Izinto ezixhasayo zifumaneka
Kwisigama sesigqirha esingabonakaliyo kukho into enje "njenge-gallbladder ephazamisekile". Oku kuthetha ukuba ayiseyizalisekisa imisebenzi yayo, kuba kukho kuwo (okanye kwi-ducts) amatye, kwaye umntu udala i-cholelithiasis. Ukuphuma kwe-bile kuphazamiseka, oko kuthetha ukuba ukusulela kungena emzimbeni ngokulula, iindonga ze gallbladder kunye needoksi ziyavutha. Abamelwane - i-pancreas, i-duodenum, isisu - zibandakanyeke ngenkqubo yokuvuvukala, kwaye oogqirha baxilonga i-cholecystitis enzima. Okubi nakakhulu, xa ama-clock clocks ayengabi nje kuphela i-bile duct, kodwa kunye ne-pancreatic disk. Emva koko i-bile ayikwazi ukufika kwindawo eya kuyo, kwaye iicidi zayo kunye neengulube zixakeka egazini. Kukho ukuxiliswa (ukutyhefuza ngezinto ezinobuthi) kwaye kuthiwa yi-jaundice engumatshini (kumntu onobomvu kwiprotheni, isohlwini). Ukuba i-pancreas ichaphazelekayo (i-pancreatitis ephawulekayo kunye ne-pancreatic necrosis), isongelo lobomi singenzeka. Ukuze ungazenzeli ngokugqithiseleyo, khawuleza uthintane nodokotela kwisibonakaliso sokuqala se-cholelithiasis.
Ukuhlolwa kwe-ultrasound yesigxina esiswini
Ngoncedo lwe-ultrasound, ukuphulwa komsebenzi kwimizimba kubonakala. Ubungakanani babo kunye nemeko zibonakala kwi-screen kweso. Le ndlela isetyenziswe kaninzi, yimiqathango yegolide yamachiza anje.
Tomography eComputer
Uphando lwezitho zangaphakathi zoluntu zisebenzisa i-X-ray. Isicatshulwa esicatshulwayo singeniswe kwi-vein, igazi lisasazeka kulo lonke umzimba. Emva koko yenza imifanekiso emininzi, uvavanye kwaye ufumane iinkcukacha ezithembekileyo kwiimeko zesebe. Le ndlela isetyenziselwa ukucoca ukuxilongwa, xa iziphumo ze-ultrasound ziphikisana. I-Endoscopic fibrogastroduodenoscopy (i-FGDS). Umtshini obuncinci obandakanya i-fibrous optics uqaliswa ngomlomo kwisigulane. Ihambisa umfanekiso we-mucosa yesisu, isisu okanye i-duodenum kwi-esweni. Inkqubo ivumela ukuvavanya imeko yembumba yeqabileyo yamacandelo aphezulu esicatsheni esiswini. I-Endoscopic retrograde pancreatocholangiography (RPHG).
Isalathiso sokusebenzisa isistim esikhethekileyo - i-endoscope - ijojowe kwindawo yokukhupha kwesantya sesilonda emathunjini. Ngexesha le-RPCH kunokwenzeka ukuba ususe amatye amancinci kumathambo e-bile. Zisetyenziswe kangangoko, kuphela ezibonisiweyo ezizodwa.
Iindlela zanamhlanje zivumela ukuba ubone iimpawu zokuqala ze-cholelithiasis kwaye ukwenze ngokungahambi kakuhle kwaye ungenayo imiphumo emibi emzimbeni, kungabi ngaphezu kweyure. Ingxelo yeembali: xa umongameli weshumi elinanye wase-US, uJames Polk, eneminyaka eyi-17 ubudala, wasuswa kwi-gallbladder. Oogqirha basebenzisa i-anesthesia, bathambisa umongameli wexesha elizayo kunye ne-cognac. Izigulana zangoku azikwazi ukwesaba indlela enokuthi: Ngethuba lo msebenzi banikezwa ubuthongo obukhulu phantsi kwe-anesthesia jikelele.
