Ingabe uhlangothi lwakho lwesokudla lwesisu sakho lubuhlungu? Ake sifunde nge-cholecystitis!

Wake wabhekana nobuhlungu besisu obungabekezeleleki, ikakhulukazi ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu sakho, kanye nesicanucanu nokuhlanza? Noma ingabe kukhona umuntu omaziyo oye wabhekana nalokhu? Lezi zinto ngezinye izikhathi zingaba izimpawu zesimo esibizwa ngokuthi i-cholecystitis. Namuhla, ake sixoxe ngokuthi iyini i-cholecystitis , ukuthi kungani yenzeka, nokuthi yini engenziwa ngayo.

Kuyini i-cholecystitis?

Kalula nje, i-cholecystitis ukuvuvukala noma ukuvuvukala kwenyongo yakho. Cabanga ngakho njengesikhwama esincane esimise okwepheya ngaphansi kwesibindi sakho. Inyongo igcina inyongo okwesikhashana, uketshezi olwenziwa yisibindi. Ngemva kokudla, ikakhulukazi ukudla okunamafutha, lenyongo ithunyelwa emathunjini amancane ukusiza ekugayeni ukudla. Lenyongo ihamba ngemigudu emincane efana nepayipi ebizwa ngokuthi ama-bile ducts . Ngakho-ke, uma kukhona ukutheleleka noma ukuvaleka kwenyongo noma ama-bile ducts axhumene nayo, kuzovela ukuvuvukala, ubuhlungu, nokuvuvukala .

Zikhona yini izinhlobo ezahlukene ze-cholecystitis?

Yebo, lokhu kungahlukaniswa ngezigaba eziningana eziyinhloko:

• Ukuvuvukala okukhulu: Lesi yisimo esiphuthumayo nesinzima.
• Ukuvuvukala okungapheli: Lesi yisimo esikhula kancane kancane ngokuhamba kwesikhathi futhi esingesibi kangako kodwa esiqhubekayo.
• Ukuvuvukala okune-calculous: Lolu uhlobo oluvame kakhulu. Ukuvuvukala okubangelwa amatshe enyongo.
• Ukuvuvukala okubangelwa ukubala: Lokhu ukuvuvukala okwenzeka ngenxa yezinye izimbangela ngaphandle kwamatshe enyongo.

Cabanga ngakho, uma inyongo ivuvukala ngokuzumayo ngenxa yenkinga enkulu, kuba ukuvuvukala okukhulu . Ngaphandle kwalokho, uma inyongo ivuvukala kancane kancane ngenxa yezinkinga ezincane isikhathi eside, kuba ukuvuvukala okungapheli . Ezimweni eziningi, imbangela yalokhu kokubili amatshe enyongo. Yingakho odokotela behlukanisa ukuthi kubangelwa amatshe noma cha.

Sivame kangakanani lesi simo?

Kuthiwa cishe u-15% wabantu emhlabeni banamatshe enyongo. Cishe u-20% wabo uba nezinkinga ngenxa yamatshe enyongo, njenge -cholecystitis . Ungamangali, u-95% wamacala e-cholecystitis abangelwa amatshe enyongo!

Ziyini izimpawu ze-cholecystitis?

Lezi zimpawu zingase zihluke kancane kuye ngohlobo lokuvuvukala.

Izimpawu zokuvuvukala okukhulu:

• Ubuhlungu obukhulu esiswini esingaphezulu, ikakhulukazi ohlangothini lwesokudla:Lobuhlungu bungakhula ngokuzumayo futhi bungabe busabekezeleleka. Ngezinye izikhathi lobu buhlungu bungasakazekela ehlombe noma emhlane kwesokudla. Ubuhlungu bungazwakala njengokugwazwa ngenaliti, ubuhlungu obungacacile, noma ukusonteka kwemisipha yesisu. Ubuhlungu bungakhula futhi uma uphefumula kakhulu. Abanye abantu bacabanga ukuthi lokhu ubuhlungu besifuba noma ukuhlaselwa yinhliziyo . Lobuhlungu obuzumayo bubizwa nangokuthi "Ukuhlaselwa Yisinqe Senyongo ."
• Isicanucanu nokuhlanza : Lokhu futhi kuyisibonakaliso esivamile esivame ukuhambisana "nokuhlaselwa yinyongo."
• Umkhuhlane: Umkhuhlane ongaphezu kwama-degrees Fahrenheit angu-100 (37.8 Celsius) ungabonisa ukutheleleka noma ukuvuvukala okukhulu.

