Matenda a miyala yamwala - mankhwala

Matenda a galastone ndi malo omwe miyala imapangidwira mu ndulu ndi (kapena) mu ntchentche za bile. Miyala imapangidwa kuchokera ku zinthu zofunika kwambiri za bile - kusiyanitsa laimu, cholesterol, pigment ndi miyala yosakaniza. Kukula ndi mawonekedwe a miyala ndizosiyana - zina mwa izo ndi mchenga waung'ono kuposa mamitamita, ena amatha kutenga malo onse a ndulu. Kwa nthawi yaitali, matendawa amatha kukhala osakanikirana, ndipo wodwala amaphunzira zambiri za kukhalapo kwa miyala pokhapokha atayesedwa.

Njira zochizira cholelithiasis

Chithandizo cha cholelithiasis chikuchitika ndi njira zonse zoyenera komanso zogwiritsira ntchito. Komabe, muyenera kudziwa kuti atatha kuchipatala, kupangidwanso kwa miyala sikungatheke, ngati chifukwa chachikulu cha matendawa sichichotsedwa.

Tiyeni tisonyeze njira iliyonse yothandizira matendawa:

1. Mankhwala - mankhwala a cholelithiasis popanda opaleshoni mothandizidwa ndi kukonzekera mankhwala (mapiritsi). Njira imeneyi imagwiritsidwa ntchito pa miyala ya kolesteroloni yokha yomwe ingathe kusungunuka. Mafuta okonzekera asidi (ursodeoxycholic, chenodeoxycholic acid) kapena kukonzekera kwa zomera zimayambitsa kusonkhanitsa kwa bile acids (Kuchokera kwa immortelle mchenga) amagwiritsidwa ntchito. Mankhwala oterewa amakhala osatha: mapiritsi amatengedwa osachepera zaka 1-2. Tiyenera kudziwa kuti mankhwalawa ndi okwera mtengo ndipo amakhala ndi zotsatira zambiri.
2. Njira yowonongeka ndi kuwonongedwa kwa miyala kukhala zigawo zing'onozing'ono pogwiritsa ntchito njira yapadera yolongosoka. Njirayi imagwiritsidwa ntchito popanda cholecystitis , kuchuluka kwa miyala mpaka 2 masentimita ndi yachilendo yogonana ndi ndulu. Miyala yoponderezedwa imachotsedwa mwachirengedwe, zomwe zimapatsa wodwala chisokonezo chosautsa, kapena njira yogwiritsira ntchito mankhwala.
3. Njira ya laser ndiyo kugwiritsa ntchito laser yapadera, yomwe imadyetsedwa mwachindunji kupyolera mu ziphuphu za thupi ndipo imaphwanya miyala. Chotsutsana ndi njirayi ndikuti pali chiopsezo chowotcha mkati mwa nsanamira.
4. Kuchita opaleshoni yapamwamba ndiyo njira yodziwika kwambiri komanso yotsika mtengo. Amagwiritsidwa ntchito makamaka pamaso mwa miyala ikuluikulu, yokhala ndi mphamvu zowopsya komanso zosavuta, zomwe zimakhala zowawa kwambiri. Nkhumba imachotsedwanso kudzera m'zigawo za hypochondrium kumanja, mpaka masentimita 30. Zovuta za opaleshoniyi zingakhale kutuluka m'magazi kapena kukula kwa njira ya matenda.
5. Chotupisopicomy laparoscopic ndi njira yamakono yomwe amachotsedwa pamodzi ndi ndulu pogwiritsa ntchito laparoscope - chubu kakang'ono kakang'ono kamene kamakhala ndi kanema kanema. Pachifukwachi, maonekedwe angapo ang'onoang'ono amapangidwa (osapitirira 10 cm). Ubwino wa njirayi ndiwowonjezereka kuchipatala kuchokera ku opaleshoni komanso kusowa kwa zovuta zodzikongoletsera.

Njira iliyonse ili ndi ubwino wake, kuipa kwake ndi kutsutsana. Kusankha njira yabwino kwambiri yochotsera miyala kuchokera ku ndulu imachitika ndi akatswiri payekha.

Kuchulukitsa kwa chilithiasisis - mankhwala

Kuwonjezera kwa cholelithiasis (biliary colic) kumaphatikizidwa ndi ululu, fever, chills, dyspepsia. Zizindikirozi zimawonekera kawirikawiri chifukwa cha kuyenda kwa gallstones. Kuukira koopsa kumasonyeza kuti munthu akulandira mofulumira kuchipatala, ndipo nthawi zina, ntchito yapadera. Zinthu zikuchitidwanso kuti athetse kutupa ndi kuchepetsa ululu.