Siyakwamukela kubhulogi yezempilo yokuvimbela! Sizoqala ngokushesha ngesihloko sanamuhla esinolwazi mayelana nalokhu: inyongo esabekayo ebangela ukuvuvukala kwesibindiKuyisifo esingavamile esibangela ukungakhululeki kanye nobuhlungu obungazwakali engxenyeni ephezulu kwesokudla yesisu.
Kubangelwa kakhulu yi- ukuphazamiseka Ngenxa yokuba khona kwamatshe enyongo ngaphakathi kwenyongo, ingcindezi odongeni iholela ekufeni (i-necrosis) kwezicubu, ngaleyo ndlela ibangele ukwanda kwamagciwane.
Kodwa-ke, ngokuvamile kunezinye izici ezibangela lesi simo, bathi, ngoba "kubhalwe ngabantu, ngenxa yabantu" futhi kubalulekile ukwazi ukuthi izimbangelaukuphazamiseka kanye nokungenzeka zokwelapha.
I-Emphysematous gallbladder ukuvuvukala kwesitho senyongo okubangelwa ukutheleleka ngamagciwane, okuvame ukubangelwa ukuvinjelwa okuyingxenye noma okuphelele kokugeleza kwenyongo. Ngokuvamile kubangelwa ukuba khona kwamatshe enyongo, kodwa kungabangelwa nezinye izimo.
Leli gama I-emphysematous isho ukuba khona komoya odongeni lwenyongo Isibonakaliso esiphawulekayo salesi sifo ukuba khona kwe-necrosis kanye nokuba khona kwamagciwane kanye umkhuhlane, okuvame ukuba yimbangela yokubonisana ngokushesha yiziguli ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lwezempilo lukahulumeni noma oluzimele, ngokwesikhundla somhlaba wonke, ukuze zithole ukunakekelwa nokunciphisa ukungakhululeki.
I-gallbladder esabekayo ebangela i-emphysematous
I-Emphysematous gallbladder yisimo esingavamile futhi esingaba yingozi. Sibonakala ngokuba khona kwe- umoya enyongweni, okubangelwa amagciwane ngenxa yokufa kwezicubu futhi angohlobo olukhethekile; amagciwane e-aerobic, angabonwa ngokuhlolwa kwezithombe njenge-ultrasound noma i-computed tomography (CT).
Ukuvama kwalesi simo kuphansi ngokumangalisayo, njengoba kwenzeka kuphela ku- 0.2-2% wabantu abanesifo senyongoKukholelwa ukuthi ukungavamile kwayo kungenzeka ukuthi kungenxa yokungazi kahle kochwepheshe bezempilo mayelana nokubonakaliswa kwayo kanye nezimpawu zayo.
Izimbangela zalesi simo isifo sikashukela, i-acute cholecystitis, i-ischemia, ukuhlukumezeka, kanye nezinye izinhlobo zokutheleleka okunamandla njengebhaktheriya ye-aerobic.
Izimpawu zivame ukufaka ubuhlungu besisu kanye nokuzwela, isicanucanu nokuhlanza, umkhuhlane kanye nokubanda, okubonisa ukuvuvukala okuhambisana nokutheleleka okuyisisekelo okudinga ukunakekelwa kwezokwelapha ngokushesha.
Uma ingelashwa, kungavela izinkinga, njenge-sepsis esongela ukuphila eholela ekushaqekeni noma ukwehluleka kwezitho eziningi; noma kunjalo, uma kutholakale kusenesikhathi, ukwelashwa kungadingeka nge ama-antibiotic e-wide spectrum alandelwa inqubo yokuhlinzwa Ukuxazulula inkinga.
Inyongo eyesabekayo ebangela ukuvuvukala kwesisu idinga ukuhlolisiswa kabanzi ukuze ochwepheshe bezokwelapha bayiqonde kangcono futhi labo abahlushwa yiyo bathole ukunakekelwa okufanele ngesikhathi esifanele; ivame ukuholela ebubini noma ekushayweni yi-sepsis uma ingelashwa ngokushesha.
Izimbangela ze-emphysematous gallbladder
Imbangela eyinhloko ye-emphysematous biliary viscera ukuvaleka kokugeleza kwe-bile ngenxa ukuba khona kwamatshe (amatshe noma i-calculi) i-biliaryEzinye izimbangela zingase zihlanganise ukuvuvukala kwenyongo ngenxa yokutheleleka ngamagciwane, i-necrosis yodonga lwenyongo, kanye nezinye izimo ezifana ne-hepatitis noma i-pancreatitis.
Imithi ethile ingabangela nokuvinjelwa kokugeleza kwenyongo noma ukucasuka kodonga lomsele wenyongo.
Izimpawu
Ukucasula okuyinhloko kwe i-gallbladder ebangelwa yi-emphysematous Ubuhlungu besisu, obuvame ukutholakala ohlangothini oluphezulu kwesokudla lwesisu. Lobuhlungu obungajabulisi bungase buhambisane nezinkinga zokugaya ukudla ezifana nokucanuzela kwenhliziyo nokuhlanza. ukuba khona komkhuhlaneKuwuphawu olucacile lokutheleleka, futhi kungahlala izinsuku eziningana.
