Uphawu oluqhelekileyo lwesifo se-gallbladder buhlungu kwinqanaba elingasentla lesisu, apho i-gallbladder ikhona. Ngokuxhomekeka kwimeko yesifo se gallbladder kunye nokuba ingaba ziphi na iingxaki, kwenzeka ukuba umntu abe ne-fiver, isicasuliso, ukuhlanza, kunye / okanye i-jaundice.
Iingxaki zesifo se-gallbladder kubangelwa ikakhulu kwi-gallstones kwaye ingaquka ukusuleleka kwe-buct ye-bison ebizwa ngokuba yenyuka i-cholangitis), ukuvuvukala kwe-pancreas (ebizwa ngokuba yi-pancreatitis), i-gangbladder (ebizwa ngokuba yi-cholecystitis) ukuphazamiseka kwi-gallstone (ebizwa ngokuba yileyure ye-gallus).
Iimpawu Zamaxesha amaninzi
Ubuhlungu kwicala elingasentla lesisu sisisifo esiqhelekileyo sesifo se gallbladder kwaye esona siphelo siphumela kwii-gallstones.
Intlungu zesisu
Nangona amaninzi ama-gallstones ehlala kwi-gallbladder kwaye ingabangeli mpawu, ezinye zifakwe kwi-cystic duct (ityhubhu ekhoyo entanyeni ye-gallbladder) okanye kwi-buct ye-bison efanayo (ityhubhu ephethe i-bile esuka kwi-gallbladder kuya emathunjini). Le nkxalabo ibangela intlungu yesisu, ebizwa ngokuba yi-colic bilic.
I-coliary colic isichazwa ngokuqhelekileyo njengentlungu ephazamisayo, engapheliyo (kungekhona i-colicky, naphezu kwegama layo). Nangona ubuhlungu buvame ukufumaneka kwicala lasekunene lesisu, ngamanye amaxesha lusekwe kwicandelo elisecaleni lesisu (elibizwa nge-epigastrium) kwaye, ngokuqhelekileyo, phantsi kwebele. Ngamanye amaxesha intlungu ihamba (i-radiates) ukuya kwicala lasekunene. I-colilic colic ivela kwiziqwenga kwaye idla ngokuphindaphindiweyo, kodwa kungekho rhoqo, iqhutywe ngokutya ukutya okunamafutha.
Ngaphandle kokuhlaselwa kwesilongwe, ubuhlungu besisu obusemacaleni kunokwenzeka kwezinye izifo ze-gallbladder, ezifana:
- I-Cholecystitis: Le meko ibhekisela ekuvukeleni kwe-gallbladder. Nangona ngokuqhelekileyo kubonakala njengengxube ye-gallstones (ebizwa ngokuba yi-acute cholecystitis), ingaba nayo kubantu abangenawo ama-gallstones (abizwa ngokuba yi-acalculous cholecystitis). Ngokungafani nokuhlaselwa kwegolstone, intlungu ye-bileary-like of cholecystitis ihlala ixesha elide ngaphezu kweeyure ezintandathu kwaye idla ngokuxhatshazwa ngumkhuhlane kunye nenani eliphezulu legazi elimhlophe.
- I-biliary dyskinesia : Le meko ibangela intlungu ephezulu esiswini kwaye iyenzeka xa i-sphincter ye-Oddi (isakhiwo se-muscular esisekhoneni apho i-bile idonsa emathunjini amancinci) ayisebenzi kakuhle, ebangela ukuba i-bile ivaliwe.
Ingxaki yokusebenza eyi-gallbladder : Kule ngxaki, umntu akanalo ubungqina beengqungquthela okanye i-sphincter yeengxaki ze-Oddi kodwa uyaqhubeka nokufumana iintlobo zeentlungu zesisu.
Umhlaza wesifo se-gallbladder: Umntu onomdlavuza we-gallbladder ngokuvamile akanalo iimpawu. Njengoko umhlaza ukhula, nangona kunjalo, intlungu kwinqanaba elingasentla lesisu lingahle lenzeke kunye nesisu, isisu, isisulu, isisu kunye nokulahleka kwesisindo.
Jaundice
I-jaundice, echazwe ngo-yellowing of white of eyes and skin, iyakwenzeka kwizifo ze-gallbladder ezivimbela i-bile ducts.
Isihlunu kunye nokuvuthwa
Isihlunu kunye nokuhlanza kunokwenzeka nge-gallstone kuhlasela kodwa ngokuqhelekileyo kubonakala kwi-cholecystitis (ukuvuvukala kwe-gallbladder) okanye i-pancreatitis (ukuvuvukala kwe-pancreas).
Fever
Umkhuhlane akufanele kwenzeke nge-gallstone attack kodwa ingenzeka nge-gallbladder ukuvuvukala okanye ngesifo / ukutshatyalaliswa kwephepha lebhiliyari.
Iimpawu eziqhelekileyo
Ngaphandle kwentlungu yesisu esezantsi, abantu baye babika ezinye iimpawu zesifo se-gallbladder.
Ngenxa yobume babo, nangona kunjalo, iingcali zibuza ukuba ngaba ezi zimpawu ziyinxalenye yesifo esihlala kunye; ngamanye amagama, umntu unokufumana i-gallstones kunye nesinye isimo sezokwelapha, njengesifo se-reflux ye-gastroesophageal (GERD) okanye isifo sesilonda sezilonda .
