Ingaba icala lakho lasekunene lesisu sakho liyabuhlungu? Masifunde nge-cholecystitis!

Ngaba wakha waziva iintlungu zesisu ezinganyamezelekiyo, ingakumbi iintlungu kwicala eliphezulu lasekunene lesisu sakho, kunye nokucaphuka nokuhlanza? Okanye ngaba kukho umntu omaziyo oye wahlangabezana noku? Ezi zinto ngamanye amaxesha zinokuba ziimpawu zesifo esibizwa ngokuba yi-cholecystitis. Namhlanje, masithethe ngokuba yintoni i-cholecystitis , kutheni isenzeka, kunye nento enokwenziwa ngayo.

Yintoni i-cholecystitis?

Ngamafutshane, i-cholecystitis kukudumba okanye ukudumba kwenyongo yakho. Cinga ngayo njengengxowa encinci efana nepeya phantsi kwesibindi sakho. Inyongo igcina inyongo okwethutyana, ulwelo olwenziwe sisibindi. Emva kokutya, ingakumbi ukutya okunamafutha, le nyongo ithunyelwa emathunjini amancinci ukunceda ekugayeni ukutya. Le nyongo ihamba ngeendlela ezincinci ezifana netyhubhu ebizwa ngokuba yi-bile ducts . Ngoko ke, ukuba kukho usulelo okanye ukuvaleka kwenyongo okanye i-bile ducts edibana nayo, ukudumba, iintlungu, kunye nokudumba kuya kwenzeka.

Ngaba kukho iintlobo ezahlukeneyo ze-cholecystitis?

Ewe, oku kunokwahlulwahlulwa kwiindidi ezininzi eziphambili:

• Ukudumba okukhawulezileyo: Le yimeko eyenzeka ngequbuliso, enzima.
• Ukudumba okungapheliyo: Le yimeko ekhula kancinci ngokuhamba kwexesha kwaye ayibi mandundu kangako kodwa iyaqhubeka.
• Ukudumba okubangela ukubala: Olu lolona hlobo luqhelekileyo lokudumba. Kukudumba okubangelwa ngamatye enyongo.
• Ukudumba okungaqhelekanga: Oku kukudumba okwenzeka ngenxa yezinye izizathu ezingezizo iinyongo.

Cinga ngako oku, ukuba inyongo idumba ngequbuliso ngenxa yengxaki enkulu, kukuvuvukala okukhawulezileyo . Ngaphandle koko, ukuba inyongo idumba kancinci kancinci ngenxa yeengxaki ezincinci ixesha elide, kukuvuvukala okungapheliyo . Kwiimeko ezininzi, unobangela wazo zombini ezi zinto zi-gallstones. Yiyo loo nto oogqirha bahlula ukuba ibangelwa ngamatye okanye akunjalo.

Ixhaphake kangakanani le meko?

Kuthiwa malunga ne-15% yabemi behlabathi banamatye enyongo. Malunga ne-20% yabo bafumana iingxaki ngenxa yamatye enyongo, njenge -cholecystitis . Musa ukumangaliswa, i-95% yeemeko ze-cholecystitis zibangelwa ngamatye enyongo!

Ziziphi iimpawu ze-cholecystitis?

Ezi mpawu zinokwahluka kancinci ngokuxhomekeke kuhlobo lokuvuvukala.

Iimpawu zokudumba okukhawulezileyo:

• Intlungu ebuhlungu esiswini esingaphezulu, ingakumbi kwicala lasekunene:Le ntlungu inokwanda ngequbuliso ize inganyamezeleki. Ngamanye amaxesha le ntlungu inokusasaza iye egxalabeni lasekunene okanye emqolo. Intlungu inokubonakala ngathi kukuhlatywa ngenaliti, intlungu ebuhlungu, okanye ukujijeka kwemisipha yesisu. Intlungu inokwanda xa uphefumla nzulu. Abanye abantu bacinga ukuba oku kubuhlungu esifubeni okanye ukuhlaselwa yintliziyo . Le ntlungu ikhawulezileyo ikwabizwa ngokuba yi " Gallbladder Attack."
• Isicaphucaphu nokuhlanza : Olu luphawu oluqhelekileyo oluhlala luhamba "nohlaselo lwe-gallbladder."
• Umkhuhlane: Umkhuhlane ongaphezulu kwe-100 degrees Fahrenheit (37.8 Celsius) unokubonisa usulelo okanye ukudumba okukhulu.

