Cholelithiasis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za cholelithiasis
• Zoyambitsa zazikulu
• Momwe mankhwalawa amachitikira
• Zakudya zizikhala bwanji

Cholelithiasis, yomwe imadziwikanso kuti mwala wa ndulu, ndimomwe miyala ing'onoing'ono imapangidwira mkati mwa ndulu chifukwa chakuchulukana kwa bilirubin kapena cholesterol patsamba lino, zomwe zimayambitsa kutsekeka kwa ndulu ya bile ndipo imatha kuwonetsa zizindikilo zina. monga kupweteka m'mimba, kumbuyo, kusanza ndi thukuta kwambiri, mwachitsanzo.

Chithandizo cha cholelithiasis chiyenera kulimbikitsidwa ndi gastroenterologist chifukwa mwina pangafunike kuchitidwa opareshoni kuti achotse miyala ya ndulu, komabe, miyala yaying'ono imatha kuthetsedwa kudzera mwachilengedwe, pambuyo poti dokotala adamuuza, monga madzi akuda a radish. Dziwani zithandizo zapakhomo za mwala wa ndulu.

Zizindikiro za cholelithiasis

Ngakhale nthawi zambiri cholelithiasis samawonetsa zizindikilo, miyala ikamayambitsa kutsekeka kwa ma ducts amatha kuyambitsa zizindikilo monga:

• Kupweteka kapena kuponda mu ndulu;
• Kupweteka m'mimba komwe kumatulukira ku nthiti, kumbuyo kapena m'mimba monse;
• Kumverera kwa malaise wamba;
• Matenda oyenda;
• Kusanza;
• Thukuta.

Zizindikiro zimatha kuyamba pafupifupi theka la ola mpaka ola mutatha kudya kapena mwadzidzidzi, nthawi zina usiku, mosiyanasiyana mwamphamvu komanso nthawi yayitali, kumva ululu kwa masiku angapo.

Kuphatikiza apo, kupweteka kumatha kukhala kovuta kwambiri ndikukhala kwakanthawi, pakakhala zovuta monga kutupa kwa ndulu, ma ducts kapena kapamba, komanso zizindikilo zina monga malungo ndi maso achikaso ndi khungu zitha kuwonekeranso. Dziwani zina mwazinyalala.

Ngati zizindikirazi zikuwoneka, ndikofunikira kuti munthuyo apite kwa gastroenterologist kuti akamuyese, kuti apeze matenda, kudzera pakuwunika kwa ultrasound kapena m'mimba mwa CT scan pomwe zingatheke kuwona ziwalozo, kaya pali ma gallstones , ndi kusintha mankhwala.

Zoyambitsa zazikulu

Cholelithiasis chitha kuchitika chifukwa cha zochitika zina, zazikulu ndizo:

• Cholesterol wambiri: cholesterol mu bile sichingathetsedwe ndipo chimatha kudzikundikira ndikupanga miyala mu ndulu;
• Bilirubin yambiri: zimachitika pakakhala mavuto pachiwindi kapena magazi, zomwe zimabweretsa kupanga bilirubin;
• Bulu wokhazikika kwambiri: zimachitika pomwe nduluyo singathetse zomwe zili mkatimo moyenera, zomwe zimapangitsa kuti ndulu ikhale yolimba kwambiri ndipo imakondera mapangidwe amiyala mu ndulu.

Izi zitha kuchitika chifukwa cha kunenepa kwambiri, kusachita masewera olimbitsa thupi, kudya mafuta kwambiri ndi matenda ashuga, ndipo zimatha kuchitika chifukwa cha matenda a chiwindi kapena kugwiritsa ntchito mapiritsi oletsa kubereka.

Momwe mankhwalawa amachitikira

Nthawi zambiri, cholelithiasis siyimayambitsa zizindikiro ndipo miyala imachotsedwa mwa iwo okha, osasowa chithandizo. Komabe, miyala ikakhala yayikulu kwambiri ndikukhazikika muminyewa ya ndulu, chithandizo cha gastroenterologist chitha kukhala chofunikira, monga kugwiritsa ntchito mafunde owopsa kapena mankhwala amiyala ya ndulu, monga Ursodiol, yomwe imathandizira kuwononga ndi kusungunula mwalawo , kuchotsa izo kudzera ndowe.

Kuchita opaleshoni yochotsa ndulu, yomwe imadziwika kuti sayansi ya cholecystectomy, ndiye mankhwala omwe amapezeka pafupipafupi komanso othandiza, omwe amawonetsedwa pomwe munthuyo ali ndi zizindikilo ndipo, zitha kuchitidwa mwa njira yapakatikati, podulidwa m'mimba, kapena mwa njira ya laparoscopic, pomwe zida zomwe amagwiritsidwa ntchito pochita opareshoni zimalowa m'mimba kudzera m'mabowo ang'onoang'ono opangidwa m'mimba. Pezani njira zamankhwala zomwe zingapezeke pama gallstones.

Zakudya zizikhala bwanji

Chakudya ndi chofunikira kwambiri pochiza cholelithiasis chifukwa kudya zakudya zamafuta kumawonjezera chiopsezo chotenga ndulu. Chifukwa chake, munthuyo ayenera kufunsa katswiri wazakudya kuti athe kulangiza kuti ndi chakudya chiti chabwino, komabe, ndikofunikira kuti chakudyacho chikhale ndi mafuta ochepa, kupewa zakudya zokazinga, masoseji kapena zokhwasula-khwasula.

Onani malangizo pazomwe mungadye komanso zomwe simungadye mukamachiza ndulu muvidiyo yotsatirayi: