Created at:1/16/2025
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Ukuqunjelwa kwesibindi sokugaya ukudla (cholecystitis) kuyinkinga lapho isibindi sakho sokugaya ukudla siqunjelwa khona. Lesi yisitho esincane esisezansi kwesibindi sakho, futhi sisiza ekugayeni amafutha. Uma isibindi sakho sokugaya ukudla siqunjelwa, kungabangela ubuhlungu obukhulu nokungakhululeki, ngokuvamile ngakwesokudla phezulu kwesisu. Lesi simo sithinta izigidi zabantu unyaka ngamunye, futhi sihluka kusuka ezigabeni ezilula eziyaphela zodwa kuya ezimeni ezingathi sína ezidinga ukunakekelwa ngokushesha kwezokwelapha.
Ukuqunjelwa kwesibindi sokugaya ukudla kwenzeka lapho udonga lwesibindi sakho sokugaya ukudla luqunjelwa futhi luqalekile. Isibindi sakho sokugaya ukudla sifana nesikhwama esincane sokugcina ibile, isithombo sokugaya ukudla esenziwa yisibindi sakho ukuze siqede amafutha ekudleni kwakho.
Uma ukuqunjelwa kwenzeka, isibindi sakho sokugaya ukudla asinaso isebenza kahle. Ukuqunjelwa kungavinjelwa ukugeleza okujwayelekile kwebile, okubangela ubuhlungu nezinye izimpawu ezingakhululeki. Cabanga ngakho njengokungqubuzana endleleni yokugaya ukudla kwakho.
Izimo eziningi zenzeka ngokuzumayo futhi kubizwa ngokuthi ukuqunjelwa kwesibindi sokugaya ukudla okukhulu. Noma kunjalo, abanye abantu bahlushwa ukuqunjelwa kwesibindi sokugaya ukudla okuqhubekayo, lapho ukuqunjelwa kuqhubeka kancane ngezinyanga noma iminyaka. Zombili izinhlobo zingathinta impilo yakho yansuku zonke kakhulu uma zingaphathwa.
Isimpawu esivamile kakhulu yubuhlungu obukhulu ngakwesokudla phezulu kwesisu, ngokuvamile buya ehlombe lakho lokudla noma emuva. Lobu buhlungu ngokuvamile buqala ngokuzumayo futhi bungaba bukhulu, buqunjelwe, noma buqhubeke.
Nazi izimpawu eziyinhloko ongazihlangabezana nazo:
Abanye abantu nabo baphawula ukuthi izimpawu zabo ziyaqina ngemuva kokudla, ikakhulukazi ukudla okunemafutha aphezulu. Ubuhlungu bungase buqale bube bukhulu kodwa bungaba bukhulu ngokwanele ukuphazamisa imisebenzi evamile.
Kwezinye izimo ezingavamile, ungase uhlangabezane nokuqunjelwa (ukukhanya kwesikhumba namehlo) uma igallstone ivinjele umthambo wakho webile. Lokhu kuyinkinga enkulu edinga ukunakekelwa kwezokwelapha ngokushesha.
Ukuqunjelwa kwesibindi sokugaya ukudla kuza ngezinhlobo ezimbili eziyinhloko: okukhulu nokuqhubekayo. Ukuqunjelwa kwesibindi sokugaya ukudla okukhulu kuvela ngokushesha, ngokuvamile ngaphakathi kwamahora ambalwa, futhi kubangela izimpawu ezibuhlungu ngokushesha ezidinga ukunakekelwa kwezokwelapha ngokushesha.
Ukuqunjelwa kwesibindi sokugaya ukudla okukhulu ngokuvamile kuvela ngenxa yegallstones ezivala imithambo yakho ye bile. Ukuvinjwa kubamba ibile ngaphakathi kwesibindi sakho sokugaya ukudla, okubangela ukwakheka kwezingcindezi, ukuqunjelwa, futhi ngezinye izikhathi ukutheleleka. Lo mbono ngokuvamile udinga ukungena esibhedlela nokwelashwa ngokushesha.
Ukuqunjelwa kwesibindi sokugaya ukudla okuqhubekayo kuvela kancane ngezinyanga noma iminyaka. Udonga lwesibindi lakho sokugaya ukudla luyaqina futhi lulimala ngenxa yezigaba eziphindaphindayo zokuqunjelwa okuncane. Nakuba izimpawu ngokuvamile zingabi khulu kunamacala okukhulu, ukuqunjelwa kwesibindi sokugaya ukudla okuqhubekayo kusengabangela ukungakhululeki okuqhubekayo nezinkinga zokugaya ukudla.
Kukhona futhi uhlobo olungavamile oluthi acalculous cholecystitis, oluvela ngaphandle kwegallstones. Lo mbono ngokuvamile uthinta abantu abagulayo kakhulu, abanokutheleleka okukhulu, noma abahlushwa yingozi enkulu. Umehlela cishe ama-5-10% azo zonke izimo zokuqunjelwa kwesibindi sokugaya ukudla.
AmaGallstones abangela cishe ama-95% ezimo zokuqunjelwa kwesibindi sokugaya ukudla. Lezi zinto ezincane, ezinzima zenziwa lapho izinto ezisebile yakho zingalingani futhi zibumbe izakhiwo ezifana namatshe.
Nazi izimbangela eziyinhloko ngemuva kwalesi simo:
Uma amaGallstones evala imithambo yakho ye bile, ibile ibuyela esibindini sakho sokugaya ukudla njengamanzi ngemuva kwesithiyo. Lokhu kwakheka kwenza ingcindezi nokuqalekela, okubangela ukuqunjelwa nobuhlungu.
Ngokungavamile, ukuqunjelwa kwesibindi sokugaya ukudla kungase kuvele kungabi khona amaGallstones. Lokhu ngokuvamile kwenzeka kubantu abagulayo kakhulu, abane-diabetes, noma abahlushwe yingozi enkulu yomzimba njengokuhlinzwa noma ukushisa okukhulu.
Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu obungaphuli ngaphakathi kwamahora ambalwa. Ungazami ukukuthwala, ikakhulukazi uma ubuhlungu buhambisana nokuqunjelwa, ukuthandaza, noma ukugabha.
Shaya udokotela wakho ngokushesha uma uqaphela ukuqunjelwa kwesikhumba noma amehlo, njengoba lokhu kungase kubonise ukuthi umthambo webile uvaliwe. Ukuqunjelwa okuphezulu (ngaphezulu kwama-101 ° F) kuhambisana nobuhlungu besisu futhi kudinga ukuhlolwa kwezokwelapha ngokushesha.
Ngisho nezimpawu ezilula zifanele ukunakekelwa uma ziqhubeka ngaphezulu kosuku olulodwa noma amabili. Ukuphuza okuqhubekayo, ukulahlekelwa ukudla, nokungakhululeki okuphindaphindayo kwesisu ngemuva kokudla kungase kubonise ukuqunjelwa kwesibindi sokugaya ukudla okuthuthukayo okudingayo ukuhlolwa kwabasebenzi bezokwelapha.
Themba izinzwa zakho ngomzimba wakho. Uma kukhona okubonakala kungalungile kakhulu noma ukhathazekile ngezimpawu zakho, kuhlale kungcono ukukhetha uqaphele futhi uxhumane nomhlinzeki wakho wezempilo.
Izici eziningi zingandisa amathuba akho okuqunjelwa kwesibindi sokugaya ukudla, ngokuthi ubudala nobulili kudlala indima ebalulekile. Abafazi banesibindi esiningi sokugaya ukudla namaGallstones, ikakhulukazi labo abangaphezu kweminyaka engama-40.
Nazi izici eziyinhloko zengozi okufanele uzibheke:
Ezinye izigaba zabantu, kufaka phakathi ama-Native Americans nama-Mexican Americans, zinamazinga aphezulu esifo sesibindi sokugaya ukudla. Ubudala futhi bubalulekile, njengoba ingozi iyakhula kakhulu ngemuva kweminyaka engama-60.
Ukulahlekelwa isisindo ngokushesha, kungaba ngenxa yokudla noma ukuhlinzwa kwe-bariatric, kungase kubangele ukwakheka kwamaGallstones. Ngokuthakazelisayo, kokubili ukukhuluphala nokulahlekelwa isisindo ngokushesha kudala izimo ezisekela ukuthuthukiswa kokuqunjelwa kwesibindi sokugaya ukudla.
Nakuba izimo eziningi zokuqunjelwa kwesibindi sokugaya ukudla ziyaphela ngokwelashwa okufanele, ukuqunjelwa okungaphathwa kungabangela izingozi ezinkulu. Lezi zingozi yizona ezenza ukufuna ukunakekelwa kwezokwelapha ngesikhathi kubaluleke kangaka.
Izingozi ezivamile kakhulu zihlanganisa:
Lezi zingozi zingaba yingozi eyingozi futhi ngokuvamile zidinga ukuhlinzwa okusheshayo. Ukutheleleka kungasakazeka kulo lonke isisu sakho, okubangela isimo esithi peritonitis esidinga ukwelashwa okusheshayo okukhulu.
