Ingabe nawe uzwa ubuhlungu engxenyeni ephezulu kwesokudla yesisu sakho? Ingabe kungaba yi-Mirizzi Syndrome?

Wake wazizwa ubuhlungu obungavamile noma ukungakhululeki engxenyeni ephezulu kwesokudla yesisu sakho ngemva kokudla ukudla, ikakhulukazi ukudla okunamafutha? Ngezinye izikhathi lobu buhlungu bungahambisana nezimpawu ezifana nokucanuzela kwenhliziyo kanye nokuphuzi kwamehlo, kanye nomkhuhlane. Esikhathini esiningi, lezi zinto zihlobene nezinkinga ezibangelwa amatshe enyongo. Kodwa-ke, kukhona isimo esingavamile kakhulu nesiyinkimbinkimbi, esisibiza ngokuthi i-Mirizzi Syndrome. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe nangokulula.

Iyini i-Mirizzi Syndrome? Masiyiqonde kalula.

Kulungile, ake siqale sibheke ukuthi ayini amatshe enyongo. Inyongo yakho iyisikhwama esincane esiqoqa futhi sigcine inyongo, ekhiqizwa yisibindi. Lenyongo isisiza ukugaya ukudla esikudlayo, ikakhulukazi amafutha. Ngezinye izikhathi okuqukethwe yilenyongo kuyaqina kube izakhiwo ezincane, ezifana namatshe abizwa ngokuthi amatshe enyongo. Iningi labantu alinazo izimpawu uma linala matshe. Kodwa ngezinye izikhathi la matshe angabhajwa emigudwini yenyongo, amapayipi amancane athwala inyongo.

Manje, i-Mirizzi Syndrome iyinkinga ebangelwa amatshe enyongo, kodwa ngendlela ehlukile kancane. Okwenzekayo lapha ukuthi itshe elingaphakathi kwenyongo, noma komunye umsele wenyongo, liba likhulu kangangokuthi licindezela omunye umsele omkhulu wenyongo ogijima eduze. Cabanga nje, lapho amapayipi amabili amanzi edlula eduze, okuthile kuyabhajwa ngaphakathi kwelinye ipayipi bese kuvuvukala kulelo payipi, kucindezele ngaphandle kwelinye ipayipi. Yilokho okwenzekayo nalapha. Lokhu kuvimbela ukugeleza kwenyongo.

Ingabe zikhona izinhlobo ze-Mirizzi Syndrome?

Yebo, odokotela bahlukanisa i-Mirizzi Syndrome ngokwesimo sesimo kanye nobukhulu bomonakalo emigudwini ye-bile. Kalula nje, kwezinye izimo, kukhona ukuncishiswa komgudwini we-bile ngaphandle. Kwezinye izimo eziyinkimbinkimbi kakhulu, kungase kube nokuxhumana okungavamile phakathi kwe-gallbladder kanye nomgudwini we-bile oncishisiwe, obizwa ngokuthi i-fistula. Lokhu kuhlukaniswa kubaluleke kakhulu kodokotela abahlinzayo ukuhlela ukwelashwa. Uma ufuna ukwazi okwengeziwe ngalokhu, ungakhuluma nodokotela wakho.

Sivame kangakanani lesi simo?

I-Mirizzi Syndrome empeleni iyisimo esingavamile kakhulu . Singavamile kangangokuthi sitholakala kubantu abangaphansi kuka-2.5% abahlinzwa i-cholecystectomy. Sivame ukudidaniswa nezinye izimo ezivamile, ngakho odokotela bangasiqinisekisa kuphela ngesikhathi sokuhlinzwa.

Ziyini izimpawu ze-Mirizzi Syndrome?

Izimpawu zalesi simo zingahlukaniswa ngezigaba ezintathu eziyinhloko:

1. Ukuvuvukala: Ungase uzwe ubuhlungu nokuvuvukala engxenyeni ephezulu kwesokudla yesisu sakho. Lobuhlungu bungase buhlale njalo noma bube khona budlule.

