Sawubona, msebenzisi we-inthanethi othandekayo, futhi wamukelekile kubhulogi yezempilo yokuvimbela, indawo yezempilo eyenzelwe "ngabantu ngenxa yabantu"Siyazi ukuthi ukuthola umbiko wezokwelapha okhuluma nge- inyongo ehlukanisiwe Lokhu kungadala ukudideka kanye nokungabaza okuningi mayelana izimbangela yalesi simo.
Ngaphambi kokuba ukukhathazeka kuqale, ngiyakumema ukuba uphefumule kane udede ukucindezeleka; ezimweni eziningi, lokhu kuyindlela yokwakheka komzimba obewulokhu uphila nayo.
Ngaphansi kwesiqondiso sochwepheshe sikaDkt. Jorge Delgado, sizochaza ngokucacile ukuthi kungani inyongo yakho inaleso simo esithile nokuthi kunini lapho idinga khona ukunakekelwa okukhethekile. Ukuthula kwengqondo yakho kanye nempilo yakho kuza kuqala kithi.
Kubalulekile ukuqonda ukuthi inyongo iyisitho esincane esitholakala ngaphansi kwesibindi. Sidlala indima ebalulekile ekugayweni kokudla ngokugcina, ukugxila, nokukhipha inyongo, ekhiqizwa esibindini, esiza ekugayweni kwamafutha ekudleni.
Kodwa-ke, ezinye izifo zingathinta ukusebenza kwe-biliary viscera, okubangela izimpawu ezahlukahlukene, okuhlanganisa neyodwa ehlobene ne-gallbladder ehlanganisiwe.
Ake sijabulele ukufunda okuqabulayo, "kubhalwe ngabantu, ngenxa yabantu", Ngomqondo wokuzisiza ekuthuthukisweni komuntu siqu, ngakho-ke, nabanye, lapho bebhekene nobuhlungu besisu, gwema ukuzihlola, futhi okubi nakakhulu, ukuzelapha.
Izenzo ezimbili ezimbi ukuchitha isikhathi esibalulekile ekuhlolweni kwezokwelapha nasekuhlolweni ngezibhedlela noma emitholampilo yesistimu yezempilo yomphakathi noma yangasese kanye nokugwema izinkinga ezinkulu.
i-gallbladder ehlanganisiwe
Ama-gallbladder ase-Septate ayinhlobo engavamile yokwakheka kwe-gallbladder ebonwe kwezinye izifundo zokwakheka komzimba. Abonakala ngokuba mancane futhi abe mancane ngendlela engavamile, ahlukaniswe abe yizingxenye eziningi noma ama-septa.
Izibalo zemvamisa zilinganisela ukuthi Kuthinta u-0.2-3% wabantu abadala; Ine-gallbladder ene-septate. Imbangela eqondile yalolu hlobo ayaziwa, yize ezinye izifundo ziphakamise ukuxhumana nokukhubazeka kokukhula kwengane.
Izimpawu ezivame ukuhlotshaniswa nama-gallbladder ahlukaniswe nge-septation zifana kakhulu nezezifo ze-gallbladder ezivamile futhi zifaka phakathi ubuhlungu besisu, ukungagayi kahle kokudla, isicanucanu kanye nokuhlanza.
Izinkinga ezivela kulolu hlobo lokwakheka komzimba zingafaka phakathi i-cholecystitis kanye nokuvaleka kwenyongo. Akuvamile ukuthi kube nokwanda kwezakhi zamatshe enyongo ezindaweni zawo ngenxa yokushintshashintsha kwendlela yokugeleza kwegazi emigudwini yenyongo.
Ngokuvamile, ukungenelela kwezokwelapha kunconywa kubantu abanezinsila ze-gallbladder ezinezimpawu; ezimweni ezimbi kakhulu, lapho ukungakhululeki kuqhubeka futhi kunengozi yezinkinga, njengokuthi ukuphuka kodongaKungadingeka ukususwa ngokuhlinzwa.
📌 ISAZISO: Lokhu okuqukethwe kungokwezinjongo zolwazi kuphela. Ukuze uthole iseluleko sezokwelapha noma ukuxilongwa, xhumana nochwepheshe wezempilo endaweni yakini.
