Sanibonani ngemfudumalo futhi wamukelekile kubhulogi yezempilo yokuvimbela. Siqala ngokushesha ngokutadisha i- gallbladder ethelelekile eshaqisayo , okubhekisela ekuthelelekeni kwebhaktheriya e -biliary viscera , isitho esincane esingaphansi kwesibindi futhi esinamathele ebusweni baso obungezansi.
Inyongo inesibopho sokugcina, ukugxila nokukhulula inyongo, okuwuketshezi oluluhlaza okwesibhakabhaka oluphuzi olusiza ekugayweni kwamafutha kanye ne-cholesterol ikakhulukazi; ubunzima bokukhipha inyongo bubonakala ngokugaywa kokudla ngemva kokudla okunamafutha.
Kodwa-ke, lapho inyongo itheleleka, ingabangela izimpawu eziningi ezingathandeki kanye nezinkinga zempilo. Kulesi sihloko, "esibhalwe ngabantu, ngenxa yabantu," sizoxoxa ngezimbangela, izimpawu, kanye nokwelashwa okusebenzayo nokusheshayo kokutheleleka kwenyongo.
Ngesikhathi esifanayo, ukuphuza inkomishi yetiye eliluhlaza okwamanje kuzovumela izinga eliphezulu lokugxila kwengqondo ukuze kubanjwe ulwazi olusha lokuthuthukiswa komuntu siqu, okusenza sikwazi ukugcina isimo sengqondo sokubhekana nezinkinga ezinkulu ezingaba khona, ezivame ukubangelwa ukuzihlola noma ukuzelapha, okuholela ekubambezelekeni okuhlosiwe kokufuna usizo lwezokwelapha.
Inyongo ethelelekile ethusayo
Inyongo ethelelekile, ethintekile yisimo esiye sanda kakhulu eminyakeni yamuva nje. Lolu hlobo lokutheleleka kwenyongo, olwaziwa ngokuthi i-cholecystitis, lubangelwa amagciwane noma ezinye izifo ezivuvukisa inyongo futhi zivale indlela yayo yokukhipha amanzi.
Izimpawu ezivamile zifaka phakathi ubuhlungu besisu, umkhuhlane, isicanucanu, ukuhlanza, kanye ne-jaundice; noma kunjalo, abantu abaningi abazi ngalezi zimpawu kuze kube yilapho kuvela izinkinga ezinkulu kakhulu. Izilinganiso ezivamile zisikisela ukuthi amacala angaphezu kuka-200.000 alolu hlobo lokutheleleka abikwe minyaka yonke e-United States kuphela.
Ama-blister athelelekile nawo angadinga ukususwa ngokuhlinzwa ukuze kuvinjelwe ezinye izinkinga. Kubalulekile ukubonisana nochwepheshe wezempilo ukuze uthole ukuxilongwa okunembile kanye nohlelo lokwelashwa uma uhlangabezana nanoma yiziphi zalezi zimpawu.
Ukuthatha izinyathelo zokuvimbela, njengokugcina imikhuba emihle yokudla, kungasiza ekunciphiseni ingozi iyonke yenyongo ethintekile ebangelwa ukuqina kwenyongo ngenxa ye-cholecystitis noma amatshe enyongo.
Izimbangela zenyongo ethelelekile
Kunezici eziningana ezingabangela ukuthuthukiswa kokutheleleka kwenyongo . Imbangela evame kakhulu ukuba khona kwamatshe enyongo okungapheli. Lawa ama-hard deposit amancane kuya kwaphakathi akheka ngaphakathi kwenyongo ngenxa yokungalingani kwezingxenye zenyongo kanye nokugcwala kwenyongo okungalingani kakade, okwenza ukwakheka kwawo kuqale.
Uma amatshe enyongo evimba umgudu wenyongo, ukuvuvukala okuncane kakhulu nokukhulu kodonga lwenyongo kwenzeka, kanye nokutheleleka kwemigudu yenyongo yangaphakathi nangaphandle kwesibindi, isimo esibizwa ngokuthi i-cholangitis, esingaba yingozi ngezinye izikhathi. Ezinye izimbangela zokutheleleka komgudu wenyongo zifaka:
- Umdlavuza wenyongo.
- Ukutheleleka ngamagciwane.
- Ama-anomalies ku-viscera ye-biliary.
- Isifo sesibindi esingamahlalakhona.
- I-pancreatitis ebukhali.
- Ukuphuza ngokweqile.
Izimpawu zokutheleleka
Ezinye zezibonakaliso ezivame kakhulu zokutheleleka kwe-vesicular okufanele uziqaphele ukuze uthathe isinyathelo ngokushesha okukhulu yilezi:
- Ubuhlungu obukhulu kanye nokuzwela okukhulu kwesisu.
- Umkhuhlane kanye nokubanda ngezikhathi ezithile.
- Ukucanuzela nokuhlanza okuphindaphindiwe.
- Ukulahlekelwa isifiso sokudla
- Ukuphuzi kwesikhumba kanye ne-sclera yamehlo (i-jaundice).
- Izitulo ezinombala wobumba okhanyayo.
- Umchamo omnyama.
- Ukungagayeki kahle kokudla kanye nokuvuvuka kwesisu.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu , kubalulekile ukuthi ufune usizo olusheshayo kubasebenzi bezempilo ezibhedlela noma emitholampilo endaweni yakini, kungaba ngenethiwekhi yezempilo yomphakathi noma yangasese, ukuze kufezwe ukungenelela okusheshayo nokusheshayo ukuze kugwenywe izinkinga ezinkulu nezibulalayo njenge- sepsis.
