Chikhodzodzo ndimalimba tating'onoting'ono monga mawonekedwe a peyala yopanda kanthu. Umu ndi mtundu wa thumba komwe bile limasungidwa - madzi achikasu omwe amathandizira kugaya.
Ma gallstones ambiri amawoneka pakakhala cholesterol yochuluka mu bile. Ofufuzawo apeza kuti 80% yama gallstones amapangidwa ndi cholesterol.
Ena 20 peresenti ndi calculi, opangidwa kuchokera ku calcium calcium ndi bilirubin. Sizikudziwika bwino chomwe chimayambitsa ma cholesterol gallstones, ngakhale pali malingaliro ena:
- Cholesterol owonjezera mu bile. Miyala yolimba yomwe ikubwera imatha kupezeka ngati chiwindi chimatulutsa cholesterol yambiri kuposa bile ingasungunuke.
- Owonjezera bilirubin mu bile. Bilirubin ndi mankhwala osokoneza bongo pamene chiwindi chiwononga maselo ofiira amwazi. Zinthu zina, monga kuwonongeka kwa chiwindi ndi vuto la magazi, zimapangitsa chiwindi kuyamba kupanga zambiri bilirubin kuposa momwe ziyenera kukhalira. Miyala ya nkhumba imachitika pamene chikhodzodzo sichitha kuwononga bilirubin owonjezera. Miyala yolimba iyi nthawi zambiri imakhala yofiirira kapena yakuda.
Kuphatikiza apo, mapangidwe amiyala amatha kupweteka bile chifukwa cha kusefukira kwa ndulu. Chikhodzodzo chimayenera kuthira bile kuti ikhale yathanzi ndikugwira ntchito moyenera. Ngati sichitha kuthira zinthu zili mumtengowo, zimakhazikika kwambiri, zomwe zimapangitsa kuti miyala ipangidwe.
Zizindikiro zazikulu za matenda
Mwala wa cholesterol mu ndulu umatha kupweteketsa m'mimba kumtunda wakumanja.
Nthawi ndi nthawi, ululu umatha kupezeka mu chikhodzodzo, nthawi zambiri mukamadya zakudya zamafuta kwambiri, monga zakudya yokazinga.
Ululu nthawi zambiri umatha kuposa maola ochepa.
Zizindikiro zina:
- nseru
- kusanza
- mkodzo wakuda
- kupweteka kwam'mimba
- malamba;
- kutsegula m'mimba
- kudzimbidwa.
Zizindikirozi zimadziwikanso ngati chizindikiro cha biliary colic.
Palinso ma calculi asymptomatic - pomwe ndulu simayambitsa kupweteka. M'malo mwake, ululu umachitika pamene miyala imaletsa kuyenda kwamadzi. Malinga ndi American College of Gastroenterology, anthu 80% ali ndi miyala "chete". Izi zikutanthauza kuti sizimayambitsa kupweteka kapena zilibe zizindikiro. Muzochitika izi, dokotala amatha kuwona miyala nthawi ya x-ray kapena pa opaleshoni.
Mitundu yotsatira yamankhwala a cholelithiasis imasiyanitsidwa:
- mwala wolemba mwala (mawonekedwe a latent);
- dyspeptic;
- torpid yopweteka (kusowa kwa kukomoka kapena mawonekedwe awo osowa);
- kupweteka (ndi kuukira);
- khansa.
Ambiri mwa odwala (kuyambira 60 mpaka 80%) pamaso pa miyala m'matumbo alibe zisonyezo kapena chiwonetsero chilichonse cha matendawa. Komabe, izi, ndizodziwika bwino, zimadziwika ndi mtundu wamatenthedwe kuposa matendawa.
Kupenda kukuwonetsa kuti pafupifupi theka la odwala, mkati mwa zaka 10 atazindikira miyala mu chikhodzodzo, atembenukire kwa dotolo akudandaula za zomwe zikuwonetsa kukula kwa mitundu ina ya cholelithiasis, komanso zovuta zake.
