Ngaba wakha waba nentlungu yesisu embi kakhulu, ngaphantsi kwembambo yakho engasentla, emva nje kokutya ukutya okunamafutha? Mhlawumbi kuhamba nesicaphucaphu, yayinzima kangangokuba wawungakwazi nokushukuma. Le yinto abantu abaninzi abayibiza ngokuba 'yintlungu ye-gallstone.' Ngokwezonyango, le meko siyibiza ngokuba yi-Biliary Colic. Ayisosifo ngokwenene, kodwa luphawu lwesifo esithile esingaphantsi. Ngoko ke namhlanje, masithethe ngayo.
Yintoni iBiliary Colic?
Ngamafutshane, iBiliary Colic yintlungu yesisu yexeshana, enzima ebangelwa yinto evala indlela yakho yenyongo - oko kukuthi, inyongo yakho kunye nemibhobho yenyongo. Khawucinge ngelitye elincinci elifakwe kumbhobho wamanzi. Xa sivula itephu, uxinzelelo lwamanzi luyanda kwaye ludale uxinzelelo olukhulu emva kokuvaleka, akunjalo? Yiloo nto eyenzekayo apha.
Inyongo, ulwelo oluveliswa sisibindi sethu, lugcinwa okwethutyana kwinyongo. Xa sitya ukutya, ingakumbi ukutya okunamafutha, ihamba ngemibhobho yenyongo ize ingene emathunjini amancinci. Oku kunceda ekugayweni kwamafutha. Amatye enyongo zezona zibangela oku. Xa ilitye libhajwe kwinyongo okanye apho liphuma khona kwinyongo, uxinzelelo luyanda njengoko inyongo iqina, nto leyo ebangela iintlungu eziqatha.
Injani imeko yale ntlungu kunye nendawo ekuyo?
Intlungu ye-biliary colic yahlukile kancinci kwezinye iintlungu zesisu. Ineempawu ezahlukeneyo.
| Uhlobo lwentlungu | Inkcazo nje |
|---|---|
| Isiqendu | Intlungu iqala ngequbuliso, ifikelele esiphelweni, ize inyamalale ngokupheleleyo kwiiyure ezimbalwa. Ayihlali iintsuku ezininzi. |
| Ukuqhubeka | Oku kuthetha ukuba intlungu ayifiki ize ihambe ngamaza. Xa intlungu iqalile, ihlala injalo iiyure ezininzi ngaphandle kokunyuka okanye ukuncipha. |
| Inzima kakhulu | Abantu abaninzi bayichaza njengentlungu ebukhali, ehlabayo, njengemela, ukujija, okanye intlungu ebukhali. Abanye abantu bayifumana inzima kangangokuba abakwazi nokuma nkqo. |
Uziva phi iintlungu?
Ixesha elininzi, intlungu ivakala kwicala eliphezulu lasekunene lesisu, ngaphantsi nje kweembambo. Kulapho ikhoyo inyongo. Ngamanye amaxesha, intlungu ingasasazeka iye egxalabeni lasekunene okanye emqolo.
Ezinye iimpawu ezihamba nokukhwehlela
Intlungu ye-biliary colic ingahamba kunye neempawu ezilandelayo:
- Isicaphucaphu nokuhlanza
- Ukuthamba kwesisu
- Ukubila okugqithisileyo (Ukubila)
Umahluko phakathi kweBiliary Colic kunye nezinye izifo ezinzulu
Ukuba intlungu ye-biliary colic ayipheli kwiiyure ezimbalwa, inokuba yimeko enzima ngakumbi efana ne-cholecystitis (ukudumba kwe-gallbladder) okanye i-cholangitis (ukudumba kwe-bile ducts). Kubalulekile ukwazi umahluko phakathi kwezi zinto.
| Imeko | Iimpawu eziphambili | Amanqaku abalulekileyo |
|---|---|---|
| I-Biliary Colic | Intlungu ebuhlungu (iyancipha kwiiyure ezimbalwa), isicaphucaphu. | Akukho mkhuhlane. Intlungu yeyokwexeshana. |
| I-Cholecystitis (ukudumba kwenyongo) | Intlungu engapheliyo, umkhuhlane , kunye nokubetha kwentliziyo ngokukhawuleza. | Oku kusenokuba kubangelwa kusulelo lwenyongo. Kufuneka uncedo lwezonyango ngokukhawuleza. |
| I-Cholangitis (ukudumba kwemibhobho yenyongo) | Intlungu yesisu sasekunene, umkhuhlanekunye ne -jaundice - oko kuthetha ukuba tyheli kwamehlo nolusu. | Olu luhlobo losulelo lwemibhobho yenyongo. Yimeko engxamisekileyo neyingozi kakhulu. |
Eyona nto ibalulekileyo kukuba, ukuba intlungu yakho ihlala ixesha elingaphezulu kweeyure ezi-5-6, okanye ukuba uneempawu ezifana nomkhuhlane, ukubanda, kunye nokutyheli kwamehlo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
Yintoni ebangela oku?