Ukuxilongwa kokutheleleka
Ukuze ahlole ukutheleleka kwenyongo, udokotela wakho uzokwenza ukuhlolwa ngokomzimba futhi abukeze umlando wakho wezokwelapha. Bangase futhi ba-ode ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe njenge-ultrasound noma i-computed tomography (CT) scan. Lokhu kuhlolwa kungasiza ekutholeni imbangela eyisisekelo yokungakhululeki kwakho futhi kutholakale noma yiziphi izinkinga kusenesikhathi.
ukuxilongwa okuhlukile
Ukutheleleka okukhulu kwenyongo kuyindlela embi kakhulu yokutheleleka kwenyongo okungaba nemiphumela emibi uma kungelashwa ngokushesha. Lolu hlobo lokutheleleka, olwaziwa nangokuthi i-cholecystitis, luvame ukubangelwa amagciwane noma ezinye izifo ezingena kwinyongo, okuholela ekuvuvukeni kodonga lwenyongo okulandelwa ukutheleleka kokuqukethwe kwayo.
Izimpawu ezivame kakhulu yilezo ze- acute biliary colic, i-pancreatitis kanye ne-cholangitis (ukutheleleka kwemigudu ye-bile) ngenxa yokuvaleka kwemigudu ye-bile, kodwa ukuxilongwa okungavami kakhulu kufanele kucatshangelwe, njenge-appendicitis, isifo sesilonda se-peptic (isisu noma i-duodenal) kanye ne-gastritis ethandwayo.
Njengoba lezi zethulo zihluka ngokwesikhathi, ubukhulu bobuhlungu, kanye nezimpawu ezihambisanayo, kubalulekile ukuthi odokotela baqaphele izifo ezahlukene ukuze kube lula ukuthola ukunakekelwa okungcono kakhulu kweziguli zabo.
Ukuxilongwa okunembile kubalulekile ekunikezeni ukwelashwa okufanele, okuzonciphisa amathuba okuba nezinkinga zesikhathi eside. Izindlela ezimbili zokwelapha ezivame kakhulu zalolu hlobo lokutheleleka ukwelashwa ngama-antibiotic kanye nokususwa kokuhlinzwa komsele we-bile.
Ezimweni zobuhlungu obukhulu besisu obubangelwa ukutheleleka kwenyongo, kwenziwa ukuxilongwa okuhlukile ngesifo esingavamile esiveza isithombe sobuhlungu obukhulu obulandelwa ukwandiswa, okungukuthi inyongo enezindonga ezincane ezingabalwe , kanye nokuhlukahluka kwayo okukhulu ekuboniseni izifo zalesi sifo esingavamile.
Ukuxilongwa okuhlukile kufanele kwenziwe uchwepheshe wezokwelapha onolwazi ukuqinisekisa ukuthi ukwelashwa okufika ngesikhathi nangokuphumelelayo kunikezwa.
Ukwelapha
Ukwelashwa kokutheleleka kuncike embangela eyinhloko kanye nobunzima besimo senyongo. Ezimweni ezincane, udokotela angase ancome ukuphumula kanye nemithi yokuqeda izimpawu, njengemithi yokunciphisa ubuhlungu, imithi yokuphazamiseka kokugaya ukudla njengesicanucanu, kanye nama-antibiotic okwelapha noma yikuphi ukutheleleka okubangelwa amagciwane okuhambisana nakho.
Ezimweni ezimbi kakhulu, ukuhlinzwa kokususa inyongo, okubizwa ngokuthi i-cholecystectomy (ukususwa kwenyongo), kungadingeka.
Le nqubo ingenziwa ngokusebenzisa ukuhlinzwa okuvulekile kwendabuko noma ukuhlinzwa kwe-laparoscopic okungenasidingo . Ukuhlinzwa kwe-laparoscopic kuhilela ukwenza izimbobo eziningana ezincane ezibizwa ngokuthi ama-ports (0,5 kuya ku-1 cm ubude) odongeni lwesisu nokusebenzisa ithubhu enekhamera encane ukuqondisa inqubo. Le ndlela inikeza izinzuzo eziningana kunokuhlinzwa okuvulekile, njengobuhlungu obuncane, ukuhlala esibhedlela isikhathi esifushane, kanye nokululama okusheshayo nokuphephile.
Ukuvimbela ukutheleleka
Nakuba ukutheleleka kungenakuvinjelwa ngaso sonke isikhathi, ungathatha izinyathelo ezithile zokunciphisa ingozi yakho yokukuthola. Lokhu kufaka phakathi:
- Gcina ukudla okunempilo kanye nesisindo.
- Gwema utshwala nogwayi.
- Vivinya umzimba njalo.
- Gomela i-hepatitis A kanye ne-B (uma usengozini).
- Cela ukwelashwa okusheshayo kwezinkinga zesibindi kanye nomgudu wenyongo.
Isiphetho
Okokugcina, inyongo ethelelekile iyisimo esibuhlungu nesingathandeki esingaholela ezinkingeni ezinkulu uma singelashwa ngokushesha. Uma uhlangabezana nanoma yiziphi izimpawu zokutheleleka, funa usizo lwezokwelapha endaweni ngokushesha. Ngokuthola ukuxilongwa okufanele kanye nemithi , abantu abaningi bangalulama ekuthelelekeni kwenyongo futhi baphile impilo enempilo nesebenzayo.
Manje yisikhathi esihle sokwabelana ngolwazi lwezempilo zokuvimbela ezinkundleni zokuxhumana ukuze sihlangane sifinyelele abantu abaningi futhi sibasize bagweme izinkinga. Siyabonga ngemibono neziphakamiso zakho ngezihloko zokugaya ukudla zebhulogi.
Sanibonani futhi sizobonana kokuthunyelwe okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Inyongo Ethelelekile Eshaqisayo.