Sanibonani ngemfudumalo, msebenzisi we-inthanethi othandekayo, futhi wamukelekile kubhulogi yezempilo yokuvimbela, egxile ezifweni zesimiso sokugaya ukudla ezidinga ukungenelela kwezokwelapha noma kokuhlinzwa. Ngaphandle kokuchitha isikhathi, ake siqonde ngqo ephuzwini ngombuzo omuhle kakhulu obuzwa umngane: Ingabe i-gallbladder kanye ne-appendix kuyafana? Ngakho-ke, ake sicacise umehluko.
Inyongo iyisitho sesimiso sokugaya ukudla, esitholakala endaweni engenhla kwesokudla kwesisu ngaphansi kwesibindi. Sixhuma emgudwini we-cystic, siqhubeka njengomgudwini wenyongo ovamile, bese sithululela e-duodenum. Umsebenzi waso oyinhloko ukugcina, ukugxila, nokukhulula inyongo.
Ngakolunye uhlangothi, i-vermiform appendix iyisakhiwo esingenalutho esitholakala engxenyeni engezansi kwesokudla yesisu; iwukuqhubeka kwe-cecum futhi isimo sayo sinjengomunwe.
Nakuba kokubili inyongo kanye ne-appendix kuyingxenye yesimiso sokugaya ukudla, kunemisebenzi ehlukile. Kulesi sihloko, sizohlola umehluko phakathi kwalezi zitho ezimbili futhi sixoxe ngezimpawu zazo, izinketho zokwelapha (ezibhalwe ngabantu, zabantu) , nokuthi kufanele ufune nini usizo lwezokwelapha ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele, kuye ngokuthi usendaweni yakho, ukuze uthole ukunakekelwa kanye nokukhululeka ekungaphatheki kahle.
Ithuba livela lokuphuza inkomishi yetiye eliluhlaza , i-antioxidant yemvelo engu-100%, esizuza kuyo emandleni ayo okuvuselela ama-neuronal ukuze sifinyelele ulwazi olusezingeni eliphezulu ngokugxila ekugxiliseni isimo sengqondo sokubhekana nokuzethemba kanye nokubi nakakhulu, ukuzelapha , okuchitha isikhathi ekufuneni usizo lwezokwelapha ukuze kugwenywe izinkinga ezinkulu zokugaya ukudla.
Ngakho ake singene sicacise umehluko phakathi kwezitho zenyongo neze-appendicular!
Ingabe inyongo kanye ne-appendix kuyafana?
Ake sicacise umehluko phakathi kwezitho ezimbili zomzimba ezivame ukuthinteka kakhulu: inyongo kanye ne-appendix. Lezi zitho zingase zibonakale zifana, nokho, ngayinye yenza umsebenzi ohlukile kakhulu.
Inyongo iyisitho esimise okwepheya esitholakala ngaphansi kwesibindi, esigcina, sigxilise, futhi sikhiphe inyongo ekhiqizwa yisibindi bese siyikhipha iye emathunjini amancane ukuze isize ekugayweni kokudla okunamafutha; kuyilapho i-vermiform appendix iyisakhiwo esimise okweshubhu esixhunywe emathunjini amakhulu, ikakhulukazi ku-cecum, esisiza ekugayweni ngokuhlunga amagciwane kanye nokunye ukungcola.
Ukuvama kwezinkinga ezihlobene nalezi zitho ezimbili kuhluka kakhulu: kuyilapho inkinga yokusebenza kwenyongo, njengokwakheka kwamatshe enyongo okuholela ekuvuvukeni okwaziwa ngokuthi i-cholecystitis , ingaba njalo; kanti i-appendicitis evuvukele ngokuvamile iyisimo esiphuthumayo esidinga ukuhlinzwa okusheshayo.
Izimpawu zesitho ngasinye zingahluka kuye ngobunzima baso, kodwa izinhlobo ezivame kakhulu zezimpawu zezinkinga zenyongo zihlanganisa ubuhlungu esiswini esingaphezulu kwesokudla okulandelwa isicanucanu nokuhlanza; kuyilapho i-appendicitis ingase ivele nobuhlungu besisu obugxile eduze kwenkaba noma esiswini esingezansi kwesokudla, ukucasuka okuvamile, ukuntuleka kwesifiso sokudla okulandelwa isicanucanu noma ukuhlanza kanye nomkhuhlane ophansi (izinga lokushisa eliphakathi kuka-37°C no-38°C).