Kubalulekile: Ezi mpawu zinokwahluka kancinci kumntu omdala. Basenokuba nokuphelelwa ngumdla wokutya kunye nokudinwa kancinci. Umkhuhlane nawo awuxhaphakanga kangako kubantu abadala.

Ezinye izinto ezongezelelweyo:

• Ukudumba kunye nokuthamba .
• Ukuqina kwemisipha kwicala lasekunene lesisu.
• Ubuthathaka kunye nokudinwa , ingakumbi kubantu abadala.

Iimpawu zokudumba okungapheliyo:

Iimpawu zihlala zingekho nzima kangako kuneemeko ezibukhali kwaye zihlala ziphuma. Usenokuba neentlungu zesisu kunye nesicaphucaphu esibizwa ngokuba yi- "biliary colic" emva kokutya isidlo esinamafutha nesinzima. Oku kungenxa yokuba ukutya okunamafutha kufuna i-bile engakumbi ukuze kugaywe. Inkqubo yakho yokugaya ukutya emva koko ixelela i-gallbladder ukuba ikhuphe i-bile engakumbi. Oku kubangela ukuba i-gallbladder iqine ngakumbi, nto leyo enyusa uxinzelelo ngaphakathi. Le ntlungu inokuhlala iiyure ezininzi.

Yintoni esona sizathu siphambili soku?

Kwiimeko ezininzi, ukudumba okubukhali nokungapheliyo kubangelwa ngamatye enyongo avala imibhobho yenyongo . Amatye enyongo zizinto eziqinileyo kwinyongo eziqokelelene ngokuhamba kwexesha kwaye zibe njengamatye. Zihlala zenzeka ezantsi kwenyongo, kodwa ngamanye amaxesha zinokuhambahamba. Njengoko zihamba, zinamathela kwimibhobho yenyongo okanye emlonyeni wenyongo. Oku kubangela ukuba inyongo ibuyele phezulu kwinyongo, nto leyo enokubangela usulelo.

• Ukudumba okukhawulezileyo:Oku kwenzeka xa ukuhamba kwenyongo kwinyongo kuvaliwe ngokupheleleyo lilitye. Inyongo iya idumba ngakumbi kwaye imeko iba mandundu.
• Ukudumba okungapheliyo: Ngamanye amaxesha ilitye lisenokungayivali ngokupheleleyo indlela yokungena kombhobho, kodwa linokubhajwa okwethutyana lize liphinde liphume. Umzekelo, unokuziva iintlungu kuphela xa inyongo ifinyela emva kokutya ukutya okunzima. Yiyo le nto ibangela ukudumba okungapheliyo .

Zithini ezinye izizathu ngaphandle kwamatye enyongo?

Nangona eyona nto ixhaphakileyo kukuvaleka kwemibhobho yenyongo ngamatye enyongo, ezinye izinto zinokubangela ukuba inyongo idumbe kwaye ivale ukuhamba kwenyongo. Nazi imizekelo embalwa:

• Ukuqina kwenyongo : Ukudumba okungapheliyo kwemibhobho yenyongo kunokubangela ukuba izicubu zibe bomvu kwaye zinciphise imibhobho, nto leyo ethintela ukuhamba kwenyongo.
• I-Biliary Dyskinesia: Le yimeko echaphazela ukusebenza kwemisipha kwi-gallbladder . Ngokukodwa, i-gallbladder ayinciphisi kakuhle njengoko kufanele, ngoko ke i-bile ayiphumi.
• Ukuxinana Kwenyongo: Ukuhamba kwenyongo kunokuphazamiseka ngenxa yesifo sesibindi esingapheliyo okanye isondlo esihlala ixesha elide se-parenteral (IV). Khumbula, xa ungatyi ukutya ngomlomo kodwa unikwa i-IV, awudingi inyongo.
• Umhlaza: Nangona kungaqhelekanga, ithumba elinomhlaza kwi-gallbladder okanye kwi-bile ducts linokuthintela ukuhamba kwe-bile.

