Mlembi: Peter Berry
Tsiku La Chilengedwe: 20 Kulayi 2021
Sinthani Tsiku: 19 Novembala 2024
Anonim
Kuzindikira Mavuto a Gallbladder ndi Zizindikiro Zawo - Thanzi
Kuzindikira Mavuto a Gallbladder ndi Zizindikiro Zawo - Thanzi

Zamkati

Kumvetsetsa ndulu

Ndulu yanu ndi chiwalo chokhala ngati mainchesi inayi. Imaikidwa pansi pa chiwindi chanu m'chigawo chakumanja chakumimba pamimba panu.

Ndulu imasunga bile, kuphatikiza madzi, mafuta, ndi cholesterol. Kuphika kumathandizira kuthyola mafuta kuchokera pachakudya m'matumbo mwanu. Nduluyo imapereka ndulu m'matumbo ang'onoang'ono. Izi zimapangitsa mavitamini ndi mavitamini osungunuka mafuta kuti azilowerera mosavuta m'magazi.

Zizindikiro za vuto la ndulu

Mikhalidwe ya gallbladder imagawana zofananira. Izi zikuphatikiza:

Ululu

Chizindikiro chofala kwambiri cha vuto la ndulu ndikumva kuwawa. Kupweteka kumeneku kumachitika pakatikati mpaka kumanja chakumimba pamimba.

Itha kukhala yofatsa komanso yopumira, kapena itha kukhala yayikulu komanso pafupipafupi. Nthawi zina, kupweteka kumatha kuyamba kuwonekera mbali zina za thupi, kuphatikiza kumbuyo ndi pachifuwa.

Nseru kapena kusanza

Nsautso ndi kusanza ndizizindikiro za mitundu yonse yamavuto a ndulu. Komabe, matenda okhaokha a ndulu angayambitse mavuto am'mimba, monga acid reflux ndi gasi.


Malungo kapena kuzizira

Kuzizira kapena malungo osadziwika kumatha kuwonetsa kuti muli ndi matenda. Ngati muli ndi matenda, muyenera kulandira chithandizo chisanafike poipa ndipo chimakhala chowopsa. Matendawa amatha kupha munthu ngati atafalikira mbali zina za thupi.

Kutsekula m'mimba

Kukhala ndi matumbo opitilira anayi patsiku kwa miyezi yosachepera itatu kungakhale chizindikiro cha matenda osatha a ndulu.

Jaundice

Khungu loyera wachikaso, kapena jaundice, limatha kukhala chizindikiro chotseka kapena mwala mumtambo wamba wa bile. Njira yodziwika bwino ya bile ndiyo njira yomwe imachokera ku ndulu kupita m'matumbo ang'onoang'ono.

Zojambula zachilendo kapena mkodzo

Malo opepuka ndi mkodzo wamdima ndizotheka kukhala chizindikiro cha njira yodziwika ya ndulu.

Mavuto omwe angakhalepo a ndulu

Matenda aliwonse omwe amakhudza ndulu yanu amawerengedwa kuti ndi matenda a ndulu. Zinthu zotsatirazi ndi matenda a ndulu.

Kutupa kwa ndulu

Kutupa kwa ndulu kumatchedwa cholecystitis. Itha kukhala yovuta (kwakanthawi kochepa), kapena yayitali (yayitali).


Kutupa kwanthawi yayitali kumachitika chifukwa cha zovuta zingapo za cholecystitis. Kutupa kumatha kuwononga ndulu, kupangitsa kuti isagwire bwino ntchito.

Miyala

Miyala yamiyala ndi yaying'ono, yolimba yomwe imapanga ndulu. Madipozitiwa amatha kukhala osadziwika kwa zaka zambiri.

M'malo mwake, anthu ambiri ali ndi ndulu ndipo samazizindikira. Pambuyo pake zimayambitsa mavuto, kuphatikiza kutupa, matenda, komanso kupweteka. Miyala yamtengo wapatali imayambitsa cholecystitis yovuta.

Miyala yamiyala nthawi zambiri imakhala yaying'ono kwambiri, yopitilira mamilimita ochepa. Komabe, amatha kukula mpaka masentimita angapo. Anthu ena amapanga mwala umodzi wokha, pomwe ena amatukuka kangapo. Pamene ma gallstones amakula kukula, amatha kuyamba kutseka njira zomwe zimatuluka mu ndulu.

Ma gallstones ambiri amapangidwa kuchokera ku cholesterol yomwe imapezeka mu ndulu ya ndulu. Mtundu wina wa gallstone, mwala wa pigment, umapangidwa kuchokera ku calcium bilirubinate. Calcium bilirubinate ndi mankhwala omwe amapangidwa thupi likawononga maselo ofiira. Mwala wamtunduwu ndi wosowa.


Onani chithunzi ichi cha 3-D kuti mudziwe zambiri za ndulu ndi miyala yamtengo wapatali.

Ma miyala amtundu wa bile (choledocholithiasis)

Pamene ma gallstones amapezeka mumtambo wamba wa bile, amadziwika kuti choledocholithiasis. Bile amachotsedwa pa ndulu, amadutsa mumachubu zazing'ono, ndikuyika mumchira wamba wa bile. Kenako imalowa m'matumbo ang'onoang'ono.

Nthaŵi zambiri, miyala yodziwika bwino ya bile imakhala miyala yamtengo wapatali yomwe imapezeka mu ndulu ndiyeno imadutsa mumtsinje wa bile. Mwala wamtunduwu umatchedwa mwala wachiwiri wamba wa bile, kapena mwala wachiwiri.

Nthawi zina miyala imapangidwa mumtsinje wamba wa bile. Miyala iyi amatchedwa miyala yoyamba ya bile, kapena miyala yoyamba. Mwala wosowa uwu umatha kuyambitsa matenda kuposa mwala wachiwiri.

