Yintoni omele uyenze ukuba uneLallbladder Attack

Umxholo

• Ngaba ndihlaselwa yinyongo?
• Yintoni i-gallbladder?
• Ngaba ngamatye enyongo?
• Kuthekani ngezinye iingxaki ze-gallbladder ezibangela iintlungu?
• Iimpawu zokuhlaselwa kwe-gallbladder
• Nini ukubona ugqirha
• Unyango lokuhlaselwa kwe-gallbladder
• Amayeza
• Ugqirha
• Ukuthintela olunye uhlaselo
• Yintoni imbonakalo?

Ngaba ndihlaselwa yinyongo?

Ukuhlaselwa kwe-gallbladder kukwabizwa ngokuba kukuhlaselwa ngamatye, i-cholecystitis etsolo, okanye i-biliary colic. Ukuba unentlungu kwicala lasekunene lesisu sakho, kunokuba kunxulumene ne-gallbladder yakho. Gcina ukhumbule ukuba kukho ezinye izizathu zentlungu kule ndawo. Oku kubandakanya:

• isilungulela (GERD)
• isihlomelo
• hepatitis (ukudumba kwesibindi)
• isilonda (esiswini) sesilonda
• ukukrala kwemiphunga
• hernia yokuzalwa
• usulelo lwezintso
• amatye ezintso
• ithumba lesibindi
• i-pancreatitis (ukudumba kwepancreas)
• Usulelo lwe-shingles
• ukuqhina okunzima

Yintoni i-gallbladder?

I-gallbladder yingxowa encinci kwisisu esisekunene, ngezantsi kwesibindi sakho. Ijongeka ngathi yipeya esecaleni. Owona msebenzi wawo kukugcina malunga neepesenti ezingama-50 zenyongo (inyongo) eyenziwe sisibindi.

Umzimba wakho ufuna i-bile ukunceda ukwahlula amafutha. Olu lwelo lukwanceda ukuba ufumane ezinye iivithamini kukutya. Xa usitya ukutya okunamafutha, inyongo ikhutshwa kwinyongo kunye nesibindi siye emathunjini. Ukutya kugaywa ikakhulu emathunjini.

Ngaba ngamatye enyongo?

Amatye egall amancinci, alukhuni "ngamatye" alukhuni enziwe ngamafutha, iiproteni, kunye neeminerali emzimbeni wakho. Ukuhlaselwa kwe-gallbladder kwenzeka xa ama-gallstones evimba i-bile duct okanye ityhubhu. Xa oku kusenzeka, inyongo iyakha kwi-gallbladder.

Ukuvalwa kunye nokudumba kubangela iintlungu. Uhlaselo luhlala luyeka xa iinyongo zihamba kwaye i-bile inokuphuma.

Zimbini iintlobo eziphambili zeenyongo:

• Amatye eecholesterol. Ezi zenza olona hlobo luqhelekileyo lwamatye enyongo. Zibukeka zimhlophe okanye zimthubi kuba zenziwe ngecholesterol okanye ngamafutha.
• Amatye enyongo. La matye enyongo enziwa xa i-bile yakho ine-bilirubin eninzi. Zintsundu ngombala okanye zimnyama ngombala. I-Bilirubin ngumbala okanye umbala owenza iiseli ezibomvu zegazi zibomvu.

Unokuba namatye enyongo ngaphandle kokuhlaselwa yinyongo. E-United States, malunga neepesenti ze-9 zabasetyhini kunye neepesenti ze-6 zamadoda zinama-gallstones ngaphandle kweempawu. Iigallstones ezingathinteli i-bile duct zihlala zingenakubangela zimpawu.

Kuthekani ngezinye iingxaki ze-gallbladder ezibangela iintlungu?

Ezinye iintlobo zeengxaki ze-gallbladder ezingabangela intlungu zi:

• i-cholangitis (i-bile duct inflammation)
• ukuvalwa kwenyongo yamdaka
• ukuqhekeka kwenyongo
• isifo se-gallalladial acalculous okanye i-gallbladder dyskinesia
• ezinepolyps senyongo
• umhlaza senyongo

Iimpawu zokuhlaselwa kwe-gallbladder

Ukuhlaselwa kwe-gallbladder kudla ngokwenzeka emva kokuba utye isidlo esikhulu. Oku kwenzeka ngenxa yokuba umzimba wakho wenza inyongo engakumbi xa usitya ukutya okunamafutha. Kungenzeka ukuba uhlaselo ngokuhlwa.