Ezi meko zihlala zikhula kancinci kancinci, zikhokelela kwi -cholecystitis engapheliyo . Nangona kunjalo, zinokuqhubeka zibe yi -cholecystitis ebukhali . Ezinye izizathu ezinokubakho ziquka:

• I-Ischemia: Xa ukunikezelwa kwegazi kwinyongo kuncipha, kunokukhokelela ekuvuvukeni okubukhali okanye okungapheliyo , kuxhomekeke ekubeni kungakanani na. Oku kunokubangelwa kukugula okanye ingozi enzulu. Kunokubangelwa kukuvaleka kwemithambo yegazi (ukuvaleka kwemithambo yegazi) okanye i-vasculitis .
• Usulelo: Usulelo lwebhaktheriya lunokwenzeka kwi-gallbladder okanye kwi-bile ducts, nokuba akukho nto ivalekileyo. Oku kunqabile. Oku kunokwenzeka kakhulu kubantu abane-immune system ebuthathaka. Usulelo lunokonakalisa nezicubu ze-gallbladder.

Ngubani osengozini enkulu yokuphuhlisa oku?

Ukuba unamatshe enyongo, unamathuba amaninzi okufumana i-cholecystitis. Abantu abanamathuba amaninzi okufumana amatshe enyongo baquka:

• Kwabasetyhini
• Kwabasetyhini abakhulelweyo
• Kwabo batyebe kakhulu
• Kwabo banesifo seswekile
• Kwabo bane-cholesterol ephezulu
• Kwabo baye bancipha ubunzima ngequbuliso nangokukhawuleza (Rapid Weight Loss)
• Kwabo baneminyaka engaphezu kwama-40 ubudala
• (Ezinye iimpembelelo zemfuza kunye nendlela yokuphila nazo zinokudlala indima)

Ingakanani ingozi ye-cholecystitis?

I-cholecystitis ebukhali idla ngokubangelwa kukuvaleka kokuhamba kwenyongo. Ayichaphazeli nje inyongo kuphela. Ingachaphazela yonke inkqubo yakho yenyongo - inkqubo yamalungu athutha inyongo ngemibhobho yenyongo - kwaye ibangele ukudumba nosulelo. Inyongo eqokelelweyo inokugcwala iye egazini kwaye ikwenze ugule. Ikwathintela inkqubo yakho yokugaya ukutya ekufumaneni inyongo eyidingayo. Ukudumba okukhulu kunye nokudumba kunokubangela ukufa kwezicubu (gangrene) . Ukuba oku kuyenzeka, ilungu linokuqhekeka okanye livuleke. Oku kubizwa ngokuba yi-gangrenous cholecystitis . Ukudumba okungapheliyo kudla ngokuba kuncinci kakhulu, kodwa ukudumba kwexesha elide kunokubangela umonakalo omkhulu. Izicubu ezikrwelekileyo zinokwenzaka kwinyongo yakho kwaye zithintele ekuqhekekeni ngokufanelekileyo. Oku kunokuthintela nokuhamba kwenyongo.

Iingxaki zeCholecystitis:

• Ukonakala kwesibindi sakho, imibhobho yenyongo, okanye ipancreas (umz., i-pancreatitis ).
• Ukungagaywa kakuhle kokutya kunye nokufunxwa kwezondlo emathunjini amancinci.
• Ukudumba ixesha elide kubangela amanxeba kwinyongo (iGallbladder Fibrosis) kunye nokusebenza kakubi.
• Ukufa kwezicubu ngenxa yokudumba (necrosis) kunye ne -gangrenous cholecystitis .
• Ukugqobhoka kwenyongo , okubangela usulelo lwesisu (i-peritonitis).
• I-Peritonitis ingakhokelela kwithumba okanye kwityhefu yegazi (`Septicemia`).

Asikuko nje ukulahla oku, kuba umonakalo onokubakho mkhulu kakhulu.

Ifunyaniswa njani le nto?

