Ukuchonga iingxaki zeGallbladder kunye neMpawu zazo

Umxholo

• Iimpawu zengxaki ye-gallbladder
• Intlungu
• Isihlunu okanye ukugabha
• Umkhuhlane okanye ubanda
• Urhudo olunganyangekiyo
• I-jaundice
• Izitulo ezingaqhelekanga okanye umchamo
• Iingxaki ezinokubakho ze-gallbladder
• Ukudumba kwe-gallbladder
• Amatye egall
• Amatye aqhelekileyo e-bile duct (choledocholithiasis)
• Isifo senyongo ngaphandle kwamatye
• Usulelo oluqhelekileyo lwe-bile duct
• Ithumba lenyongo
• Gallstone ileus
• Inyongo evuthelweyo
• Iiplyps ze-gallbladder
• Porcelain inyongo
• Umhlaza wenyongo
• Unyango lwengxaki ye-gallbladder
• Ukutya kwe-gallbladder
• Nini ukubona ugqirha

Ukuqonda inyongo

I-gallbladder yakho yintsimbi ene-intshi, efana nepeyari. Ibekwe phantsi kwesibindi sakho kwicandelo eliphezulu lasekunene lesisu sakho.

I-gallbladder igcina i-bile, indibaniselwano yolwelo, amafutha kunye necholesterol. Ibile iyanceda ukwahlula amanqatha ekutyeni okusemathunjini akho. I-gallbladder ihambisa inyongo emathunjini amancinci. Oku kuvumela iivithamini ezinyibilika ngamanqatha kunye nezakha mzimba ukuba zingene ngokulula kwigazi.

Iimpawu zengxaki ye-gallbladder

Iimeko ze-gallbladder zabelana ngeempawu ezifanayo. Oku kubandakanya:

Intlungu

Uphawu oluqhelekileyo lwengxaki ye-gallbladder yintlungu. Le ntlungu ihlala ivela kwinqanaba eliphakathi ukuya ngasekunene kwesisu sakho.

Kungaba mnene kwaye kuphazamiseke, okanye kunokuba nzima kakhulu kwaye rhoqo. Ngamanye amaxesha, iintlungu zingaqala ukuphuma kwezinye iindawo zomzimba, kubandakanya umva nesifuba.

Isihlunu okanye ukugabha

Isihlunu kunye nokuhlanza ziimpawu eziqhelekileyo zazo zonke iintlobo zeengxaki ze-gallbladder. Nangona kunjalo, sisifo esingapheliyo se-gallbladder esinokubangela iingxaki zokugaya ukutya, ezinjenge-asidi ye-asidi kunye negesi.

Umkhuhlane okanye ubanda

Ukugodola okanye umkhuhlane ongachazwanga unokubonisa ukuba unosulelo. Ukuba unentsholongwane, udinga unyango ngaphambi kokuba lubi kwaye lube yingozi. Usulelo lusongela ubomi ukuba lusasazeka kwamanye amalungu omzimba.

Urhudo olunganyangekiyo

Ukuba ngaphezulu kokuhamba kwamathumbu amane ngosuku ubuncinci iinyanga ezintathu kunokuba luphawu lwesifo se-gallbladder esingapheliyo.

I-jaundice

Isikhumba esimthubi-mthubi, okanye i-jaundice, inokuba luphawu lwebhloko okanye ilitye kwi-bile duct eqhelekileyo. Umzila oqhelekileyo we-bile ngumjelo okhokelela kwi-gallbladder ukuya kumathumbu amancinci.

Izitulo ezingaqhelekanga okanye umchamo

Izitulo ezinemibala eqaqambileyo kunye nomchamo omnyama ziimpawu ezinokubakho zebhloko ye-bile duct.

Iingxaki ezinokubakho ze-gallbladder

Nasiphi na isifo esichaphazela i-gallbladder yakho sithathwa njengesifo se-gallbladder. Ezi meko zilandelayo zizo zonke izifo zenyongo.

Ukudumba kwe-gallbladder

Ukudumba kwe-gallbladder kuthiwa yi-cholecystitis. Ingaba yinto enzima (ixesha elifutshane), okanye lingapheliyo (ixesha elide).

