Uke wazizwa ubuhlungu obuhlabayo obubukhali engxenyeni ephezulu kwesokudla yesisu sakho, ngaphansi nje kwezimbambo zakho? Ngezinye izikhathi, ingabe lobu buhlungu buvela emhlane wakho nasehlombe lakho lesokudla? Ingabe lobu buhlungu abupheli ngisho nangemva kokudla noma ukuya endlini yokugezela? Ngakho-ke, kubaluleke kakhulu ukuthi uqaphele ubuhlungu benyongo esikhuluma ngabo namuhla.
Okokuqala, ake sibone, iyini le gallbladder?
Kalula nje, inyongo iyisitho esincane esifana nesikhwama esitholakala ngaphansi kwesibindi sethu, ohlangothini oluphezulu kwesokudla lwesisu sethu. Umsebenzi waso oyinhloko ukugcina inyongo okwesikhashana, ekhiqizwa yisibindi sethu. Uma sidla ukudla okunamafutha, sidinga lenyongo ukuze sincibilikise (sigaye) amafutha. Bese inyongo iyafinyela bese ithumela lenyongo emathunjini ethu amancane ngemigudu yenyongo. Lena inqubo yayo evamile.
Ubuhlungu benyongo buzwakala kanjani?
Ubuhlungu benyongo abufani nobuhlungu besisu obuvamile. Lokhu kukhulu kakhulu.
- Ubuhlungu obubukhali obungazelelwe: Ubuhlungu obungazelelwe, obukhulu obuhlabayo ohlangothini oluphezulu kwesokudla lwesisu. Abanye abantu bangase bazizwe lobu buhlungu phakathi kwesisu.
- Ubuhlungu obungapheli: Lobuhlungu buhlala njalo. Ngisho noma sihambahamba noma sishintsha izikhundla, ubuhlungu abunciphi.
- Ubuhlungu obandayo lapho uphefumula: Ubuhlungu bungase bube bubi nakakhulu uma uphefumula ngokujulile.
- Ubuhlungu obusakazekayo: Ngezinye izikhathi lobu buhlungu bungasakazekela ehlombe lesokudla nasendaweni engemuva.
- Ezinye izimpawu: Kanye nalolu buhlungu obukhulu, ungase ube nezimpawu ezifana nokucanuzela kwenhliziyo nokuhlanza , umkhuhlane, kanye nokubanda .
Lobuhlungu bukhulu kangangokuthi abanye abantu bayasaba futhi bacabange ukuthi ukuhlaselwa yinhliziyo. Futhi, uma lobu buhlungu buhlala isikhathi esingaphezu kwamahora ambalwa, kungaba uphawu lwesimo esibucayi. Ezimweni ezinjalo, kufanele ubonane nodokotela ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
Kungani lolu hlobo lobuhlungu luvela? Yiziphi izimbangela eziyinhloko?
Imbangela eyinhloko nevame kakhulu yobuhlungu benyongo amatshe enyongo . Siphinde siwabize ngamagama ezokwelapha ngokuthi `(Cholelithiasis).` Lawa anjengamatshe akheka ngaphakathi kwenyongo yethu. Akhiwa kakhulu yizinsalela ze-cholesterol. Lawa matshe angaba mancane njengohlamvu lukasawoti noma abe makhulu njengebhola legalofu.
Ngaphezu kwalesi sizathu esiyinhloko, kunezinye izizathu eziningana.
Amatshe Omsele Wenyongo
Itshe lenyongo lingaphuma bese lihlala emgudwini wenyongo ovamile, umgudwini oyinhloko wenyongo. Lesi yisimo esibi kakhulu kunetshe lenyongo. Kungaholela kwezinye izinkinga, njenge-pancreatitis.
I-Cholecystitis
Uma itshe lenyongo livimba umsele wenyongo, libambeka ngaphakathi. Lokhu kuvumela amagciwane ukuthi aqoqeke futhi athelele inyongo, okubangela ukuthi ivuvuke. Yilokhu esikubiza ngokuthi i-cholecystitis.
