Mhlawumbi ukhe wenziwa i-ultrasound scan ukuze ufumane enye ingxaki yesisu kwaye ingxelo ithi "Gallbladder Polyp" kwaye ukhathazekile kancinci. Okanye mhlawumbi usandul' ukuliva igama. Zithini kanye kanye ezi zihluma kwi-gallbladder? Ngaba ziyingozi njengoko zivakala? Ngaba zinokuba ngumhlaza? Masicacise yonke imibuzo yakho malunga noku namhlanje.
Okokuqala, masibone, yintoni le gallbladder?
Ngaphambi kokuba sithethe ngezi nati, masiqonde kancinci ngendawo apho ezi nati ziveliswa khona, oko kukuthi, inyongo. Khawuthelekelele ukuba umzimba wethu ufana nomzi-mveliso omkhulu. Isibindi esikule mzi-mveliso siso esenza ulwelo olubizwa ngokuba yinyongo. Le nyongo ibaluleke kakhulu kuthi ukuze sitye ukutya okunamafutha esikutyayo.
Ngoku, inyongo eveliswa sisibindi ayingeni ngqo emathunjini. Igcinwa kwilungu elincinci elifana nengxowa. Yiloo nto siyibiza ngokuba yinyongo . Lilungu elincinci elimile njengekhiwane, eliphantsi kwesibindi. Inyongo igcina inyongo ethile, ifunxe amanzi akuyo, ize iyenze ibe nkulu. Xa sitya ukutya okunamafutha, inyongo iyafinyela ize ithumele le nyongo ityebileyo emathunjini. Ngamafutshane, inyongo 'yindawo yokugcina inyongo' emzimbeni wethu.
Ngoko ke zithini ezi polyps zegallbladder?
Kulungile, ngoku siyazi ukuba yintoni inyongo. Iipolyps zenyongo zizinto ezingaqhelekanga ezikhula kwi-mucous lining yenyongo. Zicinge ngezinto ezifana nee-warts eluswini lwethu ezikhula ngaphakathi kwinyongo. Zinokubangelwa zizinto ezahlukeneyo.
Into ebalulekileyo kukuba uninzi lwezi cysts azinabungozi kwaye azinabungozi . Nangona kunjalo, azifane zibangele ukudumba kwenyongo. Kwakhona, inani elincinci kakhulu lazo, malunga ne-5%, linokuba ngumhlaza.
Izifundo zibonisa ukuba phakathi kwe-4% kunye ne-7% yabantu abadala bahlakulela iithumba zenyongo. Nangona kunjalo, yi-5% kuphela yezi thumba ezinesifo somhlaza. Ngoko ke akukho mfuneko yokoyika xa usiva igama.
Zingaphi iintlobo zezi nati ezikhoyo?
Ewe, la matye enyongo awafani. Angahlulwa abe ziintlobo ezininzi eziphambili. Masibone ukuba zeziphi.
| Uhlobo lwePolyp | Kalula nje... |
|---|---|
| Ii-pseudopolyps | Ezi zezona zixhaphakileyo (malunga nama-60%-90%). Ezi azizo iithumba ngokwenene. Zenzeka xa i- cholesterol eyongezelelweyo emzimbeni wethu ibekwe eludongeni lwenyongo. Ezi zikwabizwa ngokuba ziithumba ze-cholesterol. Ezi azizo zomhlaza konke konke. |
| Iipolyps ezivuthayo | Ezi zibonakala kwi-5%-10% yamatyala. Ezi zizicubu ezifana nezibazi ezenzeka xa inyongo ivuvukala ngokuphindaphindiweyo (i-cholecystitis), oko kuthetha ukuba iyadumba. Ezi azingomhlaza. |
| Ii-Adenomas | Ezi zithathwa njengezimila ezingengomhlaza. Azingomhlaza. Nangona kunjalo, inani elincinci kakhulu (malunga ne-0.5%) yezi ntlobo zezimila lisengozini yokuba ngumhlaza. |
| Iipolyps Ezinobungozi | Ezi zezona ntlobo ziyingozi kakhulu. Kodwa azixhaphakanga kakhulu. Zihlala zihlobo lomhlaza olubizwa ngokuba yi-adenocarcinoma . |
Ngaba iithumba zenyongo zingabangela iintlungu? Zithini iimpawu?
Oku kukwayingxaki kubantu abaninzi. Okumangalisayo kukuba, i-99% yee-cysts ze-gallbladder azibangeli zimpawu . Uninzi lwexesha, zifunyanwa ngengozi ngexesha lokuhlolwa kwe-ultrasound ngenxa yesinye isizathu.
Nangona kunjalo, kunqabile kakhulu ukuba iimpawu zivele ukuba i-cystic duct okanye i-bile duct ivaliwe. Oku kunokubangela ukuba i-bile idibane ngaphakathi kwi-gallbladder, nto leyo ebangela ukuba i-gallbladder idumbe. Kwezi meko, unokufumana iimpawu ezifana nezi:
- Intlungu kwicala eliphezulu lasekunene lesisu.