Ukudumba okungapheliyo sisiphumo sohlaselo olunqabileyo lwecholecystitis. Ukuvuvukala ekugqibeleni kungonakalisa i-gallbladder, kuyenze ilahlekelwe sisakhono sayo sokusebenza ngokuchanekileyo.

Amatye egall

Amatye amancinci amancinci, iidipozithi ezinzima ezenza i-gallbladder. Ezi dipozithi zinokuphuhla kwaye zingabonakali kwiminyaka.

Ngapha koko, abantu abaninzi banama-gallstones kwaye abazi ngawo. Ekugqibeleni zibangela iingxaki, kubandakanya ukudumba, usulelo kunye nentlungu. Iigallstones zibangela cholecystitis etsolo.

Iigallstones zihlala zincinci kakhulu, akukho ngaphezulu kweemilimitha ezimbalwa ububanzi. Nangona kunjalo, banokukhula baye kwiisentimitha ezininzi. Abanye abantu bakhulisa ilitye lenyongo elinye kuphela, ngelixa abanye bephuhlisa uninzi. Njengoko iinyongo zikhula ngobukhulu, zinokuqala ukubhloka imijelo ekhokelela ngaphandle kwenyongo.

Uninzi lwamatye enyongo lwenziwa kwi-cholesterol efumaneka kwi-bile ye-gallbladder. Olunye uhlobo lwelitye, ilitye lombala, lwenziwa ngecalcium bilirubinate. I-calcium bilirubinate yikhemikhali eveliswa xa umzimba wophula iiseli ezibomvu zegazi. Olu hlobo lwamatye lunqabile.

Jonga lo mzobo unxibelelanayo we-3-D ukuze ufunde okungakumbi malunga nenyongo kunye nenyongo.

Amatye aqhelekileyo e-bile duct (choledocholithiasis)

Xa i-gallstones ivela kwi-bile duct, yaziwa ngokuba yi-choledocholithiasis. I-Bile iyakhutshwa kwi-gallbladder, idlule kwiityhubhu ezincinci, kwaye ifakwe kwi-bile duct eqhelekileyo. Emva koko ingena emathunjini amancinci.

Kwiimeko ezininzi, amatye e-bile e-duct aqhelekileyo angama-gallstones aphuhliswe kwi-gallbladder aze adlulele kwi-bile duct. Olu hlobo lwelitye lubizwa ngokuba lilitye lesibini le-bile duct, okanye ilitye lesibini.

Ngamanye amaxesha amatye enza ifom ye-bile uqobo. La matye abizwa ngokuba ngamatye e-bile aqhelekileyo, okanye amatye aphambili. Olu hlobo lwamatye olunqabileyo lunokubangela ukosuleleka kunelitye lesibini.

Isifo senyongo ngaphandle kwamatye

Iigallstones azibangeli lonke uhlobo lwengxaki ye-gallbladder. Isifo se-gallbladder ngaphandle kwamatye, esikwabizwa ngokuba sisifo se-gallal bladder. Kule meko, unokufumana iimpawu eziqhelekileyo ezinxulumene ne-gallstones ngaphandle kokuba ube namatye.

Usulelo oluqhelekileyo lwe-bile duct

Usulelo lunokuphuhla ukuba indlela eqhelekileyo yenyongo ithintelwe. Unyango lwale meko luyaphumelela ukuba usulelo lufunyenwe kwangethuba. Ukuba akunjalo, usulelo lunokusasazeka kwaye lubulale.

Ithumba lenyongo

Ipesenti encinci yabantu abane-gallstones inokuphinda ikhule i-pus kwi-gallbladder. Le meko ibizwa empyema.

I-Pus yindibaniselwano yeeseli ezimhlophe zegazi, iibacteria, kunye nezicubu ezifileyo. Ukuphuhliswa kobofu, okwaziwa njengelithumba, kukhokelela kwintlungu yesisu. Ukuba i-empyema ayifumaneki kwaye iphathwe, ingaba yingozi ebomini njengoko isifo sisasazeka kwezinye iindawo zomzimba.

Gallstone ileus

Ilitye lenyongo linokuhamba liye emathunjini kwaye livale. Le meko, eyaziwa ngokuba yi-gallus ileus, inqabile kodwa inokubulala. Kuqheleke kakhulu phakathi kwabantu abadala kuneminyaka eyi-65.

