Ukukhulelwa kanye ne-Gallbladder: Ingabe Kuyathinteka?

-Delile

• Isebenza kanjani i-gallbladder?
• Ukukhulelwa kungakuthinta kanjani ukusebenza kwe-gallbladder?
• Izimpawu zezinkinga ze-gallbladder ngesikhathi sokukhulelwa
• Ukukhuluma nodokotela wakho ngezimpawu
• Ukwelashwa kwezinkinga ze-gallbladder ngesikhathi sokukhulelwa
• I-cholestasis yokwelashwa kokukhulelwa
• Ukwelashwa kwe-Gallstone
• Izinyathelo ezilandelayo

Isingeniso

I-gallbladder yakho ingaba isitho esincane, kepha ingadala inkinga enkulu ngesikhathi ukhulelwe. Izinguquko ngesikhathi sokukhulelwa zingathinta ukuthi i-gallbladder yakho isebenza kahle kangakanani. Uma i-gallbladder yakho ithintekile (hhayi wonke umuntu okhulelwe), ingadala izimpawu nezinkinga ezingathinta impilo yengane yakho.

Ukwazi izimpawu kungakusiza ukuthi uthole usizo lwezokwelapha ngaphambi kokuba lube lubi kakhulu.

Isebenza kanjani i-gallbladder?

I-gallbladder isitho esincane esicishe sibe umumo wepheya. Ibekwe ngaphansi nje kwesibindi sakho. Inyongo iyisitho sokugcina. Igcina inyongo eyengeziwe ekhishwa yisibindi esiza umzimba ukugaya amafutha. Lapho umuntu edla ukudla okunamafutha amaningi, i-gallbladder ikhipha inyongo emathunjini amancane.

Ngeshwa, le nqubo ayiyona engenamthungo. Izinto ezingeziwe zingakha amatshe aqinile esinyameni. Lokhu kugcina i-bile ishiye i-gallbladder kalula futhi ingadala izinkinga.

Ukuba khona kwetshe lenyongo ku-gallbladder akugcini nje ngokugcina inyongo inganyakazi, kodwa futhi kungadala ukuvuvukala. Lokhu kwaziwa njenge-cholecystitis. Uma kubangela ubuhlungu obukhulu, kungaba yisimo esiphuthumayo sezokwelapha.

I-gallbladder yakho ihloselwe ukuba isitho esiwusizo sokugcina. Uma ingakusizi futhi idala izinkinga eziningi kunezinzuzo, udokotela angayisusa. Awudingi i-gallbladder yakho ukuze uphile. Umzimba wakho uzokwamukela izinguquko zokugaya ukudla eza nokukhishwa kwe-gallbladder yakho.

Ukukhulelwa kungakuthinta kanjani ukusebenza kwe-gallbladder?

Abesifazane banamathuba amaningi okuba nenyongo kunamadoda. Abesifazane abakhulelwe basengozini enkulu ikakhulukazi ngoba imizimba yabo yenza ama-estrogen amaningi.

I-estrogen eyengeziwe emzimbeni ingaholela enanini elinyukayo le-cholesterol ku-bile, ngenkathi inciphisa nokuncipha kwe-gallbladder. Odokotela babiza ukwehla kwezinciphiso ze-gallbladder ngesikhathi sokukhulelwa i-cholestasis yokukhulelwa. Lokhu kusho ukuthi i-bile ayibalekeli i-gallbladder kalula.

I-cholestasis yokukhulelwa ihlotshaniswa nengozi eyengeziwe yezinkinga zokukhulelwa.

Izibonelo zalezi zinkinga zifaka:

• ukudlulisa i-meconium (indle) ngaphambi kokuzalwa, okungathinta ukuphefumula kwengane
• ukuzalwa ngaphambi kwesikhathi
• ukuzala ingane ishonile

Izimpawu zezinkinga ze-gallbladder ngesikhathi sokukhulelwa

I-cholestasis yokukhulelwa ingadala izimpawu ezithile. Lokhu kufaka phakathi:

• ukulunywa okukhulu (uphawu oluvame kakhulu)
• i-jaundice, lapho isikhumba namehlo omuntu athatha umbala ophuzi ngoba kune-bilirubin eningi kakhulu (umkhiqizo odoti wokwephula amaseli abomvu egazi) egazini lomuntu
• umchamo lowo umnyama kunokujwayelekile

I-cholestasis yokukhulelwa kwesinye isikhathi ingaba nzima kowesifazane okhulelwe ukuyibona. Lokho kungenxa yokuthi isisu sakhe esikhulayo singenza ukuba isikhumba silume njengoba silula. Kepha ukulunywa okuhlobene ne-gallbladder kungenxa yokuthi i-bile acid eyakheka egazini ingaholela ekulungeni okukhulu.

Ama-gallstones angadala lezi zimpawu ezilandelayo. Lokhu kuhlaselwa kuvame ukwenzeka ngemuva kokudla okunamafutha amaningi futhi kuhlala cishe ihora:

• ukubukeka kwe-jaundiced
• isicanucanu
• Ubuhlungu engxenyeni engaphezulu kwesokudla noma maphakathi nesisu sakho lapho i-gallbladder yakho (ingacindezela, ibabuhlungu, ibe buthuntu, futhi / noma ibukhali)

Uma ubuhlungu bungapheli emahoreni ambalwa, lokhu kungakhombisa ukuthi kukhona okubi kakhulu okwenzekayo nge-gallbladder yakho.

