Wake wezwa "ngamatshe enyongo"? Mhlawumbe omunye wamalungu omndeni wakho noma umngane wakhe wake waba nalesi simo. Kalula nje, lezi yizicucu eziqinile, ezifana namatshe ezakha ngaphakathi kwenyongo yakho, isitho esincane esitholakala ngaphansi kwesibindi sakho. Udokotela wakho angase futhi abize lesi simo ngokuthi "i-cholelithiasis."
Umsebenzi we-gallbladder kanye nendlela amatshe akheka ngayo
Kulungile, ake siqale sibone ukuthi kwenzekani ngenyongo. Umsebenzi oyinhloko wenyongo ukugcina i-'bile' okwesikhashana, noma uketshezi esilubiza ngokuthi `(inyongo), olusisiza ekugayeni ukudla esikudlayo, ikakhulukazi ukudla okunamafutha. Le 'nyongo' ikhiqizwa esibindini. Ngaphezu kokusisiza ekugayeni ukudla, le 'nyongo' isetshenziselwa nokususa imfucuza efana ne-cholesterol eningi kanye ne-bilirubin emzimbeni.
Ngakho-ke, uma ngesizathu esithile inani le-cholesterol noma i-bilirubin kule 'bile' likhuphuka, noma uma ibhalansi yamakhemikhali ku-'bile' ilahleka, ayaqoqana futhi aqine abe amatshe. Yilokho esikubiza ngokuthi amatshe enyongo. Lawa matshe angaba mancane njengesihlabathi, noma abe makhulu njengebhola legalofu. Abanye abantu bangaba netshe elilodwa elikhulu, kanti abanye bangaba namakhulu amatshe amancane.
Esikhathini esiningi, la matshe awabangeli zimpawu noma ubuhlungu. Siwabiza ngokuthi “amatshe enyongo athule.” Inkinga iqala lapho itshe libhajwa emgudwini wenyongo. Yilapho-ke kuqala khona ubuhlungu obukhulu.
Izinhlobo eziyinhloko zamatshe enyongo
Amatshe enyongo angahlukaniswa ngezinhlobo ezimbili eziyinhloko.
| Uhlobo lwetshe | Incazelo |
|---|---|
| Amatshe e-cholesterol | Lezi yizinhlobo ezivame kakhulu (cishe u-80%). Zakhiwe kakhulu yi-cholesterol enganyibiliki. Ngokuvamile zinombala ophuzi-oluhlaza okotshani. |
| Amatshe e-pigment | Lezi zinombala onsundu noma omnyama ngoba zenziwe kakhulu nge-bilirubin. Abantu abanesifo sesibindi kanye nezinkinga zegazi ezifana ne-sickle cell anemia banamathuba amaningi okuthola lezi zinhlobo zamatshe. |
Wazi kanjani ukuthi unamatshe enyongo? (Izimpawu)
Njengoba ngishilo ngaphambili, abantu abaningi banamatshe kodwa ababonisi zimpawu. Izimpawu zenzeka kuphela uma itshe livimba umsele wenyongo othwala inyongo ephuma enyongweni. Lokhu kubizwa ngokuthi "ukuhlaselwa yinyongo" noma "inyongo yenyongo". Izimpawu zingafaka:
- Ubuhlungu obungazelelwe nobunamandla ohlangothini oluphezulu kwesokudla lwesisu, ngaphansi kwezimbambo.
- Ubuhlungu besisu busakazekela ehlombe lesokudla noma emhlane ophakathi.
- Isicanucanu nokuhlanza.
- Ezinye izinkinga zokugaya ukudla njengokuqunjelwa, ukungagayi kahle kokudla, isilungulela kanye nokuqunjelwa.
Luhlobo luni lobuhlungu?
Ubuhlungu betshe lenyongo bungaba bukhulu kakhulu. Abanye bathi kuzwakala sengathi ummese ubagwaza. Ubuhlungu bukhulu kangangokuthi abanye abantu bacabanga ukuthi ukuhlaselwa yinhliziyo.
