Amatshe ku Amapayipi Bile: Izimbangela, Izimpawu kanye Ukwelashwa

Choledocholithiasis - igama lisho khona amatshe e-Bile mapayipi. Njengomthetho, isimiso esinjalo kwakhiwa esinyeni nenyongo. Amapayipi - okuyizinto amashubhu ezincane lapho Bile ogeleza usuka gallbladder ukuba amathumbu. Isitho limelela pyriform inhlangano ngaphansi isibindi, ekhoneni eliphezulu kwesokudla komgodi ongaphakathi kwamathumbu. Ngokuvamile, amatshe esinyeni noma ahlale amahhala ukuba adabule ezivamile pheshana biliary.

Noma kunjalo, imiphumela izifundo imininingwane kwatholakala ukuthi cishe 15% eziguli nokuba khona amatshe atholakala enyongweni futhi amatshe e-Amapayipi Bile.

izimpawu

Choledocholithiasis - isifo indolent ezingeke bazikhulumele nganoma iyiphi indlela izinyanga noma ngisho neminyaka. Nokho, ezimweni lapho itshe ubhajwe e uvule imbobo, futhi uguqulwa abe isimiso, ubhekana izimpawu olandelayo:

• ubuhlungu besisu isebenze ohlangothini engenhla kwesokudla noma phakathi;
• umkhuhlane;
• jaundice (yellowing amehlo isikhumba);
• ukungakuthandi ukudla;
• isicanucanu nokuhlanza;
• izigqiki ubumba-ezinemibala.

Itshe imbobo nenyongo sesinye kungabangela kokubili ubuhlungu okungamukelekile eziphikelelayo. Ngezinye izikhathi, kuba buhlungu kwakubonakala ukuzola, ukuthi ngokusebenzisa ezinye inkathi ukwandisa kakhulu. ubuhlungu olunamandla kungaholela esidingweni esiphuthumayo usizo. I ukubonakaliswa olunzima kuphazamiseka zivame kudidaniswe ngezimpawu zesifo senhliziyo - ezifana yinhliziyo.

yezinkinga

Itshe imbobo Bile (khona izimpawu zazo isiguli engayinaki eside) kungaholela isifo ipheshana biliary. Ama-bacterium ngokushesha proliferating endaweni ye lesion, Ungahambisa esibindini. Imiphumela izifo ezifana iwusongo oqondile ekuphileni komuntu. Ngaphezu kwalokho ekubhujisweni webhaktheriya kungenzeka kanye nezinkinga ezifana isibindi sibe sesomile holangiolitichesky noma pancreatitis.

izizathu

Kunezinhlobo ezimbili zama-zamatshe: cholesterol kanye sombala.

Cholesterol Ezemfundo abe nombala aphuzi futhi ezivamile. Ososayensi bakholelwa ukuthi amatshe yalolu hlobo kancane kancane ka Bile, equkethe:

• cholesterol kakhulu;
• bilirubin ngokweqile;
• enganele Bile nosawoti.

kuphakama Cholesterol ezifakwa esimweni i lingaphelele noma ezingavamile kakhulu gallbladder bethulula.

Namanje asilwazi ngasiphi isizathu akhiwa sombala amatshe e-Amapayipi Bile. Ngokwe kugcinwa odokotela, ziseZwini iziguli:

• isifo sokusha;
• ipheshana biliary izifo ezithathelwanayo;
• ngofuzo zegazi ezibangelwa, okuholela ukukhiqizwa ngokweqile isibindi bilirubin.

engcupheni

Engozini kwasekuqaleni abantu abanomlando of amatshe atholakala enyongweni nezinye pathologies ezihambisana ukusebenza emzimbeni esikhiqiza Bile futhi izindlela ezihlobene. Ngaphezu kwalokho, lezi iziguli kaningi ayethola amatshe e-Amapayipi Bile emva kokukhipha esinyeni. Amatshe atholakala enyongweni ngezinye izikhathi ngokwanele ukuba ibakhathaze abalulekile kanye ubuhlungu eqinile.

Lezi zinto ezilandelayo kwandisa ingozi yokungenwa sebethule cholesterol kanye izilonda esikhunjeni e deducing izindlela:

• ukukhuluphala;
• ukudla okwakha ngamafutha ngokweqile futhi ongaphakeme fibre ukugcwaliswa;
• ukhulelwe;
• iposi eside;
• okusheshayo kwesisindo;
• nokungawuvivinyi umzimba.

Ezinye zalezi zici okulula kakhulu ukulungisa, okwenza ushintsho olufanele indlela yakho yokuphila.

