Ubuhlungu beQuadrant Engakwesokudla

Ingaphezulu lesisu esingakwesokudla liqukethe izitho ezimbalwa ezibalulekile njengesibindi, inyongo, izinso zangakwesokudla kanye nezingxenye zamathumbu. Umuntu angase ezwe noma yini kusukela ebuhlungwini obuncane kuya ebuhlungwini obuhlabayo, obuhlabayo kule ndawo, ngokusekelwe ekutheni kungani kwenzeka.

Odokotela bahlukanisa ingaphezulu lesisu—indawo ephakathi kwezimbambo zakho nenkinobho yesisu—ngeziyingi ezithile. Lokhu kubasiza ukuthi babone ukuthi yini ebangela ubuhlungu. Ubuhlungu ku-quadrant engenhla kwesokudla (RUQ) bungakhomba izinkinga ezihlukahlukene zempilo ezidinga ukunakwa. Lolu hlobo lobuhlungu lungase lubonise izimo ezinzima ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Thola usizo oluphuthumayo uma unobuhlungu obukhulu besisu, umkhuhlane, isicanucanu njalo, ukuhlanza, igazi ezindleleni zakho, ukuvuvukala kwesisu, ukuncipha kwesisindo okungachazeki noma isikhumba esiphuzi. 

Abantu bangenza izinqumo ezingcono zezempilo futhi bazi isikhathi esifanele sokubona udokotela ngokufunda ngezimbangela, izimpawu nokwelashwa kokungakhululeki endaweni engaphezulu kwesokudla.

Yini I-Right Upper Quadrant Pain

I-quadrant engenhla engakwesokudla (RUQ) imele ingxenye eyodwa yesisu sakho odokotela abayihlukanisa ngezigaba ezine. Le kota ihlezi ngakwesokudla sakho ngaphansi kwezimbambo zakho. Kunezitho eziningana ezibalulekile ezihlala kule ndawo: isibindi sakho, i-gallbladder, i-duodenum, izingxenye zamathumbu akho, izinso zangakwesokudla, nengxenye yamanyikwe wakho.

Ubuhlungu be-RUQ bubonakala ngezindlela ezahlukene. Abanye abantu bazwa ubuhlungu obungafihli okungasho izinkinga zesitho. Abanye bazwa izinhlungu ze-colicky eziphumela emhlane wabo, okuvame ukukhomba ukuthi i-gallbladder yabo iphakama. Igesi noma ukuqunjelwa kuvame ukudala ukuminyana, kuyilapho ubuhlungu endaweni ethile ngokuvamile buphakamisa inkinga ngesitho esithile.

Izimpawu ze-Right Upper Quadrant Pain

Ubuhlungu be-RUQ abuvami ukuzibonakalisa ngokwawo. Abantu bavame ukuqaphela lezi zimpawu ezengeziwe:

• Izindawo zamathenda eduze kwezimbambo ezingakwesokudla
• Ukuvutha esifubeni
• Izinhlungu ezibukhali ngaphansi kwezimbambo ezingakwesokudla
• Ukungakhululeki ngenkathi ulele
• Ubuhlungu oba bubi kakhulu ngokukhwehlela noma ukuthimula
• Abantu abane inyongo ngokuvamile uzizwa amajaqamba kakhulu ngemva nje kokudla ukudla okunamafutha. 

Ubuhlungu bungase bunamathele noma bufike budlule, ngokusekelwe kulokho okububangelayo.

Izimbangela zobuhlungu beQuadrant Right Right

Ama-gallstones, izifo zezinso, nama-shingles phezulu ohlwini lwalokho okubangela ukungakhululeki engxenyeni engenhla yesisu yesisu. Izinkinga ze-Gallbladder njenge-gallstones, izimo zesibindi, ezinso, futhi ngisho nezinkinga zemisipha ngokuvamile zibangela ubuhlungu be-quadrant kwesokudla. Ngaphezu kwalokho, ubuhlungu be-biliary ngokuvamile busakazekela ehlombe elingakwesokudla noma emhlane futhi ngokuvamile bubonakala ngemva kokudla.

Izinkinga zesibindi njenge isifo sofubaukuvuvukala kwama-pancreas, izilonda ezinamachaphazelo, kanye negesi evalelekile ibangela lobu buhlungu kancane kancane. Ukuhlolwa kwezokwelapha kusiza ukukhomba isizathu esiqondile sobuhlungu.

