Ngaba ukhe waziva ngequbuliso iintlungu ezibukhali nezihlabayo kwicala eliphezulu lasekunene lesisu sakho, ngaphantsi nje kweembambo zakho? Ngamanye amaxesha, ingaba le ntlungu iphuma emqolo nasegxalabeni lasekunene? Ngaba le ntlungu ayipheli nokuba sele utyile okanye uye kwigumbi lokuhlambela? Ngoko ke, kubaluleke kakhulu ukuba uqaphele iintlungu zenyongo esithetha ngazo namhlanje.
Okokuqala, masibone, yintoni le gallbladder?
Ngamafutshane, inyongo sisitho esincinci esifana nengxowa esiphantsi kwesibindi sethu, kwicala eliphezulu lasekunene lesisu sethu. Umsebenzi waso oyintloko kukugcina inyongo okwethutyana, eveliswa sisibindi sethu. Xa sitya ukutya okunamafutha, sidinga le nyongo ukuze sinyibilikise (sigaye) amafutha. Emva koko inyongo iyafinyela ize ithumele le nyongo emathunjini ethu amancinci ngemibhobho yenyongo. Le yinkqubo yayo eqhelekileyo.
Injani intlungu yenyongo?
Intlungu yenyongo ayifani nentlungu yesisu eqhelekileyo. Oku kubuhlungu kakhulu.
- Intlungu ebukhali ngequbuliso: Intlungu ebukhali ngequbuliso, ebukhali kwicala eliphezulu lasekunene lesisu. Abanye abantu banokuziva ezi ntlungu embindini wesisu.
- Intlungu engapheliyo: Le ntlungu ayiguquki. Nokuba sihambahamba okanye sitshintsha indawo, intlungu ayinciphi.
- Ukwanda kwentlungu xa uphefumla: Intlungu isenokuvakala ngathi iyanda xa uphefumla nzulu.
- Ukusasaza iintlungu: Ngamanye amaxesha le ntlungu ingasasazeka iye egxalabeni lasekunene nangasemva.
- Ezinye iimpawu: Kunye nale ntlungu inzima, unokufumana iimpawu ezifana nokugabha , umkhuhlane, kunye nokubanda .
Le ntlungu inzima kangangokuba abanye abantu bayaphakuzela baze bacinge ukuba kukuhlaselwa yintliziyo. Kwakhona, ukuba le ntlungu ihlala ixesha elingaphezu kweeyure ezimbalwa, inokuba luphawu lwemeko embi kakhulu. Kwiimeko ezinjalo, kufuneka ubone ugqirha ngoko nangoko, okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
Kutheni kukho olu hlobo lwentlungu? Zithini izizathu eziphambili?
Eyona nto iphambili neyona ixhaphakileyo ebangela iintlungu zenyongo yinyongo . Sikwabiza la matye ngokwezonyango ngokuthi `(Cholelithiasis).` La matye afana namatye abumba ngaphakathi kwenyongo yethu. Ayenziwa kakhulu yi-cholesterol deposits. La matye anokuba mancinci njengetyuwa okanye abe makhulu njengebhola yegalufa.
Ukongeza kwesi sizathu siphambili, kukho nezinye izizathu ezininzi.
Amatye eBile Duct
Ilitye lenyongo linokuphuma lize lihlale kwi-common bile duct, eyona duct iphambili yenyongo. Le yimeko embi kakhulu kune-gallstones. Ingakhokelela kwezinye iingxaki, ezifana ne-pancreatitis.
I-Cholecystitis
Xa ilitye lenyongo livala umbhobho wenyongo, libambeka ngaphakathi. Oku kuvumela iintsholongwane ukuba ziqokelele kwaye zosulele inyongo, nto leyo ebangela ukuba idumbe. Oku kubizwa ngokuba yi-cholecystitis.
Esinye Isifo Senyongo
Oku kungabandakanya nayiphi na imeko echaphazela i-gallbladder okanye i-bile ducts. Umzekelo, i-biliary dyskinesia, ukudumba kwe-bile ducts (i-cholangitis), njl.
