Amatye egall

Umxholo

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Amatye e-Gallstones enza xa izinto ezikwi-bile ziqina zibe ziincinci ezincinci, ezinje ngamatye e-gallbladder. Uninzi lwamatye enyongo lwenziwe ikakhulu kwi-cholesterol elukhuni. Ukuba i-bile engamanzi iqulethe i-cholesterol eninzi, okanye i-gallbladder ayinanto ngokupheleleyo okanye rhoqo, i-gallstones ingenza.

Ngubani osemngciphekweni?

Abasetyhini banamathuba aphindwe kabini kunamadoda okuba nenyongo. Ihomoni yabasetyhini i-estrogen iphakamisa amanqanaba e-cholesterol kwi-bile kwaye inciphisa intshukumo ye-gallbladder. Iziphumo zikhulu ngakumbi ekukhulelweni njengoko amanqanaba e-estrogen enyuka. Oku kunceda ukucacisa ukuba kutheni abafazi abaninzi behlakulela i-gallstones xa bekhulelwe okanye emva kokuba nomntwana. Ngokufanayo, ukuba uthatha iipilisi zokulawula ukuzala okanye unyango lwe-hormone ye-menopausal, unethuba elikhulu lokuphuhlisa i-gallstones.

Unamathuba amaninzi okuba ne-gallstones ukuba:

• unembali yosapho lwamatye enyongo
• batyebe kakhulu
• yitya ukutya okunamafutha aphezulu, ukutya okunamafutha amaninzi
• ukunciphisa umzimba ngokukhawuleza okukhulu
• bangaphezulu kwama-60
• NgamaMelika aseMelika okanye amaMelika aseMexico
• thatha iziyobisi ezinciphisa i-cholesterol
• unesifo seswekile

Iimpawu

Ngamanye amaxesha i-gallstones ayinazo iimpawu kwaye ayifuni unyango. Kodwa ukuba iinyongo zihamba ziye kwimibhobho ethwala inyongo ukusuka kwi-gallbladder okanye isibindi ukuya emathunjini amancinci, zinokubangela "uhlaselo" lwenyongo. Uhlaselo luzisa iintlungu eziqhubekayo kwisisu esingasentla sasekunene, phantsi kwegxalaba lasekunene, okanye phakathi kwamagxa egxalaba. Nangona uhlaselo luhlala ludlula njengoko iinyongo ziqhubela phambili, ngamanye amaxesha ilitye linokufakwa kwi-bile duct. I-duct evaliweyo inokubangela umonakalo omkhulu okanye usulelo.

Iimpawu ezilumkisayo zombhobho wenyongo ovalekileyo

Ukuba unayo nayiphi na le mpawu ye-bile duct evaliweyo, jonga ugqirha wakho ngoko nangoko:

* iintlungu ezihlala ngaphezu kweeyure ezi-5

isicaphucaphu nokugabha

* ifiva

* ulusu olutyheli okanye amehlo

Isitulo esinombala wodongwe

Unyango

Ukuba unama-gallstones ngaphandle kweempawu, awufuni nyango. Ukuba uhlala uhlaselwa yi-gallbladder, ugqirha wakho uya kuncoma ukuba ususwe i-gallbladder yakho-utyando olubizwa ngokuba yi-cholecystectomy.

Ugqirha

Utyando lokususa i-gallbladder-ilungu elingabalulekanga-lolunye lonyango oluqhelekileyo olwenziwa kubantu abadala eUnited States.

Phantse zonke ii-cholecystectomies zenziwa nge-laparoscopy. Emva kokukunika iyeza lokukuthomalalisa, ugqirha wenza amanxeba amancinane kaninzi kwisisu aze afake i-laparoscope kunye nekhamera yevidiyo encinci. Ikhamera ithumela umfanekiso ophakamileyo ukusuka ngaphakathi emzimbeni ukuya kwividiyo yokujonga, inika ugqirha umbono osondeleyo wamalungu kunye nezicubu. Ngelixa ubukele i-monitor, ugqirha usebenzisa izixhobo zokwahlula ngononophelo i-gallbladder kwisibindi, i-bile ducts, kunye nezinye izakhiwo. Emva koko ugqirha unqumla umbhobho we-cystic kwaye ususa i-gallbladder ngenye yezinto ezincinci.

