Amayambitsa ndi njira zochizira polypoid mawonekedwe a gallbladder cholesterosis

Ndani angatsutsane ndi ziwerengero? Munthu aliyense wakhumi wokhala mdziko lathu amakhala ndi ma polyp mu ndulu. Popeza kuti amadziwika ndi ultrasound mwamwayi, chiwonetserochi chidzakhala chokwera kwambiri. Vutoli limakulirakulira chifukwa chakuti matendawa sakhala ndi zodziwikiratu. Madokotala ena amati opaleshoni ndiyofunikira, pomwe ena sachita m'magulu. Amati ngati muli ndi ma polyp mu chikhodzodzo chanu, kulandira chithandizo popanda kuchitidwa opaleshoni sikutanthauza. Ndani akulondola pamenepa? Tiyeni tiyese kuzindikira.

Zizindikiro za ndulu

Ma gallbladder polyp ndi zopindika pakhoma lamkati la chiwalo. Akakhala ochulukirapo, ndi polyposis. Ndizowopsa kuti mawonekedwe omwe ali oyipa amatha kukhala khansa. Tsoka ilo, alibe zizindikiro. Maonekedwe a ululu kumanja, mu hypochondrium, kulemera pakudya, nseru - zonse zimadziwonetsa mu matenda a chiwindi, cholelithiasis. Diagnostics, kupatula ultrasound, kulibe, ndipo mawonekedwe amapezeka mwamwayi.

Ma polyps a cholesterol ndiofala. Chifukwa chawo ndichosavuta - cholesterol imayikidwa pazitseko zamkati mwa chiwalo. M'mawonekedwe otupa, minofu yodwala imakula. Papillomas amawoneka ngati papillae. Owopsa kwambiri - adenomas - kuchuluka kwa maselo a khansa. Mwa zina mwazomwe zimachitika, zingapo ndizodziwika:

  • kuchuluka kwa mafuta m'thupi,
  • kunenepa
  • kudya kwamafuta
  • kusayenda kwa bile
  • kudya zakudya zamafuta, zokazinga.

Kodi cholesterol polyp mu ndulu ya ndulu ndi chiani?

Ma polyps a cholesterol ndi kukula kwama mamolekyulu ambiri a cholesterol pamakoma a gallbladder. Zimawumitsa ntchito yake ndikulephera kugaya chakudya mthupi. Ndulu ya gallbladder siyingakwanitse kupereka kuchuluka kwa ndulu ku matumbo aang'ono. Chakudyacho chimakhala chosaphikidwa komanso kuchotsedwa m'matumbo.

Polyposis imakumana ndi zovuta zambiri, makamaka cholecystitis, matenda ndi kusintha kwa maselo a ziwalo kukhala maselo a khansa. Poyambirira, matendawa amatha kuchiritsidwa mosavuta, makamaka njira zachikhalidwe zimagwiritsidwa ntchito. Opaleshoniyo imalembedwa kwa odwala pokhapokha ngati ali ndi mwayi wambiri kapena kugwiritsa ntchito mankhwala kwa nthawi yayitali popanda kuwoneka bwino.

Zolinga ndi makina a maphunziro

Pa muzu wa matenda ndi kuphwanya kwa lipid kagayidwe m'thupi. Mafuta ochulukirapo amayenderera m'magazi. Zomwe zimayambitsa matenda a polyposis zimayambitsa kuperewera kwamafuta. Ena mwa iwo ndi awa:

  • kunenepa
  • kagayidwe kachakudya
  • kudya zakudya zamafuta ambiri ndi zowotcha,
  • matenda ashuga
  • uchidakwa
  • kusuta pafupipafupi
  • kusokonezeka kwa mahomoni
  • hypothyroidism (chosakwanira cha chithokomiro cha chithokomiro, m'mene ma metabolism amachepetsa mpaka minyewa ilibe nthawi yakudya mafuta a cholesterol onse m'magazi),
  • matenda obwera ndi mtima,
  • achibale hypercholesterolemia.

Chiwalo chimakhala pachiwopsezo cha cholesterosis ngati njira zilizonse za m'magazi zilipo kale. Mwachitsanzo, cholecystitis kapena bile duct dyskinesia. Matenda a chiwindi omwe amagwirizana ndi kupangika kwa lipid amathanso kupangitsa kupangidwa kwa ma polyps.

Chikhodzodzo ndi chiwalo mu mawonekedwe a sac. Chotseka pachiwindi chimalowa m'mimba mwake ndikusungidwa komwe chikufunikira. Chakudya chikangolowa m'matumbo, chikhodzodzo chimalandira chizindikiro cha kupindika.

Minofu yosalala imapangidwa m'makoma ake, ndipo imasuntha mphamvu yake kuchokera kumimba ndikuyiyika m'matumbo aang'ono kudzera mwa Odhi.M'matumbo aang'ono, bile limaphwanya mafuta ndikuwathandiza kulowa m'magazi.

Ngati cholesterol yochulukirapo ilipo m'thupi, imadyedwa pang'ono ndi ziwalo (amatenga zambiri momwe angafunire), ndipo zotsalazo sizimangobwezeredwa. Pankhani ya chikhodzodzo, mafuta ochulukirapo amakhala mkati mwake m'makoma a chiwalo. Choyamba, mamolekyulu amafuta amalowetsedwa ndi ma macrophage, omwe amawaphwanya. Chifukwa chake gallbladder imayesa kudziteteza yokha ku malingaliro achilendo.

Ma polyps ang'onoang'ono ambiri pakhoma la organ ndi polypoid mawonekedwe a cholesterosis.

Komabe, pali cholesterol yochuluka kwambiri kotero kuti ma macrophages alibe nthawi yothana nayo ndipo amadzazidwa ndi mafuta. Minofu imadzaza ndi mafuta m'thupi, ndipo siyiletsa kulowa ndulu. Owonjezera amatsatira makhoma a chikhodzodzo, mafuta mamolekyu amayikidwa, ndipo mawonekedwe a cholesterol. Popita nthawi, amakula ndipo amafanana ndi ma polyp kapena ma cysts mawonekedwe.

Chovuta chachikulu kwambiri cha polyposis ndikulekanitsa polyp kuchokera kukhoma la ndulu. Mwala wa cholesterol umapangidwa. Ikuwonekera bwino pa scan scanner. Kukula kwa ma polyp sikukuchepa, akapezeka msanga, ndi mwayi waukulu wowachotsa.

Zizindikiro zake

Mapangidwe a polyps ndi gawo lovuta la cholesterosis. Zimatsatiridwa ndi mawonetseredwe owonekera:

  • kupweteka kwamadzulo ndi usiku kumanja kwam'mimba,
  • kuwonjezeka kwa ululu mukamadya zakudya zamafuta ndi zakudya zambiri,
  • kusanza kopanda pake kosakanikirana ndi ndulu,
  • kupumula komanso kupuma movutikira,
  • kutsegula m'mimba ndi zidutswa za chakudya osazipeza ndi mafuta,
  • kulimbikira
  • malungo (ngati nthenda kapena kutupa kwalowa limodzi ndi matendawa).

Ndi chifukwa chiyani mapangidwe amafuta ali oopsa ndipo zotsatirapo zake ndi ziti?

Ngati cholesterol polyps sichichiritsidwa, mavuto akulu amakula. Ingoganizirani motere:

  1. Mapangidwe a miyala ya cholesterol. Ma polyp akafika pamalingo akulu, kuphatikizika kwina kwa makoma a ndulu kungapangitse kuti polyp ichotse. Ngati zinali mu chikhodzodzo kwa nthawi yayitali, ndiye kuti zinauma, chifukwa chomwe mwala wokwanira wa cholesterol unapangidwa. Polyps imatha kukhala yambiri, ndipo njirayi imachitika ndi aliyense wa iwo.
  2. Mwalawo umatha kukamira mumitsempha ya bile ndipo umayambitsa kukokoloka kwa bile mu chiwalo. Matendawa ndi owopsa pakupanga pachimake cholecystitis. Uku ndikutupa kwa makoma a ndulu ndikulimbikitsana ndi matenda. Wodwala sangathe kuchita popanda kugwiritsa ntchito maantibayotiki, ndipo pangozi zadzidzidzi ndi ntchito yokhayo yomwe ingapulumutse moyo wa wodwalayo. Zovuta zina za kusayenda kwa ndulu imakhala yovuta. Mamilirubin ochulukirapo amalowa m'magazi. Ndi utoto wa utoto wa bile. Amupatsa iye mtundu wachikaso. Jaundice amawonetsedwa ndi chikaso cha khungu, mawonekedwe amaso ndi mucous nembanemba.
  3. Ngati miyala ya cholesterol ikamira mu sphincter ya Oddi, ndiye kuti imalepheretsa kutuluka kwa ndulu m'matumbo ang'onoang'ono, komanso ma enzymes apakhungu. Zimasunthasunthira m'matumbo ndipo zimayambitsa kutupa. Njira yovuta kwambiri ya kapamba imayamba. Ngati miyala ndi yaying'ono, ndiye kuti sphincter sikhala yotsekedwa kwathunthu, matendawo amayamba.
  4. Ndi zotupa zozama za ndulu, maselo ake amayamba kusintha masinthidwe am'mimba ndipo amasinthidwa kukhala khansa. Wodwala amakula njira ya oncological.

