CL ndi chiyani? Zizindikiro za matendawa ndi mankhwala ake.

State chifukwa maonekedwe a miyala ndulu ndi kapepala biliary, wotchedwa cholelithiasis, cholelithiasis, kapena mu mawonekedwe chidule. Zizindikiro za matenda, makamaka kutchulidwa pa exacerbation. Izi ndi matenda zofala za dongosolo m'mimba. Mu zaka pakati - ndi zaka 40, cholelithiasis, zizindikiro za matenda angathe kuonedwa mu 30% ya amayi ndi 15% amuna. Nthawi zambiri, pamene gallstones anapeza kutupa chikhodzodzo (pafupifupi 35% milandu). Maonekedwe a miyala kugwirizana ndi mkhutu mosalekeza pakati zidulo ya ndulu, lecithin pa dzanja limodzi ndi mankhwala kusungunuka ya ndulu (mafuta m'thupi, bilirubin, calcium carbonate) ndi inayi. Imfa ya mafuta mu matope, ndipo si kusinthasintha waung'ono kwambiri kosamala izi. The chifukwa ndi crystallization wa ya ndulu ndi fallout ake mu matope a. Zimayambitsa owonjezera mafuta m'thupi zambiri. Izi munazipereka, kuchuluka kupanga mafuta m'thupi, kuchepetsa mapangidwe zidulo ya ndulu ndi phospholipids. Kachiwiri mucosa a ndulu ya allocates glycoproteins kuti angathandize kuti machulukitsidwe chosefukira cha ya ndulu ndi mafuta. Wina chigawo chimodzi cha zigawo ya ndulu - bilirubin, gouged wotsimikiza mafuta m'thupi, monga kupanga izo zina zolimbitsa mwala. The kakyulasi chifukwa mavuto pathological: kuchepetsedwa mu mwala chikhodzodzo akhoza kuletsa wa lumen wa ritsa, pa dzanja zina, nthawi zonse akutivutitsa ndi kuvulaza ndi chikhodzodzo khoma, tidzapeza chitukuko cha cholecystitis.

Matenda a matenda gallstone, zizindikiro

madandaulo Chitsanzo cha wodwala, kudziwika miyala chikhodzodzo, monga ulamuliro, mosavuta amakulolani kuika dokotala matenda a cholelithiasis. Zizindikiro ndi matenda matenda yodziwika ndi maonekedwe pa exacerbation colic (aakulu paroxysmal ululu) mu ziyerekezo kwa chikhodzodzo ndi chiwindi. Ululu limatulutsa m'khosi, dzanja lamanja pansi tsamba mapewa. Zonsezi zikhoza limodzi ndi nseru, kulawa zowawa mkamwa ndi kusanza ndi ya ndulu. Pa ululu yaitali, blockage excretory ducts mwala limapezeka kuyabwa ndipo akhoza kuyamba matenda a chikasu ndiyo wa khungu ndi sclera. colic aakulu akhozanso kukopeka ndi zizindikiro za mkwiyo wa peritoneum lapansi.

Nthawi zonse muyenera kudziwa ndendende zimene aliyense twinge kapena exacerbation la matenda, zomwe zimatha maola ochepa, akamwedwa miyeso ndiwofatsa sizithandiza ndi chizindikiro kwa hospitalization mu dipatimenti opaleshoni kudziwa mankhwala njira zina.

Mu kafukufuku, n'zotheka kudziwa ndi palpation ndi chopweteka zikuluzikulu ndulu. Chiwindi ungakhalenso pang'ono zikuluzikulu ndi chopweteka. Zabwino zikusonyeza kuti gallstone zizindikiro (Ortner, Murphy, Kerala, Zakharyin ndi ena).

Popeza GSD ndi ambiri mwa akazi, m'pofunika kukhala padera pa Baibulo ili monga CL ndi mimba. Ngati mkazi wakhala pamaso miyala mimba, kapena pali kutengera za kwa mapangidwe awo (wandiweyani ya ndulu ndi mapindikidwe anaŵerama chikhodzodzo, biliary dyskinesia), mimba ya zingachititse aggravation matendawa. Chiberekero zikuluzikulu amayikanikiza kuwira, motero kuchititsa stagnation wa ya ndulu ndi crystallization ake. Kusunga odwalawo mu exacerbation amachepetsa zotheka ndiwofatsa cupping ndi ntchito wotsatira pambuyo pobereka. Ngati kuukira si anaima, mwamsanga kuchita cholecystectomy ndi ritsa ngalande.

mavuto a cholelithiasis

Zovuta za matenda angakhale chitukuko cha cholecystitis chifukwa choipa chikhodzodzo khoma ndi matenda kutsatira. Choledoch impaction mwala kapena zina kwa chiwindi ritsa amachititsa blockage (choledocholithiasis), ndi makina mtundu matenda a chikasu ndiyo. Izi nayenso amachititsa kutupa ducts lapansi. The Vuto chachikulu kwambiri matenda gallstone ndi chitukuko ya ndulu peritonitis. thandizo anachedwa zingachititse kuti imfa.

chithandizo

CL chithandizo opaleshoni. Ndisonyezeni kuwira kuchotsa. Ngati Miyalayo mu wamba ya ndulu ritsa, iwo anatsegula, concrements kuchotsedwa sutured ndi chatsanulidwa.