Cholecystectomy yaseLaparoscopic. Iyenziwa ngoncedo lwezixhobo ezizodwa ezizincinci, ezifakwe kwisigxina esiswini esiswini ngemigodi emine encinci, ukuya kumitha enye. Ngoko susa i-gallbladder kunye namatye. Emva kokusebenza, akukho phantse elukhumbeni. Le ndlela ingenakunqikaza inzuzo kwi-classical removal removal function: ukusulelwa ngethuba lokuphathwa kakubi lukhutshwa ngaphandle, ukuxhatshazwa kukuncinci, ixesha elifutshane (ixesha elide ukuya kwiintsuku ezingama-4-5) lokubhedlelelwa esibhedlele, ukubuyela ngokukhawuleza endleleni yokuphila.
Umsebenzi weClassical. Ngethuba lenza kube lula ukukhutshwa kwesisu. Kukho umxube we-10-12 cm ubude. Ixesha lokubuyiselwa kwiintsuku ezisixhenxe kunye nezinye zifunekayo.
Ubomi obutsha
Ukukhawuleza ukuphulukana nokuhlinzwa, ugqirha unokuncoma ukusetyenziswa kwamanzi amaminerali aphantsi-carbonated: "Naftusi", "Berezovskaya", "Luzhanskaya", "Glade Kvasova". Kodwa iindawo zokuhlala zamanzi zivunyelwe ukuba zihambe emva kweenyanga ezi-6-8: ukugqithisa i-tractistinal tract isingabalulekanga.
Ngethuba lonyaka kufuneka silandele inombolo ye-5 yokutya: i-fat content content in dishes, ingabandakanyi i-fried, spicy and sour. Iifama zezilwanyana kufuneka zilinganiselwe kummandla ophezulu, zitshintshe kunye nesityalo. Inzuzo yolu hlobo luyakwazi ukuvuselela isifo se-metabolism kwisibindi kwaye sinciphise ukutyekela kwe-bile ukuyila ngamatye. Kunceda kakhulu ukongeza i-fiber ekudleni. Isityebi kwiipulo, iklabishi, iibhanana, i-salads kwimifuno.
Isicwangciso soKhuseleko
Ukutya okunempilo. Ukusela kabini ngonyaka ubunzima be-multivitamin kwisinconywa sogqirha, ziquka imifuno kunye neziqhamo ekudleni. Ukwenza imidlalo. Ukugijima, ukubhukuda, ukuhamba ngebhayisikili ngabaphikisi be-cholelithiasis.
Utyando lwezobugcisa. Iingcali zengqondo zicebisa ngokutyekela "ukugula ngamatye" ngokuphindaphindiweyo ukusebenzisa ubomi bemihla ngemibala eluhlaza kunye nemisonto eluhlaza - banefuthe elihle kwinkqubo yeentaba. "Calm and calmly!" - ayilwanga nje kuphela amaqhawe eencwadi zezingane kunye neekhathuni, kodwa nakwiimpilo zangaphakathi.
Imiqondiso Yobungozi
Ubunzima kwi-quadrant ephezulu, ngokukodwa emva kokutya okunamafutha amaninzi okanye isidlo sakusihlwa, isisongela, ukuhlanza, umkhuhlane ukuya kuma-38 degrees. Qaphela: intlungu inokunikwa kwingalo elungileyo okanye kwinqaba, evezwe ngasemva okanye ngaphantsi kwe-collarbone. Ukufumanisa imbangela ye-malaise, udinga ukuxilongwa. Amagcipheko Amabhinqa abakhulelweyo, abantu abanexinzelelo, abanokukhubazeka kwe-endocrine, ukulungiswa kobufa. Isifo seGallstone sithinta amaxesha angama-4-5 amaxesha amaninzi ngaphezu kwamadoda. Umboniso wamatye Ayakhelwe ngenxa yesigxina se-particle ye-bile. Ngokuyininzi amatye aquka i-cholesterol, i-bilirubin (i-bile pigment) kunye neetalcium. Ubukhulu babo buvela kumitha ambalwa ukuya kwi-10 cm ububanzi. Ubungakanani - ukusuka kwenye ukuya kwi-30.