Chololithiasis inowanzoongororwa hutachiona, kunyanya kuvanhu vanopfuura makore makumi mana. Gallstone chirwere chinokanganisa zvikuru vakadzi, mune varume inowanikwa ka5-10 kazhinji kazhinji. Kana chirwere chacho chikaonekwa munguva, iwe unogona kubvisa zvigadziro nemaitiro anochengetedza. Muchiitiko chikuru, kurapwa chete kunobatsira kuchabatsira.
Matombo ari mu gallbladder - zvinokonzera
Maitiro ekuumbwa kwezvibvumirano haasati ajekeswa, zvikonzero bedzi zvinowedzera dambudziko rekuitika kwavo zvinowanikwa. Yakawanikwa kuti cholelithiasis inonyanya kuwanikwa muvana, kuwanda kwayo kunowedzera kusvika kune munhu akakura uye akwegura. Chololithiasis inokwana 5-10 dzimwe nguva yakawanda yekufambira mberi muvakadzi, kunyanya mushure mekuberekwa 2-3 kana kupfuura.
Zvimwe zvinokonzera zvinokonzera izvo zvinokonzera maronda emvura:
- propensity to fullness;
- kudya zvokudya zvakapfuma muproteine yemhuka nemafuta;
- kuberekwa kusakanganiswa uye kukanganisa kunokanganisa kusununguka kwebi;
- kurwara, pamwe chete nekuora kwakasimba kwemasero matsvuku eropa;
- mararamiro ehupenyu;
- zvirwere zvinotapukira zvechiropa uye gallbladder;
- kusavapo kwekudya;
- autoimmune conditions;
- hormonal imbalance;
- kushanda pamutambo wepamuviri;
- high cholesterol mumuviri nevamwe.
Mhando yematombo mu gallbladder
Pamberi pekuonekwa kwezvivako zvakasimba, bhaariary sludge inotanga kuumbwa. Iyo yakaoma, seyetty, bile. Mumamiriro ose ehurumende, iri mvura, inenge inenge 95% mvura. Pamusoro pebiliary sludge zvishoma nezvishoma yakaumbwa muhuro yehuro. Vane chimiro chakasiyana, chimiro uye ukuru (kubva pazviyo zvejecha kusvika kunei yei), zvichienderana nemakemikari avo. Mhando yematombo mu bile:
- cholesterol;
- calcareous;
- pigmented;
- kusanganiswa.
Urongwa hwekugadzirisa:
- fibrous;
- crystalline;
- amorphous;
- layered.
Kusiyanisa kwematombo emagetsi mufomu:
- zvinyorwa (zvakagadziriswa);
- spherical;
- mhiri-wakagadzirwa;
- helical;
- ovoid nevamwe.
Cholesterol matombo
Mhando iyi yemakanda yakawanda kupfuura vamwe, inenge 80% yematambudziko. Matombo akadaro muBhuku anowanzoita zvekutsvaira. Uyezve, pigments ne calcium salts (kwete kupfuura 10-15%) inogona kuiswa mune zvakagadzirwa. Cholesterol haina kupera mumvura uye nezvimwe zvinokonzerwa nehupenyu, saka inopararira pamwe chete ne colloidal particles - micelles. Apo zvirongwa zvemagetsi zvinotambudzwa, izvi zvinokonzera zvinoputika kubva mavara emaronda anogadzirwa muhuro yeguru. Pakutanga ivo vashoma mukukura, sejecha, asi zvishoma nezvishoma kukura, vanowanzobatana.
Matombo anoyevedza
Iko rudzi rwekanda hunoumbwa kurwisana nemamiriro ekuvhiringidza maitiro. Matombo anoyevedza ari mumvura - chigumisiro chekuiswa kwe calcium salts kumativi ekuunganidza mabhakitiriya, maduku mashoma echolesterol kana masero epithelial. Inonyanya kuisa causative agent yekuputika ndiyo E. coli. Dzimwe nguva matombo eine mujapu inoumbwa nekuda kwehupachikemia, pamwe nekuwedzera kwe hyperparathyroidism. Uyu ndiwo rudzi rusingadikanwi rwekanda.
