Gallbladder cholesterosis > Matenda a shuga

Gallbladder cholesterosis ndi kukanika kwa ndulu komwe kumachitika chifukwa cha kuperewera kwamafuta. Matendawa amakhumudwitsa kuchuluka kwa zinthu zowola m'makoma a bile.

Nthawi zambiri, matenda amtunduwu amapezeka pakati pa azimayi azaka zapakati omwe akudwala atherosulinosis. Komanso, cholesterosis imadziwika ngati gawo loyamba la matenda a gallstone.

Pathology imatha kukhala yachilendo kwa zaka, koma ndikusayenda kwa bile, kumverera kowawa kumatha kuchitika.

Maziko a mankhwalawa ndi zakudya zoyenera, kumwa mankhwala a choleretic. Monga chithandizo chothandizira, mankhwala azitsamba, masewera olimbitsa thupi, njira zolimbitsa thupi, Reflexology angagwiritsidwe ntchito.

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Zomwe zimayambitsa matendawa

Gallbladder cholesterosis, yomwe imadziwikanso kuti lipoidosis, ndi matenda omwe amadziwika ndi kuyika kwa lipids pakhoma lachiberekero chifukwa cha matenda a metabolism ya mafuta. Nthawi zambiri matendawa amapezeka mwa kugonana, komanso kumachitika mwa amuna. Mankhwala amakono amatenga gallbladder cholesterosis ngati imodzi mwa magawo a cholelithiasis.

Choyambitsa chachikulu cha matendawa ndimatenda a metabolic, omwe ndi mafuta. Cholesterol mu ndulu imayikidwa mu mawonekedwe a otsika osalimba lipoproteins, omwe amatha kulowa ma macrophages. Ndi kuchuluka kwama molekyulu yamafuta, ma macrophages amapanga maselo a thovu omwe amadzazidwa ndi cholesterol esters.

Cholesterosis imasokoneza mphamvu ya makoma a thupi kuti agwirizane, zomwe zimakwiyitsa kwambiri kuyatsidwa kwa cholesterol m'munsi mwa chikhodzodzo. Lipids imatha kukhala mkati mwamthupi mwa mawonekedwe a mafuta, kapena kuphimba khoma lake ndi mauna owuma. Ndi kuchuluka kwambiri kwa mamolekyulu a cholesterol, hyperplastic cholecystosis imayamba.

Zizindikiro za matendawa

Pa gawo loyamba, izi zimachitika popanda chizindikiro chowoneka. Pamene cholesterosis ikupita, odwala amayamba kuona kutopa ndi kufinya mu hypochondrium yoyenera. Nthawi zambiri amalowa ndi dyspeptic syndrome, womwe umasonyezedwa ndi nseru, kusanza, chopondapo chopindika, kumatulutsa pafupipafupi. Mothandizidwa ndi zinthu zoyambitsa kutsutsa (zovuta za kudya, kumwa mowa mwauchidakwa), odwala amatha kudwala colic. Amawonetsedwa ndi ma spasms owopsa omwe amachititsa kupweteka kosagwirizana ndi paroxysmal.

Nthawi zambiri, cholesterol zolembera mu ndulu zimachitika motsutsa maziko a cholecystitis owerengeka. Izi zimachitika chifukwa cha cholelithiasis, yomwe imakhudza ntchito ya chiwindi, kapamba. Izi ziwiri zam'magazi zimathandizana, kuwonetseredwa mwa kuwukira kwa biliary colic, hyperthermia, dyspepsia. Ndi kutsekeka kwa hepatic biliary thirakiti ndi miyala kapena malo akulu a cholesterol, kutulutsa kwa bile kuchokera ku chikhodzodzo kumasokonezeka. Izi zimayambitsa kusintha kwa chiwindi komwe kumapangitsa kuchuluka kwa micirubin ndi michere ya chiwindi m'magazi. Zizindikiro zamatenda amtunduwu ndi chikasu cha sclera, khungu, mawonekedwe a mucous.

Gulu

Gallbladder cholesterosis (ICD code 10 - 82.4) imatha kuchitika mwanjira imodzi itatu. Izi zitha kutsimikizika mwakuwona, mutachotsa komanso kutseguka chiwalo. Mankhwala amakono amasiyanitsa mitundu yotsatirayi ya lipoidosis:

mawonekedwe a polypoid - madigiri a cholesterol amapezeka mu lumen ya thupi monga ma protrusion amafuta,
mawonekedwe osakanikirana - madipoziti amafuta ali kukhoma la kuwira ngati zilumba zopatula,
Fotokozerani mawonekedwe - khoma lonse la chiwalo limalumikizidwa moyenerera ndi zopindika zamafuta.

Zosintha izi zimatha kuphatikizidwa ndi kupezeka kwa calculi m'mphepete mwa ndulu. Kutengera izi, machitidwe othandizira amasankhidwa.

Zizindikiro

Chifukwa chakuti matendawa amatha kuchitika kwa nthawi yayitali popanda kutchulidwa kachipatala, amapezeka mosayembekezereka mukamayesedwa. Nthawi zambiri gallbladder cholesterosis imadziwika pakaunikiridwa ma ultrasound pamimba. Chithunzi cha ultrasound chimawoneka ngati chosagwirizana ndimakoma a chiwalo. Ndi mawonekedwe a cholesterosis, katswiri amatha kuwona zam'magawo a ultrasound. Mitundu ya polyposis imawoneka ngati mawonekedwe osiyana a hyperechoic mu labu lumen.

