Cholecystitis

I-Cholecystitis ukuvuvukala kwe-gallbladder, ngokuvamile kwenzeka ngenxa ye-gallstones evimbela i-cystic duct. Lesi simo singathinta noma ubani kodwa sivame kakhulu kwabesifazane, abantu abadala, nalabo abanezici ezithile zobungozi njengokukhuluphala ngokweqile noma ukwehla kwesisindo esisheshayo. I-Cholecystitis ivame ukuveza ubuhlungu obukhulu besisu, umkhuhlane, nesicanucanu. 

Uma kuyekwa kungelashwa, kungaholela ezinkingeni ezinkulu ezifana gallbladder ukuqubuka noma i-sepsis, okwenza ukunakekelwa ngokushesha kwezokwelapha kubaluleke kakhulu. Ukwelashwa ngokuvamile kuhilela ama-antibiotics, ukuphathwa kwezinhlungu, futhi ngokuvamile ukukhishwa kwe-gallbladder ngokuhlinzwa. Ukuhlolwa njalo kanye nokuhlolwa kwe-ultrasound kungasiza ekutholeni amatshe enyongo kusenesikhathi futhi kungase kugweme ukukhula kwe-cholecystitis. 

Yini iCholecystitis? 

I-Cholecystitis, eyaziwa nangokuthi ukuvuvukala kwe-gallbladder, ethinta i-gallbladder (njengoba i-anime iphakamisa) - isitho esincane esimise okwepheya, esitholakala ngaphansi kwe-gallbladder. isibindi futhi igcina inyongo eyenziwa isibindi. I-gallbladder ithumela i-bile emathunjini amancane ngemva kokuba udle ngamapayipi amancane abizwa ngokuthi ama-bile ducts. Noma yikuphi ukutheleleka kungabangela ukuvuvukala, ubuhlungu, nokuvuvukala kukho. 

Izinhlobo ze-cholecystitis

Kunezinhlobo eziningi ze-cholecystitis:

• Acute (ngokungazelelwe futhi ngokushesha) 
• Okungapheli (okuhamba kancane futhi okuhlala isikhathi eside) 
• I-Calculus (ehlobene ne-gallstones) 
• I-Acalculous (engahlobene ne-gallstone) 

Izimpawu ze-cholecystitis

Izimpawu ze-cholecystitis zihlanganisa: 

• Fever 
• I-nausea 
• Ukuvota 
• Ubuthakathaka nokukhathala 
• Ubumnene phezu kwesisu 
• Ubuhlungu obusakazekela engalweni yangakwesokudla nasentanyeni 
• Ubuhlungu obukhulu enkabeni yesisu esingenhla kwesokudla 

Izimpawu ze-cholecystitis engapheli ngokuvamile azibi kakhulu futhi azivamile. Ngemuva kokudla okucebile noma okunzima, ungase uthole i-biliary colic, ebonakala ngokucanuzela kwenhliziyo kanye ubuhlungu besisu. Kudingeka i-bile eyengeziwe ukugaya ukudla okunamafutha amaningi. I-gallbladder ithola amasignali ohlelweni lwakho lokugaya ukuze idlulise i-bile eyengeziwe, okwenza inkontileka ye-gallbladder ibe nzima futhi iphakamisa ukucindezela ngaphakathi kwayo. Lokhu kungathatha amahora ambalwa kulandela inqubo. 

Izinkinga ze-Cholecystitis 

I-Cholecystitis, eyingozi futhi engapheli, ivame ukubangelwa amatshe enyongo avimbela i-bile ducts yakho. Izingcezu zensalela yenyongo eqinile zibizwa ngamatshe enyongo. Angakwazi ukunyakaza, kodwa ngokuvamile aqala phansi kwe-gallbladder yakho. Ngezinye izikhathi zingase zifakwe ku-gallbladder yakho noma i-bile duct. I-bile ibuyela ku-gallbladder yakho ngenxa yalokhu. Ukwengeza, kungase kukhuthaze izifo zangaphakathi. 

