Uphawu oluvame kakhulu lwesifo se-gallbladder ubuhlungu ohlangothini olungenhla kwesisu, lapho i-gallbladder ikhona khona. Kuye ngokuthi uhlobo lwesifo se-gallbladder lukhona nanoma yikuphi ukucindezeleka okwenzekayo, umuntu angase azwe nesifo somkhuhlane, isicanucanu, ukuhlanza, kanye / noma i-jaundice.
Izinkinga zesifo se-gallbladder kubangelwa ukutholakala kwama-gallstones futhi zingase zibandakanye ukutheleleka kwe-buct ye-bony ejwayelekile (ebizwa ngokuthi iyakhuphuka nge-cholangitis), ukuvuvukala kwe-pancreas (okuthiwa i-pancreatitis), i-gangrene ye-gallbladder (ebizwa ngokuthi i-gangleous cholecystitis), noma isilonda ukuvinjelwa okuvela e-gallstone (okuthiwa i-gallstone ileus).
Izimpawu Ezivamile
Ubuhlungu ohlangothini olungakwesokudla kwesisu yisimpawu esivame kakhulu sesifo se-gallbladder kanye nemiphumela eminingi kakhulu kusuka emagodstones.
Ubuhlungu besisu
Ngenkathi ama-gallstones amaningi ehlala e-gallbladder futhi engabangeli izimpawu, amanye afakwa emgodini we-cystic (i-tube etholakala entanyeni ye-gallbladder) noma e-bile duct evamile (i-tube ephethe i-bile esuka enkantwini kuya emathunjini). Lokhu kunqanda kubangela ubuhlungu besisu, okubizwa ngokuthi i-colic biliary.
I-colic ye-biliary ichazwa njengesihlungu esikhulu, esibuhlungu esihlala njalo (hhayi i-colicky ngempela, naphezu kwegama layo). Nakuba ubuhlungu buvame ukutholakala ohlangothini olungenhla kwesisu, ngezinye izikhathi kutholakala engxenyeni engenhla yesisu (ebizwa ngokuthi i-epigastrium) futhi, ngokuvamile, ngaphansi kwesifuba. Ngezinye izikhathi ubuhlungu buhamba (ukukhanya) kuya kwesokudla kwehlombe. I-colic ye-biliary ivela ngeziqephu futhi ngokuvamile, kodwa hhayi njalo, ibangelwa ukudla ukudla okunamafutha.
Ngaphandle kokuhlaselwa kwegilongwe, ubuhlungu besisu esiswini kwesokudla kungenzeka kwezinye izifo ze-gallbladder, njenge:
- I-Cholecystitis: Lesi simo sibhekisela ekuvuvukala kwe-gallbladder. Nakuba kuvame ukuvela njengenkinga ye-gallstones (ebizwa ngokuthi i-cholecystitis ephawulekayo), kungenzeka futhi kubantu abangenawo ama-gallstones (okuthiwa i-cholecystitis acalculous). Ngokungafani nokuhlaselwa kwe-gallstone, ubuhlungu be-biliary-like of cholecystitis buhlala isikhathi esingaphezu kwamahora ayisithupha futhi ngokuvamile kuhlotshaniswa nomkhuhlane kanye nesibalo segazi eliphakeme elimhlophe.
- I-dyskinesia ye-Biliary : Lesi sifo sibangela ubuhlungu besisu esiswini futhi senzeke lapho i-sphincter ye-Oddi (isakhiwo somzimba esisemkhatsini lapho i-bile ducts ingena emathunjini amancane) ayisebenzi kahle, ebangela ukuvinjelwa kwe-bile.
I-functional gallbladder disorder : Kulesi sifo, umuntu akanalo ubufakazi bokuthi ama-gallstones noma i-sphincter yezinkinga ze-Oddi kodwa uyaqhubeka nokuzwa iziqephu zezinhlungu ezingaphezulu kwesisu.
Umdlavuza we-gallbladder ophakeme: Umuntu onomdlavuza we-gallbladder ngokuvamile akanalo izimpawu. Njengoba umdlavuza ukhula, noma kunjalo, ubuhlungu ohlangothini olungakwesokudla kwesisu lungase bube khona kanye nezibilini ezinomzimba esiswini, i-jaundice, i-nausea, ukukhathala, nesisindo somzimba.
I-Jaundice
I-jaundice, ekhonjiswe ukuphuzila abamhlophe kwamehlo nesikhumba, ingenzeka ngezifo ze-gallbladder ezivimbela ama-bile.
I-Nausea ne-Vomiting
Ukucabangela nokuhlanza kungenzeka nge-gallstone attack kodwa ngokuvamile kubonakala ku-cholecystitis (ukuvuvukala kwe-gallbladder) noma i-pancreatitis (ukuvuvukala kwe-pancreas).
Fever
Ukushisa akufanele kwenzeke nge-gallstone attack kodwa kungase kwenzeke nge-gallbladder ukuvuvukala noma ngokutheleleka / ukuvuvukala kwepheshana le-biliary.
Izimpawu ezijwayelekile
Ngaphandle kobuhlungu besisu esisemuva, abantu baye babika ezinye izimpawu zesifo se-gallbladder.
Ngenxa yobuthakathaka babo, noma kunjalo, ochwepheshe bayabuza ukuthi lezi zimpawu empeleni ziyingxenye yesifo esihlala ndawonye; Ngamanye amazwi, umuntu angase abe nezinkinga ze-gallstones nesinye isimo sezokwelapha, njengesifo se-reflux ye-gastroesophageal (GERD) noma isifo se-ulcer peptic .
