I-Chololithiasis isifo esasisoloko sifumaneka, ikakhulukazi kwabesetyhini abaneminyaka yobudala. Amadoda athambekele kwi-cholelithiasis ngaphantsi, afumaneka kathathu amaxesha amaninzi. Esi sifo sibonakaliswe ukuqhubela phambili kwexesha, ngoko kufunyaniswa kumanqanaba okugqibela okuphuhliswayo.
I-Chololithiasis - yintoni esi sifo?
Ukusebenza ngokuqhelekileyo kwenkqubo yokutya, ukuveliswa rhoqo kunye nokuphuma kwebhali kuyimfuneko. Ngaphantsi kwefuthe lezinto zangaphandle nangaphakathi, kungenza utyumbe kwaye ufumane ukuhambelana kwe-putty (i-biliary sludge). Ukususela kwi-deposcous deposit enjalo, amatye okanye amatye e-gall bladder. Bandisa ukwanda kunye nobungakanani, bawela emideni (choledochus) kwaye bawagqeke, baphazamise ukuphuma kwe-biological fluid (cholelithiasis).
Iimbangela ze-cholelithiasis
Ayaziwa kakuhle ukuba kutheni i-pathology ichazwe. Iingcali zibiza izinto, ngenxa yokuba yiyiphi i-cholelithiasis inokuqala ngokukhulu kunokwenzeka. Phakathi kwabo, indima ephambili idlalwe ngokwesini kunye nobudala. Abasetyhini banakho amathuba okuba ne-cholelithiasis, umngcipheko wokunyuka emva kweminyaka engama-30. Ezinye izizathu eziphakanyisiweyo zezigulane:
- ukukhulelwa nokubeletha;
- i-hepatitis engapheliyo ;
- helminthiases ;
- ukungabikho komntwana obomvu we-gallbladder kunye ne-duodenum;
- i-cirrhosis yesibindi;
- iimpawu zesondlo (kunye ne-predominance yamafutha kunye neeprotheni zezilwanyana);
- izifo zehomoni;
- msebenzi ophantsi;
- ukusuleleka, ukuvutha kwe-gallbladder;
- ukulimala komlenze;
- indlala;
- izifo zesisu esincinci;
- hemolysis engapheliyo;
- isifo sikashukela;
- ukuphazamiseka kwezifo ze-fatabolism;
- nokukhululeka.
Isifo seGallstone - iimpawu
Isizathu esibalulekileyo sokuxilongwa ngokukhawuleza kwesi sifo sisifo sazo esicothayo nesingenakwenzeka (iminyaka eyi-7-10). Izimpawu ezicacileyo ze-cholelithiasis zifunyenwe sele sele i-choledocha ivaliwe ngamakhonkco kunye nokubonakala kwe-colic acute. Kwiimeko ezinqabileyo, umfanekiso obuthakathaka wecliniki uyagcinwa malunga nemvelaphi yokungalungi ekudleni, kodwa abantu abaxhomeki ngokubaluleka kwintlungu enjalo.
Amatye kwi-gallbladder - iimpawu:
- ukubethelela intlungu xa usebenza kwisithuba esityebileyo, emva kokutya okunamanqatha, ukutya okunesonka kunye nokuthosiweyo;
- isicathulo sexesha elide;
- uvakalelo obunzima kwicala lasekunene;
- ukukhathala, ukulala.
Ukuba i-cholelithiasis iqhubeka ixesha elide, inokubangela ukuba i-colic:
- ubuhlungu obukhulu kwimimandla yesibindi sokubamba okanye ukubhoboza, ukunika ihlombe, ukuxubusha, intamo;
- isicashu
- i-jaundice;
- angina pectoris;
- ukwanda kweqondo lomzimba;
- ukubola;
- kumnyama komchamo.
Amatye kwi-gallbladder - yintoni yokwenza?