Ngenhlanhla, ngokunakekelwa kwezokwelapha okusheshayo, abantu abaningi abane-cholecystitis baphila ngokuphelele ngaphandle kokubhekana nalezi zingozi ezinkulu. Ukungenelela kwangaphambi kwesikhathi kuyisihluthulelo sokuvimbela lezi ziphumo ezinkulu.
Nakuba ungakwazi ukuvimbela zonke izimo zokuqunjelwa kwesibindi sokugaya ukudla, izinqumo ezithile zokuphila zinganciphisa kakhulu ingozi yakho. Isihloko ukugcina imikhuba esekela ukusebenza okuhle kwesibindi sokugaya ukudla nokuvimbela ukwakheka kwamaGallstones.
Gxila ekugcineni isisindo esinempilo ngezindlela ezincane, eziqhubekayo kunokudla okusheshayo. Ukulahlekelwa isisindo ngokushesha kungase kubangele ukwakheka kwamaGallstones, ngakho-ke zama ukulahlekelwa i-1-2 pounds ngesonto uma udinga ukulahlekelwa isisindo.
Dla ukudla okulinganiselayo okunefayibha evela ezithemeni, imifino, nama-grains aphelele. Khawukhawuleli amafutha agcwele nokudla okucutshunguliwe, okungase kube nomthelela ekwakhekeni kwamaGallstones. Ukudla okuvamile futhi kusiza isibindi sakho sokugaya ukudla sigeleze kahle.
Hlala usebenza ngokomzimba ngokuzivocavoca okuvamile, ngisho noma nje ukuhamba imizuzu engama-30 izinsuku eziningi. Ukuzivocavoca kusiza ukugcina amazinga e-cholesterol anempilo futhi kusekela impilo yokugaya ukudla.
Uma ungengozi enkulu ngenxa yomlando womndeni noma ezinye izici, xoxa ngezindlela zokuvimbela nodokotela wakho. Bangase bancoma ukushintsha okukhethekile kokudla noma bakulandele ngokucophelela ngezimpawu zokuqala zezinkinga zesibindi sokugaya ukudla.
Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nokuhlola isisu sakho, ikakhulukazi ukuhlola ubuhlungu ngakwesokudla kwakho. Bazolalela futhi umlando wakho wezokwelapha nanoma yimuphi umlando womndeni wesifo sesibindi sokugaya ukudla.
Izivivinyo zegazi ngokuvamile yisinyathelo sokuqala sokuhlola. Lokhu kungase kubonise izimpawu zokuqunjelwa, ukutheleleka, noma izinkinga zokusebenza kwesibindi ezibonisa ukuqunjelwa kwesibindi sokugaya ukudla. Inani elikhulayo le-white blood cell ngokuvamile libonisa ukuqunjelwa noma ukutheleleka.
Izivivinyo ze-imaging zinikeza isithombe esicacile saleyo nto eyenzekayo esibindini sakho sokugaya ukudla. I-ultrasound ngokuvamile iyivivinyo lokuqala le-imaging ngoba iphephile, ayibuhlungu, futhi isebenza kakhulu ekubonisweni kwamaGallstones nokuqunjelwa kwesibindi sokugaya ukudla.
Kwezinye izimo, udokotela wakho angase a-ode i-CT scan noma i-MRI ukuze athole izithombe eziningi. Ukuhlolwa okukhethekile okuthiwa yi-HIDA scan kungabonisa ukuthi isibindi sakho sokugaya ukudla sisebenza kangakanani ngokulandelela ukugeleza komkhondo we-radioactive ngemithambo yakho ye bile.
Lezi zivivinyo zisiza udokotela wakho ukuthi azibone ukuthi awunayo nje ukuqunjelwa kwesibindi sokugaya ukudla, kodwa futhi ukuthi kubukhulu kangakanani nokuthi iyiphi indlela yokwelapha ezosebenza kangcono kakhulu esimweni sakho.
Ukuphathwa kokuqunjelwa kwesibindi sokugaya ukudla kuncike ebukhulu besimo sakho nokuthi kukhona yini izingozi. Izimo eziningi zidinga ukungena esibhedlela, okungenani ekuqaleni, ukulawula ubuhlungu nokulandelela.
Ukuphathwa ngokushesha ngokuvamile kuhlanganisa uketshezi oluphezulu, imithi yokuqeda ubuhlungu, nama-antibiotics uma kukhona ukutheleleka. Udokotela wakho cishe uzokuncoma ukudla okuncane ekuqaleni ukuze unike isibindi sakho sokugaya ukudla ithuba lokuphumula nokunciphisa ukuqunjelwa.
