Okuqukethwe kwe-athikili
itshe lenyongo noma ngenye indlela i-cholelithiasiskwenzeka ku-gallbladder. Idiphozithi eqinile yamajusi wokugaya ukudla.
Izifundo, itshe lenyongokubonisa ukuthi ngokuvamile ayinayo izimpawu. itshe lenyongo Izimo eziningi zitholakala ngengozi.
i-asymptomatic inyongo, Uma izimpawu ziqala ukukhula, izinkinga zingenzeka phakathi neminyaka engu-5-20. Izinkinga zingaholela emiphumeleni emibi, kuhlanganise nokufa.
I-gallbladder iyisitho esincane esimise okwepheya esitholakala ngaphansi nje kwesibindi. Lesi sitho sisiza ukugcina nokukhulula ijusi yejusi yokugaya ekhiqizwa amathumbu amancane.
Ayini amatshe enyongo?
inyongoyizinto ezinjengetshe ezikhula ku-gallbladder noma i-bile ducts. inyongoIngakhula ngosayizi kusukela kuzinhlamvu ezincane zesihlabathi kuya kusayizi webhola legalofu.
Amatshe amancane abangela izinkinga eziningi. Lezi ziphuma enyongweni futhi zibambeke. Amatshe amakhulu ahlala ethule ku-gallbladder.
Yiziphi izimbangela ze-gallstones?
itshe lenyongo okungukuthi i-cholelithiasisKunezizathu ezintathu eziyinhloko:
- Amatshe e-cholesterol: I-cholesterol eyeqile ekhishwa isibindi yenza amatshe e-cholesterol. Ngenxa ye-cholesterol eyeqile, i-bile ayikwazi ukuncibilikisa i-cholesterol eyengeziwe. Lokhu, ngokuhamba kwesikhathi, kwehlela njengamakristalu ku-gallbladder, i-cholesterol embizenikuyabangela.
- Amatshe e-Bilirubin: I-Bilirubin, i-pigment ephuzi eyakhiwe ngesikhathi sokuqhekeka kwamangqamuzana abomvu egazi, ikhishwa isibindi ingene ku-gallbladder ukuze incibilikise i-bile. Ngezinye izikhathi, ngenxa yokukhiqizwa kwe-bilirubin ngokweqile, i-bile ayikwazi ukuyidiliza yonke. Lokhu kubangela ukuthi i-bilirubin eyeqile icwebezele futhi ibe nombala omnyama. i-bilirubin gallstone kubangela ukwakheka kwayo.
- I-hypomotility ye-gallbladder: ukudla okunamafuthaikhishwa ku-gallbladder. Iyiswa emathunjini amancane ukuze isize ukuncibilikisa noma ukuphula amafutha ekudleni. Ngezinye izikhathi, ngenxa yokungadli kahle kwamafutha, akha amatshe ansundu ku-gallbladder.
Ziyini izimpawu ze-gallstones?
Izimpawu ze-gallstones kanje:
- Umkhuhlane ophezulu
- Ubuhlungu besisu esingaphezulu kwesokudla.
- Ubuhlungu besisu ngemva kokudla ukudla okubabayo noma okunamafutha.
- Ubumnene ngaphansi kwendawo yesibindi.
- Ukusheshisa ukushaya kwenhliziyo.
- umfutho wegazi ophansi.
- Ukuphalaza kanye nesicanucanu.
- i-jaundice (ngezinye izikhathi)
- ukuvuvukala kwesisu
- Indle enombala wobumba.
- Ukulahlekelwa ukudla.
- Khipha
Ubani okhiqiza amatshe enyongo?
Izici zobungozi zamatshe enyongo Kuyinto kanje:
- ukukhuluphala ngokweqile
- zofuzo, emndenini inyongo indaba.
- Ukuba ngaphezu kuka-40.
- Ukukhulelwa kungenxa yokwanda kwe-hormone ye-estrogen.
- Yiba owesifazane
- isifo sikashukela noma umfutho wegazi ophezulu njenge-metabolic syndrome.
- Abanezifo zesibindi.
- Isifo sikaCrohn
- indlala isikhathi eside
- Ukusebenzisa imithi ethile, njengamaphilisi okuzalwa.
- ulahlekelwe isisindo ngokushesha
- Ukuhlinzwa kwesisu noma ukunciphisa umzimba.
Yiziphi izinkinga ze-gallstones?
Ihlala isikhathi eside noma ingelashiwe amatshe enyongo Kungabangela izinkinga ezifana nalezi:
- I-Cholecystitis noma ukuvuvukala kwe-gallbladder.
- I-Gallstone pancreatitis, noma ukuvinjwa komgudu we-pancreatic ngamatshe enyongo.
- I-Choledocholithiasis emgudwini we-bile.
- I-Cholangitis noma ukuvuvukala kwesistimu ye-bile duct.
Atholakala kanjani ama-gallstones?
Izindlela zokuxilonga ama-gallstones Kuyinto kanje:
- ultrasound: inyongo Indlela yokuqala yokuxilonga i-ultrasound. Amaphesenti angama-99% amacala atholakala enale ndlela.
- Ukuhlolwa kwe-Hepatobiliary iminodiacetic acid (HIDA).: Isetshenziselwa ukukhomba izinkinga ku-gallbladder.
- CT scan: Kuyasiza ukuthatha izithombe zamatshe ku-gallbladder.
- I-Endoscopic: Ukuhlolwa kwenziwa ezigulini ezine-jaundice. ukuxilongwa kwetshe le-gallbladderyini esiza.
Alashwa kanjani ama-gallstones?
inyongo Iphathwa ngale ndlela elandelayo:
- I-cholecystectomy ye-laparoscopic: Lokhu kuhlinzwa okwenziwa ngokuvamile kunezimpawu. itshe lenyongo Kunconywa kubantu abane
- ukudla: ezigulini ezine-asymptomatic inyongo Iseluleko sokudla kanye nokuguqulwa kwendlela yokuphila kunconywa kakhulu ukunciphisa ingozi yokwenzeka kwayo.
- Ama-antibiotics emithanjeni: Isetshenziselwa ukuvimbela ingozi yokutheleleka kwe-gallbladder kanye nempilo yesistimu yokugaya ukudla.
- Imithi: inyongoizidakamizwa ezifana ne-ursodiol zokuncibilikisa Inqubo ingathatha iminyaka.
Izimpawu ze-Gallbladder StoneXhumana nodokotela wakho uma unayo Uma kusheshe kuqalwe ukwelashwa, isimo sizoba ngcono ngokushesha.