Zizindikiro zazikulu za mwala wa ndulu
Zamkati
Chizindikiro chachikulu cha mwala wa ndulu ndi biliary colic, womwe ndi kupweteka kwadzidzidzi komanso kwamphamvu kumanja kwamimba. Kawirikawiri ululu uwu umakhala pafupifupi mphindi 30 mpaka 1h mutatha kudya, koma umadutsa pambuyo poti chimbudzi chatha, popeza ndulu salimbikitsidwanso kutulutsa ndulu.
Ndikofunika kuti mwala womwe uli mu ndulu uzindikiridwe mwachangu pogwiritsa ntchito mayeso a kujambula, motero, chithandizo chimayambidwa, chomwe chitha kugwiritsidwa ntchito ndi mankhwala osungunula miyala kapena opaleshoni, kutengera kuchuluka kwa miyala komanso kuchuluka kwake zizindikirozo zimachitika.
Chifukwa chake, ngati mukuganiza kuti mungakhale ndi mwala, sankhani zizindikiro zanu:
- 1. Kupweteka kwambiri kumanja kwa mimba mpaka ola limodzi mutatha kudya
- 2. Thupi pamwamba pa 38º C
- 3. Mtundu wachikaso m'maso kapena pakhungu
- 4. Kutsekula m'mimba
- 5. Kumva kudwala kapena kusanza, makamaka mukatha kudya
- 6. Kutaya njala
Komabe, zizindikirazo zimachitika kangapo, chifukwa chake, ndizotheka kupeza ma gallstones pamayeso wamba, monga ma ultrasound m'mimba. Chifukwa chake, anthu omwe ali pachiwopsezo chachikulu cha miyala ya ndulu ayenera kupanga msonkhano ndi gastroenterologist kuti akhale tcheru ndikuzindikira vuto kuyambira pachiyambi.
Ndulu ndiyomwe imasunga bile, madzi obiriwira omwe amathandiza kugaya mafuta. Panthawi yogaya, bile imadutsa m'mimbamo ya ndulu ndikufika m'matumbo, koma kupezeka kwa miyala kumatha kuletsa njirayi, kuyambitsa kutupa kwa ndulu ndi ululu.
Zitha kuchitika kuti miyalayi ndi yaying'ono ndipo imatha kudutsa m'mabowo a bile mpaka ikafika m'matumbo, pomwe imachotsedwa pamodzi ndi ndowe.
Zomwe mungachite ngati mukukayikira
Ngati zizindikiro zikuwoneka, muyenera kuwona GP kapena gastroenterologist. Ngati ululu ukupitilira kapena ngati pali malungo ndi kusanza kuwonjezera pa ululu, muyenera kupita kuchipinda chadzidzidzi.
Kupezeka kwa mwala mu ndulu nthawi zambiri kumapangidwa ndi ultrasound. Komabe, mayesero apadera monga maginito ojambula zithunzi, scintigraphy kapena computed tomography atha kugwiritsidwa ntchito kuzindikira ngati ndulu yatupa kapena ayi.
Zoyambitsa zazikulu
Miyala ya gallbladder imapangidwa ndimasinthidwe amtundu wa bile, ndipo zina mwazinthu zomwe zingayambitse kusintha kumeneku ndi:
- Zakudya zokhala ndi mafuta ambiri komanso chakudya chosavuta, monga buledi woyera ndi zakumwa zoziziritsa kukhosi;
- Zakudya zopanda fiber, monga zakudya zonse, zipatso ndi ndiwo zamasamba;
- Matenda ashuga;
- Cholesterol wambiri;
- Kupanda zolimbitsa thupi;
- Matenda oopsa;
- Kugwiritsa ntchito ndudu;
- Kugwiritsa ntchito njira zolera kwanthawi yayitali:
- Mbiri ya banja la mwala wa ndulu.
Chifukwa chakusiyana kwama mahomoni, azimayi amatha kukhala ndi ndulu kuposa amuna. Dziwani zambiri pazomwe zimayambitsa ma gallstones.
Momwe mankhwalawa amachitikira
Chithandizo cha mwala wa ndulu chiyenera kutsogozedwa ndi gastroenterologist ndipo chimachitika molingana ndi kukula kwa miyalayo komanso kupezeka kapena kupezeka kwa zizindikilo. Anthu okhala ndi miyala yaying'ono kapena omwe alibe zizindikilo nthawi zambiri amatenga mankhwala kuti athyole miyala, monga Ursodiol, koma zimatha kutenga zaka kuti miyala iwonongeke.
Kumbali inayi, anthu omwe amakhala ndi zizindikilo pafupipafupi amawonetsedwa kuti achita opaleshoni kuti achotse ndulu. Palinso chithandizo ndi mafunde amantha omwe amaswa miyala ya ndulu kukhala miyala yaying'ono, monganso momwe zimachitikira ndi impso. Kuphatikiza apo, wodwalayo ayenera kupewa kudya zakudya zokhala ndi mafuta ambiri, monga zakudya zokazinga kapena nyama yofiira, komanso kuchita masewera olimbitsa thupi pafupipafupi. Onani zambiri za chithandizo cha mwala wa ndulu.
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