Mavuto ndi chiopsezo cha nthawi yayitali
Cholera cha cholesterol chikatsekera ngalande pomwe ndulu imayambira kuchokera mu chikhodzodzo, imatha kuyambitsa kutupa ndi matenda.
Izi zimadziwika kuti pachimake cholecystitis. Pankhaniyi, mudzafunika kuthandizidwa mwadzidzidzi.
Chiwopsezo chokhala ndi cholecystitis pachimake chifukwa cha miyala yamatsenga ndi 1-3 peresenti.
Zizindikiro zokhudzana ndi pachimake cholecystitis ndi:
- kupweteka kwambiri m'mimba kapenanso pakati mbali yakumanja yammbuyo;
- malungo
- kuzizira;
- kusowa kwa chakudya
- kusanza ndi kusanza.
Muyenera kufunsa dokotala ngati zizindikirozi zikhala zoposa maola 1-2 kapena ngati muli ndi malungo.
Ma gallstalline osatulutsidwa amatha kuyambitsa zovuta zina, monga jaundice; cholecystitis; cholangitis; sepsis kutupa kwa kapamba; khansa ya chikhodzodzo.
Zambiri zowopsa pakupanga miyala ndizokhudzana ndi zakudya, pomwe zinthu zina nthawi zambiri zimakhala zosagwirizana. Ziwopsezo zosalamulirika zimaphatikizapo zofunikira monga zaka, mtundu, jenda, ndi mbiri yabanja zomwe sizingasinthidwe.
Ngakhale kuti mankhwalawa atha kuwonjezera mwayi wopanga miyala, simuyenera kusiya kumwa, pokhapokha atakhala kuti ndi adokotala.
Njira zopezera matendawa
Dokotala amayeserera thupi, zomwe zimaphatikizapo kuyang'ana maso ndi khungu kuti lisinthe maonekedwe.
Mtundu wachikasu ukhoza kukhala chizindikiro cha jaundice, zotsatira za bilirubin yambiri mthupi.
Pankhaniyi, ndikofunikira kuyambitsa matenda mwachangu. Kuunikiraku kungaphatikizepo kuyesedwa kwa matenda omwe angathandize adokotala kupeza miyala. Mayesowa ndi monga:
- Ultrasound Iyi ndi njira yomwe mungakonde kutsimikizira yomwe imatsimikizira kupezeka kwa matenda a ndulu. Itha kuwona zovuta zomwe zimagwirizana ndi pachimake cholecystitis.
- X-ray yam'mimba. Amatenga zithunzi za chiwindi ndi m'mimba.
- Radionuclide kujambulidwa kwa ndulu. Kulemba uku kumatenga pafupifupi ola limodzi. Katswiri wovulaza amaponya jakisoni kena mu mitsempha. Thupi limadutsa magazi kupita ku chiwindi ndi chikhodzodzo. Mukasanthula, zimatha kuwonetsa umboni wa matenda kapena kufalikira kwa ndulu za bile.
- Kuyesa kwa magazi. Dokotala wanu atha kuyitanitsa kuyezetsa magazi komwe kumayeza kuchuluka kwa bilirubin mu plasma yanu. Kuyesera kumathandizanso kudziwa momwe chiwindi chikugwirira ntchito.
- Endoscopic retrograde cholangiopancreatography. Iyi ndi njira yomwe imagwiritsa ntchito kamera ndi ma x-ray kuti aphunzire mavuto mumtsempha wa bile ndi kapamba.
Njira yotsirizayi imalola adokotala kuti azindikire ma gallstones omwe amangidwa mu duct ya bile.
Khalidwe la Gallstone
Kodi miyala yamtengo wapatali imathandizidwa bwanji? Nthawi zambiri, chithandizo cha ma gallstones sichingakhale chofunikira ngati sichikupweteka. Ngati ululu ulipo, dokotalayo angalimbikitse opereshoni.
