Cholecystitis Acute kunye ezingapheliyo: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• 1. cholecystitis ebukhali
• 2. cholecystitis engapheliyo
• Indlela yokuqinisekisa ukuxilongwa
• Zintoni izizathu
• Unyango lwenziwa njani

Ikhoholecystitis kukudumba kwenyongo, isingxobo esincinci esidibana nesibindi, kwaye sigcina inyongo, ulwelo olubaluleke kakhulu ekucoleni amafutha. Oku kudumba kunokuba nzima, kubizwa ngokuba yi-cholecystitis ebukhali, kunye neempawu eziya zisiba mandundu ngokukhawuleza, okanye ezingapheliyo, ezineempawu eziqinileyo ezihlala iiveki ukuya kwiinyanga.

I-cholecystitis ibangela imiqondiso kunye neempawu ezinjenge-colic esiswini, isicaphucaphu, ukugabha, umkhuhlane kunye nokuthamba kwesisu. Intlungu engaphezulu kweeyure ezingama-6 inceda ukwahlula phakathi kwe-cholecystitis etsolo kunye nentlungu engapheliyo ye-cholelithiasis.

Ukudumba okubukhali kwenyongo kunokwenzeka ngeendlela ezi-2:

• Cholecystitis yelithiasic okanye ukubala: sesona sizathu siphambili secholecystitis kwaye sihlala sixhaphakile kubafazi abaneminyaka ephakathi. Kwenzeka xa ilitye, elibizwa ngokuba lilitye, libangela ukuphazamiseka kwendlela ekhupha inyongo. Ke, i-bile iqokelela kwi-gallbladder kwaye iyenze ukuba iphazamiseke kwaye idume. Qonda ukuba yintoni ebangela ilitye lenyongo;

  
  
• I-cholecystitis yealithiasic: kunqabile ngakumbi kwaye kubangela ukudumba kwe-gallbladder ngaphandle kobukho bamatye. Iimpawu ziyafana nele lithiicic cholecystitis, kodwa unyango lunzima kwaye lunethuba elibi lokunyanga, njengoko kuhlala kwenzeka kubantu abagula kakhulu.

Ngayiphi na imeko, icholecystitis kufuneka inyangwe ngokukhawuleza, kwaye umntu akufuneki alinde ixesha elide kuneeyure ezingama-6 emva kokuqala kweempawu, ukunqanda iingxaki ezinzulu njengokuqhekeka kwenyongo okanye usulelo ngokubanzi.

Iimpawu eziphambili

Olona phawu luphawu lwecholecystitis yintlungu esiswini, nangona kunjalo, ezinye iimpawu zinokwahluka ukuba sisifo esibuhlungu okanye esingapheliyo.

1. cholecystitis ebukhali

Kwiimeko ezininzi, iimpawu kunye neempawu zecholecystitis zibandakanya:

• Intlungu ye-Colic kwindawo ephezulu yesisu, ihlala ngaphezulu kweeyure ezingama-6. Le ntlungu ingaqala ngaphezulu kwenkaba uze uhambe uye ngasekunene ngaphezulu;
• Intlungu yesisu ephuma egxalabeni lasekunene okanye ngasemva;
• Ubuntununtunu esiswini ngexesha lokucofa kuvavanyo lonyango;
• Isicaphucaphu nokugabha, ngaphandle kokutya;
• Umkhuhlane, ngaphantsi ko 39ºC;
• Ukubonakala kwe-malaise ngokubanzi;
• Ukubetha kwentliziyo okukhawulezayo;
• Isikhumba esimthubi namehlo, kwezinye iimeko.

Ukongeza kule miqondiso, ugqirha ujonga uphawu lwe-Murphy, oluqheleke kakhulu kwi-cholecystitis kwaye equlathe ukucela umntu ukuba aphefumle nzulu, ngelixa ecofa isisu ngasekunene. Isiginali ithathwa njengelungileyo kwaye, ke ngoko, ibonisa cholecystitis, xa umntu ebambe umphefumlo, esilela ukuqhubeka nokuphefumla.

Iimpawu ezibonisiweyo zihlala zibonakala malunga neyure enye okanye ngaphezulu emva kokutya ukutya okunamafutha, njengoko inyongo isetyenziswa ngumzimba ukunceda ukucola amafutha kunye nokufunxa izondlo.

Nangona kunjalo, kwizigulana ezingaphezulu kweminyaka engama-60 okanye nangaphezulu ebuthathaka, iimpawu zinokwahluka. Kwiimeko ezinjalo, kubalulekile ukuba wazi ezinye iimpawu ezinje ngokudideka kwengqondo, umkhuhlane kunye nokubanda, ulusu oluhlaza. Kule meko, kuya kufuneka uye esibhedlele ngokukhawuleza.

2. cholecystitis engapheliyo

I-cholecystitis engapheliyo kukudumba okuhlala ixesha elide. Kubangelwa yinkqubo efanayo naleyo ye-cholecystitis ebukhali, kwaye inokuthi okanye ingadibani nobukho belitye.

