Ukuvuvukala, ukwenzakala, okanye amanxeba kwizitho ezikwicala lasekunene lomzimba, kubandakanya i-gallbladder, isibindi, i-pancreas, imiphunga, izintso, okanye isisu, kunokubangela intlungu phantsi kwembambo yasekunene. Oku kuphazamiseka kunokuthi kwenzeke ngenxa yeemeko ezifana ne-gallbladder okanye amatye ezintso, kunye nezifo ezifana ne-hepatitis.
Kweli nqaku siza kukuxelela ukuba kutheni intlungu kwicala lasekunene ngaphantsi kweembambo.
Intlungu kwicala lasekunene ngaphantsi kweembambo
Ngokomzekelo, le ntlungu ingabonakalisa ngokukhawuleza kwaye ihambisane neempawu ezongezelelweyo ezifana ne-nausea, ukuhlanza, umkhuhlane, ukuphefumula ubunzima, okanye intlungu enzima xa uhamba, ukukhohlela, okanye ukuthunga.
Kwiimeko apho intlungu iba nzima kakhulu, ihamba kunye neempawu ezongezelelweyo, okanye iqhube ngaphezu kweentsuku ezimbini, Kucetyiswa ukuba udibane nogqirha jikelele ukuze abone isizathu esisisiseko kwaye aqalise unyango olufanelekileyo.
Kutheni intlungu ivela kwicala lasekunene phantsi kweembambo
I-Spasms kwi-diaphragm
Iintlungu ezifunyenwe phantsi kwembambo zasekunene zingabalelwa kwizinto ezininzi eziphambili, eyokuqala ibe yi-spasms eyenzeka ngaphakathi kwe-diaphragm. Ukubetha okanye ukwenza umsebenzi onzima womzimba kunokubangela ukuba isihlunu se-diaphragm sibe ne-spasm, leyo Ibangela intlungu yesisu phantsi kweembambo kumacala omabini, nokuba ngasekunene okanye ngasekhohlo.
I-diaphragm, edlala indima ebalulekileyo ekuphefumleni, lilungu elinezihlunu elahlula umngxuma wesisu kwimiphunga nentliziyo. Ukuba ufumana intlungu eqhubekayo kwiimbambo zakho okanye kwisisu emva kokufumana isibetho, kuyacetyiswa ukuba udibane nodokotela wentsapho onokuvavanya imeko kwaye ucebise unyango olufanelekileyo. Kwiimeko apho Intlungu ibangelwa ngumsebenzi onamandla womzimba;
Amatye kwi-gallbladder
Ukungonwabi okubangelwa kubukho bamatye enyongo kwi-gallbladder kubizwa ngokuba yi-biliary colic kwaye ngokuqhelekileyo kuzibonakalisa ngaphantsi kwe-rib cage yasekunene. Ubude bentlungu bunokwandisa ubuninzi beeyure ze-5 kwiimeko ezithile kwaye zinokuba namava kuyo inkaba okanye kwicala lasekunene legxalaba okanye ngasemva.
Ukufumana iintlungu emva kokutya ukutya okunamafutha amaninzi kuqhelekile, ngokuqhelekileyo kuhamba kunye neempawu ezongezelelweyo ezifana nesicaphucaphu kunye nokuhlanza.
Ukuba kurhanelwa inyongo, kuyacetyiswa ukuba ufune ubuchule be-gastroenterologist. Ngokukodwa, xa iimpawu zivela ngenxa yamatye, ugqirha unokucebisa ukususwa kwe-gallbladder.
Ukongezelela, kwimeko apho iimpawu ezihamba kunye nobushushu bomzimba obuphakamileyo, ukunciphisa uxinzelelo lwegazi okanye ukuphazamiseka kwengqondo kwenzeka kunye nengxaki yentlungu, kucetyiswa kakhulu ukuba ufune unyango ngokukhawuleza kwisebe likaxakeka ukuvavanya, kuba ezi zalathi zinokuthetha ukuba usulelo lwenyongo.
Pancreatitis
I-Pancreatitis ibhekisela ekudumbeni kwe-pancreas, ebangela intlungu ehlala iqala kwisisu esiphezulu kwaye inokunwebeka kumacala omabini ezimbambo kunye nomqolo, efana "nebhanti" yokungakhululeki.
Ukuqala ngokukhawuleza kweentlungu kwingingqi yesisu kudla ngokuhamba kunye neempawu ezongezelelweyo ezifana ne-nausea, ukuhlanza, umkhuhlane, kunye nokuthamba, ukudala amava apheleleyo kumntu ngamnye.
