Cholecystitis

I- gallbladder igcina i-fluid ebomvu-luhlaza okwenziwa yilwimi, ebizwa ngokuthi i-bile. I-bile igeleza e-liver iye ku-gallbladder. Ihlala ku-gallbladder kwaze kwaba yilapho kudingeka ukusiza ukugaya ukudla. Ngesikhathi sokudla, i-gallbladder ikhipha i-bile ku-bile duct. I-duct ithwala i-bile engxenyeni engenhla yomthambo omncane, ebizwa ngokuthi yi-duodenum, ukuze isize ekuqhekeni amanoni ekudleni.

Cholecystitis (ko-luh-sis-TIE-tis) iwukuvuvukala nokuvuvukala, okuthiwa ukuvuvukala, kwe-gallbladder. I-gallbladder iyilungu elincane, elinobukhulu be-pear ohlangothini lwekudla kwesisu ngaphansi kwe-liver. I-gallbladder igcina i-fluid egaya ukudla. Le fluid ibizwa ngokuthi i-bile. I-gallbladder ikhipha i-bile emthambo omncane.

Kuvame kakhulu, amatshe e-gallstones avimbela umthamo ovela ku-gallbladder abangela i-cholecystitis. Lokhu kuholela ekwakhekeni kwe-bile okungabangela ukuvuvukala. Ezinye izimbangela ze-cholecystitis zihlanganisa ukushintsha kwe-bile duct, i-tumors, ukugula okukhulu nokutheleleka okuthile.

Uma kungaphathwa, i-cholecystitis ingabangela ukuphazamiseka okukhulu, njengokuphazamiseka kwe-gallbladder. Lezi zingaba yingozi eyingozi. Ukwelashwa kwe-cholecystitis kuvame ukubandakanya ukuhlinzwa kokususa i-gallbladder.

Izimpawu ze-cholecystitis zingafaka: Ubuhlungu obukhulu ngakwesokudla phezulu noma ezingeni lesehlombe. Ubuhlungu obuyahlala ehlombe lasekudleni noma emhlane. Ubuhlungu lapho kuthintwa khona isisu. Ukupukeka. Ukugabha. Ukuqhuma. Izimpawu ze-cholecystitis zivame ukuqala ngemva kokudla. Ukudla okukhulu noma okunemafutha kungenzeka kakhulu ukubangela izimpawu. Yenza i-aphoyintimenti nodokotela wakho uma unezimpawu ezikukhathazayo. Uma ubuhlungu besisu bukhulu kangangokuba awukwazi ukuhlala phansi noma ukhululeke, cela umuntu akuthuthele e-emergency room.

Yenza i-aphoyintimenti nodokotela wakho uma unezimpawu ezikukhathazayo. Uma ubuhlungu besisu bukhulu kangangokuba awukwazi ukuhlala phansi noma ukhululeke, cela umuntu akuthuthele e-emergency room.

I-cholecystitis iwukuvuvukala kwe-gallbladder. Ukuvuvukala kwe-gallbladder kungabangelwa yi:

• Amatye e-gallbladder. Ngokuvamile, i-cholecystitis iwumphumela wezinhlanzi ezinzima ze-bile ezingakha e-gallbladder, okuthiwa ngamatye e-gallbladder. Amatye e-gallbladder angavimba umphunga othatha i-bile lapho ishiya i-gallbladder. Lo mphunga ubizwa ngokuthi i-cystic duct. I-bile iqongelela e-gallbladder, ibangele ukukhula nokuvuvukala.
• Ukuvuvukala. Ukuvuvukala kungavimbela i-bile ekukhishweni e-gallbladder njengoba kufanele. Lokhu kubangela ukuqongelela kwe-bile okungabangela i-cholecystitis.
• Ukuvimba komphunga we-bile. Amatye noma i-bile ehlanganisiwe kanye nezinhlayiya ezincane ebizwa ngokuthi i-sludge angavimba umphunga we-bile futhi abangele i-cholecystitis. Ukugoqa noma ukwenziwa amabala emipunga ye-bile nakho kungabangela ukuvimba.
• Ukutheleleka. I-AIDS nezinye izifo ezibangelwa yi-virus zingabangela ukukhula nokuvuvukala kwe-gallbladder.
• Ukugula okukhulu. Ukugula okukhulu kakhulu kungalimaza imithambo yegazi futhi kunciphisa ukwanda kwegazi e-gallbladder. Lokhu kungabangela i-cholecystitis.