Kuti mupeze gallbladder cholesterosis, gastroenterology yamakono imatsimikizira kuti isangokhala kuchuluka kwa seramu cholesterol ndi tizigawo ting'onoting'ono, komanso maphunziro a ma enzymes a chiwindi. Ndi matenda a gallbladder osakanikirana ndi ma cell a chiwindi, pali kuwonjezeka kwa ALT, AST, bilirubin, GGT, alkaline phosphatase yonse. Mukamachita kafukufuku monga cholecystography, mitundu yokhayo ya polypoid yokhazikika yotsimikizika. Pogwiritsa ntchito mitundu yonse ya matendawa ndipo imayambitsa matenda, njirayi ndi yopanda tanthauzo.

Njira zochizira ndi kupewa

Chithandizo chachikulu cha gallbladder cholesterosis ndi chosakhazikika (achire). Kwa odwala omwe ali ndi vutoli, madokotala amalimbikitsa kuti apende kawirikawiri zakudya komanso zakudya. Ndikofunikira kupatula zakudya zamafuta ndi okazinga, zonunkhira ndi zokometsera, zakumwa zoledzeretsa kuchokera pachakudya. Muyenera kudya magawo ang'onoang'ono osachepera 5 pa tsiku, kupatsa masamba ndi zipatso. Ngati wodwalayo ali ndi kilogalamu yowonjezera, ndikulimbikitsidwa kuchepetsa zakudya zopatsa mphamvu tsiku ndi tsiku. Muyeneranso kutsatira njira yoledzera. Masana, ndikofunika kumwa osachepera 2 malita a madzi oyera akumwa.

Kuphatikiza pa zakudya za cholesterosis ya makoma a ndulu, madokotala amalimbikitsa chithandizo chamankhwala. Mankhwala ayenera kumwa kwa miyezi isanu ndi umodzi moyang'aniridwa ndi katswiri. Pofuna kukonza gawo la ntchito ya chiwalo ndi kusintha matendawa bile, choleretics ndi cholekinetics ndi mankhwala. Kuti muchepetse kuwonongeka kwa cholesterol pa ndulu, ndikofunikira kumwa mankhwala kutengera ursodeoxycholic acid. Ndi kuphatikiza kwa lipoidosis ndi cholelithiasis, ngati mukuopseza kutsekeka kwamtundu wa biliary, chithandizo chamankhwala chingalimbikitsidwe kwa wodwala.

Kupewetsa matenda kumatsikira pakukhazikitsa kwamayendedwe azachipatala pazakudya. Kuyesedwa kwa magazi a biochemical kuyeneranso kutengedwa chaka chilichonse, zomwe zingathandize kuwunika zamtundu wa lipid metabolism. Kuphatikiza apo, kuchita masewera olimbitsa thupi pafupipafupi kumathandizanso kukhala wathanzi!

Lingaliro lazonse la matendawa

Gallbladder cholesterosis sikuti imakhala yachilendo, komanso yovuta kudziwa matenda, omwe amakumana ndi achinyamata. Lipid metabolism imasokonezeka, chifukwa chake, kudziwika kwa cholesterol kumadziwika mu khoma la chiwalo ichi. Pathology imayambitsa kusintha kwa ziwalo. Nthawi zina, njira yotupa imatha.

Popeza ndizovuta kudziwa cholesterosis ya khoma la ndulu, ndikofunikira kutengera njira zina zofunikira.

Nthawi zambiri, matenda osasangalatsa amatengedwa ngati gawo lapadera pakupanga matenda a ndulu.

Mukufuna kudziwa zambiri zazomwe zimayambitsa miyala ya gallstones? Ndiye kwa inu apa!

Zomwe zimayambitsa matendawa

Ndizovuta kunena pakali pano za zomwe zenizeni zimayambitsa cholesterosis. Komabe, akatswiri amati zovuta zamafuta kagayidwe kachakudya zimakhudzana ndikuwonekera kwa matenda. Kuphatikiza apo, zifukwa siziyenera kunyalanyazidwa pazifukwa zingapo:

Kulephera pakugwira ntchito kwa endocrine system,
mavuto a kunenepa kwambiri kwa chiwindi ndi matenda ake,
cholesterol yayikulu mu ndulu,
Kusintha kwakukuru mu zochitika za chitetezo chamthupi.

Ngati mabakiteriya am'mimba atasokonezeka chifukwa chotenga maantibayotiki, chiopsezo chotenga matendawa chikuwonjezeka.

Mwina matendawa asymptomatic matenda. Pankhaniyi, zitha kupezeka mwangozi. Komabe, zizindikilo zina zokhala ndi matenda ambiri ammimba komanso chikhodzodzo zimatha kuonekeranso:

kuwoneka mseru pambuyo kudya zakudya zamafuta,
kupweteka kwa hypochondrium kudzanja lamanja, komwe kumalimbikitsidwa nditatha kudya mafuta, zonunkhira komanso fodya. Nthawi zambiri ululu umachitika madzulo kapena usiku,
kuwawa kosasangalatsa komanso mkamwa youma, makamaka m'mawa,
kudzimbidwa kumatha kusinthana ndi matenda otsekula m'mimba,

Ngati cholesterol yambiri yayikidwa mu ndulu, zizindikiro za colic biliary zitha kuchitika (werengani zambiri momwe mungadziwire zomwe chikhodzodzo chikupweteka):

kupweteka kwambiri mu hypochondrium kumanja,
kusanza kwambiri, kusanza,
zimbudzi zotayirira kamodzi.

