Isibindi Fluke
Umxholo
- Iimpawu kunye neziphumo ebezingalindelekanga
- Umjikelo wobomi wesibindi
- Izinketho zonyango
- Uthintelo
- Amayeza okanye utyando
- Olunye unyango
- Uncedo lweempawu
- Ungaxela njani ukuba isibindi sidlulile
- Imiba yomngcipheko wosulelo lwesibindi
- Imbonakalo yosulelo lwezifo zesibindi
Ushwankathelo
Isifo sesibindi sisisidleleli. Usulelo ebantwini ludla ngokwenzeka emva kokutya iintlanzi zasemanzini ezihlambulukileyo okanye ezingaphekwanga okanye i-watercress. Emva kokuba i-flukees zesibindi zifakiwe, zihamba ukusuka emathunjini akho ukuya kwiibhobho zakho zesibindi kwisibindi sakho apho zihlala khona kwaye zikhula.
Nangona uninzi lwabantu abosulelekileyo lungabonisi zimpawu, ngamanye amaxesha kuvela iimpawu ezinxulumene nenkqubo ye-biliary. Kwiimeko ezinqabileyo, iingxaki zexesha elide zinokukhula.
Usulelo lwesifo sesibindi aluqhelekanga eMelika, kodwa luyenzeka. Umngcipheko wosulelo uyanda ukuba uhamba uye kwiindawo zehlabathi apho iiparasites zixhaphake khona.
Iimpawu kunye neziphumo ebezingalindelekanga
Ngethuba elifutshane, ukusuleleka kwintsholongwane yesibindi kunokuzisa iimpawu ezinjenge:
- intlungu zesisu
- ifiva
- isicaphucaphu
- ukugabha
- urhudo
- urhwebo
- ukugula
- ukuncipha kokutya kunye nokwehla kobunzima
Kukho ezinye iingxaki ezinqabileyo ezinxulumene nosulelo olunzima lwesibindi. Oku kubandakanya ukwakheka kwamatye, usulelo oluphindaphindiweyo lwenkqubo ye-biliary, kunye ne-cholangiocarcinoma (umhlaza web bile).
Umjikelo wobomi wesibindi
Izidleleleli zabantu abadala zihlala kwimibhobho encinci ye-bile kwaye zihlala apho iminyaka engama-20 ukuya kwengama-30. Iimpukane ezihlala ixesha elide zinokubangela ukudumba okungapheliyo kwemibhobho ye-bile, ehlala ikhokelela kwiingxaki ezingaphezulu.
Kwiinyanga ezine ukuya kwezintandathu emva kokuba bezinzile kwimibhobho yenyongo, iimpukane ezindala ziqala ukuvelisa amaqanda, athi ke adluliselwe emathunjini.
Izinketho zonyango
Uthintelo
Kubalulekile ukwazi ukuba usulelo lwesibindi lunokuthintelwa ngokulula.
Ukuqinisekisa ukuba iintlanzi zamanzi amatsha kunye ne-watercress ziphekwe kakuhle phambi kokuba uzisebenzise yeyona ndlela isebenzayo yokuthintela usulelo lwesibindi.
Abantu abahamba kwiindawo ezinogutyulo lwelindle kufuneka ngokuqinisekileyo bakuphephe ukutya namanzi anokuthi angcoliswe zizidleleli. Kungenxa yokuba okwangoku akukho sitofu sokuthintela usulelo lwentsholongwane yesibindi.
Amayeza okanye utyando
Kunokwenzeka ukuphelisa ngokupheleleyo i-flukes zesibindi. Usulelo luza kunyangwa ngesiyobisi esibizwa ngokuba yi-triclabendazole. Inikwa ngomlomo, ihlala ithamo enye okanye ezimbini, kwaye uninzi lwabantu lusabela kakuhle kolu nyango.
Ikhosi emfutshane ye-corticosteroids ngamanye amaxesha imiselweyo kwizigaba ezibi ezineempawu ezibi.
Utyando ngamanye amaxesha luyimfuneko kwiingxaki zexesha elide ezinxulumene ne-cholangitis (usulelo lwe-bile duct).
Olunye unyango
Abanye oogqirha abanyangiweyo bacebisa ukuba bathathe itywina legolide kusulelo lwe-parasitic, kunye nokucoca i-parasite kunye nokunkcenkceshela kwe-colonic.
Uncedo lweempawu
Iimpawu zentsholongwane yesibindi zinokunyangwa kusetyenziswa iindlela zesintu. Umzekelo, ungathatha i-acetaminophen (iTylenol) yokuphelisa iintlungu zesisu kunye nokunciphisa umkhuhlane. Amayeza okunyanga isicaphucaphu anokunciphisa isicaphucaphu nokugabha.
Nangona kunjalo, ezi ndlela azinyangi oyena nobangela wengxaki. Ke kuhlala kuyindlela elungileyo ukuba isifo sakho sesibindi sifumaneke kwaye sinyangwe ngokukhawuleza.
Ungaxela njani ukuba isibindi sidlulile
Ukuba unophawu, unokufumanisa ukuba iimpawu zakho ziyadlula. Oku kunokukushiya uzibuza ukuba isifo sakho sesibindi sisuswe. Ekuphela kwendlela eqinisekileyo yokuxela kukuphinda ubuye kugqirha wakho, onokuthi avavanye isitulo sakho ukuze abone ukuba amaqanda esibindi akhoyo na.
Imiba yomngcipheko wosulelo lwesibindi
Iintshulube zesibindi zixhaphakile kwiindawo ezithile zehlabathi. Abantu abavela kwezi ndawo, ewe, basemngciphekweni omkhulu wosulelo. Abantu abahamba kwezi ndawo basemngciphekweni. Nabani na onembali yakutshanje yokutya intlanzi eluhlaza okanye engaphekwanga okanye i-watercress ngakumbi ngelixa kwezi ndawo kufuneka kuvavanywe njengokwesiqhelo.
Nangona kungenakwenzeka ukuba usulelo lwesifo esivela esibindini ludluliselwe lusuka ebantwini luye ebantwini, amalungu osapho anokuba semngciphekweni wosulelo ngenxa yokutya ukutya okufanayo.
Imbonakalo yosulelo lwezifo zesibindi
Imbonakalo yabantu abaneentsholongwane zesibindi zihle kakhulu. Abantu abaninzi banokuhlala benesifo esosuleleka sisibindi ubomi babo bonke kwaye bangaze bafumane mpawu okanye benze ingxaki. Xa iimpawu zisenzeka, zihlala zinyangeka kwaye zihlala zinyangeka.
Usulelo lwesifo sesibindi ngokwalo alunakubulala. Nangona kunjalo, kwiimeko ezinqabileyo kunokwenzeka ukuba usulelo lukhokelele kwiingxaki ezingaphezulu ezifana nosulelo lwenkqubo ye-biliary, ukwenziwa kwamatye, kunye nomhlaza wenyongo.
I-Cholangiocarcinoma sesona ngxaki siqatha esinokuvela ngenxa yosulelo lwesibindi. Kwimeko enqabileyo yokuba oku kufanele ukuba kwenzeke, i-5 yeminyaka yokusinda kwale fomu yomhlaza isusela kwi-20 ukuya kwi-50 yepesenti ukuba umhlaza ubanjwe kwangethuba.
Ukufunyanwa kwangoko kosulelo lwesifo esivela esibindini kubalulekile ukuthintela iingxaki ezivela. Ukuba unempawu, kuya kufuneka ubonane nogqirha ngokukhawuleza kuvavanyo lwestool. Kwiindawo ezingapheliyo, kuvavanyo lokuhlola kuluncedo.