Okubalulekile: Lezi zimpawu zingase zihluke kancane kumuntu omdala. Zingase zibe nokulahlekelwa yisifiso sokudla kanye nokuzola okuncane. Umkhuhlane nawo awuvamile kubantu abadala.

Ezinye izici ezengeziwe:

• Ukuqunjelwa kanye nobuhlungu .
• Ukuqina kwemisipha ohlangothini lwesokudla lwesisu.
• Ubuthakathaka nokukhathala , ikakhulukazi kubantu abadala.

Izimpawu zokuvuvukala okungapheli:

Izimpawu zivame ukuba zimbi kakhulu kunezimo eziphuthumayo futhi zivame ukufika zidlule. Ungase ube nobuhlungu besisu kanye nesicanucanu esibizwa ngokuthi "i-biliary colic" ngemva kokudla ukudla okunamafutha amaningi. Lokhu kungenxa yokuthi ukudla okunamafutha kudinga i-bile eningi ukuze igaywe. Uhlelo lwakho lokugaya ukudla lube selutshela i-gallbladder ukuthi ikhiphe i-bile eningi. Lokhu kubangela ukuthi i-gallbladder iqine kakhulu, okwandisa ingcindezi ngaphakathi. Lobuhlungu bungahlala amahora amaningana.

Iyini imbangela eyinhloko yalokhu?

Ezimweni eziningi, kokubili ukuvuvukala okubukhali nokungapheli kubangelwa amatshe enyongo avimba imisele yenyongo . Amatshe enyongo ayizinto eziqinile enyongweni eziqongeleleke ngokuhamba kwesikhathi futhi zibe njengamatshe. Ngokuvamile akheka phansi kwenyongo, kodwa ngezinye izikhathi angahambahamba. Njengoba ehamba, abhajwa emgudwini wenyongo noma emlonyeni wenyongo. Lokhu kubangela ukuthi inyongo iphindele phezulu enyongweni, okungaholela ekuthelelekeni.

• Ukuvuvukala okukhulu:Lokhu kwenzeka lapho ukugeleza kwenyongo kusuka enyongweni kuvinjelwa ngokuphelele yitshe. Inyongo iyavuvukala kakhulu futhi isimo siba sibi kakhulu.
• Ukuvuvukala Okungapheli: Ngezinye izikhathi itshe lingase lingawuvali ngokuphelele umsele, kodwa lingase libhajwe isikhashana bese liphuma futhi. Isibonelo, ungase uzwe ubuhlungu kuphela lapho inyongo iqina ngemva kokudla ukudla okunzima. Yilokhu okubangela ukuvuvukala okungapheli .

Yiziphi ezinye izimbangela ngaphandle kwamatshe enyongo?

Nakuba imbangela evame kakhulu ukuvaleka kwemisele yenyongo ngamatshe enyongo, ezinye izici zingabangela ukuthi inyongo ivuvuke futhi ivimbele ukugeleza kwenyongo. Nazi izibonelo ezimbalwa:

• Ukuqina Kwenyongo : Ukuvuvukala okungapheli kwenyongo kungabangela ukwakheka kwezicubu zesilonda futhi kunciphise inyongo, kuvimbele ukugeleza kwenyongo.
• I-Biliary Dyskinesia: Lesi yisimo esithinta ukusebenza kwemisipha enyongweni . Ngokukhethekile, inyongo ayinciphi kahle njengoba kufanele, ngakho-ke inyongo ayiphumi.
• Ukuqina Kwenyongo: Ukugeleza kwenyongo kungaphazamiseka ngenxa yesifo sesibindi esingamahlalakhona noma ukudla okunomsoco okuhlala isikhathi eside (IV). Khumbula, uma ungadli ukudla ngomlomo kodwa unikwa ukudla nge-IV, awudingi inyongo.
• Umdlavuza: Nakuba kungavamile, isimila esinomdlavuza enyongweni noma emigudwini yenyongo singavimba ukugeleza kwenyongo.

