Gallstone chirwere chirwere umo mabwe anoumbwa mu gallbladder uye (kana) mu bile ducts. Zvipfeko zvinoumbwa kubva pazvinhu zvinokosha zvebi - kusiyanisa lime, cholesterol, pigment nematombo akavhenganiswa. Ukuru uye maumbirwo ematombo zvakasiyana-siyana-mamwe acho akanaka kune jecha kudarika mamiriyoni, vamwe vanogona kutora mhepo yose yegungwa. Kwenguva yakareba, chirwere chinogona kunge chisingatauriki, uye murwere anowanzodzidza pamusoro pehupo hwematombo kunze kwekuongorora kwe ultrasound.
Nzira dzekurapwa kwecholelithiasis
Kurapa kwecholelithiasis kunoitwa nenzira dzose dzakachengetedza uye dzinoshanda. Zvisinei, iwe unofanirwa kuziva kuti mushure mekurapa, kudzokorora kugadzirwa kwematombo hakurevi kunze, kana chikonzero chikuru chechirwere chisati chabviswa.
Ngatitaurei nzira imwe neimwe yekurapa kwechirwere ichi:
- Mishonga - kurapa kwecholelithiasis pasina kuvhiyiwa nekubatsira kwemaikemikari (mapiritsi). Iyi nzira inoshanda chete nematombo echolesterol, ayo anogona kuparara. Bile acid maigadziro (ursodeoxycholic, chenodeoxycholic acid) kana kugadzirira kwemiti yakabva kunokonzera kushandiswa kwe bile acid (kubviswa kwe immortelle sand) kunoshandiswa. Kurapa kwakadaro kunogara kwenguva refu: mapiritsi anotorwa zvinenge 1-2 makore. Zvakakosha kuziva kuti mishonga iyi inodhura uye ine migumisiro yakawanda.
- Nzira yekushandiswa ndeyekuparadzwa kwematombo kuva zvikamu zviduku kuburikidza nechishamiso chekuita. Iyi nzira inoshandiswa musipo kwecholecystitis , iyo inowedzera yakareba yematombo kusvika 2 cm uye inowanzogadziriswa ye gallbladder. Matombo akapwanyika anobva abviswa nenzira yechisikigo, iyo inopa murwere chiitiko chisingafadzi, kana kuti nzira yemishonga inoshandiswa kuvabvisa.
- Iroser method ndiyo kushandiswa kwema-laser anokosha, anodyiswa zvakananga kuburikidza nemapctures pamuviri uye anopwanya mabwe. Izvo zvakaderera zveyi nzira ndeyokuti kune ngozi yekutsva kwemukati mucous membrane.
- Kuvhiyiwa kwepamusoro ndiyo nzira inowanikwa uye inodhura yekurapa. Inoshandiswa kunyanya muhupo hwematombo makuru, ane simba uye kazhinji kazhinji inorwadza manzwiro, kuvapo kwekuvhiringidza. Iyo nduru inobviswa kuburikidza nekukanganiswa munharaunda ye hypochondrium kurudyi, kusvika masendimita makumi matatu muhurefu.Izvinetso zvekushanda uku zvinogona kubuda mukati memunhu kana kukura kwehutachiona hwekuita.
- Laparoscopic cholecystectomy ndiyo nzira yemazuva ano umo mabwe anobviswa pamwe chete neguruvladder nenzira ye laparoscope - duku shoma tube ine video kamera. Nokuda kweizvi, zvinyorwa zvishoma zvishoma zvinoitwa (kwete kupfuura 10 cm). Kubudirira kweiyo nzira ndeyokukurumidza kupora kubva pakuvhiyiwa uye kusavapo kwezvinhu zvakakosha zvinokonzera.
Nzira imwe neimwe ye nzira inobatsira, kusagadzikana uye kupesana. Kusarudzwa kwenzira yakanakisisa yekubvisa mabwe kubva mujeri kunowanikwa nevanyanzvi pachavo.
Kuwedzera kwechiriyitiasis - kurapa
Kuwedzera kwecholelithiasis (biliary colic) kunosangana nekutambudzika kukuru, fivha, chills, dyspepsia. Zviratidzo izvi zvinowanzoonekwa kakawanda nekuda kwekufamba kwezviruru. Kurwiswa kwakaoma chiratidzo chekukurumidzira kugara muchipatara uye, pane dzimwe nguva, chirongwa chekukurumidzira. Zvisarudzo zviri kutorwawo kuti zvibvise kuputika uye kubvisa marwadzo.