Ugqirha uza kuqala akubuze ngeempawu zakho. Ukuba bakrokrela ukuba une-cholecystitis , baza kukucela ukuba uphefumle nzulu kwaye ucinezele kwicala eliphezulu lasekunene lesisu sakho. Ukuba uziva iintlungu, olu luphawu olwaziwayo lwesi sifo ( uMerphy's Sign ). Baza emva koko benze iimvavanyo, ezifana novavanyo lokujonga i-gallbladder yakho kunye ne-bile ducts, kunye novavanyo lwegazi ukuze bafumane olunye ulwazi. Ezinye zeemvavanyo ezenzelwe oku ziquka:

• Inani elipheleleyo legazi (i-CBC)
• Uvavanyo lweMisebenzi yeSibindi
• I-Ultrasound yesisu
• I-Endoscopic Ultrasound
• I-CT Scan (I-CT Scan - I-Computed Tomography Scan)
• Iskeni seHIDA (Iskeni seHIDA - Iskeni seHepatobiliary Iminodiacetic Acid)

Ingaba le cholecystitis iza kuphola ngokwayo?

Hayi. Zonke izizathu ze-cholecystitis zifuna unyango. Ngamanye amaxesha ilitye elivala inyongo okanye i-bile duct lisenokudlula lodwa kwaye iimpawu zakho ziya kuphela. Kodwa ukulinda ukuba oko kwenzeke akulunganga - kubuhlungu kwaye kuyingozi. Nangona kunjalo, akuyi kuzisombulula iingxaki zakho. Ilitye elifanayo okanye elinye ilitye linokubhajwa kwakhona.

Luluphi unyango lwale nto?

I-Cholecystitis inyangwa ngoko nangoko esibhedlele. Unyango luqala ngolu hlobo lulandelayo:

• Nika ulwelo nge-IV ngelixa uphumza inkqubo yakho yokugaya ukutya.
• Ukunika amayeza okubulala iintsholongwane ngemithambo (i-IV antibiotics) ukuthintela okanye ukunyanga izifo.
• Ukunceda abantu abaninzi banciphise iintlungu nge-IV, nto leyo abayidingayo.

Unyango oluhlala luhleli loku lutyando lokususa inyongo (i-cholecystectomy) . Izinto ezininzi ezibangela i-cholecystitis, ezinje ngamatye enyongo, ziqala kwinyongo. Amaxesha amaninzi, ukuba unobangela we-cholecystitis yakho yinto enokunyangelwa ngokwahlukileyo kwinyongo (njengosulelo), utyando lusenokungabi yimfuneko. Kwakhona, ngokuxhomekeke kwezinye iimeko zempilo yakho, unokufuna ukulibazisa okanye ungenzi utyando. Ukuba uyalibazisa okanye awulwenzi utyando, ungenza oku kulandelayo:

• Ukukhupha ulwelo oluvela kwinyongo kunye nokunciphisa uxinzelelo: Ugqirha angenza umngxuma omncinci esiswini sakho aze afake ityhubhu yokukhupha amanzi kwinyongo yakho. Okanye, banokusebenzisa i- endoscopic ultrasound ukukhokela ityhubhu emlonyeni wakho ukuze kukhutshwe ulwelo oluvela kwinyongo yakho luye kwindlela yakho yokugaya ukutya.
• Ukususwa kweGallstone kwi-Endoscopic: I-ERCP (i-Endoscopic Retrograde Cholangiopancreatography) yinkqubo esebenzisa i-endoscope ngomlomo wakho ukujonga inkqubo yakho yenyongo kusetyenziswa iteknoloji ye-X-ray. Oku kuvumela ukuba kufakwe izixhobo ezincinci nge-endoscope ukususa amatye abambeke kwimibhobho yenyongo. Oku kunokunciphisa iimpawu zakho ezikhawulezileyo.

