The miyala ducts ya ndulu: Zoyambitsa, Zizindikiro ndi Chithandizo

Choledocholithiasis - mawu amene amatanthauza pamaso pa miyala ya ndulu ducts. Monga ulamuliro, kutsekeka ngati kupangidwa mu chikhodzodzo ndulu. Ducts - amene ali machubu yaing'ono kudzera omwe ya ndulu umayenda kuchokera ndulu kwa intestine lapansi. Chiwalo akuimira pyriform chilli pansi chiwindi, mu ngodya chapamwamba lamanja la zonse m'mimba. Childs, miyala chikhodzodzo kapena kukhala omasuka kudutsa thirakiti wamba biliary.

Komabe, zotsatira za maphunziro zowerengera chinapezeka kuti pafupifupi 15% odwala ndi kukhalapo kwa gallstones ndi miyala ducts ya ndulu.

zizindikiro

Choledocholithiasis - indolent matenda amene sakhudzidwa okha mwa njira iliyonse kwa miyezi ndi zaka. Komabe, pa nthawi imene mwala wayamba munakhala mu ritsa, ndipo adziwonetsa kutsekeka, inu kuona zizindikiro kutsatira:

• ululu m'mimba isanafalikire mu mbali chapamwamba lamanja kapena pakati;
• malungo;
• matenda a chikasu ndiyo (chikasu m'maso ndi pakhungu);
• kusafuna kudya;
• kunyansidwa ndi kusanza;
• dongo-akuda chimbudzi.

Stone mu ndulu ritsa zingachititse onse ululu osasamba ndi kulimbikira. Nthawi zina ululu ankaoneka kukhadzikika, kuti mwa ena nthawi zikuchepa kuonjezera. ululu waukulu kungachititse kuti pakufunika kufuna chithandizo. Mawonetseredwe aakulu matenda nthawi zambiri kusokonezedwa ndi matenda a mtima - monga matenda amtima.

zosokonezeka

Mwala ya ndulu ritsa (pamaso pa zizindikiro zomwe mtima anyalanyaza yaitali) kungachititse kuti matenda a thirakiti biliary. Mabakiteriya mofulumira proliferating m'dera la chotupa, akhoza kusuntha mu chiwindi. Zotsatira za matenda amenewa loopsa mwachindunji kwa moyo wa munthu. Kuwonjezera chiwonongeko bakiteriya kumachitika ndi mavuto monga chiwindi matenda enaake holangiolitichesky kapena kapamba.

zifukwa

Pali mitundu iwiri ya miyala: mafuta ndi pigment.

Mafuta Education ndi chikasu mtundu ndipo ambiri. Asayansi akukhulupirira kuti miyala ya mtundu uwu pang'onopang'ono kumanga wa ya ndulu, lomwe lili ndi:

• mafuta kwambiri;
• owonjezera bilirubin;
• osakwanira ya ndulu salt.

madipoziti mafuta yanthanda pa nkhani ya chosakwanira kapena yosowa kwambiri ndulu Ndikudzikhuthula.

Komabe sindikudziwa chifukwa chimene anapanga miyala pigment mu ducts ya ndulu. Malinga anaona madokotala, amapezeka odwala matenda:

• matenda enaake;
• biliary thirakiti matenda opatsirana;
• matenda tinatengera magazi, zikubweretsa kupanga kwambiri a bilirubin chiwindi.

Zina mwa zifukwa

Pachiopsezo mu malo oyamba anthu ndi mbiri ya gallstones ndi pathologies ena amagwirizana ndi kugwira ntchito kwa thupi kubala ya ndulu ndi njira zokhudzana. Komanso, odwala awa Nthawi zambiri miyala ducts ya ndulu pambuyo kuchotsa chikhodzodzo. Gallstones nthawi zina zokwanira chifukwa kusapeza kwambiri ndi ululu amphamvu.

Zinthu zotsatirazi azitaya mafunsidwe a mafuta ndi zotupa inki mu deducing njira:

• kunenepa;
• mkulu-kalori chakudya ndi mafuta zimabwezera otsika mu CHIKWANGWANI machulukitsidwe;
• mimba;
• yaitali positi;
• mofulumira kuwonda;
• kupanda zolimbitsa thupi.

Zina mwa mfundozi n'zosavuta kukonza, kusintha koyenera moyo wanu.