Ukuba nezinye ezincane ezisendlini yomthondo yiyona nto eyingozi kakhulu ekubeni ne-cholecystitis.

Uma ingalashwa, isifo se-cholecystitis singabangela ukuphazamiseka okukhulu, okuhlanganisa:

• Ukutheleleka ngaphakathi kwesisu somthondo. Uma ibile iqongeleka esiswini somthondo, ibile ingatheleleka.
• Ukufa kwenyama yesisu somthondo. I-cholecystitis engalashwanga ingabangela ukufa kwenyama esiswini somthondo. Lokhu kubizwa ngokuthi yi-gangrene. Lolu hlobo oluvamile lwengxaki luhlanganisa ikakhulu abantu abadala, labo abalinda ukuthola ukwelashwa nalabo abane-diabetes. I-Gangrene ingabangela ukuba kube khona ukubhoboka esiswini somthondo. Noma ingabangela ukuba isisu somthondo siqhekeke.
• Isisu somthondo esiqhekekile. Ukubhoboka, okubizwa ngokuthi yi-perforation, esiswini somthondo kungabangelwa ukukhula kwesisu somthondo noma ukutheleleka noma ukufa kwenyama yesisu somthondo.

Unganciphisa ingozi yakho ye-cholecystitis ngokuthatha izinyathelo ezilandelayo zokuvimbela amatshe e-gallstones:

• Lahla isisindo kancane. Ukulahleka kwesisindo ngokushesha kungaphakamisa ingozi yama-gallstones.
• Yiba ngesisindo esinempilo. Ukuba ngesisindo esingaphezu kwesilinganiso kukwenza ube nethuba elikhulu lokufuna ama-gallstones. Ukuze ufinyelele isisindo esinempilo, nciphisa ama-calories futhi wandise umsebenzi wakho womzimba. Hlala unesindo esinempilo ngokudla okunempilo nokuzivocavoca.
• Khetha uhlelo lokudla olunempilo. Ukudla ukudla okunamafutha amaningi nokwehliswa kwefayibha kungaphakamisa ingozi yama-gallstones. Ukuze unciphise ingozi yakho, dla izithelo, imifino nembewu ezigcwele.

Ukuthola i-cholecystitis, ochwepheshe bakho bezempilo bayenza i-physical exam futhi bakubuze ngezimpawu zakho kanye nomlando wakho wezokwelapha. Izivivinyo nezinqubo ezisetshenziswa ukuthola i-cholecystitis zihlanganisa:

• Izivivinyo zegazi. Izivivinyo zegazi zingabuka izimpawu zokutheleleka noma ezinye izinkinga ze-gallbladder.
• Izivivinyo ze-imaging ezibonisa i-gallbladder yakho. I-abdominal ultrasound, i-endoscopic ultrasound, i-CT scan noma i-magnetic resonance cholangiopancreatography zingenza izithombe ze-gallbladder yakho ne-bile ducts. Lezi zithombe zingabonisa izimpawu ze-cholecystitis noma amatshe e-bile ducts nase-gallbladder.
• Iskena esibonisa ukuhamba kwe-bile emzimbeni. I-hepatobiliary iminodiacetic acid (HIDA) scan ilandela ukwenziwa nokugeleza kwe-bile evela e-liver kuya esibindini esincane. I-HIDA scan ihilela ukufaka i-radioactive dye emzimbeni wakho. I-dye inamathela kumaseli akha i-bile. Ngesikhathi seskena, i-dye ingabonwa njengoba ihamba ne-bile nge-bile ducts. Lokhu kungabonisa noma yikuphi ukuvinjwa.