Ukwelashwa kuyahlukahluka futhi: ukususwa kwenyongo ngokuhlinzwa (i-cholecystectomy) kuzoxazulula izinkinga eziningi zenyongo, kuyilapho ukwelapha i-appendicitis kuvame ukudinga ama-antibiotic ezimweni ezincane, zakuqala kanye/noma ukuhlinzwa, kanye nasezimweni ezinde ezinezimpawu zokutheleleka (umkhuhlane). Ukuqonda lonke lolu lwazi kungakusiza ukuthi uqonde kangcono izincazelo nemisebenzi yalezi zitho.
Iyini i-gallbladder?
Inyongo iyisici esibalulekile sesimiso sokugaya ukudla , esitholakala ngaphansi kwesibindi futhi sinobude obuphakathi kuka-7 no-10 cm. Sixhunywe emgudwini wenyongo ovamile, oxhumanisa ne-duodenum. Umsebenzi waso oyinhloko ukugcina, ukugxila, nokukhulula inyongo , ukukhishwa kwesibindi okusiza ukuphula amafutha ngesikhathi sokugaya ukudla . Lesi sitho sidlala indima ebalulekile enqubweni yokugaya ukudla, sikhipha inyongo emathunjini amancane uma kudingeka.
Ngaphandle kwenyongo, ikhono lokugaya amafutha kahle belizophazamiseka. Ukuqonda indima nomsebenzi wenyongo kubalulekile ukuze uyihlukanise nezinye izitho zomzimba, njenge-appendix.
Inyongo ihlukile kunyongo ngezindawo zayo kanye nomsebenzi wayo. Ngenkathi inyongo itholakala engxenyeni engezansi kwesokudla yesisu , inyongo itholakala engxenyeni ephezulu kwesokudla yesisu , ngaphansi kwekheji lezimbambo.
Umsebenzi oyinhloko we-biliary viscera ukugcina, ukugxilisa, nokukhulula i-bile, kuyilapho i-appendix ibhekwa njengesitho esingasebenzi kahle esingenawo umsebenzi obalulekile owaziwayo ekugayweni kokudla.
Ukuqonda lokhu kuhlukanisa kubalulekile ukuze kugwenywe ukudideka kwenyongo ne-appendix. Ngokuqonda izici nemisebenzi yalezi zitho ngazinye , singathola ukuqonda okujulile ngobunkimbinkimbi besimiso sokugaya ukudla somuntu.
Iyini i-appendix?
Umzimba ugcina isitho esincane, esimise okwetyhubhu esiswini esingezansi kwesokudla, i-appendix, esingenawo umsebenzi owaziwayo. Ngisho noma singasebenzi, lesi sitho singavuvukala, isimo esaziwa ngokuthi i-acute appendicitis , futhi kumele sisuswe ngokuhlinzwa kusetshenziswa inqubo ebizwa ngokuthi i-appendectomy ukuvimbela ezinye izinkinga.
Ngakho-ke, kubalulekile ukuhlukanisa lesi sitho, i-appendix, kwezinye izitho ezifanayo njenge-biliary viscera, ukuze uqonde kangcono imisebenzi yazo kanye nezinkinga zempilo ezingase zivele.
I -appendix ifana nomunwe omncane, osuka emathunjini amakhulu. Igcina izicubu ze-lymphatic, ezidlala indima ebalulekile ohlelweni lokuzivikela lomzimba. Naphezu komsebenzi wayo obonakala ungabalulekile, i-appendix evuvukele ingabangela ubuhlungu obukhulu kanye nokungakhululeki okudinga ukunakekelwa kwezokwelapha ngokushesha.
Nakuba injongo ye-appendix ingakacaci, kukholakala ukuthi ithinta isimiso somzimba sokuzivikela somzimba sonke , ikakhulukazi ngesikhathi sobuntwana. Kodwa-ke, ukususwa kwe-appendix akubonakali kubangela umonakalo ohlala njalo.
Uma kuqhathaniswa ne-appendix, i -gallbladder inomsebenzi obaluleke kakhulu ohlelweni lokugaya ukudla. Lesi sitho esincane sitholakala ngaphansi kwesibindi, ohlangothini oluphezulu kwesokudla lwesisu, futhi siqukethe i-bile , uketshezi olukhiqizwa yisibindi olusiza ekugayweni nasekumunceni amafutha.
