Sonke siyazi ukuthi indle yethu ivame ukuba nsundu. Kodwa ngezinye izikhathi lokho okubonayo esitsheni sendlu yangasese kungakuphazamisa kancane. Cabanga uma ubona indle yakho imhlophe, ingwevu, noma ifana nobumba? Empeleni kuyethusa kancane. Kodwa uma kwenzeka kanye noma kabili, akukho okufanele ukhathazeke ngakho. Kodwa-ke, uma indle yakho ihlala imhlophe kangaka, akuyona into okufanele ungayinaki. Ngoba kungaba uphawu lwenkinga enkulu yempilo emzimbeni wakho.
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Kungani indle iphaphathekile kangaka? Yiziphi izimbangela eziyinhloko?
Kalula nje, indle yethu ithola umbala wayo onsundu ojwayelekile ngenxa yendle ekhiqizwa yisibindi sethu. Le ndle iqukethe ikhemikhali ebizwa ngokuthi i-bilirubin . Le bilirubin yilokho okwenza indle ibe nombala wayo ngesikhathi senqubo yokugaya ukudla.
Ngakho-ke, uma ngesizathu esithile lolu ketshezi lwenyongo lungakhiqizwa kakhulu njengoba kufanele, noma uma kukhona ukuvinjelwa noma ukuvaleka emigudwini yenyongo ethwala uketshezi oluvela esibindini luye emathunjini, indle ngeke ibe nombala. Umphumela uba indle emhlophe, empunga, noma enombala wobumba.
Into ebalulekile ukuthi lokhu kuvame ukubangelwa esinye isimo sezokwelapha esiyisisekelo, ngakho-ke kubalulekile ukuqaphela lesi sibonakaliso.
Ithebula elingezansi libala ezinye zezimo zezempilo eziyinhloko ezingathinta lokhu.
| Isimo | Incazelo elula |
|---|---|
| I-Hepatitis | Ukuvuvukala kwesibindi okubangelwa amagciwane, ubuthi, noma ukuphuza utshwala ngokweqile. |
| I-Cirrhosis | Ngenxa yokulimala kwesibindi isikhathi eside, siyaqina futhi silahlekelwa umsebenzi waso cishe ngokuphelele. |
| Amatshe enyongo | Amatshe enyongo akheka enyongweni angahlala emigudwini yenyongo, avimbele ukugeleza kwenyongo. |
| Ukuqina kwe-biliary | Ukuncishiswa kwemisele yenyongo noma ukuvaleka kwayo ngenxa yezinye izizathu. |
| I-Biliary atresia | Lesi yisimo esithinta kakhulu izingane ezincane. Amapayipi enyongo awakhuli kahle noma avalekile kusukela ekuzalweni. |
| Amathumba | Umdlavuza noma ezinye izimila zesibindi, inyongo, imisele yenyongo, noma i-pancreas. |
| I-Pancreatitis | Ukuvuvukala kwe-pancreas. |
Udokotela usithola kanjani lesi simo?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza ngezimpawu zakho, imikhuba yokudla, kanye nezimo zakho zezokwelapha zangaphambilini. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba.
Ukuze kutholakale imbangela eqondile, kunganconywa olunye noma ngaphezulu kokuhlolwa okulandelayo.
| Ukuhlolwa | Ubonani kulokhu? |
|---|---|
| Ukuhlolwa kwegazi | Funda ngezimo ezithelelanayo emzimbeni ikakhulukazi ukusebenza kwesibindi. |
| I-ultrasound yesisu | Hlola ukuvuvukala, amatshe, noma ukuvinjelwa kwezitho zomzimba ezifana nesibindi kanye nenyongo. |
| Iskeni se-CT noma se-MRI | Thola isithombe esicacile nesiningiliziwe sokuvinjelwa, amatshe, noma amaqhubu. |
| Ukuhlolwa kwe-ERCP (i-Endoscopic retrograde cholangiopancreatography) | Kufakwa ipayipi elincane elinekhamera (i-endoscope) ngomlomo ukuhlola imisele yenyongo kanye nemisele yenyongo. Lokhu kungasetshenziswa futhi ukwenza ukwelashwa, njengokususa ezinye izithiyo. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ngokuphelele embangeni eyinhloko yendle yakho ephaphathekile. Uma udokotela wakho esethole ukuthi unesifo, uzohlela ukwelashwa ngokusekelwe kulokho kuxilongwa.
- Izinguquko ekudleni: Isibonelo, ukuyeka ukuphuza utshwala nokunciphisa ukudla okunamafutha.
- Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ukuze kususwe ukuvaleka kwemisele yenyongo noma kususwe inyongo ngokwayo.
- Imithi: Imithi ingase inikezwe ukwelapha izifo ezibangelwa amagciwane njenge-hepatitis, ukunciphisa ukuvuvukala kwesibindi, noma ukuncibilikisa amatshe enyongo.
- Ukuhlinzwa kwesibindi: Lokhu akudingekile ezimweni eziningi, kodwa kungacatshangelwa ezimweni ezithile ezingathi sína.
Singakwazi yini ukuvimbela lesi simo ukuthi singenzeki?
Eqinisweni, kunezinto eziningana esingazenza ukunciphisa ingozi yezinye zezimo ezibangela indle ekhanyayo.
- Ukudla okunomsoco: Yidla ukudla okulinganiselayo okuhlanganisa amaprotheni angenamafutha amaningi, i-fiber, amafutha anempilo, kanye nokusanhlamvu okuphelele.
- Gcina isisindo esinempilo: Ukukhuluphala kwandisa ingozi yesifo sesibindi.
- Isivikelo ekushayweni yi-hepatitis okubangelwa yigciwane: Imijovo iyatholakala ye-hepatitis A kanye ne-hepatitis B. Kubalulekile futhi ukugwema ukwabelana ngezinaliti nokwenza ucansi oluphephile.
- Nciphisa utshwala: Ukuphuza utshwala obuningi kungalimaza kakhulu isibindi sakho.
Yisiphi isikhathi esingcono kakhulu sokubona udokotela?
Uma indle yakho iqhubeka nokuba mhlophe izinsuku eziningana, sicela ubonane nodokotela ngokushesha. Ungakushayi indiva lokho.
Ikakhulukazi, kufanele ufune usizo lwezokwelapha ngokushesha uma unezimpawu ezilandelayo:
- Izitulo ezimhlophe ezinombala wobumba
- EyakhoUkuphuzi kwesikhumba namehlo (i-jaundice)
- Umchamo omnyama (onombala wetiye)
Ukuba nazo zonke lezi zimpawu ezintathu ndawonye kuyisibonakaliso senkinga enkulu yesibindi noma uhlelo lwe-biliary, ngakho-ke kubalulekile ukubona udokotela ngokushesha okukhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ungakhathazeki uma indle yakho iphenduka ibe mhlophe kanye noma kabili. Kodwa uma lesi simo siqhubeka, akuvamile.
- Indle ephaphathekile ivame ukuba uphawu lwesifo esihlobene nesibindi, inyongo, noma i-pancreas.
- Inyongo yilokho okwenza indle ibe nombala onsundu. Uma ukugeleza kwenyongo kuyeka, indle iba mhlophe.
- Ungalokothi ungazinaki izimpawu zendle ekhanyayo, ukuphuzi kwesikhumba (i-jaundice) kanye nomchamo omnyama. Kungaba yisimo esibi kakhulu, ngakho-ke bonana nodokotela wakho ngokushesha.
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