Mimba ndi Gallbladder: Kodi Zimakhudzidwa?

Zamkati

• Kodi ndulu imagwira ntchito bwanji?
• Kodi kutenga mimba kungakhudze bwanji kugwira ntchito kwa ndulu?
• Zizindikiro za mavuto a ndulu panthawi yapakati
• Kulankhula ndi dokotala wanu za zizindikiro
• Chithandizo cha mavuto a ndulu panthawi yapakati
• Cholestasis wa mankhwala apakati
• Mankhwala amiyala
• Masitepe otsatira

Chiyambi

Ndulu yanu ikhoza kukhala chiwalo chochepa, koma imatha kubweretsa mavuto akulu mukakhala ndi pakati. Zosintha mukakhala ndi pakati zingakhudze momwe ndulu yanu imagwirira ntchito. Ngati ndulu yanu imakhudzidwa (osati mayi aliyense wapakati), imatha kuyambitsa zizindikilo ndi zovuta zomwe zingakhudze thanzi la mwana wanu.

Kudziwa zizindikirozo kungakuthandizeni kupeza chithandizo chamankhwala chisanafike poipa.

Kodi ndulu imagwira ntchito bwanji?

Ndulu ndi chiwalo chaching'ono chomwe chimafanana ndi peyala. Ili bwino pamunsi panu pachiwindi. Ndulu ndi chiwalo chosungira. Imasunga bile yambiri yomwe chiwindi chimatulutsa yomwe imathandiza thupi kugaya mafuta. Munthu akadya chakudya chamafuta ambiri, ndulu imatulutsa ndulu m'matumbo ang'onoang'ono.

Tsoka ilo, njirayi siyosunthika. Zinthu zowonjezera zimatha kupanga miyala yolimba mu ndulu. Izi zimapangitsa kuti bile isatuluke mu ndulu mosavuta ndipo imatha kuyambitsa mavuto.

Kukhalapo kwa mwala wa ndulu mu ndulu sikuti kumangoteteza kuti ndulu isunthike, komanso kumatha kuyambitsa kutupa. Izi zimadziwika kuti cholecystitis. Ngati imayambitsa kupweteka kwambiri, imatha kukhala yadzidzidzi kuchipatala.

Ndulu yanu yapangidwa kuti ikhale chida chosungira. Ngati sichikuthandizani ndipo chikuyambitsa mavuto ambiri kuposa maubwino, dokotala amatha kuchotsa. Simukusowa ndulu yanu kuti mukhale ndi moyo. Thupi lanu limakwanira kusintha kwam'mimba komwe kumadza ndikachotsedwa kwa ndulu yanu.

Kodi kutenga mimba kungakhudze bwanji kugwira ntchito kwa ndulu?

Amayi amakhala ovuta kuposa amuna kukhala ndi ziboda. Amayi oyembekezera ali pachiwopsezo chachikulu chifukwa matupi awo akupanga estrogen yambiri.

Kuwonjezeka kwa estrogen m'thupi kumatha kubweretsa kuchuluka kwa cholesterol mu bile, komanso kumachepetsa kupindika kwa ndulu. Madokotala amatcha kuti kuchepa kwa ndulu panthawi yoyembekezera. Izi zikutanthauza kuti bile siyithawa ndulu mosavuta.

Cholestasis ya mimba imakhudzidwa ndi chiopsezo chowonjezeka cha zovuta za mimba.

Zitsanzo za mavutowa ndi monga:

• kudutsa meconium (chopondapo) asanabadwe, zomwe zingakhudze kupuma kwa mwana
• kubadwa msanga
• kubala mwana

Zizindikiro za mavuto a ndulu panthawi yapakati

Cholestasis ya mimba imatha kuyambitsa zizindikilo zenizeni. Izi zikuphatikiza:

• kuyabwa kwambiri (chizindikiro chofala kwambiri)
• jaundice, pomwe khungu ndi maso a munthu amatenga kulocha wachikaso chifukwa pali bilirubin yochulukirapo (chinthu chowononga chodula maselo ofiira m'magazi a munthu
• mkodzo wakuda kuposa nthawi zonse

Cholestasis yapakati nthawi zina imakhala yovuta kuti mayi wapakati azindikire. Ndi chifukwa chakuti mimba yake ikukula imatha kupangitsa kuti khungu liziwuma pamene likutambasula. Koma kuyabwa kokhudzana ndi ndulu ndichakuti bile acid yomwe imamangidwa m'magazi imatha kubweretsa kuyabwa kwakukulu.