Izimo lapho ayikwazi ukushintshwa zihlanganisa:

• yobudala: amatshe ngokuvamile atholakala okhulileko;
• Ubulili: Abesifazane maningi amathuba okuthi yilesi sifo;
• ubuzwe: Asians, baseMexico kanye wamaNdiya aseMelika choledocholithiasis sitholakale kaningi ngaphezu abamele bezinye izizwe;
• umlando womndeni: ngokusho kwabanye ososayensi, izici zofuzo ingase ukudlala indima ebalulekile ekuthuthukiseni nezici ezithile ukuze choledocholithiasis.

ukuhlola

Nge izimpawu ezifanele udokotela uzodinga uqiniseke ebukhoneni amatshe e-jikelele ipheshana biliary. Ngezinhloso zokuxilonga, kwenziwe omunye izifundo imaging ezilandelayo:

• ultrasound transabdominal - inqubo lapho osebenza imvamisa high amaza omsindo, okuvumela ukuba sihlole isimo isibindi, gallbladder, ubende, izinso, kanye amanyikwe;
• besisu computed tomography (-X-ray khala);
• ultrasound endoscopic (ultrasound inzwa ibekwa ngamapayipi nezimo endoscopic futhi wenziwa ngomlomo ku ipheshana wokugaya ukudla);
• endoscopic cholangiography retrograde - inqubo elikuvumela ukuba hhayi kuphela ukuthola amatshe e-Amapayipi Bile, kodwa futhi nezinye izenzakalo sokugembula (izimila, olugcwele izigaba);
• Magnetic resonance cholangiopancreatography - MRI we gallbladder futhi imbobo pancreatic;
• Percutaneous transgepaticheskaya cholangiogram --X-ray of the imbobo Bile.

Udokotela angase futhi akhethe yinye nofana ukuhlolwa kwegazi ukuqinisekisa ukuba khona noma ukungabi ukutheleleka futhi kanyekanye uhlole ukuzinza ukusebenza pancreas. Ucwaningo elandelayo ezinqunyiwe avame:

• ephelele kakhulu segazi;
• ukuhlolwa bilirubin;
• Ukuhlaziya enzyme pancreatic;
• kokusebenza kwesibindi ukuhlaziywa.

ukwelashwa

Amatshe kusukela imbobo Bile kumelwe kususwe i sezwe evamile, futhi ukunyamalala ubuhlungu. Ukuze kuqedwe isimiso, odokotela ingagunyaza omunye le nqubo elandelayo:

• isizinda amatshe;
• breaking cholesterol kanye sombala kumiswa ku zezingxenye ezithile (kwehlukana lithotripsy);
• ukuhlinzwa ukhishwe gallbladder futhi ductal isimiso (cholecystectomy);
• ukuhlinzwa, esakhiwa ngo asike izidumbu zabantu we imbobo Imininingwane biliary zokususa amatshe noma lula ndima zabo (sphincterotomy);
• stenting biliary.

izinqubo

Endoscopic sphincterotomy biliary uhlala ukuphathwa ezijwayeleke kakhulu choledocholithiasis. Phakathi nale nqubo, i imbobo Bile occluded wabekwa idivayisi ekhethekile ngesimo ibhaluni noma kubhasikidi wakhe. Ngosizo lwawo ukuqeda ipheshana isimiso. Le ndlela ikufakazele ngempumelelo e-85% amacala.

Uma itshe engenzi uphume bebodwa kanye nodokotela esola ukuthi endoscopic sphincterotomy biliary akwanele, amiswe lithotripsy. Kulesi inqubo, amatshe kugaywa ku izingcezu ezincane ukuze kube lula ukususwa kwabo noma indima ezimele.

Itshe nenyongo sesinye imbobo kungenzeka ezincikene ngendlela efanayo emzimbeni. Ezimweni ezinjalo, ukuphathwa ngempumelelo kakhulu kubhekwa ekususweni gallbladder. Phakathi ukuhlinzwa, udokotela zizodingida ukugeleza ukuqinisekisa sezwe salo esivamile.

Uma amatshe ngasizathu simbe ayikwazi ukususwa ngokuphelele ukuhlinzwa (kanye uma ziye abaphethwe nobuhlungu obubangelwa avimbekile imbobo amatshe, kodwa ungafuni ukhishwe isinye nenyongo), udokotela uyoncoma stenting biliary. Inqubo esakhiwa ngo ukufakwa amashubhu amancane kuyoshaya ndima futhi kanjalo ukuqeda isimiso namatshe e uvule imbobo Bile. Ukusebenza umnene endalweni bese inikeza zokuvimbela ephumelelayo amacala choledocholithiasis esikhathini esizayo. Ngaphezu kwalokho, stents ziyakwazi ukuvikela kanye nezifo ezithathelwanayo.

zokuvimbela

Uma uma abuzwe ubuhlungu elihlobene ne choledocholithiasis, kungenzeka ubuhlungu futhi - hhayi kanye. Ngisho ekususweni gallbladder ayimeleli ukwelashwa okungcono: amatshe imbobo Bile kumele ziqondiswe ngqo, kungenjalo ingozi ukuhlala ukubonakaliswa izimpawu ejwayelekile ye isimo sokugembula.