Ndi kukula kwa kutupa, zizindikiro zodziwika bwino za cholecystitis pachimake zimawonekera: kuzinthu zonse zomwe zafotokozedwa pamwambapa, kutentha kumawonjezeranso, komwe kumatha kukwera mpaka madigiri 39.

Musadzizindikire, onetsetsani kuti mwalumikizana ndi katswiri! Kuchita bwino kwa mankhwalawa kumatheka pokhapokha kuwunikira ndikuwunika kwa chiwindi ndi ndulu. Momwe mungakonzekerere - werengani apa.

Pafupifupi nthawi zonse, cholesterosis imachiritsidwa kwathunthu. Njira zotsatirazi zikuyembekezeka monga gawo la chithandizo chamankhwala:

Zakudya zimayikidwa payekha, m'malo onsewo. Zakudyazi ziyenera kulemezedwa ndi ulusi wazomera, mafuta, nsomba zam'nyanja, mafuta ochepa ndi mafuta.
Kumwa mankhwala a choleretic kumathandizira kubwezeretsa kapangidwe ka bile.
Ma acid akhungu.
Ngati matenda achitapo, mankhwala a antibacterial ndi omwe amapatsidwa.
Kumwa mankhwala kuyenera kupitilira miyezi inayi mpaka isanu ndi umodzi.

Nthawi zina, chithandizo cha opereshoni sichitha kupewedwa:

Ngati chikhodzodzo sichikugwira ntchito,
Ndi zizindikiro zotchulidwa,
Pankhani ya concomitant cholelithiasis.

Gallbladder cholesterosis - matendawa si owopsa, koma osasangalatsa. Ndikotheka kupewa chitukuko chake mwa kusintha kagayidwe ka mafuta m'thupi. Ndikofunika kukumbukira kuti matenda aliwonse ndiwosavuta kupewa kuposa momwe mungayang'anire matenda ake.

Zochitika pa zaka zoposa 7.

Maluso aluso: kuzindikira ndi kuchiza matenda am'mimba komanso biliary dongosolo.

Zimayambitsa bile cholesterosis

Bile cholesterosis imayendera limodzi ndi mawonekedwe a cholesterol m'makoma a chikhodzodzo. Popita nthawi, izi zimapangitsa kuti thupi lisagwire bwino ntchito. Matendawa amapezeka mwa achinyamata komanso azaka zapakati, azimayi amadwala pafupipafupi.

Chifukwa chachikulu chomwe chitukuko cha gallbladder cholesterosis ndikuphwanya mafuta kagayidwe. Kuyika kwa lipid kumachitika mkati mwa khoma la mucous, makamaka chifukwa cha kuchuluka kwa osalimba a lipoproteins mu zakudya, zomwe zimangoyambitsa chitukuko cha atherosulinosis.

Kusakhala kwa zizindikiro za cholesterosis kumabweretsa matenda obwera chifukwa cha nthendayi, omwe amaphwanya ntchito ya kulera komanso kutuluka kwa ndulu. Izi zimathandizira kuchulukitsa kwa cholesterol koposa. Pa mucous membranes, makulidwe amtundu wachikasu amawonekera. Nthawi zina cholesterol imakhala ngati imakhudzidwa ndi masamba a mkati mwa ndulu.

Kodi cholesterosis ndi chiyani?

Chifukwa chake, akuti cholid cholecystitis, ndichifukwa chiyani ndizovuta kudziwa?

Kuti mumvetsetse momwe mungapewerere kukula kwa matenda amenewa, choyamba, muyenera kumvetsetsa bwino kuti cholesterosis ndiyotani, komanso momwe matendawa amakhudzidwira ndi miyambo ya zomwe zili mu cholesterol "yoyipa" m'magazi.

Lipodiosis, gallbladder cholesterosis ndi njira yachilendo, kukula kumene kumakhudzana mwachindunji ndi kusinthanitsa kwa lipids (mafuta) m'thupi la wodwalayo, chifukwa chomwe cholesterol imadziunjikira pamakoma a chiwalo chomwe chakhudzidwa, kusokoneza kugwira ntchito kwa chiwalochi. Nthawi zambiri matendawa amakhala asymptomatic, omwe amachititsa kuti azindikire, kapena ali ndi mawonekedwe a matenda ena a ndulu, chithokomiro, komanso nthawi zina chiwindi.

Ndikofunika kudziwa kuti cholesterosis ya makoma a ndulu, monga lamulo, imapezeka mwa odwala omwe ali ndi zaka zochepa, kapena azimayi atatha zaka 40, chifukwa cha atherosclerosis. Madokotala ena amawona cholesterosis ngati gawo limodzi pakupanga cholelithiasis.

Mitundu ya Cholesterosis

Gulu la matendawa limachitika molingana ndi magawo angapo.