Inyongo equkethe i-septum
I-septate biliary viscera, eyaziwa nangokuthi i-gallbladder ehlukanisiwe, Kuyinto a isifo sokuzalwa ukuthuthukiswa okungavamile kombungu, lapho i-vesicle ihlukaniswa khona ibe yizingxenye ezimbili noma ngaphezulu yi-septa (izindonga ze-membrane). Nakuba lesi simo singavezi izimpawu noma izinkinga ezibonakalayo ngaso sonke isikhathi, singabangela izinkinga ezithile ezidinga ukungenelela kwezokwelapha ngokushesha.
I-septum enyongweni
Inyongo iyisitho esibalulekile esidlala indima enqubweni yokugaya ukudla. Sigcina, sigxilise, futhi sikhiphe inyongo, uketshezi olukhiqizwa yisibindi olusiza ekugayweni kwamafutha futhi lukhiphe ubuthi emikhiqizweni engcolile.
Isimo esingavamile, esaziwa ngokuthi i-septate gallbladder, senzeka lapho kukhona ukuhlukana kwangaphakathi kodonga lwe-gallbladder ngenxa ye-septum: ulwelwesi oluncane lwezicubu ezixhumanisayo oluhlukanisa izikhala ezimbili noma ngaphezulu.
Lokhu kungaba yinto emangazayo futhi eyethusa kulabo abakutholayo, ngoba ngokuvamile azikho izinkomba noma izimpawu zalokhu kuphazamiseka kwesakhiwo. Nakuba lesi simo ngokuvamile singadingi ukwelashwa, ukuqonda ukuthi siyini kungaba yinto eduduzayo kubantu abaningi.
Okuhlukanisa inyongo akufanele kube yimfihlakalo. Amanyongo aqhekekile awavamile futhi, kwezinye izimo, angabangela ukuvaleka kwenyongo ezinkingeni ze-bile noma ezinye izinkinga; noma kunjalo, ngokuvamile azinakwa ngaphandle kokuthi kusetshenziswe ubuchwepheshe obuthile bokuthwebula izithombe ukuze zitholakale.
Ngaphezu kwalokho, ama-gallbladder ahlukaniswe ngezigaba angabonakala kuphela ngesikhathi sokuhlinzwa noma lapho kuhlolwa izifo ezihlobene ne-gallbladder, njenge i-pancreatitis noma i-cholangitis.
Abantu abanalesi simo banekhono lempilo elifanayo nalabo abangenazo izinkinga zesakhiwo ezithweni zabo; bamane nje banento emangalisayo abantu abambalwa abayibonayo.
Kunini lapho inyongo iyingozi khona?
Uma kukhulunywa nge-gallbladder, kungaba nokwehlukahluka okuningi emzimbeni wayo. Enye yezinhlobo ezingavamile kakhulu yi- i-gallbladder ehlanganisiwe, equkethe ukuhlukaniswa okuhlukanisa isitho sibe izingxenye ezimbili.
Nakuba lesi sakhiwo esingavamile singase singabangeli izimpawu kubantu abaningi, singaba yinkinga ezimweni ezithile.
Ama-gallbladder ahlanganisiwe angabangela ukuvaleka, njengoba i-bile ivuza odongeni futhi iqoqeke kwenye yezingxenye, okubangela ubuhlungu nokuvuvukala.
Uma lokhu kwenzeka, kungase kudingeke ukuhlinzwa ukuze kususwe isitho. Uma usola ukuthi ungaba nenyongo eqhekekile, khuluma nodokotela wakho ukuze acacise noma yikuphi ukungabaza futhi uxoxe ngezinketho zokwelapha ezingaba khona.
Uma inyongo ivalekile
Uma inyongo ivalekile, ingabangela izinkinga eziningana. Inyongo ngeke ikwazi ukudlula isuka emgudwini we-cystic iye emgudwini wenyongo ovamile, okungabangela ubuhlungu nokungakhululeki esiswini.
Ukuvaleka kwenyongo nakho kungabangela ukuvuvukala kanye nokutheleleka kwezitho eziseduze ngenxa yokuqongelela kwenyongo.
Ukuqongelela kwenyongo enyongweni (isibonelo, enyongweni ehlukanisiwe) kungaholela ekwakhekeni kwamatshe enyongweni ngenxa yokuminyana kwenyongo.
