Gallstones

Zvemukati

• Ongororo ye

Matombo ematombo anoumba apo zvinhu zviri munyuchi zvinomarara kuita zvidimbu zvidiki, zvidimbu-zvidimbu mudunduru. Mazhinji ma gallstones anogadzirwa kunyanya akaomesesa cholesterol. Kana yemvura bile ine cholesterol yakawandisa, kana gallbladder haina kupera zvachose kana kazhinji zvakakwana, gallstones inogona kuumba.

Ndiani ari panjodzi?

Vakadzi vane mukana wakapetwa kaviri pane varume kuve nenduru. Iyo yevakadzi kemikari estrogen inokwidza cholesterol mazinga mu bile uye inononoka kufamba kwenduru. Mhedzisiro yacho yakatonyanya kukura mukuzvitakura sezvo esrogen mazinga achikwira. Izvi zvinobatsira kutsanangura kuti nei vakadzi vazhinji vachigadzira nduru kana vaine pamuviri kana mushure mekubata mwana. Saizvozvo, kana ukatora mapiritsi ekudzivirira kuzvara kana menopausal hormone therapy, une mukana wakakura wekugadzira gallstones.

Iwe unogona zvakare kuve uine gallstones kana iwe:

• vane nhoroondo yemhuri yematombo
• vakafuta
• idya chakakora-mafuta, chakazara-cholesterol chikafu
• ndarasikirwa nehuremu hwakawanda nekukurumidza
• vakura kupfuura makumi matanhatu
• maAmerican Indian kana Mexican American
• tora cholesterol-kudzikisa zvinodhaka
• vane chirwere cheshuga

Zviratidzo

Dzimwe nguva gallstones haana zviratidzo uye haadi kurapwa. Asi kana nduru dzichifamba dzichienda mukati mekoto dzinotakura bile kubva mudunduru kana chiropa kuenda kuura hudiki, dzinogona kukonzera nduru "kurwisa." Kurwiswa kunounza marwadzo akatsiga mudumbu repamusoro repasi, pasi pebendekete rerudyi, kana pakati pemapfudzi. Kunyangwe kurwiswa kuchiwanzopfuura apo nduru dzinofambira mberi, dzimwe nguva ibwe rinogona kuiswa mumugwagwa wenyuchi. Nzira yakavharika inogona kukonzera kukuvara kwakanyanya kana hutachiona.

Zviratidzo zvekuvharidzirwa bile duct

Kana iwe uine chero cheizvi zviratidzo zveyakavharwa bile duct, ona chiremba wako ipapo:

* marwadzo anogara anopfuura maawa mashanu

kusvotwa uye kurutsa

* kupindwa nechando

ganda ganda kana maziso

stool-yevara-yevhu

Kurapa

Kana uine maturu asina zviratidzo, haudi kurapwa. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora zvinouraya nduru, chiremba wako angangodaro achikurudzira kuti ubvise nduru yako-kuvhiya kunonzi cholecystectomy.

Kuvhiya

Kuvhiya kubvisa nduru -chinhu chisina kukosha-ndechimwe chekuvhiya kwakajairika kunoitwa kune vanhu vakuru muUnited States.

Zvinenge zvese cholecystectomies zvinoitwa neparaparoscopy. Mushure mekukupa mishonga yekukunyaradza, chiremba anovhiya anoita tudiki-diki mudumbu uye anoisa laparoscope uye diki vhidhiyo kamera. Iyo kamera inotumira mufananidzo wakakura kubva mukati memuviri kune vhidhiyo yekutarisa, ichipa chiremba anovhiya kuona kwepedyo kwenhengo nematishu. Paunenge uchiona chekutarisa, chiremba anovhiya anoshandisa zviridzwa kunyatsoparadzanisa gallbladder kubva pachiropa, bile ducts, uye zvimwe zvimiro. Ipapo chiremba anovhiya dhayeti yecystic uye anobvisa nduru kuburikidza nechimwe chediki diki.

