Sawubona bathandekayo be-net futhi wamukelekile kubhulogi yolwazi lwezempilo yokugaya ukudla. Ake siqonde ngqo ekuhlaziyweni kwesihloko se-kinked gallbladder, isifo esibonakala ngokuncipha komsele we-bile, okuwumsele othutha i-bile isuka esibindini kanye ne-gallbladder iye emathunjini.
Lesi simo somsele sivame ukuholela ekwakhekeni kwamatshe emseleni we-bile, ukuvaleka kohlelo lomsele we-bile, futhi, kwezinye izimo, isidingo sokuhlinzwa ukuze kususwe isitho se-bile esithintekile.
Lesi sigaba sikhuluma ngalesi sifo. "kubhalwe ngabantu, kubantu Kungaba yinto yokuzalwa noma etholwe ngokuzalwa, futhi kuthinta abantu babo bonke ubudala, kusukela entsheni kuya kubantu abadala abasebasha.
Inyongo Egobile
Inyongo egobile iyisifo esingavamile sokwakheka komzimba esibonakala ngokugoba ngokweqile kwe-common bile duct. Naphezu kokusabalala kwayo okuphansi, lesi simo sidinga ukunakwa ngenxa yezinkinga ezingase zivele uma singabhekwa njengembangela engaba khona yokuxilongwa.
Ngezinombolo, ukuvama kokwenzeka kulinganiselwa phakathi kwamaphesenti angu-0.15 no-0.22 amacala. Imbangela eqondile yokukhubazeka ayaziwa, kodwa abanye ababhali basikisela ukuthi kungenzeka ukuthi kungenxa yokuthuthuka okungavamile kombungu noma ukuvuvukala okungapheli kanye nezibazi ezihambisana nakho. Iziguli zivame ukungabi nazimpawuAbanye abantu bangase babe nobuhlungu besisu, isicanucanu, noma ukuhlanza, ikakhulukazi ngemva kokudla.
Ngokuhamba kwesikhathi, inyongo ephukile engalashwanga ingaholela ezinkingeni ezinkulu kakhulu, njenge-biliary colic, i-cholecystitis, noma i-pancreatitis, ngenxa yokuvaleka kwesihlahla senyongo okubangelwa ukunqwabelana kwamatshe enyongo noma udaka lwenyongo.
Ngakho-ke, ukuxilongwa okuqaphile kanye nokwelashwa ngokucophelela kuyalulekwa kunoma yisiphi isimo salesi simo esingavamile kodwa esibalulekile.
Izimbangela ze-gallbladder ephukile
I imbangela ngqo kwe inyongo egobileKodwa-ke, kukholelwa ukuthi kungenzeka ukuthi kungenxa yokukhula okungavamile kwenyongo noma kwesisu okuzalwe nakho. umsele wenyongo ngesikhathi sokwakheka kombungu, noma okutholakale ngenxa yokulimala noma ukuvuvukala okungapheli.
Ezinye izinto ezifundwe kahle ezingandisa ingozi yokuba nenyongo ephukile ukukhuluphala, iminyaka engaphezu kwengu-40, umlando womndeni wamatshe enyongo, kanye nokwelashwa noma izifo ezithile ezithinta indlela yokugaya ukudla.
Izimpawu ze-gallbladder egobile
Ukungakhululeki kwe i-viscera ye-biliary egobile Zingahluka kumuntu nomuntu futhi zingahluka kusukela kokuncane kuya kokukhulu kuye ngokuthi ubuhlungu bungakanani kanye nomthelela ezithweni nasezicutshini eziseduze.
I-Los izimpawu Izimpawu ezivame kakhulu ubuhlungu besisu, obungaba buqand’ ikhanda noma obungamahlalakhona; izinkinga zokugaya ukudla, njengokucanuzela kwenhliziyo nokuhlanza; umkhuhlane; i-jaundice (ukuphuzi kwamehlo nesikhumba) okuhambisana nokulunywa; umuzwa oshisayo esiswini obangelwa ukunqwabelana kwe-bile okubangela i-gastritis ye-biliary; kanye nobuhlungu ngaphansi kohlangothi lwesokudla lwe-rib cage.
Ukuxilongwa nokwelashwa kwe-kinked gallbladder
La inyongo egobile Kungatholakala ngomlando ophelele wezokwelapha, ukuhlolwa ngokomzimba okuphelele, kanye nokuhlolwa kwezithombe zezokwelapha, njenge-ultrasound, i-computed tomography, i-cholangiogram, i-magnetic resonance imaging, kanye ne-transabdominal cholangiography, okudinga izinga eliphezulu lokwahlulela okucatshangelwayo ukuze kuqinisekiswe emtholampilo.