Zochitika zomwe sizingasinthidwe monga:

• zaka: miyala amapezeka okalamba;
• Gender: Women amavutika kwambiri ku matenda;
• mtundu: Asia, Mexico ndi American Indians choledocholithiasis amawapeza zambiri kuposa oimira mitundu ina;
• mbiri banja: malinga asayansi ena, makhalidwe kumtundu mbali yofunika kwambiri mu kukula kwa kutengera za kwa choledocholithiasis.

diagnostics

Ndi zizindikiro zoyenera dokotala ayenera kuonetsetsa pamaso pa miyala thirakiti ambiri biliary. Zolinga matenda anachita imodzi mwa zotsatirazi maphunziro kulingalira:

• transabdominal ultrasound - ndondomeko imene likukhudza mkulu pafupipafupi phokoso mafunde, kulola kuti tione boma la chiwindi, ndulu, ndulu, impso, ndi kapamba;
• m'mimba yopangidwa tomography (X-ray mtanda);
• endoscopic ultrasound (ultrasound kachipangizo aikidwa mu kusintha chubu endoscopic ndi ikuchitika kudzera pakamwa mu kapepala kakuti m'mimba);
• endoscopic retrograde cholangiography - ndondomeko kuti amalola osati kupeza miyala mu ducts ya ndulu, komanso ena pathological zochitika (zotupa, kuchepetsa zigawo);
• Maginito kumveka cholangiopancreatography - Kujambula ya ndulu ndi pancreatic ritsa;
• Percutaneous transgepaticheskaya cholangiogram - X-ray wa ya ndulu ritsa.

Dokotala amathanso tisonyezeni chimodzi kapena zingapo MAGAZI kutsimikizira kukhalapo kapena kusapezeka kwa matenda ndi imodzi onani mtendere wa ntchito kwa chiwindi ndi kapamba. The kafukufuku zotsatirazi Kwalamulidwa zambiri:

• wathunthu magazi;
• bilirubin mayeso;
• Analysis wa michere pancreatic;
• chiwindi ntchito kusanthula.

chithandizo

Miyala kuchokera ya ndulu ritsa ayenera kuchotsedwa kwa mtunda wabwinobwino, ndipo mofulumira ululu. Pofuna kuthetsa kutsekeka, madokotala angakulangizeni imodzi mwa njira zotsatirazi:

• m'zigawo miyala;
• kuswa mafuta ndi pigment mapangidwe mu zidutswa (lithotripsy kugawikana);
• opaleshoni kuchotsa ndulu ndi ductal kutsekeka (cholecystectomy);
• opaleshoni, chomwe mu kung'ambika chiweruzo biliary ritsa kochotsa miyala kapena kuti magawowa ndimeyi awo (sphincterotomy);
• biliary stenting.

njira

Endoscopic biliary sphincterotomy akanali mankhwala ambiri chifukwa choledocholithiasis. Pa njirayi, ndi ya ndulu ritsa occluded anaikidwa chipangizo wapadera mu mawonekedwe a zibaluni kapena mtanga. Mothandizidwa ndi mzimuwo kuthetsa thirakiti kutsekeka. Njira watsimikizira mogwira 85% ya milandu.

Ngati mwala samabwera paokha ndipo adokotala akuganiza kuti endoscopic biliary sphincterotomy sikokwanira, kuikidwa lithotripsy. Mu njirayi, miyala ndi wolapa mutizidutswa tating'ono ting'ono kuti magawowa kuchotsa awo kapena ndime palokha.

Stone mu ndulu ritsa akhale pafupi ndi mawonekedwe womwewo mu thupi. Zikatero, ndi mankhwala ambiri amaona kuchotsa ndulu ya. Pa opaleshoni, dokotala zifotokoza otaya kuonetsetsa mtunda mwake.

Ngati miyala chifukwa ena sangathe kuchotsedwa kwathunthu ndi opaleshoni (komanso ngati mwakhala kupweteka chifukwa cha miyala yatsekera ritsa, koma sindikufuna kuchotsa chikhodzodzo ndulu), adokotala amalangiza biliary stenting. Ndondomeko tichipeza mu unsembe wa machubu ting'onoting'ono anakafika ndimeyi ndipo potero kuthetsa kutsekeka ndi miyala ya ndulu ritsa. Opaleshoni ndi wofatsa mu chikhalidwe ndi amapereka ogwira kupewa milandu choledocholithiasis m'tsogolo. Komanso, stents ali wokhoza kuteteza matenda.

kupewa

Ngati mwadziwa kuti ululu kugwirizana ndi choledocholithiasis, mwina kupweteka - osati kamodzi. Ngakhale kuchotsa ndulu ya sikukutanthauza mankhwala abwino: miyala ya ya ndulu ritsa ayenera analankhula mwachindunji, mwinamwake chiopsezo kukhala mawonetseredwe zizindikiro mmene chikhalidwe cha pathological.