Kutengera ndi kukhalapo kwa miyala, matendawa amagawidwa:

wopanda miyala, njira yofala kwambiri yamatendawa, imayamba mozizwitsa kapena pamaso pa zizindikiro wamba,
mawonekedwe omwe cholesterol neoplasms imapangidwira, yopangidwa kwathunthu ya cholesterol yoyipa (chipangizo cha lipid metabolism).

Malinga ndi zizindikiro zomwe zingatsimikizidwe popanda kupimidwa ndi ma microscope, cholesterosis imagawidwa kukhala:

cholimbana ndi cholesterosis, pomwe mawonekedwe ake ndi gawo lowonongeka. Osati makoma a ndulu okha omwe angakhudzidwe, komanso minofu, komanso makonzedwe owonjezera a bile.
chonse, chikhodzodzo chonse chikakhudzidwa,
lipodiosis yathunthu yawonongeka ndi ma ducts owonjezera,
polypous, chizindikiro chachikulu chomwe ndi kutuluka kwa makoma a ndulu chifukwa cha kuchuluka kwa mafuta pa iwo. Ndikofunika kudziwa kuti mawonekedwe ofanana ndi polyp amafunika zowunikira zowonjezera kuti zitsimikizire kupezeka kwa ma neoplasms oyipa,
reticular, yodziwika ndi makulidwe a makoma a chikhodzodzo ndipo amatha kudutsa mu mawonekedwe a retinal polypous.

Malinga ndi zizindikiro zooneka pansi pa maikulosikopu, matendawa amagawidwa m'mitundu mitundu:

asymptomatic kapena latent,
mitundu yomwe cholesterosis imakonda kuphatikizidwa: neoplasms (zotupa), lipomatosis, adenomatosis, adenofibromatosis, fibromatosis.

Zimayambitsa gallbladder cholesterosis

Tsoka ilo komwe kwachokera cholesterosis sikumadziwika, koma malinga ndi zosatsimikizika za matendawa, ndipo zimayenderana ndi kuphwanya kagayidwe ka mafuta (lipids), cholesterosis ya gallbladder imatha kuyambitsidwa ndi chimodzi kapena kuphatikiza pazinthu izi:

Matenda a chithokomiro - hepatosis ndi hypothyroidism,
dyslipidemia, kuphwanya kwa kagayidwe ka lipid (mafuta) komwe kamayamba chifukwa chamafuta ochulukirapo azakudya za odwala,
matenda ashuga
m'mimba mtundu wa kunenepa komwe mafuta a metabolism nthawi yomweyo amatha kuwonongeka m'magulu angapo amkati,
matenda a ndulu.

Ndikofunikira kudziwa kuti pankhani yanjira ya cholesterol yolowa m'matumbo amthupi, ndizodziwika bwino kuti cholesterol imalowa mu ndulu kudzera mu njira ya biliary. Pogwira ntchito nthawi zonse, gawo la lipids limalowa ndi makhoma a chiwalo, ndipo chotsalacho chimakonzedwa mkati mwa patsekeke. Pakakhala vuto, cholesterol plaque mu ndulu amakhazikika pamakoma, kusokoneza magwiridwe antchito yotsirizira.

Zizindikiro za gallbladder cholesterosis

Monga tafotokozera pamwambapa, pali mitundu ya gallbladder cholesterosis, kukula komwe kumachitika popanda mawonekedwe, koma odwala ena akuwonetsa kuti mapangidwe a lipodioside amadziwika ndi zizindikiro zotere:

kupweteka mu hypochondrium yoyenera. Zomverera zowawa nthawi zambiri zimakhala ndi mawonekedwe opweteka komanso okhazikika, chizolowezi cholimbitsa pambuyo pa mbale lakuthwa, mafuta, osuta, kupweteka kumakhudza mbali yakumanja, mkono, kumapereka kumbuyo,
Nthawi ndi nthawi mumakumana ndi nseru, makamaka mutadya zakudya zamafuta, ndimasuta nyama,
m'mawa, mutha kuona zizindikiro za cholesterosis monga mucous nembanemba mkamwa, kuwawa,
kuphwanya chopondapo, pamene kudzimbidwa kusinthana ndi kutsegula m'mimba.

Pankhani ya kuchuluka kwambiri kwa cholesterol, chizindikiro cha biliary colic chingaoneke:

kuthamangitsa
nseru
tulo tofa (osakwatiwa),
kupweteka, kosayembekezeka mu hypochondrium yoyenera,
wathanzi (kufooka, chizungulire).

Pakakhala njira yotupa, zizindikiro zotsatirazi ziwonjezeke:

kusanza, kubwereza kangapo, koma osapatsa mpumulo,
kutsegula m'mimba kwambiri
kutentha kwa thupi kumakwera mpaka madigiri 39.

Chithandizo cha Gallbladder Cholesterosis

Chonde dziwani kuti nthawi zambiri, chithandizo cha gallbladder cholesterosis chimachitika kwathunthu.

Choyamba, muyenera kukhazikitsa zakudya. Muyenera kudya magawo ang'onoang'ono, osachepera 5 pa tsiku, kutsatira zakudya zinazake, zomwe zidzafotokozedwera pansipa.

Kuphatikiza pa zakudya zapadera, gallbladder cholesterosis imafunikanso mankhwala ena, kuphatikizapo:

antispasmodics kuti tithandizire kupuma,
ma pinkiller
cholesterol yotsitsa mankhwala,
Mimba thirakiti mankhwala
maantibayotiki
michere yopanga chimbudzi,
mankhwala othandizira zinyalala za bile.

