I-cholecystitis enamandla futhi engapheli: ziyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• 1. I-cholecystitis enamandla
• 2. I-cholecystitis engapheli
• Ungakuqinisekisa kanjani ukuxilongwa
• Ziyini izimbangela
• Yelashwa kanjani

I-Cholecystitis ukuvuvukala kwe-gallbladder, isikhwama esincane esixhumana nesibindi, futhi okugcina i-bile, uketshezi olubaluleke kakhulu ekugayweni kwamafutha. Lokhu kuvuvukala kungaba kubi, kubizwe ngokuthi yi-cholecystitis ebukhali, ngezimpawu ezinzima futhi eziya ziba zimbi ngokushesha, noma ezingapheli, ezinezimpawu ezinzima ezihlala amasonto kuya ezinyangeni.

I-cholecystitis idala izimpawu nezimpawu ezinjengobuhlungu besisu esiswini, isicanucanu, ukuhlanza, umkhuhlane nobumnene besisu. Ubuhlungu obungaphezu kwamahora ayisithupha busiza ukuhlukanisa phakathi kwe-cholecystitis ebukhali nobuhlungu obungapheli be-cholelithiasis.

Ukuvuvukala okukhulu kwe-gallbladder kungenzeka ngezindlela ezi-2:

• I-cholecystitis yelithiasic noma ukubala: kuyimbangela enkulu ye-cholecystitis futhi kuvame kakhulu kwabesifazane abaneminyaka ephakathi. Kwenzeka lapho itshe, elibizwa nangokuthi itshe, lidala ukuvimba komsele okhipha inyongo. Ngakho-ke, i-bile iqoqa ku-gallbladder futhi iyenze iphazamiseke futhi ivuvuke. Qonda ukuthi yini ebanga itshe le-gallbladder;

  
  
• I-cholecystitis ye-alithiasic: akuvamile futhi kubangela ukuvuvukala kwenyongo ngaphandle kwamatshe. Izimpawu ziyefana nalezi ze-lithiasic cholecystitis, kepha ukwelashwa kunzima kakhulu futhi kunamathuba amabi kakhulu okwelashwa, njengoba kuvame ukwenzeka kubantu abagula kakhulu.

Kunoma ikuphi, i-cholecystitis kufanele yelashwe ngokushesha okukhulu, futhi umuntu akufanele alinde isikhathi eside kakhulu kunamahora ayisithupha ngemuva kokuqala kwezimpawu, ukugwema izingqinamba ezinkulu njengokuqhuma kwe-gallbladder noma ukutheleleka okujwayelekile.

Izimpawu eziyinhloko

Uphawu oluphawuleka kakhulu lwe-cholecystitis ubuhlungu besisu, noma kunjalo, ezinye izimpawu zingahluka uma kuyisifo esibi noma esingelapheki.

1. I-cholecystitis enamandla

Ezimweni eziningi, izimpawu nezimpawu ze-cholecystitis zifaka:

• Ubuhlungu be-Colic engxenyeni engenhla kwesokudla yesisu, buhlala ngaphezu kwamahora ayisithupha. Lobuhlungu bungabuye buqale ngenhla kwenkaba bese budlulela kwesokudla ngaphezulu;
• Ubuhlungu besisu obuphuma ehlombe langakwesokudla noma emuva;
• Ukuzwela esiswini ngesikhathi sokushaya izandla ekuhlolweni kwezokwelapha;
• Ukucanuzela kwenhliziyo nokuhlanza, nokulahlekelwa isifiso sokudla;
• Umkhuhlane, ngaphansi kuka-39ºC;
• Ukubukeka kwe-malaise ejwayelekile;
• Ukushaya kwenhliziyo okusheshayo;
• Isikhumba esiphuzi namehlo, kwezinye izimo.

Ngaphezu kwalezi zimpawu, udokotela ubuye abheke uphawu lukaMurphy, oluvame kakhulu kwi-cholecystitis futhi oluqukethe ukucela umuntu ukuthi ahogele ngokujulile, ngenkathi ecindezela isisu ngaphezulu kwesokudla. Isiginali sithathwa njengesihle futhi, ngakho-ke, sikhomba i-cholecystitis, lapho umuntu ephefumula, ehluleka ukuqhubeka nokuhogela.

Izimpawu ezikhonjisiwe zivame ukuvela cishe ihora eli-1 noma ngaphezulu ngemuva kokudla ukudla okunamafutha, njengoba i-bile isetshenziswa ngumzimba ukusiza ukugaya amafutha nokuthatha izakhamzimba.

Kodwa-ke, ezigulini ezingaphezulu kweminyaka engama-60 noma ngaphezulu zikhubazekile, izimpawu zingahluka. Ezimweni ezinjalo, kubalulekile ukuthi wazi ezinye izimpawu ezinjengokudideka kwengqondo, umkhuhlane kanye nesikhumba esibandayo, esiluhlaza. Kulezi zimo, kufanele uye esibhedlela ngokushesha.

2. I-cholecystitis engapheli

I-cholecystitis engapheli ukuvuvukala okuhlala isikhathi eside. Kubangelwa inqubo efana naleyo ye-cholecystitis enamandla, futhi kungenzeka noma ingahlotshaniswa nokuba khona kwetshe.