Umhlaza weSinyithi
Le yimeko engaqhelekanga kakhulu, kodwa olu hlobo lwentlungu lunokubangelwa kukukhula kweeseli zomhlaza kwinyongo.
Amayeza asekhaya kunye nonyango lwentlungu
Zimbalwa kakhulu izinto onokuzenza ekhaya xa unentlungu yenyongo. Ukubeka ibhotile yamanzi ashushu kwindawo yentlungu kunokukunceda. Kodwa ezi zizisombululo zexeshana nje.
Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngoko nangoko ukuba intlungu iyaqhubeka okanye inzima. Musa ukuzinyanga.
Xa ubona ugqirha, baya kugqiba unyango ngokusekelwe kwimeko yakho.
- Iipilisi zokunciphisa iintlungu: Ukuba iintlungu azipheli, ugqirha uya kunika amayeza okunciphisa iintlungu ukuze azilawule.
- Ii-antibiotics: Ukuba kukho usulelo, ii-antibiotics ziyanikwa.
- I-Endoscopic Retrograde Cholangiopancreatography (ERCP): Le nkqubo ibandakanya ukudlulisa ityhubhu enekhamera emlonyeni ukuze kususwe amatye amancinci anamathele kwimibhobho yenyongo, kwandiswe umbhobho, okanye kuthathwe isampuli yezicubu ukuze zihlolwe.
- Ukususwa kwenyongo ngotyando (Cholecystectomy): Ukuba amatye enyongo akubangela iingxaki ezingapheliyo, isisombululo esilungileyo nesihlala sihleli kukususwa kwenyongo ngotyando. Inyongo ayilolungu libalulekileyo ebomini. Emva kokuba isusiwe, ungaphila ubomi obuqhelekileyo.
Olu tyando lwenziwa ngeendlela ezimbini eziphambili:
1. I-Laparoscopic Cholecystectomy: Le yindlela esetyenziswa kakhulu. Ikwabizwa ngokuba "lutyando lwe-keyhole." Inyongo isuswa ngokusikwa okuncinci esiswini kusetyenziswa ikhamera. Le ndlela inexesha lokuphola ngokukhawuleza kwaye ayinazibazi zininzi.
2. I-Open Cholecystectomy: Ukuba inyongo idumbile kakhulu, kukho iingxaki, okanye kurhanelwa ukuba kukho umhlaza, olu tyando lwenziwa ngokusikwa okukhulu kancinci esiswini.
Ngaba zikhona ezinye izifo ezivakala ngathi ziintlungu zenyongo?
Ewe. Ngenxa yokuba kukho amanye amalungu abalulekileyo kwicala lasekunene lesisu, ngamanye amaxesha intlungu yezinye iimeko zonyango inokuvakala ifana nentlungu yenyongo. Ngoko ke kubalulekile ukwazi umahluko phakathi kwezi.
| Imeko yezonyango | Indlela eyahluke ngayo kwintlungu yenyongo |
|---|---|
| I-Appendicitis | Intlungu idla ngokuvakala kwicala lasekunene elisezantsi lesisu. Intlungu yenyongo ikwinxalenye ephezulu. |
| Amatye Ezintso | Kunye nentlungu eqatha, unokubona utshintsho kumchamo wakho (opinki, obomvu, nevumba elibi). |
| I-Pancreatitis | Ukongeza kwiintlungu, iimpawu ezifana nokucaphuka, ukuhlanza, kunye nokunciphisa umzimba zihlala zibonakala. |
| Izilonda zesisu | Iimpawu ezinje ngokudumba, iintlungu zesisu, kunye norhudo ziqheleke kakhulu kuneentlungu zesisu. |
Ngaba le meko ingathintelwa?
Eyona ndlela ilungileyo yokuthintela ukwakheka kwamatye enyongo kunye neentlungu ezinxulumene noko kukugcina ukutya okunempilo kunye nendlela yokuphila enempilo .