2. Ukutheleleka: Umkhuhlane uvame ukuba khona. Izimpawu zingase zihlanganise isicanucanu, ukuhlanza, kanye nesifo sohudo.

3. I-Jaundice: Uphawu oluyinhloko lwalokhu ukuthi isikhumba sakho siphenduka siphuzi, amhlophe amehlo akho aphenduke aphuzi. Ungase ube nomchamo ophuzi/onsundu omnyama kanye nendle enombala okhanyayo (onombala wobumba).

Okubalulekile: Lezi zimpawu aziqondile kwiMirizzi Syndrome. Kodwa-ke, uma unalezi zimpawu, kungasho ukuthi kukhona okungahambi kahle ngohlelo lwakho lwenyongo. Ngakho-ke, kungcono ukufuna iseluleko sezokwelapha ngokushesha. Akuwona wonke umuntu ozoba nazo zonke lezi zimpawu ngesikhathi esisodwa.

Kungani kwenzeka i-Mirizzi Syndrome? Iyini imbangela?

Kalula nje, i-Mirizzi Syndrome ibangelwa ukucindezela kwetshe lenyongo ngaphandle komsele wenyongo. Ake sichaze lokhu kabanzi.

Cabanga ngenyongo yakho njengepheya. Kukhona ingxenye ekhuluphele yepheya, encane kancane phezulu, ivuvukala kancane entanyeni, bese kuba nesiqu. Ngakho-ke, inyongo inesikhwama, intamo (odokotela abayibiza ngokuthi i-infundibulum noma isikhwama sikaHartmann), kanye nomsele we-cystic othwala inyongo ephuma enyongweni.

Inyongo, intamo, kanye nomsele we-cystic yizindawo ezincane kakhulu lapho itshe lenyongo lingase libhajwe khona. Futhi, lezi zakhiwo zisondelene kakhulu. Kwabanye abantu, zisondelene kakhulu kunabanye. Ngakho-ke, uma itshe lenyongo libhajwa kule ndawo, bese likhula futhi livuvukale, licindezela umsele omkhulu wenyongo oseduze (umsele wenyongo ovamile - lena ethwala inyongo isuka esibindini kanye nenyongo iye emathunjini amancane) noma umsele wenyongo ovamile (lena ethwala inyongo isuka esibindini) isuka ngaphandle. Yilapho-ke kuvela khona i-Mirizzi Syndrome.

Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-Mirizzi Syndrome?

Uma lesi simo singelashwa kahle, kungavela ezinye izinkinga. Ezinye izibonelo yilezi:

• I-Cholestasis: Ngenxa yokuthi inyongo ayikwazi ukugeleza kahle, ibuyela esibindini, okubangela ukuvuvukala kwesibindi.
• I-Cholangitis: Ukutheleleka ngamagciwane okubangelwa yinyongo kungasakazekela esibindini, kubangele ukutheleleka okukhulu. Lokhu kuyingozi.
• I-Fistula: Ngenxa yokuvuvukala okuqhubekayo kanye nokuqongelela kwe-bile, izindonga zomsele we-bile zingaba buthakathaka, zidale umgodi ongavamile, noma imbobo.
• I-Jaundice: Ngenxa yokuqongelela kwe-bile, i-pigment bilirubin ekuyo iqongelela egazini, okwenza isikhumba namehlo aphenduke aphuzi.
• Ukungamuncwa: Uma inyongo ingakwazi ukudlula kahle emathunjini amancane, ukugaya ukudla, ikakhulukazi amaprotheni kanye nezinye izakhamzimba, kuyaphazamiseka.

Odokotela bayixilonga kanjani iMirizzi Syndrome?

Odokotela bazokwenza izivivinyo eziningana ukuze bathole amatshe enyongo nezinkinga ezihlobene nawo. Okokuqala, bazokwenza ukuhlolwa ngokomzimba ukuze babheke isisu sakho futhi bahlole ukuvuvukala. Bese bebuza ngezimpawu zakho kanye nomlando wakho wempilo.