Kuphatikiza pa kugwiritsa ntchito mankhwala osokoneza bongo, mutha kugwiritsanso ntchito mankhwala othandizira anthu wowerengeka. Mphamvu ya choleretic ya zitsamba zina (dandelion, wort wa St. John, wosafa, sitiroberi wamtchire) imalola kukhazikitsa kutulutsa kwa bile katulutsidwe ndikuletsa mawonekedwe a miyala.

Kuchitapo kanthu kwa opaleshoni kumawerengedwa kuti ndi njira yochizira kwambiri, ngati zotsatira zoyipa sizingachitike ndi chithandizo chachikhalidwe kapena malo a lesion ndi okulirapo ndipo sibwino kupitiliza mankhwala.

Zovuta ndi zotsatirapo zake ngati sizichitika

Mwa zovuta zazikulu zomwe zimadza chifukwa cha kusowa kwa chithandizo cha matendawa, munthu akhoza kudziwa izi:

mawonekedwe a atherosulinosis,
kudziunjikira kwa calcium m'makoma a ndulu,
cholecystitis, mawonekedwe a zotupa mu chikhodzodzo,
kutsika kwa hemoglobin m'magazi a wodwala,
kusowa kwa mphamvu kungaoneke mwa amuna,
kusintha kwa mafupa.

Zakudya za gallbladder cholesterosis

Chonde dziwani kuti gallbladder cholesterosis ndi matenda omwe zakudya ndizofunikira. Odwala onenepa kwambiri amalangizidwa kuti azichotsa mapaundi owonjezera.

Wodwalayo ayenera kukana zakudya zomwe zimayambitsa kutulutsidwa kwa bile: mafuta amtundu, nsomba, zonunkhira (mpiru ndi tsabola), zakudya yokazinga, makeke. Ndikofunikira kupatula zakumwa zoledzeretsa, khofi, zinthu zonse zomalizidwa, zakudya zamafuta (batala, mafuta anyama).

Maziko azakudya ayenera kuphika, kuwotcha, masamba osaphika, nkhuku yochepa-mafuta, tchizi chochepa cha kanyumba, buckwheat ndi oat ndizosankhidwa pakati pa chimanga. Marmalade, marshmallows, jellies amatha kukhala zakudya zotsekemera. Povala masaladi, ndibwino kugwiritsa ntchito mandimu, cholesterosis imazindikira bwino, kuphatikiza mafuta aliwonse azamasamba.

Nthawi yomweyo, zakudya za gallbladder cholesterosis zimaphatikizapo kudya mavitamini a B, mavitamini A, E, D, K, chitsulo, komanso kuletsa kupsinjika kwakuthupi ndi kwamalingaliro.

Mankhwala a Lipodiosis sikuti ndi njira yovomerezeka, koma mtundu wina watsopano, ndipo ndi wodwala yekhayo amene amasankha kuti zotsatira zake zitheke.

Kuyesa kotani

Akatswiri posachedwa atazindikira kuti ali ndi matenda a gallbladder, mwachangu adzayamba kulandira chithandizo, kuphatikizapo opareshoni. Anthu ambiri amawopa opaleshoni ndikuiwala, ngakhale amakhala ndi colic komanso kupweteka kwambiri. Popanda chithandizo, cholesterosis ya ndulu, makamaka yamtundu wowerengeka, imatha kutsogola osati kuphwanya magwiridwe antchito a machitidwe a biliary, komanso ku zilonda zoyipa.

Njira yayikulu yodziwira matenda a cholesterosis ndi ultrasound ya chiwindi ndi ndulu. Njirayi ndi yotsika mtengo komanso yopanda thanzi. Aliyense amene ali ndi matenda osachiritsika a ndulu amalangizidwa kuti azisanthula kangapo pachaka kuti asaphonye kufooka kwa vuto lakelo.

Nthawi zambiri, anthu amaphunzira kaye za matenda a ndulu. Njira imakuthandizani kuti muwone makamaka khoma lakumaso kwa chiwalo. Cholesterosis imapezeka mu mawonekedwe a kusakhazikika kwa mucosa. Ndili ndi ma polypous ndi maonekedwe okhazikika, ozindikira amawona mawonekedwe a parietal omwe ndi ovuta kusokoneza matenda ena ndi zotupa.

Njira zina zodziwikitsa kuzindikira sizothandiza. Kusintha kwachilengedwe mu kuphatikiza kwa magazi kumachitika pokhapokha ndi kuphatikiza cholesterosis ndi kuwerengetsa cholecystitis. Poterepa, mulingo wa alkaline phosphatase ndi bilirubin ukuwonjezeka.

Kuyanjana kwa cholesterosis ndi atherosulinosis ndi kunenepa kwambiri

Akatswiri adazindikira kale kuti kuyika kwa cholesterol mu mucous membrane wa gallbladder nthawi yomweyo kumachitika ndi kuwonongeka kwa mitsempha ya m'magazi komanso kukula kwa metabolic syndrome, yomwe nthawi zambiri imatha kunenepa kwambiri, kukana insulini komanso matenda ashuga.