- Ifiva.
- Isicaphucaphu nokuhlanza.
- Ukutyheli kolusu namehlo (i-Jaundice).
Kodwa khumbula, ezi mpawu zinokwenzeka kakhulu ukuba zibangelwa ngamatye enyongo kunangamathumba. Ngoko ke musa ukucinga ukuba ithumba libangelwa nje kukuba unazo ezi mpawu.
Kutheni iithumba zifana nolu hlobo? Ngaba kukho naziphi na izinto ezinokubangela umngcipheko?
Izazinzulu azikayazi kakuhle ukuba kutheni zenzeka, njengeethumba zokwenyani. Ziziintlobo ezingaqhelekanga ezikhula kwiiseli zomzimba.
Nangona kunjalo, iintlobo ezimbini eziqhelekileyo, ii-cholesterol polyps kunye nee-inflammatory polyps, esixoxe ngazo ngaphambili, zenzeka njengesiphumo esingesihle sezinye izifo. Zibangelwa ngamanqanaba aphezulu e-cholesterol kunye nokudumba rhoqo kwe-gallbladder (cholecystitis).
Kukho izinto ezininzi ezibangela umngcipheko wokufumana i-gallbladder tumors:
- Ukuba namatye enyongo.
- Ukudumba rhoqo kwenyongo (iCholecystitis).
- Ukudumba kwemibhobho yenyongo (iCholangitis).
- Usulelo lweHepatitis B.
- Ezinye iimeko zemfuza (umz. iFamilial Adenomatous Polyposis - FAP).
- Ukwanda kwamanqanaba e-cholesterol emzimbeni.
- Ngaphezulu kweminyaka engama-50 ubudala.
Umbuzo omkhulu engqondweni yomntu wonke: Ngaba ezi zinokuba ngumhlaza?
Kulungile, masingene kwinxalenye ebalulekileyo. Ukuba ingxelo yakho yeskeni ithi 'i-gallbladder polyp', umbuzo wokuqala oza engqondweni yakho ngulo, "Owu, ingaba lo ngumhlaza?"
Inyani yile, ugqirha akanakutsho ngokuqinisekileyo ngokupheleleyo xa eskeni ukuba ithumba lingumhlaza okanye akunjalo. Eyona ndlela yokwazi ngokuqinisekileyo kukususa inyongo ngotyando uze uthumele ithumba kwilabhoratri ukuze livavanywe (biopsy).
Kodwa, asinguye wonke umntu onethumba osuswe inyongo yakhe, akunjalo? Yiyo loo nto oogqirha bevavanya umngcipheko wokuba ithumba libe ngumhlaza. Ukuze benze oku, baqwalasela izinto ezimbalwa:
1. Ubungakanani bethumba: Le yeyona nto ibalulekileyo. Iithumba ezingezizo ezomhlaza zihlala zincinci ngobukhulu. Iithumba ezinomhlaza zihlala zinkulu ngobukhulu.
Ngokwesiqhelo, ukuba ithumba likhulu kune-1 centimeter (10 millimeters) , lithathwa njengelisengozini enkulu yokuba ngumhlaza. Kwiimeko ezinjalo, oogqirha badla ngokucebisa ukuba kususwe inyongo.
2. Izinga Lokukhula: Emva kokuba ufumanise ukuba unethumba, ugqirha wakho usenokucela ukuba wenze i-ultrasound scan rhoqo ngonyaka okanye ngaphezulu ukuze kubonwe ukuba ithumba likhula ngokukhawuleza kangakanani. Ithumba elingenabungozi lidla ngokukhula ngaphantsi kweemilimitha ezi-2 ngonyaka. Nangona kunjalo, ithumba elinomhlaza linokukhula ngokukhawuleza kakhulu.
3. Iimpawu:Ukuba kukho iimpawu ezifana neentlungu kunye nomkhuhlane, oko kuyaqwalaselwa.
4. Ubudala bomguli: Ingqwalasela engakumbi inikwa kwiithumba ezenzeka kubantu abangaphezu kweminyaka engama-50 ubudala.
Ngoko ke, ugqirha wakho uza kujonga konke oku aze agqibe ukuba ufuna unyango na, okanye ukuba ukuskena nje kuya kwanele.
Ziziphi iindlela zonyango lwe-gallbladder tumors?
Kukho iindlela ezimbini eziphambili zokunyanga iithumba zenyongo.