Zizindikiro

Kuzindikira kwa polyposis kumachitika mu magawo angapo:

  1. Kupenda wodwalayo ndi kuwunika kwa chithunzi cha matenda. Dotoloyo amaganiza za kukhalapo kwa ma polyp mu ndulu.
  2. Mbiri yazachipatala. Dokotala amafunsa wodwalayo za matenda omwe adakumana nawo, mankhwala omwe adagwiritsa ntchito, moyo wake, ndi zizolowezi zoyipa.
  3. Zoyeserera zasayansi. Phunziroli limayamba ndi kuyezetsa magazi wamba. Imawunika ESR komanso kuchuluka kwa maselo oyera.Malinga ndi izi, munthu amatha kuweruza mkhalidwe wamagulu osakhazikika komanso kupezeka kwa njira yotupa mthupi. Pambuyo - kuyesa kwamwazi wamagazi kumachitika. Mmenemo, adokotala ali ndi chidwi ndi mulingo wa bilirubin ndi cholesterol. Mbiri yayikulu ya lipid imapangidwa (kuchuluka kwa gawo lililonse la cholesterol m'magazi). Malinga ndi izi, titha kunena kuti ndulu imasokonezeka ndikuwululira kuya kwakuwonongeka kwake. Ngati pancreatitis imalumikizidwa, ndiye kuyezetsa kwam magazi aubwino kuwulula.

Kafukufuku wowonjezera: kusanthula mkodzo ndi ndowe zimathandizira kuwunika momwe kagayidwe kazomwe thupi limagwirira.

Malinga ndi kuwunika kumeneku, adotolo amapanga matenda omaliza. Koma chithandizo sichingalembedwe mpaka matendawo atatsimikiziridwa ndi ultrasound. Pa ultrasound, dokotala amawona bwino kukula kwa ndulu, makulidwe a khoma komanso kupezeka kwa ma polyp. Miyalayo amawonekeranso bwino.

Chithandizo cha cholesterol polyps mu ndulu popanda opaleshoni

Cholinga chachikulu cha mankhwala a cholesterol polyps mu ndulu ndikuwongolera kwa metabolidi ya lipid. Ngati ma polyp sanali akulu kwambiri, ndiye kuti wodwala amakhala ndi chakudya chokwanira kuti achepetse cholesterol. Pomwe zimachepa, ma polyp amatha kuzithetsa. Ngati vutoli lakulira kwambiri ndipo kakulidwe kali kokulirapo, ndiye kuti dokotala amalumikiza mankhwala ndi mankhwalawo. Mu chiopsezo cha moyo, chiwalo chikuyenera kuchotsedwa.

Mfundo Zazakudya Zopatsa Thanzi ndi Zakudya

Mafuta athanzi komanso osapatsa thanzi.

Maziko a chakudyacho ndi kukana mafuta, okazinga, osuta, zakudya zonunkhira komanso wowawasa. Kutsekemera kuyeneranso kukhala kochepa, chifukwa ma carbohydrate ndi gwero lamphamvu lopezeka, amalowetsedwa mwachangu kwambiri kuposa mafuta. Minofu imakhala ndi mphamvu yamafuta, ndipo cholesterol imakhala yosafunidwa m'magazi. Izi zimawonjezera mkhalidwe wa wodwalayo.

Mafuta a nyama amatha kusinthidwa ndi mafuta azamasamba: mafuta (maolivi, sesame, flaxseed), zipatso (avocado), mtedza. Onetsetsani kuti mumadya nsomba zosachepera 3-4 pa sabata. Ndiotetezeka pakudya m'mimba ndipo muli omega-3. Izi zimasungunula cholesterol zolembera mu ziwalo zonse ndi minofu.

Zomwe zimagwiritsidwa ntchito ndizogulitsa mkaka, zitsamba, masamba ophika ndi chimanga. Pakati pa zakumwa, perekani zokonda za tiyi wobiriwira, zitsamba, compotes zouma zipatso. Gwiritsani ntchito mkaka wokhala ndi mafuta osaposa 2.5%.

Mankhwala

Zochizira polyposis popanda opaleshoni, mankhwala a magulu otsatirawa amagwiritsidwa ntchito:

    Zopweteka. Izi zimaphatikizapo antispasmodics (Duspatalin, Papaverine, No-shpa) ndi painkiller moyenera (Ketorol, Analgin). Gulu loyamba ndilothandiza kwambiri chifukwa sikuti limangochotsa ululu, komanso kuphipha kwa ma ducts a bile. Bile sichimayenda m'thupi, ndipo polyposis imayamba.

Ma polyps a cholesterol mu ndulu: zoyambitsa ndi zizindikiritso, kuzindikira ndi kuchiza matendawa

Ma cholesterol polyp a ndulu ndi mapangidwe opanga modabwitsa, omwe ali ndi mawonekedwe owoneka ngati dontho kapena ozunguliridwa, omwe amakhala ndi zinthu zosiyanasiyana zopangidwa ndi calcium. Imachitika pa mucous nembanemba wa ndulu ndipo ili ndi kanyumba. Izi zimatha kukhala zazing'ono kapena zazikulu, zonse zimatengera mtundu ndi matendawo.

Ma polyp ndi chotupa chovunda, koma ngati chithandizo chakanthawi sichinachitike, ndiye kuti zotsatirapo zake zoyipa sizitenga nthawi yayitali. Tiyeni tiwone, chifukwa chomwe pamakhala ma polyp pa ndulu, momwe angachotsere ndi zomwe zingakhale ndi zotsatirapo zake.

Chithunzi cha matenda

Ma polyp amalumikizidwa ndi mucous membrane wa chiwalo mothandizidwa ndi mwendo winawake, amathanso kukhala pamtunda wambiri ndikukula ndikukula kwa chiwalo. Ma polyps a cholesterol mu ndulu nthawi zambiri amapangidwa mwa azimayi achikulire kuposa zaka 30.

Izi neoplasms ndizovuta kudziwa, chifukwa zizindikiro zake ndizofanana ndi matenda ena osiyanasiyana a ndulu.

Pali mitundu ingapo ya ma polyp:

  1. Ma Papillomas ndi opanga mawonekedwe, ali ndi mawonekedwe apulaya ndipo, pazotheka zina, amatha kukhala owopsa.
  2. Adenomatous - nawonso oganiza bwino. Amayamba chifukwa cha kuchuluka kwa minofu ya glandular ndipo amakonda kukhala ndi chotupa choopsa (chotupa). Ma polyps amtunduwu amafunikira kuwunikira pafupipafupi komanso kulandira chithandizo mwachangu, chifukwa chotha kusintha kwa chotupa chowopsa,
  3. Polyps yotupa - imatuluka chifukwa cha zinthu zomwe zimakwiyitsa mucous membrane (ma parasites, miyala, etc.). Ma form awa si chotupa. Maonekedwe a ma polyp oterewa amabwera chifukwa cha kutuluka kwa thupi komwe kunapangitsa kuti minofu ichitike, chifukwa maonekedwe aakhungu.
  4. Ma polyps a cholesterol - ndi ma pseudotumors ndipo amasintha mwachangu ndi chithandizo choyenera komanso chapanthawi yake. Ngati diagnostics a ultrasound adachitidwa, ndiye sizachilendo kuti ma polyp awa adalakwitsa chifukwa cha adenomatous kapena kutupa ndikulamula chithandizo cholakwika. Ichi ndichifukwa chake ndikofunikira kuti muwonetsere bwino za mayeso, anamnesis ndikuwunika kwa wodwala. Mitundu iyi imapangika chifukwa cha cholesterol yochuluka, yomwe imawonetsedwa ngati chifukwa cha zovuta zamafuta a thupi. Mapangidwe oterewa amvetsetsa zomwe zimapangidwira, chifukwa chake nthawi zambiri amasokonezedwa ndi calculi.

Ma polyps a cholesterol amapezeka nthawi zambiri kuposa ena ndipo amatha kuthandizidwa mosasamala.

Kodi chikuwoneka bwanji?

Khoma la ndulu limapindika kuchokera mkati mwa mucous. Mothandizidwa ndi zinthu zakunja, zamkati, magulu payokha maselo ake amayamba kuchulukana kwambiri. Maluwa otchedwa polyps mawonekedwe. Amawoneka bowa wokhala ndi chipewa chozungulira, kuyambira kukula mpaka mamilimita angapo mpaka 1 cm, osawonjezereka.

Ngati pakuwunika kwa mbiriyakale, makristulo a cholesterol amapezeka pansi pa maselo, amalankhula za kutuluka kwa cholesterol. Nthawi zambiri, neoplasms yotere imayamba limodzi ndi systemic atherosulinosis. Ubwino wa ma polyps amtunduwu umaphatikizapo chizolowezi chotsika chazonda: samakonda kuvulaza.

Chifukwa chomwe cholesterol polyp ya ndulu imapangidwira sichikudziwikabe bwinobwino. Amakhulupirira kuti kukula kwa matendawa kumayambitsa kuphwanya mafuta kagayidwe, makamaka kuwonjezeka kwa cholesterol. Chikhalidwe chotengera polyposis cha ndulu mwa anthu am'banja limodzi chimatilola kukayikira chibadwa cha matenda. Zina zomwe zimayambitsa ngozi sizimamveka bwino.

Kafukufuku wapadera akuwonetsa mgwirizano pakati pa mapangidwe a polyps ndi kupezeka kwa hepatitis B, Peutz-Jegers syndrome, Gardner, matenda a gallstone.

Zizindikiro ndi mawonetseredwe azachipatala

Mtundu wofala kwambiri wamatendawa ndi asymptomatic. Ma cholesterol ambiri ophatikizidwa a ndulu amapezeka mwangozi pa ultrasound yam'mimba, ndikuwunikira kwamtundu wa biliary kapena chikhodzodzo.

Odwala ena, kukula kwa mucous nembanemba kumayambitsa kukula kwa hepatic colic, komwe kumayendetsedwa ndi:

  • kupweteka kwambiri mu hypochondrium woyenera,
  • nseru
  • kusanza.

Osowa kwambiri, polyp yayikulu ikhoza kuletsa pang'ono kapena kutsegulanso kutsegula kwa chitseko cha bile. Kenako wodwalayo amakhala ndi chizindikiro cha pachimake cholecystitis, kusayenda kwa bile

  • kuteteza khungu, mucous nembanemba
  • kupweteka kwambiri mu hypochondrium woyenera,
  • malungo
  • kuwawa mkamwa
  • kuyabwa
  • ndowe zowala
  • kusowa kwa chakudya
  • kusanza, kusanza,
  • mutu.

