Okuqukethwe
Ukwelashwa kwe-gallstones
Okubalulekile. Abantu abacabanga ukuthi bane-biliary colic kufanele bakhulume nodokotela wabo ngaso sonke isikhathi. Ngisho noma ukubanjwa kunqamuka ngokuzenzakalelayo, kufanele kwenziwe i-ultrasound futhi mhlawumbe kungenelele, ukuze kugwenywe izinkinga ezinkulu ngezinye izikhathi. Futhi uma ukuhlasela kungayeki ngemva kwamahora ambalwa, noma uma kwenzeka izimpawu ze-alamu zenzeka ngokushesha, (umkhuhlane, i-jaundice, ukuhlanza), kuyadingeka ukubonisana ngokushesha ngangokunokwenzeka. |
I-Ultrasound yesisu yenza kube nokwenzeka ukusungula ukuxilongwa, ukuthola amatshe angama-90%. Kuhlotshaniswa nokuhlolwa kwebhayoloji (ukuhlolwa kwegazi) ukuze kulinganiswe ubucayi besimo. Ukwelashwa kuboniswa lapho ama-gallstones enza ukuhlaselwa okubuhlungu noma izinkinga. Lapho ama-gallstones etholakala ngengozi ngesikhathi sokuhlolwa kwezokwelapha futhi angabangeli ukungahambi kahle, akukhuthazwa ukuba aphathe.
Ukudla
Inqunyelwe isikhathi okungenani samahora angama-48.
Ukwelashwa kwe-gallstones: qonda yonke into emizuzwini emi-2
izidakamizwa
Lapho kuquleka, i-gallstone ingavala umgudu lapho i-bile idlula khona. Lokhu kubangela ubunzima bokugeleza kwe-bile kanye nokusabela kokuvuvukala, nokucindezeleka kodonga lwe-gallbladder (ischemia noma ukuntuleka komoya-mpilo, i-necrosis noma ukubhujiswa kwamaseli odongeni) futhi ngezinye izikhathi ukutheleleka kwebhaktheriya kwe-gallbladder. 'lapho kwelashwa khona okubalulekile.
Nemithi Elwa Namagciwane
Zinqunywa ngesisekelo senqubo eyenza kube nokwenzeka ukulinganisa ukuthi kungenzeka yini ukuba khona kwamagciwane ku-bile fluid. Lezi zindlela zihlanganisa ubunzima bezimpawu, ubudala, ukuba khona kokugodola, isifo sikashukela, ukungatheleleki kahle komzimba, izinga lokushisa elingaphezu kuka-38 ° 5 nokuhlolwa kwaselabhorethri.
Amaphilisi ezinhlungu
Ukuhlasela kwe-hepatic colic ngezinye izikhathi kubuhlungu kakhulu, ama-analgesics abalulekile. Udokotela unikeza ama-analgesics angewona ama-opioid afana ne-Visceralgine.
Ama-antispasmodics
Kuhlanganiswe nama-analgesics, njenge-Spasfon.
Ama-Antiemetics
Lena imithi yokucanuzela kwenhliziyo nokuhlanza, isibonelo, iPrimperan.
ukuhlinzwa
Uma kwenzeka i-hepatic colic noma i-biliary colic, ukwelashwa kwe-painkiller kuvumela ukuba kunqotshwe inkinga ebuhlungu. I-ultrasound yesisu ihlale yenziwa futhi uma kubalwa, ukuhlinzwa kokukhipha inyongo kuhlelwa enyangeni elandelayo, ukuze kugwenywe ukuphindeka noma izinkinga.
Endabeni ye-gallstones ebangela i-cholecystitis eyingozi kakhulu noma ukuqina okulinganiselwe, udokotela ohlinzayo wenzaukususwa kwe-gallbladder (cholecystectomy). Lena ukuphela kwendlela eqinisekile yokugwema ukuvela kwe-gallstones, okuyinto evamile.
Ukuhlinzwa ngokuvamile kwenziwa nge-laparoscopy, okusho ukuthi ngokwenza izimbotshana lapho udokotela ohlinzayo edlula khona imicu yokubona kanye nezinsimbi ezidingekayo ukuze ahlinzwe. Lokhu kuvimbela ukuvuleka okubanzi odongeni lwesisu futhi kuvumela ukululama ngokushesha. Kwezinye izimo, nokho, udokotela ohlinzayo ukhetha ukwenza i-laparotomy, okusho ukuvuleka kwesisu.
Ukubuyisela kuthatha izinsuku ezimbalwa kuphela. Lokhu kungenelela kuvame kakhulu futhi imiphumela ngokuvamile mihle kakhulu. Uma i-cholecystitis inzima, ukuhlinzwa kuhilela ukukhipha i-gallbladder esikhumbeni.
Ngesikhathi sokuhlinzwa okunjalo, ithimba lokuhlinza lenza a i-cholangiographie peropératoire, ukuhlola ukuze kutholakale itshe kweminye imigudu yenyongo engaphakathi noma engaphandle kwehepatic, nasemigudwini emikhulu yenyongo. Uma zikhona zingadala izinkinga kamuva futhi kufanele zelashwe.
Ukususwa kwe-gallbladder ngokuvamile kunemiphumela embalwa yesikhathi eside. Ngemuva kokuhlinzwa, isibindi siyaqhubeka sikhiqiza i-bile, edlula emgodini we-bile evamile futhi ikhishwe ngokuqondile emathunjini amancane. Ngakho-ke umuntu angadla ngendlela evamile. Inyongo ibe isiphuma kaningi, okungase kubangele indle enamanzi amaningi. Uma inkinga ikhona futhi ibonakala ikhathaza kakhulu, ezinye izinguquko ekudleni zingasiza, njengokugwema ukudla okunamafutha nokudla okubabayo kanye nokudla i-fiber eyengeziwe.
Ngaphezu kwalokho, i-cholestyramine (isibonelo, i-Questran®), umuthi odonsa i-bile emathunjini, usiza ukulawula lesi simo.