Yintoni ebangela ukuba iintlungu ziphantsi kweembambo zam kwiKota ephezulu yeSisu sam?

Umxholo

• Iimpawu
• Izizathu zentlungu ye-RUQ
• Iingxaki zezintso
• Iimeko zesibindi
• Preeclampsia
• Iingxaki zenyongo
• Imiba yesisu
• Iimeko zepancreatic
• Izinto ezongezelelekileyo ezibangela iintlungu zangaphezulu eziphezulu
• Uxilongo
• Unyango
• Iinkqubo zonyango kunye nokuchacha
• Iingxaki
• Uthintelo
• Imbonakalo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

Isisu sakho sahlulwe saziikota ezine, okanye ii-quadrants. Khawufane ucinge umgca othe nkqo okwahlula isisu sakho ngesiqingatha. Emva koko, cinga umgca othe tyaba kwinqanaba lesisu sakho. Ikota ephezulu kwicala lasekunene lakho yi-quadrant yakho ephezulu yasekunene (RUQ).

I-RUQ inamalungu amaninzi abalulekileyo, kubandakanya iinxalenye zesibindi sakho, izintso zasekunene, inyongo, ipancreas, kunye namathumbu amakhulu namancinci.

Kubalulekile ukuba unake iintlungu kwi-RUQ yakho kuba inokuba sisalathiso sezifo okanye iimeko ezininzi.

Iimpawu

Intlungu ye-RUQ ingahluka ngamandla ngokuxhomekeke kwimeko engaphantsi. Intlungu inokuziva ngathi kukuqaqanjelwa okanye ukubinza okubukhali.

Ukuba uneentlungu esiswini ezihlala ngaphezulu kweentsuku ezimbalwa, kuya kufuneka wenze idinga nogqirha wakho ukuba kuvavanywe iimpawu zakho.

Nangona kunjalo, ezinye iimpawu zinokubonisa imeko kaxakeka kwezonyango. Kuya kufuneka ufumane uncedo lonyango ngokukhawuleza ukuba:

• iintlungu ezinzima zesisu
• ifiva
• isicaphucaphu ezingapheliyo kunye nokugabha
• igazi kwisitulo sakho
• ukudumba okanye ukuthamba kwesisu sakho
• ukwehla kobunzima obungachazwanga
• ulusu olutyheli (i-jaundice)

Izizathu zentlungu ye-RUQ

Iingxaki zezintso

Iingxaki zezintso ezinjengamatye ezintso, usulelo lwe-urinary tract (UTI), usulelo lwezintso, okanye umhlaza wezintso ungakhokelela kwintlungu ye-RUQ.

Iimpawu ezinokuhamba neentlungu ze-RUQ ngenxa yengxaki yezintso zibandakanya:

• iintlungu eziphuma kumqolo ongezantsi okanye kwi-groin
• ukuchama kabuhlungu
• umchamo onuka kakubi
• ukuchama rhoqo
• igazi kumchamo wakho
• ifiva
• isicaphucaphu okanye ukugabha

Ukuba unentlungu ye-RUQ kwaye ukrokrela ukuba kungenxa yengxaki yezintso, kuya kufuneka wenze idinga nogqirha wakho.

Iimeko zesibindi

Iimeko zesibindi zinokukhokelela kwintlungu ye-RUQ. Imizekelo ibandakanya i-hepatitis, ithumba lesibindi, okanye umhlaza wesibindi.

Ukongeza kwiintlungu ze-RUQ, ezinye iimpawu zesibindi zinokubandakanya:

• ulusu olumthubi (jaundice)
• ukuthamba kwesisu
• isicaphucaphu okanye ukugabha
• umchamo omnyama
• ifiva
• ukudinwa
• ukwehla kobunzima obungachazwanga

Ukuba uneentlungu ze-RUQ kunye neempawu ezihambelana nemeko yesibindi, kuya kufuneka ubone ugqirha wakho.

Preeclampsia

I-Preeclampsia yimeko eyenzeka rhoqo kwabasetyhini abanamava ubuncinci iiveki ezingama-20 bekhulelwe. Inokuphinda ikhule kwangoko xa ukhulelwe, okanye, kwezinye iimeko, emva kokubeleka.

Uphawu lwe-preeclampsia kukunyuka koxinzelelo lwegazi, kodwa iintlungu ze-RUQ zihlala zenzeka ngokunjalo.