Iindlela zokunyanga zixhomekeke kwinani kunye nobukhulu beentsimbi, ubunzima be-cholelithiasis. Kulula ukuba i-encinci (ukuya kwi-1 cm) kunye ne-gallstones embalwa ifunyenwe-unyango lukhawulelwe kwiziphakamiso eziqhelekileyo zokugcina indlela yokuphila enempilo kunye nokugcinwa kuka-Pevzner's No. 5 yokutya. Ukongezelela, kuyimfuneko ukuba rhoqo uhlalutye i-prophylactic ultrasound diagnostic, ulawulo lwesantya sokuqhubela phambili kwe-pathology, lungisa imeko kunye nenani leemviwo.
Ekubeni kunamatye amakhulu (ukuya kwi-2 cm) iindlela zokungaboniyo zonyango ziboniswa. Ezi ziquka ukuchithwa kunye neziyobisi kunye nokuchoboza ngaphandle. Ezi ndlela zisoloko zivelisa umphumo kwaye ziqinisekisile ukulahlwa ngokupheleleyo kwe-cholelithiasis. Emva kokunyamalala kwamatye, bangaphinda benze kwakhona. Kwimeko yokuphindaphinda kwezilwanyana okanye ukubunjwa kwamatye amakhulu (ukusuka kwi-2 cm ububanzi), inyathelo lokungenelela lugqityiweyo. Inkqubo ibandakanya ukususa isantya kunye neenkomfa.
Isifo seGallstone, ukuhlaselwa - yintoni oyenzayo?
Colic yimeko engathandekiyo kwaye yingozi, ngoko kwiimpawu zayo zokuqala kuyinqweneleka ukuba wenze udibaniso nogqirha ngokukhawuleza. Uhlaselo lubuhlungu njengoko lunokwenzeka, ukuba amatye amakhulu akhiwa kwi-bile, iimpawu ziyinkimbinkimbi ngokukhutshwa kwamathambo kunye nokuhlaselwa. Oku kuphazamisa ukuxiliswa komzimba ngokugqithiseleyo kunye nokuchithwa ngokuqinileyo kwenkqubo yokugaya.
Nantsi indlela yokukhupha isiqhelo se-cholelithiasis ekhaya:
- Amanga amaninzi kwaye uphumule, ungabandakanyi nayiphi na imisebenzi yomzimba.
- Ukusela i-spasmolytics nge-action vasodilating (Yunispaz, Drotaverin, Pllalgin).
- Ngokunyuka kwamaqondo okushisa, uthathe i-antipyretic kunye ne-anti-inflammatory drugs (iPacacamamol, Ibuprom, Nurofen).
- Ukuba kukho umngcipheko wokuphuhlisa i-angina pectoris, thatha amayeza ukuba ulungelelanise umsebenzi wenhliziyo ( Asparkam , Spasmol, Nifedeks).
- Beka imfudumalo kwiinyawo zakho okanye ubenxibe ngeengubo. Ukushisa kwandisa iimpahla.
- Phuza malunga ne-500 ml yamanzi ashushu.
- Beka i-compress efanelekileyo kwi-hypochondrium.
- Kwiiyure ezili-12, sishiye ukutya. Emva kokuyeka i-colic, ungatshintshela ekudleni kokutya.
- Ukuhlaselwa okungaphezu kwama-3 iiyure kufuna i-ambulance crew call.
Ilitye kwi-gallbladder - unyango ngaphandle kokuhlinzwa
Ulwaphulo olulondolozo lwe-Conservative lubekwa kuphela ngenani elincinci leemveliso ezincinane. Yenziwa ngeendlela ezimbini:
- Ukuchithwa kwamatye kwi-gallbladder. Kule nto, i-acids (chenodeoxycholic kunye ne-ursodeoxycholic) kunye nokulungiselela amacandelo (i-extract of immortelle) isetyenziswa. Inkqubo ephantsi, isebenza kuphela kumatye e-cholesterol kwi-10-20% yamatyala.
- Amatye okuchithwa kwi-gallbladder. Ukunyanzelana kwenziwa nge-ultrasonic okanye i-wave-magnetic wave. Le ndlela ifanelekile phambi kobuncinci (ukuya kwi-1 cm) kunye namatye angatshatanga, ukuba akukho zibonakaliso zokuvuvukala.
