Cufnaanta caloosha

Cufnaanta caloosha ayaa ka barareysa qayb ka mid ah aagga caloosha (caloosha).

Cufnaanta caloosha ayaa badanaa la helaa inta lagu jiro baaritaanka jireed ee caadiga ah. Inta badan, cufnaanta ayaa si tartiib ah u kobcaysa. Waxaa laga yaabaa inaadan awoodin inaad dareento cufnaanta.

Helitaanka xanuunka waxay ka caawineysaa bixiyaha xanaanada caafimaadkaaga inuu sameeyo baaritaan. Tusaale ahaan, caloosha waxaa loo qaybin karaa afar meelood:

• Rubuca midig-kore
• Rubuca bidix-sare
• Rubuca midig-hoose
• Rubuca bidix-hoose

Erayada kale ee loo adeegsado in lagu helo meesha uu ku yaal calool xanuun ama tiro badan waxaa ka mid ah:

• Epigastric - bartamaha caloosha oo ka hooseeya qafiska feeraha
• Periumbilical - agagaarka badhanka caloosha

Meesha ay ku taal cufnaanta iyo adkeyntiisa, qaabkeeda, iyo astaamo kale ayaa bixin kara tilmaamo sababta keentay.

Xaalado dhowr ah ayaa sababi kara tiro caloosha ah:

• Xanuunka caloosha ee loo yaqaan 'aortic aneurysm' wuxuu sababi karaa culeys badan oo buuqa hareeraha xuddunta.
• Kala-baxa kaadiheysta (kaadi heysta oo biyo badan ka buuxaan) waxay sababi kartaa culeys fara badan bartamaha caloosha oo ka sareysa lafaha miskaha. Xaaladaha ba'an, waxay gaari kartaa illaa xuddunta.
• Cudurka 'Cholecystitis' wuxuu sababi karaa culeys aad u jilicsan oo laga dareemo ka hooseeya beerka qeybta afaraad ee midigta-sare (marmar).
• Kansarka mindhicirka weyn wuxuu sababi karaa tiro ku dhow meel kasta oo caloosha ah.
• Cudurka 'Crohn' ama xiidmaha xiidmaha waxay sababi karaan jilicsanaan badan, tiro u eg-sausage meel kasta oo caloosha ah.
• Diverticulitis wuxuu sababi karaa cufis sida caadiga ah ku yaalo qeybta hoose ee bidix.
• Burada xameetida waxay sababi kartaa culeys jilicsan, oo qaab aan caadi ahayn u qaabeysan oo kujira qeybta afaraad ee midigta sare.
• Hydronephrosis (kalyaha dareeraha ka buuxo) waxay ku sababi karaan dareen jilicsan oo jilicsan hal ama labada dhinac ama dhinaca dambe (aagga garabkiisa).
• Kansarka kilyaha wuxuu mararka qaar sababi karaa culeys dhanka caloosha ah.
• Kansarka beerka wuxuu sababi karaa cufnaan adag, oo buurbuur leh oo ku taal qeybta kore ee midig.
• Balaadhinta beerka (hepatomegaly) waxay sababi kartaa cufnaan, cufnaan aan caadi ahayn oo ka hooseysa qafiska feeraha midig, ama dhinaca bidix ee aagga caloosha.
• Neuroblastoma, buro kansar ah oo badanaa laga helo caloosha hoose waxay sababi kartaa culeys (kansarkan badanaa wuxuu ku dhacaa carruurta iyo dhallaanka).
• Cudurka ugxansiduhu wuxuu sababi karaa wax siman, wareegsan, cufan oo ka sarreeya miskaha caloosha hoose.
• Cudurka qanjirka 'Pancreatic abscess' wuxuu sababi karaa cufka caloosha kore ee aagga epigastric.
• Pancreatic pseudocyst wuxuu sababi karaa cuf badan oo kuuskuus ah caloosha kore ee aagga epigastric.
• Kansarka unugyada 'Renal cell carcinoma' wuxuu sababi karaa jilicsanaan, adag, laakiin aan jilicsanayn oo u dhow kilyaha (badanaa wuxuu kaliya saameeyaa hal kilyi).
• Ballaarinta Spleen (splenomegaly) mararka qaarkood waxaa laga dareemi karaa qeybta bidix-sare.
• Kansarka caloosha wuxuu sababi karaa cufka caloosha bidix-sare ee aagga caloosha (epigastric) haddii kansarku weyn yahay.
• Uterine leiomyoma (fibroids) wuxuu sababi karaa wareeg, buurbuur ka sarreysa miskaha caloosha hoose (mararka qaarkood waa la dareemi karaa haddii buurbuuryadu ballaaran yihiin).
• Volvulus wuxuu sababi karaa cufnaan meel kasta oo caloosha ka mid ah.
• Xannibaadda isgoyska Ureteropelvic waxay sababi kartaa cufnaanta caloosha hoose.

Dhammaan cufnaanta caloosha waa in sida ugu dhakhsaha badan ee suurtogalka ah loo baaro bixiyaha.

Beddelka booska jirkaaga ayaa kaa caawin kara yareynta xanuunka caloosha awgeed.

Caawinaad caafimaad raadso isla markaaba haddii aad yeelato buruq ku dhaca calooshaada oo ay weheliso calool xanuun daran. Tani waxay noqon kartaa calaamad muujinaysa xidid dhiig furmay, taas oo ah xaalad degdeg ah.

La xiriir adeeg bixiyahaaga haddii aad dareento nooc ka mid ah cufnaanta caloosha.

Xaaladaha degdegga ah, bixiyahaaga ayaa sameyn doona baaritaan jireed wuxuuna weydiin doonaa su'aalo ku saabsan astaamahaaga iyo taariikhdaada caafimaad.

Xaaladda degdegga ah, waa lagu dejin doonaa adiga marka hore. Kadib, bixiyahaaga ayaa baari doona calooshaada wuxuuna weydiin doonaa su'aalo ku saabsan astaamahaaga iyo taariikhdaada caafimaad, sida:

• Halkee buu ku yaal?
• Goormaad aragtay cufnaanta?
• Ma timaaddaa oo tagtaa?
• Cufku miyuu isbeddelay cabir ahaan ama boos ahaan? Ma xanuun baa ka sii batay?
• Maxaa astaamo kale oo aad leedahay?

Baaritaanka miskaha ama malawadka ayaa mararka qaarkood loo baahan karaa. Tijaabooyinka laga yaabo in lagu sameeyo si loo ogaado waxa keena cufnaanta caloosha waxaa ka mid ah:

• Sawirka CT-ga ee caloosha
• Ultrasound caloosha
• Raajo caloosha ku jirta
• Angiography
• Barium enema
• Tijaabooyinka dhiigga sida CBC iyo kiimikada dhiigga
• Baarista walamadka
• EGD
• Daraasada Isotope
• Sigmoidoscopy

Cufnaanta caloosha

• Calaamadaha lagu garto 'Anatomical landmarks' dadka waaweyn - aragtida hore
• Nidaamka dheefshiidka
• Burooyinka Fibroid
• Aneurysm xasaasiyadeed

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Caloosha Gudaha: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Tilmaamaha Seidel ee Imtixaanka Jirka. 9aad. St Louis, MO: Elsevier; 2019: cutubka 18.

Landmann A, Bonds M, Postier R. Calool Xanuun. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 21aad ed. St Louis, MO: Elsevier; 2022: cutubka 46.

McQuaid KR. U dhowaanshaha bukaanka qaba cudurka caloosha iyo mindhicirka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 123.