Iimpawu ezongezelelweyo zingabandakanya:

• intloko ebuhlungu
• isicaphucaphu okanye ukugabha
• ukuncipha kokuchama
• protein kumchamo
• iingxaki zezintso okanye zesibindi
• ukungaboni kakuhle okanye uvakalelo ekukhanyeni
• ukuqhawukelwa ngumphefumlo

Ugqirha wakho kufuneka abeke esweni uxinzelelo lwegazi njengenxalenye yotyelelo lwakho lwangaphambi kokubeleka. Nangona kunjalo, ukuba ufumana iimpawu ze-preeclampsia ezinjengentlungu ye-RUQ, umbono ophuthileyo, okanye ukuphefumla okufutshane, kuya kufuneka ufune unyango kwangoko njengoko kunokuba semngciphekweni wobomi kuwe nakumntwana wakho xa ungashiywanga unganyangwa.

Iingxaki zenyongo

Iingxaki zeGallbladder, ezinje ngamatye enyongo okanye i-choledocholithiasis, inokubangela iintlungu ze-RUQ. I-Choledocholithiasis bubukho beenyongo ngaphakathi kwemibhobho yakho yenyongo.

Intlungu ye-RUQ ngenxa yeenyongo inokuhlala iiyure ezininzi kwaye ihlala ixhaphaka emva kwesidlo esikhulu okanye ngokuhlwa. Iimpawu ezongezelelweyo zokujonga ngaphandle zingabandakanya:

• isicaphucaphu nokugabha
• ifiva
• Ukugodola
• umchamo omnyama okanye ilindle elinombala okhanyayo
• ulusu olumthubi (jaundice)

Ukuba ufumana iimpawu ezihambelana nenyongo okanye i-choledocholithiasis, kuya kufuneka ubone ugqirha. Amatye kwimibhobho yenyongo angakhokelela kubunzima obukhulu.

Imiba yesisu

Imiba eyahlukeneyo yamathumbu esisu, njengokugaya isisu, isisu, kunye nezilonda zep peptic, kunokubangela iintlungu ze-RUQ.

Ngokwesiqhelo, iintlungu ezibangelwa zezi meko ziba buthuntu, zivutha uhlobo lwentlungu. Ezinye iimpawu zingabandakanya:

• imvakalelo yokugcwala okungonwabisiyo
• isisu esiswini
• ukugqabhuka okanye igesi
• isicaphucaphu okanye ukugabha

Ngelixa uninzi lweziganeko zokugaya kunye ne-gastritis zithambile kwaye ziya kuzisombulula ngokwazo, kuya kufuneka ubone ugqirha wakho ukuba uneempawu zeveki okanye nangaphezulu. Ukuba ukrokrela ukuba unesilonda peptic, kufuneka ubone ugqirha wakho.

Iimeko zepancreatic

Unokuziva ubuhlungu be-RUQ ukuba i-pancreas yakho iyatshisa, eyaziwa ngokuba yi-pancreatitis. Iintlungu ozifumanayo kwi-pancreatitis zibuhlungu kancinci ngokuhamba kwexesha kwaye iimpawu ezongezelelweyo zinokubandakanya:

• isicaphucaphu okanye ukugabha
• ifiva
• ukwanda kwentliziyo

Uninzi lweziganeko zepancreatitis zifuna ukulaliswa esibhedlele kunyango.

Izinto ezongezelelekileyo ezibangela iintlungu zangaphezulu eziphezulu

Ukongeza kwezi meko zichazwe apha ngasentla, ezinye iimeko ezinokubangela iintlungu kwi-RUQ yakho.

Oku kubandakanya ukwenzakala okanye ukwenzakala, inyumoniya, kunye nesileles.

Uxilongo

Ukuze ufumanise unobangela weentlungu zakho ze-RUQ, ugqirha wakho uya kucela imbali yakho yezonyango kwaye enze uvavanyo lomzimba.

Ukongeza, banoku-odola iimvavanyo ezithile ukufikelela kwisifo, kubandakanya:

• iphaneli esisiseko okanye ebanzi ye-metabolic (BMP okanye i-CMP) yokuvavanya ukusebenza kwesibindi, ukubala kweeseli zegazi, kunye namanqanaba e-electrolyte
• urinalysis ukuvavanya ukusebenza kwezintso okanye ukukhangela i-UTI okanye amatye ezintso
• isitulo senkcubeko ukubona ukuba ngaba akukho gciwane likhoyo kwisitulo sakho
• endoscopy ukujonga ubukho bezilonda
• iimvavanyo zokucinga, ezinje nge-ultrasound, i-X-ray, okanye i-CT scan, ukunceda ukubona ngaphakathi kwesisu sakho okanye ukujonga ubukho bamatye

Unyango

Unyango lwentlungu ye-RUQ luxhomekeke kwinto ebangela oko. Imizekelo ibandakanya:

• Ukuthomalalisa iintlungu ezinje nge-acetaminophen (iTylenol) okanye ibuprofen ukukhulula ukungonwabi
• ii-antacids zokunceda ukunciphisa isisu esiswini
• amayeza afana neproton pump inhibitors okanye iibhlokhi zeasidi ukunciphisa inani leasidi esiswini okanye emathunjini
• antibiotics ukubulala iintsholongwane ezibangela usulelo
• iinkqubo zotyando, ezinjengokususa amatye okanye ukukhupha ithumba
• unyango lomhlaza, njenge-chemotherapy, unyango lwe-radiation, okanye i-immunotherapy

Ivenkile ye-antacids.