Njira Zochizira Polyp

Njira yakuchiritsira polimbana ndi gypbladder polyposis imatengera malo ndi kukula kwa polyp. Ngati kukula sikungasokoneze kutuluka kwa bile, wochepera 1 cm, samakhudza. Wodwalayo akulimbikitsidwa kuti azichita ma ultrasound miyezi itatu iliyonse mpaka 66 kuti azionera kukula, komanso kuyezetsa magazi kuti adziwe zovuta zomwe zimayenderana. Ngati kukula kwa polyp sikusintha pakapita chaka, kuwunika kwa ultrasound kumakhala kofala.

Ma neoplasms akuluakulu amafunikira chithandizo cha opaleshoni, pamakhala chiopsezo cha polyp yopanda vuto kukhala mtundu wa khansa yomwe singathe - gallbladder carcinoma. Chizindikiro chachiwiri cha opareshoni ndi malo omwe sanachite bwino. Ngati kunja kukulepheretsa kutuluka kwa bile, kuyenera kuchotsedwa.

Zomwe zimayambitsa ndi zizindikiro za ma polyp

Zomwe zimayambitsa kupangidwa kwa cholesterol polyps mu ndulu ndi motere:

  • Kulephera pakukonza mafuta. Zotsatira zake, mulingo wa cholesterol yoyipa m'magazi imakwera ndipo zotuluka zake zimakhazikika pamatumbo amtundu wa gallbladder,
  • Kuphwanya mota ndi magawo oyanjana a dongosolo la biliary,
  • Kusintha kapangidwe ka bile chifukwa cha pathologies ndi matenda.

Ma polyps a cholesterol samabweretsa chisawawa komanso kupweteka koyambirira kwa chitukuko, ndi chifukwa cha izi kuti ndizovuta kwambiri kuzizindikira kumayambiriro kwa matendawo. Popita nthawi, ma polyp amakula, amakula kenako nkungobweretsa kusintha kwazomwe zimachitika wodwalayo.

Zizindikiro za matendawa ndi izi:

  • Ululu kumanja kwamimba. Pali kutalika kwa minofu ya makoma a ndulu. Izi zimachitika chifukwa cha polyp, popeza ma ducts a bile amasokonezeka ndipo bile limayenda m'thupi. Kupweteka kumawuma komanso kupweteka, ndikulankhula.
  • Kupweteka kwambiri pakumwa mowa, kuchita masewera olimbitsa thupi komanso kudya zakudya zamafuta. Zowawa zamphamvu ndi kukokana, komwe kumayendetsedwa ndi colic yamphamvu yosiyanasiyana. Ndikumva kupweteka kwambiri, kuthamanga kwa magazi ndipo magazi amayenda.
  • Chikopa chachikaso kumanja kumimba. Chizindikiro chotere chimachitika chifukwa cha polyp yayikulu kwambiri yomwe imatseka duct ya bile, kotero bile imadziunjikira malo amodzi ndipo, ikafika yambiri, imadutsa mucous membrane wa gallbladder. Ndi chifukwa cha izi kuti khungu lomwe limakhala pafupi ndi ndulu limakhala lofiirira, limatha kuphimbidwa ndi kupindika komanso kuyabwa. Jaundice amakhala ndi nseru, kusanza, kupweteka m'mimba, mkodzo wakuda, malungo. Nthawi zambiri pamakhala kuwonda kwambiri,
  • Zodandaula. Imadziwoneka yokha pang'onopang'ono, ululu wowawa mkamwa, mseru komanso kusanza kwa bile. Ululu kumbali yakumanja kwam'mimba .. Kupweteka kwambiri ndi mowa ndi zakudya zamafuta.

Kuchulukitsa kwa matendawa kumatha kuchitika pakumwa mowa, osayang'anira zakudya zoyenera komanso kuchita masewera olimbitsa thupi mopitirira muyeso. Nthawi zambiri pamakhala ma opaleshoni yodwala yomwe imagwira kwambiri.

Mankhwala othandizira

Kutalikirana kwa cholesterol polyp kuchokera ku ndulu sikupanga nzeru: chiopsezo chobwereranso, khansa ndiyambiri. Chomwe chimapangidwira pakuchapa ndikuchotsa gallbladder (cholecystectomy). Pali njira ziwiri zazikulu zochitira opaleshoni:

  • laparoscopic - kuchotsa chiwalo chogwiritsa ntchito zida zing'onozing'ono zomwe zayikidwa kudzera mu zazing'onoting'ono zazing'ono mu navel ndikumanja kwake. Njira yonseyi imayendetsedwa pogwiritsa ntchito kamera ya kanema, yomwe dokotalayo amalowa kudzera mumodzi mwa mabowo,
  • lotseguka - zovuta ntchito ophatikiza pamimba kukayika kwa hypochondrium yoyenera. Kupyola dzenje lomwe adapeza, dokotalayo amafika ku ndulu, ndikuyipatula ndikuichotsa.

Njira ya Laparoscopic ndiyokonda kwambiri:

  • Kuchira pambuyo pochita opaleshoni kumatenga sabata yochepa, ndipo ndi mtundu wakale kwambiri - pafupifupi 6,
  • odwala ambiri amatha kupita kwawo tsiku la opareshoni. Njira yotseguka imafuna kuti wodwalayo akhale kuchipatala masiku osachepera asanu.

The tingachipeze powerenga ntchito amatembenukira kuti:

  • mawonekedwe osazolowereka kapena kutulutsa ndulu, pakakhala kotheka kugwiritsa ntchito luso la laparoscopic,
  • kunenepa kwambiri,
  • mimba mochedwa
  • kusowa kwa zida zothandizira kulowerera.

Mankhwala

Ma polyps a cholesterol mu chikhodzodzo sagwiritsidwa ntchito mwamphamvu. Komabe, adotolo atha kukulemberani mankhwala othandizira kuthana ndi mavuto:

  • ma gallstones
  • cholecystitis
  • kapamba
  • biliary dyskinesia.

Malangizo a mankhwalawa atha kukhala ndi:

  • kukonzekera kwa ursodeoxycholic acid (Ursosan, Ursodex, Ursodez) - zimathandizira kuti miyala yamankhwala a cholesterol ibwezeretsenso, kubwezeretsa ntchito ya chiwindi,
  • antispasmodics (no-shpa) - gwiritsani ntchito kutuluka kwa ndulu pochotsa kuphipha kwa ma ducts,
  • mankhwala a choleretic (cholensim, holosas) - amathandizira katulutsidwe ka bile,
  • michere ya pancreatic (mezym, pancreatin) - yotithandizira kugaya,
  • ma statins (rosuvastatin, simvastatin, atorvastatin) - amathandizira kuchepetsa kuchuluka kwa mafuta am'madzi mwa plasma.

Kodi kuchitira cholesterol polyps mu ndulu?

Ma polyp ndi benign neoplasms omwe amachokera ku minofu ya epithelial.

Nthawi zambiri, zimatha kuchitika mkati mwa chipolopolo chamkati, ndiko kuti, mucous membrane wa malowedwe amkati mwa ziwalo zamkati. Ziwalo izi zimaphatikizira chikhodzodzo ndi chiberekero.

Mitundu yofala kwambiri ya ma polyp ndi yozungulira kapena yamtundu wa dontho. Nthawi zina zimakhala zovuta kuwapeza, makamaka, kuwachitira.

Kwa nthawi yoyamba, ma polyps a gallbladder adazindikiridwa m'zaka za zana la khumi ndi chisanu ndi chinayi Virchow waku Germany. Pambuyo pakuphunzira mwatsatanetsatane kapangidwe ka neoplasm pansi pa maikulosikopu, adayamba kukhulupirira kuti chifukwa chachikulu cha mawonekedwe ake ndi kuphwanya kagayidwe ka lipid.

Pakadali pano, akukhulupirira kuti ma polyp of the gallbladder amapezeka pafupifupi 10% ya anthu, omwe ambiri mwa iwo ndi azimayi achikulire zaka 35.

Chithandizo cha kunyumba

Ubwenzi wolimba pakati pa moyo wamakhalidwe (kudya, kulemera kwa thupi, kusuta, kuyenda) ndi mapangidwe a polyps sizinapezeke. Komabe, zinthuzi zimatha kupangitsa kuti miyala ikhale, kukula kwa systemic atherosulinosis, komwe kumakulitsa mwayi wa ma polyp atsopano. Pofuna kupewa kupitirira kwa matenda, wodwala amakulimbikitsidwa:

  • kusiya kusuta
  • yang'anani kuchuluka kwa zakumwa zoledzera,
  • kusunthira zina
  • kuwongolera thupi
  • idyani chakudya chamagulu: mafuta ochepa, yokazinga, nyama, masamba ambiri, zipatso, zitsamba, zipatso, chimanga, nsomba, mafuta ochepa amkaka.

Madzi ochepa kwambiri apakatikati, otsika kwambiri a mineralization amathandiza anthu ambiri (Narzan, Essentuki No. 4 kapena 20). Amayenera kuti aledzeretse ofunda (25-25 madigiri) pakadutsa 3-4 / tsiku mphindi 30 asanadye.

Amayambitsa ndi mitundu ya ma polyp

Polyposis (kukhalapo kwa ma polyp angapo) ndi matenda omwe amabweretsa zifukwa zingapo zosiyanasiyana.