Izimpawu zivame ukuvela ngemuva kokudla ukudla okunamafutha aphezulu nasekupheleni kosuku, zifana nalezo ze-cholecystitis ebukhali, kepha ezinamandla:

• Ubuhlungu engxenyeni engenhla yangakwesokudla yesisu, buphuma ehlombe langakwesokudla noma emuva;
• Izinkinga ezinzima kakhulu, ezithuthuka ngemuva kwamahora ambalwa, i-biliary colic;
• Ukuzwela esiswini ngesikhathi sokushaya izandla ekuhlolweni kwezokwelapha;
• Isicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, ukuzwa ukuqunjelwa nokwanda kwegesi;
• Ukuzizwa ungakhululekile;
• Isikhumba esiphuzi namehlo, kwezinye izimo.

I-cholecystitis engapheli ibonakala idalwa yiziqephu ezincane zokuvuvukala kwe-gallbladder, ezenzeka kaningana, ngokuhamba kwesikhathi. Njengomphumela walezi zinkinga eziphindaphindwayo, i-gallbladder ingahle iguquke, ibe ncanyana futhi ibe nezindonga ezijiyile. Kungagcina futhi kuba nezinkinga, njengokubaliswa kwezindonga zayo, okubizwa ngokuthi i-porcelain vesicle, ukwakheka kwe-fistula, i-pancreatitis noma nokuthuthukiswa komdlavuza.

Ungakuqinisekisa kanjani ukuxilongwa

Lapho kuvela izimpawu ezikhombisa ukusikisela nge-cholecystitis, kunconywa ukuthi uthintane nodokotela ojwayelekile noma i-gastroenterologist ukuhlaziya leli cala bese wenza izivivinyo zokuxilonga, njengokuhlolwa kwegazi, i-ultrasound noma i-cholecintilography.

I-Cholecintilography ivame ukusetshenziswa lapho umphumela we-ultrasound ungacaci ngokwanele ukuhlola ukuthi ngabe i-gallbladder iyajiya noma iyavuvukala, noma uma inezinkinga zokuyigcwalisa.

Ziyini izimbangela

Ezimweni eziningi, i-cholecystitis ibangelwa ama-gallstones, adala ukuthi ukugeleza kwe-bile kuvinjelwe esiteshini esibizwa nge-cystic duct, esivumela i-bile ukubaleka e-gallbladder. Amacala amaningi abuye ahlangane nesimo se-gallstone, okungenzeka noma kungabi nazimpawu, cishe ngabantu abangu-with abanamatshe okungenzeka bahlakulele i-cholecystitis enamandla ngesikhathi esithile.

Kwezinye izimo, ukuvinjelwa akubangelwa yitshe, kodwa kuqhubu, isimila, ukuba khona kwama-parasites noma ngisho nangemva kokuhlinzwa emibhobho ye-bile.

Ezimweni ze-alitiásic cholecystitis, ukuvuvukala kwe-gallbladder kwenzeka ngenxa yezimbangela ezingakaqondakali kahle, kepha abantu asebekhulile, abagula kakhulu, abahlinzwa kanzima noma abanesifo sikashukela, ngokwesibonelo, basengozini.

Yelashwa kanjani

Ukwelashwa kwe-cholecystitis kuvame ukuqala ngokungeniswa esibhedlela ukusiza ukulawula ukuvuvukala nokuqeda izinhlungu, bese kwenziwa ukuhlinzwa kwesinyongo. Ngokuvamile kunconywa ukuthi i-gallbladder ihlinzwe ngaphakathi kwezinsuku ezintathu zokuqala kokuqala kokuvuvukala okukhulu.

Ngakho-ke, ukwelashwa kungafaka:

• Kuyashesha: njengoba i-gallbladder isetshenziselwa ukugaya, udokotela angancoma ukumisa ukudla namanzi isikhathi esithile ukuze anciphise ingcindezi ku-gallbladder futhi athuthukise izimpawu;
• Uketshezi ngqo emthanjeni: ngenxa yomkhawulo wokudla noma wokuphuza, kubalulekile ukugcina ukuthambisa komzimba nge-saline ngqo emthanjeni;
• Imithi elwa namagciwane: ezimweni ezingaphezu kwengxenye yamacala, i-gallbladder itheleleka kungakapheli amahora angama-48 ngemuva kokuqala kwe-cholecystitis, njengoba ukuhlukaniswa kwayo kusiza ukwanda kwamagciwane ngaphakathi;
• Ukudambisa izinhlungu: ingasetshenziswa kuze kudambe izinhlungu futhi kwehle nokuvuvukala kwesinyongo;
• Ukuhlinzwa ukususa i-gallbladder: I-laparoscopic cholecystectomy iyindlela eyinhloko yokuhlinzwa yokwelapha i-cholecystitis. Le ndlela ivumela ukutakula ngokushesha, ngoba ayinalo ulaka emzimbeni. Qonda ukuthi kwenziwa kanjani ukuhlinzwa kwenyongo nokwelulama.

Ezimweni lapho i-cholecystitis inzima kakhulu futhi isiguli singakwazi ukuhlinzwa ngokushesha, kwenziwa ukukhishwa kwe-gallbladder, okusiza ukususa ubomvu kusuka ku-gallbladder nokunciphisa ukuvuvukala, ngaleyo ndlela sikwazi ukuvula umsele ovinjelwe. Ngasikhathi sinye, kunikezwa ama-antibiotics ukuvimbela ukuthi i-gallbladder ingangenwa yigciwane. Ngemuva kokuthi isimo sizinzile ngokwengeziwe, ukuhlinzeka ukukhipha i-gallbladder sekungenziwa kakade.