Komabe, nthawi zambiri zikhoza kupewedwa choledocholithiasis. Ndi zokwanira kusintha kakang'ono pa moyo wanu. Ngozi ya matenda kuchepetsa zolimbitsa thupi ndi kuwala kusintha mu chakudya. Madokotala amalangiza zambiri monga kuyenda angathe kuchitidwa kuonetsetsa kuti zakudya zanu ndi masamba ulusi pano lalikulu zedi. Zimalimbikitsa kudya mafuta ndi zofunika kuchepetsa.

Mapa losatha

Mu 2008, angapo odziwika zipatala zachipatala Canada ndi United States ankaphunzira malinga ndi zomwe pafupifupi 14% odwala kachiwiri kumva zizindikiro za pamaso pa miyala ducts ya ndulu mwa zaka khumi ndi zisanu pambuyo zizindikiro loyamba ululu lililonse ndi ndime ya chithandizo choyenera. Nzowonekeratu kuti yochotsera miyala ya ku ya ndulu ritsa si nthawi zonse zichitike chisamaliro chokwanira, monga pali zifukwa zokwanira kukhulupirira kuti matenda kobwereza amagwirizana ndi kuwonjezeka mu mafuta formations yotsalira kukula.

mankhwala wowerengeka

zochiritsira zosagwiritsidwa si kuti njira imene'yi bwino pochita zinthu ndi choledocholithiasis Komabe, malinga ndi akatswiri ena, mankhwala osavuta wowerengeka kukonzekera kunyumba, kuti mulimbitse panopa ya ndulu ndi kupewa kupanga zimabwezera kudzikundikira mafuta.

Mukumva ululu ndipo akuganiza kuti chifukwa - mwala ya ndulu ritsa? Kodi kuchita, ngati ife titembenukira kwa dokotala palibe mwayi? Yesani imodzi mwa njira zimenezi wowerengeka.

mankhwala achilengedwe

• Thirani supuni ya vinyo wosasa apulo cider mu kapu ya madzi apulo ndi chipwirikiti. Kumwa nthawi iliyonse mukumva kupweteka mu ndulu ndipo ducts. Kumatanthauza kupereka zimakhudzanso analgesic pambuyo mphindi 5-15.
• Kuwonjezera supuni anayi a mandimu mu kapu ya madzi. Kumwa osakaniza pa chopanda kanthu m'mimba m'mawa uliwonse. mankhwala kumatenga masabata angapo - mpaka kuwonongedwa kwathunthu kwa miyala thupi.
• Wiritsani kapu ya madzi, kuwonjezera supuni ya tiyi ya wosweka masamba zouma ya peppermint, kuchotsa kuchokera kutentha, pachikuto ndi kusiya kwa mphindi zisanu. Usatong'olere ndi kuwonjezera supuni ya tiyi ya uchi. Kumwa timbewu tiyi ofunda kawiri pa tsiku kwa masabata 4-6, ndi bwino pakati chakudya.
• Konzani masamba kusakaniza. Kuti tichite zimenezi, Finyani madzi a Beet kukhala nkhaka ndi anayi sing'anga-kakulidwe kaloti. Sakanizani ndi kumwa kawiri pa tsiku. Tsatani ndondomeko izi kwa masabata awiri ndipo muona mmene msanga chikhalidwe chanu akubwerera mwakale.

zitsamba

• Ikani supuni ya tiyi ya ufa wa zouma dandelion mizu galasi. Thirani otentha madzi, pachikuto ndi tiyeni tiyime kwa mphindi zisanu. Kupsyinjika, kuwonjezera uchi pang'ono kusintha kukoma. Kumwa tiyi anapanga ku dandelion, kawiri kapena katatu pa tsiku kwa masabata 1-2, kupasuka miyala ducts pambuyo kuchotsa ndulu ya.
• tiyi mankhwala akhoza kukhala ndi zomera zina zothandiza. Kuwonjezera teaspoons awiri marshmallow muzu ndi supuni imodzi Mahonia aquifolium mu makapu anayi a madzi. Wiritsani osakaniza kwa mphindi 15, ndiye kuchotsa kuchokera kutentha. Kuwonjezera teaspoons awiri a zouma masamba dandelion ndi supuni imodzi ya masamba zouma peppermint, ndiye adzapatsa tiyi kwa mphindi 15. Kupsyinjika ndi kumwa tsiku lonse.

Komanso, wachifundo masamba obiriwira wa dandelion angagwiritsidwe ntchito mwachindunji chakudya - mwachitsanzo, steamed kapena anawonjezera kuti saladi atsopano masamba.

Dandelion contraindicated odwala matenda ndi matenda a shuga.