Ezinye zalezi zimpawu ezingavamile zihlanganisa:
- Ubuhlungu besifuba
- Burping
- Izwa ngokugcwele ngokushesha kunokujwayelekile emva kokudla
- Ukuvuselela uketshezi
- Ukuvimbela
- Ukuvutha komzwa ngemuva kwesifuba noma esiswini esiphakathi esiswini
- I-nausea kanye / noma ukuhlanza ngaphandle kwe-colic biliary
I-Pruritus
I-Pruritus (itching) ingenye isifo, esivame ukuhambisana nesimo esibizwa ngokuthi i- primary sclerosis cholangitis , isifo esingapheli, sokuvuvukala kokubili i-gallbladder nesibindi.
I-pruritus ivame ukukhubaza futhi kungenzeka ukuthi ivela ngenxa ye-bile acid accumulation. Abantu abane-primary sclerosing cholangitis nabo bangathola ubuhlungu besisu esiswini sangasese, i-jaundice, nokukhathala.
Izinkinga
Kunezinkinga eziningana ezingase zenzeke ngenxa yesifo se-gallbladder.
I-Cholangitis enamandla
I-cholangitis enobungozi ibangelwa ukutheleleka kwebhaktheriya emaphethelweni e-biliary kumuntu onokuvimbela amabhiliyali. Ngaphezu komkhuhlane kanye nobuhlungu obuphezulu besisu esiswini, umuntu angase azwe i-jaundice, umfutho wegazi ophansi, nokudideka.
Pancreatitis
I-Pancreatitis ibhekisela ukuvuvukala ama-pancre futhi ngokuvamile kuvame njengenkinga ye-gallstones. Lokhu kungenxa yokuthi i-gallbladder ne-pancreas yabelana ngodaba lwe-bile, ngakho-ke i-gallstone ephazamisayo ingavimbela ukugeleza kwama-enzyme e-pancreatic.
Izimpawu ze-gallstone pancreatitis zihlanganisa ukuvama okusheshayo okusheshayo kobuhlungu obunzima, i-epigastric, kanye nokucabangela nokuhlanza. Ukwelashwa kufaka amanzi, ukulawula ubuhlungu, ukuqapha, nokususa ukuvimba. Ukususwa kwe-gallbladder nakho kuyenziwa ngokujwayelekile.
I-Gangrenous Cholecystitis
Lokhu kuyinkimbinkimbi evame kakhulu ye-cholecystitis, ikakhulukazi kubantu asebekhulile, abantu abane-sikashukela, noma abantu abayephuza ukufuna ukwelashwa kokuhlasela kwabo kwe-gallbladder. I-chorencystitis ye-Gangrenous ibhekwa njengesimo esiphuthumayo sezokwelapha, okudinga ukususwa kokuhlinzwa kwe-gallbladder (i-cholecystectomy) ngokushesha.
I-Gallbladder Perforation
Uma i-gallbladder iba i-gangrenous, i-perforation (noma umgodi odongeni lwe-gallbladder) ingahle ihlakulele okuholela ekugqeni kwe-pericholecystic (iqoqo le-pus ngaphakathi kwe-gallbladder). Le nkinga iyingozi futhi isongela impilo, idinga i-cholecystectomy evelayo.
I-Cholecystoenteric ye-Fistula / i-Gallstone Ileus
Uma umgodi (i-perforation) ifometha ku-gallbladder, i-fistula (ivesi) engena emathunjini amancane ingakhula. Uma i-gallstone idlula i-fistula, isithintelo semfuyo singenzeka (okuthiwa i-gallstone ileus).
I-emphysematous Cholecystitis
Ukwelashwa kwendonga ye-gallbladder ene-gas-forming bacteria kungase kuholele eklecystitis emphysematous. Abantu abaningi abasengozini yokuthi le nkinga ye-gallbladder ihlanganisa nalabo asebekhulile nalabo abanesifo sikashukela.
Nini Ukubona Udokotela / Yiya esibhedlela
Uma ubhekana nobuhlungu besisu, kubalulekile ukubona udokotela wakho ukuze ahlolwe kahle. Uma udokotela wakho ekuthola ukuthi unama-gallstones, cishe uzokutshela ukuhlolwa kokuhlinzwa, ikakhulukazi uma uhlangabezana neziqephu eziphindaphindiwe ze-colic biliary.
Uma ubhekene nobuhlungu besisu obukhulu, obuphikisanayo, kanye / noma obuhlobene nomkhuhlane, ukucabangela okukhulu, ukuhlanza, kanye / noma i-jaundice, qiniseka ukuthi ufuna usizo lwezokwelapha ngokushesha esibhedlela.
> Imithombo:
> I-American Cancer Society. (2016). Izimpawu Nezibonakaliso Ze-Cancer Gallbladder.
> Zakko SF, u-Afdhal NH. (2016). I-cholecystitis enamandla: I-Pathogenesis, izici zokwelapha, nokuxilongwa. I-Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Dayal N, Meseeha. (2017). Isitatimende seSitatimende. I-Colic Colic.
> Zakko SF. (2017). Isifo esiyinkimbinkimbi ye-gallstone kubantu abadala. I-Chopra S, (ed). UpToDate, Waltham, MA: UpToDate Inc.
> Zaliekas J, Munson JL. Izinkinga zama-gallstones: i-Mirizzi syndrome, i-leyy gallstone, i-gallstone pancreatitis, izinkinga ze-gallstones "ezilahlekile". Umtholampilo Wokuhlinzwa North Am . 2008 Dec; 88 (6): 1345-68.