Ukuhlinzwa kuyindlela yokwelapha eqinisekisiwe yezimo eziningi zokuqunjelwa kwesibindi sokugaya ukudla. I-Laparoscopic cholecystectomy (ukususa isibindi sokugaya ukudla ngezinsiza ezincane) iyindlela ejwayelekile. Le ndlela encane yokungena ngokuvamile ivumela ukubuyiselwa okusheshayo kunokuhlinzwa okuvamile okuvulekile.
Isikhathi sokuhlinzwa sincike esimweni sakho esithile. Abanye abantu bahlinzwa ngaphakathi kwamahora angu-24-48 ngemuva kokuhlolwa, kanti abanye bangase balinde kuze kube ukuqunjelwa okukhulu kuphele. Iqembu lakho lokuhlinzwa lizocacisa isikhathi esifanele esekelwe empilweni yakho yonke nobukhulu besimpawu.
Kubantu abangakwazi ukuhlinzwa ngenxa yezinye izimo zezempilo, ukwelashwa okunye njengokusebenza kokukhipha noma imithi yokuxazulula amaGallstones kungase kubhekwe, nakuba ukuhlinzwa kuhlala kuyisixazululo esisebenzayo esikade.
Nakuba ukuqunjelwa kwesibindi sokugaya ukudla ngokuvamile kudinga ukwelashwa kwezokwelapha, kunezindlela zokusekela ongazithatha ekhaya ukuze usize ukuphatha izimpawu nokusiza ukubuyiselwa kwakho. Landela njalo imiyalo ethile yodokotela wakho futhi ungazami ukwelapha izimpawu ezinkulu ngokwakho.
Ukuphathwa kobuhlungu ekhaya kufanele kuzamenye kuphela izimpawu ezilula noma njengoba kuqondiswe yimhlinzeki wakho wezempilo. Imithi yokuqeda ubuhlungu eyenziwa ngaphandle njenge-acetaminophen ingase isize, kodwa gwema i-aspirin noma i-ibuprofen njengoba zingase zikhulise ingozi yokopha uma ukuhlinzwa kudingeka.
Ngesikhathi sokubuyiselwa, gxila ekudleni ukudla okuncane, okuvamile okunemafutha aphansi. Qala ngezinto eziqandayo futhi kancane kancane uqhubekele ekudleni okumnandi njenge-toast, irayisi, nama-banana njengoba kukhuthazwa. Gwema ukudla okunemafutha, okubhakiwe, noma okunoshukela okungase kubangele izimpawu.
Faka ubushushu obukhulu esiswini sakho ngakwesokudla ngokusebenzisa i-heating pad ngesilinganiso esincane imizuzu engama-15-20 ngesikhathi. Lokhu kungase kunikeze induduzo ethile, kodwa ungasebenzisi ubushushu uma une-fever noma izimpawu zokutheleleka.
Ukuphumula kubalulekile ekuphileni. Gwema imisebenzi enzima futhi uthole ubuthongo obuningi ukuze usize umzimba wakho uphulukise. Hlala uthambile ngokuphuza amanzi usuku lonke, ikakhulukazi uma ubelokugabha.
Ngaphambi komhlangano wakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zibe zimbi. Qaphela noma yikuphi ukudla noma imisebenzi ebonakala ikhuthaza ubuhlungu bakho, njengoba lolu lwazi lusiza udokotela wakho ukuba enze ukuxilongwa okuchaneka.
Lungisa uhlu oluphelele lwazo zonke imithi oyithathayo, kufaka phakathi imithi yokwelapha, imithi eyenziwa ngaphandle, kanye nezinye izinto. Buye uqoqe ulwazi ngomlando wakho wezokwelapha nanoma yimuphi umlando womndeni wesifo sesibindi sokugaya ukudla noma isibindi.
Gcina idayari elula yobuhlungu izinsuku ezimbalwa ngaphambi komhlangano wakho uma kungenzeka. Linganisa ubuhlungu bakho ngesilinganiso se-1-10 futhi uqaphele ukuthi ubenzeni lapho kwenzeka khona. Lokhu kusiza udokotela wakho ukuthi aqonde iphethini nobukhulu besimpawu zakho.
Bhala imibuzo ofuna ukuyibuza udokotela. Faka ukukhathazeka ngezindlela zokwelapha, isikhathi sokubuyiselwa, ukushintsha kokudla, nokuthi nini kufanele ufuna ukunakekelwa okusheshayo. Ukuba nemibuzo yakho kulungile kuqinisekisa ukuthi awukhohlwa izihloko ezibalulekile ngesikhathi somhlangano wakho.
