I-Cholecystitis ukuvuvukala kwe-gallbladder. Lokhu kubangelwa ukwakheka kwamatshe enyongo. Kuvame kakhulu kwabesifazane, asebekhulile noma abantu abakhuluphele ngokweqile.

I-Cholecystitis yisimo senyongo (isitho esingaphansi kwesibindi futhi esiqukethe i-bile). Ukuvuvukala okubangelwa ukuvinjelwa kwenyongo, ngamatshe.

Umuntu ngamunye angaba nomthelela we-cholecystitis. Nokho, abanye abantu “basengozini” kakhulu. Lezi zihlanganisa: abesifazane, asebekhulile, kanye nabantu abakhuluphele ngokweqile.

Lokhu kuvuvukala kuvame ukudala ubuhlungu obukhulu besisu, obuhambisana nesimo somkhuhlane. I-Ultrasound ivame ukusetshenziselwa ukuqinisekisa ukuxilongwa kokuqala komtholampilo. Ukwelashwa kukhona ekulawuleni lesi sifo. Uma kungekho ukwelashwa ngokushesha, i-cholecystitis ingathuthuka ngokushesha, futhi ibe nemiphumela emibi.

Isibindi sikhiqiza i-bile (uketshezi oluphilayo oluvumela ukugaya kwamafutha). Lesi sakamuva, ngesikhathi sokugaya, siphuma ku-gallbladder. Umzila wenyongo ube usuqhubeka ubheke emathunjini.

Ukuba khona kwamatshe (aggregation of crystals) ngaphakathi kwe-gallbladder kungavimbela ukuxoshwa kwale bile. Ubuhlungu besisu-ke buwumphumela walokhu kuvinjelwa.

Ukuvinjelwa okuqhubekayo ngokuhamba kwesikhathi kancane kancane kuholela ekuvuvukeni kwe-gallbladder. Khona-ke lokhu kuba cholecystitis acute.

Ukuphulukiswa kwe-cholecystitis ngokuvamile kungenzeka ngemva kwamasonto amabili, ngokwelashwa okufanele.

Uma ukwelashwa kungathathwa ngokushesha ngangokunokwenzeka, noma kunjalo, izinkinga zingakhula, njenge:

• i-cholangitis ne-pancreatitis: ukutheleleka kwe-bile duct (cholera) noma amanyikwe. Lezi zifo zibangela, ngaphezu kwesimo somkhuhlane kanye nobuhlungu besisu, i-jaundice (i-jaundice). Ukulaliswa esibhedlela esiphuthumayo ngokuvamile kuyadingeka ezinkingeni ezinjalo.
• i-biliary peritonitis: ukubhobozwa kodonga lwe-gallbladder, okubangela ukuvuvukala kwe-peritoneum (i-membrane evala umgodi wesisu).
• I-cholecystitis engapheli: ebonakala ngesicanucanu esiphindelelayo, ukuhlanza nokudinga ukususwa kwenyongo.

Lezi zinkinga zihlala zingavamile, ngokombono lapho abaphathi ngokuvamile beshesha futhi befanelekile.

Izimpawu ezijwayelekile ze-cholecystitis zibonakaliswa yilokhu:

• i-hepatic colitis: ubuhlungu, obunamandla kakhulu noma obuncane kakhulu noma ubude obude, emgodini wesisu noma ngaphansi kwezimbambo.
• isimo somkhuhlane
• isiyaluyalu.

Isici esiyinhloko sengozi ye-cholecystitis ukuba khona kwamatshe enyongo.

Ezinye izici zingase futhi zihlotshaniswe nengozi eyengeziwe yesifo: iminyaka, ubulili besifazane, ukukhuluphala ngokweqile, noma ngisho nokuthatha imithi ethile (i-estrogen, imithi ye-cholesterol, njll.).

Isigaba sokuqala sokuxilongwa kwe-cholecystitis, sisekelwe ekuhlonzeni izimpawu zesici.

Ukuze uqinisekise, noma cha, lesi sifo, ukuhlolwa okwengeziwe kuyadingeka:

• i-ultrasound yesisu
• i-endoscopy
• Magnetic resonance imaging (MRI)

Ukuphathwa kwe-cholecystitis kudinga, okokuqala, ukwelashwa kwezidakamizwa: ama-analgesics, ama-antispasmodics, noma ama-antibiotics (ngokwesimo sokutheleleka kwebhaktheriya eyengeziwe).

Ukuze uthole ukuphulukiswa okuphelele, ngokuvamile ukususwa kwe-gallbladder kuyadingeka: cholecystectomy. Lokhu kokugcina kungenziwa nge-laparoscopy noma nge-laparotomy (ukuvula ngodonga lwesisu).