Ukuba uye wahlaselwa yinyongo, usemngciphekweni omkhulu wokuba nomnye. Iintlungu ezivela kuhlaselo lwenyongo zihlala zahlukile kwezinye iintlungu zesisu. Unokuba:

• iintlungu ngequbuliso kwaye ezibukhali ezihlala imizuzu ukuya kwiiyure
• iintlungu ezibandayo okanye ezixineneyo eziba mandundu ngokukhawuleza kwinxalenye ephezulu yesisu sakho
• iintlungu ezibukhali embindini wesisu sakho, ngezantsi nje kwethambo lesifuba
• Intlungu ebuhlungu eyenza kube nzima ukuhlala uzolile
• iintlungu ezingabi mandundu okanye ezitshintshayo xa ushukuma
• ukuthamba kwesisu

Iintlungu ezivela kuhlaselo lwenyongo zinokusasazeka ukusuka esiswini ukuya:

• buya umva phakathi kwamagxa
• igxalaba lasekunene

Unokuba nezinye iimpawu zokuhlaselwa kwe-gallbladder, njenge:

• isicaphucaphu
• ukugabha
• ifiva
• Ukugodola
• ulusu kunye namehlo atyheli
• umchamo omnyama okanye weti
• ukukhanya okanye intsimbi enemibala yodongwe

Ukuhlaselwa kwe-gallbladder kunokukhokelela kwezinye iingxaki, ezinokubangela ezinye iimpawu. Umzekelo, inokubangela iingxaki zesibindi. Oku kwenzeka ngenxa yokuba ukuvalwa kwendlela kunokuxhasa i-bile kwisibindi. Oku kungasusa i-jaundice-tyheli kulusu lwakho kunye namhlophe ngamehlo akho.

Ngamanye amaxesha i-gallstones inokuthintela indlela eya kwi-pancreas. Ipancreas ikwenza neencindi zokwetyisa ezikunceda ukuba uqhekeze ukutya. Ukuvaleka kungakhokelela kwingxaki ebizwa ngokuba yi-gallstone pancreatitis. Iimpawu zifana nokuhlaselwa kwe-gallbladder. Unokuba nentlungu kwisisu esisekhohlo.

Nini ukubona ugqirha

Kuphela malunga nesinye kwisithathu sabantu abane-gallstones baya kuba nokuhlaselwa ngamatye okanye iimpawu ezinzima. Ukuhlaselwa kwe-gallbladder yimeko engxamisekileyo yezonyango efuna ukhathalelo kwangoko. Unokufuna unyango ukukhusela iingxaki.

Sukuyityeshela intlungu, kwaye ungazami ukuzinyanga ngokwakho ngamayeza okuphelisa iintlungu. Funa uncedo kugqirha ngoko nangoko ukuba unayo nayiphi na le miqondiso yokuhlaselwa kwenyongo:

• ubuhlungu obukhulu
• umkhuhlane ophezulu
• Ukugodola
• ulusu lutyheli
• tyheli kwabamhlophe ngamehlo akho

Unyango lokuhlaselwa kwe-gallbladder

Ekuqaleni, ugqirha uya kukunika amayeza entlungu ukunceda ukunciphisa iintlungu. Unokunikwa kwakhona iziyobisi ezichasayo isicaphucaphu ukunceda ukukhulula iimpawu.Ukuba ugqirha ugqiba ukuba ungagoduka ngaphandle konyango olungaphezulu, unokufuna nokuzama iindlela zokuphelisa iintlungu zendalo.

Ukuhlaselwa kwakho kwe-gallbladder kunokuhamba ngokwakho. Oku kunokwenzeka ukuba i-gallstones ikhuselekile kwaye ayibangeli iingxaki. Uya kudinga utyelelo olulandelayo kunye nogqirha wakho.

Unokufuna ukuskena kunye neemvavanyo ukuqinisekisa ukuba iintlungu zivela kuhlaselo lwenyongo. Oku kubandakanya:

• Ultrasound
• i-X-ray esiswini
• Ukuskena i-CT
• Uvavanyo lwesibindi lokusebenza kwegazi
• Ukuskena iHIDA

I-ultrasound yesisu yindlela eqhelekileyo kunye neyona ndlela ikhawulezayo yokuba ugqirha abone ukuba unayo i-gallstones.

Amayeza

Iyeza lomlomo elibizwa ngokuba yi-ursodeoxycholic acid, ekwabizwa ngokuba yi-ursodiol (Actigall, Urso), inceda ekunyibilikiseni iinyongo zecholesterol. Inokuba ilungile kuwe ukuba iintlungu zakho zihamba zodwa okanye awunazo iimpawu. Isebenza kwinani elincinci leenyongo eziyi-2 ukuya kwezi-3 iimilimitha ngobukhulu kuphela.

Eli yeza linokuthatha iinyanga ukuba lisebenze, kwaye kungafuneka ulithathe ukuya kuthi ga kwiminyaka emibini. Amatye egall angabuya xa uyeka ukuthatha amayeza.

Ugqirha

Ungadinga utyando ukuba iintlungu azinciphisi okanye ukuba uyaphindaphinda ukuhlaselwa. Unyango lotyando lokuhlaselwa kwe-gallbladder zezi:

ICholecystectomy. Olu tyando lususa i-gallbladder yonke. Iyakuthintela ekubeni namatye enyongo okanye uhlaselo lwenyongo kwakhona. Uya kulala kwinkqubo. Uya kudinga iintsuku ezimbalwa ukuya kwiiveki ezimbalwa ukuze uphinde uchache.