I-Endoscopic retrograde cholangiopancreatography Khulisa isithombe Vala I-Endoscopic retrograde cholangiopancreatography I-Endoscopic retrograde cholangiopancreatography I-Endoscopic retrograde cholangiopancreatography (ERCP) isebenzisa idayi ukuveza imisele yebile ezithombeni ze-X-ray. Ithubhu elincane, eliguquguqukayo elinekhamera ekugcineni, elibizwa ngokuthi i-endoscope, lingena emphinjeni liye enganeni encane. Idayi ingena emisele ngethubhu encane engenalutho, ebizwa ngokuthi i-catheter, edluliselwe kwi-endoscope. Amathuluzi amancane adluliselwe kwi-catheter nawo angasetshenziswa ukususa amatshe e-gall. I-Laparoscopic cholecystectomy Khulisa isithombe Vala I-Laparoscopic cholecystectomy I-Laparoscopic cholecystectomy Amathuluzi okuhlinza akhethekile nekhamera yevidiyo encane afakwa ngokusebenzisa izinqamula, ezibizwa ngokuthi ama-incision, esiswini ngesikhathi se-laparoscopic cholecystectomy. Igesi ye-carbon dioxide ivulela isisu ukwenza indawo yokuthi udokotela akwazi ukusebenza ngamathuluzi okuhlinza. Ukwelashwa kwe-cholecystitis kuvame ukubandakanya ukuhlala esibhedlela ukuze kulawulwe ukuvuvukala nokucasuka, okubizwa ngokuthi ukuvuvukala, ku-gallbladder yakho. Kwesinye isikhathi, kudingeka ukuhlinzwa. Esibhedlela, izindlela zokwelapha ukuze ulawule izimpawu zakho zingabandakanya: Ukuzila ukudla. Kungahle ungakwazi ukudla noma ukuphuza ekuqaleni ukuze unciphise ukucindezeleka ku-gallbladder yakho evuvukile. Ama-fluids ngomthambo osekelweni. Lokhu kwelashwa kusiza ukuvimbela ukulahleka kwamanzi emzimbeni, okubizwa ngokuthi ukuphelelwa ngamanzi. Ama-antibiotic ukulwa nokutheleleka. Kungahle udinge la ma-antibiotic uma i-gallbladder yakho ithelelekile. Izidakamizwa zokwelapha ubuhlungu. Lezi zingasiza ekulawuleni ubuhlungu kuze kube yilapho ukuvuvukala ku-gallbladder kukhululekile. Inqubo yokususa amatshe. Kungahle ube nenqubo ebizwa ngokuthi i-endoscopic retrograde cholangiopancreatography (ERCP). Le nqubo isebenzisa idayi ukwenza imisele yebile ivele ngesikhathi sokuthwebula izithombe. Ngemuva kwalokho, umsebenzi wezempilo angasebenzisa amathuluzi ukususa amatshe avimba imisele yebile noma i-cystic duct. Ukukhipha i-gallbladder. Kwesinye isikhathi, ukukhipha i-gallbladder, okubizwa ngokuthi i-cholecystostomy, kungasusa ukutheleleka. Kungahle ube nale nqubo uma ungakwazi ukuhlinzwa ukususa i-gallbladder yakho. Ukukhipha i-gallbladder, umsebenzi wezempilo angangena ngokusebenzisa isikhumba esiswini. Le ndlela ibizwa ngokuthi i-percutaneous drainage. Noma umsebenzi wezempilo angadlulisa isikopu emlonyeni, okubizwa ngokuthi i-endoscopic drainage. Izimpawu zakho zingahle zithuthuke phakathi nezinsuku ezimbili kuya kwezintathu. Kodwa ukuvuvukala kwe-gallbladder kuvame ukubuya. Ngokuhamba kwesikhathi, abantu abaningi abane-cholecystitis badinga ukuhlinzwa ukususa i-gallbladder. Ukuhlinzwa kokususa i-gallbladder Inqubo yokususa i-gallbladder ibizwa ngokuthi i-cholecystectomy. Kakhulukazi, le yinqubo encane engena ngaphakathi ebizwa ngokuthi i-laparoscopic cholecystectomy. Lolu hlobo lokuhlinzwa lusebenzisa izinqamula ezimbalwa ezincane ezibizwa ngokuthi ama-incision esiswini sakho. Inqubo evulekile, lapho kwenziwa isinqamula eside esiswini, ayidingeki kakhulu. Isikhathi sokuhlinzwa sincike ekutheni izimpawu zakho zimbi kangakanani kanye nobungozi bakho obujwayelekile bwezinkinga ngesikhathi nangemva kokuhlinzwa. Uma ubungozi bakho bokuhlinzwa buphansi, kungahle ube nokuhlinzwa ngesikhathi usuhlala esibhedlela. Uma i-gallbladder yakho isusiwe, ibile isuka esibindini siye enganeni encane, kunokuba igcinwe ku-gallbladder. Usakwazi ukugaya ukudla ngaphandle kwe-gallbladder. Cela isikhathi sokuhlangana Kunenkinga nolwazi olugqamisiwe ngezansi bese uqala futhi ifomu. Thola ulwazi olusha lwezempilu lusuka eMayo Clinic olufika ebhokisini lakho le-imeyili. 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