
Umhlaza we-Gallbladder luhlobo olunqabileyo kodwa olunzima lomhlaza oluchaphazela i-gallbladder, ilungu elincinci elingaphantsi kwesibindi. Esi sikhokelo sibanzi sibonelela ngolwazi olubalulekileyo malunga umhlaza kwi-gallbladder, kubandakanywa oonobangela bayo, iimpawu, iindlela zokuxilonga, iindlela zonyango, kunye ne-prognosis. Ukuqonda olu lwazi ngundoqo ekubhaqweni kwangaphambili kunye neziphumo eziphuculweyo.
I-gallbladder lilungu elimise okwepere eligcina inyongo, incindi eveliswa sisibindi encedisa ekutyombeni kwamafutha. Xa ukutya okunamafutha kungena emathunjini amancinci, i-gallbladder inkontileka kwaye ikhuphe i-bile ukuncedisa kwinkqubo yokugaya.
Olona hlobo luqhelekileyo lwe umhlaza kwi-gallbladder yi-adenocarcinoma, ebangela ngaphezu kwe-90% yamatyala. Ezinye iintlobo ezinqabileyo zikhona, kodwa i-adenocarcinoma yeyona nto kugxilwe kuyo kwiingxoxo ezininzi zomhlaza we-gallbladder.
Izizathu ezichanekileyo zomhlaza we-gallbladder aziqondwa ngokupheleleyo, kodwa izinto ezininzi zomngcipheko ziye zachongwa. Ezi ziquka: i-gallstones (eyona nto ibalulekileyo yomngcipheko), i-cholecystitis engapheliyo (ukuvuvukala kwe-gallbladder), iimeko ezithile zofuzo, ukutyeba, kunye nobudala. Ukuba sesichengeni sexesha elide kwiikhemikhali ezithile nako kunokunyusa umngcipheko.
Ngelishwa, umhlaza kwi-gallbladder ihlala ibonakalisa iimpawu ezingacacanga okanye ezingachazwanga kumanqanaba ayo okuqala. Oku kunokubandakanya intlungu engaphezulu kwesisu, ukugabha, i-jaundice (i-yellowing yesikhumba kunye namehlo), kunye nokulahleka kobunzima obungachazwanga. Uninzi lwezi mpawu zingabalelwa kwezinye, iimeko ezingamandundu kangako, zenza kube nzima ukuxilongwa kwangoko.
Njengoko umhlaza uhambela phambili, iimpawu zinokuba mbi ngakumbi kwaye ziquka i-jaundice ecacileyo, iintlungu ezibukhali zesisu, umkhuhlane, kunye nobunzima obucacileyo kwisisu. Kweli nqanaba, umhlaza unokuba usasazekile (metastasized) kwamanye amalungu.
Ukuxilonga umhlaza kwi-gallbladder ngokuqhelekileyo ibandakanya indibaniselwano yovavanyo, kuquka nezifundo zokucinga ezifana ne-ultrasound, i-CT scans, kunye ne-MRI scans. I-biopsy, ebandakanya ukuthatha isampulu yethishu encinci kuvavanyo lwe-microscopic, ibalulekile ekuqinisekiseni ukuxilongwa. Uvavanyo lwegazi lunokusetyenziselwa ukuvavanya ukusebenza kwesibindi kunye nokuchonga iimpawu ezinokubakho zomhlaza.
Utyando lolona nyango luphambili kumhlaza wenyongo, kwaye ubungakanani botyando buxhomekeke kwinqanaba kunye nokusasazeka komhlaza. Oku kunokuvela kwi-cholecystectomy (ukususwa kwe-gallbladder) kwiinkqubo ezibanzi ngakumbi ezibandakanya ukususwa kwenxalenye yesibindi, i-lymph nodes, kunye nezinye izicubu ezichaphazelekayo. IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngobuchule obuphezulu botyando kunye nobuchule bokunyanga umhlaza wenyongo.
Ukongeza kotyando, ezinye iindlela zonyango zinokubandakanya ichemotherapy, unyango lweradiation, kunye nonyango olujoliswe kuyo, kuxhomekeke kwimeko yomntu kunye nenqanaba lomhlaza. Olu nyango lunokusetyenziswa ngaphambi, ngexesha, okanye emva kokuhlinzwa ukuphucula iziphumo kunye nokunciphisa umngcipheko wokuphindaphinda.
I-prognosis yomhlaza we-gallbladder iyahluka kakhulu ngokuxhomekeke kwinqanaba lomhlaza ekuxilongweni, ubungakanani bokusasazeka, kunye nempilo yonke yesigulane. Ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo lubalulekile ekuphuculeni amathuba onyango oluyimpumelelo kunye nokuphila ixesha elide. Ukuhlolwa rhoqo kunye nokwazisa ngezinto ezinobungozi kunokudlala indima ebalulekileyo.
Ukufumana ulwazi oluthe vetshe kunye nenkxaso malunga umhlaza kwi-gallbladder, dibana nengcali yezempilo. Imibutho emininzi ehloniphekileyo inikezela ngezibonelelo kunye nenkxaso kubantu abachatshazelwe ngumhlaza. Ukufunyaniswa kwangethuba kunye nonyango olusebenzayo ngundoqo ekulawuleni le meko.
| Iqonga | Umyinge weminyaka emi-5 wokuPhila (Kuqikelelwa) |
|---|---|
| Eyasekuhlaleni | 60-80% |
| Ingingqi | 30-50% |
| Ukude | 5-15% |
Qaphela: Amazinga okusinda aqikelelweyo kwaye anokwahluka ngokusekelwe kwizinto ezahlukeneyo. Qhagamshelana nengcali yezonyango ngolwazi olulolwakho. Umthombo wedatha: [Faka umthombo othembekileyo, umzekelo, iZiko loMhlaza leSizwe]
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