Ukukhuluma nodokotela wakho ngezimpawu

Abanye besifazane abakhulelwe bangathola amatshe enyongo ngaphandle kokwazi ngabo. Eyaziwa ngokuthi "amatshe enyongo athule," lokhu akuthinti imisebenzi yenyongo. Kepha amatshe enyongo avimba amapayipi lapho amaqabunga enyongo angadala khona okwaziwa ngokuthi "ukuhlaselwa yinyongo." Kwesinye isikhathi lezi zimpawu ziyaphela emva kwehora noma amabili. Kwesinye isikhathi ziyaphikelela.
Uma uhlangabezana nalezi zimpawu ezilandelayo ezingapheli emva kwehora elilodwa kuya kwamabili, shayela udokotela wakho bese ufuna usizo oluphuthumayo lwezokwelapha:

• Ukugodola kanye / noma umkhuhlane osezingeni eliphansi
• umchamo onombala omnyama
• ukubukeka kwe-jaundiced
• indle enombala okhanyayo
• isicanucanu nokuhlanza
• ubuhlungu besisu obuhlala ngaphezu kwamahora amahlanu

Lezi yizimpawu zokuthi itshe lenyongo liholele ekuvukeleni nasekuthelelekeni.

Uma uhlangabezana nalokho ocabanga ukuthi kungenzeka kube ukuhlaselwa yinyongo kodwa izimpawu zakho zahamba, kusabalulekile ukuxhumana nodokotela wakho ngezikhathi ezijwayelekile zebhizinisi.

Udokotela wakho angafuna ukukubona ukuqinisekisa ukuthi konke kuhamba kahle ngengane yakho. Ngeshwa, uma ngabe uke wahlaselwa yinyongo eyodwa, amathuba okuba nomunye futhi ayanda.

Ukwelashwa kwezinkinga ze-gallbladder ngesikhathi sokukhulelwa

I-cholestasis yokwelashwa kokukhulelwa

Udokotela anganikeza umuthi obizwa nge-ursodeoxycholic acid (INN, BAN, AAN) noma i-ursodiol (Actigall, Urso) kwabesifazane abanokulunywa okunzima okuhlobene ne-cholestasis yokukhulelwa.

Ekhaya, ungangena emanzini afudumele (amanzi ashisa ngokweqile angaba yingozi enganeni yakho) ukunciphisa ukulunywa kwesikhumba. Ukufaka izingcindezi ezibandayo kungasiza ekunciphiseni ukulunywa.

Qaphela ukuthi okunye ukwelashwa ongase ukusebenzisele ukulunywa kwesikhumba, njenge-antihistamine noma ukhilimu we-hydrocortisone, ngeke kusize ukulunywa kwesikhumba okuhlobene nenyongo. Bangalimaza nengane yakho. Ngesikhathi sokukhulelwa, kungcono ukuzigwema.

Kunobungozi obukhulu bezinkinga zokukhulelwa ne-cholestasis yokukhulelwa, ngakho-ke udokotela angafaka ukubeletha kumaki wamaviki angama-37 uma ingane ibonakala iphilile ngenye indlela.

Ukwelashwa kwe-Gallstone

Uma owesifazane eba nama-gallstones angabangeli izimpawu ezimbi nokungaphatheki kahle, udokotela ngokujwayelekile uzoncoma ukulinda okulindile. Kepha amatshe enyongo agcina isinye singaphumi ngokuphelele noma abangele ukutheleleka emzimbeni kungadinga ukuhlinzwa. Ukwenza ukuhlinzeka ngesikhathi sokukhulelwa akuyona indlela yokwelashwa ekhethwayo, kodwa kungenzeka ukuthi owesifazane angakhishwa inyongo yakhe ngokuphepha ngesikhathi sokukhulelwa.

Ukususwa kwe-gallbladder kungukuhlinzwa okungokwesibili okungajwayelekile kokukhulelwa ngesikhathi sokukhulelwa. Okuvame kakhulu ukususwa kwesithasiselo.

Izinyathelo ezilandelayo

Uma uhlangabezana ne-cholestasis yokukhulelwa, maningi amathuba okuthi uzoba nalesi simo uma uphinde ukhulelwa. Noma ikuphi kusuka engxenyeni eyodwa kuya kwezimbili kwezintathu zabesifazane ababene-cholestasis yokukhulelwa ngaphambili bazophinde babe nayo.

Ukudla ukudla okunempilo, okunamafutha amancane ngesikhathi ukhulelwe kunganciphisa ubungozi bakho bezimpawu ze-gallbladder. Lokhu kungasiza ukugcina wena nengane yakho niphilile. Kodwa njalo vumela udokotela wakho azi uma unezimpawu ezibandakanya i-gallbladder yakho. Lokhu kuvumela udokotela wakho ukuthi akwenzele uhlelo oluhle kakhulu wena nengane yakho.