Uma unezimpawu zokutheleleka noma i-jaundice, udokotela wakho angase akucele ukuhlolwa kwegazi okufana nalokhu:

• Inani legazi eliphelele (i-CBC)
• Ukuhlolwa kokusebenza kwesibindi

Ngaphezu kwalokho, kungase kwenziwe izivivinyo eziningana zezithombe. Ezinye zalezi zifaka:

• I-ultrasound yesisu
• I-CT scan (i-computed tomography scan)
• I-ERCP (i-Endoscopic Retrograde Cholangiopancreatography): Kule nqubo, kufakwa i-endoscope (ithubhu enekhamera) ngomlomo ukuze kubhekwe imigudu yenyongo.
• I-HIDA scan: Lesi yi-scan ekhethekile ebheka ukusebenza kwe-gallbladder.
• Ukuhlolwa kwe-MRI (magnetic resonance imaging)

Lezi zivivinyo zisiza ekutholeni isimo semibhobho yenyongo, indawo yamatshe, nokuthi ngabe ikhona yini i-Mirizzi Syndrome.

Kuphathwa kanjani lokhu?

Ukwelashwa okuyinhloko kwe-Mirizzi Syndrome ukuhlinzwa . Kodwa-ke, akukho ukuhlinzwa okulingana nakho konke. Ukuhlinzwa kuzokwenziwa ngokwesimo sakho.

Ngokuvamile, inyongo iyasuswa (i-cholecystectomy) bese kulungiswa i-bile duct evalekile. Kwezinye izimo eziyinkimbinkimbi, i-bile duct evalekile ingasuswa, noma kufakwe ithubhu elincane elibizwa ngokuthi i-stent ukuze kugcinwe i-duct ivulekile. Udokotela ohlinzayo angenza lokhu kuhlinzwa ngendlela yokungenelela kancane, okungenziwa nge-laparoscopically (inqubo esebenzisa ikhamera futhi ehilela ukwenza izisike ezincane), noma njengenqubo evulekile (i-laparotomy). Lokhu kuzoncika ebunzimeni besimo sakho.

Ingabe ikhona imiphumela emibi yokwelashwa?

Ukuhlinzwa kwe-Mirizzi Syndrome ngezinye izikhathi kungaba nzima kancane. Ngoba ukuvuvukala kwenza kube nzima ukubona izicubu ezizungezile ngokucacile. Ngakho-ke, uma imigudu ye-bile yonakala ngengozi ngesikhathi sokuhlinzwa, izinkinga ezifana nalezi:

• Ukuvuza kwenyongo
• Ukopha ngokweqile
• Ukusha kwemithambo yakho yenyongo

Futhi, kunezinto ezithile ezingase zibe yinto evamile kunoma yikuphi ukuhlinzwa:

• Ubuhlungu
• Ukopha
• Izifo
• Ukusabela ekubulaweni kwe-anesthesia

Udokotela wakho uzochaza lokhu ngaphambi kokuhlinzwa.

Ayikho yini indlela yokuvimbela ukuthuthukiswa kwalesi sifo iMirizzi Syndrome?

Kunzima ukuvimbela ngokuphelele i-Mirizzi Syndrome. Kodwa-ke, unganciphisa ingozi yakho ngezinga elithile ngokunciphisa izici ezibangela ukwakheka kwamatshe enyongo. Isibonelo, kungumqondo omuhle ukunciphisa ukudla neziphuzo ezine-cholesterol ephezulu. Buza udokotela wakho ukuthi kukhona yini izinto ezithile ongazenza ukuvimbela ukuvaleka kwe-bile duct.

Kuzokwenzekani ngemva kokululama? Uyini umbono?

Isibikezelo kubantu abalulama kwi-Mirizzi Syndrome ngemva kokuhlinzwa ngokuvamile sihle . Into ebalulekile ukuyelapha ngokushesha ngaphambi kokuba kube nemiphumela yesikhathi eside.

