Indle Ephaphathekile

Indle ephaphathekile ingaba uphawu oluyisixwayiso ezindabeni ezihlukahlukene zezokwelapha futhi akufanele indiva. Lokhu kubukeka okungajwayelekile kwendle kuvame ukuphakamisa ukukhathazeka futhi kwenza abantu bafune izimpendulo ngezimbangela zako kanye nemithelela yempilo engaba khona.

Kulesi sihloko, sizohlola incazelo yombala wendle ephaphathekile kanye nezinyathelo ezihilelekile ekuxilongweni kwawo. Sizophenya mayelana nezimbangela ezingenzeka zendle enombala ophaphathekile, okuhlanganisa izici zokudla, izimo zezokwelapha, nemithi engaholela kulolu shintsho. Ukwengeza, sizoxoxa ngezimpawu ezingase zihambisane nendle ephaphathekile, isikhathi sokubonana nodokotela kanye nezinketho zokwelapha ezingase zibe khona. 

Yini I-Pale Stool?

Indle ephaphathekile isho indle enombala okhanyayo, evame ukubonakala emhlophe, enombala wobumba, noma onsundu ngokukhanyayo. Lokhu kubukeka okungavamile kungase kube uphawu lwezinkinga ezihlukahlukene zezempilo. Igama lezokwelapha lezihlalo eziphaphathekile noma ezinemibala ekhanyayo indle ye-acholic. Ngokuvamile, indle inemibala ensundu ngenxa yokuba khona kwe-bile salts ekhishwa isibindi. Lawa ma-bile salts enza indle ibe nombala onsundu. Uma indle iba phaphathekile, kuvame ukukhombisa ukuthi ibile ngokwanele ayifinyeleli esitulweni. 

Kubalulekile ukuqaphela ukuthi izihlalo eziphaphathekile ngezikhathi ezithile zingase zingabi imbangela yokukhathazeka. Kodwa-ke, uma ubona indle ephikelelayo ephaphathekile noma enombala wobumba, kungase kubonise isimo sempilo esicashile esidinga ukunakekelwa kwezokwelapha. Izihlalo eziphaphathekile ezingaguquki ziphakamisa ukuthi kunezinkinga ohlelweni lwe-biliary (isibindi, i-gallbladder, namanyikwe).

Izimbangela kanye Nezici Zengozi Ye-Pale Stool

Umbala wendle ophaphathekile ungabangelwa izici ezihlukahlukene, njenge:

• Izici Zokudla: Esikudlayo kungaba nomthelela kumbala wendle yethu. Ukudla okuthile neziphuzo kungase kuholele ekubeni nendle enombala ophaphathekile. Ngokwesibonelo, ukudla okunamafutha aphansi noma aphezulu ezinhlotsheni ezithile zamafutha kungabangela indle ephaphathekile. Ukwengeza, ukusebenzisa amanani eqile emikhiqizo yobisi noma ukudla okunemibala emhlophe ngezinye izikhathi kungase kubangele indle enombala okhanyayo.
• Imithi: Eminye imithi inomthelela kumbala wendle. Ama-antibiotic athile, ama-antacid aqukethe i-aluminium hydroxide, nemithi elwa nesifo sohudo angabangela indle ephaphathekile. 
• Izinkinga Zesibindi: Ngezinye izikhathi i-hepatitis, i-cirrhosis, noma umdlavuza wesibindi ungaphazamisa ukukhiqizwa kwe-bile, okuholela ekubeni indle ephaphathekile.
• Izinkinga ze-Gallbladder: Izinkinga ezifana ne-gallstones noma ukuvuvukala kungavimba ukuphuma kwe-bile emathunjini, kubangele indle enombala ophaphathekile.
• Izinkinga ze-Pancreatic: Izimo ezifana ne-pancreatitis noma umdlavuza we-pancreatic zingathinta ukukhiqizwa kwalawa ma-enzyme, okungase kubangele indle enombala ophaphathekile.

