Yini Ebangela Ubuhlungu Obungaphansi Kwezimbambo Zami engxenyeni engaphezulu yangakwesokudla yesisu sami?

-Delile

• Izimpawu
• Izimbangela zobuhlungu be-RUQ
• Izinkinga zezinso
• Izimo zesibindi
• Preeclampsia
• Izinkinga ze-gallbladder
• Izinkinga zamathumbu
• Izimo zepancreatic
• Izimbangela ezengeziwe zobuhlungu obuphezulu be-quadrant
• Ukuxilongwa
• Ukwelashwa
• Izinqubo zokwelashwa nokululama
• Izinkinga
• Ukuvimbela
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Isisu sakho sehlukaniswe amakota amane, noma ama-quadrants. Cabanga umugqa oqondile ohlukanisa isisu sakho phakathi. Ngemuva kwalokho, cabanga ngomugqa ovundlile ezingeni lenkinobho yakho yesisu. Ikota ephezulu kakhulu ohlangothini lwakho lwesokunene yi-quadrant yakho ephezulu yangakwesokudla (i-RUQ).

I-RUQ iqukethe izitho eziningi ezibalulekile, kufaka phakathi izingxenye zesibindi sakho, izinso ezingakwesokudla, i-gallbladder, amanyikwe, namathumbu amakhulu namancane.

Kubalulekile ukuthi unake ubuhlungu ku-RUQ yakho ngoba kungaba yinkomba yezifo noma izimo eziningi.

Izimpawu

Ubuhlungu be-RUQ bungahluka ngamandla ngokuya ngesimo esingaphansi. Ubuhlungu bungazizwa njengobuhlungu obuzwelayo noma ukuzwa okubukhali kokugwaza.

Uma uke waba nezinhlungu zesisu ezihlala ngaphezu kwezinsuku ezimbalwa, kufanele wenze i-aphoyintimenti nodokotela wakho ukuze kuhlolwe izimpawu zakho.

Kodwa-ke, ezinye izimpawu zingakhombisa isimo esiphuthumayo sezokwelapha. Kufanele ufune usizo lwezokwelapha ngokushesha uma une:

• ubuhlungu obukhulu besisu
• imfiva
• isicanucanu esiphikelelayo nokuhlanza
• igazi esitokisini sakho
• ukuvuvukala noma ukuthamba kwesisu sakho
• ukuncipha kwesisindo okungaqondakali
• isikhumba esiphuzi (i-jaundice)

Izimbangela zobuhlungu be-RUQ

Izinkinga zezinso

Izinkinga zezinso ezinjengamatshe ezinso, ukutheleleka kwe-urinary tract (UTI), ukutheleleka kwezinso, noma umdlavuza wezinso kungaholela ebuhlungwini be-RUQ.

Izimpawu ezingahambisana nobuhlungu be-RUQ ngenxa yenkinga yezinso zifaka:

• Ubuhlungu obudlulela emhlane ongezansi noma emgodini
• ukuchama kabuhlungu
• umchamo onuka kabi
• ukuchama kaningi
• igazi emchameni wakho
• imfiva
• isicanucanu noma ukuhlanza

Uma unezinhlungu ze-RUQ futhi usola ukuthi kungenzeka kungenxa yenkinga yezinso, kufanele wenze i-aphoyintimenti nodokotela wakho.

Izimo zesibindi

Izimo zesibindi nazo zingaholela ebuhlungwini be-RUQ. Izibonelo zifaka phakathi i-hepatitis, ithumba lesibindi, noma umdlavuza wesibindi.

Ngaphezu kobuhlungu be-RUQ, ezinye izimpawu zesimo sesibindi zingafaka:

• isikhumba esiphuzi (i-jaundice)
• ubumnene besisu
• isicanucanu noma ukuhlanza
• umchamo omnyama
• imfiva
• ukukhathala
• ukuncipha kwesisindo okungaqondakali

Uma unezinhlungu nezimpawu ze-RUQ ezihambisana nesimo sesibindi, kufanele ubone udokotela wakho.

Preeclampsia

I-Preeclampsia yisimo esivame ukwenzeka kwabesifazane okungenani abanamasonto angama-20 bekhulelwe. Ingakhula futhi ekuqaleni kokukhulelwa, noma, kwezinye izimo, ngemuva kokubeletha.

Uphawu lwe-preeclampsia ukukhuphuka komfutho wegazi, kepha ubuhlungu be-RUQ buvame ukwenzeka futhi.

