Thola ukubingelelwa okufudumele futhi wamukelekile kubhulogi yezempilo yokuvimbela, kugxilwe kakhulu ezifweni zesimiso sokugaya ukudla ezidinga ukwelashwa kwezokwelapha noma kokuhlinzwa. Manje ake singene esahlukweni esiphathelene nemiphumela emibi. inyongo evuvukele.
Inyongo iyisitho esincane esitholakala ngaphansi kwesibindi futhi sinomthwalo wokugcina, ukugxila, nokukhipha amatshe enyongo. bileLolu ketshezi lokugaya lubalulekile ukuze umzimba ugaye amafutha ngendlela efanele.
Ngeshwa, i- ukuvuvukala kwenyongo, obeye aziwe njengo cholecystitisNgokuvamile kubangela izinkinga ezinkulu ekukhiqizweni nasekukhishweni kwenyongo. Kulesi sihloko "kubhalwe ngabantu, ngenxa yabantu" Sizohlola izimpawu, izimbangela, ukwelashwa, kanye nokubikezelwa kwezokwelapha komuntu ohlushwa ukuvuvukala kwenyongo.
Sekuyisikhathi sokuvuselela inkomishi yetiye eliluhlaza okuvumela ukujikeleza kwegazi okungcono, njengokuphumula kwemisipha okuhambisana nokugxila okuphezulu kwengqondo ukuze uthole ulwazi olusha lokuthuthukiswa kwakho komuntu siqu.
Lokhu kubonisa isimo sengqondo esithakazelisayo sokuthatha isinyathelo ukuzethemba, futhi okubi kunakho konke, ukuzelaphaLokho abakwenzayo ukuchitha isikhathi esibalulekile esingasetshenziselwa ukuvakashelwa kwezokwelapha ngesikhathi esifanele ngaphakathi kwenethiwekhi yezempilo yomphakathi noma yangasese, kuye ngendawo abakuyo, lapho bengathola khona usizo lwezokwelapha kanye nokukhululeka ezifweni zabo. Ake sibone okwengeziwe ngale ntuthuko entsha ethokozisayo!
Inyongo Evuvukele Eshaqisayo
Inyongo evuvukele iyisimo esishaqisayo, esingakhululekile, nesibucayi esingaba khona kubantu babo bonke ubudala. Kulinganiselwa ukuthi ukuvuvukala kwenyongo, okwaziwa nangokuthi i-cholecystitis, kubalelwa cishe ku-10 kuya ku-15% wazo zonke izimo zesifo senyongo.
Izimbangela zalesi simo zisukela ekubeni khona kwamatshe enyongo kuya ekuthelelekeni ngamagciwane kanye namagciwane e-biliary viscera etholakala ngaphansi kwesibindi.
Izimpawu ezijwayelekile zifaka phakathi ubuhlungu obukhulu esiswini esingaphezulu kwesokudla, okuhambisana nomkhuhlane, isicanucanu nokuhlanza, ukulahlekelwa yisifiso sokudla, kanye nokuphuzi kwesikhumba namehlo (okwaziwa ngokuthi i-jaundice) ngenxa yokuvaleka kokuphuma kwenyongo.
Uma ingelashwa, inyongo evuvukele ingaholela ezinkingeni ezinkulu ezifana namathumba, noma ngisho nokuqhekeka kwesitho ngokwaso, okuholela ekungcoleni okukhulu kwe-peritoneum (ulwelwesi lwesisu), futhi ekugcineni, i-sepsis esongela ukuphila. Ngakho-ke, kubalulekile ukufuna ukwelashwa uma uhlangabezana nanoma yiziphi zalezi zimpawu.
Kuyini i-cholecystitis?
I-Cholecystitis yigama lezokwelapha elisho ukuvuvukala kwenyongo. Lesi simo sibangelwa ukuhlangana kwamatshe enyongo Ngaphakathi, kukhona ukuqongelela kwama-fatty acid nama-enzyme okugaya ukudla, okubangela ukuphuma kancane kwe-bile, okuholela ekumisweni nasekuthelelekeni ngamagciwane.
Ngaphandle kokunakekelwa kwezokwelapha, i-acute cholecystitis ingaholela ezinkingeni ezinkulu, njenge-acute biliary pancreatitis, i-biliary cirrhosis, kanye nokwakheka kwamathumba angaphakathi kwesibindi ngenxa yokudluliselwa kwamagciwane ezicutshini eziseduze.
Izimpawu nezimpawu zokuvuvukala kwenyongo
Isikhalazo esivame kakhulu se-cholecystitis ubuhlungu besisu obuphakathi kuya kobunzima, obuvame ukutholakala engxenyeni ephezulu kwesokudla yesisu, futhi ngenxa yobukhulu bokutheleleka, kungabangela ubuhlungu ehlombe lesokudla nangasemhlane.
abanye izimpawu Imiphumela emibi engaba khona ihlanganisa isicanucanu, ukuhlanza, umkhuhlane, kanye nomuzwa wokugcwala esiswini. Ngaphezu kwalokho, iziguli zingase zizwe ukuzwela okukhulu kokuthinta esiswini, futhi kungase kube nokuphuzi okuncane kuya kokubi kakhulu kwamhlophe wamehlo nesikhumba okuhambisana nokulunywa noma ukuqubuka, okwaziwa ngokuthi i-jaundice. jaundice.