Iimpawu zihlala zivela emva kokutya ukutya okunamafutha aphezulu kunye nasekupheleni kosuku, kuyafana necholecystitis ebukhali, kodwa yomelele:

• Iintlungu kwinxalenye ephezulu yesisu, ziqengqeleka egxalabeni lasekunene okanye ngasemva;
• Ubunzima beentlungu, eziphucula emva kweeyure ezimbalwa, i-bicic colic;
• Ubuntununtunu esiswini ngexesha lokucofa kuvavanyo lonyango;
• Isicaphucaphu, ukugabha, ukungabi namdla wokutya, ukuziva udumbile kunye nokunyusa irhasi;
• Ukuziva ungonwabanga;
• Isikhumba esimthubi namehlo, kwezinye iimeko.

I-cholecystitis engapheliyo ibonakala ibangelwa ziziqwengana ezincinane ze-gallbladder inflammation, eyenzeka amatyeli aliqela, ekuhambeni kwexesha. Ngenxa yezi ngxaki ziphindaphindiweyo, i-gallbladder inokutshintsha, iye incinci kwaye ibe neendonga ezixineneyo. Inokuphelisa iingxaki, ezinje ngokubalwa kweendonga zayo, ezibizwa ngokuba yi-porcelain vesicle, ukuyilwa kwefistula, ukudumba kwenkunkuma okanye ukukhula komhlaza.

Indlela yokuqinisekisa ukuxilongwa

Xa kuvela iimpawu zokuphikiswa yicholecystitis, kuyacetyiswa ukuba ubonane nogqirha okanye ugqirha wamazinyo ukuba ahlalutye imeko kwaye enze uvavanyo lokuqonda isifo, njengokuvavanywa kwegazi, i-ultrasound okanye icholecintilography.

I-Cholecintilografi ihlala isetyenziswa xa isiphumo se-ultrasound singacacanga ngokwaneleyo ukuvavanya ukuba i-gallbladder iyaqina okanye iyatsha, okanye ukuba inengxaki yokuyizalisa.

Zintoni izizathu

Kwiimeko ezininzi, icholecystitis ibangelwa ngamatye enyongo, abangela ukuba ukuhamba kwenyongo kuthintelwe kwisitishi esibizwa ngokuba ngumjikelo wecystic, ovumela inyongo ukuba iphume kwi-gallbladder. Uninzi lwamatyala ayenzeka ngokunxulumene nemeko yenyongo, enokuthi okanye ingenayo impawu, malunga ne-¼ yabantu abanamatye ekunokwenzeka ukuba baphuhlise i-cholecystitis ebukhali ngexesha elithile.

Ngamanye amaxesha, isithintelo asibangelwa lilitye, kodwa sisigaqa, ithumba, ubukho be-parasites okanye nasemva kotyando kwimibhobho yenyongo.

Kwiimeko ze-alitiásic cholecystitis, ukudumba kwenyongo kwenzeka ngenxa yezizathu ezingakaqondakali kakuhle, kodwa abantu abadala, abagula kakhulu, abaye benza utyando olunzima okanye abanesifo seswekile, umzekelo, basemngciphekweni.

Unyango lwenziwa njani

Unyango lwecholecystitis luhlala luqala ngokwamkelwa esibhedlele ukunceda ukulawula ukudumba kunye nokuthomalalisa iintlungu, emva koko kwenziwe utyando lwesinyongo. Ngokuqhelekileyo kucetyiswa ukuba i-gallbladder iqhutywe kwiintsuku zokuqala ezi-3 zokuqala kokuvuvukala okukhulu.

Ke, unyango lunokubandakanya:

• Ngokukhawuleza: njengoko i-gallbladder isetyenziselwa ukwetyisa, ugqirha unokucebisa ukuyeka ukutya kunye namanzi kangangexesha elithile ukunciphisa uxinzelelo kwi-gallbladder kunye nokuphucula iimpawu;
• Ulwelo ngqo emthanjeniNgenxa yokuthintela ukutya okanye ukusela, kubalulekile ukugcina i-hydration yomzimba nge-saline ngqo emthanjeni;
• Amayeza okubulala iintsholongwane: ngaphezulu kwesiqingatha samatyala, i-gallbladder iyasuleleka kwisithuba seeyure ezingama-48 emva kokuqala kwecholecystitis, njengoko ukusasazeka kwayo kuququzelela ukwanda kwebhaktheriya ngaphakathi;
• Ukuphelisa iintlungu: inokusetyenziswa de iintlungu ziphumle kwaye nokwehla kokudumba kwenyongo;
• Utyando ukususa i-gallbladder: I-laparoscopic cholecystectomy yeyona ndlela iphambili yotyando ukunyanga icholecystitis. Le ndlela ivumela ukubuyela kwimeko yesiqhelo ngokukhawuleza, kuba ayinaburhalarhume emzimbeni. Qonda ukuba uqhaqho lwenyongo lwenziwa njani kwaye uchacha.

Kwiimeko apho i-cholecystitis inzima kakhulu kwaye isiguli singakwazi ukwenza utyando kwangoko, kwenziwa i-gallbladder drain, enceda ekususeni ubofu kwinyongo kunye nokunciphisa ukudumba, ngaloo ndlela ikwazi ukuvula umjelo ophazamisekileyo. Kwangelo xesha, kulawulwa amayeza okubulala iintsholongwane ukuthintela inyongo ekuthini ingosuleleki. Emva kokuba imeko izinzile ngakumbi, utyando lokususa i-gallbladder lunokwenziwa.