Ngaba wakha watya isidlo esimnandi kakhulu waza waziva intlungu engaqhelekanga kwicala eliphezulu lasekunene lesisu sakho? Ngamanye amaxesha oku kunokubangelwa yingxaki yenkqubo yombhobho omncinci, kodwa obaluleke kakhulu, ngaphakathi emizimbeni yethu esingathethi kakhulu ngayo. Namhlanje sithetha ngenkqubo yombhobho wenyongo, ebalulekileyo ekugayweni kwethu.
Ngamafutshane, yintoni le duct yenyongo?
Cinga ngayo njengenkqubo yemijelo emincinci engaphakathi emizimbeni yethu. Imijelo yenyongo yenye yeenkqubo ezinjalo. Ezi zinethiwekhi yeetyhubhu ezincinci (iipayipi) ezidibanisa amalungu amaninzi aphambili kwinkqubo yethu yokugaya ukutya. Umsebenzi wazo ophambili kukuthutha ulwelo olubizwa ngokuba yi- "bile" ukusuka kwenye indawo ukuya kwenye.
Inkqubo yethu yenyongo iqhagamshelwe kakhulu kwizitho ezintathu:
1. Isibindi: Inyongo iveliswa apha.
2. Inyongo: Ingxowa encinci egcina inyongo eveliswa sisibindi de ifuneke.
3. Amathumbu Amancinci: Apho inxalenye ebalulekileyo yenkqubo yokugaya ukutya yenzeka khona.
Inyongo lulwelo olumthubi-luhlaza oluveliswa sisibindi sethu. Lune-asidi ezinamandla ezinceda ekunyibilikiseni amafutha kunye neeproteni . Ngoko ke, sifuna indlela ekhuselekileyo yokuyisa le nyongo kwindawo efunekayo, xa ifuneka. Yiloo nto eyenziwa yile mibhobho yenyongo.
Zinxibelelana njani zonke ezi zitho zomzimba?
Le yinkqubo efana nomthi okhula amasebe. Masiyijonge kwasekuqaleni.
- Iqala esibindini: Olu hambo luqala kwimibhobho yenyongo emincinci kakhulu ngaphakathi kwesibindi, ekwicala eliphezulu lasekunene lesisu sethu. Xa isibindi senza inyongo, siqokelela loo nyongo ngale mibhobho mincinci.
- Ukwenziwa kwemijelo emikhulu: La mawaka emijelo emincinci ngaphakathi kwesibindi ayadibana ukuze enze imijelo emibini emikhulu kancinci, imijelo yesibindi yasekunene neyasekhohlo.
- Umjelo wenyongo oqhelekileyo: Emva kokuba le mijelo mibini iphumile esibindini, iyadibana ukuze yenze umjelo wenyongo oqhelekileyo .
- Uqhagamshelo kwinyongo: Le mbobo yesibindi eqhelekileyo iqhagamshelwe kwinyongo yesibindi, evela kwinyongo yethu. Imbobo ephambili neyona inkulu eyenziwe xa ezi zimbini zidibana ibizwa ngokuba yinyongo eqhelekileyo .
Ngoku khangela, malunga nesiqingatha senyongo ephuma esibindini iya ngqo kule duct yenyongo eqhelekileyo. Esinye isiqingatha siya kwinyongo kwaye sigcinwe okwethutyana.
Xa sisitya iqhekeza lentlanzi enamafutha okanye imifuno enamafutha kunye nerayisi, amathumbu ethu amancinci acela uncedo lokugaya la mafutha. Ngelo xesha, inyongo iyafinyela njengesiponji, ize ithumele inyongo egciniweyo nge-common bile duct iye emathunjini amancinci. Le yindlela inyongo eyongezwa ngayo kwinkqubo yethu yokugaya.
Ziziphi iingxaki eziphambili ezinokubakho kwimibhobho yenyongo?
Kwanakule nkqubo yemibhobho emincinci, iingxaki ezinkulu zinokuvela. Makhe sijonge ukuba zeziphi iingxaki eziphambili.
| Uhlobo lwengxaki | Icacisiwe ngokulula |
|---|---|
| Ukudumba | Ukudumba kwemibhobho yenyongo ngenxa yosulelo okanye ezinye izizathu. Oku kubizwa ngokuba yiCholangitis ngokwezonyango. Ukuba kuqhubeka ixesha elide, imibhobho inokuba mncinci (stricture) kwaye kuvele izicubu ezibomvu. Le meko inokubangelwa nazizifo ezithile zokuzikhusela komzimba. |
| Ukuthintela | Le yeyona ngxaki ixhaphakileyo. Eyona nto ibangela ukuba kubekho amatye enyongo . La matye akheka kwinyongo aze aqhekeke aze anamathele kwimibhobho yenyongo. Oku kubizwa ngokuba yi -choledocholithiasis . Ukuba amatye aba makhulu, anokuthintela ngokupheleleyo ukuhamba kwenyongo. |
| Umhlaza | Imeko engaqhelekanga ebizwa ngokuba yi -cholangiocarcinoma nayo iyabonakala. Oku kwahlukile kumhlaza wesibindi. Nangona kunjalo, umhlaza wesibindi unokubangela ukuba imibhobho yenyongo ivaleke. |
Kwenzeka ntoni ukuba umbhobho wenyongo uvaliwe?
Kanye njengokuba umbhobho wamanzi uvaleka uze uphuphume, xa umbhobho wenyongo uvaleka, inyongo iqala ukuzalisa emzimbeni.
Oku kungaba yimeko eyingozi kakhulu.
- Ukonakala kwamalungu omzimba: Inyongo egcwalayo inokubuyela umva ize iqalise ukonakalisa inyongo (i-cholecystitis), i-pancreas (i-gallstone pancreatitis), kunye nesibindi.
