Wake waba nobuhlungu besisu obubi kakhulu, ngaphansi kwezimbambo zakho zangaphezulu, ngemuva nje kokudla ukudla okunamafutha? Mhlawumbe kuhambisana nesicanucanu, kwakunzima kangangokuthi wawungakwazi ngisho nokunyakaza. Yilokhu abantu abaningi abakubiza ngokuthi 'ubuhlungu be-gallstone.' Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Biliary Colic. Akusona ngempela isifo, kodwa uphawu lwesimo esingaphansi. Ngakho-ke namuhla, ake sixoxe ngakho.
Kuyini i-Biliary Colic?
Kalula nje, i-Biliary Colic ubuhlungu besisu besikhashana, obukhulu obubangelwa yinto ethile evimba umgudu wakho we-biliary - okungukuthi, i-gallbladder yakho kanye ne-bile ducts. Cabanga ngetshe elincane elibhajwe epayipini lamanzi. Uma sivula impompi, umfutho wamanzi uyakhuphuka futhi udale umfutho omkhulu ngemuva kokuvaleka, akunjalo? Yilokho okwenzekayo lapha.
Inyongo, uketshezi olukhiqizwa yisibindi sethu, igcinwa okwesikhashana enyongweni. Uma sidla ukudla, ikakhulukazi ukudla okunamafutha, ihamba ngemibhobho yenyongo bese ingena emathunjini amancane. Lokhu kusiza ekugayweni kwamafutha. Amatshe enyongo ayimbangela eyinhloko yalokhu. Uma itshe libhajwa emgudwini wenyongo noma lapho liphuma khona enyongweni, ingcindezi iyanda njengoba inyongo incipha, okubangela ubuhlungu obukhulu.
Iyini uhlobo nendawo yalobu buhlungu?
Ubuhlungu be-biliary colic buhlukile kancane kwezinye izinhlungu zesisu. Bunezici eziningana.
| Uhlobo lobuhlungu | Incazelo nje |
|---|---|
| Isiqephu | Ubuhlungu buqala ngokuzumayo, bufike esicongweni, bese bunyamalala ngokuphelele emahoreni ambalwa. Abuhlali izinsuku eziningi. |
| Ukuqhubeka | Lokhu kusho ukuthi ubuhlungu abufiki bube ngamagagasi. Uma ubuhlungu buqala, buhlala bufana amahora amaningana ngaphandle kokwanda noma ukwehla. |
| Okubi kakhulu | Abantu abaningi bayichaza njengobuhlungu obuhlabayo, njengommese, ukusonta, noma ubuhlungu obukhulu. Abanye abantu bakuthola kunzima kangangokuthi abakwazi ngisho nokuma baqonde. |
Uzwa kuphi ubuhlungu?
Isikhathi esiningi, ubuhlungu buzwakala engxenyeni ephezulu kwesokudla yesisu, ngaphansi nje kwezimbambo. Yilapho inyongo ikhona khona. Ngezinye izikhathi, ubuhlungu bungasakazekela ehlombe noma emhlane kwesokudla.
Ezinye izimpawu ezihambisana nokukhwehlela
Ubuhlungu be-biliary colic buhambisana nezimpawu ezilandelayo:
- Isicanucanu nokuhlanza
- Ubuhlungu besisu
- Ukujuluka ngokweqile (Ukujuluka)
Umehluko phakathi kwe-Biliary Colic nezinye izifo ezingathi sína
Uma ubuhlungu be-biliary colic bungapheli emahoreni ambalwa, kungaba yisimo esibi kakhulu njenge-cholecystitis (ukuvuvukala kwenyongo) noma i-cholangitis (ukuvuvukala kwemisele yenyongo). Kubalulekile ukwazi umehluko phakathi kwalokhu.
| Isimo | Izici eziyinhloko | Amaphuzu abalulekile |
|---|---|---|
| I-Biliary Colic | Ubuhlungu obukhulu (buncipha emahoreni ambalwa), isicanucanu. | Akukho mkhuhlane. Ubuhlungu bungobesikhashana. |
| I-Cholecystitis (ukuvuvukala kwenyongo) | Ubuhlungu obukhulu obuqhubekayo, umkhuhlane , kanye nokushaya kwenhliziyo okusheshayo. | Lokhu kungaba ngenxa yokutheleleka kwenyongo. Kudingeka usizo lwezokwelapha ngokushesha. |
| I-Cholangitis (ukuvuvukala kwemisele yenyongo) | Ubuhlungu besisu kwesokudla, umkhuhlane, kanye ne-jaundice - okusho ukuphuzi kwamehlo nesikhumba. | Lokhu ukutheleleka kwemigudu yenyongo. Kuyisimo esiphuthumayo nesibucayi kakhulu. |
Into ebaluleke kakhulu ukuthi, uma ubuhlungu bakho buhlala isikhathi esingaphezu kwamahora angu-5-6, noma uma unezimpawu ezifana nomkhuhlane, ukubanda, kanye nokuphuzi kwamehlo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Yini ebangela lokhu?