Isifo seGallstone - unyango kunye nezilwanyana zomntu
Azikho iindlela zonyango ezichanekileyo ezichithwayo. Ukunyangwa kwezilwanyana ze-cholelithiasis kufuneka kusetyenziswe njengomlinganiselo ongumncedisi wokunciphisa i-pathology kwaye iphucule ukuqhubeka kwayo. Ukusetyenziswa okungalawulwayo kokulungiswa kwemifuno kuya kuba nzima ukuba i-cholelithiasis - iimpawu ziza kunyuka ngokukhawuleza, zifikelele ngokukhawuleza zifikeleleke kwaye zibuhlungu.
Imqoqo yemifuno ye-cholelithiasis
Izithako:
- i-chamomile - 5 g;
- i-valerian - 5 g;
- isenti - 5 g;
- i-hawthorn - 5 g;
- iingcambu ze-buckthorn - 5 g;
- - 5 g;
- ledum - 5 g;
- iingcambu ze-aira - 5 g;
- umama - 5 g;
- iilly of the valley - 5 g;
- izikhwebu - 5 g;
- amanzi - 1.5 ilitha.
Ukulungiselela, sebenzisa :
- Hlanganisa izithako ezomileyo.
- Yilisa iqoqo ye-5-7 imizuzu.
- Ukunyanzelisa iiyure ezingama-6.
- Nciphisa umhluzi.
- Phuza i-100-110 ml yeyeza unyango kathathu ngosuku malunga nesiqingatha seyure ngaphambi kokutya. Preheat.
Amatye kwi-gallbladder-operation
Indlela efanelekileyo kakhulu yokuphatha lesi sifo i-cholecystectomy. Ukususwa kwamatye e-gallbladder kuqhutyelwa kunye nequmrhu, kungakhathaliseki ukuba inani leemviwo. Ngokuqhelekileyo, kusetyenziswa i-laparoscopic yindlela encinci, ngamanye amaxesha ugqirha wenza isigqibo malunga ne-laparotomy okanye inqanaba lokungenelela. Kwi-99% yamatyala, i-cholelithiasis iyaphiliswa ngokupheleleyo emva kwenkqubo. Ngokukhawuleza uhlakulele i-postcholecystectomy syndrome okanye i-sphincter ukungasebenzi.
Isondlo se-cholelithiasis
Ukutya okuchanekileyo yingxenye ebalulekileyo yokunyangwa kwe-cholelithiasis. Ukutya okuchanekileyo kwe-cholelithiasis kunika imithwalo ephathekayo kwisibindi kunye ne-pancreas ngokufanayo nokudla okupheleleyo kwezondlo kunye namavithamini emzimbeni. Ukutya kukunciphisa inani lamafutha kunye neeprotheni zezilwanyana, ukunciphisa ityuwa. Ukutya ngamatye kwi-bile kubonelela okulandelayo:
- zonke izitya kufuneka zifudumele;
- ukutya okudliwayo - amaxesha ama-4-6 ngosuku kwiindawo ezincinci ezifanayo;
- Ngethuba lokunciphisa, kucetyiswa ukugaya okanye ukugaya ukutya;
- kwisisu esingenanto kuyimfuneko ukusela amanzi angcolileyo angabonakaliyo kwiqondo lokubanda kweklasi.
Isifo seGallstone: ukutya - yiyiphi ukutya ongayidla?
Itheyibhile inombolo ye-5 ithathwa njengesidlo esipheleleyo, ukubonelela ngemfuno yansuku zonke yomntu omdala ngeekhalori. Yintoni ongayidla nge-cholelithiasis:
- isobho;
- macaroni;
- ii-porridges ezinama-semi-liquid kunye nezitya ezivela kubo;
- inyama yokutya;
- iintlanzi ezityebileyo;
- ukutya kwezilwanyana (ngokulinganisela);
- sausage;
- sausages zobisi;
- Isonka sango-1 okanye 2 sichaza ufulawa, nge-bran;
- Ubisi obuncinci obuninzi kunye nemveliso yobisi yobumuncu;
- ibhasi;
- imifuno (ukutshathisa ukushisa, ukuluhlaza).