Uma umonakalo omkhulu ezithweni zakho kanye nasemiseleni yenyongo, kulapho ukuhlinzwa kuzoba nzima khona. Uma ukuhlinzwa kuba nzima kakhulu, isikhathi sakho sokululama singaba side. Kodwa, ngokuvamile, abantu abaningi bangaphila kahle ngaphandle kwenyongo.

Kufanele ngimbone nini udokotela? Yiziphi izimpawu okufanele ngibe nazo?

Uma ngokuzumayo uba nobuhlungu obukhulu esiswini, kanye nokubanda nokuthuthumela, isicanucanu, umkhuhlane, noma izimpawu ze-jaundice (njengomchamo omnyama nendle ekhanyayo), bona udokotela ngokushesha .

Futhi, uma uba nezimpawu zokutheleleka okuyingozi okubizwa ngokuthi i-sepsis (njengokushaya kwenhliziyo okusheshayo, ukujuluka, kanye nobunzima bokuphefumula) ngemva kokuhlinzwa, kuyisimo esiphuthumayo esisongela ukuphila. Ngakho-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa usizo lwezokwelapha ngokushesha.

Ingabe kukhona ukuxhumana phakathi kweMirizzi Syndrome nomdlavuza?

Ucwaningo luthole ukuthi abantu abane-Mirizzi Syndrome basengozini encane yokuba nomdlavuza wenyongo. Kodwa-ke, lokhu akusho ukuthi i-Mirizzi Syndrome ngokwayo ibangela umdlavuza.

Ochwepheshe bakholelwa ukuthi izimo ezifanayo ezibangela i-Mirizzi syndrome (okungukuthi, ukuvuvukala okungapheli, ukugcinwa kwe-bile enyongweni) nazo zinegalelo ekukhuleni komdlavuza. Ngokwezibalo, phakathi kuka-5% no-28% wabantu abane-Mirizzi syndrome batholakale benomdlavuza wenyongo.

Ingabe lesi simo singaba yingozi?

I-Mirizzi Syndrome iyelapheka .isimo. Kodwa-ke, uma uqala ukwelashwa sekwephuzile, ingozi iba nkulu. Izinga lokufa elihambisana nalesi simo kubikwa ukuthi liphakathi kuka-5% no-30%. Kungabangelwa izinto ezifana ne-sepsis, ukwehluleka kwesibindi, noma umdlavuza we-gallbladder.

Ungase ube nobuhlungu besisu ngezikhathi ezithile ngemva kokudla. Kodwa uma uvuka ekuseni unobuhlungu besisu obuqhubekayo, umkhuhlane, noma isicanucanu, kungaba uphawu lwenkinga enkulu. Ungase ungazi nokuthi unamatshe enyongo. Kodwa-ke, uma ekhula ngokwanele ukuvimba umgudu wenyongo, izimpawu zingaba zimbi kakhulu futhi zivame kakhulu. Uma uzizwa sengathi kukhona okungahambi kahle, ungalindi. Uma ushesha ukufuna usizo lwezokwelapha, kungcono.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Ngakho-ke, ngithemba ukuthi usunokuqonda okungcono ngesimo esingavamile esibizwa ngokuthi i-Mirizzi Syndrome esixoxe ngaso namuhla. Khumbula:

• Uma unezimpawu ezifana nobuhlungu obungapheli ohlangothini oluphezulu kwesokudla lwesisu sakho, umkhuhlane, noma i-jaundice, ungazinaki .
• Funa iseluleko sezokwelapha ngokushesha. Uma lesi sifo sisheshe siqashelwa futhi selashwa, izinkinga ongaba nazo ziyancipha futhi kululame ngokushesha.
• Uma wazi ukuthi unamatshe enyongo, landela imiyalelo kadokotela wakho ngqo.
• Ukudla ukudla okunempilo kungasiza ekunciphiseni ingozi yokuthola amatshe enyongo.

Uma uneminye imibuzo, ungangabazi ukukhuluma nodokotela womndeni wakho noma uchwepheshe. Hlala uphilile!

I-Mirizzi Syndrome, amatshe enyongo, i-bile duct, i-jaundice, ubuhlungu besisu, ukuhlinzwa, i-cholecystectomy