Wenzenjani ngamatshe ensimbi ngesikhathi ukhulelwe?
Ama-gallstones: Indaba Ejwayelekile Phakathi Nokukhulelwa
Ama-gallstones afaka izingqimba zezinto ezibizwa nge-bile. Ibhili lenziwe ngamanzi, amafutha, i-cholesterol, i-bilirubin namanoni. Ngokuvamile, i-bile ikhishwa emathunjini akho amancane lapho kusiza ukugaya amafutha. Nokho, ngezinye izikhathi, i-bile ingagxila futhi ibe "ngamatshe." Ama-gallstones ashiywe angaphathwa kabi angaholela ekutheleleni noma ngisho nase-gallbladder ephukile.
Ngokuvamile, abesifazane banokuphindwa kabili njengamadoda ukuthuthukisa ama-gallstones. Ngesikhathi sokukhulelwa, izinkinga ziphakeme nakakhulu. Kungenxa yokuthi i-estrogen oyikhiqizayo ngesikhathi ukhulelwe ingabangela amazinga aphezulu e-cholesterol ebhodini lakho. Ngenxa yalokho, cishe ama-5-8% abesifazane bazobhekana namasulu noma amatshe ensimbi ngesikhathi bekhulelwe.
Nakuba kuvame ukuphatha imithi yamatshe ngokukhulelwa, kuyimbangela yesibili evamile yokuhlinzwa ekukhulelweni okungezona ukukhulelwa okuhlobene. Abangu-1 ku-1 600 abesifazane bazokhipha isilonda sabo sezinyosi ngenxa yamatshe enyanga lapho bekhulelwe. Ama-gallstones avamile kulabo abakhuluphele kulabo abazuza noma abalahlekelwa isisindo ngokushesha nalabo abangakhulelwe.
Ziyini Izimpawu Zama-Gallstones?
Ngezinye izikhathi - kodwa hhayi njalo - ama-gallstones angabangela izimpawu ezibalulekile ezifaka:
- I-nausea
- Ukuvota
- Ubuhlungu obungazelelwe ngokungazelelwe ku-quadrant engenhla (kungase kuhambisane kuye ngesigaba sokukhulelwa )
- I-feverly fever
Kubalulekile ukuphawula ukuthi akubona bonke abesifazane abazobona izimpawu ngamatshe abo ensimbi ngesikhathi bekhulelwe. Ukuze uthole ukuthi ngabe izimpawu zakho zisho ukuthi unamatshe enyanga yini ekukhulelwe, ungase ube nokuhlolwa okunye okwenziwe. Umsebenzi wegazi angeke ube usizo ekukhupheni ngenxa yokuguquka okujwayelekile kokukhulelwa.
Nakuba i-ultrasound ingasetshenziselwa ukuthola amacala amaningi amatshe ensimbi ngesikhathi ukhulelwe.
I-Gallstones iphathwa kanjani ngesikhathi sokukhulelwa?
Uma ubheka izimpawu zakho nokuhlolwa kwakho, udokotela wakho angancoma ukuthi uhlinzekwe noma ulinde ukuhlasela kwesibindi. Yini ongayenza ngaphandle kokuhlinzekwa nge-gallstones ekukhulelwe? Ungazama ukushintsha ukudla kwakho. Lokhu kungabandakanya izincomo ukunciphisa ukudla kwakho okuthosiwe kanye namafutha. Ungaphinde unikezwe imithi yezinhlungu. Abanye odokotela bakhetha ukuqhubeka nokusebenza ngenxa yengozi eyengeziwe yokuphindaphinda, okungaba kubi nakakhulu.
I-Trimester yokuqala
Ngokuvamile ukuhlinzwa akunconywanga ku-trimester yokuqala ngaphandle kwezimo ezimbi kakhulu. Lokhu kungenxa yokuthi ingozi yokukhulelwa kwesisu iphezulu. Kukhona ingozi enkulu yokukhubazeka kokubeletha ekudaluleni ingane yakho emithini edingekayo yokuhlinzwa. Uma kunokwenzeka, ukuhlinzekwa kuzokwephuza kuze kube yilapho usuhambile ku-trimester yesibili noma kuze kube ngemva kokukhulelwa.
Trimester yesibili
Ukuhlinzwa kuphephile kakhulu ku-trimester yesibili. Futhi yisikhathi esilula kakhulu sokwenza inqubo nge-laparoscopy ngokuphambene nokucubungula okuvulekile, okuyinto enkulu futhi kudinga isikhathi eside sokuphulukisa.
I-Trimester yesithathu
Kungenzeka ukuthi ungakhuthazwa ukuba uzame ukulinda ngaphandle kokuhlinzwa.
Isibeletho esakhulayo senza kube nzima ukwenza ukuhlinzwa ngokusebenzisa inqubo ye-laparoscopic. Kungenzeka futhi ukuthi ungabhekana nokuqashwa kwabasebenzi bokuqala emithathu. Kungase futhi kunconywe ukuthi ususwe isikhumba sakho senyosi esikhathini sokuhamba kwesikhathi .
Imithombo:
Ama-gallstones. I-National Digestive Diseases Information Clearing House. I-NIH Publication No. 07-2897. Julayi 2007.
I-Obstetrics: Ukulungiswa Okuvamile Nezinkinga. IGabbe, S, Niebyl, J, Simpson, JL. Uhlelo lwesihlanu.