Njengoba sishilo ngaphambili, imbangela eyinhloko amatshe enyongo , kodwa kungaba nezinye izimbangela.
- Amatshe enyongo: Lena imbangela ezimweni ezingama-90%. Itshe libhajwa okwesikhashana emgudwini wenyongo, okubangela ukucindezeleka okukhulu kanye nobuhlungu. Ubuhlungu buyaphela lapho itshe lihamba noma lapho inyongo iyeka ukuminyana.
- Ukuqina Kwenyongo: Kungakhathaliseki ukuthi kuvela ekuhlinzweni kwangaphambilini noma esimweni sokuvuvukala kwesikhathi eside, imigudu yenyongo ingaba nezibazi futhi inciphe, okuvimbe ukugeleza kwenyongo.
- I-Biliary Dyskinesia: Ngezinye izikhathi i-gallbladder ayifinyeleli kahle, noma i-sphincter ye-Oddi ayivuli kahle. Lezi zinkinga zingabangela nokuthi i-bile iqongeleleke futhi inyuse ingcindezi.
Yiziphi izindlela zokwelapha lokhu?
Uma ubona udokotela, uzokuxilonga futhi enze izivivinyo, njengokuskena nge-ultrasound, ukuze kutholakale imbangela eqondile. Ukwelashwa kuzoncika esibangweni kanye nobunzima besimo.
1. Iziqeda-buhlungu: Iziqeda-buhlungu ezifana nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) zinikezwa ukulawula ubuhlungu.
2. Uhlelo Lokudla: Kubaluleke kakhulu ukugwema ukudla okunamafutha amaningi (ukudla okuthosiwe, inyama enamafutha, ukudla kobisi, ushizi, ibhotela) . Ngoba lokhu kudla kukhuthaza inyongo ukuthi ifinyele. Ngokunciphisa lokhu, ukuphindaphinda kobuhlungu kungalawulwa ngezinga elikhulu.
3. Imithi yokuncibilikisa amatshe: Imithi efana ne-Ursodeoxycholic acid inikezwa ukuncibilikisa amatshe amancane e-cholesterol. Kodwa-ke, lokhu akufanele wonke umuntu.
4. I-Endoscopy/ERCP: Uma itshe libhajwe emgudwini wenyongo, inqubo ebizwa ngokuthi i-ERCP (Endoscopic Retrograde Cholangiopancreatography) ingasetshenziswa ukususa itshe ngokufaka ipayipi elinekhamera emlonyeni bese kudluliswa amathuluzi akhethekile kulo.
5. Ukuhlinzwa: Uma imbangela eyinhloko ye-biliary colic kungamatshe enyongo, futhi lesi simo siphinde sibuye, ikhambi elingcono kakhulu nelihlala njalo yileliUkususwa kwe-Cholecyst. Lokhu kuvame ukwenziwa ngokuhlinzwa kwe-keyhole okubizwa ngokuthi ukuhlinzwa kwe-laparoscopic. Lokhu kuholela ekunciphiseni amanxeba nokuphulukiswa okusheshayo. Akuyona inkinga ukuphila ngendlela evamile ngaphandle kwenyongo.
Umlayezo Wokuya Nawe Ekhaya
- I-Biliary Colic ubuhlungu obukhulu, obuhlala buvela ohlangothini olungaphezulu kwesokudla lwesisu. Buvame ukwenzeka ngemva kokudla ukudla okunamafutha.
- Lesi yisibonakaliso esiyisixwayiso sesimo esingaphansi, njengamatshe enyongo, ngakho ungalokothi usishaye indiva.
- Uma ubuhlungu buqhubeka isikhathi esingaphezu kwamahora ambalwa, noma uma kuvela izimpawu ezifana nomkhuhlane noma i-jaundice, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Ngisho noma ubuhlungu buphela, qiniseka ukuthi ubona udokotela ukuze athole imbangela futhi athole ukwelashwa okufanele.
- Ngokwelashwa okufanele, lesi simo singalapheka ngokuphelele futhi izinkinga ezinkulu zingavinjelwa.
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