Lezi zimo zivame ukukhula kancane kancane, okuholela ku -cholecystitis engamahlalakhona e-acalculous . Kodwa-ke, zingaphinde zithuthuke zibe yi -cholecystitis e-acalculous e-acute . Ezinye izimbangela ezingaba khona zifaka:

• I-Ischemia: Uma ukuphakelwa kwegazi enyongweni kuncipha, kungaholela ekuvuvukeni okukhulu noma okungamahlalakhona , kuye ngokuthi kukhulu kangakanani. Lokhu kuvame ukwenzeka ngenxa yokugula noma ingozi enkulu. Kungabangelwa futhi ukuvaleka kwemithambo yegazi (ukuvaleka kwemithambo yegazi) noma i-vasculitis .
• Ukutheleleka: Ukutheleleka ngamagciwane kungavela enyongweni noma emigudwini yenyongo, ngisho noma kungekho ukuvaleka. Lokhu akuvamile. Lokhu kungenzeka kakhulu kubantu abanesimiso somzimba sokuzivikela esibuthakathaka. Ukutheleleka kungalimaza nezicubu zenyongo.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Uma unamatshe enyongo, maningi amathuba okuba ne-cholecystitis. Abantu abanamathuba amaningi okuba namatshe enyongo bahlanganisa:

• Kwabesifazane
• Kwabesifazane abakhulelwe
• Kulabo abanokukhuluphala ngokweqile
• Kulabo abanesifo sikashukela
• Kulabo abane-cholesterol ephezulu
• Kulabo abaye bancipha isisindo ngokuzumayo nangokushesha (Rapid Weight Loss)
• Kulabo abaneminyaka engaphezu kwengu-40 ubudala
• (Amanye amathonya ezakhi zofuzo kanye nendlela yokuphila nakho kungadlala indima)

Kuyingozi kangakanani lokhu kukhula kwe-cholecystitis?

I-cholecystitis ebukhali ivame ukubangelwa ukuvaleka kokugeleza kwenyongo. Ayithinti nje inyongo kuphela. Ingathinta lonke uhlelo lwakho lwenyongo - uhlelo lwezitho ezithutha inyongo ngemibhobho yenyongo - futhi ibangele ukuvuvukala nokutheleleka. Inyongo eqongelelekile ingagcwala egazini futhi ikwenze ugule. Iphinde ivimbele uhlelo lwakho lokugaya ukudla ukuthi lungatholi inyongo eliyidingayo. Ukuvuvukala okukhulu nokuvuvukala kungabangela ukufa kwezicubu (i-gangrene) . Uma lokhu kwenzeka, isitho singaqhekeka noma sibhoboke. Lokhu kubizwa ngokuthi i-gangrenous cholecystitis . Ukuvuvukala okungapheli ngokuvamile akukubi kangako, kodwa ukuvuvukala kwesikhathi eside nakho kungabangela umonakalo omkhulu. Izicubu zesibazi zingakheka kunyongo yakho futhi ziyivimbele ekuminyaniseni kahle. Lokhu kungavimba nokugeleza kwenyongo.

Izinkinga ze-Cholecystitis:

• Ukulimala kwesibindi sakho, imisele ye-bile, noma i-pancreas (isb., i-pancreatitis ).
• Ukuphazamiseka kokugaya ukudla kanye nokumuncwa kwezakhamzimba emathunjini amancane.
• Ukuvuvukala isikhathi eside kubangela izibazi zenyongo (i-Gallbladder Fibrosis) kanye nokungasebenzi kahle kwayo.
• Ukufa kwezicubu ngenxa yokuvuvukala (i-necrosis) kanye ne-gangrenous cholecystitis .
• Ukubhoboka kwenyongo , okubangela ukutheleleka kwesisu (i-peritonitis).
• I-Peritonitis ingaholela ekuqhekekeni noma ekufakweni kobuthi egazini (`Septicemia`).

Lokhu akuyona into okufanele ilahlwe nje, ngoba umonakalo ongaba khona mkhulu kakhulu.

Kutholakala kanjani lokhu?