Ukuchacha emva kotyando lwe-laparoscopic kuhlala kubandakanya ubusuku obunye kuphela esibhedlele, kwaye umsebenzi oqhelekileyo unokuphinda uqaliswe emva kweentsuku ezimbalwa ekhaya. Ngenxa yokuba izihlunu zesisu zinganqunyulwa ngexesha lotyando lwe-laparoscopic, izigulana zineentlungu ezimbalwa kwaye zinengxaki ezimbalwa kunasemva kotyando "oluvulekileyo", olufuna ukusikwa phakathi kweesentimitha ezi-5 ukuya kwezi-8 kwisisu.

Ukuba iimvavanyo zibonisa ukuba i-gallbladder ine-inflammation enkulu, intsholongwane, okanye ukutshatyalaliswa kweminye imisebenzi, ugqirha angenza utyando oluvulekileyo ukususa i-gallbladder. Kwezinye iimeko, utyando oluvulekileyo lucetywayo; Nangona kunjalo, ngamanye amaxesha ezi ngxaki zifunyanwa ngexesha le-laparoscopy kwaye ugqirha wotyando kufuneka enze ukusikwa okukhulu. Ukuchacha emva kotyando oluvulekileyo kuhlala kufuna iintsuku ezi-3 ukuya kwezi-5 esibhedlele kunye neeveki ezininzi ekhaya. Utyando oluvulekileyo luyimfuneko malunga ne-5 ekhulwini yotyando lwe-gallbladder.

Eyona ngxaki ixhaphakileyo kutyando lwe-gallbladder kukulimala kwimibhobho yenyongo. I-bile duct eyonzakeleyo eqhelekileyo inokuvuza i-bile kwaye ibangele usulelo olubuhlungu nolunokuba yingozi. Ukwenzakala okungephi ngamanye amaxesha kunokunyangwa ngaphandle kotyando. Ukwenzakala okukhulu, nangona kunjalo, kubi kakhulu kwaye kufuna utyando olongezelelweyo.

Ukuba i-gallstones ikhona kwi-bile ducts, ugqirha-ngokuqhelekileyo i-gastroenterologist-unokusebenzisa i-ERCP ukuwafumana kwaye uwasuse ngaphambi okanye ngexesha lotyando lwe-gallbladder. Ngamaxesha athile, umntu obene-cholecystectomy ufumanisa ukuba unelitye elineenyongo kwimijelo yeenyongo, kwiinyanga, okanye nakwiminyaka emva kotyando. Inkqubo ye-ERCP ihlala iphumelela ekususeni ilitye kwezi meko.

Unyango olungenasiphelo

Iindlela ezingezizo ezonyango zisetyenziswa kuphela kwiimeko ezizodwa- njengaxa isigulana sinengxaki yonyango ethintela utyando-kwaye namatye e-cholesterol kuphela. Amatye aqhele ukuvela kwisithuba seminyaka emi-5 kwizigulana ezinyangwa ngaphandle kotyando.

• Unyango lokupheliswa komlomo. Iziyobisi ezenziwe nge-bile acid zisetyenziselwa ukunyibilikisa inyongo. Amachiza e-ursodiol (Actigall) kunye ne-chenodiol (Chenix) asebenza kakuhle kumatye amancinci e-cholesterol. Iinyanga okanye iminyaka yonyango inokuba yimfuneko ngaphambi kokuba onke amatye anyibilike. Omabini la machiza anokubangela ukurhuda kancinci, kwaye i-chenodiol inokunyusa okwethutyana amanqanaba e-cholesterol egazini kunye ne-enzyme yesibindi i-transaminase.
  
• Nxibelelana nonyango lokupheliswa. Le nkqubo yovavanyo ibandakanya ukutofa iyeza ngokuthe ngqo kwi-gallbladder ukunyibilikisa amatye e-cholesterol. I-drug-methyl tert-butyl ether-inonyibilika amanye amatye kwi-1 ukuya kwiintsuku ze-3, kodwa ibangela ukucaphuka kwaye ezinye iingxaki ziye zaxelwa. Inkqubo ivavanywa kwizigulane ezinempawu ezinamatye amancinci.

Uthintelo

Nanga amanye amanyathelo onokuwathatha ukuze uthintele inyongo:

• Gcina ubunzima obunempilo.
• Ukuba ufuna ukunciphisa umzimba, yenze kancinane-ungabi ngaphezu kwe-½ ukuya kwi-2 pounds ngeveki.
• Yitya ukutya okunamafutha asezantsi, ukutya okunamafutha asezantsi.

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