Ingabe uzwa ubuhlungu obukhulu ohlangothini lwesokudla lwesisu sakho, ngaphansi kwezimbambo zakho, kanye nesicanucanu nokuhlanza? Isikhathi esiningi, sicabanga ukuthi yi-gastritis, kodwa kungaba yinto engathi sína kakhulu. Namuhla, sizokhuluma ngesimo abantu abaningi abangasazi, kodwa kubaluleke kakhulu ukwazi ngaso. Lokho ukuvuvukala kwenyongo, noma ngokwezokwelapha, i-cholecystitis.
Kuyini lokhu kuvuvukala kwenyongo? Kuyini lokhu kuvuvukala?
Kalula nje, inyongo iyisitho esincane esifana nesikhwama esifana nepheya esitholakala ngaphansi kwesibindi sethu. Umsebenzi waso oyinhloko ukugcina okwesikhashana uketshezi olubizwa ngokuthi "inyongo" olukhiqizwa yisibindi. Uma sidla ukudla okunamafutha amaningi noma uwoyela, inyongo ikhipha inyongo emathunjini ethu amancane ukuze isize ekugayeni. Lenyongo ihamba ngesistimu yamapayipi amancane afana namapayipi amanzi. Odokotela babiza lokhu ngokuthi "amapayipi enyongo."
Ake ucabange nje, kwenzekani uma enye yalezi zindlela zenyongo ivalekile ngesizathu esithile, noma uma inyongo itheleleka? Yilapho inyongo ivuvukala khona futhi iba buhlungu futhi ivuvuke. Lesi simo sibizwa ngokuthi i-cholecystitis .
Ingabe zikhona izinhlobo eziyinhloko zokuvuvukala kwenyongo?
Yebo, singabona lesi simo ngezindlela ezimbili eziyinhloko.
1. I-Acute Cholecystitis: Lesi yisimo esibi esiqala ngokuzumayo. Ubuhlungu bukhulu kakhulu.
2. I-Cholecystitis Engapheli: Lesi akusona isimo esiphuthumayo . Yisimo lapho inyongo iba buthakathaka ngokuhamba kwesikhathi, okubangela ubuhlungu obuhlala buphela.
Ngaphezu kwalokho, ihlukaniswa ngokwembangela. Uma ibangelwa amatshe enyongo, ibizwa ngokuthi ``i-calculous cholecystitis''. Uma ibangelwa ezinye izimbangela ngaphandle kwamatshe, ibizwa ngokuthi ``i-acalculous cholecystitis''. Kodwa-ke, kubalulekile ukukhumbula ukuthi cishe ku-95% wamacala, imbangela ingamatshe enyongo .
Ziyini izimpawu zokuvuvukala kwenyongo?
Kubaluleke kakhulu ukuqaphela lezi zimpawu ngokunembile, ukuze ukwazi ukuthola iseluleko sezokwelapha ngokushesha.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu ohlangothini oluphezulu kwesokudla lwesisu | Lesi yisibonakaliso esiyinhloko. Ubuhlungu buyanda ngokuzumayo futhi bufinyelele esicongweni. Abanye abantu bangase bazizwe lobu buhlungu buhamba ehlombe noma emhlane kwesokudla. Ubuhlungu bungase bukhule lapho uphefumula kakhulu. Abanye abantu baze baphambanise lokhu nobuhlungu besifuba noma ukuhlaselwa yinhliziyo. |
| Isicanucanu nokuhlanza | Kuvamile kakhulu ukuzwa ubuhlungu obukhulu esiswini kanye nesicanucanu nokuhlanza. |
| Imfiva | Abanye abantu bangaba nomkhuhlane ongaphezu kwama-degree Fahrenheit ayi-100. Umkhuhlane ungasho ukuthi kukhona ukutheleleka noma ukuvuvukala okubi kakhulu. Kodwa-ke, abantu asebekhulile banamathuba amancane okuba nomkhuhlane. |
| Ezinye izici | Izimpawu ezifana nokuqunjelwa, ubuhlungu lapho uthinta isisu, ukudinwa, kanye nokulahlekelwa yisifiso sokudla zingabonakala, ikakhulukazi kubantu abadala. |
Into ebalulekile ukuthi esimweni esingamahlalakhona, lezi zimpawu zingase zingabi zimbi kangako. Ngemva kokudla ukudla okunamafutha kakhulu, ungase uzwe ubuhlungu besisu kanye nesicanucanu amahora ambalwa bese kunyamalala.
Kungani lokhu kuvuvukala kwenyongo kwenzeka?
