Miyala mu ndulu ndi vuto lomwe palibe amene ali ndi chitetezo. Pali zifukwa zambiri za maonekedwe awo, koma lero pali njira zochepa zochotsera miyala. Njira zothandizira kwambiri zothandizira zafotokozedwa pansipa.
Mbali za mapangidwe ndi kuchotsedwa kwa gallstones
Mwatsoka, miyala mu ndulu ikhoza kuwoneka mwa anthu a usinkhu uliwonse. Ndipotu, omwe satsatira moyo wachibadwa amakhala ndi kachilombo ka HIV. Koma kawirikawiri omwe amakhala ndi moyo wathanzi amadandaula za miyala ndi zipatala. Zomwe zimayambitsa maonekedwe a miyala mu ndulu ndi izi:
- umoyo;
- mavuto a chiwindi, chikhodzodzo cha ndulu ndi matenda opatsirana;
- nkhawa ndi overstrain;
- zakudya zosayenera;
- kumwa mowa kwambiri ndi ena ambiri.
Kawirikawiri, chithandizo cha matendawa ndicho kuchotsa miyala ku gallbladder. Pali njira zambiri lero, kuyambira pa ntchito yachikhalidwe, potsirizira ndi kuchotsedwa kwa makina kudzera pakamwa. Kusankha njira yochotserako kumapangidwira pamaziko a chithunzi chonse cha matenda ndi matenda a wodwalayo.
Monga momwe chiwonetsero chimasonyezera, nthawi zambiri kuchotsedwa kwa miyala kuchokera ku ndulu kumapeto kumayambitsa ndi kuchotsa ndulu. Osati chiyembekezo chowala kwambiri, ndithudi, koma pakadali pano mwayi wokubwezeretsedwa udzachotsedwa kwathunthu.
Njira zochotsera miyala kuchokera mu ndodo ya bile ndi chikhodzodzo
Mwala umene umapangidwa mu ndulu ya ndulu nthawi zambiri umasunthira m'madzi. Zokwanira zomwe zimagunda khoma la bile ndipo apo zinakula mu kukula, zimathandizira kuti kuchoka kwa miyala yatsopano. Zonsezi zimayambitsa kutupa, zowawa, kuwonongeka kwabwino. Kuti muchotse mwamsanga zotsatira zonse izi zoipa za kuoneka kwa miyala, muyenera kutembenukira kwa katswiri nthawi.
Pazigawo zoyamba za mapangidwe, mukhoza kuchotsa mankhwala. Kupanda kutero, opaleshoni yochotseramo nyongolotsi imayikidwa.
Njira zodziwika kwambiri komanso zothandiza kuchotsa miyala zikuwoneka ngati izi:
- Kuchotsa nyongolotsi ndi laser. Njira yotchuka kwambiri lero. Pogwiritsa ntchito makina opangira laser, kupezeka ku chipatala cha zipangizo zamtengo wapatali kumafunika. Mankhwalawa amathandiza kwambiri popanga miyala yaing'ono. Laser kuchotsa miyala kuchokera gallbladder ndi kuwaswa mpaka kukula kakang'ono. Pambuyo pake, miyalayo imachoka m'thupi. Njirayi ndi yopweteka, yogwira ntchito, komanso yofunikira kwambiri kwa odwala ambiri amakono - sizitanthauza kuti munthu azikhala ndi nthawi yaitali bwanji kuchipatala.
- Kuchotsa nyongolotsi kudzera pakamwa. Njira ina yomwe amagwiritsidwa ntchito nthawi zambiri. Mosiyana ndi laser therapy, njira iyi yochotsera calculi imaonedwa kuti ndi yopweteka komanso yosasangalatsa. Choipa kwambiri ndicho kuchotsa miyalayi ndi njira iyi, anthu omwe ali nawo
mphamvu yowonongeka. Asanatulutse miyala ya ndulu, amajambulira anesthesia ndi kafukufuku. Chofunika cha njirayi ndi kukhazikitsa chubu yapadera m'malo mwa miyala, pambuyo pake pulogalamuyi ikutsegulira ngati ambulera. Mitengo imasonkhanitsidwa ndikuchotsedwa pakamwa. - Laparoscopy. Ikuonedwa ngati njira yopitilira kwambiri. Mukamagwiritsa ntchito laparoscopy kuchotsa zitsamba zam'mimba, ndizing'onozing'ono zochepa zomwe zimapangidwa mu peritoneum. Maola angapo mutatha opaleshoni yotereyi, wodwala akhoza kusuntha momasuka, ndipo patatha masiku angapo, mukhoza kulankhula momasuka za kukhuta.