Udokotela uzoqala ngokukubuza ngezimpawu zakho. Uma besola ukuthi une-cholecystitis , bazokucela ukuthi uphefumule kakhulu bese ucindezela ohlangothini olungaphezulu kwesokudla lwesisu sakho. Uma uzwa ubuhlungu, lokhu kuyisibonakaliso esaziwayo salesi simo ( i-Murphy's Sign ). Bazobe sebekwenza ukuhlolwa, njengokuhlolwa kwezithombe ukuze babheke i-gallbladder yakho kanye ne-bile ducts, kanye nokuhlolwa kwegazi ukuze bathole olunye ulwazi. Ezinye zezivivinyo ezenziwayo kulokhu zifaka:

• Inani Eliphelele Legazi (i-CBC)
• Ukuhlolwa Kokusebenza Kwesibindi
• I-Ultrasound Yesisu
• I-Ultrasound ye-Endoscopic
• I-CT Scan (I-CT Scan - I-Computed Tomography Scan)
• Ukuskena kwe-HIDA (Ukuskena kwe-HIDA - Ukuskena kwe-Hepatobiliary Iminodiacetic Acid)

Ingabe le cholecystitis izolulama ngokwayo?

Cha. Zonke izimbangela ze-cholecystitis zidinga ukwelashwa. Ngezinye izikhathi itshe elivimba inyongo noma i-bile duct lingadlula lodwa futhi izimpawu zakho zizophela. Kodwa ukulinda lokho akuwona umqondo omuhle - kubuhlungu futhi kuyingozi. Noma kunjalo, ngeke kuxazulule izinkinga zakho. Itshe elifanayo noma elinye itshe lingase libhajwe futhi.

Iyini indlela yokwelapha lokhu?

I-Cholecystitis yelashwa ngokushesha esibhedlela. Ukwelashwa kuqala ngalokhu okulandelayo:

• Ukunikeza uketshezi lwe-IV ngenkathi unikeza uhlelo lwakho lokugaya ukudla ukuphumula.
• Ukunikeza ama-antibiotic ngemithambo yegazi (ama-antibiotic e-IV) ukuvimbela noma ukwelapha izifo.
• Ukunikeza ukukhululeka ebuhlungwini nge-IV, okuyinto abantu abaningi abayidingayo.

Ukwelashwa okuhlala njalo kwalokhu ukuhlinzwa ukuze kususwe inyongo (i-cholecystectomy) . Izinto eziningi ezibangela i-cholecystitis, njengamatshe enyongo, ziqala enyongweni. Akuvamile, uma imbangela ye-cholecystitis yakho kuyinto engelashwa ngokwehlukana namatshe enyongo (njengokutheleleka), ukuhlinzwa kungase kungadingeki. Futhi, kuye ngezinye izimo zakho zempilo, ungase ufune ukuhlehlisa noma ungenzi ukuhlinzwa. Uma uhlehlisa noma ungahlinzwa, ungenza okulandelayo:

• Ukukhipha uketshezi oluvela enyongweni kanye nokunciphisa ingcindezi: Udokotela angenza i-incision encane esiswini sakho bese efaka ipayipi lokukhipha amanzi enyongweni yakho. Noma, bangasebenzisa i- endoscopic ultrasound ukuqondisa ipayipi emlonyeni wakho ukuze bakhiphe uketshezi oluvela enyongweni yakho luye emgudwini wakho wokugaya ukudla.
• Ukususwa Kwamatshe Enyongo E-Endoscopic: I-ERCP (i-Endoscopic Retrograde Cholangiopancreatography) inqubo esebenzisa i-endoscope ngomlomo wakho ukuze ibheke uhlelo lwakho lwenyongo kusetshenziswa ubuchwepheshe be-X-ray. Lokhu kuvumela ukuthi kufakwe amathuluzi amancane nge-endoscope ukuze kususwe amatshe abhajwe emigudwini yenyongo. Lokhu kunganciphisa izimpawu zakho ezisheshayo.

