Gallstones (cholelithiasis)
Muna suna gallstones, ko cholelithiasis, samuwar duwatsu a ciki gallbladder, sashin da ke taskance bile da hanta ke fita. Ƙididdigar, waɗanda a wasu lokuta ake kira "dutse" suna kama da ƙananan duwatsu. A mafi yawan lokuta, sun ƙunshi cholesterol crystallized. Haka kuma duwatsun da aka yi daga bile pigment na iya fitowa, musamman tare da ciwon hanta mai tsanani ko sikila anemia, amma ba za a yi magana a nan ba.
Siffar, girman da adadin lissafin (akwai ɗaruruwan da yawa) sun bambanta daga ɗaya zuwa wani. Suna iya zama ƙanana kamar ƙwayar yashi ko girma kamar ƙwallon golf.
Yawancin lokaci, duwatsun ba sa haifar da wata alama. Duk da haka, za su iya toshe ducts da ke kai bile zuwa hanta da hanji. Ana kiran wannan a biliary colic (duba zane) idan rikicin na ɗan lokaci ne. Ba zai iya yin komai ba, gallbladder zai fara kumbura, wanda zai iya haifar da tashin hankali zafi. Lokacin da duwatsu ba su haifar da ciwon ciki ba, wasu lokuta ana gano su ba da gangan ba akan duban dan tayi ko CT scan (scan) na ciki.
Ya kamata a lura cewa tsananin bayyanar cututtuka ba ya dogara da yanke hukunci lissafi. Lalle ne, ƙananan duwatsu na iya haifar da ciwo mai tsanani, yayin da manyan duwatsu ba za a gane su ba. Wani lokaci suna da girma da yawa don fitowa daga gallbladder su toshe hanyoyin.
Me ake amfani da gallbladder? Gallbladder karamar jaka ce mai siffar pear, tsayin ta ya kai cm 7 zuwa 12. Yana adana bile, wani ruwa mai launin kore-rawaya da hanta ke samarwa, wanda ake amfani da shi don taimakawa wajen narkewar abinci. Lokacin cin abinci, gallbladder yana yin kwangila kuma yana fitar da bile, daga nan sai ya yi ta yawo a cikin ɗigon bile duct zuwa cikin hanji, inda yake taimakawa wajen narkewa, musamman ma abubuwa masu kitse. Gallbladder tana hucewa kuma ta sake cika da bile. |
Sanadin
La ko da ya ƙunshi ruwa, gishiri bile (wanda, ta hanyar emulsifying fats, yana taka rawa sosai a cikin narkewar hanji), cholesterol, phospholipids, pigments da electrolytes.
The gallstones Ana samar da cholesterol a lokacin da:
- bile ya ƙunshi cholesterol da yawa;
- bile ba ya ƙunshi isasshen gishirin bile;
- gallbladder ba ta yin taruwa akai-akai (sai a ce gallbladder “lalala ce”).
Ba a san ainihin abin da ke haifar da samuwar dutse ba, amma an gano abubuwan haɗari daban-daban. Kiba yana daya daga cikinsu. Lura cewa babu wata hanyar haɗi tsakanin hypercholesterolemia da tattarawar cholesterol a cikin bile.1.
Duwatsu na iya fitowa a wasu gabobin da ba su da tushe (koda, mafitsara) ko kuma a cikin gland (gallbladder, salivary glands), sannan sai su zagaya ko su makale a cikin magudanar fitar da wadannan. Dangane da inda suke, waɗannan duwatsu za su ƙunshi abubuwa daban-daban: calcium, phosphate, cholesterol, juices digestive ko wasu. Dutsen gallstone yawanci yana fitowa a cikin gallbladder ba a cikin hanta ba saboda bile ya fi tattarawa a wurin. |
Wanene ya shafi?
La gallstones, ko lissafin gallbladder ya zama ruwan dare gama gari kuma yana shafar sau 2 zuwa 3 fiye da mata fiye da maza. Daga shekaru 70, 10% zuwa 15% na maza suna da shi, haka kuma 25% zuwa 30% na mata. Haɗarin ciwon gallstone yana ƙaruwa dashekaru, don kaiwa kusan 60% bayan shekaru 80, mai yiwuwa saboda raguwar tasirin ƙwayar gallbladder. Lissafi suna haifar da rikitarwa a cikin kashi 20 kawai daga cikinsu kuma yana iya zama ciwon hanta, cholecystitis, cholangitis, ko m biliary pancreatitis.
Biliary colic
A rikicin de colic hepatic ko biliary colic, Yana faruwa ne saboda dutsen gallbladder wanda ke shiga cikin bile ducts kuma ya toshe a can na ɗan lokaci, yana hana bile fitowar na ɗan lokaci. Yana ɗaukar matsakaicin mintuna 30 zuwa awa 4. Tsawon lokacin fiye da sa'o'i 6 yakamata ya haifar da fargabar rikitarwa. Zafin yana raguwa lokacin da dutsen ya ɓace ba da daɗewa ba, yana barin bile ya sake gudana akai-akai. Mutumin da ya sha wahala daga harin biliary colic yana yiwuwa, a cikin 70% na lokuta, ya sha wahala wasu. Idan hare-haren na farko suna iya jurewa, suna daɗa tabarbarewa lokacin da ba a kula da duwatsun ba.
Yawancin kamawa suna faruwa a wajen abinci. Suna iya faruwa a kowane lokaci na rana, kuma mafi yawan lokuta babu wani abin da ya faru. Kamun yana faruwa ne bayan gallbladder ya yi kwangila kuma ya fitar da dutse wanda zai iya toshe bile duct. Cin abinci a dabi'a yana haifar da gallbladder don yin kwangila, yana motsa shi ta hanyar kasancewar abinci a cikin fili na narkewa. Har ila yau, gallbladder yana yin kwangila ba da gangan ba kuma a kowane lokaci na rana da dare.
Matsaloli da ka iya faruwa
A mafi yawan lokuta, gallstones kar a haifar da rikitarwa. Duk da haka, ciwon da ba a kula da shi ba zai iya yin tsanani wata rana ko wata har ya kai ga haifar da yanayi masu barazana ga rayuwa: m cholecystitis (kumburi na gallbladder), cholangitis mai tsanani (kumburi na bile ducts) ko pancreatitis mai tsanani (kumburi na pancreas).
A gaban alamun da ke ƙasa. ga likita da gaggawa :
- zazzaɓi;
- launin rawaya mara kyau na fata;
- zafi mai tsanani da kwatsam a gefen dama na ciki wanda ya ci gaba fiye da sa'o'i 6;
- m amai.
Bugu da ƙari, mutanen da ke fama da gallstones suna, a cikin dogon lokaci, dan kadan a cikin hadarin tasowa a ciwon koda, wanda duk da haka yana da wuya sosai.