Ukutya ekufuneka ukuphephe:
- Ukutya okunamafutha amaninzi agcweleyo (ioyile, ibhotolo, itshizi, inyama ebomvu)
- Iswekile ephezulu kunye nesodium (ityuwa)
- Ukutya okuqhotsiweyo
- Ukutya kakhulu iicarbohydrate ezicociweyo ezifana nesonka nerayisi
Izinto onokuzongeza ekutyeni kwakho:
- Inyama nentlanzi engenamafutha
- Imifuno neziqhamo
- Ukutya okunefayibha eninzi
- Imifuno kunye neenkozo ezipheleleyo
- Iimveliso zobisi ezinamafutha aphantsi
Ukwengeza,Ukutya ngexesha elifanelekileyo, ukungazami ukunciphisa umzimba ngequbuliso, kunye nokuzilolonga rhoqo kunceda kakhulu ekunciphiseni umngcipheko wokuba ne-gallstones.
Umyalezo Wokuya Ekhaya
- Intlungu yenyongo yintlungu eyenzeka ngequbuliso, enzima, nengapheliyo eqala kwicala eliphezulu lasekunene lesisu.
- Isizathu esiphambili soku kukwakheka kwamatye enyongo.
- Ukuba intlungu ihlala iiyure ezingaphezu kwezimbalwa, okanye ihamba neempawu ezifana nomkhuhlane nokuhlanza, bona ugqirha ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ukutya okunempilo kunye nokuzilolonga rhoqo kunokunciphisa umngcipheko wale meko.
- Ukususwa kwenyongo lutyando oluqhelekileyo, kwaye ungaphila ubomi obuqhelekileyo emva koko. Ngoko ke akukho mfuneko yokoyika.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeFlecainide (Tambocor) ziyindlela enamandla kakhulu yonyango esetyenziselwa isifo esinjani?
Le asiyopilisi eqhelekileyo yoxinzelelo lwegazi! Lelinye lamayeza anamandla kakhulu (iClass 1C Antiarrhythmic) asetyenziswa ngoogqirha ukubuyisela intliziyo 'kwisigqi esiqhelekileyo' xa amagumbi aphezulu okanye asezantsi entliziyo yesigulana ebetha ngequbuliso ngendlela engaqhelekanga/ngokukhawulezileyo kangangokuba ibe yingozi ebomini (i-Atrial Fibrillation / SVT / Ventricular Arrhythmias)!
💬 Xa intliziyo ibetha ngamandla, ungayilungisa njani indlela intliziyo ebetha ngayo ngokunika eli yeza (iFlecainide)?
Intliziyo ibetha ngokukhawuleza ngenxa yemiqondiso yombane (Action Potentials)! Kwisigqi sokuqala, kufuneka amasuntswana 'eSodium' angene ukuze atshaje iiseli. Xa le pilisi ingena entliziyweni, onke amasango avumela i-sodium ukuba ingene ayavalwa (kakhulu kakhulu) nge-100%, kwaye ihlala ivaliwe kwaye itshixiwe ixesha elide (Iphawulwe ngeSigaba 0 sokudakumba/Ukungabophi kancinci). Ekubeni i-sodium ingangeni konke konke, kuthatha ixesha elide ukuba iiseli zitshaje. Emva koko intliziyo ayikwazi ukubetha ngokukhawuleza ngokwaneleyo kwaye ibuyele kwisigqi sayo sesiqhelo.
💬 Yintoni 'iSilumkiso seBlack Box' abantu abasebenzisa eli yeza (iTambocor) abafanele bazi ngayo?
Leyo yeyona meko iyingozi kakhulu nebulalayo! Ukuba ukhe waba 'nesifo sentliziyo' ngaphambili okanye unayo (isifo sentliziyo esibangwa yiStructural/LV dysfunction), emva kokusela le pilisi, 'isigqi sentliziyo esitsha esibulalayo (isiphumo seProarrhythmic)' sinokwenzeka kwaye isigulane sinokufa ngequbuliso (oku kungqinwe yiCast Trial)! Ke ngoko, oku akumiselwa lula ngaphandle kokuba kukho imeko esongela ubomi nangaliphi na ixesha.
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