Mpaka pano, palibe kukayikira konse za mgwirizano pakati pa kulemera kwa munthu, moyo wake, chakudya chake ndi chakudya. Mu metabolic syndrome, yomwe imayendetsedwa ndi kuthamanga kwa magazi, matenda a shuga komanso kunenepa kwambiri, chikhodzodzo nthawi zambiri chimakhala chida chogundana ndimatenda amisempha omwe amachitika chifukwa cha kupunduka kwa lipid metabolism.

Kuchiza matenda

Chithandizo cha cholesterosis ya makoma a ndulu imatha kukhala yofulumira komanso yolimbikitsa. Maluso amasankhidwa malinga ndi zotsatira za diagnostics a ultrasound ndi zovuta zowawa. Mankhwala apadera a mankhwalawa a gallbladder cholesterosis ayenera kusankhidwa ndi hepatologist kapena katswiri.

Mwa mankhwala zotchulidwa kwenikweni mankhwala a choleretic. Amalepheretsa kusayenda kwa bile, kuchuluka kwa tizilombo toyambitsa matenda komanso mapangidwe a miyala. Potengera zakumbuyo ya cholesterosis, miyala ya cholesterol imakonda kuonekera, yomwe imakhala pafupifupi 80% ya calculi yonse yomwe imagwera m'mitsempha.

Kuphatikiza apo, mankhwala ozikidwa pa ursodeoxycholic acid ndi omwe amapatsidwa. Amathandizira kusintha pakati pa cholesterol ndi bile acid. Mankhwalawa amagwiritsidwa ntchito m'maphunziro ataliatali, miyezi isanu ndi itatu. Pambuyo pakupuma kwakanthawi, chithandizo ndi ursodeoxycholic acid ziyenera kubwerezedwa.

Ndi chitukuko cha cholecystitis, maantibayotiki amafunikira. Amaletsa kufalikira kwa matenda chifukwa cha kusayenda kwa ndulu komanso njira yotupa.

Momwe mungachepetsere kuukira kovuta

Ngati pachimake cholesterosis chikukula motsutsana maziko a biliary colic, kuukira kumatha kutsitsimuka mothandizidwa ndi antispasmodics ndi analgesics. Vutoli limatengedwa kuti ndi lofunika, chifukwa likuwopseza kuletsa bile ducts, kukula kwa purulent cholecystitis ndi peritonitis. Chifukwa chake, mutha kumwa mankhwala antispasmodic musanapite kuchipatala, koma simungathe kukana matenda ndi kuyang'aniridwa kuchipatala.

Cholecystectomy ya Cholesterosis

Njira zochizira opaleshoni ya cholesterosis zimachitika makamaka ndi kuchuluka kwa matendawa ndi kupangika kwa calculi. Ngati ndulu yadzazidwa ndi miyala yomwe singathe kusungunuka ndi mankhwala ena, kuchitidwa kofunikira.

Nthawi zambiri, opaleshoni ya ndulu imagwiritsidwa ntchito polypoid cholesterosis. Akatswiri amaganiza kuti nthendayi imakhala yoopsa ndipo imakonda kuchotsa chiwalocho pakapita nthawi. Ndi zaka, chiopsezo cha minyewa yovulazidwa kumbuyo kwa kutupa kosalekeza komanso kuwonongeka kwa mucosal kumangokulira.

Lero, ndulu imachotsedwa laparoscopically. Opaleshoniyo imachitidwa kudzera ma punctures ang'onoang'ono khoma lamkati, ndipo patsiku lomwelo, odwala amaloledwa kudzuka ndikudya zakudya ndi zakumwa.

Chakudya chokhwima chimatsatiridwa m'miyezi yoyamba. Pambuyo pa opaleshoni, chidwi chamafuta ndi zakudya zokazinga, zakudya zabwino ndi zonunkhira nthawi zambiri zimatha. Chifukwa chake, thupi limasinthasintha popanda gallbladder. Koma bile limabwerabe kudzagaya chakudya, koma mwachindunji kuchokera ku chiwindi.

Njira zochizira cholesterosis

Ndizotheka kuchiza gallbladder cholesterosis ndi wowerengeka azitsamba pokhapokha ngati chilolezo chachipatala chilipo. Zomera zambiri zimakhala ndi choleretic, koma ndizovuta kuzilamulira ngati calculi ilipo. Makamaka owopsa ndi miyala yaying'ono yomwe imatha kubisa bile duct.

Kuchepa pang'ono kwa choleretic kumawonetsedwa ndi ma stigmas a chimanga, msuzi wa rosehip, ndi chamomile. Ngati njira ina yodulira mankhwalawa pogwiritsa ntchito ursodeoxycholic acid, mutha kugwiritsa ntchito tincture wa chimbudzi, womwe uli ndi zinthu zomwezi, koma mwachilengedwe. Chithandizo chimapitilira kwa miyezi ingapo. Mukamaliza, tikulimbikitsidwa kuti tizisanthula ndi ultrasound kuti tidziwe momwe tincture ulili.

Kupewa

Ngati muli ndi matenda aliwonse a gallbladder (dyskinesia, cholecystitis, polyposis), ngakhale atakhala osatchulidwa, muyenera kusintha kwambiri kadyedwe kanu ndikusiya zakudya zanu zonse zamafuta ndi okazinga. Osamadya mafuta omwe amapaka, omwe amapangika mukazinga.