Njengoko besitshilo ngaphambili, eyona nto ibangela esi sifo yinyongo , kodwa kunokubakho nezinye izizathu.
- Amatye enyongo: Le yimbangela kwi-90% yamatyala. Ilitye linamathela okwethutyana kumbhobho wenyongo, nto leyo ebangela uxinzelelo olukhulu kunye nentlungu. Intlungu iyaphela xa ilitye lijikeleza okanye xa inyongo iyeka ukugoba.
- Ukuqina kweBiliary: Nokuba kuvele kutyando lwangaphambili okanye kwimeko yokudumba kwexesha elide, imibhobho yebilini inokuba namanxeba kwaye inciphe, nto leyo ethintela ukuhamba kwebilini.
- I-Biliary Dyskinesia: Ngamanye amaxesha i-gallbladder ayivuthwa kakuhle, okanye i-sphincter ye-Oddi ayivuli kakuhle. Ezi ngxaki zinokubangela ukuba i-bile iqokeleleke kwaye yonyuse uxinzelelo.
Zithini iindlela zonyango zoku?
Xa ubona ugqirha, uza kukuxilonga aze enze iimvavanyo, ezifana ne-ultrasound scan, ukuze kuchongwe unobangela ochanekileyo. Unyango luya kuxhomekeka kwisizathu kunye nobunzima bemeko.
1. Iipilisi zokunciphisa iintlungu: Iipilisi zokunciphisa iintlungu ezifana neeNSAID (iziyobisi ezichasene nokuvuvukala ezingezizo iisteroid) zinikwa ukulawula iintlungu.
2. Isicwangciso sokutya: Kubaluleke kakhulu ukuphepha ukutya okunamafutha amaninzi (ukutya okuqhotsiweyo, inyama enamafutha, ukutya kobisi, itshizi, ibhotolo) . Kuba oku kutya kukhuthaza inyongo ukuba ifinyele. Ngokunciphisa oku, ukuphinda kwentlungu kunokulawulwa kakhulu.
3. Amayeza okunyibilikisa amatye: Amayeza afana ne-Ursodeoxycholic acid anikwa ukunyibilikisa amatye amancinci e-cholesterol. Nangona kunjalo, oku akufanelekanga kuwo wonke umntu.
4. I-Endoscopy/ERCP: Ukuba ilitye linamathele kwi-bile duct, inkqubo ebizwa ngokuba yi-ERCP (Endoscopic Retrograde Cholangiopancreatography) ingasetyenziselwa ukususa ilitye ngokufaka ityhubhu enekhamera emlonyeni kwaye kudluliswe izixhobo ezikhethekileyo kuyo.
5. Utyando: Ukuba imbangela ephambili ye-biliary colic yi-gallstones, kwaye le meko iphinda ivele, isisombululo esilungileyo nesihlala sihleli sesiI-Cholecystectomy. Oku ngoku kwenziwa rhoqo ngotyando lwe-keyhole olubizwa ngokuba lutyando lwe-laparoscopic. Oku kubangela ukuba amanxeba angabi maninzi kwaye kuphole ngokukhawuleza. Akuyongxaki ukuphila ubomi obuqhelekileyo ngaphandle kwenyongo.
Umyalezo Wokuya Ekhaya
- I-Biliary Colic yintlungu enzima, eyenzeka rhoqo kwicala eliphezulu lasekunene lesisu. Ihlala isenzeka emva kokutya ukutya okunamafutha.
- Olu luphawu lwesilumkiso semeko efihlakeleyo, efana namatye enyongo, ngoko ungaze uyityeshele.
- Ukuba intlungu iyaqhubeka kangangeeyure ezimbalwa, okanye ukuba kuvela iimpawu ezinje ngomkhuhlane okanye i-jaundice, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Nokuba intlungu iyancipha, qiniseka ukuba ubona ugqirha ukuze ufumane unobangela kwaye ufumane unyango olufanelekileyo.
- Ngonyango olufanelekileyo, le meko inokunyangeka ngokupheleleyo kwaye iingxaki ezinkulu zinokuthintelwa.
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