Kwezinye izimo, njengoba isimo siqhubeka, ubuhlungu bungaba bukhulu kakhulu futhi ukufeza ubunzima bokuphefumula ukwehlisa kakhulu ukukhiqizwa kwe-oxygen ohlelweni.
Ukuba khona komoya enyongweni nakho kungabangela Ukuvuvukala kwesisu ngenxa yokuba khona kwegesi emathunjini ngenxa yokuntuleka kwe-peristalsis, ngenxa yokuvuvukala okubangelwa yi-necrosis yesisu senyongo kanye nezicubu nezitho ezizungezile, okubangela ukucasuka ngenxa yokusondela kwazo okubangela ukugoqana kwesisu esiseduze.
Ukuxilongwa nokwelashwa
Uma uzwa ukungakhululeki ngenxa ye-emphysematous gallbladder, kubalulekile ukubona udokotela wakho ngokushesha okukhulu. Ochwepheshe bezempilo bangase ba-ode uchungechunge lwezivivinyo, njengokuhlolwa kwegazi, i-X-ray, i-ultrasound yesisu, noma i-CT scan, ukuze kutholakale lesi simo. Kwezinye izimo, kungase kudingeke ukuhlinzwa okuphuthumayo ukuze kususwe isitho esiqukethe amatshe enyongo.
La ukwelashwa Okwe i-gallbladder ebangelwa yi-emphysematous Ngokuvamile kufaka phakathi ama-antibiotic e-broad-spectrum, uma kungenzeka, esizukulwaneni sakamuva sokwelapha ukutheleleka, kanye nokuhlinzwa nge-cholecystectomy ukuze kususwe i-gallbladder efile ngamatshe enyongo.
Kwezinye izimo, imithi yokunciphisa ubuhlungu kanye nemithi yokulwa nokuvuvukala inganikezwa ukuze kuncishiswe ubuhlungu kanye nokuvuvukala, ngokulandelana. Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa okuphuthumayo ukuze kususwe isimila. i-biliary viscus ethelelekile, ngoba kungumthombo wokutheleleka.
ukuxilongwa okuhlukile
Ubuhlungu obukhulu, obungacacile obutholakala engxenyeni engenhla kwesokudla yesisu buyisici sokwanda kwenyongo esimweni esingavamile njenge... inyongo enodonga oluncane engenamatshe, nazo zonke izinhlobo zayo zokungakhululeki ezidinga ukuhlukaniswa kwembangela yezimpawu ze-biliary ezinkulu.
Prevención
Kunezindlela eziningana zokunciphisa ingozi yokuthuthukisa lesi sifo i-gallbladder ebangelwa yi-emphysematousLandela ukudla okunempilo nokulinganiselayo umkhawulo Ukudla okunamafutha amaningi, ukudla okuthosiwe, kanye nama-soda kungasiza ekuvimbeleni ukwakheka kwamatshe enyongo.
Gcina isisindo somzimba esinempilo Kungasiza futhi ekunciphiseni ingozi yokuthola lesi sifo, njengoba kungasiza ekugwemeni ukubhema nokunciphisa ukusetshenziswa kotshwala.
Kubalulekile futhi Hlala unamanzi anele futhi ulawule amazinga e-cholesterolNgokusebenzisa inqubo yokuzivocavoca umzimba efanele iminyaka yobudala imizuzu engama-45 kuya kwengama-60, izinsuku ezi-3 kuya kwezi-4 ngesonto, kungcono ukulandela uhlelo lokufaneleka komzimba ngesikrini esiqinisekisiwe.
Ngaphezu kwalokho, ukuhlala simatasa kusinika inhlalakahle yengqondo lapho sishiya indlela yokuphila yokuhlala phansi nsuku zonke Ngokufeza ukuhamba kwamathumbu okungcono, ukunyakaza kwamathumbu kuba njalo futhi sigwema ukubola, kokubili ngokwemvelo nangokwengqondo.
Isiphetho
Ngamafuphi, maqondana nezinto eziza kuqala, I-gallbladder ebangela ukuvuvukala kwesisu ingaba yisimo esikhathazayo nesibuhlungu.Kodwa-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha ngohlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele uma une- Izimpawu yesimo.
Ngomlando wezokwelapha ophelele kanye nokuhlolwa ngokomzimba okuphelele, abasebenzi bezempilo bangabeka izindlela zokucela, ngokulandelana kwezinto eziza kuqala, ukuhlolwa okuhambisanayo njengokuhlolwa kwegazi, izithombe ze-X-ray, i-ultrasound, noma i-computed tomography scan.
Ngokuqonda izizathu, ukungakhululeki, kanye nokwelashwa okungenzeka, uzokwazi ukwenza izinyathelo ezisebenzayo ukunciphisa ingozi kanye isiqinisekiso sokuba ngumlingiswa oyinhloko Ngokuphathelene nempilo yakho, manje sekuyisikhathi sokwabelana ngolwazi lokuvimbela ezinkundleni zokuxhumana ukuze abantu abaningi baziswe futhi kuncishiswe izinkinga ezinkulu.
Ngiyabonga ngokushiya amazwana kanye neziphakamiso zezihloko zokugaya ukudla ezizoxoxwa ngazo kubhulogi.Silandele ukuze uthole okuthunyelwe okulandelayo okunolwazi!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Inyongo esabekayo ebangela ukuvuvukala kwesibindi.