Sinthani mafuta amanyama kukhala masamba: kuti muchepetse mapangidwe a cholesterol, atherosulinosis, cholesterosis ndi zina zomwe zimagwirizanitsidwa ndi kapangidwe kochepa ka cholesterol, ndizothandiza kugwiritsa ntchito mafuta a maolivi, opindika, mafuta a cottonseed. Amalemeretsa thupi ndi lipoprotein yapamwamba. Mafuta a azitona amathandiziranso kutupa kwa mitsempha yamitsempha. Akatswiri ambiri amawona kuti kukula kwa chotupa mu vasotorum ya vascular ndi chifukwa chachikulu cha atherosclerosis.

Popewa bile cholesterosis, tikulimbikitsidwa kuphatikiza kutsatira malamulo oletsa kudya ndi moyo wokangalika. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kumasula chikhodzodzo kuchokera ku bile ndikusunga kuchuluka kwa metabolic. Kumbukirani kudya zakudya zazing'ono, koma maola atatu aliwonse. Izi zimalola bile kuti ichoke kuwira pakanthawi kake, kuteteza kukula kwake, kutupa kwa makoma a mucous ndikupanga miyala.

Mu kanemayo mungaphunzire chatsopano chokhudza ntchito ya ndulu, chiwindi ndi ziwalo zina zam'mimba, za njira zopewera komanso kuchiza matenda am'mabala. Malangizo ambiri ndi osavuta kuyika nawo ndipo amakuthandizani kuti mupewe mavuto am'matumbo mtsogolomo.

Amayambitsa ndi pathogenesis

Maphunziro azachipatala sangathe kuyambitsa zomwe zimayambitsa matenda. Mwinanso chinthu chachikulu pakukula kwa cholesterosis ndikusintha kwina kwa metabolic m'thupi. Zinapezeka kuti matendawa nthawi zambiri amayenda limodzi ndi cholelithiasis kapena kapangidwe ka ndulu mu chikhodzodzo.

Kuphatikiza apo, zimatha kuyambitsa cholesterosis:

matenda a chithokomiro chithokomiro, makamaka, hypothyroidism,
kuchuluka kwa mafuta m'thupi la chiwindi ndi chiwindi.
matenda ashuga
zovuta zosiyanasiyana zamagulu am'mimba,
kunenepa kwam'mimba, komwe kumaphwanya mafuta kagayidwe kakang'ono m'misempha ndi ziwalo zingapo.
zovuta zamitsempha yamagazi ndi zam'mimba,
kusokonezeka kwa mota ndi kutuluka kwina kwa ndulu.

Lipids amatha kulowa chikhodzodzo kudzera mu ndulu. Ngati bile imagwira ntchito mwachizolowezi, ndiye kuti cholesterol inayake imatha kutengeka ndi makoma a chiwalo. Kuchokera pamenepo, gawo lina limafalikira mpaka kumazungulira.

Cholesterosis nthawi zonse imaphatikizidwa ndi cholesterol yayikulu yamagazi.

Ngati wodwala wapezeka ndi atherosclerosis, ochepa matenda oopsa kapena cirrhosis, ndiye kuti mwina ndi cholesterosis ya bile adzakhala yotsatira wodwala. Ngakhale kukhalapo kwa cholesterol plaques sikutanthauza kuti kupezeka kwa matenda mufunso, monga momwe kupezeka kwa cholesterosis sikutanthauza kukonzekera kolesterol m'mwazi.

Chithunzi cha kuchipatala

Cholesterosis sikuti imangodziwulula lokha ndi zisonyezo zilizonse. Matendawa atha kukhala "mwangozi" mwapadera mukamawunika. Malinga ndi akatswiri ambiri a matendawa, matendawa amatha kuzindikirika pokhapokha poyambira kutukusira kwa ziwalo za mucous.

Zizindikiro za cholesterosis ndi:

kupweteka mu hypochondrium yoyenera ya kupweteka kapena kuphulika,
kumva kuwawa mkamwa (chifukwa cha zochita za bile acid),
kuchuluka kwa dyspepsia (amayamba chifukwa cha kuchuluka kwamafuta acid mu ndulu),
kudya mseru mukatha kudya zakudya zamafuta,
kuphwanya contractile ntchito ya bile, amene alibe kutchulidwa chiwonetsero cha matenda,
mawonekedwe a khungu lachikaso ndi sclera

Zizindikiro izi sizingawonekere mwa anthu ena. Munthu amaphunzira za vuto lake pokhapokha mayeso.

Njira Zodziwitsira

Kuzindikira cholesterosis kumakhala kovuta kwambiri. Izi ndichifukwa choti Zizindikiro zake sizikupezeka konse. Njira zodalirika komanso zothandiza zodziwira matenda opatsirana ndi ma ultrasound ndi radiology.

Mukamawunika x-ray, mapangidwe ake amtundu wa bile amadziwika bwino mu chithunzicho.

Kuphatikiza apo, wodwalayo adalembedwa:

kuyezetsa magazi (kuphatikiza zamankhwala am'mwazi),
urinalysis,
kuzindikiridwa ndi katundu pa bile (wodwalayo amapatsidwa momwemo ma ultrasound, koma asanawunike akuonetsa kuti angadye mkate ndi batala),
maginito oyang'anira kapena maginito olemba.