Esinye Isifo Senyongo
Lokhu kungafaka noma yisiphi isimo esithinta i-gallbladder noma i-bile ducts. Isibonelo, i-biliary dyskinesia, ukuvuvukala kwe-bile ducts (i-cholangitis), njll.
Umdlavuza Wenyongo
Lesi yisimo esingavamile kakhulu, kodwa lolu hlobo lobuhlungu lungabangelwa nokukhula kwamaseli omdlavuza enyongweni.
Amakhambi asekhaya kanye nokwelashwa kobuhlungu
Zimbalwa kakhulu izinto ongazenza ekhaya uma unezinhlungu zenyongo. Ukubeka ibhodlela lamanzi ashisayo endaweni yobuhlungu kunganikeza impumuzo ethile. Kodwa lezi yizixazululo zesikhashana nje.
Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma ubuhlungu buqhubeka noma bukhulu. Ungazinyangi.
Uma ubona udokotela, uzonquma ukwelashwa ngokusekelwe esimweni sakho.
- Ama-Painkiller: Uma ubuhlungu buhlala njalo, udokotela uzokunikeza ama-painkiller ukuze abulawule.
- Ama-antibiotic: Uma kukhona ukutheleleka, kunikezwa ama-antibiotic.
- I-Endoscopic Retrograde Cholangiopancreatography (ERCP): Le nqubo ihilela ukudlulisa ipayipi elinekhamera ngomlomo ukuze kususwe amatshe amancane anamathele emigudwini yenyongo, kwandiswe umgudwi, noma kuthathwe isampula yezicubu ukuze zihlolwe.
- Ukususwa kwenyongo ngokuhlinzwa (Cholecystectomy): Uma amatshe enyongo ekubangela izinkinga eziqhubekayo, ikhambi elingcono kakhulu nelihlala njalo ukuthi inyongo isuswe ngokuhlinzwa. Inyongo ayisona isitho esibalulekile empilweni. Ngemva kokususwa kwayo, ungaphila impilo evamile.
Lokhu kuhlinzwa kwenziwa ngezindlela ezimbili eziyinhloko:
1. I-Laparoscopic Cholecystectomy: Lena yindlela evame ukusetshenziswa kakhulu. Ibizwa nangokuthi "ukuhlinzwa kwe-keyhole." Inyongo isuswa ngokusikwa okuncane esiswini kusetshenziswa ikhamera. Le ndlela inesikhathi sokululama esisheshayo futhi ayibangeli amanxeba amaningi.
2. Ukuhlinzwa kwe-Open Cholecystectomy: Uma inyongo ivuvukele kakhulu, kunezinkinga, noma kusolwa ukuthi kunomdlavuza, lokhu kuhlinzwa kwenziwa ngokusikwa okukhulu kancane esiswini.
Zikhona yini ezinye izifo ezizwakala njengobuhlungu benyongo?
Yebo. Ngenxa yokuthi kunezinye izitho ezibalulekile ohlangothini lwesokudla lwesisu, ngezinye izikhathi ubuhlungu bezinye izimo zezokwelapha bungazwakala bufana nobuhlungu benyongo. Ngakho-ke kubalulekile ukwazi umehluko phakathi kwalezi.
| Isimo sezokwelapha | Indlela ehluke ngayo ebuhlungwini benyongo |
|---|---|
| I-Appendicitis | Ubuhlungu buvame ukuzwakala ohlangothini olungezansi kwesokudla lwesisu. Ubuhlungu benyongo busengxenyeni engenhla. |
| Amatshe Ezinso | Kanye nobuhlungu obukhulu, ungase uqaphele izinguquko emchameni wakho (opinki, obomvu, nephunga elibi). |
| I-Pancreatitis | Ngaphezu kobuhlungu, izimpawu ezifana nesicanucanu, ukuhlanza, kanye nokwehla kwesisindo zivame ukubonakala. |
| Izilonda zesisu | Izimpawu ezifana nokuqunjelwa, ubuhlungu besisu, kanye nesifo sohudo zivame kakhulu kunobuhlungu besisu. |
Ingabe lesi simo singavinjelwa?
Indlela engcono kakhulu yokuvimbela ukwakheka kwamatshe enyongo kanye nobuhlungu obuhambisana nawo ukugcina ukudla okunempilo kanye nendlela yokuphila enempilo .
