Amatshe agcwele i-gallbladder - izimpawu

Ukubonakala kwezimpawu ezifakazela emagumbini - izithako - kuvame ukumangala ukumangalela abaningi. Ukuba khona kwabo kubonisa ukuthuthukiswa kwe-cholelithiasis noma i-cholecystolithiasis. Uma izifo ezindala ngaphambili zihlangana ikakhulu phakathi kwabantu asebekhulile, namuhla kakade cishe iziguli ezingama-20% azifinyelele eminyakeni engamashumi amathathu.

Izimpawu kanye nezibonakaliso zamagagasi

Amatshe e-gallbladder ahluke ngezindlela ezithile:

• inombolo (multiple noma single);
• ukwakheka (i-pigment, i-cholesterol noma ixutshwe);
• usayizi;
• indawo.

Abanye abantu babhekene nesimo lapho ngisho nangama-gallstones amakhulu, azikho izimpawu ezivela. Ezimweni ezinjalo, zivame ukuqashelwa ngemuva kwe-X ray noma ukuhlolwa kwe-ultrasound. Kwezinye iziguli, ngisho nezinhlobo ezincane kunazo zonke zingenza kube nzima ukuphila kwansuku zonke. Bathukuthelisa:

• izinhlungu zamandla ahlukene ku-hypochondrium enhle, ngokuvamile ehlinzekwa esandleni, i-clavicle noma ingxenye yangemuva (ayinakulinganiswa futhi ikhulunywe);
• ukubukeka komunyu emlonyeni;
• isicasuli;
• ukuhlanza;
• ukubhuqa.

Kwezinye izimo, lesi sifo senziwa ngokweqile. Esikhundleni sobuhlungu esiswini, kunezinzwa ezingathandeki ngakwesobunxele besifuba, okufana kakhulu nezibonakaliso zabo ku-angina pectoris - isifo esivamile senhliziyo.

Ngokuvamile, izimpawu kanye nokuqothulwa ngenxa yezigulane zivela ngemuva:

• ukudla ukudla okunamafutha;
• izinhlobo ezahlukene zokucindezeleka;
• ukuzama ngokomzimba;
• Uhambo oluhambayo endleleni yokuthutha emgwaqeni ogwadule.

Uma isikhathi eside amatshe ayesendlini ye-gallbladder, lapho belimaza kakhulu i-membrane enamaqabunga, okuholela ekuvukeni-okuyi-cholecystitis yokubala. Kuhambisana nomkhuhlane, ukukhathala okusheshayo kanye nokudla okubi. Lesi sifo asibhebhetheki, ngakho-ke abantu abahlukumezekayo abangeke babe nengozi kwabanye.

Odokotela bakholelwa ukuthi izithako ziqala ukwakha uma inhlanganisela yezici:

• inani elikhulu le-calcium, i-cholesterol noma i-pigment nge-bile;
• ukuvuvukala kwesisu;
• ukunciphisa kokuthengisana, okuhambisana nokuhlaselwa kwe-bile.

Lezi zimo zivame ukuvela lapho:

• ukukhuluphala;
• ukubeletha njalo;
• ukwamukelwa kwamahomoni wesifazane;
• ukulungiswa kwefa;
• ehlala endaweni ebandayo;
• ukwelashwa ngezidakamizwa ezifana ne-Octreotide ne-Clifibrate;
• ikhalori yokudla ngenani elincane le-fiber;
• ukulahlekelwa kwesisindo ngokushesha;
• ezinye izifo - isifo sikashukela, i-cirrhosis yesibindi, isifo sikaCrohn ;
• izinhlobo ezithile zokungenela okuhlinzayo.

Ukuvimbela ukwelashwa

Ukuvimbela izifo ngisho nezimpawu zamatshe ku-gallbladder, udinga:

1. Ngesisindo esiningi, sebenzisa kuphela ukudla okuphansi kwekhalori kuhlangene nokuzikhandla njalo komzimba, ukuze ubukhulu buye kancane kancane.
2. Kunconywa ukulahla ukudla okuthosiwe namafutha.
3. Abesifazane, abajwayele ukwakheka kwezitshalo, kuyisifiso sokushiya ukwelashwa kwe-hormonal.
4. Kubalulekile ukunciphisa ukudla kwe- cholesterol emzimbeni.

Izinqubo zokuxilonga

Kunezinhlobo eziningi eziyinhloko zocwaningo, ngosizo lwalo izingqinamba:

1. I-Ultrasound yindlela eyinhloko lapho kutholakala khona ama-95% wamatshe, indawo yawo nosayizi.
2. I-X-ray ikuvumela ukuthi ubone ukuhlanganiswa kuphela nge-calcium.
3. I-computer ye-tomography.
4. Ukuhlola udokotela oqeqeshiwe. Udokotela uzokwazi ukucacisa ukuba khona kwama-gallstones, ubatshele ukuthi baphuma kanjani, futhi yiziphi izimpawu. Ukubonisana okunjalo kuzosiza ekuvimbeleni ukuvela kwezimo ezingathandeki esikhathini esizayo.