Kudzoreredza mushure mekuvhiyiwa kwepaparoscopic kazhinji kunosanganisira husiku humwe chete muchipatara, uye zvakajairika chiitiko chinogona kutangiswa mushure memazuva mashoma pamba. Nekuti mhasuru dzemudumbu hadzichekwi panguva yekuvhiyiwa kweparoscopic, varwere vane marwadzo mashoma uye matambudziko mashoma pane "kuvhura" kuvhiya, izvo zvinoda kuita 5- kusvika ku8-inch incision mudumbu.

Kana bvunzo dzichiratidza kuti nduru ine kuzvimba kwakakomba, hutachiona, kana vanga kubva kune kumwe kuvhiya, chiremba anovhiya anogona kuvhiya pachena kuti abvise nduru. Mune zvimwe zviitiko, kuvhiyiwa pachena kunorongwa; zvisinei, dzimwe nguva matambudziko aya anowanikwa panguva ye laparoscopy uye chiremba anovhiya anofanirwa kuita incision hombe. Kudzoreredza kubva pakuvhiya kwakashama kunowanzoda mazuva matatu kusvika mashanu muchipatara uye vhiki dzinoverengeka pamba. Kuvhura kwakavhurwa kunodiwa mune angangoita mashanu muzana emabasa enduru.

Dambudziko rinonyanya kuitika mukuvhiya gallbladder kukuvara kune bile ducts. Iyo yakakuvara yakajairika bile duct inogona kudonhedza bile uye inokonzeresa inorwadza uye inogona kutyisa hutachiona. Kukuvara kudiki pane dzimwe nguva kunogona kurapwa pasina kuvhiyiwa. Kukuvara kukuru, zvisinei, kwakanyanya uye kunoda kuvhiyiwa kwakawedzerwa.

Kana maturu aripo mumaburi ducts, chiremba-kazhinji gastroenterologist-anogona kushandisa ERCP kutsvaga nekuabvisa pamberi kana panguva yekuvhiya nduru. Dzimwe nguva, munhu akambove nekorecystectomy anoonekwa aine gallstone mu bile ducts mavhiki, mwedzi, kana kunyangwe makore mushure mekuvhiyiwa. Nzira yeERCP inowanzobudirira kubvisa dombo munyaya idzi.

Kurapa kwekusavhiya

Maitiro ekuvhiya anoshandiswa chete mune akakosha mamiriro - senge apo murwere ane chirwere chakakomba chinodzivirira kuvhiyiwa-uye chete nematombo echolesterol. Matombo anowanzo dzoka mukati memakore mashanu muvarwere vanorapwa pasina kuvhiyiwa.

• Oral kuputsa kurapwa. Mishonga inogadzirwa ne bile acid inoshandiswa kuputsa nduru. Mishonga ursodiol (Actigall) uye chenodiol (Chenix) inoshanda zvakanyanya kumatombo maduku echolesterol. Mwedzi kana makore ekurapwa anogona kudikanwa matombo ese asati apera. Ose madhiragi anogona kukonzera manyoka akapfava, uye chenodiol inogona kusimudza kwenguva yakati mwero wecholesterol yeropa uye enzyme yechiropa transaminase.
  
• Bata dissolution therapy. Iyi yekuedza nzira inosanganisira kubaya mushonga wakananga mugallbladder kunyungudutsa matombo echolesterol. Mushonga-methyl tert-butyl ether-inogona kunyungudutsa mamwe matombo mu1 kusvika kumazuva matatu, asi inokonzera kutsamwa uye mamwe matambudziko akataurwa. Maitiro acho ari kuongororwa nevarwere vane zviratidzo nematombo madiki.

Kudzivirira

Heano mamwe matanho aungatora kubatsira kudzivirira gallstones:

• Chengetedza huremu hune hutano.
• Kana iwe uchida kudzikira uremu, zviite zvishoma-kwete kupfuura ½ kusvika pa2 mapaundi pavhiki.
• Idya chikafu chine mafuta mashoma, chine cholesterol shoma.

Ongororo ye