Bangase bavuke izinkinga ezinkulu, njenge-jaundice, i-pancreatitis, kanye nokubhoboka kwenyongo, uma kungafunwa usizo lwezokwelapha ezibhedlela noma emitholampilo yezempilo yesistimu yezempilo yomphakathi noma yangasese ngenxa yezinkinga ezivela ekuvinjweni kwenyongo.
Ngakho-ke, kubalulekile ukuqaphela nokuqaphela izimpawu ezingase zibonise inkinga ngokugaya ukudla noma ukusebenza kwalesi sitho esincane.
Izimbangela kanye nezici eziyingozi ze-gallbladder ye-septate
La imbangela ngqo kwe i-viscus ye-biliary ehlukanisiwe uhlala akwaziwaKodwa-ke, kukholakala ukuthi kuyisimo esingavamile sokuzalwa esikhula ezigabeni zokuqala zokukhula kombungu. Eminye imibono iphakamisa ukuthi kungenzeka ukuthi kungenxa yokujikeleza kwegazi kombungu okungavamile noma ukuvinjelwa kwe-lumen yenyongo kusenesikhathi.
Azikho izici eziyingozi ezitholakele ezichaza ukwakheka kwe-gallbladder ehlanganisiwe. Kodwa-ke, kungcono kakhulu okuvamile kwabesifazane, ngesilinganiso owesifazane – indoda 3:1lapho ukuphuma kwama-hormone kwabesifazane kanye nokukhulelwa kudlala indima ebalulekile.
Izimpawu ze-gallbladder e-septate
Ezimweni eziningi, i- i-viscus ye-biliary ehlukanisiwe Akuvezi zimpawu ezibonakalayo. Kodwa-ke, kungabangela izinkinga ezingase ziholele ekungakhululeki okufana nalokhu:
- Ubuhlungu besisu: Kungase kuvele njengobuhlungu obungacacile, obuhlala bukhona engxenyeni engenhla kwesokudla noma e-epigastrium, ngenxa yamatshe enyongo noma ukuvuvukala kwenyongo.
- Isicanucanu nokuhlanza: Lezi zimpawu ezivamile zingahambisana nobuhlungu besisu.
- I-Jaundice: Ezimweni ezingavamile, inyongo ingabangela ukuvaleka futhi iholele ekubeni ne-jaundice (ukuphuzi kwesikhumba namehlo okuhambisana nokulunywa okukhulu noma ukusha kwesikhumba).
- Amagciwane: I-Septa ingasebenza njengezindawo zokuzalela ukutheleleka ngenxa yokuntuleka koketshezi; amatshe aqoqana emifantwini ebangelwa yi-septa, okwandisa ingozi yokuba i-cholecystitis ebukhali (ukucasuka kwenyongo).
Ukuxilongwa kwesisu se-biliary esihlukanisiwe
I-gallbladder ene-septate ivame ukutholakala ngengozi. ngesikhathi sezifundo zezithombe kwenzelwa ezinye izinjongo, njengokuthi i-ultrasound, i-magnetic resonance imaging (MRI) noma i-computed tomography (CT). I-Ultrasound yindlela yokuhlola evame kakhulu esetshenziswa ukuthola i-gallbladder ehlanganisiwe.
Uma sekutholakale ukuthi unesifo, kuzokwenziwa umlando wezokwelapha ophelele kanye nokuhlolwa ngokomzimba, okuhlanganisa nokuhlolwa kwezifo kanye nobunzima bazo, kanye nokuhlolwa. ilebhu yegazi ukunquma isimo somzimba bese uhlela ngokushesha okungcono kakhulu ukwelashwa ukwelashwa ngokuhlinzwa.
ukuxilongwa okuhlukile
Ukuxilongwa ngokwehlukana kwenyongo ehlukanisiwe kungaba nzima kakhulu, ngisho nakochwepheshe bezempilo abanolwazi. Inyongo ehlukanisiwe yisimo esingavamile okungaba nzima ukusibona nokuyicabangela ekuxilongweni ngokwehlukana.
Kubonakala ngokuba khona kwama-gallbladder sacs amabili noma ngaphezulu ahlukaniswe udonga lwe-septum noma lwezicubu, okuvame ukwenza kube lula ukuthi kube nezifo ze-biliary.