Nthawi zina, mankhwalawa angagwiritsidwe ntchito. Ngati chiwopsezo chachikulu chikachitika atachitidwa opaleshoni, chubu chamadzimadzi chitha kuyikidwa m'ndulu kudzera pakhungu. Opaleshoniyo imachedwetsedwa mpaka chiwopsezo chimachepetsedwa pochiza matenda ena.
Pamaso pa gallstones komanso kusowa kwa zizindikiro, ndikulimbikitsidwa kuti musinthe zina ndi zina pa moyo wanu.
Malangizo azaumoyo a Gallbladder:
- kukhala ndi thanzi labwino;
- Pewani kuwonda msanga;
- odana ndi yotupa;
- kulimbitsa thupi pafupipafupi;
- Dr. Dr. adavomereza zowonjezera pazakudya. Zakudya zina zopatsa thanzi zomwe mungatenge ndizophatikiza vitamini C, iron, lecithin. Kafukufuku wina adapeza kuti vitamini C ndi lecithin amatha kuchepetsa chiopsezo cha ma gallstones. Ndiwopindulanso kudya alpha lipoic acid.
Ndikofunika kufunsa dokotala kuti mupeze mulingo woyenera wa zowonjezera izi. Pali kuthekera kwa kuchotsedwa kwa ndulu ndi njira ya laparoscopic. Ichi ndi ntchito wamba yomwe imafuna opaleshoni yonkitsa.
Dokotalayo nthawi zambiri amapanga 3 kapena 4 mimbayo. Kenako amaika chida chaching'ono chowunikira ndikuchotsa ndulu mosamala. Nthawi zambiri wodwalayo amabwerera kunyumba tsiku lotsatira kapena tsiku lotsatira chifukwa chodandaula.
Kuchotsa ndulu kumalumikizidwa ndi kusintha kwa bile kuchokera chiwindi kupita kumtumbo laling'ono. Bile sichidutsanso mu ndulu, ndipo imakhala yokhazikika.
Zotsatira zake zimakhala zovuta zamatsenga zomwe zimayambitsa matenda otsegula m'mimba. Kuti mupewe izi, muyenera kutsatira zakudya zapadera kuti bile yochepa ipangidwe. Mankhwala othandizira calculi nthawi zambiri sagwiritsidwa ntchito, chifukwa njira za laparoscopic ndi robotic zimapangitsa opaleshoni kukhala yangozi kwambiri kuposa kale. Komabe, ngati opaleshoni safunikira, dokotalayo amatha kukupatsani mankhwala a Ursodiol, omwe ndi mankhwala osungunula matendawa omwe amayambitsidwa ndi cholesterol. Nthawi zambiri amatengedwa kawiri mpaka 4 pa tsiku.
Mankhwala amatha kutenga zaka zingapo kuti athetse ma gallstones, koma mwatsoka ma gallstones amatha kupezekanso ngati chithandizo chikuyimitsidwa.
Kugwiritsa ntchito njira zopewera
Kodi odwala ayenera kuyembekeza chiyani pambuyo pake?
Ngati wodwala watchulidwa kuti amuchotsetse ndulu kapena mwala uliwonse mu ndulu, matendawo amapezeka bwino.
Nthawi zambiri, mapangidwe a miyala samachitika mtsogolo.
Kuti muchepetse vutoli ndikuchepetsa chiwopsezo chamiyala, muyenera kutsatira malangizowa:
- kuchepetsa kudya zamafuta ndipo, ngati kuli kotheka, sankhani zakudya zamafuta ochepa. Pewani zakudya zamafuta, zamafuta ndi zokazinga;
- Pewani zakudya ndi zakumwa zomwe zimadziwika kuti zimayambitsa matenda otsegula m'mimba, kuphatikizapo zakumwa zoziziritsa kukhosi, zamkaka kwambiri zamafuta, komanso zakudya zotsekemera kwambiri.
- mutha kudya zakudya zingapo zingapo patsiku. Zakudya zazing'ono ndizosavuta kugaya;
- kumwa madzi okwanira. Izi ndi pafupifupi magalasi 6 mpaka 8 patsiku.
