Ngaba ukhe uve iintlungu eziqatha kwicala lasekunene lesisu sakho, ngaphantsi kweembambo zakho, kunye nesicaphucaphu nokuhlanza? Uninzi lwexesha, sicinga ukuba yi-gastritis, kodwa inokuba yinto enzulu ngakumbi. Namhlanje, siza kuthetha ngemeko abantu abaninzi abangayaziyo, kodwa kubaluleke kakhulu ukuyazi. Oko kukudumba kwenyongo, okanye ngokwezonyango, i-cholecystitis.
Yintoni le gallbladder? Yintoni le ukudumba?
Ngamafutshane, inyongo sisitho esincinci esifana nengxowa esifana nepeya esiphantsi kwesibindi sethu. Umsebenzi waso oyintloko kukugcina okwethutyana ulwelo olubizwa ngokuba yi-"bile" oluveliswa sisibindi. Xa sisitya isidlo esinamafutha amaninzi okanye ioyile, inyongo ikhupha inyongo emathunjini ethu amancinci ukuze incede ekugayweni kwayo. Le nyongo ihamba ngenkqubo yeetyhubhu ezincinci ezifana neepayipi zamanzi. Oogqirha babiza ezi "ducts zenyongo."
Khawucinge nje, kwenzeka ntoni ukuba enye yezi ducts zenyongo ivalekile ngesizathu esithile, okanye ukuba inyongo isulelekile? Kulapho inyongo idumba khona ize ibe buhlungu kwaye ivuvuke. Le meko siyibiza ngokuba yi-cholecystitis .
Ngaba kukho iintlobo eziphambili zokudumba kwenyongo?
Ewe, singayibona le meko ngeendlela ezimbini eziphambili.
1. I-Acute Cholecystitis: Le yimeko enzima eqala ngequbuliso. Intlungu inzima kakhulu.
2. I-Chronic Cholecystitis: Le ayisiyongxaki yequbuliso . Yimeko apho inyongo iba buthathaka ngokuhamba kwexesha, nto leyo ebangela iintlungu ezihlala ziphela.
Ukongeza, ikwahlulwa ngokwesizathu. Ukuba ibangelwa yi-gallstones, ibizwa ngokuba yi-"Calculous cholecystitis". Ukuba ibangelwa zezinye izizathu ngaphandle kwamatye, ibizwa ngokuba yi-"Acalculous cholecystitis". Nangona kunjalo, kubalulekile ukukhumbula ukuba malunga ne-95% yamatyala, imbangela yi-gallstones .
Zithini iimpawu zokudumba kwenyongo?
Kubaluleke kakhulu ukuqaphela ezi mpawu ngokuchanekileyo, ukuze ukwazi ukufumana iingcebiso zonyango ngokukhawuleza.
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebuhlungu kwicala eliphezulu lasekunene lesisu | Olu luphawu oluphambili. Intlungu iyanda ngequbuliso ize ifikelele kwinqanaba eliphezulu. Abanye abantu banokuziva ezi ntlungu zisiya egxalabeni lasekunene okanye emqolo. Intlungu inokwanda xa uphefumla nzulu. Abanye abantu bade bacinge ukuba oku kubuhlungu esifubeni okanye ukuhlaselwa yintliziyo. |
| Isicaphucaphu nokuhlanza | Kuqhelekile ukuba ube neentlungu eziqatha zesisu kunye nesicaphucaphu kunye nokuhlanza. |
| Ifiva | Abanye abantu banokuba nomkhuhlane ongaphezulu kwe-100 degrees Fahrenheit. Umkhuhlane ungathetha ukuba kukho usulelo okanye ukudumba okunzulu ngakumbi. Nangona kunjalo, abantu abadala abanakufane babe nomkhuhlane. |
| Ezinye iimpawu | Iimpawu ezinje ngokudumba, iintlungu xa uchukumisa isisu, ukudinwa, kunye nokuphelelwa ngumdla wokutya zinokubonakala, ingakumbi kubantu abadala. |
Into ebalulekileyo kukuba kwimeko engapheliyo, ezi mpawu zisenokungabi mbi kangako. Emva kokutya isidlo esinamafutha kakhulu, unokufumana ukungakhululeki esiswini kunye nesicaphucaphu kangangeeyure ezimbalwa uze emva koko ziphele.
Kutheni le nto kukho ukudumba kwenyongo?