Miyala yamiyala imatha kuyambitsa zizindikilo zotsatirazi. Kuukira kumeneku kumachitika pambuyo pa chakudya chambiri ndipo kumakhala pafupifupi ola limodzi:

• maonekedwe a jaundiced
• nseru
• kupweteka kumtunda chakumanja kapena chapakati pamimba mwanu momwe ndulu yanu ilili (imatha kupindika, kupweteka, kuzizira, ndi / kapena lakuthwa)

Ngati ululuwo sutha m'maola ochepa, izi zitha kuwonetsa kuti china chake chowopsa chikuchitika ndi ndulu yanu.

Kulankhula ndi dokotala wanu za zizindikiro

Amayi ena apakati amatha kuyamba ziphuphu popanda kudziwa za iwo. Amadziwika kuti "ndulu zopanda phokoso," izi sizikhudza ntchito ya ndulu. Koma miyala yamtengo wapatali yomwe imatseka ngalande zomwe masamba a bile amatha kuyambitsa zomwe zimadziwika kuti "ndulu." Nthawi zina zizindikirozi zimatha pakatha ola limodzi kapena awiri. Nthawi zina amapitilizabe.
Ngati mukukumana ndi zizindikiro zotsatirazi zomwe sizimatha patatha ola limodzi kapena awiri, itanani dokotala wanu ndikupita kuchipatala mwadzidzidzi:

• kuzizira ndi / kapena malungo ochepa
• mkodzo wamtundu wakuda
• maonekedwe a jaundiced
• mipando yoyera
• nseru ndi kusanza
• kupweteka m'mimba komwe kumatenga maola opitilira asanu

Izi ndizizindikiro zomwe mwala wamtengo wapatali wabweretsa kutupa ndi matenda.

Ngati mukumva zomwe mukuganiza kuti mwina ndi ndulu koma zizindikilo zanu zidachoka, ndikofunikira kulumikizana ndi dokotala nthawi yama bizinesi yanthawi zonse.

Dokotala wanu angafune kukuwonani kuti muwonetsetse kuti zonse zili bwino ndi mwana wanu. Tsoka ilo, ngati mwadwalapo ndulu imodzi, mwayi wokhala ndi wina ukuwonjezeka.

Chithandizo cha mavuto a ndulu panthawi yapakati

Cholestasis wa mankhwala apakati

Dokotala amatha kupereka mankhwala otchedwa ursodeoxycholic acid (INN, BAN, AAN) kapena ursodiol (Actigall, Urso) kwa azimayi omwe ali ndi kuyabwa kwakukulu kokhudzana ndi cholestasis ya mimba.

Kunyumba, mutha kulowa m'madzi ofunda (madzi otentha kwambiri amatha kuvulaza mwana wanu) kuti muchepetse kuyabwa pakhungu. Kugwiritsa ntchito ma compress ozizira kungathandizenso kuchepetsa kuyabwa.

Dziwani kuti mankhwala ena omwe mungagwiritse ntchito poyabwa pakhungu, monga antihistamine kapena kirimu wa hydrocortisone, sangakuthandizeni kuyabwa pakhungu. Amathanso kuvulaza mwana wanu. Pakati pa mimba, ndibwino kuzipewa.

Pali chiopsezo chachikulu cha zovuta zapakati pa mimba ndi cholestasis ya mimba, kotero adotolo amatha kupangitsa kuti azigwira ntchito masabata 37 ngati mwanayo akuwoneka kuti alibe thanzi.

Mankhwala amiyala

Ngati mayi akukumana ndi ma gallstones omwe samayambitsa zisonyezo zowopsa komanso kusapeza bwino, dokotala nthawi zambiri amalimbikitsa kuyembekezera mwachidwi. Koma ndulu zomwe zimalepheretsa chikhodzodzo kutheratu kapena kuyambitsa matenda m'thupi zimafunikira kuchitidwa opaleshoni. Kuchita opaleshoni panthawi yoyembekezera si mankhwala omwe amakonda, koma ndizotheka kuti mayi atha kuchotsedwa ndulu yake panthawi yapakati.

Kuchotsa gallbladder ndichithandizo chachiwiri chofala kwambiri chopanda opaleshoni panthawi yapakati. Chofala kwambiri ndi kuchotsa zakumapeto.

Masitepe otsatira

Ngati mukumva cholestasis ya mimba, muli ndi mwayi wokhala ndi vutoli mukadzakhalanso ndi pakati. Kulikonse kuchokera theka mpaka magawo awiri mwa atatu azimayi omwe anali ndi cholestasis of pregnancy asanakhaleko adzakhalanso nako.

Kudya zakudya zopatsa thanzi, zonenepetsa panthawi yomwe muli ndi pakati kumachepetsa chiopsezo chanu chokhala ndi ndulu. Izi zitha kukuthandizani kuti mukhale ndi thanzi labwino. Koma nthawi zonse dokotala wanu adziwe ngati muli ndi zizindikiro zomwe zimakhudza ndulu yanu. Izi zimalola dokotala wanu kupanga mapulani abwino kwa inu ndi mwana wanu.