Mbiri yolemetsa yabanja, kapena, makamaka zam'tsogolo - izi zingaphatikizepo kupezeka kwa mitundu yosiyanasiyana ya ma neoplasms ndi mtundu wa papillomas, polyps, adenomas mu abale apafupi. Magawo ena amtundu wamtunduwu ndi omwe ali ndi vuto pakuwonekera kwawo, kotero kuthekera kwachitukuko m'mibadwo yotsatira kungakuwonjezeke,

Matenda amitsempha yamavuto oyambitsidwa ndi matenda oyambitsidwa ndi kutupa, mwachitsanzo, cholecystitis (njira yotupa mu ndulu), yomwe khoma la chikhodzodzo limakulirakulira, kupezeka kwake kumachulukira, kuphatikiza cholesterol,ndiye maziko opanga cholesterol polyp. Ndilinso matenda a ndulu, chifukwa cha pomwe mandimu amayamba kusokonekera ndikusokonekera kwake kumachitika. Kusasunthika kumabweretsa chimbudzi, kupweteka, kupindika. Zotsatira zake, kukula kwa zikwanje kukhoma kwa thovu kumayamba, kenako polyp iyamba kupanga,

Matenda a metabolism mwina ndi omwe amachititsa kwambiri komanso chifukwa. Chofunika kwambiri ndikuphwanya zam'magazi a lipid, zomwe zimabweretsa kuchuluka kwa cholesterol komanso ochepa komanso otsika kwambiri a lipoproteins m'thupi lonse.

Chifukwa cha kusintha koteroko pamafuta oyenera, osati atherosulinosis, komanso polyposis imatha. Cholesterol, kuwonjezera pa mitsempha yamagazi, imayikidwa m'makoma a ndulu, kuwonjezera pa zomwe zimapezeka kale mu bile.

Ndiye polyp ayamba kupanga,

Biliary dyskinesia ndikuphwanya gawo la bile, chifukwa chophwanya contractility ya minofu wosanjikiza ndulu. Ndi matenda oterewa, bile simalowa konse mu duodenum ndipo pamakhala kusayenda pang'ono. Wodwalayo amatha kudwala mseru, kusanza kosowa, kupweteka kwa hypochondrium, kuwonda.

Ma polyp amatha kukhala amitundu ingapo:

  1. Papillomas - mwachilengedwe awo ndi oyenera, amatha kupezekanso pakhungu. Papilloma ali ndi mawonekedwe a papilla. Ndikawonetsedwa mtundu wina, amatha kupweteketsa, ndiye kuti, akhoza kupweteka,
  2. Adenomatous - amakhalanso oyipa, koma amatha kukhala otere. Ma polyps a Adenomatous amapezeka chifukwa cha kuchuluka kwa minofu ya glandular. Mosiyana ndi papillomas, kuwayang'anira kuyenera kukhala kokulirapo, ndipo chithandizo mwachangu
  3. Kutupa - ma polyp oterewa amakula chifukwa cha njira yotupa mu ndulu kapena chifukwa chazinthu zomwe zimakhumudwitsa monga infeshene wa helminthic, matenda am'mimba, miyala ya bile (miyala). Samatchulidwa ngati zotupa.
  4. Cholesterol - awa ndi abodza, kapena ma pseudotumors, chifukwa amatha kubwezeretsanso ndi chithandizo chokwanira komanso chokwanira. Adawerengera madera omwe amawonekera munthawi ya cholesterol metamorphosis, ndipo chifukwa cha kupezeka kwa izi polemba ma ultrasound, amatha kusokonezedwa ndi miyala ya bile kapena mitundu ina ya ma polyp. Ndizofunikira kwambiri chifukwa cha zolakwika zotere kuti ndikofunikira kuyeserera kwathunthu kwa odwala, omwe amaphatikizapo mayeso a labotale.

Pambuyo pozindikira kukhalapo kwa ma polyps, zowunikira zowonjezera zimapangidwa kuti zizindikiritsa mtundu wa polyp ndikuwona njira zoyenera zamankhwala.

Njira zina

Njira zochiritsira zosagwiritsidwa ntchito masiku onse zimapereka njira zambiri zothandizira kuthana ndi kuchuluka kwa mucosa. Onsewa amachepetsa kuvutika ndikumachotsa matenda amodzimodzi, koma samakhudza kukula / kukula kwa mawonekedwe. Ngati mwapeza cholesterol polyps mu ndulu, njira zotsatirazi zingakuthandizeni.

  • Kusala kwa chimanga. Yogwiritsidwa ntchito ndi kutupa kwa chiwindi, chikhodzodzo, ndulu zake, matenda a ndulu. Pokonzekera msuzi 2 tbsp. l kutsanulira zida ndi kapu ya madzi otentha owiritsa, kuphimba ndi chivindikiro, kuyikiramo madzi osamba. Pambuyo mphindi 20, chotsani pamoto, ozizira. Bweretsani kuchuluka kwa msuzi ku galasi. Imwani supuni 3-4 pa tsiku musanadye. Kutalika kwa chithandizo ndi masabata awiri. Kenako pumani ndikubwereza mankhwala azitsamba kangapo.
  • Rosehip. Zipatso zimakhala ndi anti-yotupa, choleretic kwenikweni, zimalimbikitsa kusinthika kwa minofu. Thirani supuni ya zipatso ndi 200 ml ya madzi otentha, tsekani chivundikiro, ikani madzi osamba (mphindi 15). Kuzizira, bweretsani madzi otentha ku voliyumu yoyambirira. Imwani 100 ml ofunda msuzi 2 / tsiku musanadye.
  • Yarrow.Imathandizira kulimbana ndi kutupa, kuchepetsa ma ducts a bile, ndikuwonjezera katulutsidwe ka bile. 1.5 tbsp. l zitsamba kutsanulira 200 ml ya madzi otentha. Bweretsani kwa chithupsa pamoto wochepa, lolani kuti pakhale mphindi 15. Kuziziritsa, kubwezeretsa voliyumu yoyambirira. Imwani 75 ml 2 kawiri / tsiku musanadye.
  • Kulowetsedwa kwa dandelion mizu. Ili ndi katundu wa choleretic. Ikani supuni ya mizu mu thermos, kutsanulira kapu yamadzi otentha. Kuumirira 2 hours, ndiye mavuto, makulidwe. Tengani kotala chikho 3 katatu / tsiku 30 mphindi musanadye.

Ngati kupweteka lakuthwa kumanja, kusungunuka kwa mucous nembanemba, khungu, malungo, kufunsa dokotala mwachangu. Zizindikiro zomwe zalembedwa ndizizindikiro za bile ductriers, yomwe ili yofunikira, ndipo imafunikira chithandizo chamankhwala chodzidzimutsa.

Mawonetseredwe azachipatala a cholesterol polyps

Zizindikiro za polyposis ya ndulu nthawi zambiri sizimadziwika.

Zizindikiro zakukula kwa matenda zimatha kusokonezeka pakagwiritsidwa ntchito ndi matenda a cholecystitis, hepatic colic kapena biliary dyskinesia.

Zizindikiro zimadalira kutengera momwe ntchitoyi ikuyendera, kukula kwake, kuchuluka kwa ma polyp.

Pakhoza kukhala mwamtheradi asymptomatic kapena njira yofatsa yamatenda.

Zizindikiro za ma polyp ndi awa:

  • kumverera kowawa kwa chikhalidwe chosawoneka bwino kapena chofunda m'dera la hypochondrium yoyenera (tsamba la zomwe zimalosera)
  • jekeseni wolepheretsa - amayamba chifukwa cha pomwe polyp imakhala pakhosi la chikhodzodzo, pomwe imatchinga lumen ndikulepheretsa kutuluka kwa bile, pomwe khungu ndi mucous membran, sclera imakhala yobiriwira kutuwa pakhungu, kuyabwa, mseru nthawi ndi nthawi komanso kusanza kumatha kuchitika,
  • kupweteka kofanana ndi hepatic colic - amakhala paroxysmal, osokonekera, ndipo mawonekedwe ake amawonetsa pokhotakhota kapena kupindika kwa mwendo wopukutira,
  • kuwawa mkamwa
  • nseru, wotchulidwa m'mawa,
  • kusanza popanda chifukwa chowoneka
  • kutsekula m'mimba - kumachitika chifukwa cha kuperewera kwa ndulu m'mimba yaying'ono, chifukwa chimbudzi chimasokonekera.

Kuphatikiza apo, chimodzi mwazizindikiro zakukula kwa matenda a m'mimba kumatha kukhala kukhalapo kwa kutentha kwa nthawi yayitali (37-380C).

Chithandizo popanda opaleshoni

Kukula kumodzi mpaka mamilimita 5 sikowopsa. Ma saizi awo akakhala mamilimita 5 mpaka 10, amayang'aniridwa nthawi zonse azachipatala. Mankhwala othandizira amafunikira kupatula kuwonjezeka kwa zophuka. Lemberani mankhwala: "Allohol", "Cholenzyme", bear bile. Nthawi yomweyo, kudya mosamalitsa, chithandizo chamankhwala azikhalidwe Onani momwe kukula kumawonekera pachithunzichi.

Mapangidwe akachulukana, amakhala oposa mamilimita 10, ndipo polypectomy ya endoscopic ya ndulu imachitidwa. Pogwira ntchito imeneyi, ndi okhawo omwe amachotsedwa, ndipo chiwalo chokha chimakhalabe cholimba, chimapitilizabe kugwira ntchito nthawi zonse. Ndi kukula kwamapangidwe opitilira masentimita awiri, tikulimbikitsidwa kuti tichotse matenda omwe ali ndi matendawa, chifukwa pali khansa yapamwamba. Opaleshoniyo imachitika mwachangu, patatha masiku awiri wodwalayo akupitiliza mankhwala kunyumba. Malinga ndi gulu la padziko lonse la ICD-10, matenda omwe ali ndi neoplasms ali ndi code K80-K86.