Njengoba sishilo ngaphambili, imbangela eyinhloko nevame kakhulu amatshe enyongo . Lawa akheka lapho izinto ezahlukahlukene enyongweni ziqoqana futhi ziqina ngokuhamba kwesikhathi, njengamatshe amancane. Uma la matshe ebhajwa enyongweni noma emgudwini wenyongo, inyongo ayikwazi ukuphuma futhi iqongeleleke ngaphakathi kwenyongo. Ngemuva kwalokho inyongo iyavuvukala, ivuvuke, futhi ingangenwa namagciwane.
Kodwa akuzona nje amatshe, kungaba nezinye izizathu.
- Ukuqina kwenyongo: Ezinye izifo zingabangela izibazi emigudwini yenyongo futhi ziyinciphise.
- I-Biliary dyskinesia: Imisipha esenyongweni ayifinyeleli kahle, okuvimbela ukukhishwa kwenyongo.
- Umdlavuza wenyongo: Akuvamile kakhulu, umdlavuza wenyongo noma imisele yenyongo ungabangela ukuvaleka kwemisele yenyongo.
- Ukuncipha kokunikezwa kwegazi (i-Ischemia): Uma inani legazi elinikezwa inyongo lincipha ngesizathu esithile, ukuvuvukala kungenzeka.
- Izifo:Ngisho noma kungekho matshe enyongo, inyongo ayivamile ukungenwa yizifo ngenxa yokutheleleka ngamagciwane.
Ubani osengozini enkulu yokuthola lesi simo?
Abantu abanamathuba amaningi okuthola amatshe enyongo basengozini enkulu yokuthola lokhu kuvuvukala. Yilaba:
- Abesifazane
- Omama abakhulelwe
- Ukukhuluphala ngokweqile (ukukhuluphala ngokweqile)
- Abantu abanesifo sikashukela
- Abantu abanamazinga aphezulu e-cholesterol egazini
- Abantu abaye balahlekelwa isisindo esiningi ngokuzumayo
- Abantu abangaphezu kweminyaka engama-40 ubudala
Ingabe lesi yisimo esibucayi? Yiziphi izinkinga ezingaba khona?
Yebo, lesi akusona isimo okufanele sithathwe kalula . Esimweni esibi kakhulu, umgudu we-bile uyavaleka, okubangela ukuthi i-bile iphindele egazini. Lokhu kungabangela ukuthi umzimba wonke uzizwe usinda.
Ezinye zezinkinga ezinkulu ezingaba khona uma zingelashwa yilezi:
- Ukufa kwezicubu zenyongo (Gangrene): Ukuvuvukala okukhulu kungavimba ukugeleza kwegazi kuya enyongweni futhi kubangele ukufa kwezicubu.
- Ukubhoboka kwenyongo: Ngemva kokufa kwezicubu, udonga lwenyongo luyabhoboka, okuvumela inyongo kanye nobuthi ukuba kuvuze esiswini.
- I-Peritonitis: Uma inyongo ivuza esiswini, amagciwane angangena olwelwesini oluthambile lwesisu futhi abangele ukutheleleka okukhulu.
- I-Septicemia: Uma lokhu kutheleleka kusakazekela egazini, kungaba yingozi empilweni.
- I-Pancreatitis: Kuye ngokuthi itshe likuphi, i-pancreas nayo ingathinteka.
Ngakho-ke, uma unezimpawu ezinjengalezi, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha , kunokuhlala ekhaya ucabange ukuthi "kungase kube yi-gastritis."
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, uzokubuza ngezimpawu zakho. Ngemuva kwalokho uzokuxilonga. Kukhona ukuhlolwa okwaziwayo ukuhlola ukuvuvukala kwenyongo. Kuyo, udokotela uzocindezela ohlangothini oluphezulu kwesokudla lwesisu sakho bese ekucela ukuthi uphefumule ngokujulile. Uma uzwa ubuhlungu obukhulu, lokho kuyisibonakaliso esibalulekile sokuvuvukala kwenyongo (`uphawu lukaMurphy`).
Ngemuva kwalokho, ungabheka izivivinyo ezilandelayo ukuqinisekisa lesi sifo:
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi okuphelele (i-CBC) kanye nokusebenza kwesibindi.
- I-ultrasound yesisu: Lokhu kungabona ngokucacile izinto ezifana namatshe enyongo nokuvuvukala.
- I-CT scan: Lokhu kwenziwa uma kudingeka isithombe esicacile.
