Ngaba nawe uneentlungu kwicala eliphezulu lasekunene lesisu sakho? Ngaba yiMirizzi Syndrome?

Ngaba wakha waziva intlungu engaqhelekanga okanye ukungakhululeki kwicala eliphezulu lasekunene lesisu sakho emva kokutya isidlo, ingakumbi isidlo esinamafutha? Ngamanye amaxesha le ntlungu inokuhamba kunye neempawu ezifana nokucaphuka kunye nokutyheli kwamehlo, kunye nomkhuhlane. Uninzi lwexesha, ezi zinto zinxulumene neengxaki ezibangelwa yi-gallstones. Nangona kunjalo, kukho imeko engaqhelekanga neyinkimbinkimbi, esiyibiza ngokuba yiMirizzi Syndrome. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha nangokulula.

Yintoni iMirizzi Syndrome? Masiyiqonde ngokulula.

Kulungile, masiqale sijonge ukuba ziintoni ii-gallstones. I-gallbladder yakho sisingxobo esincinci esiqokelela kwaye sigcine i-bile, eveliswa sisibindi. Le bile isinceda ekugayeni ukutya esikutyayo, ingakumbi amafutha. Ngamanye amaxesha umxholo wale bile uyaqina ube zizakhiwo ezincinci ezifana neengqalutye ezibizwa ngokuba zii-gallstones. Uninzi lwabantu alunazo iimpawu xa benala matye. Kodwa ngamanye amaxesha la matye anokunamathela kwimibhobho ye-bile, iityhubhu ezincinci ezithwala i-bile.

Ngoku, iMirizzi Syndrome yingxaki ebangelwa ngamatye enyongo, kodwa ngendlela eyahlukileyo kancinci. Okwenzekayo apha kukuba ilitye elingaphakathi kwinyongo, okanye kwenye inyongo, liba likhulu kangangokuba licinezele kwenye inyongo enkulu ehamba kufutshane. Khawuthelekelele, xa imibhobho yamanzi emibini idlula isondelelene, into ethile inamathela ngaphakathi komnye umbhobho ize ivuvuke kuloo mbhobho, icinezele ngaphandle komnye umbhobho. Yiloo nto eyenzekayo nalapha. Oku kuthintela ukuhamba kwenyongo.

Ngaba kukho iintlobo zeMirizzi Syndrome?

Ewe, oogqirha bahlulahlula iMirizzi Syndrome ngokwemeko yemeko kunye nobungakanani bomonakalo kwimibhobho yenyongo. Ngamafutshane, kwezinye iimeko, kukho ukuncitshiswa kombhobho wenyongo ngaphandle. Kwezinye iimeko ezinzima ngakumbi, kunokubakho unxibelelwano olungaqhelekanga phakathi kwenyongo kunye nombhobho wenyongo oncitshisiweyo, obizwa ngokuba yi-fistula. Olu hlu lubaluleke kakhulu kubagqirha botyando ukuze bacebe unyango. Ukuba ufuna ukwazi okungakumbi ngale nto, ungathetha nogqirha wakho.

Ixhaphake kangakanani le meko?

I-Mirizzi Syndrome yimeko engaqhelekanga kakhulu . Ayiqhelekanga kangangokuba ifunyanwa kubantu abangaphantsi kwe-2.5% abasuswa i-cholecystectomy. Idla ngokubhidaniswa nezinye iimeko eziqhelekileyo, ngoko oogqirha banokuqinisekisa kuphela ngexesha lotyando.

Zithini iimpawu zeMirizzi Syndrome?

Iimpawu zale meko zingahlulwahlulwa zibe ziindidi ezintathu eziphambili:

1. Ukudumba: Usenokuba neentlungu kunye nokudumba kwicala eliphezulu lasekunene lesisu sakho. Le ntlungu isenokuba yinto engapheliyo okanye ifike ize iphele.