Komabe muyenera kuchepa thupi pang'onopang'ono. Kuchepetsa thupi mwachangu kumatha kuonjezera ngozi yakukulira ma gallstones ndi mavuto ena azaumoyo Ngati njira zina zikugwiritsidwa ntchito pofuna kuchiritsa miyala, mwachitsanzo, mankhwala, mawonekedwe a cholesterol angabwerenso. Ngakhale muzochitika pomwe wodwala adamwa mankhwala kuti athetse miyala ya gallstones. Zomwezo pamene miyala ya cholesterol ilipo koma osayambitsa zizindikiro safuna chithandizo.
Kuti zisachulukane komanso kuti zisayambitse mavuto, tikulimbikitsidwa kusintha moyo wanu.
Njira zina zochizira ma gallstones
Ndikofunika kudziwa kuti chithandizo cha matendawa ndikuchotsa zizindikiro ziyenera kuchitika moyang'aniridwa ndi dokotala.
Izi ndizofunikira makamaka ngati wodwala ali ndi zovuta.
Izi zikuyenera kukumbukiridwa pakagwiritsidwe ntchito ka njira zina zochiritsira.
Pali njira zambiri zochizira cholesterol gallstones popanda opaleshoni:
- Kuyeretsa ndulu. Pali njira yomwe odwala amatha kuphatikiza mafuta a azitona, msuzi ndi zitsamba kwa masiku awiri kapena kuposerapo. Panthawi imeneyi, sayenera kudya kapena kumwa chilichonse koma osakaniza ndi mafuta. Koma kusakaniza kungakhale koopsa kwa anthu omwe ali ndi matenda ashuga komanso a hypoglycemia. Ndikofunika kuti musavulaze thupi njira zosatsimikizika zamankhwala popanda kuonana ndi dokotala.
- Madzi apulo kapena viniga. Anthu ena amagwiritsa ntchito mankhwalawa kuchiza ma gallstones. Amakhulupirira kuti amatha kusinthanitsa miyala yamtengo wapatali. Komabe, kafukufuku wasayansi wotsimikizira kudzinenera kumeneku kulibe. Kumwa madzi ambiri a zipatso kumatha kuvulaza ngati muli ndi matenda ashuga, hypoglycemia, zilonda zam'mimba komanso zina za matenda am'mimba.
- Mapeyala Chipatsochi chimadzetsa mpumulo mu zowawa ndi zizindikiro zina za matenda a gallstone. Ma pectin omwe amapezeka mumtengowo amathandizira kuti muchepetse miyala ya cholesterol, ndipo iwonso, imatsukidwa mosavuta.
- Mafuta a Castor. Izi zili ndi zinthu zambiri zabwino komanso zochiritsa. Itha kuchepetsa kuchuluka kwa calculi ndikuchotsa ululu. Komanso, mafuta ali ndi zinthu zotsutsa-kutupa. Zimatsimikiziridwa kuti mafuta othandizira a castor ali ndi zotsatira zabwino pamitsempha yamathupi ndi chitetezo cha m'thupi.
- Yoga Amakhulupirira kuti yoga imathandizira kuthetsa zina mwazizindikiro zomwe zimakhudzana ndi ma gallstones, koma palibe umboni wa sayansi wotsimikizira kugwiritsidwa ntchito kwa yoga kuchitira gallstones.
Ngati mutsatira malingaliro onse a dokotala ndikuyamba kukhala ndi moyo wathanzi, mutha kuthana ndi matenda monga kupangika kwa chikhodzodzo. Zithandizanso kupewa kudziwikanso mtsogolo. Muyenera kuyang'anira zakudya zanu nthawi zonse ndikudziwa zakudya zomwe ndizofunikira kwambiri muzakudya zanu.
Ndi miyala iti yomwe imasungunuka mu ndulu yomwe ingasungunuke ikufotokozedwa mu kanema mu nkhaniyi.