- Ubuhlungu buvame ukuqala ngemva kokudla okunamafutha amaningi.
- Ngezinye izikhathi ubuhlungu bungaba bukhulu ngokwanele ukuthi bukuvuse ebusuku.
- Ubuhlungu bungahlala kusukela kumaminithi angu-15 kuya emahoreni amaningana.
- Uma itshe selisusiwe endaweni lapho libhajwe khona, ubuhlungu buzophela ngokuzenzakalelayo.
| Uma uhlangabezana nalezi zimpawu, xhumana nodokotela ngokushesha! | |
|---|---|
| ⚠️ | Uma ubuhlungu besisu sakho buhlala isikhathi esingaphezu kwamahora amabili noma bungabekezeleleki. |
| ⚠️ | Uma unomkhuhlane kanye nokubanda kanye nobuhlungu. |
| ⚠️ | Uma isikhumba noma amehlo akho ephenduka aphuzi (lokhu sikubiza ngokuthi i-jaundice). |
| Esimweni esinjalo, bona udokotela wakho ngokushesha. Noma uye ngqo e -Emergency Treatment Unit (ETU) yesibhedlela. | |
Ubani osengozini enkulu yokuthola amatshe enyongo?
Abanye abantu banamathuba amaningi okuthola amatshe enyongo kunabanye. Nazi ezinye zezinto ezibangela ingozi:
- Ukuba ngowesifazane: Abesifazane banamathuba amaningi okukhula ngamatshe kunabesilisa.
- Ukuba neminyaka engaphezu kwengu-40 ubudala.
- Ukukhuluphala ngokweqile: Abantu abakhuluphele ngokweqile basengozini enkulu.
- Umlando womndeni: Uma othile emndenini wakho eke waba namatshe enyongo, kungenzeka kakhulu ukuthi nawe ube nawo.
- Ukukhulelwa: Ingozi ingase ikhuphuke kancane ngenxa yama-hormone akhishwa ngesikhathi sokukhulelwa.
- Ukwehla kwesisindo ngokushesha: Ukulahlekelwa isisindo esiningi ngesikhathi esifushane nakho kuyimbangela.
- Ezinye izimo zezokwelapha: Izimo ezifana nesifo sikashukela, isifo sikaCrohn, kanye nesifo sokuqina kwesibindi.
- Ukudla: Ukudla ukudla okunamafutha amaningi, i-cholesterol, kanye ne-fiber ephansi.
- Imithi ethile: Kulabo abathatha amaphilisi okuvimbela inzalo noma ukwelashwa kokushintsha ama-hormone.
Udokotela angaqinisekisa kanjani ukuthi lokhu kuyitshe lenyongo?
Ngemva kokulalela izimpawu zakho nokukuhlola, udokotela wakho angenza izivivinyo eziningana ukuqinisekisa isimo.
- I-Ultrasound Yesisu: Lolu uhlobo lokuhlola oluvame kakhulu nolulula kakhulu ukulwenza. Lungabona ngokucacile ukuthi kukhona amatshe yini enyongweni yakho yenyongo kanye nemisele yenyongo.
- Ukuhlolwa kwegazi: Lokhu kungasiza ekuhloleni izifo, ukuvaleka kwe-bile duct, noma ezinye izinkinga.
- Ezinye izikena: Kwezinye izimo, ungase uthunyelwe ukuze uthole izikena ezikhethekile ezifana ne-'CT` scan, `MRCP` (Magnetic Resonance Cholangiopancreatography), kanye ne-'HIDA` scan.
Yiziphi izindlela zokwelapha amatshe enyongo?
Ukwelashwa kuncike ekutheni unezimpawu noma cha.
Uma une-"buthule gallstones" engenazo izimpawu, ngokuvamile akudingeki ukwelashwa. Udokotela wakho uzokutshela ukuthi uwaqaphele.
Kodwa-ke, uma uzwa ubuhlungu nezinye izimpawu, ungase udinge ukwelashwa. Ukwelashwa okuvame kakhulu ukuhlinzwa ukuze kususwe ngokuphelele inyongo.
