I-cholecystitis engapheli

I-cholecystitis engapheli ukuvuvukala nokucasuka kwe-gallbladder eqhubeka ngokuhamba kwesikhathi.

I-gallbladder yisaka elitholakala ngaphansi kwesibindi. Igcina inyongo eyenziwe esibindini.

Inyoni iyasiza ekugayweni kwamafutha emathunjini amancane.

Isikhathi esiningi, i-cholecystitis engapheli ibangelwa ukuhlaselwa okuphindaphindiwe kwe-cholecystitis ebucayi (ngokuzumayo). Iningi lalokhu kuhlaselwa kudalwa yinyongo esenyongeni.

Lokhu kuhlasela kubangela ukuthi izindonga ze-gallbladder zikhule. Inyongo iqala ukuncipha. Ngokuhamba kwesikhathi, i-gallbladder ayikwazi ukugxila, igcine, futhi ikhulule i-bile.

Lesi sifo sivela kaningi kwabesifazane kunabesilisa. Kuvame kakhulu emva kweminyaka engama-40. Amaphilisi okulawula ukukhulelwa nokukhulelwa yizici ezandisa ubungozi bamatshe enyongo.

I-cholecystitis enamandla yisimo esibuhlungu esiholela ku-cholecystitis engapheli. Akucaci ukuthi i-cholecystitis engapheli ibangela noma yiziphi izimpawu.

Izimpawu ze-acute cholecystitis zingafaka:

• Ukuqaqamba, ukucindezela, noma ubuhlungu obufushane engxenyeni engaphezulu kwesokudla noma phezulu esiswini sakho
• Ubuhlungu obuqinile buhlala cishe imizuzu engama-30
• Ubuhlungu obusakazeka emhlane wakho noma ngaphansi kwehlombe lehlombe lakho langakwesokudla
• Izitulo ezinombala wobumba
• Imfiva
• Isicanucanu nokuhlanza
• Ukuphuzi kwesikhumba nabamhlophe bamehlo (i-jaundice)

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda lokhu kuhlolwa kwegazi okulandelayo:

• I-Amylase ne-lipase ukuze kuhlolwe izifo zamanyikwe
• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwesibindi ukuze kuhlolwe ukuthi isibindi sisebenza kahle kangakanani

Ukuhlolwa okuveza ama-gallstones noma ukuvuvukala ku-gallbladder kufaka:

• I-ultrasound yesisu
• Iskena se-CT esiswini
• Ukuskena kwe-gallbladder (ukuskena kwe-HIDA)
• I-cholecystogram yomlomo

Ukuhlinzwa ukwelashwa okuvame kakhulu. Ukuhlinzwa ukususa i-gallbladder kubizwa ngokuthi yi-cholecystectomy.

• I-cholecystectomy ye-laparoscopic ivame ukwenziwa. Lokhu kuhlinzwa kusebenzisa ukusikeka okuncane kokuhlinzwa, okuholela ekululameni ngokushesha. Abantu abaningi bayakwazi ukuya ekhaya besuka esibhedlela ngosuku olufanayo nokuhlinzwa, noma ngakusasa ekuseni.
• I-cholecystectomy evulekile idinga ukusikwa okukhudlwana engxenyeni engaphezulu kwesokudla sesisu.

Uma ugula kakhulu ukuthi ungahlinzwa ngenxa yezinye izifo noma izimo, ama-gallstones angaqedwa ngomuthi owuthatha ngomlomo. Kodwa-ke, lokhu kungathatha iminyaka emi-2 noma ngaphezulu ukusebenza. Amatshe angabuya emuva kokwelashwa.

I-Cholecystectomy inqubo evamile enobungozi obuphansi.

Izinkinga zingafaka:

• Umdlavuza we-gallbladder (kuyaqabukela)
• I-jaundice
• I-Pancreatitis
• Ukushintsha kwesimo

Shayela umhlinzeki wakho uma uthuthukisa izimpawu ze-cholecystitis.

Isimo asivikeleki ngaso sonke isikhathi. Ukudla ukudla okunamafutha amancane kunganciphisa izimpawu kubantu. Kodwa-ke, inzuzo yokudla okunamafutha aphansi ayikafakazelwa.

I-cholecystitis - engapheli

• Ukususwa kwe-gallbladder - laparoscopic - ukukhipha
• Ukususwa kwe-gallbladder - ukukhishwa okuvulekile
• Amatshe amatshe amatshe - ukukhipha

• I-Cholecystitis, i-CT scan
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Amatshe amatshe enyakatho, i-cholangiogram
• Ikholeji

I-Quigley BC, i-Adsay NV. Izifo ze-gallbladder. Ku: Burt AD, Ferrell LD, Hubscher SG, ama-eds. IMacSween's Pathology yesibindi. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 10.

Theise ND. Isibindi nenyongo. Ku: Kumar V, Abbas AK, Aster JC, ama-eds. AmaRobbins kanye neCotran Pathologic Basis of Disease. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 18.

U-Wang DQH, u-Afdhal NH. Isifo se-Gallstone. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.