Kuzindikira kwa gallstones sikukutanthauza kuti ntchitoyi. Nthaŵi zina, ndikwanira kuchita mankhwala oyenera a mankhwala. Mtundu wa mankhwala osankhidwa ndi gastroenterologist ndi dokotala wa opaleshoni, pogwiritsa ntchito mtundu wa miyala imene wodwalayo ali nawo komanso kumene iwo ali.
Mankhwala osokoneza bongo a gallstones
Ngati munthu ali ndi miyala ya cholesterol mu ndulu, mankhwala amatha kungosamalidwa. Amachitidwa mothandizidwa ndi mankhwala ursodeoxycholic kapena chenodeoxycholic acid. Mankhwala oterewa ndi mapiritsi:
- Ursofalk ;
- Chithunzi;
- Ursosan;
- Genohol;
- Henofalk.
Ndi chithandizo chawo, mukhoza kubwezeretsa chiŵerengero chachibadwa cha bile acid ndi cholesterol. Pachifukwa ichi, cholesterol chochuluka chimasandulika mawonekedwe osungunuka, omwe amachepetsanso, ndipo nthawizina amasiya ntchito yopanga miyala. Pa mankhwalawa ndi mankhwala otero, muyenera kupeŵa kugwiritsa ntchito mankhwala osiyanasiyana omwe amathandiza kupanga mapangidwe amwala (mwachitsanzo, estrogens omwe amapanga njira zosiyanasiyana zothandizira kulera).
Mankhwala osokoneza bongo a miyala ya mafuta m'thupi amatha kuchitidwa kokha ngati miyalayo isadzaze zoposa theka la limba, ndipo mazira amakhala ndi ubwino wokwanira. Maphunzirowa amatha miyezi isanu ndi iwiri, ndipo zotsatira zake zimayang'aniridwa kawiri konse pachaka ndi ultrasound.
Kutenga miyala mu ndulu ndi ultrasound kapena laser
Ngati kutalika kwa miyalayi mu chikhodzodzo sichiposa 3 cm, mankhwalawa akhoza kuchitidwa ndi laser kapena ultrasound. Limbikitsani mankhwala oterewa kutali kwambiri - cholesterol, calcareous, pigmentary kapena concretions amathyoledwa mu zidutswa tating'ono (pafupifupi 1-2 mm). Iwo amatulutsidwa kuchokera ku thupi limodzi ndi nyansi zakutchire. Njirayi ikuwonetsedwa kwa odwala omwe ali ndi mgwirizano wokwanira wa ndulu. Mungathe kunyamula ngati chiwerengero cha miyalayi sichidutsa zidutswa zitatu.
Kutenga miyala mu ndulu ndi ultrasound kapena laser ndi njira yopweteka kwambiri. Zimaloledwa bwino ndi odwala a misinkhu yosiyanasiyana ndipo zingatheke kuchitidwa panthawi yopuma. Monga lamulo, nthawi yake ndi 30-60 mphindi.
Kuchotsa miyala
Ngati miyala ikuluikulu kapena mankhwala a gallstones ndi osagwira ntchito, opaleshoni imachitidwa - yotsegula cholecystectomy kapena laparoscopic cholecystectomy. Panthawi yotseguka, chotupa cha m'mimba chimapangidwa, dokotalayo amapanga kukayezetsa, amachotsa ndulu, zowonjezera (ngati kuli kofunikira) ndi sutures bala. Ngati zitsulo (pulasitiki zamapulasitiki) zinayikidwa kuti magazi atulukidwe, zilonda zamatenda ndi zakuthambo, ndiye patatha masiku angapo, ayenera kuchotsedwa. Izi ndizochitanso ndi dotolo.
Chotupisopicomy laparoscopic ndi opaleshoni yochotsa ndulu , yomwe imachitidwa mothandizidwa ndi zipangizo zamakono ndi ma laparoscopes (chipangizo chapadera chokhala ndi lens, makamera ndi kanema opangidwa ndi nyali ya xenon kapena magetsi ena ozizira). Njira imeneyi ili ndi ubwino wambiri pa nthawi yeniyeni. Ndizovuta kwambiri, monga sizinayende
Chithandizo cha miyala yayikulu kapena yambiri yaing'ono mu ndulu ndi njira ya laparoscopic cholecystectomy imatsutsana ndi pamene:
- mimba (3 trimester);
- matenda aakulu a cardiopulmonary;
- osadziwika bwino.