Mabwe akavezwa
Chikonzero chekuonekwa kweizvi zvakasiyana-siyana zvekuisa mari yakasiyana-siyana ye hemolytic anemia. Chirwere ichi chinokonzera kukanganisa kwekutengesa bilirubin, zvichiguma nekuumbwa kwematombo akavezwa mujeri. Kazhinji zvinowanzoitikazve, kuwedzera kune mamwe marudzi emakwenzi (cholesterol kana calcareous). Mumamiriro ezvinhu akadaro, matombo muhututi inoumbwa nekuda kwehutachiona hutano. Kuvhiringidza kunogona kukonzera cholelithiasis pachayo, mabhakitiriya kana zvirwere zvehutachiona.
Mixed Stones
Rudzi rwezvipfeko zvinorondedzerwa rwakakoshwa uye hukuru muhukuru. Miti yakawanda yakavhenganiswa mumuronda ndeye chikonzero chekuisa kalmisium munyu mucholesterol uye bilirubin. Kuvapo kwemaitiro akadaro kunoratidza nguva yakareba yekurapa. Conservative therapy yematombo akasiyana-siyana hawanzobudiriri. Kakawanda kazhinji kurapwa kunosanganisira kubvisa chikamu chakakanganiswa pamwe ne calculi.
Matombo mu gallbladder - zviratidzo
Inenge 60-80% yevarwere vane chilelithiasis havanzwi zviratidzo zvehutano mukati mekutanga makore mashanu kubva kune mashanu kusvika pakuberekwa kwayo. Nokuda kwechikonzero ichi, mumatanho ekutanga zvinenge zvisingabviri kuona matshe muB bile - zviratidzo zvisiripo kana kuitika zvakanyanya zvishoma uye nokukurumidza kudarika. Ichi chiitiko chinokonzerwa ne stasis yematombo, kushushikana kusingafadzi kunokonzera chete panguva yekufambisa pamatope.
Dzimwe nguva matombo mumuronda anozviita ivo vanonzwa nevanotevera zvipatara zviratidzo:
- kunyavira mumuromo;
- nausea;
- flatulence ;
- kurutsa ne bile ;
- kukanganisa kwe defecation;
- icterus yeganda nemeso;
- kubata nemhepo;
- malaise;
- kuwedzera kuduku kwekushisa kwemuviri;
- discolored feces;
- kurwisana nekupfira kana kurwadziwa kunorwadza munzvimbo yeropa;
- kuora mwoyo kwechido.
Zvikamu zve cholelithiasis
Kuoma kwezviratidzo izvi kunobva paurefu hwekuwedzera kwehutano uye hutsinye hwahwo. Zvikamu zve cholelithiasis:
- Pre-stone. Iyo bile yakawanda, iyo biliary sludge inoumbwa. Inogona kunge isina inclusions ye calcium salt uye bilirubin, cholesterol precipitate.
- Asymptomatic. Matombo okutanga anoumbwa mu bile ducts uye bladder. Ivo vashoma uye ivo vaduku, saka hapana zviratidzo zvekurwara.
- Progressive. Mhedziso yakakura uye yakawanda, munhu anowanzotambudzwa neliclic. Panguva ino, unogona kubva uchibvisa matombo mu bile pasina kuvhiyiwa, kurapwa kunoitwa nenzira dzakachengetedza.
- Zvakaoma. Chololithiasis yepamusoro-soro, chirongwa choga chokupindira chinonzi. Mhedziso inoguta inenge yese yepakati chemuviri.
Gallstone chirwere - kuongororwa
Nzira huru yekucherechedza chirwere ichi kuita ultrasound. Kana ichiitwa nechiremba ane ruzivo, hapana chikonzero chekuwedzera mamwe mabasa. Mune zvimwe zviitiko, nzira dzebetsero dzinorayirwa, dzinobvumira kufungidzira zvinyorwa mu gallbladder:
- computed tomography;
- kudzorerazve pancreatocholangiorentgenography;
- nyukireya magnetic resonance.
Matombo ari mu gallbladder - chii chaunofanira kuita?