I-acute cholecystitis ilethwa yi-gallstone evimbela i-gallbladder yakho ekukhiqizeni i-bile. Njengoba i-gallbladder yakho ikhukhumala kakhulu, lolu hlobo luba lubi kakhulu ngokuhamba kwesikhathi. I-gallbladder yakho ingase ivinjwe kancane kancane yi-gallstone efudukayo. Isibonelo, kwesinye isikhathi ungazizwa kuphela lapho i-gallbladder yakho ifihla i-bile ukusiza ngayo ukugaya. 

Ukuvuvukala kwe-gallbladder kubizwa ngokuthi i-cholecystitis. Ukuvuvukala kwe-gallbladder kungase kubangele: 

• Itshe Lezinso: Amatshe enyongo, okuyizinhlayiya eziqinile ezakha enyongweni yakho, ngokuvamile ayimbangela ye-cholecystitis. I-bile iphuma ku-gallbladder ngomgudu we-cystic, umgudu ongavinjelwa amatshe enyongo. Ukuvuvukala kubangelwa ukunqwabelana kwenyongo. 
• I-Tumor: Kungenzeka ukuthi isimila sivimbela i-bile ye-gallbladder yakho ekuphumeni kahle. Lokhu kubangela ukunqwabelana kwe-bile, okungadala i-cholecystitis. 
• Ukuvinjwa kwamapayipi enyongo: I-cholecystitis ingabangelwa ukuvinjwa kwemigudu yenyongo okubangelwa amatshe, i-bile ejiyile, kanye nezinhlayiya ezincane (udaka). Ukuvinjelwa kungavela futhi ngenxa ye-bile duct kinking noma izibazi, 
• Ukutheleleka: Ukuvuvukala kwenyongo kungalethwa ingculazi nezinye izifo ezibangelwa amagciwane. 
• Ukugula okunzima: I-cholecystitis ingabangelwa ukugula okubi kakhulu okulimaza imithambo yegazi futhi kunciphise ukuhlinzekwa kwegazi ku-gallbladder. 

Sifo 

Uchwepheshe wakho wezokunakekelwa kwezempilo cishe uzohlola umzimba futhi ahlole umlando wakho wezokwelapha kanye nezimpawu zakho ukuze ahlole i-cholecystitis. Izivivinyo nezindlela ezilandelayo zisetshenziselwa ukuxilonga i-cholecystitis: 

• Ukuhlolwa kwegazi 
• Isivivinyo somsebenzi wesibindi 
• I-ultrasound yesisu 
• I-Endoscopic ultrasound 
• I-CT scan (i-Computerized Tomography) 
• Iskena se-HIDA (Hepatobiliary Iminodiacetic Acid Scan) 

Ukwelashwa 

I-cholecystitis idinga ukwelashwa ngokushesha esibhedlela. Nazi ezinye zezindlela zokwelapha lesi simo:

• I-intravenous fluid 
• IV ama-antibiotics ukwelapha izifo 
• IV ukukhululeka kobuhlungu bobuhlungu obukhulu besisu 

Indlela eyinhloko yokwelapha esetshenziselwa i-cholecystitis ukuhlinzwa. I-Gallbladder drainage, noma i-cholecystostomy, ingenziwa kwezinye izimo ukuze kuqedwe ukutheleleka, njengalapho ukuhlinzwa kungenakwenzeka ukukhipha i-gallbladder. Ukukhipha amanzi kungenziwa nge-endoscopically, noma ngokufaka ububanzi ngomlomo, noma nge-percutaneously, ngokusebenzisa isikhumba kwesisu. 

Futhi, isiguli singase senze inqubo ye-endoscopic retrograde cholangiopancreatography (ERCP). Amatshe avimbela i-bile ducts noma i-cystic duct angasuswa kusetshenziswa izinsimbi phakathi nalokhu kusebenza, okugqamisa imigudu yenyongo ngodayi. 

I-Cholecystitis Risk Factors

Lokhu okulandelayo yizici zobungozi ze-cholecystitis: 

• Ukuba ngokweqile noma okugqamile 
• ukukhulelwa 
• Having sikashukela 
• Mdala kune-40 
• Izinkinga 

I-Cholecystitis inezinkinga eziningana. Ezinye zazo yilezi: 

• Ukuvuvuka okuholela ku-necrosis kanye ne-gangrenous cholecystitis 
• Ukulimala kuma-bile ducts, amanyikwe nesibindi 
• Ukuvuvukala okungapheli okuholela ku-gallbladder fibrosis kanye nokungasebenzi kahle 
• Ukudabuka kwenyongo okuholela ekuthelelekeni emgodini wesisu sakho 
• Ukugaya okungafanele kanye nokumuncwa kwezakhi emathunjini akho amancane 

Uyombona Nini Udokotela?