Letha umngani noma ilungu lomndeni othembekile uma kungenzeka. Bangakusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi somhlangano futhi banikeze ukwesekwa uma uzizwa ukhathazekile ngezimpawu zakho.
Ukuqunjelwa kwesibindi sokugaya ukudla kuyisimo esivamile kodwa esingathi sína esidinga ukunakekelwa kwezokwelapha ngokushesha lapho izimpawu zivela. Nakuba ubuhlungu nokungahambi kahle kungaba okwesabisayo, abantu abaningi baphila ngokuphelele ngokwelashwa okufanele.
Into ebaluleke kakhulu okumele uyikhumbule ukungawunaki ubuhlungu obukhulu besisu, ikakhulukazi uma buhambisana nokuqunjelwa, ukuphefumula, noma ukugabha. Ukungenelela kwezokwelapha kwangaphambi kwesikhathi kungavimbela izingozi futhi ngokuvamile kuholela eziphumeni ezinhle.
Ukuhlinzwa kokususa isibindi sokugaya ukudla kusebenza kakhulu futhi kuvumela abantu abaningi ukuba babuyele emisebenzini evamile ngaphakathi kwamasonto ambalwa. Ungaphila impilo evamile ngokuphelele ngaphandle kwesibindi sakho sokugaya ukudla, njengoba isibindi sakho sizoluqhubeka nokukhiqiza ibile yokugaya ukudla.
Ukuvimbela ngezinqumo zokuphila ezinephilile kunganciphisa ingozi yakho yokuthuthukisa ukuqunjelwa kwesibindi sokugaya ukudla. Ukugcina isisindo esinempilo, ukudla ukudla okulinganiselayo, nokuhlala usebenza ngokomzimba konke kusekela impilo yesibindi sokugaya ukudla.
Yebo, ungaphila impilo evamile ngokuphelele ngaphandle kwesibindi sakho sokugaya ukudla. Isibindi sakho sizoluqhubeka nokukhiqiza ibile yokugaya ukudla, futhi nakuba abanye abantu behlangabezana nezinguquko zesikhashana zokugaya ukudla ngemuva kokuhlinzwa, abaningi bazivumelanisa ngokushesha. Abantu abaningi empeleni bazizwa bekhulu ngemuva kokususa isibindi sokugaya ukudla ngoba abasaphinde bahlangabezane nobuhlungu nokungahambi kahle kokuqunjelwa kwesibindi sokugaya ukudla.
Ukubuyiselwa ekuhlinzweni kwesibindi sokugaya ukudla ngokuvamile kuthatha amasonto angu-1-2 emisebenzini evamile kanye namasonto angu-4-6 ekuphileni okuphelele. Cishe uzobuya ekhaya ngosuku olufanayo noma ngemuva kwebusuku elilodwa esibhedlela. Abantu abaningi bangabuyela emsebenzini ngaphakathi nesonto, nakuba ukuphakamisa okukhulu kufanele kugwenywe amasonto ambalwa.
Ekuqaleni ngemuva kokuhlinzwa, uzofuna ukugwema ukudla okunemafutha aphezulu njengezinto ezibhakiwe, inyama enamafutha, kanye ne-desserts ecebile. Qala ngokudla okuncane, okuvamile okunemafutha aphansi futhi kancane kancane ubuyisele ezinye izinto zokudla njengoba kukhuthazwa. Abantu abaningi ekugcineni bangabuyela ekudleni kwabo okujwayelekile, nakuba abanye bangase badinge ukulinganisela ukudla okunemafutha kakhulu.
Nakuba amaGallstones ebangela cishe ama-95% ezimo zokuqunjelwa kwesibindi sokugaya ukudla, lesi simo singase senzeke kungabi khona amatshe. Lokhu kubizwa ngokuthi acalculous cholecystitis futhi ngokuvamile kuthinta abantu abagulayo kakhulu, abanokutheleleka okukhulu, noma abahlushwe yingozi enkulu. Noma kunjalo, ukuqunjelwa kwesibindi sokugaya ukudla okuhlobene namaGallstones kuyilona uhlobo oluvamile kakhulu.
Uma isibindi sakho sokugaya ukudla sisusiwe ngokuhlinzwa, ukuqunjelwa kwesibindi sokugaya ukudla akukwazi ukubuya ngoba isitho asiseli khona. Noma kunjalo, uma uphathwa ngemithi noma ezinye izindlela ezingesihlinzwa, izimpawu zingase ziphinde zenzeke. Kungakho ukususa okuhlinzwa kubhekwa njengokwelashwa okuqinisekisiwe ezimweni eziningi zokuqunjelwa kwesibindi sokugaya ukudla.