Izimbangela zokuvuvukala kwenyongo
I-Cholecystitis ivame ukubangelwa ukuvaleka komsele wenyongo, okungenzeka uma amatshe enyongo noma amatshe enyongo ebhajwa emseleni wenyongo obizwa ngokuthi i-cystic duct noma ezingeni lomsele wenyongo ovamile.
Nakuba lokhu kuvinjelwa ngezinye izikhathi kungaqedwa ngemithi, akunakwenzeka ngaso sonke isikhathi, futhi kungase kudingeke ukuhlinzwa ukuze kususwe ngempumelelo amatshe enyongo. Ngenxa yalokho, abanye abantu bangase bathambekele kakhulu ekuwadaleni. amatshe enyongo asabekayo ngenxa yomlando womndeni (wokudla ukudla okunamafutha amaningi, ukudla okuthosiwe, ukudla okungenamsoco kanye noketshezi oluncane), okuholela ekubeni nesisindo esikhulu, ukuhlala phansi, noma ukuba nesifo sikashukela.
Konke okudingeka ukwazi ngezinye izimbangela ezingaba khona zokuvuvukala kwenyongo: kungaba ngenxa yokutheleleka ngamagciwane, ukudla okunamafutha ngokweqile okuhambisana nokuphuza utshwala obuningiYile nhlanganisela embi kakhulu yezinto ezinolaka ezibangela lesi sifo, noma ukuphazamiseka kokugaya ukudla ikakhulukazi okuvela kumasosha omzimba, njenge-inflammatory colitis.
ukuxilongwa okuhlukile
Inyongo evuvukele iyisimo esingavamile kodwa esesabekayo ngenxa yokuqala kwayo okungaba kubi futhi okungalindelekile. Imbangela eyinhloko ivame ukuba nzima ukuyibona, okwenza ukuxilongwa okuhlukile kube yinto ebalulekile.
Ngokuvamile, isinyathelo sokuqala sokuthola inyongo evuvukele ukubuyekezwa komlando wezokwelapha wesiguli, kulandelwe ukuhlolwa ngokomzimba okuphelele ngokunaka okukhethekile isisu.
Ngemva kwalokhu kuhlolwa kokuqala, ukuhlolwa kwezithombe ezifana ne-ultrasound noma i-computed tomography scans kungasetshenziswa ukuqonda kangcono ukwakheka komzimba kanye nokuvuvukala kwenyongo kanye nezicubu ezizungezile.
Ukuhlolwa kwegazi kuyacelwa futhi ukuze kubhekwe izimpawu zokuvuvukala noma ukutheleleka, njengokuhlolwa kokusebenza kwesibindi kanye nomehluko phakathi kwenyongo eqondile nengaqondile. Uma zonke izimbangela ezingaba khona sezihloliwe futhi zakhishwa, ukwelashwa kungaqala, okungafaka phakathi izinguquko zendlela yokuphila, imithi, noma ngisho nokuhlinzwa, kuye ngokuthi ukuvuvukala kubucayi kangakanani.
Kubalulekile ukuqaphela ukuthi, uma kungelashwa kusenesikhathi, inyongo evuvukele ingaholela ezinkingeni ezinkulu, njenge-pancreatitis eyesabekayo, noma i-jaundice eshaqisayo (ukuphuzi kwesikhumba, amehlo nokulunywa), ngakho-ke ukuxilongwa nokwelashwa ngesikhathi kubalulekile.
Ukuba khona kwamatshe enyongo noma i-biliary calculi ngezinye izikhathi kungandisa inyongo; ngakho-ke, kubalulekile ukucabangela ukuxilongwa okuhlukile kwezifo ezingavamile njenge... inyongo enodonga oluncane engenamatshe ngezinhlobo zayo eziningi zezifo ezivamile, kanye nokuhlolwa okuhambisanayo kuyasiza ekuhlukaniseni lesi simo.
Ukwelashwa kokuvuvukala kwenyongo
Uma i-cholecystitis ingelashwa ngokushesha, kunengozi yezinkinga ezinkulu zempilo ngenxa yokuzixilonga noma ukuzelapha. Ngakho-ke, kubalulekile ukuthatha lesi sifo ngokungathi sína, ukuvakashela udokotela, bese uqala ukwelashwa. ukwelashwa ngokushesha okukhulu
Umzila wokuqala wokwelashwa kwe-cholecystitis ukunikezwa inhlanganisela yama-antibiotic e-broad-spectrum, angasiza ekunciphiseni ukuvuvukala futhi kuqedwe ukutheleleka. Ngaphezu kwalokho, kunganconywa ukushintsha ukudla, njengokunciphisa ukudla okunamafutha, ukudla okuthosiwe, nokugwema utshwala.