- I-HIDA scan: Lokhu kunganquma ngokunembile ukuthi i-gallbladder isebenza kahle kangakanani nokuthi ngabe kukhona yini ukuvaleka kwe-bile ducts.
Ilashwa kanjani? Ingabe lokhu kungelapheka?
Yebo, impela. Uma kutholakala ukuthi unesifo sokuvuvukala kwenyongo, uzolaliswa esibhedlela bese kuqala ukwelashwa.
Ukwelashwa kokuqala:
- Usawoti (uketshezi lwe-IV): Lokhu kuwukufakwa koketshezi okunikeza umzimba wakho uketshezi oludingayo ngenkathi unikeza uhlelo lwakho lokugaya ukudla ukuphumula.
- Ama-antibiotic e-IV: Ama-antibiotic anikezwa ngemithambo yegazi ukuvimbela noma ukwelapha ukutheleleka uma kukhona.
- Ukuqeda ubuhlungu nge-IV: Amaphilisi okudambisa izinhlungu anamandla anikezwa ukulawula ubuhlungu obukhulu.
Ukwelashwa okuyinhloko nokuhlala njalo:
Ukwelashwa okuhlala njalo nokungcono kakhulu kwamatshe enyongo ukususwa kwenyongo ngokuhlinzwa (`Cholecystectomy`) . Esikhathini esiningi, imbangela yazo zonke lezi zinkinga yinyongo kanye namatshe akuyo, futhi ukuyisusa kuxazulula inkinga ngokuphelele.
Ungesabi ukuthi "oh, ukuhlinzwa!" Lokhu kuyindlela evamile kakhulu, engenangozi kakhulu manje. Isikhathi esiningi, kwenziwa nge-laparoscopically . Lokhu kusho ukuthi inyongo isuswa kusetshenziswa ikhamera esikhundleni sokusikwa okukhulu esiswini. Lokhu kungakusiza ukuthi ululame ngokushesha futhi kunciphise ukuhlala kwakho esibhedlela. Kodwa-ke, kwezinye izimo eziyinkimbinkimbi, ukuhlinzwa okuvulekile kungadingeka.
Ingabe zikhona ezinye izindlela zabantu abangakwazi ukuhlinzwa?
Ngezinye izikhathi, umuntu onezinye izimo zezokwelapha ezingathi sína angase angakwazi ukuhlinzwa ngokushesha. Ezimweni ezinjalo, inqubo yesikhashana ebizwa ngokuthi i-drainage ingasetshenziswa ukunciphisa ingcindezi ku-gallbladder. Noma, inqubo ebizwa ngokuthi i-endoscopic retrograde cholangiopancreatography (ERCP) ingasetshenziswa ukususa amatshe emigudwini ye-bile. Kodwa-ke, lezi zivame ukuba yizixazululo zesikhashana. Ekugcineni, ikhambi elingcono kakhulu ukususa i-gallbladder.
Akukho yini inkinga ngemva kokususa inyongo?
Lona umbuzo abantu abaningi abanawo. Kungenzeka yini ukuphila ngaphandle kwenyongo? Impela. Umsebenzi wenyongo kuphela kwakuwukugcina inyongo. Uma isusiwe, inyongo esibindini ingena ngqo emathunjini amancane.
Kungathatha amasonto noma izinyanga ezimbalwa ukuthi umzimba ujwayele lesi simiso esisha. Phakathi naleso sikhathi, abanye abantu bangase babe nokungakhululeki kwesikhashana, njengokuthi:
- Kunzima kancane ukugaya ukudla okunamafutha nokunamafutha.
- Abanye abantu baba nezimpawu ezifana nohudo.
Kodwa ngokuhamba kwesikhathi, umzimba wakho uzojwayelana nalokhu. Udokotela wakho uzokweluleka ngokudla okufanele.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu obukhulu ohlangothini oluphezulu kwesokudla lwesisu, isicanucanu, kanye nomkhuhlane kungaba izimpawu zokuvuvukala kwenyongo. Ungakushayi indiva, ucabanga ukuthi "yi-gastritis."
- Isizathu esiyinhloko salokhu amatshe enyongo.
- Uma kungelashwa, lokhu kungaba yisimo esibi kakhulu esingaholela ekuqhekekeni kwenyongo, izifo zesisu, ngisho nezinkinga ezisongela ukuphila.
- Uma unalezi zimpawu, bona udokotela ngokushesha. Uma kudingeka, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukususwa kwenyongo ngokuhlinzwa kuyindlela yokwelapha ehlala njalo nephephile kakhulu. Akukho sithiyo sokuphila impilo evamile ngaphandle kwenyongo.
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