Utyando (iCholecystectomy)

Nokuba i-cholecystitis yakho yangoku iphelile - oko kukuthi, ilitye elalibambekile alisekho, kwaye iimpawu ezikhokelele ekubeni uye esibhedlele azisekho - ezingapheliyo nezibukhali.Zombini iintlobo ze-cholecystitis zinokuphinda zibuye. Amatye enyongo abangele ukudumba ngaphambili anamathuba amaninzi okuphinda abuye. Ukudumba okuphindaphindiweyo kunokukhokelela ekuvuvukeni okungapheliyo, kwaye zombini zinokubangela umonakalo wexesha elide. Ukuthintela iziphumo ze-cholecystitis ephindaphindayo, oogqirha bacebisa utyando lokususa inyongo (cholecystectomy) . Le yinkqubo eqhelekileyo, encinci eneziphumo ezimbalwa ebezingalindelekanga. Kubantu abaninzi, oku kungenziwa nge-laparoscopically - ngokusebenzisa imingxunya embalwa emincinci, eyaziwa ngokuba yi-"keyhole surgery." Kwiimeko ezinzima ngakumbi, utyando oluvulekileyo lunokufuneka.

Kwenzeka ntoni emva kotyando?

Inkqubo yakho yenyongo kunye nenkqubo yokugaya ukutya ingasebenza kakuhle ngaphandle kwenyongo yakho. Inyongo yindawo yokugcina inyongo, eyenziwa sisibindi. Xa ugqirha esusa inyongo yakho, utshintsha indlela ehambisa ngayo inyongo ukuze inyongo ihambe ngqo kwisibindi sakho iye emathunjini akho amancinci. Kungathatha iiveki okanye iinyanga ezimbalwa ukuba umzimba wakho uqhelane nolu tshintsho. Ngeli xesha, unokufumana iimpawu zexeshana ezifana nezi:

• Ukuva uxinzelelo okanye iintlungu kwinkqubo yenyongo ngenxa yokuhamba kancinci kwenyongo.
• Ukutya okunamafutha kunzima ukukugaya, nto leyo ebangela urhudo kwabanye abantu.

Injani imeko yomntu one-cholecystitis?

Nokuba loluphi uhlobo okanye unobangela, i-cholecystitis ifuna unyango lwasesibhedlele. Isibhedlele siya kukunika isiqabu sentlungu ngoko nangoko kwaye sikhangele unobangela. Idla ngokuba yi-gallstone, nangona ingasoloko injalo. Kwiimeko ezininzi, oogqirha bacebisa unyango oluhlala luhleli ngotyando. Abantu abaninzi bafumana iziphumo ezilungileyo kakhulu. Ukuba ayinyangwa, iingxaki eziyingozi zinokwenzeka.

Intlungu ebuhlungu yesisu isoloko iyinto engxamisekileyo yezonyango. Ukuba ibonisa iimpawu zentlungu yenyongo — oko kukuthi, ukuba ivele ngequbuliso kwaye ibuhlungu kakhulu kwicala eliphezulu lasekunene lesisu, ihamba nesicaphucaphu — kububulumko ukuya ngqo kwigumbi likaxakeka lesibhedlele.

Nokuba inyongo yakho incinci, yonke inkqubo yakho yenyongo inokuba semngciphekweni ukuba uxinzelelo lubekwe kuyo. Iimpawu ze-cholecystitis zisenokuphela, kodwa unobangela oyintloko uhlala ukho. Iimpawu zinokubuya, kwaye i-cholecystitis iya kuqhubeka nokonakalisa inyongo yakho ude ufumane unyango olufunekayo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, ekugqibeleni, i-cholecystitis ayisiyonto yokudlala ngayo.

• Ukuba uneempawu ezifana nentlungu eqatha kwicala eliphezulu lasekunene lesisu sakho, isicaphucaphu, ukuhlanza, kunye nomkhuhlane, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Musa ukulibazisa.
• Amaxesha amaninzi, oku kubangelwa yi-gallstones, kodwa kunokubakho nezinye izizathu.
• Ngonyango olufanelekileyo, le meko inokunyangeka ngokupheleleyo. Rhoqo, ukususwa kwenyongo ngotyando yeyona ndlela ilungileyo.
• Ukuba ayinyangwa , iingxaki ezinzima ezinokuba yingozi ebomini zinokwenzeka.

Ngoko ke, ukuba wena okanye umntu omaziyo unezi mpawu, ungathandabuzi ukufuna ingcebiso kagqirha. Ukuhlala usempilweni yeyona nto ibalulekileyo!