Izimpawu ezingeziwe zingabandakanya:

• ikhanda elibi kakhulu
• isicanucanu noma ukuhlanza
• ukuncipha ukuchama
• amaprotheni emchameni
• izinkinga zezinso noma zesibindi
• ukungaboni kahle noma ukuzwela ekukhanyeni
• ukuphelelwa umoya

Udokotela wakho kufanele aqaphe umfutho wegazi lakho njengengxenye yokuvakashelwa kwakho kokubeletha. Kodwa-ke, uma uhlangabezana nezimpawu ze-preeclampsia ezinjengezinhlungu ze-RUQ, ukubona okungaboni kahle, noma ukuphefumula okuncane, kufanele ufune ukunakekelwa kwezokwelapha ngokushesha njengoba kungabeka impilo yakho nobabili engozini uma ungalashwa.

Izinkinga ze-gallbladder

Izinkinga ze-gallbladder, njenge-gallstones noma i-choledocholithiasis, zingadala ubuhlungu be-RUQ. I-Choledocholithiasis ukutholakala kwama-gallstones ngaphakathi kwamapayipi akho e-bile.

Ubuhlungu be-RUQ ngenxa yamatshe enyongo bungahlala amahora amaningi futhi buvame ukwenzeka ngemuva kwesidlo esikhulu noma kusihlwa. Izimpawu ezingeziwe okufanele uzibheke zingabandakanya:

• isicanucanu nokuhlanza
• imfiva
• Ukugodola
• umchamo omnyama noma indle enombala okhanyayo
• isikhumba esiphuzi (i-jaundice)

Uma uhlangabezana nezimpawu ezihambisana nenyongo noma i-choledocholithiasis, kufanele ubone udokotela wakho. Amatshe emigodini ye-bile angaholela ezinkingeni ezinkulu.

Izinkinga zamathumbu

Izinkinga ezahlukahlukene zamathumbu, ezinjengokugaya ukudla, isisu, nezilonda zep peptic, zingadala ubuhlungu be-RUQ.

Imvamisa, ubuhlungu obubangelwa yilezi zimo buwuhlobo olubuhlungu, oluvuthayo lobuhlungu. Ezinye izimpawu zingabandakanya:

• umuzwa wokugcwala okungakhululekile
• ukuqunjelwa esiswini
• ukubhoboza noma igesi
• isicanucanu noma ukuhlanza

Ngenkathi amacala amaningi we-indigestion kanye ne-gastritis emnene futhi azozixazulula ngokwawo, kufanele ubone udokotela wakho uma unezimpawu zesonto noma ngaphezulu. Uma usola ukuthi unesilonda sikakhulukazi, kufanele ubonane nodokotela wakho.

Izimo zepancreatic

Ungabuzwa ubuhlungu be-RUQ uma amanyikwe akho evuvukala, okwaziwa ngokuthi yi-pancreatitis. Ubuhlungu obuzwayo kusuka ku-pancreatitis buya ngokuya buhamba kancane ngokuhamba kwesikhathi futhi izimpawu ezengeziwe zingafaka:

• isicanucanu noma ukuhlanza
• imfiva
• ukwanda kokushaya kwenhliziyo

Izimo eziningi ze-pancreatitis zidinga ukwelashwa esibhedlela.

Izimbangela ezengeziwe zobuhlungu obuphezulu be-quadrant

Ngaphezu kwezimo ezixoxwe ngenhla, ezinye izimo ezingaphansi zingadala ubuhlungu ku-RUQ yakho.

Lokhu kufaka ukulimala noma ukuhlukumezeka, i-pneumonia, ne-shingles.

Ukuxilongwa

Ukuze uhlolisise imbangela yobuhlungu bakho be-RUQ, udokotela wakho uzocela umlando wakho wezokwelapha futhi enze nokuhlolwa komzimba.

Ngokwengeziwe, banga-oda ezinye izivivinyo ukufinyelela ekutholeni ukuxilongwa, kufaka phakathi:

• iphaneli eliyisisekelo noma eliphelele le-metabolic (BMP noma i-CMP) ukuhlola ukusebenza kwesibindi sakho, ukubalwa kwamaseli egazi, namazinga e-electrolyte
• i-urinalysis ukuhlola ukusebenza kwezinso zakho noma ukuhlola i-UTI noma amatshe ezinso
• isiko lesitulo ukubona ukuthi ngabe kukhona yini amagciwane akhona esitobhini sakho
• endoscopy ukuhlola ubukhona bezilonda
• ukuhlolwa kwe-imaging, njenge-ultrasound, i-X-ray, noma i-CT scan, ukusiza ukubona ingaphakathi lesisu sakho noma ukuhlola ukutholakala kwamatshe

Ukwelashwa

Ukwelashwa kobuhlungu be-RUQ kuya ngokuthi kubangelwa yini. Izibonelo zifaka:

• ukudambisa izinhlungu njenge-acetaminophen (iTylenol) noma ibuprofen ukudambisa ukungakhululeki
• ama-antacids okusiza ekunciphiseni i-asidi esiswini
• imishanguzo efana ne-proton pump inhibitors noma i-acid blockers ukunciphisa inani le-asidi esiswini noma emathunjini akho
• ama-antibiotic ukubulala amabhaktheriya abangela ukutheleleka
• izinqubo zokuhlinzwa, njengalezo zokususa amatshe noma ukukhipha isimila
• ukwelashwa komdlavuza, njenge-chemotherapy, i-radiation therapy, noma i-immunotherapy

Thenga ama-antacids.