Kuphatikiza pa kumwa mankhwala, zakudya zimayikidwa. Ndi polyposis, ndizokhwima kwambiri. Zakudyazo sizimaphatikizapo zakudya zamafuta ndi zomwe zimasuta, zimachepetsa kugwiritsa ntchito maswiti ndi uchi, komanso zimachepetsa mchere. Zotsatirazi sizimachotsedwa konse:

  • anyezi, adyo, radish,
  • nyama yamafuta
  • nyemba, sipinachi,
  • wowawasa zonona
  • kuphika,
  • maapulo
  • bowa
  • khofi wamphamvu.

Zakudya za ma polyp mu ndulu zimaphatikizira zakudya zowonjezera - kasanu patsiku.Ndikofunikira kumwa madzi ambiri, mpaka malita awiri, kuti nduluyo ikhale yochepa. Ndikulimbikitsidwa kuti muwonjezere michere yambiri mu fiber. Chololedwa:

  • nyama yokonda
  • zipatso zokoma
  • tchizi chamafuta ochepa
  • masamba ophika
  • kefir
  • batala
  • phala pamadzi.

Njira zodziwonera za Polyp

Muzochita zamakono zamankhwala, njira zingapo zothandizira ma labotale ndi zothandizira zimagwiritsidwa ntchito. Kuchokera pamachitidwe a labotale, kuyezetsa magazi a biochemical, kusanthula kwa fecal ndi kuwunika mkodzo kwathunthu kumagwiritsidwa ntchito.

Kuyesedwa kwa magazi a biochemical - mmenemo, pamaso pa cholesterol polyps, zomwe bilirubin idzakulitsidwa. Bilirubin ndiye chida cha kutha komaliza kwa hemoglobin. Zimasintha pakachulukidwe ka zovuta zilizonse pachiwindi, chikhodzodzo ndulu ndi khunyu.

Bilirubin ndi wosalunjika (wosakanizika) komanso mwachindunji (wolumikizidwa). Gawo losalunjika limawonjezeka ndi chotchedwa hemolytic kapena suprahepatic jaundice, momwe chiwonongeko cha maselo ofiira am'magazi chimachitika kwambiri.

Hemoglobin yotulutsidwa yothamanga kwambiri imayamba kusinthidwa kukhala bilirubin. Gawo lolunjika limawonjezeka ndi jaundice ya subhepatic, kapena makina, kapena yododometsa, yomwe imachitika chifukwa chotsekera thirakiti la biliary ndi Calculator kapena, ife, polyp.

Kuwonjezeka kwa alkaline phosphatase ndipo, motero, cholesterol imatha kuwonedwanso.

Kuwunikira kwa Fecal, kapena coprogram - kuchuluka kwa stercobilin, chimodzi mwazinthu zapakatikati zophulika za hemoglobin, zitha kupezeka mu ndowe.

Urinalysis - mu mkodzo, urobilinogen, yemwenso ndi wapakatikati pakuwonongeka kwa hemoglobin, imatha kuchepetsedwa.

Kuphatikiza pa njira zasayansi yofufuzira, ma cholesterol polyps amatha kupezeka pogwiritsa ntchito ma ultrasound, endoscopic ultrasonography ndi maginito a resonance imaging.

Njira yakufufuzira momwe akupanga (ultrasound) ndiyo njira yofala kwambiri komanso yotsika mtengo kwambiri. Zimakhazikitsidwa ndikuwunikira mafunde omwe akupanga kuchokera ku ziwalo.

Ndi mawonekedwe abwinobwino a ndulu yopanda ma pathologies, chowongolera chakuda, chochepetsedwa ndi khoma loonda, chitha kuwonekera pazenera.

Ngati ma neoplasms aliwonse amapezeka mu chikhodzodzo, amawoneka ngati mawanga oyera okhala ndi masamba opindika bwino pafupi ndi khoma lachiwalo.

Mu kapangidwe kawo, amakhala ma hyperechoic (echogenicity ndiko kachulukidwe kakapangidwe). Kusiyana kwakukulu pakati pa ma polyp ndi calculi ndikuti polyp sasintha malo ake pomwe mawonekedwe a wodwalayo asintha. Musanayambe kugwiritsa ntchito ultrasound, ndikofunikira kuti muzingotenga chakudya chochepa, chomwe sichidzaza m'mimba, komanso sichingathandizenso kupanga mpweya wambiri.

Endoscopic ultrasonography (EUS) ndi njira yofufuzira yomwe imapangidwa pogwiritsa ntchito endoscope. Endoscope, pamodzi ndi kafukufuku wapakanema wa ultrasound, umayikidwa mu duodenum.

Ultrasonography imakhala ndiubwino pamapangidwe a ultrasound, chifukwa ikagwiritsidwa, mawonekedwe a ndulu ndi ma neoplasms aliwonse m'menemo amawonekera mwatsatanetsatane komanso momveka bwino.

Wodwala samaloledwa kudya pamaso pa EUS, komanso chakudya chochepa pambuyo pake madzulo.

Magnetic resonance imaging (MRI) ndiye mayeso opindulitsa kwambiri kwa odwala omwe ali ndi polyposis yomwe akuganiza kuti ndi yabwino. Zimakuthandizani kuti mupende mwatsatanetsatane kapangidwe ka ndulu, kapangidwe ka ma neoplasms, kumakupatsani mwayi wofufuza kukhalapo kwa zodabwitsika kapena zopezeka m'thupi lililonse. Koma, mwatsoka, si aliyense amene angakwanitse kugula MRI chifukwa cha mtengo waukulu.

Njira zochizira polyps

Ma cholesterol polyps a ndulu amatha kuthandizidwa ndimankhwala komanso opaleshoni.

Chithandizo cha opaleshoni ya matenda a mtima chimagwiritsidwa ntchito ngati kugwiritsa ntchito mankhwala sikumapereka zotsatira zoyenera.

Mwa omwe mankhwalawa adapereka mankhwala monga Holiver, Ursosan, Ursosulfak, Hepabene, Drotaverin (No-Shpa) ndi Simvastatin.

Limagwirira ntchito iliyonse ya mankhwala ali motere.

  1. Holiver ndi mankhwala omwe amathandizira kupukusira kwa bile kuchokera ku chikhodzodzo, amatulutsa mphamvu yake yothandizirana, kuteteza kuperewera kwa bile. Sizoletsedwa kupereka mankhwala oletsedwa. Ndikofunika kumwa mapiritsi awiri katatu patsiku musanadye.
  2. Hepabene - mankhwalawa amadziwika ndi anthu ambiri, chifukwa ndizofala kwambiri. Imasinthasintha katulutsidwe ka bile ndi hepatocytes, imathandizira kupindika. Njira yogwiritsira ntchito - 1 kapisozi katatu patsiku.
  3. Drotaverinum (No-Shpa) ndi mankhwala omwe ali m'gulu la antispasmodics. Amathandizanso kupsinjika ndi kupweteka, makamaka ndi hepatic colic. Iyenera kumwa mapiritsi a 1-2 pakapweteka kapena pakumwa.
  4. Simvastatin ndi mankhwala ochizira atherossteosis, ali m'gulu la ma statins. Amachepetsa kuchuluka kwa cholesterol m'magazi. Amamwa piritsi 1 limodzi asanagone, chifukwa kuchuluka kwa mafuta m'thupi kumapangidwa nthawi yomweyo usiku.
  5. Ursosan - amathandizira kuchiritsa polyps a cholesterol okha. Iwo, monga Simvastatin, amachepetsa kuchuluka kwa cholesterol ndi lipoproteins yotsika m'magazi, komanso kupewa cholesterol yatsopano. Kuphwanya kugwiritsidwa ntchito kwake ndikusintha kowonongeka khoma la ndulu, kutsekeka kwa gawo lothandiza, kukula kwakukulu kwa polyp (kupitirira 2 cm). Mlingo wa Ursosan amawerengedwa ngati 10 mg pa 1 kg ya kulemera kwa thupi. Kutalika kwa chithandizo ndiku kuyambira miyezi isanu ndi umodzi mpaka chaka chimodzi.
  6. Ursofalk - momwe amagwirira ntchito ndi ofanana ndi a Ursosan. Ndizosungunulira ma cholesterol amana. Mlingo wa mankhwalawa ndi yemweyo - 10 mg pa 1 kg ya kulemera kwa thupi. Panthawi yonse ya chithandizo, kuwunika kukula kwa polyp ndikofunikira.
  7. Allochol ndi choleretic mankhwala. Imalimbikitsa motility ndi excretion wa bile ku chikhodzodzo. Sizingathe kulembedwera chifukwa chotchinga matenda amanjenje. Ndikofunika kumwa mapiritsi awiri katatu patsiku mutatha kudya kwa mwezi umodzi.
  8. Ovesol ndi mankhwala azitsamba omwe ndi chakudya chowonjezera. Imagwira pang'onopang'ono komanso kwa nthawi yayitali. Kuchita kwake ndikulimbikitsa kuchulukitsidwa kwa calculi, kuthetsa kusayenda kwa ndulu, kuyambitsa mgwirizano wa ndulu. Contraindication kugwiritsa ntchito Ovesol ndichotsekedwe chonse cha bile ducts. Tengani 15-20 akutsikira kawiri pa tsiku. Pafupifupi njira zinayi zakuchipatala zomwe zimatha mwezi umodzi ziyenera kuchitidwa pachaka.

Kuchitapo kanthu kwa opaleshoni kumachitika ndi kukula kwakukulu kwa ma neoplasms, omwe ali ndi ma concomitant pathologies a biliary thirakiti (matenda a gallstone, cholecystitis ndi kapamba), ndikukula msanga kwa polyp, ndi ambiri awo komanso ali ndi chiopsezo chachikulu cha zilonda. Amagwira ntchito monga polypectomy - kuchotsedwa kwa polyp kokha, ndi cholecystectomy - kuchotsa kwathunthu kwa ndulu.

