Zosokoneza zopezeka
Mu lingaliro losavomerezeka lachipatala pali chinthu ngati "chosokonezeka ndulu". Izi zikutanthauza kuti sichikwanilitsa ntchito zake, chifukwa mumakhala (miyala kapena bile), ndipo munthuyo amapanga cholelithiasis. Kutuluka kwa bile kumasokonezeka, zomwe zikutanthauza kuti matenda amalowa mthupi mosavuta, makoma a ndulu ndi madontho amatha. Oyandikana nawo - mphukira, duodenum, m'mimba - akugwira nawo ntchito yotupa, ndipo madokotala amadziwa kuti cholecystitis ndi yovuta. Chomvetsa chisoni kwambiri, pamene miyala ija sikuti imangokhala ndi ndondomeko ya bile, koma komanso kanjira ka pancreatic. Kenaka bile silingathe kufika komweko, ndipo zida zake ndi zikopa zimalowetsedwa m'magazi. Pali kuledzera (poizoni ndi mankhwala owopsa) komanso otchedwa jaundice. Ngati nthenda yotereyi ikukhudzidwa (kupweteka kwapachikasu ndi pancreatic necrosis), chiopsezo cha moyo chikhoza kuchitika. Kuti musadzitengere nokha mopitirira muyeso, nthawi yomweyo funsani dokotala pachizindikiro choyamba cha cholelithiasis.
Ultrasound kuyesa zochitika pamimba
Pothandizidwa ndi ultrasound, kuphwanya ntchito za ziwalo kukuwululidwa. Kukula kwawo ndi chikhalidwe ndizowoneka pazenera. Njirayo imagwiritsidwa ntchito nthawi zambiri, ndilo ndondomeko ya golide ya mankhwala amakono.
Masewera a Computed
Kufufuzidwa kwa ziwalo zamkati za munthu pogwiritsa ntchito X-ray. Mankhwala osiyana amayikidwa mu mitsempha, magazi amafalitsa thupi lonse. Pambuyo pake, perekani zithunzi zambiri zojambulidwa, kuziwunika ndikupeza deta yolondola pa ziwalo za ziwalo. Njirayi imagwiritsidwa ntchito kuti ayambe kuyerekezera, pamene zotsatira za ultrasound zimatsutsana. Endoscopic fibrogastroduodenoscopy (FGDS). Pulogalamu yochepa yokhala ndi fibrous optics imayambira kudzera pakamwa kwa wodwalayo. Zimatumiza chithunzi cha mucosa wa mimba, m'mimba kapena duodenum mpaka pang'onopang'ono. Njirayi imalola kuti muyambe kudziwa mmene chiwerengero cha m'mimba mwa m'mimba mwake chimakhalira. Mapuloteni osakanikirana otchedwa pancreatocholangiography (RPHG).
Kusiyana kwa mankhwala pogwiritsira ntchito chipangizo chapadera - chimaliziro - chimalowetsedwa m'malo mwa chifuwa cha ndulu m'matumbo. Pakati pa RPCH ndizotheka kuchotsa miyala yaying'ono kuchokera ku dothi. Amagwiritsidwa ntchito kawirikawiri, pokhapokha pazinthu zenizeni.
Njira zamakono zimakulolani kuti muwone zizindikiro zoyambirira za cholelithiasis ndikuzichita mopanda zopweteka ndipo popanda zotsatira zowopsa kwa thupi, osati ola limodzi. Zochitika zakale: pamene pulezidenti khumi ndi mmodzi wa US, James Polk, anali ndi zaka 17, iye anachotsedwa mu ndulu. Madokotala ankagwiritsa ntchito anesthesia, kuthirira purezidenti wamtsogolo ndi njoka yamphepete. Odwala panopo sangachite mantha ndi njira yotereyi: Panthawi ya opaleshoni amapatsidwa tulo tofa nato pansi pa anesthesia.
