Cholecystitis engapheliyo

I-cholecystitis engapheliyo kukudumba kunye nokucaphuka kwe-gallbladder eqhubeka ngokuhamba kwexesha.

I-gallbladder yingxowa ephantsi kwesibindi. Igcina i-bile eyenziwe kwisibindi.

Ibile iyanceda ekucoleni amafutha kumathumbu amancinci.

Uninzi lwexesha, i-cholecystitis engapheliyo ibangelwa kukuhlaselwa okuphindaphindiweyo kwe-cholecystitis etsolo (ngesiquphe). Uninzi lolu hlaselo lubangelwa ngamatye enyongo kwinyongo.

Olu hlaselo lubangela ukuba iindonga ze-gallbladder zijiye. I-gallbladder iqala ukuncipha. Ngokuhamba kwexesha, i-gallbladder ayinakukwazi ukugxila, ukugcina nokukhupha i-bile.

Esi sifo senzeka rhoqo kwabasetyhini kunamadoda. Kuqheleke kakhulu emva kweminyaka engama-40. Iipilisi zolawulo lokuzalwa kunye nokukhulelwa zizinto ezonyusa umngcipheko wamatye enyongo.

I-cholecystitis eyi-acute yimeko ebuhlungu ekhokelela kwi-cholecystitis engapheliyo. Akucaci ukuba cholecystitis engapheliyo ibangela naziphi na iimpawu.

Iimpawu zecholecystitis etsolo zinokubandakanya:

• Sharp, cramping, okanye iintlungu ezingathandekiyo kumantla aphezulu okanye kwindawo ephezulu yesisu sakho
• Intlungu eqinileyo ihlala malunga nemizuzu engama-30
• Intlungu esasazeka emqolo wakho okanye ngaphantsi kwegxalaba lakho lasekunene
• Izitulo zombala wodongwe
• Ifiva
• Isicaphucaphu nokugabha
• Ukuthungwa kwesikhumba kunye nabamhlophe bamehlo (i-jaundice)

Umboneleli wakho wezempilo unokuyalela olu vavanyo lwegazi lulandelayo:

• I-Amylase kunye ne-lipase ukuze kuchongwe izifo zepancreas
• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lomsebenzi wesibindi ukuze kuvavanywe ukuba isibindi sisebenza njani

Uvavanyo olubonisa i-gallstones okanye ukuvuvukala kwi-gallbladder kubandakanya:

• I-ultrasound yesisu
• Ukuskena kwe-CT esiswini
• Ukukhangela kweGallbladder (ukuskena kweHIDA)
• I-cholecystogram yomlomo

Utyando lolona nyango luqhelekileyo. Utyando lokususa i-gallbladder ibizwa ngokuba yi-cholecystectomy.

• I-laparoscopic cholecystectomy idla ngokwenziwa. Olu tyando lusebenzisa ukusikeka okuncinci kotyando, okubangela ukubuyela kwimeko yesiqhelo ngokukhawuleza. Abantu abaninzi bayakwazi ukugoduka besuka esibhedlele ngosuku olunye notyando, okanye ngentsasa elandelayo.
• I-cholecystectomy evulekileyo ifuna ukusikwa okukhulu kwinxalenye ephezulu yesisu.

Ukuba ugula kakhulu ukuba ungatyandwa ngenxa yezinye izifo okanye iimeko, inyongo inokunyibilika ngamayeza owathatha ngomlomo. Nangona kunjalo, oku kungathatha iminyaka emi-2 okanye ngaphezulu ukusebenza. Amatye anokubuya emva konyango.

ICholecystectomy yinkqubo eqhelekileyo enomngcipheko ophantsi.

Iingxaki zinokubandakanya:

• Umhlaza we-gallbladder (kunqabile)
• I-jaundice
• Ipancreatitis
• Ukutshintsha kwemeko

Fowunela umnikezeli wakho ukuba uphuhlisa iimpawu zecholecystitis.

Le meko ayisoloko inokuthintelwa. Ukutya ukutya okunamafutha amancinci kunokunciphisa iimpawu ebantwini. Nangona kunjalo, izibonelelo zokutya okunamafutha asezantsi aziboniswanga.

ICholecystitis - engapheliyo

• Ukususwa kwe-gallbladder-laparoscopic-discharge
• Ukususwa kwenyongo - ukuvulwa okuvulekileyo
• Gallstones - ukukhutshwa

• Cholecystitis, uvavanyo lwe-CT
• Cholecystitis - cholangiogram
• ICholecystolithiasis
• Amatye egall, cholangiogram
• ICholecystogram

IQuigley BC, iAdsay NV. Izifo ze-gallbladder. Ku: Burt AD, Ferrell LD, Hubscher SG, ii-eds. IMacSween's Pathology yesibindi. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 10.

I-ND. Isibindi kunye nenyongo. Ku: Kumar V, Abbas AK, Aster JC, ii-eds. Robbins kunye neCotran Pathologic Isiseko seZifo. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 18.

U-Wang DQH, u-Afdhal NH. Isifo seGallstone. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.