Izingozi Zezingozi

Ezinye izici zingenza umuntu abe sengozini yokuthola izimo ezidala indle ephaphathekile. Lokhu kuhlanganisa umlando wesibindi noma isifo senyongo, ukuphuza ngokweqile, ukukhuluphala, kanye nokuphazamiseka okuthile kofuzo. Iminyaka yobudala nobulili nakho kunendima, kanti ezinye izimo zivame kakhulu kumaqembu athile eminyaka yobudala noma ubulili.

Izimpawu Ezihambisana Nendle Ephaphathekile Ezinganeni

Lapho izingane zinezihlalo eziphaphathekile, ngokuvamile zihambisana nezinye izimpawu ezingabonisa izinkinga zempilo ezicashile. Abazali kufanele baqaphele lezi zimpawu ukuze bafune usizo lwezokwelapha ngesikhathi:

• Ubuhlungu besisu
• jaundice noma umbala ophuzi wesikhumba nokumhlophe kwamehlo
• Umchamo omnyama
• Ukukhathala kunokujwayelekile
• I-nausea nokuhlanza

Kubalulekile ukuthi abazali bahlale beqaphile lezi zimpawu, ikakhulukazi uma ziphikelela. Uma ingane inesitulo esiphaphathekile isikhathi esingaphezu kwamahora angu-24 noma uma kukhona noma yiziphi zalezi zimpawu ezihambisana naso, thintana nodokotela. 

Sifo

Uma kukhulunywa ngokuxilonga indle ephaphathekile, odokotela basebenzisa indlela ebanzi:

• Umlando Wezokwelapha: Udokotela ubuza mayelana nezimpawu zakho, imithi, umlando womndeni, kanye nokuphuza utshwala. Lolu lwazi lunikeza isithombe esicacile sempilo yakho kanye nezici ezingaba yingozi.
• Ukuhlola Umzimba: Odokotela bazobheka noma yiziphi izimpawu ezibonakalayo ezixhumene nombala wendle ephaphathekile. Lokhu kuhlola okwenziwa ngesandla kunganikeza izinkomba ezibalulekile mayelana nembangela ewumsuka.Uma indle ephaphathekile iphikelela noma ihambisana nezinye izimpawu ezifana nomchamo omnyama noma i-jaundice, udokotela wakho angase atuse ukuhlolwa okuningana ukuze athole imbangela. Lokhu kungase kuhlanganise:
  • Ukuhlolwa kwegazi: Lezi zingahlola izifo futhi zihlole ukusebenza kwesibindi, okubalulekile ekutholeni imbangela yendle ephaphathekile.
  • Ukuhlaziya indle: Lokhu kuhlola kuhlola isampula yesitulo sakho ngezinto ezihlukahlukene, okuhlanganisa umbala, ukungaguquguquki, nokuba khona kwamafutha angagayeki noma igazi.
  • Ukuhlolwa Kwezithombe: Udokotela wakho angase ahlele uphenyo lwe-radiological njenge-CT scan noma i-ultrasound yesisu ukuze ahlole kabanzi izitho zakho, ikakhulukazi isibindi, i-gallbladder, nama-pancreas.
  • I-Magnetic Resonance Cholangiopancreatography (MRCP): Le MRI ekhethekile ingathwebula izithombe ezinemininingwane yesistimu yakho ye-biliary, ikusize ukukhomba noma yikuphi ukuvinjelwa noma okungavamile.
  • I-Endoscopic Retrograde Cholangiopancreatography (ERCP): Lokhu kuhlola okuhlaselayo kuvumela odokotela ukuba bahlole imigudu yenyongo eduze.