Ukudla okufanele ukugweme:
- Ukudla okunamafutha agcwele (amafutha, ibhotela, ushizi, inyama ebomvu)
- Ushukela ophezulu kanye ne-sodium (usawoti)
- Ukudla okuthosiwe
- Ukudla ngokweqile ama-carbohydrate acwengekile njengesinkwa nelayisi
Izinto ongazengeza ekudleni kwakho:
- Inyama nenhlanzi engenamafutha
- Imifino nezithelo
- Ukudla okune-fiber eningi
- Imifino kanye nokolweni ophelele
- Imikhiqizo yobisi enamafutha aphansi
Ngaphezu kwalokho,Ukudla ngesikhathi esifanele, ukungazami ukwehlisa isisindo ngokuzumayo, kanye nokuzivocavoca njalo kusiza kakhulu ekunciphiseni ingozi yokuthola amatshe enyongo.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu benyongo bubuhlungu obungazelelwe, obukhulu, futhi obuhlala njalo obuqala ohlangothini oluphezulu kwesokudla lwesisu.
- Isizathu esiyinhloko salokhu ukwakheka kwamatshe enyongo.
- Uma ubuhlungu buhlala isikhathi esingaphezu kwamahora ambalwa, noma buhambisana nezimpawu ezifana nomkhuhlane nokuhlanza, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ukudla okunempilo kanye nokuzivocavoca njalo kunganciphisa ingozi yalesi simo.
- Ukususwa kwenyongo kuyindlela evamile yokuhlinzwa, futhi ungaphila impilo evamile ngemva kwalokho, ngakho-ke asikho isidingo sokwesaba.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Flecainide / Tambocor ayimithi enamandla kakhulu esetshenziselwa siphi isifo?
Leli akulona iphilisi elivamile lomfutho wegazi! Lingomunye wemithi enamandla kakhulu (i-Class 1C Antiarrhythmic) odokotela abayisebenzisayo ukubuyisela inhliziyo 'esimeni esijwayelekile' lapho amakamelo aphezulu noma aphansi enhliziyo yesiguli eshaya ngokuzumayo ngendlela engavamile/ngokushesha ngokwanele ukuba ibe yingozi empilweni (i-Atrial Fibrillation / SVT / Ventricular Arrhythmias)!
💬 Uma inhliziyo ishaya ngendlela exakile, ungayilungisa kanjani indlela inhliziyo eshaya ngayo ngokunikeza lo muthi (i-Flecainide)?
Inhliziyo ishaya ngokushesha ngenxa yezimpawu zikagesi (Amandla Esenzo)! Ekushayweni kokuqala, izinhlayiya ze-'Sodium' kudingeka zingene ukuze zishaje amaseli. Uma leli philisi lingena enhliziyweni, wonke amasango avumela i-sodium ukuthi ingene ayavalwa (kakhulu kakhulu) ngo-100%, futhi ihlala ivaliwe futhi ikhiyiwe isikhathi eside (Ukucindezeleka Okuphawulwe Ngesigaba 0/Ukukhululeka Kancane). Njengoba i-sodium ingangeni nhlobo, kuthatha isikhathi eside ukuthi amaseli ashaje. Khona-ke inhliziyo ayikwazi ukushaya ngokushesha ngokwanele bese ibuyela esigqini sayo esijwayelekile.
💬 Yisiphi 'Isixwayiso Sebhokisi Elimnyama' okufanele abantu abathatha lo muthi (iTambocor) bazi ngaso?
Leso yisimo esiyingozi kakhulu nesibulalayo! Uma uke waba 'nesifo senhliziyo' ngaphambili noma ube (nesifo senhliziyo/ukungasebenzi kahle kwe-LV), ngemuva kokuthatha leli philisi, kungenzeka kube 'nesigqi senhliziyo esisha esibulalayo (umphumela we-Proarrhythmic)' futhi isiguli singafa ngokuzumayo (lokhu kufakazelwe yi-Cast Trial)! Ngakho-ke, lokhu akunqunywa kalula ngaphandle kokuthi kukhona isimo esisongela impilo nganoma yisiphi isikhathi.
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