Inyongo evuthelweyo

Ukuba ulinda ixesha elide ukufumana unyango, i-gallstones inokukhokelela kwi-gallbladder ye-perforated. Le yimeko esongela ubomi. Ukuba iinyembezi azifunyanwanga, isifo esisasazekayo esiswini sinokukhula.

Iiplyps ze-gallbladder

Iipolyps zikhula ngokungaqhelekanga izicwili. Oku kukhula kuhlala kulunge, okanye kungabinamhlaza. Iipolyps ezincinci ze-gallbladder zisenokungafuneki ukuba zisuswe. Kwiimeko ezininzi, azibeki mngcipheko kuwe okanye kwi-gallbladder yakho.

Nangona kunjalo, iipolyps ezinkulu zinokufuna ukuba zisuswe ngotyando ngaphambi kokuba zibe ngumhlaza okanye zibangele ezinye iingxaki.

Porcelain inyongo

I-gallbladder esempilweni ineendonga zezihlunu kakhulu. Ixesha elingaphezulu, ii-calcium deposits zinokuqinisa udonga lwe-gallbladder, zibenze ziqine. Le meko ibizwa ngokuba yi-porcelain gallbladder.

Ukuba unale meko, unengozi enkulu yokuba nomhlaza we-gallbladder.

Umhlaza wenyongo

Umhlaza we-gallbladder unqabile. Ukuba ayibhaqwanga kwaye inyange, inokusasazeka ngaphaya kwenyongo ngokukhawuleza.

Unyango lwengxaki ye-gallbladder

Unyango luya kuxhomekeka kwingxaki yakho ye-gallbladder kwaye inokubandakanya:

• I-OTC) iyeza zentlungu, ezinje nge-ibuprofen (Aleve, Motrin)
• amayeza entlungu, njengehydrocodone kunye ne morphine (Duramorph, Kadian)
• I-lithotripsy, inkqubo esebenzisa amaza othusayo ukwahlula iinyongo kunye nolunye uhlobo
• utyando lokususa iinyongo
• utyando ukususa i-gallbladder yonke

Ayizizo zonke iimeko eziya kufuna unyango. Unokwazi ukufumana ukukhululeka kwentlungu kunye nezonyango zendalo, ezifana nokuzivocavoca kunye nokunyanzeliswa.

Ukutya kwe-gallbladder

Ukuba ufumana iingxaki ze-gallbladder, unokufumana ukuba luncedo ukulungelelanisa ukutya kwakho. Ukutya okunokunyusa isifo se-gallbladder kubandakanya:

• ukutya okuphezulu kumanqatha othutho kunye namanye amafutha angenampilo
• ukutya okwenziwe
• icarbohydrate ecoliweyo, enje ngesonka esimhlophe kunye neswekile

Endaweni yoko, zama ukwakha indlela otya ngayo:

• Iziqhamo kunye nemifuno etyebileyo
• ukutya okune-calcium eninzi, njengobisi olunamafutha asezantsi kunye nemifuno eluhlaza
• ukutya okuqukethe i-vitamin C, njengamajikijolo
• Iprotheni esekwe kwizityalo, ezinje nge tofu, iimbotyi kunye neelentile
• Amafutha asempilweni, anje ngamandongomane nentlanzi
• ikofu, enciphisa umngcipheko wamatye kunye nezinye izifo zenyongo

Nini ukubona ugqirha

Iimpawu zengxaki ye-gallbladder inokuza idlule. Nangona kunjalo, kunokwenzeka ukuba uhlakulele ingxaki ye-gallbladder ukuba unayo ngaphambili.

Ngelixa iingxaki ze-gallbladder kunqabile ukuba zibulale, kufuneka zisanyangwe. Unokuthintela iingxaki ze-gallbladder ekubandezelekeni ukuba uthatha inyathelo kwaye ubone ugqirha. Iimpawu ekufuneka zikukhuthaze ukuba ufune unyango kwangoko zibandakanya:

• iintlungu esiswini ezihlala iiyure ezi-5 ubuncinci
• inyongo
• izitulo ezimhlophe
• ukubila, umkhuhlane osezantsi, okanye ukugodola, ukuba zikhatshwa zezi mpawu zingasentla