Izimpawu zingase zihlanganise ubuhlungu besisu, isicanucanu nokuhlanza, kanye ne-jaundice; noma kunjalo, zivame nakwezinye izimo eziningi ezihlobene ne-gallbladder, njenge-cholecystitis, amatshe e-gallstone, ukukhubazeka kokuzalwa, kanye nezimila.
Kuvamile sebenzisa i-ultrasound ukuthola ukuthi kukhona i-gallbladder ehlanganisiwe, okubonisa ukuma kwe-gallbladder kanye nokuhlukana kwayo kube amakamelo amaningana, kuyilapho izindlela zokuthwebula izithombe ezifana ne-computed tomography scans noma i-magnetic resonance imaging zinganikeza odokotela abahlela ukungenelela kokuhlinzwa imininingwane eyengeziwe mayelana nokwakheka kwayo.
Umlando ophelele wezokwelapha, kuhlanganiswe nokuhlolwa kwelebhu okwembula imiphumela engaphezu kwemingcele evamile, kusiza ukunciphisa amathuba ahlukahlukene ngaphambi kokufinyelela esiphethweni sokuthi kukhona i-gallbladder ehlanganisiwe.
Ukuqonda izici zayo ezihlukile zokwakheka komzimba ekugcineni kuzosiza ekuboneni izindlela zokwelapha eziphumelela kakhulu zalesi simo, ukuze iziguli zikwazi ukuphinda zibe nempilo futhi zijabulele impilo engcono.
Kukhona isimo esingavamile esibangelwa ukuvuvukala kwenyongo, kulandelwe ubuhlungu obuphakathi kuya kobunzima kanye nezimpawu eziningi ezahlukene. Ngiyethula esihlokweni sami mayelana cholecystitis okubukhali okubalayo olunodonga oluncane; Ngokungafani ne-gallbladder ene-septate, inezinhlaka zesakhiwo, okumele zicatshangelwe ezindleleni zokuxilonga.
Ukwelapha
Uma i-viscus ye-biliary ehlukanisiwe Kutholakala ngengozi futhi akubanga imbangela izimpawuAkukho sidingo sendlela yokwelapha. Kodwa-ke, uma kuvela ukungakhululeki noma izinkinga, izinketho ezilandelayo zinganconywa: ukwelashwa:
- Ukususwa kwe-Cholecyst: Kunconywa ukususwa kwenyongo ngokuhlinzwa, nge-septa noma ngaphandle kwayo, uma kwenzeka ubuhlungu noma ukutheleleka okuphindaphindiwe. ukuhlinzwa kwe-laparoscopic Ukuhlinzwa okungenasidingo kakhulu kuyindlela yokuhlinzwa esetshenziswa kakhulu ekususweni kwenyongo.
- Imithi elwa namagciwane: Uma kwenzeka ukutheleleka, kungabekwa ukuze kulawulwe futhi kuqedwe.
- Ukulawula ubuhlungu: Ukulawulwa kobuhlungu kungadingeka ezigulini ezinezinhlungu zesisu.
Ukuhlaziywa kwenani
Inyongo enesinqe esisodwa iyisimo esingavamile sokwakheka komzimba esivame ukuba khona lapho kuzalwa. Lokhu kwakheka okuyingqayizivele kwenyongo ngokuvamile kuhlukanisa isitho sibe izingxenye ezimbili ezinezindonga zangaphakathi zezicubu, okudala amakamelo amabili agcwele inyongo.
Nakuba lolu hlobo lokukhubazeka lungase lubonakale lukhathaza noma lubangela ukukhathazeka phakathi kweziguli, empeleni aluphazamisi ukusebenza kahle kwenyongo futhi alunazo izingozi ezinkulu zezokwelapha.
Ngakho-ke, izindleko ezingaba khona ezihlobene nokwelapha lesi simo esingavamile somzimba zincane kakhulu uma kuqhathaniswa nezezimo ezibucayi kakhulu.
Ukuhlaziya ukubaluleka kanye nomehluko wochwepheshe kuvumela ochwepheshe bezempilo ukuthi baqonde ukuthi bangaphatha kanjani amacala ngamanye anjengalawa ngempumelelo nangendlela ephumelelayo.