Ezinye zeempawu eziqhelekileyo ziquka:
- Iintlungu zesifuba
- Burping
- Ukuziva uzele ngokukhawuleza kunokuqhelekileyo emva kokutya
- Ukuvuselela umbane
- Ukuqhawula
- Ukuvutha komsindo emva kwesibetho okanye kwisisu esisentla
- Isihlunu kunye / okanye ukuhlanza ngaphandle kwe-coliary colic
Pruritus
I-Pruritus (itching) yenye impawu, edla ngokuqhelekileyo ngesimo esibizwa ngokuba yi- primary sclerosis cholangitis , isifo esingasigxina, esibangeleyo sokugulisa i-gallbladder nesibindi.
I-prurit isoloko iyonakalisa kwaye mhlawumbi ivela ngenxa ye-bile acid accumulation. Abantu abane-primary sclerosing cholangitis bangaphinda bafumane ubuhlungu besisu esisemgangathweni, i-jaundice, kunye nokukhathala.
Iingxaki
Kukho iingxaki ezininzi ezinokuthi zenzeke ngenxa yesifo se gallbladder.
I-Cholangitis enobuchule
I-cholangitis enobungozi ibangelwa ukusuleleka kwintsholongwane yebhiliyari kumntu onobungozi bhiliyari. Ukongeza kwintsholongwane kunye nentlungu yesisu yangasese, umntu unokufumana i-jaundice, uxinzelelo lwegazi oluphantsi kunye nokudideka.
Pancreatitis
I-Pancreatitis ibhekisela ekuvukeleni kwepascreas kwaye ngokuqhelekileyo ibonakala njengengxaki ye-gallstones. Oku kungenxa yokuba i-gallbladder kunye ne-pancreas yabelana ngodaka lwamanzi, ngoko ke i-gallstone ephazamisayo inokuthintela ukuhamba kwe-enzyme ye-pancreatic.
Iimpawu ze-gallstone pancreatitis ziquka ukuqala ngokukhawuleza kweentlungu ezinzima, i-epigastric, kunye ne-nasuse kunye nokuhlanza. Unyango lubandakanya ukusetyenziswa kwamanzi, ukulawula ubuhlungu, ukubeka iliso, nokususa ukukhutshwa. Ukususwa kwe-gallbladder kwakhona kwenziwa ngokubanzi.
Gangrenous Cholecystitis
Le ngxaki eqhelekileyo ye-cholecystitis, ngakumbi kubantu abadala, abantu abanesifo sikashukela, okanye abantu abababele ukufuna unyango lwabo lokuhlaselwa kwe-gallbladder. I-gangrenous cholecystitis ithathwa njengonxungupheko lwezonyango, efuna ukukhutshwa kwe-gallbladder (i-cholecystectomy) ngokukhawuleza.
Gallbladder Perforation
Ukuba i-gallbladder iba yintlupheko, i-perforation (okanye umgodi eludongeni lwe-gallbladder) inokuphuhliswa kubangelwa ikhefu le-pericholecystic (iqoqo le-pus ngaphakathi kwe-gallbladder). Le nkxalabo ibaluleke kwaye isongela ubomi, efuna i-cholecystectomy evelayo.
I-Cholecystoenteric Fistula / i-Gallstone Ileus
Ukuba i-hole (i-perforation) ifom e-gallbladder, i-fistula (ivesi) ukuya emathunjini amancinci inokuphuhliswa. Ukuba ilitye lidlula i-fistula, isithintelo somgubo sinokwenzeka (esibizwa ngokuthi i-gallstone ileus).
Chophycystitis emphysematous
Ukukhulelwa kwodonga lwe-gallbladder kunye ne-gas-forming bacteria kunokukhokelela kwi-cholecystitis emphysematous. Abantu abaninzi basengozini yale nkxalabo ye-gallbladder iquka abo badala kunye nalabo abanesifo sikashukela.
Nini ukuza kuGqirha / ukuya kwiSibhedlele
Ukuba ufumana iintlungu zesisu, kubalulekile ukubona ugqirha wakho ukuxilonga ngokufanelekileyo. Ukuba ugqirha wakho ufumanisa i-gallstones, uya kukhangela ukuphonononga uvavanyo, ingakumbi ukuba ufumana iziganeko eziphindaphindiweyo ze-biliary colic.
Ukuba ufumana ubunzima besisu esisigxina, uqhubekayo, kunye / okanye unxulumene nomkhuhlane, isicathulo esikhulu, ukuhlanza, kunye / okanye i-jaundice, qi niqiniseke ukuba ufuna unyango ngokukhawuleza esibhedlele.
> Imithombo:
> I-American Cancer Society. (2016). Iimpawu kunye neempawu zeGallbladder Cancer.
> Zakko SF, Afdhal NH. (2016). I-cholecystitis enobuchule: i-Pathogenesis, iimpawu zekliniki kunye nokuxilongwa. I-Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Dayal N, Meseeha. (2017). StatPearls. Biliary Colic.
> Zakko SF. (2017). Isifo esiyinkimbinkimbi yegilstone kubantu abadala. I-Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Zaliekas J, Munson JL. Iingxaki zama-gallstones: i-Mirizzi syndrome, i-ileus gallstone, i-gallstone pancreatitis, iingxaki "ezilahlekileyo" zamathambo. Iklinikhi yokuPhupha eNyakatho Am . 2008 Dec; 88 (6): 1345-68.