Ifomu yeGallstones xa kukho ukungalingani kwindlela yokwenza i-bile, okubangelwa ngamatye anzima ayenziwe nge-cholesterol ekristallised, pigment, okanye umxube wezo zibini. I-Gallstones inokuluhlula ngobukhulu ukusuka kwincinci njengengqolowa yesanti ukuya enkulu njengebhola yegolfu. Unokuba ne-gallstone enye, ininzi ukuya kumawaka amancinci amancinci, okanye inhlanganisela yamatye amakhulu amakhulu kunye amancinci.
Iigallstones ziqhelekileyo, zichaphazela abantu abayizigidi ezingama-25 e-United States.
Kukho ezimbini iindidi ze-gallstones:
- Amatshe e-cholesterol : Amatye e- cholesterol yiphumo le-bile eyenziwa nge-cholesterol kakhulu okanye i-bilirubin kwaye ayinayo i-salts ene-bile eyaneleyo. Amatye e-cholesterol angenza kwakhona xa i-gallbladder ihluleka ukuyichitha ngexesha lokugaya. Ezi zinto ziqhelekileyo zi-gallstones eziluhlaza okwesibhakabhaka zihlobo oluqhelekileyo.
- Amatye e-pigment : Abantu abahlakulela amatye e-pigment ngokuqhelekileyo abantu abane-cirrhosis yesibindi, izifo zebhiliyari, kunye neengxaki zegazi, kuquka ne-anemia ye-sickle cell . Zizo zonke iimeko ezibangele i-bilirubin kakhulu, yintoni na amatye ayenziwe ngayo. Amatye e-pigment ahlala emnyama okanye emnyama.
Iimpawu
Iimpawu azihlali zikhona, ngoko ke umntu unokufumana i-gallstones kwaye angazi. Enyanisweni, abaninzi abantu abanama-gallstones abanalo iimpawu .
Nangona kunjalo, xa i-gallstones ingena kwaye ikhuphe iidonti zephepha lakho lebhiliyari, intlungu ebuhlungu ngokukhawuleza ivakalelwa kwinqanaba eliphezulu okanye kwisiko lesisu sakho. Intlungu enokuthi yenzeke ngokukhutshwa yiloo nto idla ngokubhekisele kwi-colic bilic, okanye i-gallbladder attack. Ukuba intlungu, edla ngokugqithiseleyo, ingahlala imizuzu embalwa kwiiyure eziliqela.
Izizathu
Iphepha lebhiliyari yindlela ephakathi kwesibindi kunye ne-pancreas ukuya kwinxalenye yokuqala yesisu esincinci. I-gallbladder, inxalenye yaloo phecana, iyilungu elincinci, elinesibini elihlala phantsi kwesibindi sakho esecaleni eliphezulu lesibindi sakho emzimbeni wakho phakathi kwesifuba sakho nasezinqeni zakho. Isebenza njengendawo yokugcina i- bile , eyinkunkuma eveliswe sisibindi sakho ukukunceda umzimba wakho ugule amanqatha.
Ibiloni inceda umzimba wakho ugule amafutha kunye namavithamini amanqamle. Emva kokutya amafutha, izibhambathiso zakho ze-gallbladder, ukuxhoma ibil egcinwe kwi-buct ye-bony eyaziwayo, ezisa amanzi kumathumbu akho amancinci ukunceda ukugaya.
I-bile egcinwe kwi-gallbladder iqukethe amanzi, i-bile salts, i-cholesterol, amafutha, amaprotheni kunye ne- bilirubin . I-salle ye-bile iphula amanqatha atshiswayo ukutya esikudlayo. I-bilirubin inika i-bile ibe ngumbala ohlaza okwesibhakabhaka kunye nezihlalo zethu ezibomvu.
I-Gallstones inokwenza i-gallbladder xa i-bile iyanzima kwizinto ezifana namatye, ezinokuthi zenzeke ukuba kukho i-salts eninzi kakhulu, i-cholesterol, okanye i-bilirubin kuyo.
Kukho iintlobo ezininzi zezizathu ezenza ukuba oku kwenzeke. Ukugqithiseleka kunye nokutya okuphezulu kwi-carbohydrates ecocekileyo-njengento yesonka esimhlophe kunye ne-pasta-kunye namafutha, kunye nokutya okuncinci kwe-calorie kunye nokulahleka kwexabiso lokukhawuleza, kuye kwahlanganiswa ne-gallstones.
Ukongezelela, ithuba lokuphuhlisa i-gallstones landa ngokukhula, kwaye abasetyhini banakho ukufumana ama-gallstones kunamadoda, ngenxa yemimoya ye-hormonal.
Ukuxilongwa
Kukho iinzame ezenziwa ngugqirha wakho ukuze ahlolisise i-gallstones . Igazi linga kwenziwa ukwenzela ukuba ukhangele ukusuleleka okanye ukuvuvukala, nangona kungabikho izigulane. Ukuhlola iimvavanyo kusetyenziselwa loo njongo, nge-ultrasound ithathwa njengolu vavanyo olukhethiweyo; I-IMRI) okanye i-computerized tomography (CT) iyakwenziwa kwakhona.
Unyango
Ukunyangwa kwama-gallstones kuphakanyiswa kuphela ukuba unempawu. Ukuba zikhoyo-ingakumbi ukuba kukho intlungu ebuhlungu-ukususwa kwe- gallbladder (laparoscopic cholecystectomy) yinto eqhelekileyo.
Kwezinye iimeko, iindlela ezingasetyenziswayo zingasetyenziswa, kodwa ziqwalaselwa kuphela xa utyando lugwenxa. Iinkqubo ezifana nokunyangwa komlomo kunye ne-extracorveal shockwave lithotripsy (EWSL), phakathi kwezinye, zinokuqwalaselwa, kodwa zifanelekile kuphela ukuphathwa kwamatye e-cholesterol.
ILizwi
Ukuba ukrokrela ukuba unama-gallstones okanye ufumene unyango, gcinani engqondweni ukuba utyando lwe-gallbladder ngenye yezinto eziqhelekileyo zokuhlinzwa kubantu abadala. Qiniseka ukuba uthethe ugqirha wakho malunga nayiphi na ingxaki okanye imibuzo.
> Imithombo:
> Lee JY, uKeane MG, uPerira S. Ukuxilongwa kunye noTyango lweSigulelo seSitye. U msebenzi . Juni 2015; 259 (1783): 15-9, 2.
> Abasebenzi beKliniki yabasebenzi. Gallstones. Clinical Mayo. Ukuhlaziywa ngoNovemba 17, 2017.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Gallstones. AmaZiko eZiko lezeMpilo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa ngoNovemba 2017.