Umehluko Okhethekile
Ukuqonda ukubaluleka kobuchwepheshe bochwepheshe kungaba yinto ebalulekile ekuxilongweni nasekwelapheni noma yisiphi isimo sezokwelapha. UDkt. Delgado ungudokotela ohlinzayo oholayo onikeza umbono oyingqayizivele nge-biliary septum; esikhundleni sokuyihlinza ngqo, ubhekana nezinkinga ezingabangelwa yilesi sakhiwo.
Ukuhlaziywa kwenani labo kusenza siqonde ukuthi i-septum ngokwayo ingawusiza kanjani ukuqina kwenyongo futhi kwandisa ingozi yokwakheka kodaka noma amatshe enyongo.
Ngokuqonda lezi zinkinga ezingaba khona, iziguli zingazuza ekunakekelweni okungcono kokuvimbela futhi zibe nolwazi olungcono, zibanike amandla okuthatha ubunikazi bezinketho zazo zokwelapha lapho zibhekana nanoma yiziphi izimo ezihlobene. Ukuhlaziywa kwenani kulo mongo kugqamisa umehluko obalulekile owenziwa uchwepheshe onolwazi ekufinyeleleni imiphumela emihle.
Isiphetho
Ukuze sifingqe izinto ezibalulekile, i-septate gallbladder yisifo esingavamile sokuzalwa esibangelwa yiso. ngokuvamile akunjalo izimpawu ezibangela. Nakuba kungaholela ezinkingeni, njengobuhlungu besisu obuphakathi kuya kobukhulu, ukutheleleka, kanye ne-jaundice.
Uma uhlangabezana nanoma iyiphi yalezi zimpawu, Funa usizo lwezokwelapha endaweni ngokushesha. kungakhathaliseki ukuthi ngenethiwekhi yezempilo yomphakathi noma yangasese.
I-Ultrasound ivame ukusetshenziswa njengethuluzi elihambisanayo lokuxilonga i-gallbladder evalekile, futhi kunconywa ukususwa kwe-gallbladder ngokuhlinzwa ngokushesha., inqubo eyaziwa ngokuthi cholecystectomy i-laparoscopicokuyindlela yokwelapha ephumelela kakhulu ezimweni ezinezimpawu, enemiphumela engcono yokululama kunokuhlinzwa okuvamile noma okuvulekile.
Manje sizophendula imibuzo iziguli noma imindeni yazo ezisibuza yona odokotela egumbini lokubonisana noma emakamelweni ezimo eziphuthumayo ezibhedlela noma emitholampilo yezempilo:
Imibuzo Evame Ukubuzwa – I-Septate Gallbladder
Yiziphi izimbangela ze-gallbladder ehlukanisiwe?
Imbangela eyinhloko iwukuzalwa, okusho ukuthi yenzeka ngesikhathi umntwana ekhula esibelethweni. Akuyona into "ethelelwanayo" noma ebangelwa ukudla.
Ingabe kuyingozi ukuba nenyongo ehlukanisiwe?
Uma iyedwa, ayiyona ingozi. Kodwa-ke, i-septa ingaphazamisa ukuphuma kahle kwe-bile, okungabangela ukuvuvukala noma ukwakheka kwamatshe (i-lithiasis).
Yiziphi izimpawu ezivezwa yilesi simo?
Iziguli eziningi azizizwa lutho. Uma izimpawu zikhona, ngokuvamile kuba ukungagayi kahle ukudla, ubuhlungu ohlangothini lwesokudla ngaphansi kwezimbambo, noma isicanucanu ngemva kokudla ukudla okunamafutha.
Ingabe kufanele kuhlinzwe inyongo ehlukanisiwe uma ingenabuhlungu?
Ngokuvamile akunjalo. Uma inyongo isebenza kahle futhi kungekho matshe noma ukuvuvukala, uDkt. Delgado uvame ukuncoma ukuqapha i-ultrasound njalo.
Ngiyabonga ngokushiya amazwana akho kanye neziphakamiso zakho ngezihloko zokugaya ukudla ukuze zihlaziywe yithimba labahleli.
Kubalulekile ukwabelana ngalolu lwazi ezinkundleni zokuxhumana, futhi ndawonye singasiza abantu abaningi ukuba bazuze futhi banciphise izinkinga. Siyakwanga futhi sizobonana esitolimendeni esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Inyongo Ehlutshiwe.
📌 Ukufundwa okunconyiwe: inyongo egoqiwe
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📌 Ukufundwa okunconyiwe: Inyongo ethelelekile