Ukususwa kwenyongo ngokuhlinzwa (i-Cholecystectomy)
Ungase uzibuze, "O, ungaphila ususiwe inyongo yakho?"Yebo, ungakwazi ngaphandle kwezinkinga. Uma inyongo isiphelile, inyongo ekhiqizwa esibindini igeleza ngqo emathunjini amancane. Umzimba uyajwayela lokhu ngemva kwesikhashana.
Ukuhlinzwa kwenziwa ngezindlela ezimbili eziyinhloko:
1. I-Laparoscopic Cholecystectomy: Lena inqubo evame kakhulu namuhla. Kwenziwa izimbobo ezimbalwa ezincane esiswini, kufakwa ikhamera kanye nezinsimbi ezikhethekile, bese kususwa inyongo. Le nqubo ingenziwa ngokushesha, futhi ukuhlala esibhedlela kuvame ukuba kufushane njengosuku olulodwa.
2. Ukususwa kwe-Cholecystectomy: Lena inqubo lapho inyongo isuswa khona ngokusikwa okukhulu esiswini. Lokhu kwenziwa uma kukhona ukutheleleka okukhulu noma ezinye izinkinga. Kuthatha isikhathi ukululama.
Ukwelashwa okungenziwa ngaphandle kokuhlinzwa
Kumuntu onezinye izimo zezokwelapha ezenza ukuhlinzwa kungenzeki, ezinye izindlela zokwelapha zingacatshangelwa.
- Imithi: Kunemithi engancibilikisa amatshe e-cholesterol. Kodwa le mithi isetshenziswa kuphela kumatshe amancane kakhulu. Futhi ukwelashwa kungathatha izinyanga, ngisho neminyaka. Uma ukwelashwa sekumisiwe, amatshe angaphinde avele.
- Indlela ye-ERCP: Indlela ebizwa ngokuthi i-Endoscopic Retrograde Cholangiopancreatography (ERCP) isetshenziselwa ukususa amatshe anamathele emigudwini yenyongo.
Ingabe amatshe enyongo angavinjelwa?
Nakuba singenakukwazi ukushintsha ezinye izinto eziyingozi (njengobudala nomlando womndeni), singayinciphisa le ngozi ngokushintsha indlela yethu yokuphila.
- Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kuyisici esikhulu esiyingozi. Kodwa-ke, unganciphisi isisindo esiningi ngesikhathi esisodwa. Yehlisa isisindo kancane kancane, ngendlela enempilo.
- Yidla ukudla okulinganiselayo: Nciphisa ukudla okusheshayo nokudla okucutshungulwe okunamafutha amaningi, amafutha, noshukela. Faka ukudla okune-fiber eningi njengemifino, izithelo, kanye nokolweni ophelele ekudleni kwakho.
- Vivinya umzimba njalo: Zivocavoce, njengokuhamba, okungenani imizuzu engama-30 ngosuku.
- Ungayeki ukudla: Ukuzila ukudla amahora amaningi kungandisa ingozi yokuthi inyongo iqongelelane enyongweni bese kwakheka amatshe. Ngakho-ke ungayeki ukudla kwakho okuyinhloko.
Umlayezo Wokuya Nawe Ekhaya
- Amatshe enyongo ayisifo esivame kakhulu. Esikhathini esiningi, awabangeli zimpawu.
- Ubuhlungu obukhulu obungazelelwe engxenyeni ephezulu kwesokudla yesisu kungaba uphawu olukhulu lwe-gallstone.
- Uma unezimpawu ezifana nobuhlungu obungabekezeleleki, umkhuhlane, ukubanda, noma ukuphuzi kwamehlo/isikhumba, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ukwelashwa okungcono kakhulu nokuhlala njalo kwamatshe enyongo abangela izimpawu ukususwa kwenyongo ngokuhlinzwa.
- Ukudla okunempilo kanye nendlela yokuphila esebenzayo kunganciphisa ingozi yokuthola amatshe enyongo. Uma unokungabaza noma imibuzo, khuluma nodokotela wakho njalo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho