzu ya kasance, don haka cututtukan gallbladder (musamman gallstones) na iya sake dawowa.
Cholecystectomy
An yi amfani da cholecystectomy a karkashin sashin jiki na jiki a cikin dakin aiki kuma shine mafi mahimmanci maganin cututtukan cutar.
A mafiya yawan mutane, wannan aikin yana aikata laparoscopically, wanda ya hada da likitan likita na saka kayan aiki mai mahimmanci (tare da kyamarar bidiyo a karshen) ta hanyar karamin ciki a cikin ciki. Yin amfani da kayan kida, likita zai yi ƙananan ramuka a cikin ciki, kuma cire cirewa.
Kwayar cututtuka na laparoscopic ba shi da nakasa kuma yana da sauƙin saukewa daga ƙwaƙwalwar cholecystectomy, wanda an yi babban katako na ciki don cire abin da zai faru.
Gallbladder Ciwon daji
Ba a yi amfani da cholecystectomy na laparoscopic ba don magance ciwon daji na gallbladder saboda akwai hadarin cewa wasu ciwon daji za a rasa. Bugu da ƙari, akwai damuwa ga "seeding" ko yada ciwon daji zuwa wasu sassa na jiki. Maimakon haka, don maganin ciwon daji na gallbladder, likitan likita zai yi wani karamin cholecystectomy, wanda ake kira radial cholecystectomy.
A lokacin karamin ƙwaƙwalwar ƙwayar cuta, likitan likita zai cire cirewa, wasu daga cikin hanta da ke kusa da gallbladder, da kuma kowane nau'in lymph a kusa. Wasu lokuta, an cire wasu takalma (alal misali, ƙwayar bile, pancreas, ko babban ɓangaren hanta), dangane da yadda yaduwar cutar ta yada.
Za a iya amfani da radiation da chemotherapy don magance ciwon daji na gallbladder.
Risks M
Kamar yadda aka yi da wani aikin tiyata, akwai hadarin gaske, wanda zai hada da:
- Bleeding
- Tsarin kamuwa da kamfanoni
- Ruwan jini
- Ciwon huhu
- Nemo daga cutar shan magani
Dandanku zai duba ku don tabbatar da waɗannan maganganu da aka magance su da sauri kuma yadda ya dace.
Hanyoyin Moto
Ko da yake yana da lafiya kuma Yayi don zama ba tare da wani ɓacin rai ba, wasu mutane suna shan gas, dagewa, da kuma zawo bayan da aka cire gallbladder. Duk da yake wannan yana da wucin gadi, yana iya ci gaba da shekaru a wasu mutane.
Akwai yiwuwar karin cututtuka masu yawa daga ƙaramin ƙwayar cuta don ƙwayar cutar ciwon gallbladder, kamar ciwo mai narkewa ko cin abinci, ƙwaƙwalwar bile a cikin ciki, ko hasara hanta. Tabbatar da cewa likitanku zai duba kuma magance wadannan hadarin.
An cire Hoto
Idan mutum yana buƙatar ya cire magungunan su amma yana da yanayin kiwon lafiya da yawa, saboda haka an dauke shi babban haɗari don tiyata, zai iya samun jerin hanyoyin tsawa don cire dutse (obstruction).
Tare da cire gwanin dutse, an sanya motar jikin da ake kira catheter a cikin fata da kuma cikin gallbladder don ba da izinin magudi na bile. Bile yana farfaɗowa ta hanyar bulba mai tsabta wanda aka haɗa zuwa ƙarshen catheter. Sa'an nan kuma, a cikin 'yan makonni na gaba, ramin da aka sanya catheter a hankali ya karu, yana ba da damar cire dutse (s).
Ƙarƙwarar Shock Wave Lithotripsy
Ƙunƙarin lithotripsy mai tsauri na karin (ESWL) wata hanya ce da ba a yi amfani da shi ba wanda ake amfani da ita don magance gallstones. Anyi wannan tsari ne a ƙarƙashin fitarwa da kuma shiga ta hanyar amfani da raƙuman ruwa don ƙaddamar da gallstones a cikin kankanin ƙananan, wanda zai iya narkewa kuma ya fita daga gallbladder.
Idan aka yi amfani da shi, an ajiye ESWL ga mutanen da ba su da kariya, suna da kasa da gallstones guda uku, kuma suna da gallbladder mai aiki.
ERCP
Wata hanyar da ake kira retrograde cholangiopancreatography (ERCP) ta ba da damar likita don ganin rayukan bile don duk wani mummunan abu kamar gallstone, cyst, ko tumo. Duk da yake bincike, wani ERCP ma warkewa ne, kamar yadda likita zai iya magance yanayin a lokaci ɗaya. A mafi yawancin, ERCP ta maye gurbin tiyata domin maganin matsalar bile ducts a marasa lafiya.
Wani ERCP yana aiki ne don taimakawa wajen dakatar da ƙwayar bile, mafi yawa daga dutse.
Abin da ake tsammani
A lokacin ERCP , masanin gastroenterologist zai jagoranci wani ƙaramin motsa jiki, wanda yake da ƙaramin kamara a ƙarshen shi (wanda ake kira endoscope) daga bakin cikin ciki da ƙananan hanji. An yi amfani da ƙyallen bambanci ta hanyar tube domin ganin rayukan bile a x-ray. Idan an gaji, anan zai iya amfani da kayan kida (shigarwa ta hanyar ƙarshen aiki don cirewa ko saukaka yanayin). Alal misali, likita na iya cire dutse wanda yake hana ƙin bile na yau da kullum ko sanya stent idan an katse duct.
Wani mutum yana raguwa a lokacin ERCP don hana duk wani rashin jin daɗi kuma don tabbatar da cewa suna da annashuwa. Yayin da ERCP yana cikin tsari mai lafiya da kuma wanzuwa, mutum zai iya fuskanci mummunan makogwaro ko tsomawa bayan hanya.
Abinda ba a sani ba, matsalolin ERCP na iya faruwa, ciki har da:
- Pancreatitis, wanda yawanci m, amma zai buƙaci ɗan gajeren asibiti dakatar da ruwaye da kuma ciwon shawo
- Ramin a cikin hanji (wanda ake kira perforation), wanda yake da wuya kuma mai tsanani, kuma yana buƙatar tiyata don gyara
- Kamuwa da ƙwayar bile ducts (wanda ake kira cholangitis), wanda ke buƙatar dakatarwar asibiti don maganin rigakafi da magudanar ruwa
- Zuciyar ciwon huhu, wanda shine dalilin da ya sa yake da muhimmanci kada ku ci ko sha har tsawon sa'o'i kafin hanyar
Magunguna Na Ƙarin
Duk da yake dole ne likita ya kamata a bi da cutar gallbladder ta hanyar likita, yana da kyau a yi la'akari da hanyoyin kwantar da hankali. Wancan ya ce, yana da muhimmanci a dauki duk wani ganye, bitamin, ko abincin abincin abinci a ƙarƙashin jagorancin likitan ku.
Ganye
Wasu tsire-tsire kamar silymarin ( Silybum marianum ), wanda ake kira madarar madara , zai iya samar da duk abin da za a samu gallbladder da hanta. Sauran bincike sun nuna cewa ganye kamar turmeric, Grape-grape, bupleurum, da kuma tsabar kuɗi na iya sauƙaƙe ƙananan ciwo da kuma taimakawa haɗin hanta.
Abincin Abinci
Yin amfani da cin abinci mai cin ganyayyaki na iya taimakawa wajen ci gaba da kai hare-haren gallbladder. Abinci mai cin ganyayyaki shine abin da yake da wadata a cikin 'ya'yan itatuwa da kayan marmari, musamman kayan lambu a bitamin B da baƙin ƙarfe, kamar alayyafo da Kale, da abinci masu cin nama irin su blueberries, cherries, tumatir, squash, da barkono. Mafi yawan sunadarin sunadarai kamar naman alade, kifi, tofu, ko wake da hatsi cikakke suna da kyau.
Acupuncture
Ɗaya karamin bincike na kasar Sin gano cewa acupuncture ya sauya alamun bayyanar cututtuka na ƙwayar cuta (wanda ake kira cholecystitis), kamar ciwon baya da ciwon baya. Yayin da acupuncture zai iya taimakawa wajen ciwon cutar cututtuka, yana da muhimmanci a ga likitan likita (tiyata, wanda ya fi dacewa) daga cikin matsala.
Rigakafin
Wani salon salon zama da yanayin kiwon lafiya kamar ciwon sukari, kiba, da ciwo na rayuwa suna haɗuwa da cutar gallbladder, musamman gawar gallstones.
Labari mai dadi shine mutum zai iya rage haɗarin su don bunkasa gallstones (da kuma matsalolin da ke tattare) ta hanyar rike wani nau'i na al'ada ta jiki (BMI), yin aikin yau da kullum, da kuma ganin likitan likitansu na kula da ciwon sukari ko ƙananan cholesterol (idan yanzu).
Kamar yadda keɓe, idan kuna da kisa ko kisa da haɗuwa a kan tsarin asarar nauyi, tabbas za kuyi shi a karkashin jagorancin likitanku, kamar yadda ƙananan hasara ta ƙara haɓaka hadarin gallstone.
A ƙarshe, lokacin zabar cin abinci, bincike ya gano cewa abin kirki mai gina jiki wanda ya hada da babban kayan cin kayan lambu, 'ya'yan itatuwa, kayan kiwo mai ƙanshi, hatsi, legumes, da kayan yaji suna da nasaba da mummunar cututtuka na cutar gallstone. Abin sha'awa, bincike kuma ya nuna cewa mai amfani da barasa zai iya rage haɗarin mutum don bunkasa gallstones.
> Sources:
> Cibiyar Ciwon Ƙwayar Yammacin Amirka. (nd). Biyan Gallbladder Ciwon daji.
> Jessri M, Rashidkhan B. Tsarin abinci da kuma hadarin cututtukan cutar gallbladder: Bincike a kan asibitoci a cikin mata masu girma. J Health Popul Nutr. 2015 Mar, 33 (1): 39-49.
> Lee JY, Keane MG, Pereira S. Sanin asali da kuma maganin cutar gallstone. Kwararren. 2015 Yuni; 259 (1783): 15-9,2.
> Moga MM. Alternative magani na cutar gallbladder. Matsanancin Rayuwa . 2003 Jan; 60 (1): 143-7.
> Stinton ML, Shaffer EA. Epidemiology na Gallbladder cuta: Cholelithiasis da Ciwon daji. Gut Liver . 2010 Afrilu 6 (2): 172-87.
> Zaɓi A, Loperfido S. (2018). Ilimi na haƙuri: ERCP (endoscopic retrograde cholangiopancreatography) (Beyond the Basics). Howell DA (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Wen FY, Li SC, Wang GM, Li LX, Song YQ. [Hanyoyin acupuncture na Jianjing (GB 21) a kan ƙarar da ake ciki da bayyanar cututtuka na marasa lafiya cholecystitis). Zhen Ci Yan Jiu 2012 Oktoba; 37 (5): 398-402.