Pambuyo pa opareshoni, muyenera kutsatira zakudya zina. Amakhala ndi zakudya zochepa zokazinga komanso zamafuta, kugwiritsa ntchito kwambiri mafuta ophika ndi otenthedwa, kupatula mowa, mchere, kusuta. Chithandizo chothandizira ndi wowerengeka azitsamba (phula, uchi, mankhwala osokoneza bongo, mankhwala a homeopathic) ndiwofunikanso.

Mavuto a cholesterol m'thupi akufotokozedwa mu kanema munkhaniyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Zomwe zimayambitsa cholesterol

Mwa chibadwa chake, polyp ndi kakulidwe ka cholesterol kamene kamachitika motsutsana ndi maziko a kupendekeka mu ndulu, pomwe mgwirizano wake umachepa kapena zolephera zina pakugwira ntchito kwa chimbudzi. Mwakutero, zisindikizo zowoneka bwino sizinthu zapolyps. Cholesterol madipoziti, omwe amadzaza pamakoma a chikhodzodzo, amakula ndikufika mkati mwa mucous wosanjikiza ndipo amapanga pseudo-polyps.

Polyp ya cholesterol imayesedwa ngati matenda a ndulu, ndizovuta kuzindikira kuti imafanana chifukwa cha kufananaku. Nthawi zambiri pamayeso a ultrasound amakhala akulakwitsa pakupanga miyala kapena ma polyp enieni. Zisindikizo zimayambitsa kusintha kwamapangidwe amkati mwa khoma, zomwe zimatsogolera pakupanga miyala ndi njira zotupa.

Maonekedwe a pseudotumors amagwirizanitsidwa ndi kusokonezeka kwa metabolidi ya lipid; popita zaka zambiri zakafukufuku, malingaliro onena za zomwe zidachitika amapezeka.

Chochulukitsa kwambiri ndi njira yotupa yotupa ya mitundu yosiyanasiyana ya cholecystitis, njira yayitali yotupa m'matumbo ndi maudzu ake omwe sanatsimikizidwe.

Ma polyps amapangira maziko azovuta zosiyanasiyana, zomwe zimatsogolera kulowa kolowera magazi ndi kufalikira kwa cholesterol yowonjezeramo.

Kuchulukana kwa mbiri ya banja yachilengedwe ndikudziwikanso ndikofunikira, pamaso pake pomwe polyp imapangidwa ndikukula mu khoma la gallbladder.

Zina zomwe zimayambitsa ndi:

  • kuchuluka kwa cholesterol
  • kuperewera kwa zakudya m'thupi
  • kutupa kwa ziwalo zoyandikana.

A kwambiri ndende ya anasintha kapangidwe ka madzi a m'mimba mu ndulu amakhala malo abwino chitukuko cha matenda.

Zizindikiro

Ma polyp ang'ono komanso ochepa, samabweretsa chiwopsezo ku thanzi la wodwalayo, samawonetsedwa mwachipatala, ndipo ziwalo zam'mimba sizikuwopsezedwa. Wopezeka mwangozi, wodwalayo amayenera kulembetsedwedwa m'gawolo kuti awongolere kukula kwa magulu ake.

Ululu mu hypochondrium yoyenera imatha kuchitika osati chifukwa cha kupezeka kwa ma polyps, koma chifukwa amachititsa kuchepetsa makoma a chosungira. Ululuwu umakhala wowuma, wowawa, nthawi zambiri umawonekera mukamamwa zakumwa zoledzeretsa, zakudya zokazinga komanso zamafuta.

M'mawonekedwe awo, ma polyp ndi ofanana ndi ma warts omwe amapezeka okha kapena m'mizinda yonse. Chifukwa cha mapangidwe ake mu ndulu, kusintha zina kumachitika:

  • Makoma a chiwalo amayamba kuzimiririka.
  • nembanemba yaminga imawonongeka
  • polyp, yomwe ikupanga m'njira zoyenda ndulu, imalepheretsa kutuluka kwa ndulu,
  • Zochitika zapawiri zowonjezera zimachulukitsa kuchuluka kwa bilirubin,
  • cholesterol polyp yayikulu imatha kukhala yoyipa.

Chifukwa chake, chithandizo choyambitsidwa panthawi yake chingachepetse chiopsezo chokhala ndi mavuto.

Conservative ndi Cardinal mankhwala

Kuchiza kwa neoplasm popanda opaleshoni ndikotheka ngati polyp ili ndi kukula kosakwana 5 mm, ndipo zimakhazikitsidwa kuti ndi mawonekedwe a cholesterol. Kutsogolera kusungidwa kwa ndulu, adokotala, omwe akufotokozera njira zochiritsira, ayenera kutenga wodwalayo poyang'aniridwa mwapadera.

Othandizira othandizira amathandizidwa ndi dokotala - gastroenterologist. Makamaka dongosolo lazomwe amachotsera cholesterol zolembera ndi motere:

  • kudya
  • kumwa mankhwala kuti athetse ma pseudo-polyps, sinthitsani mphamvu ya chimbudzi,
  • njira zodzitetezera kuti musatseguke mitsempha,
  • kuyeserera pafupipafupi kuyang'anira momwe amaphunzirira.

Zakudya zamagulu

Zakudya zowunitsidwira zimathandizira kuthandizira ngati ma polyps a cholesterol adachokera.

ZidaPots
Palibe ntchitonyama yamafuta, nsomba yamafuta, nyama zosuta, zakudya zamkaka kwambiri, zipatso, zonunkhira, makeke, nyemba zonse, mafuta a nyama, sipinachi, bowa, sorelo.
Zololedwa zazing'ono.batala, masamba obiriwira atsopano, anyezi wobiriwira, adyo achinyamata abwino, mchere wambiri.
Chakudya chachikulunsomba yophika kapena yothira mafuta ochepa, nyama yodya, nkhuku, masuzi achilengedwe okhala ndi acidity ochepa, mazira ophika yofewa, masamba owiritsa kapena otenthetsa, mafuta a masamba: mpendadzuwa ndi maolivi, mafuta ophikira amkaka (tchizi tchizi, kirimu wowawasa), zakudya zonona, mankhwala azitsamba ndi tiyi, msuzi wamasamba.

Simungathe kulemetsa m'mimba ndi chakudya chochuluka nthawi, izi zimakwiyitsa katundu pa chiwalo. Muyenera kudya pafupipafupi, m'magawo ocheperako ndi kumamwa madzi oyera ndi madzi ambiri.

Chakudya chizikhala chotentha kapena kutentha kwa firiji, zakudya zotentha ndi zozizira zimatsutsana, zolimbitsa thupi mutatha kudya sizololedwa.

Kutsindika kumayikidwanso pazakudya zamafuta ambiri:

  • mtedza - ma amondi, mtedza, hazel, walnuts,
  • masamba - kaloti, beets, nandolo, kabichi,
  • zipatso, zipatso - maapulo okoma, mapeyala, rasipiberi, nthochi,
  • Zakudya za tirigu - tirigu, burwheat, barele wa ngale, Hercules.

CHIKWANGWANI chimatenga mafuta ndikuchotsa mafuta bwino, ndikofunikira pa moyo wa tizilombo tomwe timayambitsa chimbudzi chambiri. Koma muyenera kuwonjezera kuchuluka kwa fiber yochedwa pang'onopang'ono.

Kugwiritsa ntchito mankhwala osokoneza bongo

Kuwonongeka kwa mankhwala a polyps mu ndulu ndi njira yayitali, kuyambira miyezi 6 mpaka chaka. Chithandizo chanthawi yayitali chokha choyang'aniridwa ndi akatswiri ngati njira yodikirira ndi kuwona ndizomwe zingathandize kudziwa ngati ndizotheka kuchita popanda kuchitidwa opareshoni.

Mothandizidwa ndi mankhwala, chiwindi chimatenga zinthu zochepa zomwe zimapangitsa kuti mafuta a cholesterol awonongeke. Zotsatira zake, zinthu zovulaza sizilowa m'mphepete mwa ndulu. Komabe, ngakhale kusamalitsa mosamala kwa malamulo oti amwe mankhwalawa sikutsimikizira kutayika kotheratu kwa cholesterol polyps.

Mankhwala omwe angafotokozedwe ndi dokotala:

Mfundo ya Mankhwala a Njira Njira zogwiritsira ntchito
Ursosan (Ursofalk) ndi mitundu inaKutha kwa cholesterol amana, zomwe zimapangitsa kuti ma pseudo-polyp awonongeke.Maphunzirowa adayikidwa ndi katswiri wozikidwa pazowonetsera payekha, mawonekedwe a thupi. Dokotala amakhazikitsa muyeso potengera kulemera kwa wodwalayo.
SimvastatinKuchepetsa kuchuluka kwa cholesterol yoopsa, lipoproteins.Kutalika kwa maphunzirawa kutengera momwe alili, chithandizo chitha kutenga nthawi yayitali.
GepabeneMalangizo a bile katulutsidwe, cramping.Pamodzi ndi chakudya, 1 ampoule.
Palibe-shpaKupuma kosavuta pa minyewa yosalala, mankhwala oletsa kupindika.Pakapweteka kwambiri pansi pa nthiti yoyenera, mapiritsi a 1-2.
WosayeraMatenda a matumbo motility, malamulo a bile chikumbumtima.Mapiritsi 2 musanadye chilichonse.
HenofalkKubwezeretsanso kwa cholesterol plaque mkati mwa ndulu, kuchepetsa kuchuluka kwa madongosolo oyipa.Mlingowo umaperekedwa ndi adokotala potengera kulemera kwa wodwala, kuyambira makapu atatu mpaka anayi patsiku.

Mankhwala othandizira:

  • Prokinetic Motilium,
  • hepatoprotectors Ofunika Forte, Carsil ndi ena.