Izinqubo zokwelashwa nokululama

Imvamisa, udokotela wakho uzozama ukugwema ukwenza ukuhlinzwa lapho kungenzeka khona. Kungadingeka kwezinye izimo ukuze kugwenywe izinkinga noma ukuwohloka kwesifo.

Isibonelo, uma amatshe enyongo avimba i-bile duct (i-choledocholithiasis) angasuswa, kungaba nezinkinga ezisongela impilo. Kwezinye izimo, udokotela wakho angakhetha ukususa i-gallbladder yakho ngokuphelele.

Uma amatshe akho ezinso emakhulu kakhulu ukuthi angadluliselwa ngokwemvelo, udokotela wakho angakhetha ukusebenzisa amaza omsindo ukuze aphule amatshe abe yizicucu ezincane ezingadluliselwa. Bangase futhi basebenzise ububanzi ukususa amatshe.

Uma kutholakala ukuthi unomdlavuza wezinso noma wesibindi, ukuhlinzwa kungadingeka ukukhipha isimila, ngokuya ngesigaba somdlavuza nobukhali.

Izinkinga

Njengoba i-RUQ yakho iqukethe izitho eziningi ezibalulekile, kubalulekile ukuqapha ubuhlungu be-RUQ nanoma yiziphi izimpawu ezengeziwe ukuze ufune ukwelashwa ngesikhathi esifanele futhi ugweme izinkinga.

Izibonelo zezinkinga ezingaba khona zifaka:

• ukutheleleka kwezinso ngenxa ye-UTI engalashwa
• umfutho wegazi ophakeme, ukwehluleka kwezinso, noma isibazi sezinso ngenxa yokutheleleka kwezinso okungalashwa
• isisindo sokuzalwa esiphansi, ukuzalwa kwangaphambi kokubeletha, ukulimala komzimba, noma ukufa okuvela ku-preeclampsia engakhululiwe
• ukuvuvukala noma ukutheleleka kwe-gallbladder noma amanyikwe ngenxa yamatshe enyongo angalashwa
• ingozi eyengeziwe yezilonda noma umdlavuza wesisu kusuka ku-gastritis engaphathwa
• ukuqhubeka komdlavuza ongabanjwa kusenesikhathi

Ukuvimbela

Ungasiza ukuvimbela ezinye izimo zobuhlungu be-RUQ ngo:

• ukudla ukudla okunempilo, kufaka phakathi:
  • ukudla okunothile ku-fiber, okufana nezinhlamvu ezigcwele, izithelo, imifino nobhontshisi
  • ukudla okunamafutha enempilo, njengamafutha omnqumo namafutha wezinhlanzi, ngenkathi kugwenywa amafutha angenampilo njengokudla okuthosiwe
  • ukugwema ukudla okuqukethe ama-carbohydrate acwengekile, ushukela, nosawoti
  • ukuhlala unamanzi amaningi, ngoba ukuphuza uketshezi oluningi kungasiza ukugeleza amabhaktheriya asuka endaweni yakho yokuchama
  • usebenzisa izithako ze-calcium ngokuqapha ukugwema amatshe ezinso
  • ukugwema ukugaya ukudla ngokuqiniseka ukuthi ukudla kuphekwe ngokuphelele nokugwema ukudla noma iziphuzo ezibabayo, ezinamafutha, noma eziqukethe i-asidi eningi noma i-caffeine
  • ukuyeka ukubhema nokunciphisa ukuphuza kwakho utshwala
  • ukugcina isisindo esinempilo.

Thenga izithasiselo ze-calcium.

Umbono

Izimbangela ezingaba khona zobuhlungu be-RUQ zingahluka. Ezinye zazo, njengokugaya ukudla, zivame kakhulu futhi zivame ukuzihambela zodwa. Ezinye, njenge-preeclampsia noma i-pancreatitis, zidinga ukubhekiswa ngokushesha.

Njengoba i-RUQ yakho iqukethe izitho ezahlukahlukene ezibalulekile, kubalulekile ukuqapha ubuhlungu be-RUQ.

Uma ngabe unezinhlungu ze-RUQ isonto noma ngaphezulu, kufanele wenze isikhathi sokubonana nodokotela wakho.