Ubuhlungu obuphansi kwembambo yangakwesokudla yi-syndrome eyenzeka hhayi kuphela ezifweni zezitho ezitholwe endaweni ebuhlungu, kepha futhi ichaza nezinye izifo. Ukuzwa okubuhlungu kungasakazeka ku-hypochondrium evela ezithweni zangasese, inhliziyo, umgogodla, futhi kukhombise izifo zabesifazane, zokuhlinza, zezifo.
Kungani ilimaza uhlangothi ngaphansi kwezimbambo ngakwesokudla?
Ubuhlungu bokugwaza ohlangothini olungakwesokudla akusho ukuthi kunesifo. Ngokugijima okukhulu, ubuhlungu bubangelwa ukwelula i-capsule ye-hepatic. Noma kunjalo, kufanele ubanake. Izimpawu ezinjalo zingacasulwa ukulungiswa okunganele, ukuphefumula okungafanele noma ukufudumeza okungalungile, kepha kwezinye izimo kunezifo ezingamahlalakhona.
Kwezinye izimo, ukukhathazeka ohlangothini lwesokunene ngaphansi kwezimbambo kukhombisa inqubo yokugula.
Izimbangela zobuhlungu ngakwesokudla
Uphawu okukhulunywa ngalo kungenzeka lube nomonakalo kulezi zitho ezilandelayo:
- i-gallbladder (isifo senyongo, cholecystitis);
- umgudu wamathumbu (i-gastritis, isisu sesilonda);
- amanyikwe (pancreatitis);
- isibindi (i-cirrhosis, hepatitis, opisthorchiasis);
- izinso (pyelonephritis);
- inhliziyo (angina pectoris, isifo senhliziyo);
- i-diaphragm (i-hernia, ukuvuvukala);
- amaphaphu angakwesokudla (umdlavuza, inyumoniya).
Ukulimala kwesitho esibuhlungu kanye nezifo ezihlangene (i-osteochondrosis) nakho kungaba yimbangela.
Njengomthetho, ubuhlungu obukhulu bokugwazwa kusho isigaba esibuhlungu sesifo; ngezinhlungu ezibuhlungu ezibuhlungu, inkambo engapheli iyenzeka.
Ungabhekana kanjani nobuhlungu obuseceleni?
Uma lesi sifo senzeka ngenkathi ugijima, akudingekile ukuthi ufune usizo lwezokwelapha. Kuyadingeka ukunciphisa kahle ijubane futhi uzivumelanise nesinyathelo, uqale ukuphefumula ngokujulile futhi uphumule izandla zakho. Ngokuvivinya umzimba njalo, kufanele ukhumbule ngesidingo sokuzifudumeza ngaphambi kokugijima, ukuphefumula okufanele (ukuphefumula kwesisu nokuphefumula okujulile), nokukhetha umthwalo ophelele.
Uma i-etiology yezinhlungu ngaphansi kwembambo yangakwesokudla ingacaci, kufanelekile ukubona udokotela ngokushesha okukhulu. Ukuzelapha ngokwakho ngendlela yokucindezela, kanye nokusetshenziswa kwamaphilisi ezinhlungu, kungenza isimo sempilo sibe sibi kakhulu futhi kube nzima ukuxilongwa kwalesi sifo.
Ngencazelo ebekiwe yobuhlungu, kudingeka ucingo olusheshayo kwi-ambulensi:
- acute, ukuvela ngokuzumayo;
- ukuqaqanjelwa, ukungadluli ihora noma ngaphezulu;
- ukugwaza, ukucasulwa ukunyakaza okuhlala isigamu sehora.
Uma, kanye nobuhlungu obuthuntu onqenqemeni lwesokudla sesisu, isicanucanu nokuhlanza kwenzeka, kungakuhle uthintane nodokotela ngosuku olufanayo.
Ukwelashwa kwe-pathology ku-hypochondrium efanele
Ukuze ugweme ukukhula kwezinkinga, akunakwenzeka ukuthi uzelaphele lesi sifo ngokuthatha ama-analgesics. Udokotela uzonquma ngokuthembekile lesi sifo futhi anikeze ukwelashwa, ngoba ukukhathazeka kuyisibonakaliso nje.
Ngokuya ngokuxilongwa, izindlela ezilandelayo zisetshenziswa ekwelapheni izifo ezingenhla:
- ukunamathela ekudleni okuqinile (kusuka ngaphandle kokudla okuthile kusuka ekudleni kuya ekuzileni okwesikhashana);
- ukuthatha imishanguzo (ama-antibiotic, izidakamizwa ezilwa namagciwane, ukudambisa izinhlungu njengengxenye yokwelashwa okuyinkimbinkimbi, njll.);
- imisebenzi yokuhlinzwa (ngezinqubo ezisheshayo ezidinga ukungenelela okuphuthumayo).
Nganoma yiluphi uhlobo lokungaphatheki kahle ngaphansi kwembambo yangakwesokudla (ukuthungwa, ukuqaqanjelwa, ukubuthuntu), kufanele uxhumane nodokotela ngokushesha.
Izimbangela zobuhlungu ngaphansi kwembambo yangakwesokudla, kuya ngendawo ekuyo
Ngokuya ngosizi lwasendaweni, kungenzeka ukunquma ukuthi iyiphi inqubo yokugula eyenzeka kuluphi uhlangothi.