Mukamamwa Ursofalk kapena mankhwala ofananawo, wodwalayo amakulimbikitsidwa kuti azichita ultrasound miyezi itatu iliyonse, ndikuwonetsa kusintha kwa kukula kwa polyp.

Ndikofunika kuchita zoyeserera m'chipinda chimodzi chazofufuza ndi katswiri m'modzi kuti muchepetse zolakwika pakuwonetsa.

Ngati mankhwala othandizira, ma polyps amatha, ndipo kuchepa kwawo kumapezeka, chithandizo chimapitilizidwa. Wodwalayo amalembetsedwanso pamene polyp isapitirira 10 mm. Kupanda kutero, atatha miyezi 6 akuwonetsa kuti ichotsetse chikhodzodzo.

Zisonyezo za opaleshoni ya cholesterol polyposis

Opaleshoni yochotsa polyp mu ndulu ya ndulu kapena chiwalo palokha chimatchedwa cholecystectomy. Zizindikiro za mayendedwe ake ndi zomwe zadziwika pakuwunika:

  • polyp ikukula mofulumira (2 mm pachaka - chizindikiro chowopsa),
  • kupezeka kwa kapangidwe kamodzi, koma kokulirapo kuposa 1 mm,
  • kukula kumachulukana mwachangu, kukula ma polyp popanda miyendo yamiyendo (amakhala ndi vuto lodana ndi zilonda),
  • aakulu yotupa njira mu ndulu yolumikizidwa ndi polyposis,
  • kuphatikizika kwamphamvu kwambiri kwa hepatic colic kumachitika
  • kutuluka kwa bile kumasokonezeka, kuchuluka kwa bilirubin kumachulukitsidwa,
  • contractile ntchito ya ndulu imabwezeretsedwa osagwira.

Opaleshoni isanachitike, wodwalayo amamuthandiza kuti adziwe momwe angachitire. Mwina akatswiri adzaganiza kuti ndikofunikira kuchotsa ma polyp pamodzi ndi chikhodzodzo.

Ngati mayi akufuna kubereka mwana posachedwa, ayenera kupenda chikhodzodzo. Ma polyp apezeka amayenera kuchotsedwa, chifukwa kukhala ndi pakati kumakhudza bwino kukula kwa mayendedwe awo ndikusintha kwawo kukhala koyipa.

Chithandizo cha cholesterol madongosolo ndi njira zina

Mwina, atatha maphunziro a udokotala, kuti aphatikize zotsatira zomwe mwapeza, dokotala angakulangizeni kuti mugwiritse ntchito njira yina ya mankhwala othandizira. Ndizotheka kuti wodwalayo angafune kupitiliza chithandizo chamankhwala wowerengeka ndi mankhwala a choleretic, koma izi zimaloledwa pokhapokha atakambirana ndi adokotala.

Palibe exacerbations, mutha kutsatira zotsatirazi zochizira infusions:

  • kuchokera ku chamomile ndi celandine - tengani supuni imodzi ya udzu ndikutsanulira madzi otentha, imani kwa mphindi 10 posamba madzi, ozizira komanso fyuluta. Tengani kapu ya ½ musanadye. Kulowetsedwa kumapangitsa kuti bile isakhale yocheperako, kusintha kwake kutuluka, kumathandizanso kutukusira kwa chakudya chamagaya,
  • kuchokera ku mbewu za fulakesi - tengani supuni ya tiyi ya mbewu, kuthira mu kapu yamadzi otentha, chivundikiro, lolani kuzizira. Likukhalira mtundu wamafuta, womwe umayenera kuledzera ndi mbewu. Chida, chokwera muc muc nembanemba, amachiritsa, contractileat ya mphamvu ya bile ya reservoir imabwezeretseka, kuthamangitsa bile.

Palibe deta yotsimikizika yomwe ingatsimikizire kugwiritsidwa ntchito kwa maphikidwe a anthu pakuchotsa zinyalala. Zithandizo zake ndizabwino m'magawo oyamba a matendawa, chifukwa amachotsa kutupa ndikuchepetsa bile. Kutengedwa ndi mankhwala omwe amadzipangira nokha, kuwonjezera nthawi yochezera dokotala, wodwala amatha kutaya nthawi yamtengo wapatali.

Ndikofunikira kuti muzipita kukayezetsa panthawi yake madokotala, makamaka odwala omwe ali ndi matenda amtunduwu.

Njira yosankhidwa moyenera komanso yothandiza pa nthawi yoyambira pochizira ma cholesterol polyps imakupatsani mwayi wopewa matenda komanso kupewa zovuta.

Ndi mankhwala osayenera kapena kuchedwachedwa kulowerera mu chikhodzodzo, njira zomwe sizingasinthe m'thupi la munthu zimayamba.

Cholesterol polyp ya ndulu: chithandizo, Zizindikiro, matenda

Cholesterol polyp ndi chotupa chomwe chimapangidwa ndi zomwe zimapangitsa kuti ma organic aphatikizidwe ndi ma calcined inclusions. Itha kumera pansi pa mucous kumtunda kwa ndulu.

Mwachilengedwe chake sichowona, chifukwa chake chimatchedwa pseudo-polyp. Mapangidwe oterewa akhoza kukhala ochepa komanso akulu - mpaka masentimita awiri, okha kapena magulu amodzi m'magulu. Chikhalidwe chawo ndi chodetsa nkhawa, koma chimatha kuyambitsa matenda akulu ngati sichichiritsidwa.

Ma polyps a cholesterol amapezeka mwa odwala omwe ali ndi vuto la mafuta. Kumayambiriro kwa mapangidwe otere, nthawi zambiri pamakhala popanda zizindikiro, ma polyps ochepa amapezeka pa kupezeka kwa ultrasound pamimba.

Zomwe zimawonekera mwa mawonekedwe mu ndulu:

  • Kulephera kwa metabolidi ya lipid. Mlingo wa cholesterol woyipa umakwera m'magazi, owonjezera omwe amakhala pamakoma a ndulu.
  • Sinthani kapangidwe ka bile chifukwa cha matenda ophatikizika.

Popeza poyamba ma polyp ngati amenewa sapereka malingaliro osasangalatsa, samadziwika kwa nthawi yayitali, zomwe zimapangitsa kukula kwa mapangidwe. Malinga ndi ziwerengero, anthu makumi awiri ndi asanu aliwonse amakhala nawo, ndipo opitilira 60 peresenti ya azimayi onyamula zopitilira 30 zaka.

Pambuyo pake, ma polyp mu ndulu akachuluka kukula, zizindikiro zotsatirazi zingaoneke:

  • Zomverera zowawa. Amatuluka monga chochita pakukutambasulira kwa makoma a bile oyimitsidwa chifukwa cha polyp yokulitsidwa. Komanso, ululu wosakhazikika komanso wopweteka umatha kuchitika chifukwa cha kupindika kambiri kwa makoma a chiwalo. Amawonekera m'malo, otchulidwa kumanja kwa peritoneum.
  • Ma syndromes opweteka kwambiri amachitika mutatha kumwa mowa, mafuta ndi zakudya zokazinga komanso panthawi yovuta. Pali kukokana kowawa kwambiri, kotchedwa hepatic colic. Samasowa posintha maudindo. Izi zimachitika ngati polyp pa mwendo yopindika. Concomitant spasm tachycardia komanso kuchuluka kwa magazi.
  • Maonekedwe a jaundice pakhungu ndi sclera. Ngati polyp yakula kwambiri kuposa mulifupi wa duct ya bile, chotchedwa jaundice chotchinga chiwonetserochi chimawonekera chifukwa cha kupindika kwa bile kudzera munsana mwa chikhodzodzo. Kulimbitsa khungu kumathandizirana ndi kuuma, kuyabwa, khungu lakuda, mkodzo komanso kusanza kwa bile. Nthawi zina, kutentha thupi komanso kuwonda mwadzidzidzi kumachitika.
  • Dyspepsia Izi zitha kuphatikizaponso kukoma kosasangalatsa, nseru, kubwatuka. Amafotokozedwanso ndi kusayenda kwa bile mu chikhodzodzo.

Momwe mungadziwire ma cholesterol polyps?

Pali njira zingapo zoyesera ndulu:

  • Kuyesa kwa Ultrasound Zikuwonetsa bwino magulu awiri amodzi a cholesterol mu gallbladder ndi magulu awo. Pazenera, amawoneka ngati mawanga ozungulira opanda mithunzi yamaso ndipo samasakaniza posintha mawonekedwe a wodwalayo.
  • Ultrasonography. Njira yosinthira ya endoscope imagwiritsidwa ntchito m'njira imeneyi. Wodwalayo ameza chubu ndi kafukufuku wa ultrasound, amalowa mu duodenum ndipo angasonyezenso mkhalidwe wa ndulu. Popeza mtunda kuchokera pa sensor kupita ku makoma a chiwalo ndizochepa poyerekeza ndi ultrasound wamba, chithunzicho chikhala chowonekera. Makamaka ngati chipangizo chamakono chokhala ndi ma frequency ambiri chimagwiritsidwa ntchito.
  • Magnetic resonance cholangiography. Apa, kafukufukuyu amachitika pogwiritsa ntchito zida zamakono zamakono. Malinga ndi luso lamakono, katswiri sangodziwa kukula ndi kusintha kwa polyp, komanso kudziwa kusintha kwa ma cell mu maselo ake. Chifukwa cha kutsimikiza kwa matendawa, chithandizo chokwanira kwambiri ndi chomwe chimayikidwa.
  • Laboratory diagnostics: biochemical kusanthula kwa magazi, chopondapo ndi mkodzo mayeso.

Kuthana ndi mawonekedwe

Ma polyps a cholesterol amathandizika kwambiri pa mankhwala. Choyamba, ndikofunikira kusintha zakudya ndikusankha kugwiritsa ntchito mankhwala apadera monga momwe adalembera adotolo, omwe athetsa ziphuphu za cholesterol ndikuletsa kupangika kwatsopano. Nthawi zina, mankhwala odana ndi kutupa nawonso amafunikira.