Zizindikiro za Ultrasound

Sonography imakupatsani mwayi kuti mufufuze chiwalocho pakhoma lakutsogolo. Ndikosatheka kupeza zithunzi zenizeni za khoma lakumbuyo chifukwa cha mawonekedwe ake a zida zamakono zamankhwala.

Nthawi zina cholesterol imayikapo mawonekedwe pakhoma la chiwalo. Amawoneka ngati mbale zamtambo wakuda. Ma polyps ndiosavuta kuwawona pachithunzichi - amawoneka pa Ultimate mu mawonekedwe a zinthu zosyasyalika zolimba kwambiri.

Makulidwe ena a makoma a chiwalo amadziwika. Itha kukhala yoyang'ana kapena kusokoneza.

Zochizira

Ndi kusokonezeka kwakukulu kwa dongosolo la biliary ndi kukhalapo kwa zovuta zingapo, chithandizo chokhacho chothandiza ndi cholecystectomy (opaleshoni yochotsa chiwalo). Mitundu yosagonjetseka yamatumbo imathandizira bwino pogwiritsa ntchito njira zowonjezera mphamvu.

Chofunikira kwambiri pakudya bwino ndi zakudya.. Zakudya za wodwalayo ziyenera kukhala zazing'ono komanso pafupipafupi - mpaka 6 pa tsiku. Ndi kulemera kwambiri, ndikofunikira kuchitapo kanthu kuti muchepetse. Kuti muchite izi, letsani zakudya zamafuta ambiri.

Chakudya cha cholesterosis chiyenera kulemeretsedwa mu zakudya zam'mera, momwe fiber imakhala yokwanira. Zakudya zamafuta a nyama ndizochepa mu chakudya. Mafuta onse amangoyambira chomera.

Odwala amaloledwa kukhala ndi mchere wamadzi amchere ndi zakudya zam'nyanja zokhala ndi mafuta achilengedwe a polyunsaturated.

Wodwala amaletsedwa kugwiritsa ntchito:

chakudya zamzitini
zakudya zokazinga
ankasuta nyama
radish ndi radish,
kabichi owonjezera,
nyemba mbale.

Mankhwala

Chithandizo chachikulu cha mankhwalawa cholesterosis ndi ursodeoxycholic acid (Ursofalk kapena analogues).Mankhwalawa amabwezeretsanso mphamvu ya bile, imasinthasintha kutuluka kwake ndikuchepetsa kuyamwa kwa cholesterol ndi nembanemba ya mucous.

Ndi kuwonjezeka kwa mankhwalawa, madokotala amadzipatsa mankhwala a statins. Ichi ndi simvastatin, atorvastatin kapena rosuvastatin. Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito kuwongolera bile motility (Domperidone, Metoclopramide ndi mayendedwe awo).

Chithandizo cha Conservative chimatenga nthawi yayitali, nthawi zina kwa zaka zingapo. Koma powunikira mosamala zomwe dokotala onse adalandira, ndizotheka kukwaniritsa kubwezeretsanso matendawa ndikusintha kwa miyala yaying'ono.

Kugwiritsa ntchito madzi amchere

Madzi ochepa omwe amakhala ndi mchere wochepa amagwiritsidwa ntchito pochiritsa cholesterosis. Njira yamankhwala iyenera kufotokozedwa ndi dokotala, chifukwa madzi ena akhoza kukhala otsutsana kwa wodwala.

Pamene cholesterosis imathandiza kuchita thukuta. Kuti muchite bwino, muyenera kumwa 0,5 malita amadzi ofunda osaderanso m'mawa, kenako kugona pansi kumanja kwanu, ndikuyika chotenthetsera pansi pake.

Bodza pamalo awa liyenera kukhala osachepera theka la ola. Ndikulimbikitsidwa kuti muwonjezere sorbitol pang'ono pamadzi omwe amwedwa, koma mutha kuchita popanda iwo.

Kugwiritsa ntchito mankhwala wowerengeka azitsamba

Mankhwala othandizira ogwira ntchito amagwiritsidwa ntchito pochotsa cholesterol yambiri mu bile ndikuletsa kukula kwa cholelithiasis.

Chifukwa chake, maphikidwe ena:

Asanadye chilichonse, muyenera kumwa mpaka 50 ml ya madzi abwino a beet. Izi zimathandizira kutuluka kwa ndulu ndikulepheretsa kukula kwa kugaya kwa ndulu.
A decoction wa dandelion mizu amakonzedwa panthawi yomwe chomera chikukula. Kwa 200 g madzi, muyenera kutenga 10 g mizu. Msuzi umatengedwa 30 ml asanadye chilichonse.
Pamavuto a bile, tikulimbikitsidwa kuphika tiyi wa choleretic. Zomwe zimapangidwira zakumwa zoterezi zimaphatikizapo kuchuluka kwa calendula, dieelle, masamba a sitiroberi, chamomile, masamba a birch, chimanga stigmas, peppermint, duwa lakutchire.

Matenda opatsirana

Kuopsa kwa matendawa ndi:

kuchuluka kwa mchere wamkaka mthupi,
kupitilira kwa atherosulinosis,
kukulira kwa malabsorption, ndiko kuti kuchepa kwa mayamwidwe a mavitamini ndi michere kuchokera m'mimba;
kutopa kwa thupi,
Kusintha kwa mafupa.