Uma sidla, inyongo ikhishwa yinyongo iye emathunjini amancane, okusiza ekugayweni kwamafutha kanye nokumuncwa kwawo egazini. Nakuba inyongo iyadingeka ukuze kugaywe amafutha ngendlela ephumelelayo, umzimba ungasebenza ngaphandle kwayo ngemva kokususwa kwayo ngenqubo eyaziwa ngokuthi i-cholecystectomy.
Ukufingqa, i -appendix kanye ne- gallbladder yizitho ezimbili ezincane ezitholakala esiswini, kodwa zinemisebenzi nemiphumela ehlukene kakhulu empilweni yethu. I-appendix iyi-lymphatic appendage engaqiniseki ngenhloso, engangenwa yileli gciwane futhi ibangele i-appendicitis emadodeni, enezimpawu zayo eziningi ezahlukene.
Ngakolunye uhlangothi, inyongo igcina, igxilise, futhi ikhiphe inyongo, uketshezi oluphuzi-luhlaza olusiza ekuqhekekeni nasekumunceni amafutha. Ngakho-ke, ukuqonda umehluko phakathi kwe-appendix nezitho zenyongo kubalulekile ukuze kuqashelwe noma yiziphi izinkinga zempilo ezingaba khona.
Yimiphi umehluko omkhulu phakathi kwe-gallbladder ne-appendix?
Umzimba womuntu unezitho ezimbili ezihlukene, umgudu wenyongo kanye ne-appendix , ezinezindawo nemisebenzi ehlukene. Inyongo itholakala ngaphansi kwesibindi, ohlangothini oluphezulu kwesokudla lwesisu, futhi inesibopho sokugcina, ukugxila, nokukhulula inyongo, okusiza ekugayweni kwamafutha kanye nokumuncwa kwamavithamini A, D, E, kanye no-K ancibilikayo emafutheni.
Ngakolunye uhlangothi, i -vermiform appendix iyisikhwama esincane, esinomumo womunwe esitholakala engxenyeni engezansi kwesokudla yesisu, esingenawo umsebenzi owaziwayo (kuze kube manje, kodwa izifundo ziyaqhubeka ukuze kutholakale ukutholakala okuthile) kubantu.
Izitho zenyongo neze-appendicular nazo ziveza izingozi ezahlukene zempilo. Izinkinga ezihlobene nenyongo, njenge-gallstones noma i-cholecystitis , zesibili ezivame kakhulu.
Ngakolunye uhlangothi, nakuba i-appendicitis iyisifo sokuphefumula esivame kakhulu, ingaba yimbi kakhulu uma ingelashwa ngokushesha . Lesi simo sokuvuvukala sidinga ukususwa ngokushesha ukuze kugwenywe izinkinga ezingaba khona.
Zombili izitho zomzimba zingabangela izinhlobo ezahlukene zokungakhululeki. Izinkinga zenyongo zivame ukuba khona nobuhlungu be-colicky esiswini esingaphezulu kwesokudla, ikakhulukazi ngemva kokudla ukudla okunamafutha.
Ngokuphambene nalokho, i-appendicitis ivame ukuqala ngobuhlungu obuncane besisu obushintsha kancane kancane bube ngakwesokudla esingezansi, kanye nesicanucanu, ukuhlanza, kanye nokulahlekelwa yisifiso sokudla. Ukuqaphela lezi zimpawu ezihlukile kusiza ekuboneni umthombo wokungakhululeki kwesisu futhi kuvumela ukwelashwa okusheshayo nokufanelekile.
Ziyini izimpawu zezinkinga ze-gallbladder kanye ne-appendix?
Uma kukhulunywa ngobuhlungu besisu, imbangela kungaba izinkinga zenyongo kanye ne-appendix. Nakuba izimpawu zazo zombili zingafana , kunezimpawu ezithile okufanele uziqaphele.
Isibonelo, izinkinga zenyongo zivame ukubangela ubuhlungu obukhulu noma obuhlabayo (i-colic) esiswini esingaphezulu kwesokudla, okungabangelwa ukudla ukudla okunamafutha noma okunamafutha nokuphuza utshwala.