Ukwelashwa

Ukwelashwa kwendle eliphaphathekile kuncike kumbangela ewumsuka. Odokotela balungisa indlela yabo ngokuya ngesimo esithile kanye nobukhulu baso, okuhlanganisa:

• Ezindabeni ezihlobene nesibindi, ukwelashwa kungase kuhlanganise imithi kanye nezinguquko zokuphila. Ezimweni ezibucayi, odokotela bangase banikeze imithi ukusiza ukususa i-bile egazini. Ngezinkinga zesibindi ezinzima kakhulu, njengotshwala isifo sofuba, ukuyeka ukuphuza utshwala kubalulekile. Odokotela bangase futhi batuse ukudla okukhethekile ukuze balwe nokungondleki futhi banikeze imithi yokunciphisa ukuvuvukala kwesibindi.
• Lapho izinkinga ze-gallbladder zidala indle ephaphathekile, izindlela zokwelapha ziyahlukahluka. Kwezinye izimo, odokotela bangase basikisele ukuhlinzwa ukuze kukhishwe amatshe enyongo. 
• Ezindabeni ze-pancreatic, ukwelashwa kungasukela emithini kuye ekuhlinzweni, kuye ngesimo esithile. Ezinye iziguli zingase zidinge ukulaliswa esibhedlela, uketshezi olufakwa emthanjeni, nokulawulwa kobuhlungu. Uma ukutheleleka kwebhaktheriya kukhona, ama-antibiotics angadingeka.
• Ezimeni lapho indle ephaphathekile kuwuphawu lwesimo esibi kakhulu njengomdlavuza, ukwelashwa kungase kuhlanganise ukuhlinzwa, ukwelapha ngemisebe, noma ukwelashwa ngamakhemikhali. Indlela eqondile incike ohlotsheni kanye nesigaba somdlavuza.

Uzoyibona Nini Udokotela

Ukufuna iseluleko sezokwelapha ngendle ephaphathekile kubalulekile ezimweni ezithile, njenge: 

• Uma indle ephaphathekile noma enombala wobumba iqhubeka isikhathi esingaphezu kwamahora angama-24
• Uma indle ephaphathekile ihambisana nezinye izimpawu, njengomchamo omnyama, i-jaundice (ukuba phuzi kwesikhumba namehlo), ubuhlungu besisu, noma imfiva.
• Ezinganeni nasezinsaneni, indle ephaphathekile noma emhlophe idinga ukunakwa ngokushesha
• abesifazane abakhulelwe abaphethwe indle ephaphathekile kufanele futhi bafune usizo lwezokwelapha ngokushesha

Prevention

Nakuba kungenzeki ngaso sonke isikhathi ukuvimbela indle ephaphathekile, kunezinyathelo ezithile umuntu angazithatha ukuze ehlise ingozi yokuthuthukisa izimo ezithile ezingase ziyibangele. Lezi zinyathelo zigxile ekugcineni impilo yonke kanye nokunciphisa amathuba okuba nezinkinga zesibindi, i-pancreatic, ne-gallbladder, njenge:

• Yidla I-Fibre Eyanele: Khomba ukusebenzisa inani elinconyiwe le-fiber nsuku zonke (amagremu angama-22–34 kubantu abadala). Lokhu kungagcina ukunyakaza kwamathumbu okuvamile futhi kukhuthaze impilo yokugaya ukudla.
• I-Stay Hydrated: Phuza amanzi amaningi, cishe izingilazi eziyisishiyagalombili (64 ounces) nsuku zonke. 
• Cabanga ngama-Probiotics: Lawa mabhaktheriya anenzuzo angasiza ukubuyisela ibhalansi yemvelo emathunjini akho. 
• Yenza Izinguquko Zendlela Yokuphila: Ukuyeka ukubhema, ukulawula ukucindezeleka, ukunciphisa ukuphuza utshwala, ukugcina isisindo somzimba esinempilo nokuzivocavoca njalo kungathuthukisa impilo yamathumbu.
• Yidla Ukudla Okulinganiselayo: Ukudla okunomsoco kuthuthukisa ukusebenza kwesibindi kanye nempilo yonke.
• Landela Imiyalelo Yemithi: Njalo thatha imithi njengoba uyalelwe udokotela wakho.
• Gonywa: Uma udokotela wakho encoma ukugonywa kwe-hepatitis A no-B ukuvimbela lezi zifo zesibindi.