Nokho, ezimweni eziningi singanqandeka choledocholithiasis. Kuyinto alwanele ukuletha izinguquko ezincane indlela yakho yokuphila. Ingozi yesifo kakhulu ukunciphisa umsebenzi nokukhanya ngokulinganisela izinguquko ekudleni. Odokotela luleka ngokuvamile okuningi okufana nokuhamba engenziwa ukuqinisekisa ukuthi ukudla okudlayo Imicu yotshani yemifino samanje in inqwaba. Elihlale fat edonsa efiselekayo ukunciphisa.

imiphumela yesikhathi eside ezayo umhlahlo

Ngo-2008, eziningana owaziwa imitholampilo yezempilo eCanada nase-United States benza ucwaningo owawuthi mayelana 14% eziguli kabusha uzizwe izimpawu khona amatshe e-Amapayipi Bile ngaphakathi iminyaka eyishumi nanhlanu emva izimpawu wokuqala ubuhlungu ejwayelekile futhi ukudlula ukwelashwa okufanele. Kusobala ukuthi ukususwa amatshe kusukela imbobo Bile akuyona njalo kwenziwe ngokunakekela okwanele, njengoba kukhona isizathu sokukholelwa ukuthi isifo yansukuzonke lihlotshaniswa ukwanda cholesterol zokwakheka asalile ngosayizi.

amakhambi abantu

Imithi engamakhambi njengenkulumo ukuba izindlela eziphumelelayo kakhulu Nokho ekubhekaneni choledocholithiasis, ngokusho kwezinye izincwadi, ochwepheshe, imithi elula abantu uzilungiselele ekhaya, bakwazi ukuqinisa samanje Bile futhi kuvimbele ukukhiqizwa ngokweqile futhi ekuqongeleleni cholesterol.

Uzizwa ubuhlungu futhi usola ukuthi imbangela - kwetshe imbobo Bile? Okufanele ukwenze uma siphendukela udokotela akukho ithuba? Zama eyodwa yalezi zindlela abantu.

imikhiqizo yemvelo

• Thela isipuni apple cider uviniga e ingilazi apula juice futhi isiyaluyalu. Phuza ngaso sonke isikhathi uma ubuhlungu esinyeni nenyongo futhi mapayipi. Kusho ukuhlinzeka umphumela analgesic emva kwemizuzu 5-15.
• Engeza ezine wezipuni kalamula e ingilazi yamanzi. Phuza ingxube esiswini esingenalutho njalo ekuseni. Therapy ihlala amasonto ambalwa - kuze nokuqedwa ephelele amatshe emzimbeni.
• Bilisa inkomishi yamanzi, ukunezela isipuni amaqabunga ochotshoziwe omisiwe ezinga peppermint, ususa emlilweni, ikhava bese ushiye imizuzu emihlanu. Nzima futhi ukunezela isipuni uju. Phuza Mint itiye efudumele kabili ngosuku amasonto 4-6, kungcono phakathi ukudla.
• Lungiselela ingxube yemifino. Ukuze wenze lokhu, Cindezela umpe beetroot ikhukhamba kanye izaqathe ezine naphakathi. Hlanganisa aphuze kabili ngosuku. Landela lezi zinyathelo amasonto amabili futhi uzophawula ngokushesha kangakanani isimo sakho ubuyela evamile.

amakhambi

• Beka isipuni luyibhuqu lwezinyawo omisiwe dandelion izimpande ingilazi. Thela amanzi ashisayo, ikhava bese ake ume imizuzu emihlanu. Uhlobo, engeza uju oluncane ukuze uthuthukise ukunambitheka. Phuza itiye wenza kusukela dandelion, kabili noma kathathu ngosuku amasonto 1-2, ukuncibilikisa amatshe e-Amapayipi ngemva kokususwa gallbladder.
• itiye Imithi zingenziwa yezinye izitshalo ewusizo. Engeza ezimbili amathisipuni lwebhece impande kanye ithisipuni elilodwa Mahonia aquifolium e ezine izinkomishi zamanzi. Bilisa ingxube imizuzu 15, bese ususa emlilweni. Engeza ezimbili amathisipuni omisiwe amacembe e-dandelion futhi ithisipuni elilodwa amahlamvu peppermint omisiwe ke sokunika itiye imizuzu engu-15. Ubunzima neziphuzo usuku lonke.

Ngaphezu kwalokho, ithenda amahlamvu eziluhlaza dandelion ingasetshenziswa ngqo ukudla - ngokwesibonelo, steamed noma kwengezwe fresh zemifino salads.

Dandelion contraindicated in iziguli ukuthi nginesifo sikashukela.