Njengoko besitshilo ngaphambili, imbangela ephambili neyona ixhaphakileyo yi-gallstones . Ezi zenzeka xa izinto ezahlukeneyo kwi-bile ziqokelelana kwaye ziqina ngokuhamba kwexesha, njengeengqalutye. Ukuba la matye anamathela kwi-gallbladder okanye kwi-bile duct, i-bile ayinakuphuma kwaye iqokelelane ngaphakathi kwi-gallbladder. Emva koko i-gallbladder iyadumba, ivuvuke, kwaye inokosulelwa ziibhaktheriya.
Kodwa ayingomatye kuphela, kunokubakho nezinye izizathu.
- Ukuqiniswa kwenyongo: Ezinye izifo zinokubangela amanxeba kwimibhobho yenyongo kwaye zinciphise.
- I-Biliary dyskinesia: Izihlunu ezikwi-gallbladder azinciphisi kakuhle, nto leyo ethintela ukuba i-bile ingakhuphi.
- Umhlaza wenyongo: Kunqabile kakhulu ukuba umhlaza wenyongo okanye imibhobho yenyongo unokubangela ukuvaleka kwemibhobho yenyongo.
- Ukuncipha kokunikezelwa kwegazi (i-Ischemia): Ukuba ubungakanani begazi elinikezelwa kwi-gallbladder buyancipha ngesizathu esithile, ukudumba kunokwenzeka.
- Iintsholongwane:Nokuba ingenawo amatye enyongo, inyongo ayinakosuleleka ngenxa yosulelo lweebhaktheriya.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
Abantu abanamathuba amaninzi okuba ne-gallstones basengozini enkulu yokufumana oku kurhawuzelelwa. Ngabo aba:
- Abafazi
- Oomama abakhulelweyo
- Ukutyeba kakhulu (ukutyeba kakhulu)
- Abantu abanesifo seswekile
- Abantu abanamanqanaba aphezulu e-cholesterol egazini
- Abantu abaye balahlekelwa bubunzima ngequbuliso
- Abantu abangaphezu kweminyaka engama-40 ubudala
Ingaba le yimeko embi kakhulu? Ziziphi iingxaki ezinokubakho?
Ewe, le ayisiyonto ifanele ithathwe lula . Kwimeko ebukhali, umbhobho wenyongo uyavaleka, nto leyo ebangela ukuba inyongo ibuyele egazini. Oku kunokubangela ukuba umzimba wonke uzive unzima.
Ezinye zeengxaki ezinkulu ezinokubakho ukuba azinyangwa zezi:
- Ukufa kwezicubu zenyongo (Gangrene): Ukudumba okugqithisileyo kunokuthintela ukuhamba kwegazi ukuya kwinyongo kwaye kubangele ukufa kwezicubu.
- Ukugqobhoka kwenyongo: Emva kokufa kwezicubu, udonga lwenyongo luyagqobhoka, nto leyo evumela inyongo kunye neetyhefu ukuba zivuze esiswini.
- I-Peritonitis: Xa inyongo ivuza esiswini, iintsholongwane zinokungena kulwelo oluthambileyo lwesisu zize zibangele usulelo olukhulu.
- I-Septicemia: Ukuba olu sulelo lusasazeka luye egazini, lunokuba yingozi ebomini.
- I-Pancreatitis: Ngokuxhomekeke kwindawo elikuyo ilitye, i-pancreas nayo inokuchaphazeleka.
Ngoko ke, ukuba uneempawu ezinje, eyona nto ingcono onokuyenza kukubona ugqirha ngoko nangoko , kunokuhlala ekhaya ucinge ukuba "kusenokuba sisifo sesisu."
Ugqirha uyixilonga njani le nto?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho. Emva koko uza kukuxilonga. Kukho uvavanyo olwaziwayo lokujonga ukudumba kwenyongo. Kulo, ugqirha uza kucinezela kwicala eliphezulu lasekunene lesisu sakho aze akucele ukuba uphefumle nzulu. Ukuba uziva iintlungu eziqatha, olo luphawu oluphambili lokudumba kwenyongo (`uphawu lukaMurphy`).
Emva koko, ungabhekisa kwiimvavanyo ezilandelayo ukuqinisekisa isifo:
- Uvavanyo lwegazi: Uvavanyo lwegazi olupheleleyo (CBC) kunye novavanyo lokusebenza kwesibindi.
- I-ultrasound yesisu: Oku kunokubona ngokucacileyo izinto ezifana namatye enyongo kunye nokudumba.
- I-CT scan: Oku kwenziwa ukuba kufuneka umfanekiso ocacileyo.