Ukuxilongwa Kwezinhlungu Zequadrant Engakwesokudla

• Ukuhlolwa okuphelele ngokomzimba: Udokotela wakho uhlola ukuthamba kwesisu sakho, ubuningi, nokufinyela kwemisipha. 
• Ukucabanga: I-Ultrasound ifakazela indlela eshesha kakhulu yokuhlola ubuhlungu besisu esingaphezulu kwesokudla. Le ndlela ethengekayo isiza ukuhlukanisa ezokwelashwa nezimbangela zokuhlinzwa.
• Udokotela wakho angase adinge ukuhlolwa okwengeziwe:
  • Ukuhlolwa kwegazi ukuhlola ukusebenza kwesibindi nezimpawu zokutheleleka
  • Ukuhlolwa komchamo ukuthola amatshe ezinso noma izifo
  • I-CT scans ukuze ubone izithombe ezinemininingwane yezitho zangaphakathi
  • I-MRI ihlola ukuveza izimo ezinye izivivinyo eziphuthelwe kuzo

Ukwelashwa Kwezinhlungu Ezine Quadrant Right

Isizathu sokungaphatheki kahle kwakho sinquma uhlelo lokwelapha. Amakhambi alula angasiza izimo ezithambile:

• Okudambisa izinhlungu ngaphandle kwe-counter 
• Ukwelapha ukushisa endaweni ebuhlungu
• Izinguquko zokudla ezigwema ukudla okunamafutha
• Ukuhlala ungenawo amanzi

Ukungenelela kwezokwelapha kuyadingeka ezimweni ezimbi kakhulu:

• Nemithi Elwa Namagciwane ukulwa nezifo
• Ama-antacids ukunciphisa izinkinga zokugaya ukudla
• Ukuhlinzwa ukususa amatshe enyongo noma okunye okuvalekile
• Izinqubo ezikhethekile ezifana ne-ERCP ukulungisa izinkinga zamapayipi enyongo

Uzoyibona Nini Udokotela

Hamba uqonde esibhedlela uma ubona:

• Ubuhlungu obukhulu obuba bubi kakhulu
• Ubuhlungu obusakazeka entanyeni, esifubeni, noma emahlombe
• Fever noma ukushaya kwenhliziyo okusheshayo
• Indle enegazi noma ukuhlanza igazi
• Isikhumba esiphuzi (jaundice)
• Ukuvuvukala kwesisu

Ubuhlungu obuthatha izinsuku ezingaphezu kwezintathu budinga ukunakwa udokotela, ngisho nangaphandle kwezimpawu eziphuthumayo.

Isiphetho

Ubuhlungu besifunda se-hypochondriac kwesokudla akufanele bunganakwa ngoba bukhomba izinkinga ngezitho ezibalulekile. Kwesinye isikhathi lobu buhlungu buvela ezinkingeni ezincane zokugaya ukudla, kepha kungabuye kusho okuthile okungathí sina njenge-gallstone, izifo, noma izinkinga zesibindi. Iziguli eziningi zibona imiphumela emihle ngokuxilongwa ngesikhathi kanye nokwelashwa okufanele.

Imibuzo Evame Ukubuzwa

1. I-Right Upper Quadrant Pain kufanele ikukhathaze nini?

Kufanele ufune usizo lwezokwelapha uma ubuhlungu besisu sakho esingenhla kwesokudla bubonisa lezi zimpawu:

• Ubuhlungu buyaqina noma buyaqina
• Ubuhlungu budlulela entanyeni, esifubeni, noma emahlombe
• Uba nomkhuhlane, ukushaya kwenhliziyo okusheshayo, noma kunzima ukuphefumula
• Ubona igazi endle noma ekuhlanzeni kwakho
• Isikhumba sakho namehlo aphenduka aphuzi (i-jaundice)
• Isisu sakho sibonakala sivuvukele

Kungazelelwe, ubuhlungu obukhulu obukwenza uphindwe kabili budinga ukunakekelwa kwezokwelapha ngokushesha.

2. Yini esiza ukukhulula ubuhlungu bequadrant engenhla kwesokudla?

Ubuhlungu ohlangothini olungaphezulu lwesokudla lwesisu bungadanjiswa ngezindlela eziningi:

• Ukubeka i-pad yokushisisa endaweni ebuhlungu ngokuvamile kusiza kakhulu.
• I-hydration evamile isiza umzimba wakho ukuqeda ubuthi ngokwemvelo.
• Izidakamizwa ezidambisa izinhlungu ezingaphezu kwe-counter zinganikeza impumuzo ekuphathekeni okungatheni.
• Ukudla kwakho kudlala indima ebalulekile. Yeqa ukudla okunamafutha noma okunamafutha okucindezela isimiso sakho sokugaya ukudla. Khetha ukudla okunefayibha ephezulu njengezithelo, imifino nokusanhlamvu.

3. Ingabe isifo sesibindi singabangela ubuhlungu be-quadrant kwesokudla?

Izimo zesibindi zivame ukuqala ubuhlungu endaweni efanele ye-hypochondriac. Ubuhlungu ngokuvamile buba buthakathaka futhi bubuhlungu, nakuba bungabukhali futhi bube nezikhawu.

Akubona bonke abantu abanesifo sesibindi abazwa ubuhlungu, futhi ubuhlungu abukhombisi ngaso sonke isikhathi izinkinga zesibindi. Ukungaphatheki kahle okuhlobene nesibindi kuvame ukuza nezinye izimpawu. Lokhu kubandakanya ukukhathala, ukulahlekelwa ukudla, ukunciphisa isisindo, ukulimaza kalula kanye ne-jaundice.

UDkt. Karthikeya Raman Reddy

I-MBBS, MD (Imithi Ejwayelekile)
CARE Hospitals, HITEC City, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

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