Kunconywa ukubonana nodokotela lapho izimpawu ziba ngokwedlulele kakhulu noma zingapheli ezinsukwini ezingu-2-3. I-Cholecystitis kufanele inakekelwe ngokushesha futhi kusenesikhathi. Uma ingelashwa, ingabangela ezinye izinkinga ezinkulu. 

Prevention

I-cholecystitis ingavinjelwa ngokuthatha izinyathelo ezilandelayo:

• Yehlisa isisindo kancane, ngoba ukunciphisa isisindo kungandisa ngokushesha ithuba le-cholecystitis. 
• Khetha enempilo Ukudla, njengoba kunganciphisa amathuba e-cholecystitis. Khetha ukudla okunothe nge-fiber namafutha aphansi. 
• Gcina isisindo esifanele ngokunciphisa ama-calories nokwandisa imisebenzi yomzimba. 

Isiphetho

Ukwelashwa kwezokwelapha ngokuvamile kuyadingeka ezinhlungwini ezinzima zesisu. Ungase ufise ukuya ngqo egumbini lezimo eziphuthumayo uma ubuhlungu bunezimpawu zakudala zobuhlungu benyongo, okuvele kungazelelwe, kushube, kube nesicanucanu, ohlangothini olungaphezulu kwesokudla kwesisu, kanye nalezi zici. 

Ngisho noma i-gallbladder yakho incane, ukucindezeleka kungabeka engozini uhlelo lwakho lwe-biliary. Izimbangela ze-cholecystitis azisoze zaphela, ngisho noma izimpawu zihamba. Uma ungakutholi ukwelashwa okudingekile kwe-cholecystitis, i-gallbladder yakho izoqhubeka nokulimala futhi izimpawu zakho kungenzeka ziphinde zenzeke. 

Imibuzo Evame Ukubuzwa

Q1. Kuthiwani uma ngidinga ukuhlinzwa?

Izimpendulo. Ngesikhathi bexilonga lesi simo, uma udokotela ethola ukuthi i-cholecystitis iyinkimbinkimbi - okusho ukuthi uma isiguli siqhume noma sibhobokile, uyala ukuba kwenziwe i-cholecystectomy ngokushesha. Ukuhlinzwa kunemiphumela engcono futhi kunesikhathi esifushane sokululama. 

Q2. Yikuphi ukudla okubangela i-cholecystitis? 

Izimpendulo. Ukudla okunamafutha aphezulu kufanele kugwenywe, ngoba kuyizinto eziyingozi ezingase zidale i-cholecystitis. Okunye ukudla okubalulwe ngezansi- 

• Amasoseji, i-salami, ubhekeni 
• Ukudla okuthosiwe nokujulile 
• Amakhekhe nophaya 
• Amantongomane kanye ne-granola, ama-chips, njll. 
• Ukudla okugayiwe njengoshizi, u-ayisikhilimu, ubisi lonke, njll. 
• Inyama egayiwe, izinhlanzi ezisemathinini, nokudla okupakishiwe. 

Q3. Ungayisusa kanjani i-cholecystitis? 

Izimpendulo. Ukwelashwa kwe-cholecystitis ikakhulukazi kuhilela ama-antibiotics, ukulawula ubuhlungu, nokuzila ukudla. Ezimweni ezimbi kakhulu, kungase kudingeke ukususwa kwe-gallbladder (cholecystectomy). Ukuphathwa kokuqala kugxile ekudambiseni ukuvuvukala nokuvimbela izinkinga. 

Q4. Ingabe i-cholecystitis ingahamba ngokwayo? 

Izimpendulo. I-Cholecystitis idinga ukwelashwa, futhi akunakwenzeka ukuthi isimo sizihambele sodwa. Kodwa ezimweni eziningi, kungenzeka ukuthi ukuvimbela inyongo ku- gallbladder noma ithunjana lenyongo lizimise ngokwalo. Kodwa akufanelekile ukulinda - funa ukwelashwa ngokushesha. 

CARE Medical Team

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