Ezinye izimpawu ezivamile zifaka phakathi isicanucanu, ukuhlanza, ukuqunjelwa, kanye nokungagayi kahle ukudla. Kwezinye izimo, lezi zinkinga zingaholela ekwakhekeni kwamatshe enyongo , okuyizindawo eziqinile ezingabangela izinkinga ezengeziwe ngokuvimbela imisele yenyongo futhi kuholele ebuhlungwini obukhulu kanye ne-jaundice (ukuphuzi kwesikhumba namehlo okuhambisana nokulunywa).
Ngokuphathelene nezinkinga ze-appendix , ubuhlungu besisu buvame ukuba uphawu oluyinhloko. Ukungakhululeki kuvame ukuqala eduze kwenkaba bese kudlulela esiswini esingezansi kwesokudla.
Kungaba buthuntu noma kube bukhali futhi kuvame ukuba kubi kakhulu ngokunyakaza, njengokuhamba noma ukukhwehlela. Ezinye izimpawu ezisobala zingase zihlanganise ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, umkhuhlane kanye nokuvuvukala kwesisu.
Uma ingelashwa, i-appendix evuvukele ingaqhuma, okuholela esimweni esisongela ukuphila esibizwa ngokuthi i-peritonitis . Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma kuvela noma yiziphi izimpawu ezibalulwe ukuze kugwenywe ezinye izinkinga.
Ngamafuphi, izinkinga zenyongo kanye ne-appendix zingabangela ubuhlungu besisu, kodwa kunezimpawu ezithile zokuzihlukanisa. Izinkinga zenyongo zivame ukubangela ubuhlungu esiswini esingaphezulu kwesokudla, kuyilapho izinkinga ze-appendix zivame ukubangela ubuhlungu esiswini esingezansi kwesokudla.
Ezinye izimpawu, njengesicanucanu, ukuhlanza, kanye nomkhuhlane, nazo zingakunikeza izinkomba mayelana nenkinga eyisisekelo. Uma uzwa ubuhlungu besisu obuqhubekayo noma obukhulu, kubalulekile ukubonisana nochwepheshe wezempilo ukuze uthole ukuxilongwa okunembile kanye nokwelashwa okufanele . Ukutholwa kusenesikhathi kanye nokungenelela kubalulekile ukuvimbela izinkinga ezingaba khona.
Kufanele ufune nini usizo lwezokwelapha?
Uma kukhulunywa ngezinkinga zenyongo kanye ne-appendix, kubalulekile ukuqaphela izimpawu bese ufune usizo lwezokwelapha ngokushesha. Ukungakhululeki okukhulu kwesisu okuqhubeka noma okuba kubi kakhulu kungase kubangelwe izinkinga zenyongo noma i-appendix, kanye nezinye izimpawu eziyisixwayiso okufanele uziqaphele zifaka phakathi ukuhlanza, umkhuhlane, isicanucanu, kanye nezinguquko emikhubeni yamathumbu (uhudo noma ukuqunjelwa).
Ukuhlehlisa usizo lwezokwelapha kungadala izinkinga, ngakho-ke uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi uxhumana nodokotela wakho wendawo ngaphandle kokulibala, ngenethiwekhi yezempilo yomphakathi noma yangasese.
Ngaphezu kwalokho, labo abanomlando wezinkinga zenyongo noma ze-appendix kufanele bakhuthale kakhulu ekuhloleni noma yiziphi izimpawu eziphindaphindayo. Ubuhlungu besisu obuphindaphindayo , ikakhulukazi uma buhambisana nezinye izimpawu, kufanele buthathwe ngokungathi sína.
Udokotela wakho angahlola isimo sakho futhi aphakamise ukwelashwa okufanele, okungafaka phakathi imithi, izinguquko zendlela yokuphila, noma ukuhlinzwa. Ukungenelela kusenesikhathi kungenza umehluko omkhulu ekuphatheni nasekuxazululeni izinkinga ze-biliary kanye ne-appendiceal , ngakho ungalindi ukubonisana nodokotela wakho.
Uma ungaqiniseki ukuthi izimpawu zakho zihlobene yini nezinkinga zenyongo noma ze-appendix, kungcono ngaso sonke isikhathi ukubona udokotela. Ngokuhlolwa okuphelele nokuhlolwa kokuxilonga, udokotela wakho angakunikeza ukuxilongwa okunembile futhi athuthukise uhlelo lokwelapha olusebenza kahle kakhulu ngezidingo zakho.