Iinkqubo zonyango kunye nokuchacha

Ngokuqhelekileyo, ugqirha uya kuzama ukuphepha ukwenza utyando xa kunokwenzeka. Kunganyanzeleka ukuba ezinye iimeko zithintele iingxaki okanye isifo sibe mandundu.

Umzekelo, ukuba i-gallstones evimba i-bile duct (i-choledocholithiasis) ayisuswanga, kunokubakho iingxaki ezisongela ubomi. Kwezinye iimeko, ugqirha wakho unokukhetha ukususa i-gallbladder yakho ngokupheleleyo.

Ukuba amatye akho ezintso makhulu kakhulu ukuba angadlula ngokwendalo, ugqirha wakho unokukhetha ukusebenzisa amaza esandi ukwaphula amatye abe ziingceba ezincinci ezinokudlula. Banokusebenzisa ubungakanani ukususa amatye.

Ukuba ufunyaniswe unomdlavuza wezintso okanye wesibindi, utyando lunokuba yimfuneko ukususa ithumba, kuxhomekeke kwinqanaba lomhlaza kunye nobukhali.

Iingxaki

Kuba i-RUQ yakho inamalungu amaninzi abalulekileyo, kubalulekile ukuba ubeke iliso kwintlungu ye-RUQ kunye naziphi na iimpawu ezongeziweyo ukuze ufumane unyango ngexesha elifanelekileyo kwaye uphephe iingxaki.

Imizekelo yeengxaki ezinokubakho zibandakanya:

• Usulelo lwezintso ngenxa ye-UTI enganyangwa
• uxinzelelo lwegazi oluphezulu, ukungaphumeleli kwezintso, okanye ukonzakala kwezintso kusulelo olunganyangekiyo lwezintso
• ubunzima bokuzalwa obuphantsi, ukuzalwa kwangaphambi kokuzalwa, ukonakala komzimba, okanye ukufa kwi-preeclampsia engafakwanga
• ukudumba okanye usulelo lwe-gallbladder okanye i-pancreas ngenxa yeenyongo ezinganyangekiyo
• ukwanda komngcipheko wezilonda okanye umhlaza wesisu kwisisu esinganyangekiyo
• ukuqhubela phambili komhlaza ongabanjwanga kwangethuba

Uthintelo

Unokunceda ukuthintela iimeko ezithile zentlungu ye-RUQ ngo:

• ukutya ukutya okusempilweni, kubandakanya:
  • ukutya okutyebileyo kwifayibha, okuziinkozo, iziqhamo, iiveggie kunye neembotyi
  • ukutya okunamafutha asempilweni, njengeoyile yeoyile kunye neoyile yentlanzi, ngelixa kuthintelwa amafutha angenampilo njengokutya okuthosiweyo
  • ukunqanda ukutya okuqukethe ii-carbohydrate ezicokisekileyo, iswekile kunye netyuwa
  • ukuhlala u-hydrated, kuba ukusela izinto ezininzi ezingamanzi kunokunceda ukuhambisa iintsholongwane kwi-urinary tract
  • usebenzisa izongezo zekhalsiyam ngononophelo ukunqanda amatye ezintso
  • ukunqanda ukungaginyisi maseko ngokuqinisekisa ukuba ukutya kuphekwe ngokupheleleyo kwaye kuthintela ukutya okanye iziselo ezinencasa, ezinamafutha, okanye ezineeasidi ezininzi okanye icaffeine
  • ukuyeka ukutshaya nokunciphisa ukusela utywala
  • ukugcina ubunzima obunempilo.

Thenga izongezo zekhalsiyam.

Imbonakalo

Izizathu ezinokubangela iintlungu ze-RUQ ziyahluka. Ezinye zazo, ezinjengokugaya ukutya, zixhaphake kakhulu kwaye zihlala zihamba zodwa. Ezinye, ezinje nge-preeclampsia okanye i-pancreatitis, kufuneka zijongiswe kwangoko.

Kuba i-RUQ yakho iqulethe izinto ezahlukeneyo ezibalulekileyo, kubalulekile ukuba ubeke iliso kwintlungu ye-RUQ.

Ukuba unentlungu ye-RUQ iveki okanye ngaphezulu, kuya kufuneka wenze idinga lokubonana nogqirha wakho.