- amaqanda - aphindelanga kabili ngeveki, ngokukhethekileyo ama-protein omelets;
- i-squash caviar;
- iipulole ezintle;
- i-milk okanye i-sauces epholileyo;
- iilekese zendalo - ngokuzenzekelayo (jam, pastille, honey, marshmallow, marmalade kunye ezifana);
- i-cream (ukuya kuma-30 amagremu ngosuku) kunye neoli yemifuno (ukuya kuma-15 amagremu ngosuku);
- itiye emnyama;
- umhluzi we-chamomile;
- ukuqokelela izithelo ezomileyo, i-dog-rose;
- iziphuzo ezivumba kunye neziqhamo.
Yintoni ongenakuyidla nge-cholelithiasis?
Ukukhulula isibindi, kufuneka ushiye nayiphi na "ukutya okunzima" okugungqiwe ixesha elide. Ukuba i-cholelithiasis isesiteji esibucayi, kungcono ukulala nendlala ngosuku lokuqala emva kokuhlaselwa. Ukutshintshwa kwetafile inombolo ye-5 kwenziwa ngokuthe ngcembe, ngokusungulwa kweenxalenye zeesitsha ezintsha. Ukutya ngamatye kwi-gallbladder akubandakanyi:
- i-brots, inyama yesobho, okroshku;
- isonka esitsha;
- ukutya okuthosiweyo;
- inyama nge-product-offal;
- iimveliso zokutshaya;
- ukukhethwa;
- marinades;
- iisukisi ezinomsila kunye neziqholo;
- inhlanzi enamafutha kunye nenyama;
- imbotyi;
- ibhali, ingqolowa, ibhalley yeparele;
- ukutya okusemgangathweni;
- kubhaka;
- iimveliso kwi-pastry;
- ushizi osawoti;
- whey;
- imifuno ekhupha iinkqubo zokhuni (igalikhi, iklabishi, i-anyanisi, i-radishes kunye nabanye);
- izithelo ze citrus;
- amantonga;
- amajikijolo kunye neziqhamo;
- tshokoleta;
- utyisi kunye ne-ukhilimu;
- imbewu;
- icocoa;
- iziphuzo ze-carbonate;
- ikhofi;
- utywala;
- itiye eluhlaza;
- karkade;
- chicory.
Isifo seGallstone - iingxaki
Imiphumo engebiyo xa kungafanelekanga ukuthotyelwa kweziphakamiso zokutya kunye nokungabi nonyango. Ukutyeba ngamatye kwi-ducts ibinxibe, kubangele iziganeko ezinzima. Oku kukhokelela kwiimeko ezinjalo:
- cholangitis ;
- i-pancreatitis ye-biliary acute;
- cholecystitis ;
- i-jaundice yomatshini ;
- isithintelo esiswini;
- ehla;
Isifo esiyinkimbinkimbi yesigulane sinokukhuphaza inkqubo evuzayo yokulimala kwiimbrane ezinamaqabunga ezindongeni zesibindi. Ngenxa yoko, i-perforation yomzimba (ukuphuka) iyenzeka ngokuphuma kwezinto ezingaphakathi kwisigxina esiswini - i-peritonitis enzima. Le meko inobungozi kakhulu, ibangelwa yimiphumo engapheliyo kunye nokufa.
Isifo seGallstone - ukuthintela
Ukuthintela ukwakha i-calculi, kuyimfuneko ukukhusela izinto ezibavulayo. Ukuthintela ukubunjwa kwama-gallstones:
- isondlo sokutya;
- ukugcinwa kwesisindo somzimba;
- yomsebenzi;
- ukulahla izilingo;
- izifo zentsholongwane ezingapheliyo.