- I-HIDA scan: Oku kunokumisela ngokuchanekileyo ukuba inyongo isebenza kakuhle kangakanani na kwaye nokuba kukho na ukuvaleka kwimibhobho yenyongo.
Inyangwa njani? Ngaba le nto inganyangeka?
Ewe, ngokuqinisekileyo. Ukuba ufunyaniswe ukuba une-gallbladder inflammation, uza kungeniswa esibhedlele kwaye unyango luza kuqala.
Unyango lokuqala:
- Ityuwa (ii-IV fluids): Olu lulwelo olunika umzimba wakho ulwelo olufunekayo ngelixa uphumza inkqubo yakho yokugaya ukutya.
- Ii-antibiotics ze-IV: Ii-antibiotics zinikwa ngemithambo yegazi ukuthintela okanye ukunyanga usulelo ukuba lukhona.
- Ukuphelisa iintlungu nge-IV: Iipilisi zokuphelisa iintlungu ezinamandla zinikwa ukulawula iintlungu eziqatha.
Unyango oluphambili noluhlala luhleli:
Unyango oluhlala luhleli nolungcono kakhulu lwe-gallstones kukususwa kwe-gallbladder ngotyando (`Cholecystectomy`) . Uninzi lwexesha, unobangela wazo zonke ezi ngxaki yi-gallbladder kunye namatye akuyo, kwaye ukuyisusa kuyayisombulula ngokupheleleyo ingxaki.
Musa ukoyika "owu, utyando!" Olu lutyando oluqhelekileyo kakhulu, olungenabungozi buninzi ngoku. Uninzi lwexesha, lwenziwa nge-laparoscopically . Oku kuthetha ukuba inyongo isuswa kusetyenziswa ikhamera endaweni yokusikwa okukhulu esiswini. Oku kunokukunceda uphile ngokukhawuleza kwaye kunciphise ukuhlala kwakho esibhedlele. Nangona kunjalo, kwezinye iimeko ezinzima, utyando oluvulekileyo lunokufuneka.
Ngaba zikho ezinye iindlela zabantu abangenakukwazi utyando?
Ngamanye amaxesha, umntu onezinye izifo ezinzulu usenokungakwazi utyando ngoko nangoko. Kwiimeko ezinjalo, inkqubo yexeshana ebizwa ngokuba yi-drainage ingasetyenziselwa ukunciphisa uxinzelelo kwi-gallbladder. Okanye, inkqubo ebizwa ngokuba yi-endoscopic retrograde cholangiopancreatography (ERCP) ingasetyenziselwa ukususa amatye kwi-bile ducts. Nangona kunjalo, ezi zihlala ziyizisombululo zexeshana. Ekugqibeleni, isisombululo esingcono kukususa i-gallbladder.
Ngaba akukho ngxaki emva kokususa inyongo?
Lo ngumbuzo abantu abaninzi abanawo. Ngaba kunokwenzeka ukuphila ngaphandle kwenyongo? Ngokuqinisekileyo. Umsebenzi wenyongo yayikukugcina inyongo. Xa isusiwe, inyongo esibindini ingena ngqo emathunjini amancinci.
Kungathatha iiveki okanye iinyanga ezimbalwa ukuba umzimba uqhele le nkqubo intsha. Ngeli xesha, abanye abantu banokufumana ukungonwabi okwethutyana, okufana noku:
- Kunzima kancinci ukugaya ukutya okunamafutha nokunamafutha.
- Abanye abantu baba neempawu ezifana norhudo.
Kodwa ngokuhamba kwexesha, umzimba wakho uza kuqhelana noku. Ugqirha wakho uza kukunika iingcebiso malunga nokutya okufanelekileyo.
Umyalezo Wokuya Ekhaya
- Intlungu ebuhlungu kwicala eliphezulu lasekunene lesisu, isicaphucaphu, kunye nomkhuhlane zinokuba ziimpawu zokudumba kwenyongo. Musa ukuyityeshela, ucinga ukuba yi "gastritis."
- Isizathu esiphambili soku yi-gallstones.
- Ukuba ayinyangwa, oku kunokuba yimeko enzima enokubangela ukuqhekeka kwenyongo, usulelo lwesisu, kwaneengxaki ezisongela ubomi.
- Ukuba unale mpawu, bonana nogqirha ngokukhawuleza. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukususwa kwenyongo ngotyando lolona nyango luhlala luhleli nolukhuselekileyo. Akukho mqobo wokuphila ubomi obuqhelekileyo ngaphandle kwenyongo.
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