I-cholecystitis enamandla

I-cholecystitis enamandla ukuvuvukala okungazelelwe nokucasula kwe-gallbladder. Kubangela ubuhlungu obukhulu besisu.

I-gallbladder isitho esihlala ngaphansi kwesibindi. Igcina i-bile, ekhiqizwa esibindini. Umzimba wakho usebenzisa i-bile ukugaya amafutha emathunjini amancane.

I-cholecystitis enamandla ivela lapho i-bile ibanjwa ku-gallbladder. Lokhu kuvame ukwenzeka ngoba itshe lenyongo livimba umgudu we-cystic, ishubhu lapho i-bile ingena futhi iphume khona ku-gallbladder. Lapho itshe livimba lo mgudu, inyongo iyakheka, ibangele ukucasuka nengcindezi kunyongo. Lokhu kungaholela ekuqhumeni nasekutheleleni.

Ezinye izimbangela zifaka:

• Izifo ezibucayi, njenge-HIV noma isifo sikashukela
• Amathumba we-gallbladder (angavamile)

Abanye abantu basengozini enkulu yokuthola inyongo. Izici zobungozi zifaka:

• Ukuba ngowesifazane
• Ukukhulelwa
• Ukwelashwa kweHormone
• Ukuguga
• Ukuba Womdabu waseMelika noma waseSpanishi
• Ukukhuluphala ngokweqile
• Ukwehlisa noma ukukhuluphala ngokushesha
• Isifo sikashukela

Kwesinye isikhathi, umgudu wenyongo uvinjelwa okwesikhashana. Uma lokhu kwenzeka kaninginingi, kungaholela esikhathini eside (esingapheli) cholecystitis. Lokhu ukuvuvukala nokucasuka okuqhubeka ngokuhamba kwesikhathi. Ekugcineni, i-gallbladder iyaqina futhi ibe lukhuni. Ayigcini futhi ikhulule i-bile njengoba yenzile.

Uphawu oluyinhloko ubuhlungu ohlangothini olungakwesokudla olungaphezulu noma maphakathi nesisu sakho esivame ukuhlala okungenani imizuzu engama-30. Ungazizwa:

• Ubuhlungu obucijile, obunzima, noma obufiphele
• Ubuhlungu obungaguquki
• Ubuhlungu obusakazeka emhlane wakho noma ngaphansi kwehlombe lehlombe lakho langakwesokudla

Ezinye izimpawu ezingenzeka zibandakanya:

• Izitulo ezinombala wobumba
• Imfiva
• Isicanucanu nokuhlanza
• Ukuphuzi kwesikhumba nabamhlophe bamehlo (i-jaundice)

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho. Ngesikhathi sokuhlolwa komzimba, uzoba nobuhlungu lapho umhlinzeki ethinta isisu sakho.

Umhlinzeki wakho anga-oda lokhu kuhlolwa kwegazi okulandelayo:

• Amylase kanye lipase
• I-Bilirubin
• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kokusebenza kwesibindi

Ukuhlola izithombe kungabonisa ama-gallstones noma ukuvuvukala. Ungaba nolunye noma eziningi zalezi zivivinyo:

• I-ultrasound yesisu
• Iskena se-CT esiswini noma i-MRI scan
• I-x-ray yesisu
• I-cholecystogram yomlomo
• Isikena se-gallbladder radionuclide

Uma unezinhlungu ezinzima zesisu, funa ukwelashwa ngokushesha.

Egumbini lokuphuthumayo, uzonikezwa uketshezi ngomthambo. Unganikezwa nama-antibiotic ukuze ulwe nokutheleleka.

I-Cholecystitis ingahle isule yodwa. Kodwa-ke, uma unama-gallstones, uzodinga ukuhlinzwa ukuze ususe i-gallbladder yakho.

Ukwelashwa okungenasisekelo kufaka phakathi:

• Ama-antibiotic owathatha ekhaya ukulwa nokutheleleka
• Ukudla okunamafutha amancane (uma ukwazi ukudla)
• Imithi yezinhlungu

Ungadinga ukuhlinzwa okuphuthumayo uma unezinkinga ezinjenge:

• I-Gangrene (ukufa kwezicubu) kwe-gallbladder
• I-Perforation (imbobo eyakha odongeni lwenyongo)
• I-Pancreatitis (amanyikwe avuthayo)
• Ukuvinjelwa okuqhubekayo kwe-bile duct
• Ukuvuvukala komgudu ovamile we-bile

Uma ugula kakhulu, ithubhu lingabekwa esiswini sakho liye enyongweni yakho ukuze ulikhiphe. Uma uzizwa ungcono, umhlinzeki wakho angancoma ukuthi uhlinzwe.

Iningi labantu abahlinzwe ukukhipha i-gallbladder yabo balulama ngokuphelele.

Ukungalashwa, i-cholecystitis ingaholela kunoma yiziphi izinkinga zempilo ezilandelayo:

• I-Empyema (ubomvu ku-gallbladder)
• I-Gangrene
• Ukulimala emathangeni e-bile okukhipha isibindi (kungenzeka ngemuva kokuhlinzwa kwe-gallbladder)
• I-Pancreatitis
• Ukugcotshwa
• I-Peritonitis (ukuvuvukala kwendwangu yesisu)

Shayela umhlinzeki wakho uma une:

• Ubuhlungu obukhulu besisu obungapheli
• Izimpawu zokubuyela kwe-cholecystitis

Ukususa i-gallbladder ne-gallstones kuzovimbela ukuhlaselwa okuqhubekayo.

I-cholecystitis - ebukhali; Ama-gallstones - i-cholecystitis ebukhali

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

• Uhlelo lokugaya ukudla
• I-Cholecystitis, i-CT scan
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Amatshe amatshe enyakatho, i-cholangiogram
• Ukususwa kwe-gallbladder - Series

IGlasgow RE, iMulvihill SJ. Ukwelashwa kwesifo senyongo. 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 66.

UJackson PG, u-Evans SRT. Uhlelo Biliary. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 54.

U-Wang DQ-H, u-Afdhal NH. Isifo se-Gallstone. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 65.