Iko kune maitiro maviri chete ekurapa kwechirethiasisis. Kusarudzwa kwekutarisana kunobva pane izvo zvigadziro, nhamba uye hukuru hwematombo, izvo zvinoumba matombo mujeri - zviratidzo, kurapa kunofananidzwa nechikwata chekurwara. Pamberi pekuonekwa kwezviratidzo zviratidzo zvechirwere, zvinogona kubviswa nenzira dzisingatarisirwi. Mukuvapo kwezvinetso, kupindira kwekuvhiya kunowanzotaurwa.
Dombo mumhepo - chirwere pasina chirwere
Kana pasina kliniki yemifananidzo, chirongwa chekuchengetedza chirongwa chinosarudzwa mumwe nomumwe. Inobatsira kumisa kufambira mberi kwechirwere ichi uye kudzivirira kuoma kwakaoma cholecystitis - kurapa kunopa:
- kudya kwekudya;
- kururamisa kudya;
- kuyerisa kuisa;
- kuita basa.
Mukufananidza, munhu anofanira kushandisa zvinodhaka izvo zvinoparadza matombo mu gallbladder:
- Ursosan ;
- Henofalk;
- Ursofalk;
- Genohol;
- Ursohol;
- Henosan;
- Ursofalk and analogues.
Pakukurira (colic), chirwere chakakodzera chirongwa chinorayirwa:
- Nzara, kusvikira kurutsira kwapera.
- Kushandisa ice kana kuti cold compress kurudyi hypochondrium.
- Kuchengetwa kwemarwadzo ne spasmolytics (No-Shpa, Platifillin, Papaverin) uye analgesics (Maxigan, Ibuprofen, Nimesil).
- Kugamuchira ma antibiotic. Vanosarudzwa chete nachiremba kana pane chirwere.
- Detoxification - Enterosgel, Atoxil.
- Kuwedzereka kwekubviswa kwemvura inobva mumuviri nekubatsira kwe diuretics (Ureit, Lasix nevamwe).
Kana uwandu hwematombo ari muhututi hahupfuuri 2 cm muhupamhi, uye zvigadziro zviduku, zvinotyisa zvinonzi thotripsy zvinokurudzirwa. Iyi inzira yekuputsa zvivakwa zvakasimba kubva kunze, inoshandiswa chete musipo kwekuvhiringidza zvirongwa. Nokunyengedza, chibvumirano chenhengo yakakanganiswa chinofanira kunge chiri mukati mehutano hwakakwana, inenge 75%.
Matombo ari mu gallbladder - operation
Kupindira kwokuvhiya kunonzi cholecystectomy. Inoshandiswa nenzira yeparparoscopic nekushungurudzika kwakanyanya uye nguva pfupi yekuvandudza (kusvika mazuva matatu). Iyi haisi kubviswa kwematombo kubva muB bile, asi kusakoswa kwechirwere kubva mumuviri wemukati pamwe nemakwenzi. Kubudirira kwekuvhiya kwakadaro kunosvika 99%, nzira yacho inoshanda kunyange mumatambudziko akakura echolelithiasis.
Cholecystolithotomy kana kubviswa kwematombo kubva ku-gallbladder zvakasiyana, nekuchengetedzwa kwechirongwa, hazvigamuchirwi. Kuedza kuita sarudzo iyi yekupindira kwokupindira kwakapera muma60. Kuita kwakadaro kune ngozi uye kunotambudza, nemigumisiro yakaipa. Gare gare, kudzokerazve kunowanika, uye munhu achiri kuchiita cholecystectomy.
Kudya nematombo mujeri
Pane imwe nhanho yemakirithiasis, chikamu chinokosha cherapi ndiyo kudya. Kana paine pasina colic uye mabwe maduku asina kuwanikwa mukati meguruva anowanikwa, kurapwa kunofunga kutarisana ne Pevzner Diet # 5. Tora zvingwa 4-6 pazuva, nguva dzose. Pamusoro pekusina mudzimba isina chinhu inokurudzirwa kunwa mvura yakachena yakachena. Mune nguva ye colic, kutsanya kwenguva pfupi kunorongedzerwa nekuchinja zvishoma nezvishoma kune kudya nhamba 5a. Zvokudya zvakafanana zvinowanikwa apo kuverenga cholecystitis kunowedzera nekuputika. Chikafu chakakodzera chinofanira kuva chepenyu hwose, pasina kusarura.