Khumbula ukuthi ukuphuza usizo lwezokwelapha kungenza impilo yakho ibe buhlungu kakhulu futhi kwandise ingozi yokuthola amatshe enyongo. Ungangabazi ukuxhumana nodokotela wakho uma unemibuzo noma ukukhathazeka ngempilo yenyongo noma i-appendix yakho.
Yiziphi izindlela zokwelapha ezitholakalayo zezinkinga ze-gallbladder kanye ne-appendix?
Uma kukhulunywa ngokuxazulula izinkinga zezitho zenyongo neze-appendicular, ochwepheshe bezokwelapha bangathatha izindlela eziningana. Ukuhlinzwa kuvame ukuba yindlela efanelekile ezimweni ezinzima kakhulu , njengokususwa kwe-cholecyst kwamatshe enyongo noma ukuvuvukala kwesitho esigcina inyongo, kanye nokususwa kwe-appendicitis.
Zombili izinqubo zokuhlinzwa zingenziwa nge- laparoscopy encane kakhulu , okunciphisa isikhathi sokuphulukiswa kwenxeba futhi kuholele ekululameni okuhle kakhulu.
Ezimweni ezingembi kangako, ukwelashwa okungadingi ukuhlinzwa kungahlolwa . Ngezinkinga zenyongo, imithi inganikezwa ukulawula izimpawu, kuyilapho izinguquko zendlela yokuphila, njengokudla okunamafutha amancane kanye nokulawula isisindo, kungasiza ekuvimbeleni ukuphinda kuvele. Ezimweni ezincane ze-appendicitis, kunganikezwa ama-antibiotic.
Ukululama ekuhlinzweni kwenyongo kanye ne-appendix kuvame ukudinga izinsuku ezimbalwa esibhedlela kulandelwe ukuphumula ekhaya. Imithi yobuhlungu ingase inikezwe ukuze kuncishiswe ukungakhululeki, futhi kubalulekile ukulandela imiyalelo yangemva kokuhlinzwa enikezwe yithimba lezokwelapha , njengemikhawulo yokudla noma imisebenzi. Izinkinga, njengokutheleleka noma ukwakheka kwamathumba, zingavela futhi zingadinga ukungenelela kwezokwelapha.
Ukwelashwa kwezinkinga zenyongo kanye ne-appendiceal kuvame ukuhilela ukuhlinzwa. Kuye ngesimo kanye nobukhulu baso, i-cholecystectomy noma i-appendix ingenziwa.
Ezimweni ezingembi kangako, izinketho ezingezona ezokuhlinzwa ezifana nemithi noma izinguquko zendlela yokuphila zingacatshangelwa. Kubalulekile ukubonisana nochwepheshe wezempilo ukuze kutholakale uhlelo lokwelashwa olufanele kakhulu.
Isiphetho
Ngamafuphi, kusobala ukuthi inyongo kanye ne-appendix yizitho ezimbili ezihlukene emzimbeni womuntu . Nakuba zombili zidlala indima ebalulekile, zinemisebenzi nezinjongo ezahlukene. Isitho senyongo , esaziwa nangokuthi inyongo, sinesibopho sokugcina, ukugxila, kanye nokukhulula inyongo, okusiza ekugayweni kwamafutha.
Ngakolunye uhlangothi, i -appendix iyi-projection encane, efana nomunwe etholakala ekuqaleni kwamathumbu amakhulu, lapho umsebenzi wayo oqondile ungakaqondakali ngokugcwele. Ukuqonda umehluko phakathi kwalezi zitho ezimbili kubalulekile ekuqapheleni nasekubhekaneni nanoma yiziphi izinkinga noma izimpawu ezingase zivele.
Kungakhathaliseki ukuthi yizinkinga zenyongo noma ze-appendix, ukufuna usizo lwezokwelapha ngokushesha ngohlelo lukahulumeni noma oluzimele kubalulekile ukuze kutholakale ukuxilongwa okufanele nokufika ngesikhathi kanye nokwelashwa ukuze kulondolozwe impilo yokugaya ukudla efanele.
Sekuyisikhathi sokwabelana ngolwazi mayelana nempilo yokuvimbela ezinkundleni zokuxhumana ukuze ndawonye sikwazi ukusiza abantu abaningi ukuba bazuze futhi bagweme izinkinga. Siyabonga ngemibono neziphakamiso zakho ngezihloko zokugaya ukudla zebhulogi. Nginibingelela ngemfudumalo, futhi sizobonana kokuthunyelwe okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ingabe inyongo kanye ne-appendix kuyafana?