1. Ukuqwalasela
Oku kwenzeka rhoqo. Ukuba ithumba lakho lincinci (ngaphantsi kwe-1 cm), alinazo iimpawu, kwaye alinazo ezinye izinto ezinokubangela umngcipheko, ugqirha wakho uza kukuxelela ukuba akukho nto unokuyenza ngoku, kwaye siza kulijonga nje. Oku kuthetha ukuba uza kwenziwa i-ultrasound scan rhoqo kwiinyanga ezi-6 okanye ngonyaka ukuze ubone ukuba ithumba liyatshintsha na ngobukhulu. Ukuba akukho tshintsho, uza kuqhubeka ujongwa.
2. Utyando - I-Cholecystectomy
Ukuba kukho nakuphi na ukurhanelwa kokuba ithumba lakho lisenokuba ngumhlaza, unyango olungcono nolukuphela kwalo kukususa yonke inyongo ngotyando. Awunakususa nje ithumba kwinyongo. Kufuneka ususe inyongo ngokwayo.
Amatyala apho kucetyiswa khona utyando:
- Ukuba ithumba likhulu kune-1 cm.
- Ukuba ithumba likhula ngokukhawuleza.
- Ukuba kukho amatye enyongo kunye nethumba.
- Ukuba ithumba libangela iimpawu eziqatha.
Olu tyando lwenziwa ngeendlela ezimbini eziphambili.
| Uhlobo lotyando | Indlela yokwenza oku kunye neenzuzo |
|---|---|
| Utyando lweLaparoscopic Cholecystectomy | Oku kukwabizwa ngokuba "lutyando lwe-keyhole." Endaweni yokwenza umngxuma omkhulu esiswini, kwenziwa imingxunya emi-3 okanye emi-4 emincinci kakhulu , kufakwa ikhamera (i-laparoscope) ngenye yezi mingxunya, kwaye kufakwa izixhobo ezincinci ngezinye izigcawu, kwaye inyongo isuswa phantsi kweliso elibukhali lemonitha. Iingenelo zoku zezi: iintlungu ezincinci, ukuhlala esibhedlele kancinci, ukuphola ngokukhawuleza (malunga neeveki ezi-2), kunye namanxeba amancinci kakhulu. Le yeyona ndlela ixhaphakileyo esetyenziswayo ngoku. |
| I-Cholecystectomy evulekileyo | Oku kuquka ukwenza ukusika okukhulu kancinci phantsi kweembambo kwicala lasekunene, ukuvula isisu, nokususa inyongo. Le ndlela isetyenziswa ukuba kukho urhanelwa lokuba kukho umhlaza kwaye ukuba izicubu ezijikelezileyo nazo zifuna ukususwa. Oku kuthatha ixesha ukuphola (malunga neeveki ezi-6-8). Kukho iintlungu ezininzi kunye namanxeba. |
Ngaba kunzima ukuphila emva kokuba ususwe inyongo yakho?
Oku kuyinto abantu abaninzi abayoyikayo. Bacinga ukuba, "Owu, ukuba ndisusa ilungu emzimbeni wam, kuza kubakho ingxaki, akunjalo?"
Enyanisweni, inyongo ayilolungu esingenakuphila ngaphandle kwalo. Emva kokuba isusiwe, ungaphila ubomi obuqhelekileyo ngokupheleleyo. Xa inyongo isusiwe, inyongo eveliswa esibindini ayigcini, kodwa ingena ngqo emathunjini kancinci kancinci.
Emva kotyando, abanye abantu banokufumana ukungakhululeki esiswini okanye ukudumba emva kokutya ukutya okunamafutha. Yiyo loo nto ugqirha wakho eya kukuxelela ukuba unciphise ukutya okuqhotsiweyo kunye neeoyile kwiiveki ezimbalwa zokuqala. Kodwa emva kwexesha elithile, umzimba wakho uya kuqhelana nale ndlela intsha yokutya. Emva koko, uninzi lwabantu lunokutya nakuphi na ukutya ngokuqhelekileyo ngaphandle kweengxaki.
Umyalezo Wokuya Ekhaya
- Musa ukoyika ukuva igama elithi gallbladder polyps. Uninzi lwazo zizinto ezikhula ngaphandle kwengozi ezibangelwa yi-cholesterol deposits.
- Uninzi lwexesha, ezi azibangeli zimpawu. Zifunyanwa ngengozi.
- Ezi zinomngcipheko omncinci kakhulu wokuba nomhlaza (ngaphantsi kwe-5%).
- Ugqirha wakho uza kujonga ubungakanani kunye nesantya sokukhula kwezi thumba ngokusebenzisa ii-ultrasound scans.
- Nokuba kufuneka wenze utyando lokususa inyongo yakho, ungakhathazeki. Ungaphila ubomi obusempilweni nobuqhelekileyo ngaphandle kwenyongo .
- Ukuba unemibuzo okanye amathandabuzo malunga nengxelo yakho yeskeni okanye unyango, zive ukhululekile ukubuza ugqirha wakho. Musa ukoyika ngokungeyomfuneko ngokufunda izinto kwi-intanethi.
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