Uma ukutheleleka kuqhubeka futhi kukhona amatshe enyongo, ukungenelela kokuhlinzwa ngokuvamile kuyadingeka. vesicle inyongo ukuze zisuswe futhi kuvinjelwe izinkinga ezilandelayo. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi ngokuvamile kuthatha isikhathi esingaphansi kwehora, yize isiguli kungadingeka sihlale esibhedlela usuku olulodwa noma ezimbili.
Ukususwa kwe gallbladder ebizwa emkhakheni wezokwelapha ngokuthi ukususwa kwe-cholecyst, okunqunywa ukuthi kwenziwe ngokusebenzisa ukuhlinzwa kwe-laparoscopic okungangenisi kakhulu noma ukuhlinzwa okuvamile okuvulekileLokhu kungumphumela ongenzeka kakhulu kubantu abahlushwa yizigameko eziphindaphindayo ze-cholecystitis.
Imibono nge-cholecystitis
Isibikezelo se-cholecystitis ngokuvamile sihle uma lesi sifo sitholakala futhi selashwa kusenesikhathi futhi ngokushesha. Nakuba ama-antibiotic evame ukuba umugqa wokuqala wokwelashwa, angasebenza futhi. Kungadingeka ukuhlinzwa uma izimpawu ziqhubeka noma ukutheleleka kukhuluNokho, ezimweni eziningi, ukuvuvukala kwenyongo kuyanyamalala ngaphandle kwezinkinga ezengeziwe.
Ngakho-ke, sekuyisikhathi sokuhlela ukuhlinzwa ngemva kokuba isimo esithathelwanayo (esishisayo) sesilawulwa futhi ukuvuvukala sekunciphile (isimo sokubanda); leli yithuba lokungenelela kokuhlinzwa kwe-laparoscopic ukunciphisa izinkinga ngesikhathi senqubo.
Ukudla kweziguli ezinesifo senyongo ngemva kokususwa kwe-cholecyst
Ukuvuvukala kwenyongo, kungaba okubukhali noma okungamahlalakhona, kuyisimo esibucayi sezokwelapha esibangelwa ukuvaleka kwesistimu yenyongo. Kungaba buhlungu kakhulu futhi kungadinga ukuhlinzwa ukuze kususwe inyongo, inqubo eyaziwa ngokuthi i-cholecystectomy.
Ngemva kokuhlinzwa, iziguli ezinalesi simo zivame ukudinga usizo lokuqonda uhlobo luni lokudla okufanele balulandele esikhathini esizayo. Iziqondiso zisikisela ukuthi iziguli ezisanda kususwa i-cholecystectomy kufanele zidle izingxenye ezincane kaningi, zigweme ukudla okunamafutha nokuthosiwe, futhi zigxile kakhulu kokusanhlamvu okuphelele kanye namaprotheni anamafutha aphansi.
Ukudla okufana namazambane abilisiwe, i-oats, i-applesauce, ushizi wekotishi, noma ama-chicken fillets angenasikhumba konke kubhekwa njengokuwusizo kuma-gallbladder avuvukele ngenxa yokuthi kulula ukugaya, kanye neziguli ezihlinzwe futhi ezingenayo i-gallbladder.
Inyongo evuvukele ingaba yisimo esinzima ukwelapha, kodwa ngokuqwashisa kahle ngezidingo zokudla zokululama nokunakekelwa ngemva kokuhlinzwa, ingaba lula kakhulu ukuyilawula. ukusetshenziswa kwe-fiber yokudla ekudleni kwansuku zonke.
Uma kungekho ukuqwashisa ngokuthi amatshe ezinso akheka kanjani ngenxa yokudla okungekuhle futhi uma kungekho ushintsho oluqondile ekudleni impilo yonke, Ngokuhamba kwesikhathi, ziyakwazi ukwakha amatshe noma ama-calculi ohlelweni lwe-biliary duct, njenge-common bile duct. futhi baqala futhi nobuhlungu besisu kanye nengozi ephezulu ye-pancreatitis eyesabekayo.
Isiphetho
Ukuze kuphothulwe umhlangano ngezinto eziza kuqala, ukuvuvukala kwenyongo okwaziwa ngokuthi i-cholecystitis Kungaba yisimo esibucayi, futhi kubalulekile ukubona udokotela wakho wendawo ngohlelo lokunakekelwa kwempilo lomphakathi noma oluzimele uma uhlangabezana nanoma yiziphi izimpawu. izimpawu izimpawu ezivamile ezihambisana nesifo senyongo. Nge ukwelashwa Ngokwelashwa okusheshayo nokufanelekile, lesi sifo sivame ukwelashwa ngempumelelo futhi izinkinga ezinkulu ziyagwenywa.
Sekuyisikhathi sokwabelana ngolwazi lwezempilo lokuvimbela ezinkundleni zokuxhumana, ukuze sihlangane sifinyelele abantu abaningi futhi sibasize bafunde ngokuvuvukala kwenyongo futhi banciphise izinkinga. Siyabonga ngemibono neziphakamiso zakho zezihloko zokugaya ukudla engingaxoxa ngazo kubhulogi. Ukugona kobuzalwane futhi sizohlangana esihlokweni esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Inyongo Evuvukele Eshaqisayo.