Ukuxilongwa okuhlukile kwesifo esingavamile, njengokuthi inyongo enodonga oluncane engenamatshe ngezinhlobo zayo eziphelele zezifo kanye nokwelashwa okungenzeka kwalesi simo senyongo.
El ukwelashwa kwenyongo ephukile Kuzoncika ku- izimpawu kanye nembangela eyisisekelo. Ezimweni lapho imbangela ingaziwa khona noma izimpawu zincane, kunganconywa ukushintsha indlela yokuphila, njengokudla ukudla okuncane, ukugcina isisindo esinempilo, ukugwema ukudla okunamafutha amaningi, kanye nokuzivocavoca njalo, njengokuzilolonga kathathu ngesonto imizuzu engama-45 kuya kwengama-60; lokhu kuyisihluthulelo sokuqala indlela entsha yokuphila enempilo.
Ezimweni ze izimpawu Ezimweni ezibucayi kakhulu noma lezo ezihilela ukuvaleka kwemisele yenyongo, ukuhlinzwa okuvamile noma kwe-laparoscopic kunganconywa ukuze kususwe ukuvaleka futhi kugwenywe umonakalo owengeziwe emimiseleni yenyongo kanye nemiphumela ephawulekayo yomzimba, njengokukhathala noma ukukhathala, ukuntuleka kwesifiso sokudla, isicanucanu, nokuhlanza.
Kwezinye izimo, kungadingeka ukususa gallbladder kusetshenziswa inqubo eyaziwa ngokuthi i-colectomy evulekile evamile noma i-laparoscopic cholecystectomy encane kakhulu, le yokugcina iyona engcono kakhulu futhi esetshenziswa kakhulu ngenxa yokululama kwayo okusheshayo nokubuyela emisebenzini.
Amathiphu okuphatha i-gallbladder ephukile
Ngaphezu kokwelashwa okukhulunywe ngakho, ungenza izinguquko ezithile endleleni yokuphila ukuze ulawule i-viscera ye-biliary egobileUkulandela ukudla okunempilo, ukunciphisa ukucindezeleka, nokugwema ukudla okunamafutha kusiza ekunciphiseni ingozi yokuthola amatshe enyongo kanye nokuvaleka kwemisele yenyongo.
Kubalulekile futhi ukuphuza amanzi amaningi nokuhlala unamanzi amaningi, amalitha ama-2 amanzi anuka kamnandi ikakhulukazi i-boldo, i-mint kanye nesiphuzo usuku lonke, i-thermos yensimbi noma yengilazi ibalulekile.
Ukuzivocavoca imizuzu engama-45 kuya kwengama-60 izinsuku ezintathu kuya kwezine ngesonto ngaphansi kohlelo lokuzivocavoca umzimba kusiza ekugcineni imisele yenyongo iphilile futhi kugcine isisindo sakho singaphakathi kwemingcele enempilo.
Isiphetho
Ukuvaleka kwe-bile duct kuyinkinga enkulu, futhi uma ucabanga ukuthi ungaba nakho, kufanele uye emtholampilo noma esibhedlela esikhethekile ngokushesha okukhulu. Ezimweni zokuvaleka, ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ukuze kugwenywe izinkinga.
Ukuskena kwe-CT kuwuhlobo lwe-X-ray olungasiza odokotela ukuthi babone ngaphakathi emzimbeni wakho futhi bathole ukuthi yini ebangela ukuvaleka. Ngokuvamile kwenziwa ngaphandle kwesibhedlela, okusho ukuthi ngeke kudingeke uhlale esibhedlela ubusuku bonke. Uma ucabanga ukuthi kungenzeka ukuthi uvalekile i-bile duct enyongweni yakho, ungalindi—funa usizo ngokushesha.
Okokugcina, kubalulekile ukuthi ukhulume nodokotela wakho omethembayo edolobheni noma edolobheni lakini, kungakhathaliseki ukuthi uvela inethiwekhi yezempilo yomphakathi noma yangasese nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho mayelana inyongo egobile nokuthi yiziphi izinketho ukwelashwa (kwezokwelapha noma kokuhlinzwa) kungaba ngcono kakhulu esimweni sakho.
Siyabonga ngokwabelana ngolwazi lokuvimbela ezinkundleni zokuxhumana nangokushiya amazwana akho kubalaleli bebhulogi. Sizobonana kokuthunyelwe okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Inyongo Echotshoziwe.