Cholecystectomy ya laparoscopic. Amachitidwa mothandizidwa ndi zipangizo zapadera, zomwe zimalowetsedwa m'kati mwa mimba kudzera m'mabowo anayi, mpaka mamita awiri. Chotsani nduluyo pamodzi ndi miyalayi. Pambuyo pa opaleshoniyi, palibenso njira iliyonse pakhungu. Njirayi yasakayikira zopindulitsa pa ntchito yochotsa miyala mwachitsulo: Matenda omwe amachititsa kuti asagwiritsidwe ntchito amatha kusokonezeka, kupweteka kumakhala kochepa, nthawi yochepa (mpaka masiku 4-5) odwala, kubwerera mofulumira ku njira yamoyo.
Opaleshoni yachikale. Pakati pake zimapangitsa kuti mimba ikhale yovuta kwambiri. Pali mthunzi wa 10-12 masentimita m'litali. Nthawi yokonzanso nthawi kuyambira masiku asanu ndi awiri ndi zina ndizofunika.
Moyo watsopano
Kuti abwerere mwamsanga kuchokera kuchipatala, adokotala angalimbikitse kugwiritsa ntchito madzi ochepa otchedwa carbonated mineral: "Naftusi", "Berezovskaya", "Luzhanskaya", "Glade Kvasova". Koma malo osungirako madzi amaloledwa kuchoka patapita miyezi 6-8 yokha: kudula kwambiri tsamba la m'mimba sikunali loyenera.
M'chaka chiyenera kutsatira nambala 5: mafuta ochepa omwe ali mu mbale, osakhala yokazinga, zokometsera ndi wowawasa. Mafuta a nyama ayenera kukhala ochepa okha, kuwatsitsa ndi chomera. Ubwino wa wotsirizirawo ndi mphamvu yowonjezera mphamvu ya chiwindi mu chiwindi ndi kuchepetsa chizoloŵezi cha bile kuti apangidwe miyala. Ndiwothandiza kwambiri kuwonjezera fiber ku zakudya. Ndi olemera m'maapulo, kabichi, nthochi, saladi zamasamba.
Njira Yopezera
Kudya bwino. Kumwa kawiri kawiri mankhwala ovomerezeka a multivitamin pothandizira dokotala, kuphatikizapo masamba ndi zipatso mu zakudya. Kuchita masewera. Kuthamanga, kusambira, njinga zamakilomita ndizovuta kutsutsana ndi cholelithiasis.
Chithandizo chamakono. Akatswiri a zamaganizo amalangiza ndi chizoloŵezi cha "matenda amwala" nthawi zambiri kuti agwiritse ntchito tsiku ndi tsiku moyo wobiriwira ndi wa buluu - amachititsa kuti mchitidwe wamanjenje ukhale wabwino. "Wokhala wodekha ndi wodekha!" - sunapangidwe kokha kwa ankhondo a mabuku a ana ndi katoto, komanso za thanzi la ziwalo.
Zizindikiro Zoopsa
Ululu wokhala pamwamba pa quadrant, makamaka atadya chakudya chambiri kapena chakudya cham'mawa, kusuta, kusanza, kutentha kwa madigiri 38. Samalani: kupweteka kumaperekedwa m'dzanja lamanja kapena paphewa, kumverera m'munsi kumbuyo kapena pansi pa collarbone. Kuti mudziwe chomwe chimayambitsa matendawa, muyenera kukhala ndi matenda oyenerera. Magulu oopsya Azimayi oyembekezera, anthu omwe ali olemera kwambiri, olemala, otengera zobadwa. Matenda a miyala yamwala imakhudza amayi nthawi zambiri 4-5 kuposa amuna. Chiwonetsero cha miyala Amapangidwa chifukwa cha kuika kwa particles wambiri wa bile. Makamaka miyalayi imakhala ndi cholesterol, bilirubin (bile pigment) ndi calcium salt. Masikelo awo amachokera pa mamita ochepa mpaka 10 cm mwake. Chiwerengero - kuchokera pa chimodzi kufika pa 30.