2. Usulelo: Umkhuhlane uhlala ukho. Iimpawu zingabandakanya isicaphucaphu, ukuhlanza, mhlawumbi norhudo.

3. I-Jaundice: Uphawu oluphambili loku kukuba ulusu lwakho luba tyheli, amhlophe amehlo akho abe tyheli. Usenokuba nomchamo otyheli/omdaka omnyama kunye nendle enombala okhanyayo (onjengodongwe).

Kubalulekile: Ezi mpawu azikho kwiMirizzi Syndrome. Nangona kunjalo, ukuba unazo ezi mpawu, oko kuthetha ukuba kukho into engalunganga kwinkqubo yakho yenyongo. Ke ngoko, kungcono ukufuna ingcebiso kagqirha ngoko nangoko. Ayinguye wonke umntu oza kuba nazo zonke ezi mpawu ngaxeshanye.

Kutheni iMirizzi Syndrome isenzeka? Yintoni unobangela?

Ngamafutshane, iMirizzi Syndrome ibangelwa kukucinezelwa kwelitye lenyongo ngaphandle kombhobho wenyongo. Masicacise oku ngakumbi.

Cinga ngenyongo yakho njengepeya. Kukho inxalenye etyebileyo yepeya, encinci kancinci phezulu, idumbile kancinci entanyeni, uze emva koko kubekho isiqu. Ngoko ke, inyongo inesingxobo, intamo (ebizwa ngoogqirha ngokuba yi-infundibulum okanye ingxowa kaHartmann), kunye nombhobho we-cystic okhupha inyongo kwinyongo.

Inyongo, intamo, kunye nomsele we-cystic zezona ndawo zimxinwa apho inyongo inokubambeka khona. Kwakhona, ezi zakhiwo zisondelelene kakhulu. Kwabanye abantu, zisondelelene kakhulu kunabanye. Ngoko ke, xa inyongo ibambeka kule ndawo, ize ikhule ize idumbe, icinezela umsele wenyongo okufutshane (umsele wenyongo oqhelekileyo - lo uthwala inyongo ukusuka esibindini nakwinyongo ukuya emathunjini amancinci) okanye umsele wenyongo oqhelekileyo (lo uthwala inyongo ukusuka esibindini) uvela ngaphandle. Kulapho ke kwenzeka khona iMirizzi Syndrome.

Ziziphi ezinye iingxaki ezinokubakho ngenxa yeMirizzi Syndrome?

Ukuba le meko ayinyangwanga kakuhle, ezinye iingxaki zingavela. Eminye imizekelo yile:

• I-Cholestasis: Ngenxa yokuba inyongo ayikwazi ukuhamba kakuhle, ibuyela esibindini, nto leyo ebangela ukudumba kwesibindi.
• I-Cholangitis: Usulelo lwebhaktheriya olunenyongo lunokusasazeka luye esibindini, nto leyo ebangela usulelo olukhulu. Oku kuyingozi.
• I-Fistula: Ngenxa yokudumba okuqhubekayo kunye nokuqokelelana kwenyongo, iindonga zombhobho wenyongo zinokuba buthathaka, zenze umngxuma ongaqhelekanga, okanye umngxuma.
• I-Jaundice: Ngenxa yokuqokelelana kwenyongo, i-pigment bilirubin ekuyo iqokelelana egazini, nto leyo ebangela ukuba ulusu namehlo ajike abe tyheli.
• Ukungafunxwa: Xa inyongo ingangeni kakuhle emathunjini amancinci, ukugaya ukutya, ingakumbi iiproteni kunye nezinye izondlo, kuyaphazamiseka.

Oogqirha bayixilonga njani iMirizzi Syndrome?

Oogqirha baza kwenza uvavanyo oluninzi ukuze bafumanise amatye enyongo kunye neengxaki ezinxulumene noko. Okokuqala, baza kwenza uvavanyo lomzimba ukuze bajonge isisu sakho baze bajonge ukudumba. Emva koko baza kubuza ngeempawu zakho kunye nembali yakho yempilo.