Ukuba uzifumana ukule meko, kubalulekile ukuba uye kwisebe likaxakeka lesona sibhedlele sikufutshane ngokukhawuleza. Ukuthatha inyathelo elikhawulezileyo kubalulekile ukuqalisa unyango kunye nokunciphisa umngcipheko weengxaki ezinokwenzeka. Ngokuqhelekileyo, unyango lubandakanya ukulawulwa kwe-analgesics, antibiotics kunye nokusetyenziswa komlomo we-pancreatic enzymes.
Isilonda esiswini
Umgca wesisu unokuvelisa i-gastric ulcer, isilonda esibangelwa yimiba efana nokutya okungenampilo okanye usulelo lwe-Helicobacter pylori bacteria. Iimpawu eziqhelekileyo ezinxulumene nezilonda ze-peptic ziquka ukungatyi, isicaphucaphu, ukuncipha komdla wokutya, kunye nokuziva unengxaki.
Ngokuqhelekileyo, intlungu ayilona uphawu lwesilonda esiswini. Nangona kunjalo, xa izibonakalisa, Ngokuqhelekileyo kuvakala kumbindi wesisu kwaye kubonakala njengento ebukhali, evuthayo. Ngamanye amaxesha oku kuphazamiseka kunokudlulela kwindawo yembambo yasekunene okanye ekhohlo.
Ukujongana nale ngxaki, kubalulekile ukudibana ne-gastroenterologist enokwenza iimvavanyo, ezifana ne-endoscopy yokugaya, ukuxilonga ngokuchanekileyo isilonda. Emva kokuba ifunyenwe, unyango olufanelekileyo lunokuqaliswa, olunokuthi lubandakanye ukusetyenziswa kwe-antibiotics (ukuba imbangela yi-H. pylori), i-antacids, okanye i-acid production inhibitors njenge-omeprazole, i-pantoprazole, okanye i-esomeprazole.
Ipleuritis
Ukuvuvukala kwe-pleura, inwebu ekhuselayo ejikeleze imiphunga, iyaziwa ngokuba yi-pleuritis. Xa oku kudumba kwenzeka kwimiphunga elungileyo, Inokubangela ukungaphatheki kakuhle phantsi kwembambo yasekunene xa uphefumla ngokunzulu, ingakumbi xa ukhohlela, ukuthimla, okanye ukwenza umthambo.
Ukongeza, iimpawu ezongezelelekileyo zinokubakho, kubandakanya ukuziva uphefumla kancinci, ukuphefumla nzima, ukukhohlela okomileyo, kunye nobushushu bomzimba obuphezulu. Ukubonakala kwe-pleuritis kunokuthi kufakwe kwizinto ezahlukeneyo, ezifana ne-bacterial, i-viral okanye i-fungal pneumonia, kunye nomhlaza wemiphunga okanye i-lung infarction.
Ukuba kukho ukukrokra kwe-pleuritis, kuyacetyiswa ukuba ufune uvavanyo kunye ne-pulmonologist okanye ugqirha wentsapho. Nangona kunjalo, ukuba ufumana iintlungu ezibuhlungu zesifuba okanye ubunzima bokuphefumla, Kucetyiswa ukuba ufune unyango olukhawulezileyo.
Unyango lwe-pleuritis lubandakanya ukulawulwa kweyeza ezichasayo ezifana ne-ibuprofen okanye i-naproxen, kunye ne-antibiotics kunye / okanye i-anticoagulants, kuxhomekeke kwisizathu esibangela. Kwezinye iimeko, ugqirha unokukumisela i-bronchodilators ukuphucula umsebenzi wokuphefumla.
Ilitye lezintso
I-Renal colic, imeko ebonakaliswe ngeentlungu ezisezantsi ezinokuthi zisasazeke kwicala lasekunene lomzimba ngaphantsi kweembambo, ngokuqhelekileyo kubangelwa ubukho bamatye kwizintso ezifanelekileyo.
Ngaphandle kokuva iintlungu, abantu banokufumana iimpawu ezongezelelweyo kuquka ukungonwabi okanye ukuziva ugula. ukutshisa xa uchama, ukuva isicaphucaphu, ukuhlanza, umkhuhlane ongaphezu kwama-38 °C kunye/okanye ubukho begazi kumchamo.
Ukuphelisa intlungu, kuyacetyiswa ukuba udibane nochwepheshe bezempilo abanokulawula i-analgesics nge-intravenously. Kwezinye iimeko, ugqirha unokwenza iinkqubo zotyando ezifana ne-lithotripsy, ureteroscopy, okanye i-nephrolithotomy ukususa okanye ukuqhekeza ilitye libe ngamaqhekeza amancinci, okwenza kube lula ukudlula umchamo.
Ndiyathemba ukuba ngolu lwazi unokufunda ngakumbi malunga neentlungu kwicala lasekunene phantsi kweembambo kunye nokuba kutheni.