Utyando lwe-Gallbladder lunokwenziwa ngotyando lwe-keyhole (laparoscope) okanye utyando oluvulekileyo.

I-Endoscopic retrograde cholangiopancreatography (ERCP). Kwi-ERCP, uya kulala phantsi kwe-anesthesia. Ugqirha wakho uya kudlula kwindawo encinci kakhulu, eguqukayo kunye nekhamera kuyo ngomlomo wakho yonke indlela eya ekuvulekeni kwendlela yenyongo.

Le nkqubo ingasetyenziselwa ukufumana nokususa i-gallstones kwi-duct. Ayikwazi ukususa amatye kwi-gallbladder. Uya kudinga ixesha elincinci lokufumana kwakhona kuba akukho kunqunyulwa kwi-ERCP.

I-Percutaneous cholecystostomy ityhubhu. Le yinkqubo yotyando yokuhambisa amanzi kwi-gallbladder. Ngelixa uphantsi kweanesthesia ngokubanzi, ityhubhu ibekwa kwinyongo yakho ngokusikwa okuncinci esiswini sakho. Imifanekiso ye-Ultrasound okanye i-X-ray iyanceda ukukhokela ugqirha wotyando. Umbhobho uqhagamshelwe engxoweni. Amatye e-gallstones kunye ne-bile eyongeziweyo engxoweni.

Ukuthintela olunye uhlaselo

Iigallstones zinokuba yimfuza. Nangona kunjalo, ungenza utshintsho kwindlela yokuphila ukuze unciphise umngcipheko wokufumana i-gallstones kunye ne-gallbladder attack.

• Yehla emzimbeni. Ukutyeba kakhulu okanye ukutyeba kakhulu kwandisa umngcipheko. Kungenxa yokuba inokwenza i-bile yakho ichume kwi-cholesterol.
• Zilolonge kwaye uhambe. Indlela yokuphila engasebenziyo okanye ukuchitha ixesha elininzi uhleli kunyusa umngcipheko.
• Fumana indlela yokuphila ethe chu ngakumbi. Ukunciphisa umzimba ngokukhawuleza kwandisa umngcipheko wamatye enyongo. Oku kwenzeka ngenxa yokuba ukukhawuleza ukunciphisa umzimba kubangela ukuba isibindi sakho senze i-cholesterol eninzi. Kunqande ukuzama ukutya okuthandwa ngabantu, ukungatyi ukutya, kunye nokuthatha iziyobisi

Namathela kukutya okusempilweni kwemihla ngemihla kunye nokuzilolonga rhoqo ukunciphisa umzimba ngokukhuselekileyo. Ukutya ukunceda ukuthintela iinyongo kubandakanya ukuphepha amafutha angenampilo kunye nokutya okuneswekile okanye okunesitatshi. Yitya ukutya okuninzi okunceda ukuthoba i-cholesterol. Oku kubandakanya ukutya okuphezulu, okufana:

• imifuno emitsha nengumkhenkce
• iziqhamo ezisandula ukwenziwa, ezinqabileyo nezomileyo
• isonka sengqolowa kunye nepasta
• irayisi emdaka
• iilentile
• iimbotyi
• IQuinoa
• umzala

Yintoni imbonakalo?

Ukuba uhlaselwa yinyongo, thetha nogqirha wakho malunga neendlela zokuthintela ukuba nenye into. Unokufuna utyando lokususa inyongo. Unokuba nokutya okuqhelekileyo, okunempilo ngaphandle kwe-gallbladder.

Qaphela ukuba unokufumana i-gallstones nokuba utya ukutya okusempilweni, okunesondlo kwaye ufumana umthambo omninzi. Awunakho ukulawula oonobangela abanjengo:

• Imfuza (iinyongo ziqhutywa kusapho)
• ukuba ngumfazi (i-estrogen inyusa i-cholesterol kwi-bile)
• ukuba ngaphezulu kweminyaka engama-40 (i-cholesterol inyuka ngokudala)
• Ukuba neLifa leMveli laseMelika okanye iMexico (ezinye iintlanga kunye nobuhlanga buqheleke kwi-gallstones)

Iimeko ezinokuphakamisa umngcipheko wokuhlaselwa kwe-gallbladder zi:

• uhlobo lweswekile 1
• uhlobo lwe-2 yeswekile
• Isifo sikaCrohn

Thetha nogqirha wakho ukuba unembali yosapho ye-gallstones okanye ukuba unayo enye okanye engakumbi umngcipheko. I-ultrasound inokukunceda ukuba ufumane ukuba unayo i-gallstones. Ukuba uye wahlaselwa yinyongo, jonga ugqirha wakho kubo bonke abantu abalandelayo, nokuba awudingi nyango.