- Iintsholongwane:Xa inyongo imile (i-cholestasis), usulelo lweebhaktheriya lunokwenzeka ngakumbi. Ukuba olu sulelo lungena egazini, lunokusasazeka emzimbeni wonke luze lubangele imeko esongela ubomi ebizwa ngokuba yi-'sepsis'.
- I-Jaundice: Xa inyongo iqala ukuqokelelana egazini, amhlophe emehlweni naselusu aqala ukuba tyheli. Oku sikubiza ngokuba yi-jaundice.
- Ezinye iimpawu ziquka isicaphucaphu kunye nokurhawuzelela okukhulu kolusu.
- Iingxaki zokugaya ukutya: Ngenxa yokuba inyongo ayingeni emathunjini amancinci, ukugaywa kwamafutha kunye nokufunxwa kweevithamini ezinyibilikayo kumafutha (A, D, E, K) kuyaphazamiseka.
Uyazi njani ukuba unengxaki yombhobho wenyongo?
Kule nto, singagxila kwiimpawu ezimbini eziphambili.
1. Intlungu yesisu (iBiliary Colic):
Oku akufani nokuqaqamba kwesisu okuqhelekileyo.
- Idla ngokuvela emva kokutya okunamafutha amaninzi okanye ioyile eninzi.
- Intlungu ivela kwicala eliphezulu lasekunene lesisu.
- Intlungu iyanda kancinci kancinci, ifikelela kwinqanaba eliphezulu kangangeyure, ize iphele kancinci kancinci kwiiyure ezimbini ukuya kwezintathu ezilandelayo.
- Oku kunokubangela isicaphucaphu okanye ukuhlanza.
2. I-Jaundice:
- Ukutyheli kwamehlo nolusu.
- Umchamo otyheli okanye omdaka obumnyama.
- Isihlalo esimhlophe okanye esingwevu.
Kubaluleke kakhulu: Ukuba uneempawu ze-'biliary colic', musa ukucinga ukuba yinto eqhelekileyo, nokuba intlungu ayinzima kakhulu. Bona ugqirha okanye uye esibhedlele ngokukhawuleza. Ngamanye amaxesha kusenokufuneka uye kwiSebe leNgxamiseko (ETU). Ukuba ufumana unyango ngokukhawuleza, unokuthintela iimeko ezinzulu.
Uyinyanga njani i-bile duct evalekileyo?
Oogqirha basebenzisa iindlela ezahlukeneyo ukususa ezi zithintelo. Eyona ndlela ilungileyo iya kuxhomekeka kwimeko yakho.
- I-ERCP (Endoscopic Retrograde Cholangiopancreatography): Olu asilotyando. Ikhamera (endoscope) enamathele kwityhubhu ende idluliselwa emlonyeni, iye ezantsi esiswini, ize ingene kwimibhobho yenyongo. Ugqirha unokufaka izixhobo ezincinci ngale tyhubhu ukuze asuse nawaphi na amatye anamatheleyo.
- Utyando: Ngamanye amaxesha utyando luyimfuneko. Kule mihla, uninzi lwexesha, lwenziwa ngomsikelo omncinci, kusetyenziswa ikhamera kunye nezixhobo (ezibizwa ngokuba lutyando lwe-laparoscopic). Ukuba ingxaki ibangelwa ngamatye enyongo, inyongo idla ngokususwa ngaxeshanye.
- Ukubekwa kwe-stent: Ukuba umthambo unciphile ngenxa yokuvaleka ngaphakathi, kufakwa ityhubhu encinci efana ne-mesh (stent) ukuze ihlale ivulekile.
Singayigcina njani imibhobho yethu yenyongo iphilile?
Utshintsho oluncinci kwindlela esiphila ngayo lunokunciphisa kakhulu lo mngcipheko.
- Lawula i-cholesterol: Eyona nto ibangela ukwakheka kwamatye enyongo ngamanqanaba aphezulu e-cholesterol egazini. I-cholesterol eyongezelelweyo iqokelelana kwi-bile ize yenze amatye. Ke ngoko, kubaluleke kakhulu ukutya izinto ezifana neoyile, ubisi lwekhokhonathi, ukutya okukhawulezileyo, kunye nokutya okucutshungulwayo ngokulinganisela.
- Lumka isibindi sakho: Izifo zesibindi nazo zingonakalisa imibhobho yenyongo yakho. Ngoko ke, ungasigcina isibindi sakho sisempilweni ngokuphepha utywala, ukuphepha amayeza angeyomfuneko, nokuzilolonga rhoqo .
Nangona inyongo iyinxalenye encinci yomzimba wethu, inkonzo eyinikayo inkulu kakhulu. Ngoko ke, luxanduva lwethu ukuyinyamekela.
Umyalezo Wokuya Ekhaya
- I-bile duct yinkqubo ebalulekileyo yeetyhubhu ezithutha i-bile, ezidibanisa isibindi, i-gallbladder kunye namathumbu amancinci.
- I-biliary colic kunye ne-jaundice zezona mpawu ziphambili zesilumkiso, ezenzeka kwicala eliphezulu lasekunene lesisu emva kokutya okunamafutha, kwaye zikhula kancinci kancinci kwaye ziyancipha.
- Ukuba ufumana naziphi na kwezi mpawu , musa ukulibazisa nangasiphi na isizathu. Musa ukuyityeshela njengengxaki encinci kwaye ubone ugqirha ngokukhawuleza.
- Ukutya okune-cholesterol ephantsi, ukutya okunempilo, kunye nendlela yokuphila esebenzayo kunokunciphisa kakhulu umngcipheko we-gallstones kunye neengxaki ezinxulumene noko.
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