Page 40 - Kyalami Issue 4 2022
P. 40

Kyalami Estates Corporate Brand Bible  Design  26
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       HEALTH & WELLNESS
    TRAVEL                                                                          •	  Being overweight.
 Kyalami Estates Corporate Brand Bible  Design                                      •	  A sedentary lifestyle.                                         23
                                                                                    •	  A diet high in fat.
                                                                                    •	  Frequent fasting.
                                                                                    •	  Rapid weight loss.
 3.0  Invoice Template                                                              •	  Pregnancy.
                                                                                    •	  Diabetics are also at
                                                                                       increased risk of developing
                                                                                       gallstones.
                                                                                    •
                                                                                “The probability of cancer-causing
                                                                                obstructive jaundice through blocking
                                                                                in the biliary tree or in the head of
                                                                                the pancreas increases in the elderly,
                                                                                and may start slowly and painlessly.
                                                                                Unfortunately, cancers that originate
                                                                                in this part of the body are often only
                                                                                detected at a more advanced stage
                                                                                and therefore a suspicion of cancer
                                                                                should be investigated as soon as
                                                                                possible,” cautions Dr Ally.
                                         INVOICE                                TREATMENTS AVAILABLE

                                                                                Modern technology and ever advancing
                                                                                surgical techniques are improving the
                                                                                prognoses for patients with cancer in
                                        Entity: Kyalami Estates                 the liver, biliary tree and pancreas.
                                    Entity VAT No: 2018/031605/07
                                           Entity Reg No:                       Surgery is often done in combination
                                       Invoice Date: xx May 2019                with chemotherapy, however the earlier
       “Bile contains cholesterol and       “Usually, the pain abates after a few   these conditions are diagnosed the
       metabolites, which are necessary for   hours, however if the body cannot   better.
       the digestion of food. It is produced in   clear the blockage immediately, the
       the liver in response to the fat content   obstruction within the gallbladder   “Today, gallstones in the gallbladder
                                              Bill to:
       of the meal. Bile also helps rid the body   prevents it from fully emptying the   can be treated with minimally invasive
       of toxins and the waste products from   contents of the gallbladder. This in   keyhole surgery to remove the
       the metabolic process,” Dr Ally explains.   turn leads to stasis, infection of the   gallbladder. However, up to one in
                   Attention:xxxxx xxxxx
                                                           Tax Invoice No: xxxxx xxxxx
                     Xxxxx xxxxxxxxxxxx
                                                          Recipient VAT No: xxxxx xxxxx
       “In its journey from the liver through   gallbladder, and possibly a perforation   four patients who have gallstones in
                                            or rupture. The person would most
                     Xxxxx xxxxxxxxxxxx
                                                             PO Number: xxxxx xxxxx
       the biliary tree to the small intestine,   likely experience a persistent, severe   their gallbladder will have additional
       bile passes through the head of      upper abdominal pain that is worsened   stones that have formed outside of
                                                                                the gallbladder, requiring a different
       the pancreas, which surrounds the    by movement, touch or even deep     treatment approach,” Dr Ally says.
       bile duct. Excess bile is forced back   breathing.
       through the system of ducts and                                          Hepatobiliary surgeons, such as
                  Account:
                                            “If the obstructing gallstone is passed
       stored in the gallbladder, until the   Your Reference:        Tax Reference:
                                                                                Dr Ally, are trained in the management of
                 Kyalami Estates
                                            from the gallbladder and instead blocks
       next meal when it is needed in the   Kyalami Estates           Kyalami Estates
                                                                                complicated biliary, pancreatic and liver
       gastrointestinal system. A blockage   the outflow of the biliary tree, this   diseases and can access the biliary tree
       in the biliary system prevents the   results in obstructive jaundice. Various   to remove any gallstones lodged there.
       flow of bile and, if it is not resolved,   organ systems are affected and this   This is done by means of an endoscopic
       leads to obstructive jaundice. Such   too can be extremely serious as the   retrograde cholangiopancreatography
       blockages are most commonly caused   kidneys, brain, blood and cardiovascular   (ERCP) procedure.
                                             Unit Price
                 Description:
                                                                     Tax Reference:
       by gallstones or cancer,” he says.   system are all affected by obstructive
                Xxxxx       xxxxxxxxx       jaundice,” Dr Ally adds.    R000 0000 “In an ERCP, a long, thin tube is
                                             R000 0000
                Xxxxx        xxxxxxx
       Symptoms of obstructive jaundice      R000 00000                 R000 0000 carefully guided to the biliary tree to
       include yellowing of the sclera (the   Whether caused by a gallstone or   remove the gallstones. Stents are
       white part of the eye) and of the skin,   cancer, a blockage of the biliary tree   then inserted in the areas where the
       as well as itching, bruising easily,   can quickly lead to secondary infection,   gallstones were removed to restore bile
                                            potentially causing organ failure and
       passing pale stools and dark urine. Sub Total: R000 000.00               flow. This makes it possible for healthy
                                            death within hours if it is not treated
                                      VAT 15%: R000 000.00                      biliary and organ function to resume,”
       GALLSTONES                       Total: R000 000.00
                                            immediately.
       A gallstone is formed from the cholesterol                               he explains.
       in bile. Over time, excess cholesterol   TEN RISK FACTORS FOR            Such procedures are best performed
       solidifies into small crystals which bind   GALLSTONES                   by a team including a hepatobiliary
                                               •
                                                   Women are more prone to
       together to form the gallstone.  Account Name: Kyalami Estates           surgeon in a hospital that is equipped
                                            Bank: Investec                      for complex radiological investigations
                                                   developing gallstones, although
                                                   men can also be affected.
       “There are many different symptoms   Account: xxxxxxxxxxxxxxx            and advanced surgical technology.
                                               •
       associated with gallstones, the most   Account Type: Current
                                                   The risk of gallstones increases
                                                   with age, particularly from 40
       common being a colicky pain – a sharp  Branch Code: xxxxxx               “Time is critical in treating a person with
       localised pain in the abdomen that may      onwards.                     a blockage of the biliary tree. Knowing
                                               •
                                                   Genetic factors can predispose
       come in spasms soon after a meal, as Estate Office & Administration        the symptoms of obstructive jaundice
       muscular contractions work to clear the     a person to gallstones, so   and recognising this as a medical
                                  Tel: (011) 468 3001/2  |  Fax: (011) 468 1246
                                       Email: info@kyalamiestates.co.za
       temporary blockage of the gallbladder       find out if any of your direct   emergency can help to save a life,”
       outflow duct.                  PO Box 50, Kyalami Estates 1684           Dr Ally concludes.
                                                   relatives have had gallstones.
   38  Kyalami Estates • CONNECT • Issue 4 • 2022
   22 DPL issue 10 2022
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