Ukuhlinzwa (i-Cholecystectomy)

Ngisho noma i-cholecystitis yakho yamanje isiphelile - okungukuthi, itshe elalibambekile alisabambeki, futhi izimpawu eziholele ekuvakasheni kwakho esibhedlela azisekho - ezingamahlalakhona futhi ezibukhaliZombili izinhlobo ze-cholecystitis zingaphinde zivele. Amatshe enyongo aseke abangela ukuqubuka kwenyongo kungenzeka ukuthi aphinde avele. Ukuqubuka kwenyongo okuphindaphindiwe kungaholela ekuvuvukeni okungapheli, futhi kokubili kungabangela umonakalo wesikhathi eside. Ukuze kuvinjelwe imiphumela ye-cholecystitis ephindaphindayo, odokotela batusa ukuhlinzwa ukuze kususwe inyongo (i-cholecystectomy) . Lena inqubo evamile, encane enemiphumela embalwa emibi. Kubantu abaningi, lokhu kungenziwa nge-laparoscopically - ngokusebenzisa ukusikwa okuncane okuncane, okwaziwa nangokuthi "ukuhlinzwa kwe-keyhole." Ezimweni eziyinkimbinkimbi kakhulu, ukuhlinzwa okuvulekile kungadingeka.

Kwenzekani ngemva kokuhlinzwa?

Uhlelo lwakho lwenyongo kanye nohlelo lokugaya ukudla kungasebenza kahle ngaphandle kwenyongo yakho. Inyongo empeleni iyindawo yokugcina inyongo, eyenziwa yisibindi. Lapho udokotela ohlinzayo esusa inyongo yakho, ushintsha indlela yokuhambisa inyongo ukuze inyongo igeleze ngqo isuka esibindini sakho iye emathunjini akho amancane. Kungathatha amasonto noma izinyanga ezimbalwa ukuthi umzimba wakho ujwayele lolu shintsho. Phakathi nalesi sikhathi, ungase ube nezimpawu zesikhashana ezifana nalezi:

• Ukuzwa ukucindezeleka noma ubuhlungu ohlelweni lwe-biliary ngenxa yokuhamba kancane kwe-bile.
• Ukudla okunamafutha kunzima ukukugaya, okubangela uhudo kwabanye abantu.

Uyini umbono womuntu one-cholecystitis?

Kungakhathaliseki ukuthi hlobo luni noma imbangela, i-cholecystitis idinga ukwelashwa esibhedlela. Isibhedlela sizokunikeza ukuphumula kobuhlungu ngokushesha futhi sibheke imbangela. Ngokuvamile kuba yitshe lenyongo, nakuba kungenjalo ngaso sonke isikhathi. Ezimweni eziningi, odokotela batusa ukwelashwa okuhlala njalo ngokuhlinzwa. Abantu abaningi bathola imiphumela emihle kakhulu. Uma ingelashwa, izinkinga eziyingozi zingavela.

Ubuhlungu obukhulu besisu buhlala buyisimo esiphuthumayo sezokwelapha. Uma bubonisa izimpawu zobuhlungu benyongo — okungukuthi, uma buvela ngokuzumayo futhi bubuhlungu kakhulu ohlangothini oluphezulu kwesokudla lwesisu, buhambisana nesicanucanu — kuwukuhlakanipha ukuya ngqo egumbini lezimo eziphuthumayo esibhedlela.

Ngisho noma inyongo yakho incane, lonke uhlelo lwakho lwenyongo lungaba sengozini uma lucindezelwa. Izimpawu ze-cholecystitis zingase ziphele, kodwa imbangela eyinhloko isalokhu ikhona. Izimpawu zingase zibuye, futhi i-cholecystitis izoqhubeka nokulimaza inyongo yakho uze uthole ukwelashwa okudingekayo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ekuphetheni, i-cholecystitis akuyona into yokudlala ngayo.

• Uma unezimpawu ezifana nobuhlungu obukhulu ohlangothini oluphezulu kwesokudla lwesisu sakho, isicanucanu, ukuhlanza, kanye nomkhuhlane, kufanele nakanjani ubone udokotela. Ungalibali.
• Ngokuvamile, lokhu kubangelwa amatshe enyongo, kodwa kungaba nezinye izimbangela.
• Ngokwelashwa okufanele, lesi simo singalapheka ngokuphelele. Ngokuvamile, ukususwa kwenyongo ngokuhlinzwa kuyisisombululo esingcono kakhulu.
• Uma ingelashwa , izinkinga ezinkulu ezingaba yingozi ngisho nokuphila zingavela.

Ngakho-ke, uma wena noma othile omaziyo enalezi zimpawu, ungangabazi ukufuna iseluleko sezokwelapha. Ukuhlala uphilile kuyinto ebaluleke kakhulu!