Ukuba uneempawu zosulelo okanye i-jaundice, ugqirha wakho unokuyalela uvavanyo lwegazi olufana nolu:

• Ubalo lwegazi olupheleleyo (i-CBC)
• Uvavanyo lokusebenza kwesibindi

Ukongeza, uvavanyo oluninzi lomfanekiso lunokwenziwa. Ezinye zezi ziquka:

• I-ultrasound yesisu
• I-CT scan (i-computed tomography scan)
• I-ERCP (i-Endoscopic Retrograde Cholangiopancreatography): Kule nkqubo, kufakwa i-endoscope (ityhubhu enekhamera) ngomlomo ukuze ijonge imibhobho yenyongo.
• I-HIDA scan: Le yi-scan ekhethekileyo ejonga umsebenzi we-gallbladder.
• Uvavanyo lwe-MRI (magnetic resonance imaging)

Olu vavanyo lunceda ekufumaneni imeko yemibhobho yenyongo, indawo amatye kuyo, kunye nokuba ikhona na iMirizzi Syndrome.

Iphathwa njani le nto?

Unyango oluphambili lweMirizzi Syndrome lutyando . Nangona kunjalo, akukho tyando lufanayo. Olu tyando luza kulungelelaniswa nemeko yakho.

Amaxesha amaninzi, inyongo iyasuswa (i-cholecystectomy) kwaye inyongo evalekileyo iyalungiswa. Kwezinye iimeko ezinzima, inyongo evalekileyo ingasuswa, okanye ityhubhu encinci ebizwa ngokuba yi-stent ingafakwa ukuze ihlale ivulekile. Ugqirha angenza olu tyando ngendlela engaphantsi kakhulu, oku kwenziwa nge-laparoscopically (inkqubo esebenzisa ikhamera kwaye ibandakanya ukwenza imingxunya emincinci), okanye njengenkqubo evulekileyo (i-laparotomy). Oku kuya kuxhomekeka kubukhali bemeko yakho.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Utyando lweMirizzi Syndrome ngamanye amaxesha lunokuba nzima kancinci. Kuba ukudumba kwenza kube nzima ukubona izicwili ezijikelezileyo ngokucacileyo. Ke ngoko, ukuba imibhobho yenyongo yonakele ngengozi ngexesha lotyando, iingxaki ezifana nezi:

• Ukuvuza kwenyongo
• Ukopha kakhulu
• Ukuvaleka kwemibhobho yenyongo yakho

Kwakhona, kukho izinto ezithile ezinokuba yinto eqhelekileyo kulo naluphi na utyando:

• Intlungu
• Ukopha
• Iintsholongwane
• Iimpendulo kwi-anesthesia

Ugqirha wakho uza kukuchazela oku ngaphambi kotyando.

Ngaba akukho ndlela yokuthintela ukuphuhliswa kwesi sifo seMirizzi?

Kunzima ukuyithintela ngokupheleleyo iMirizzi Syndrome. Nangona kunjalo, ungayinciphisa ingozi yakho ukuya kwinqanaba elithile ngokunciphisa izinto ezibangela umngcipheko ekwakhiweni kwamatye enyongo. Umzekelo, licebo elihle ukunciphisa ukutya neziselo ezine-cholesterol eninzi. Buza ugqirha wakho ukuba kukho naziphi na izinto ezithile onokuzenza ukuthintela ukuvaleka kwe-bile duct.

Kuza kwenzeka ntoni emva kokuphila kwakhona? Iyintoni imbono?

Ingqikelelo yabantu abachacha kwiMirizzi Syndrome emva kotyando idla ngokuba ntle . Into ebalulekileyo kukuyinyanga ngokukhawuleza ngaphambi kokuba kubekho iziphumo zexesha elide.

Okukhona umonakalo omkhulu kumalungu akho nakwimibhobho yenyongo, kokukhona utyando luya kuba nzima ngakumbi. Okukhona utyando lunzima, kokukhona ixesha lakho lokuchacha linokuba lide. Kodwa, ngokubanzi, uninzi lwabantu lunokuphila kakuhle ngaphandle kwenyongo.