Isiphetho

Isihlalo esiphaphathekile singaba uphawu lwezinkinga ezihlukahlukene zempilo, kusukela ezicini zokudla kuya ezimweni ezinzima zezempilo. Ukuqonda izimbangela zako, izimpawu ezihambisanayo, kanye nesikhathi sokufuna usizo lwezokwelapha kubalulekile ukuze kugcinwe impilo yonke. Nakuba izihlalo eziphaphathekile ngezikhathi ezithile zingase zingabi yimbangela yokukhathazeka, izinguquko eziqhubekayo kumbala wendle zigunyaza ukuvakashela udokotela, ikakhulukazi uma kuhambisana nezimpawu ezinjengobuhlungu besisu noma i-jaundice. 

Imibuzo Evame Ukubuzwa

1. Ingabe indle ephaphathekile ijwayelekile?

Indle ephaphathekile ayivamisile ukujwayelekile. Nakuba izihlalo ezinombala okhanyayo ngezikhathi ezithile zingase zingabi imbangela yokukhathazeka, indle eqhubekayo ephaphathekile noma enombala wobumba ingabonisa izinkinga zempilo ezicashile. Uma ubona indle engaguquguquki, kuhle ukuthi uthintane nodokotela.

2. Kufanele ngikhathazeke nini ngendle ephaphathekile?

Kufanele ukhathazeke ngendle ephaphathekile uma iphikelela isikhathi esingaphezu kosuku noma ezimbili, ikakhulukazi uma ihambisana nezinye izimpawu. Thola usizo lwezempilo uma uba nendle ephaphathekile kanye nomchamo omnyama, ubuhlungu besisu, i-jaundice (isikhumba noma amehlo aphuzi), noma ukwehla kwesisindo okungachazwanga. Ezinganeni nasezinsaneni, indle ephaphathekile noma emhlophe idinga ukunakekelwa kwezokwelapha ngokushesha.

3. Ingabe isifo sesibindi esinamafutha singadala indle ephaphathekile?

Isifo sesibindi esinamafutha singaba imbangela yendle enombala ophaphathekile, ikakhulukazi ezigabeni ezithuthukile. Indle ephaphathekile ingase ibonise ukuthi isifo sesibindi esingaphuzi sithuthukele kwaze kwaba sekugcineni. Lokhu kwenzeka ngoba ukulimala kwesibindi kungaphazamisa ukukhiqizwa kwe-bile, okuholela endle enemibala ekhanyayo.

4. Yikuphi ukudla okubangela indle ephaphathekile?

Nakuba ukudla ngokuvamile kungabangeli indle ephaphathekile ngokuqondile, ukukhetha okuthile kokudla kungase kuthinte umbala wendle. Ukudla ukudla okunamafutha amaningi kungase kubangele indle ephuzi. Kodwa-ke, indle ephikelelayo ephaphathekile ingase ibe umphumela wezinkinga zempilo eziyisisekelo esikhundleni sokudla kuphela.

5. Ingabe i-GERD ingabanga indle ephaphathekile?

Isifo se-reflux ye-gastroesophageal (GERD) ngokwayo ayibangeli izihlalo eziphaphathekile. Kodwa-ke, eminye imithi ephatha i-GERD, njengama-antacid aqukethe i-aluminium hydroxide, ingaholela ezindleleni ezinombala okhanyayo. 

6. Ingabe ukudla okungenamsoco kungabangela indle ephaphathekile?

Nakuba ukudla kungase kube nomthelela kumbala wendle, ukudla okungenamsoco kukodwa mancane amathuba okuthi kubangele indle ephikelelayo. Nokho, ukudla okungenazo imisoco ebalulekile noma amafutha amaningi kungase kube nomthelela ezindabeni zokugaya ukudla ezithinta umbala wendle. Uma ukhathazekile ngokudla kwakho kanye nombala wendle, kungcono ukubonana nodokotela ukuze uthole iseluleko esiqondene nawe.

UDkt. Venugopal Pareek

MBBS, MS, DNB, FMAS, FIAGES, FAIS
CARE Medical Center, Tolichowki, Hyderabad, CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad, CARE Hospitals, Banjara Hills, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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