Matenda a gallbladder opanda miyala

Miyala yamiyala siyimayambitsa vuto lililonse la ndulu. Matenda a gallbladder opanda miyala, omwe amatchedwanso kuti acalculous gallbladder matenda, amatha kuchitika. Poterepa, mutha kukhala ndi zisonyezo zomwe zimakhudzana ndimiyala popanda kukhala ndi miyala.

Matenda wamba amtundu wa bile

Matendawa amatha kukula ngati njira yodziwika ya bile isokonezedwa. Chithandizo cha matendawa chimayenda bwino ngati matendawa amapezeka msanga. Ngati sichoncho, matendawa amatha kufalikira ndikupha.

Kutupa kwa ndulu

Anthu ochepa omwe ali ndi ndulu amathanso kuyamba mafinya mu ndulu. Matendawa amatchedwa empyema.

Mafinya ndi kuphatikiza kwa maselo oyera amwazi, mabakiteriya, ndi minofu yakufa. Kukula kwa mafinya, omwe amadziwikanso kuti abscess, kumabweretsa ululu wam'mimba. Ngati matenda a empyema sakupezeka ndikuthandizidwa, atha kukhala owopsa chifukwa matendawa amafalikira mbali zina za thupi.

Mwala wamtengo wapatali

Mwala wamtengo wapatali umatha kulowa m'matumbo ndikutchingira. Matendawa, omwe amadziwika kuti gallstone ileus, ndi osowa koma amatha kupha. Ndizofala kwambiri pakati pa anthu omwe ali ndi zaka zopitilira 65.

Ndulu ya Perforated

Ngati mudikira motalika kwambiri kuti mupeze chithandizo, miyala yamtengo wapatali imatha kubweretsa ndulu yoboola. Izi ndizowopsa moyo. Ngati misoziyo sikupezeka, matenda owopsa, ofala m'mimba amatha.

Tizilombo toyambitsa matenda

Ma polyps ndimatenda osazolowereka. Kukula kumeneku kumakhala kowopsa, kapena kosagwiritsa ntchito khansa. Tizilombo tating'onoting'ono tating'onoting'ono tomwe sitiyenera kuchotsedwa. Nthawi zambiri, sizimayika pachiwopsezo chilichonse kwa inu kapena ndulu yanu.

Komabe, ma polyps akuluakulu angafunikire kuchotsedwa opaleshoni asanakhale khansa kapena kuyambitsa mavuto ena.

Ndulu ya porcelain

Ndulu yathanzi ili ndi makoma olimba kwambiri. Popita nthawi, calcium ikatha imatha kuumitsa makoma a ndulu, kuwapangitsa kukhala olimba. Matendawa amatchedwa ndulu ya porcelain.

Ngati muli ndi vutoli, muli pachiwopsezo chachikulu chotenga khansa ya ndulu.

Khansara ya gallbladder

Khansara ya gallbladder ndiyosowa. Ngati sichikupezeka ndikuchiritsidwa, imatha kufalikira kupitirira ndulu mwachangu.

Chithandizo cha vuto la ndulu

Chithandizo chimadalira vuto lanu la ndulu ndipo chingaphatikizepo:

  • mankhwala owonjezera owerengera (OTC), monga ibuprofen (Aleve, Motrin)
  • Mankhwala opweteka, monga hydrocodone ndi morphine (Duramorph, Kadian)
  • Njira yotchedwa lithotripsy, njira yomwe imagwiritsa ntchito mafunde oopsa kuti athyole ma gallstones ndi magulu ena
  • opaleshoni kuchotsa ndulu
  • opaleshoni kuchotsa ndulu yonse

Si milandu yonse yomwe ingafune chithandizo chamankhwala. Muthanso kupeza mpumulo wopweteka ndi mankhwala achilengedwe, monga masewera olimbitsa thupi komanso kupanikizika koopsa.

Zakudya za ndulu

Ngati mukukumana ndi mavuto a ndulu, mwina mungaone kuti ndi bwino kusintha zakudya. Zakudya zomwe zingawonjezere matenda a ndulu ndi awa:

  • zakudya zokhala ndi mafuta ambiri komanso mafuta ena osapatsa thanzi
  • zakudya zopangidwa
  • Zakudya zabwino zoyera, monga mkate woyera ndi shuga

M'malo mwake, yesetsani kupanga zakudya zanu mozungulira:

  • zipatso ndi ndiwo zamasamba
  • zakudya zokhala ndi calcium, monga mkaka wopanda mafuta ambiri komanso masamba obiriwira
  • zakudya zokhala ndi vitamini C, monga zipatso
  • mapuloteni obzala mbewu, monga tofu, nyemba ndi mphodza
  • mafuta athanzi, monga mtedza ndi nsomba
  • khofi, yomwe imachepetsa chiopsezo chanu cha ndulu ndi matenda ena am'mimba

Nthawi yoti muwonane ndi dokotala

Zizindikiro za vuto la ndulu zimatha kubwera ndikupita. Komabe, mumakhala ndi vuto la ndulu ngati mudakhalapo kale.

Ngakhale mavuto a ndulu sakhala owopsa kawirikawiri, amayenera kuthandizidwabe. Mutha kupewa mavuto a ndulu kuti asawonjezeke ngati mutachitapo kanthu kukaonana ndi dokotala. Zizindikiro zomwe zimakupangitsani kuti mupite kuchipatala mwachangu ndi izi:

  • kupweteka m'mimba komwe kumatha pafupifupi maola 5
  • jaundice
  • mipando yotumbululuka
  • thukuta, malungo otsika, kapena kuzizira, ngati atsagana ndi zizindikiro zomwe zili pamwambapa

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