Ndifanele ndimbone nini ugqirha? Zeziphi iimpawu ekufuneka ndibe nazo?

Ukuba ngequbuliso unentlungu ebuhlungu esiswini, kunye nokubanda nokungcangcazela, isicaphucaphu, umkhuhlane, okanye iimpawu ze-jaundice (ezifana nomchamo omnyama kunye nendle ekhanyayo), bona ugqirha ngoko nangoko .

Kwakhona, ukuba ubonakalisa iimpawu zosulelo oluyingozi olubizwa ngokuba yi-sepsis (ezifana nokubetha kwentliziyo ngokukhawuleza, ukubila, kunye nobunzima bokuphefumla) emva kotyando, yimeko engxamisekileyo esongela ubomi. Ke ngoko, ukuba ufumana naziphi na kwezi mpawu, funa uncedo lwezonyango ngokukhawuleza.

Ngaba kukho unxibelelwano phakathi kweMirizzi Syndrome kunye nomhlaza?

Uphando lufumanise ukuba abantu abaneMirizzi Syndrome banomngcipheko okhulayo wokuba nomhlaza wenyongo. Nangona kunjalo, oku akuthethi ukuba iMirizzi Syndrome ngokwayo ibangela umhlaza.

Iingcali zikholelwa ukuba iimeko ezifanayo ezibangela i-Mirizzi syndrome (oko kukuthi, ukudumba okungapheliyo, ukugcinwa kwenyongo kwinyongo) nazo zinegalelo ekuphuhlisweni komhlaza. Ngokwezibalo, phakathi kwe-5% kunye ne-28% yabantu abane-Mirizzi syndrome bafunyenwe benomhlaza wenyongo.

Ngaba le meko ingabulala?

I-Mirizzi Syndrome iyanyangeka .imeko. Nangona kunjalo, xa uqala unyango kade, umngcipheko uphezulu. Izinga lokufa elinxulunyaniswa nale meko kuthiwa liphakathi kwe-5% kunye ne-30%. Linokubangelwa zizinto ezifana ne-sepsis, ukusilela kwesibindi, okanye umhlaza wenyongo.

Usenokuba nesisu esibuhlungu ngamanye amaxesha emva kokutya. Kodwa ukuba uvuka kusasa unesisu esibuhlungu, umkhuhlane, okanye isicaphucaphu, oko kungaba luphawu lwengxaki enkulu. Usenokungazi nokuba unama-gallstones. Nangona kunjalo, xa ekhula ngokwaneleyo ukuvala umbhobho wenyongo, iimpawu zinokuba nkulu kwaye ziphindaphindeke. Ukuba uziva ngathi kukho into engalunganga, musa ukulinda. Okukhona ufuna unyango ngokukhawuleza, kokukhona kungcono.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono imeko engaqhelekanga ebizwa ngokuba yiMirizzi Syndrome esixoxe ngayo namhlanje. Khumbula:

• Ukuba uneempawu ezifana nentlungu engapheliyo kwicala eliphezulu lasekunene lesisu sakho, umkhuhlane, okanye i-jaundice, musa ukuzityeshela .
• Funa ingcebiso kagqirha ngoko nangoko. Okukhona isifo siqatshelwa kwaye sinyangwa ngokukhawuleza, kokukhona iingxaki onokuba nazo zincipha kwaye kokukhona uphola ngokukhawuleza.
• Ukuba uyazi ukuba uneenyongo, landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Ukutya okunempilo kunokunceda ukunciphisa umngcipheko wokuba ne-gallstones.

Ukuba uneminye imibuzo, ungathandabuzi ukuthetha nogqirha wosapho lwakho okanye ingcali. Hlala usempilweni!

I -Mirizzi Syndrome, amatye enyongo, umbhobho wenyongo, i-jaundice, iintlungu zesisu, utyando, i-cholecystectomy