Ukwenziwa kwendawo yobuhlungu - ngaphambili
Isifo se-gallbladder ngumthombo oyinhloko we-analgesia ngaphansi kobambo ohlangothini lwesokunene. Inyongo yakhiwa esibindini, ngemuva kwalokho idluliselwe enyameni, lapho ihlangana khona. Ukwenza ukugaya kube kuhle ngemuva kokudla, umzimba ukhiqiza ama-bile acid.
Ukuncipha noma ukuvinjelwa komsele we-gallbladder kubangela ubuhlungu ngemuva kokudla isidlo esinamafutha ngenxa yesidingo sama-bile acid amaningi ukukugaya.
Ukuhlushwa kwemizwa ebuhlungu ngaphambili kubonakala ngezifo ezinjengesifo senyongo, izinguquko ekwakhekeni kwamakhemikhali enyongo, cholecystitis.
Lapho kukhona amatshe esinyeni, uhlobo lokuhlupheka luye ngosayizi wawo: uma amatshe emakhulu, ubuhlungu buhlala bukhona futhi lapho isimo somzimba sishintsha, siyaqina.
Ezifweni zesibindi, ngenxa yokwanda kwayo, ubuhlungu buyezwakala nangaphambili futhi buphume buye emakhwapheni.
Ukwenziwa kwendawo yobuhlungu - ngemuva
Ngokubekwa ngemuva kobuhlungu bangemuva, kutholakala izifo ze-gallbladder noma izifo zamaphaphu. Kunzima ukuhlukanisa ngohlobo lwemizwa yabo. Ku-hypochondrium elungile, ibuhlungu kokubili nge-pneumonia nangezifo ze-gallbladder. Ubuhlungu kuzo zombili lezi zimo buqiniswa ukuphefumula. Kodwa-ke, ukulimala kwamaphaphu akuhambisani nobuhlungu ngemuva kokudla.
Elinye iqembu lezimo zokugula lapho kutholakala khona ubuhlungu ngemuva yisifo sezinso. Ukusabela okubuhlungu okufanayo kubangelwa indawo yezinso ezifanele, njenge-gallbladder, ngaphansi kwesibindi.
Isizathu esivamile sobuhlungu ngakwesokudla ngaphansi kombambo kusuka emuva kwabesifazane ukuvuvukala kwama-appendage (amashubhu e-fallopian nama-ovari), uma kubangelwa ama-STD. Ukuvuvukala okubangelwa ukutheleleka kwamagciwane kuthinta i-capsule ye-hepatic.
Izimo ezingavamile zobuhlungu ku-hypochondrium efanele
Ngokuvama okuncane ngaphansi kobambo olungakwesokudla, ukungakhululeki kwenzeka kwizifo zomgudu wamathumbu. Izifo eziphazamisayo (i-opisthorchiasis, i-giardiasis) zibangela amajaqamba ngenxa yokuvaleka kwamapayipi enyongo yi-flatworms ne-protozoa. Ukuqinisa noma ukwenza buthakathaka i-pain syndrome lapho izitho zilinyazwa yizikelemu kuncike esikhathini sempilo yazo.
Ukuvinjelwa kwamapayipi enyongo kwenzeka ngokwanda kwenani labantu. Nge-echinococcosis, imizwa iyaqina lapho kuthinteka indawo eyanele yezicubu zesibindi.
I-syndrome okukhulunywa ngayo nayo ingakhombisa i-appendicitis ebukhali noma izinkinga ngemuva kwayo.
I-hepatic pain syndrome
Lesi yisikhundla sezokwelapha sezinhlungu ezibuhlungu eziphindaphindwayo kwi-hypochondrium efanele ngesikhathi sokuzivocavoca kanye nezemidlalo.
I-etiology yobuhlungu obunjalo kubasubathi ukonakala okusheshayo kwe-glycogen esibindini, okwenzeka lapho umzimba untula amandla. Ngenxa yalokhu, umuntu uyakwazi ukuqhubeka nomsebenzi womzimba isikhathi esithile.
Ubuhlungu be-subcostal kwabesifazane beminyaka yokuzala
Imizwa yokugwaza yesikhashana esifushane kwabesifazane beminyaka yokuzala ingenzeka ngesikhathi se-ovulation. Lokhu kungenxa yokuthi kanye nokubonakala kweqanda, uketshezi lwe-follicular luhlangana ku-peritoneum, edala ukucasuka, okuhambisana nobuhlungu.
Ukudabuka kungenzeka futhi ngezifo ezahlukahlukene zabesifazane kanye ne-premenstrual syndrome.
Umbono wodokotela - ungaphatha kanjani?
Lapho i-subcostal analgesia ivela ngaphansi kobambo lwangaphandle ngaphandle kwesizathu (njengokuzivocavoca noma i-premenstrual syndrome), umbono wodokotela uyavumelana - ukufuna usizo kochwepheshe. Ukuhlolwa kuphela nokuxilongwa okunembile kuzosiza ekwakheni indlela efanele yokwelashwa futhi kuzonciphisa imiphumela emibi.
Ngakho-ke, ubuhlungu ku-hypochondrium elungile kwesinye isikhathi bungavela ngemuva kwezinqubo zemvelo zomzimba, noma kungakhombisa izinqubo zokugula. Uma imbangela yesifo sobuhlungu ingacaci, ukubonisana nodokotela kuyimpoqo, ngoba ngaphandle kokuxilongwa akunakwenzeka ukuzitholela ngokwakho ezifweni eziningi ezinobuhlungu ku-hypochondrium efanele ngezimpawu.