Zomwe achipatala angalimbikitse:

MutuMfundo yofunika kuwonetseraMomwe mungagwiritsire ntchito
Ursosan kapena UrsofalkDissolves cholesterol amana mu biliary system chifukwa ma acid acores, zomwe zimapangitsa kuti ma pseudo-polyp awonongeke.Kuchuluka kwa makapisozi patsiku kumatengera kulemera kwa wodwalayo. Awiri ndi okwanira kwa munthu wamba. Chithandizo choyambirira chikuchitika kwa miyezi itatu, pambuyo pa ultrasound yoyendetsa, maphunziro ena akhoza kutsimikizika.
SimvastatinImachepetsa kuchuluka kwa cholesterol yoyipa, komanso lipoprotein.Mankhwalawa atenga nthawi yayitali bwanji?Nthawi zambiri kapisozi kamodzi kamakhala kamledzera usiku uliwonse.
WosayeraIwo amateteza katulutsidwe a bile, bwino peristalsis ofananira ziwalo. Komabe, mankhwalawa samayikidwa ngati polyp yatchinga kwathunthu duct.Mapiritsi awiri musanadye kadzutsa, nkhomaliro ndi chakudya chamadzulo.
Palibe-shpaImakhala ndi kupuma kosangalatsa pa minyewa yosalala yam'mimba, imachepetsa kupweteka kwam'mimba.Ndi kupweteka kwambiri mu hypochondrium yoyenera, muyenera kumwa mapiritsi awiri kapena awiri.
GepabeneAmayendetsa katulutsidwe ka bile pogwiritsa ntchito hepatocytes, amathandizanso kupindika kwa matenda.Nthawi yam'mawa, nkhomaliro komanso chakudya chamadzulo, kapisozi imodzi.

Kuchiza pambuyo pofunsa dokotala kumathandizanso wowerengeka azitsamba. Zomera zokhala ndi choleretic zimathandiza kwambiri: burlap, dieelle, rosehip.

Nawa ndalama zomwe zimathandizira kuti ma polyp awonongeke:

  • Matambala a zitsamba.

Momwe mungaphikire: tengani magalamu 25 a knotweed ndi coltsfoot, komanso masamba a sitiroberi. Onjezani 20 gm ya stigmas chimanga, masamba a mabulosi akutchire, chikwama cha St. John ndi worse, 15 magalamu a katsabola ndi chingwe. Thirani supuni ziwiri za msanganizo ndi kapu ya madzi otentha, ndipo theka la ola, zosefera ndikuwonjezera tiyi yofanana kuchokera m'chiuno.

Chithandizo: Kumwa chikho chachitatu chagalasi kwa miyezi itatu musanadye kadzutsa, nkhomaliro komanso chakudya chamadzulo.

Momwe mungaphikire: supuni ziwiri za udzu wouma zimapangidwa kapu yamadzi otentha ngati tiyi wokhazikika.

Chithandizo: kumwa chikho katatu patsiku mpaka kuchira kwathunthu.

  • Kulowetsedwa kwa immortelle, coriander, wotchi ya masamba atatu ndi timbewu tonunkhira.

Momwe mungaphikire: sakanizani zitsamba zonse zofanana, koma chokhacho chomwe timatha kudya mopitilira muyeso. Supuni yotsalira imapangidwira mu theka-lita thermos.

Chithandizo: Imwani m'mawa wotsatira nthawi iliyonse. Mankhwala azitsamba amatha miyezi iwiri.

Malinga ndi madotolo, ngati pali mwayi wochepa wokhala ndi ndulu, muyenera kuchita popanda kuchitapo kanthu opaleshoni. Nthawi yomweyo, kuwunikira nthawi zonse ndikofunikira kuti ma polyp asachuluke.

Ngati ali ochepa (mpaka 1 mm), ndiye kuti kuthetsedwa kumatheka ndi chithandizo cha mankhwala ndi zakudya.

Kuti muwonetsetse kukonzekera bwino, kufufuza kwa ultrasound kumachitika patatha miyezi itatu, pambuyo pa miyezi isanu ndi umodzi, kenako chaka chimodzi pambuyo pake.

Polyp, yomwe imachulukana kukula ndi 2 mm pachaka, ikhoza kukhala njira yofunika kuchitira opaleshoni. Zinthu zosiyanasiyana zimatha kupangitsa kukula kwa maphunziro, kuphatikizapo pakati.

Opaleshoni mankhwala a matenda a ndulu angachitike mu njira zingapo:

  • video laparoscopic cholecystectomy,
  • lotseguka laparoscopic cholecystectomy,
  • chikhalidwe cholecystectomy
  • endoscopic polypectomy.

Pambuyo pa opaleshoniyo, muyenera kutumiza minofu yochotsa kuti ichitidwe kafukufuku wa histological kuti muwone ngati pali mtundu uliwonse wa maselo owonongeka.

Zakudya ndi Kupewa

The zikamera a formations, ndipo makamaka opaleshoni kulowererapo, amati zakudya zina. Zakudya ziyenera kumwedwa m'magawo atatu aliwonse masana.

Muyenera kusiya zakudya zotentha ndi ayezi, zonunkhira zotentha, mafuta onenepa ndi okazinga, zakudya zam'chitini ndi chakudya chofulumira, komanso machitidwe akunja.

Palibenso supuni ya tiyi yamchere yomwe siyituluka tsiku lililonse, koma pali kumwa kwambiri.

Zakudya zophika zophika mu boiler pawiri kapena zophikidwa bwino. Pamapeto pa kadzutsa, nkhomaliro ndi chakudya chamadzulo, sipayenera kukhala kumverera kolemetsa. Osamachita masewera olimbitsa thupi mukangotha ​​kudya.

Zambiri mwa zakudyazo ziyenera kukhala zakudya zodzaza ndi fiber. Imasinthasintha kagayidwe, imayamwa ndikumachotsa mafuta.

M'malo momwe zakudya ndizomera kwambiri:

  • mu zipatso ndi zipatso - nthochi, maapulo, rasipiberi, mabulosi akuda, mapeyala ndi kiwi,
  • mu mbewu zamasamba - nandolo, mitundu yosiyanasiyana ya kabichi ndi saladi, beets ndi kaloti,
  • mu mbewu - balere, ngale, zipatso za tirigu, "Hercules",
  • mtedza - hazel, amondi, walnuts, mtedza, amondi.

Zakudya zomwe zimakhala ndi mafuta ochulukirapo zimathandizanso. Amakhala ndi chinangwa, pasitala kuchokera ku tirigu wa durum, masamba ambiri, zipatso zopanda kukoma.

Njira zodzitchinjiriza ndi mafuta a cholesterol:

  1. Ngati pali vuto la majini, tikulimbikitsidwa kuti mumayesedwe ndi abdominal ultrasound kamodzi pachaka.
  2. M'pofunika kuteteza matenda a lipid kugwiritsira ntchito zakudya zoyenera komanso kuchepetsedwa kofunikira menyu zamafuta amanyama.
  3. Panthawi yochizira matenda: gastritis, kapamba, zilonda zam'mimba, matenda opatsirana am'mimba thirakiti.
  4. Khalani ndi moyo wokangalika, kuphatikiza kosavuta, koma masewera olimbitsa thupi.

Mfundo yomaliza ndiyofunika kwambiri, chifukwa ndi kusachita masewera olimbitsa thupi komwe ndi chimodzi mwazinthu zazikulu zofunikira kwambiri pakusokonekera kwa metabolic komanso kuchepa kwa chitetezo chathupi.

Kuti mupewe izi, muyenera kukhala pafupipafupi mu mpweya wabwino, kuchita masewera olimbitsa thupi m'mawa. Ndipo kusewera masewera, makalasi ovina kapena kuyenda m'misewu sikungakupulumutseni kokha pakuchita masewera olimbitsa thupi, komanso kudzasinthasintha moyo wanu ndi zomveka komanso zomveka.

Polyps mu ndulu: chithandizo popanda opaleshoni ndi wowerengeka azitsamba

Ndani angatsutsane ndi ziwerengero? Munthu aliyense wakhumi wokhala mdziko lathu amakhala ndi ma polyp mu ndulu. Popeza kuti amadziwika ndi ultrasound mwamwayi, chiwonetserochi chidzakhala chokwera kwambiri.

Vutoli limakulirakulira chifukwa chakuti matendawa sakhala ndi zodziwikiratu. Madokotala ena amati opaleshoni ndiyofunikira, pomwe ena sachita m'magulu.

Amati ngati muli ndi ma polyp mu chikhodzodzo chanu, kulandira chithandizo popanda kuchitidwa opaleshoni sikutanthauza. Ndani akulondola pamenepa? Tiyeni tiyese kuzindikira.

Kodi polyp ya ndulu ndi chiyani? Izi ndi zophuka pakhoma la mkati la chiwalo. Akakhala ochulukirapo, ndi polyposis. Ndizowopsa kuti mawonekedwe omwe ali oyipa amatha kukhala khansa.

Tsoka ilo, alibe zizindikiro. Maonekedwe a ululu kumanja, mu hypochondrium, kulemera pakudya, nseru - zonse zimadziwonetsa mu matenda a chiwindi, cholelithiasis.

Diagnostics, kupatula ultrasound, kulibe, ndipo mawonekedwe amapezeka mwamwayi.

Zogawa zimakhala ndi cholesterol polyps a ndulu. Chifukwa chawo ndichosavuta - cholesterol imayikidwa pazitseko zamkati mwa chiwalo. M'mawonekedwe otupa, minofu yodwala imakula. Papillomas amawoneka ngati papillae. Owopsa kwambiri - adenomas - kuchuluka kwa maselo a khansa. Mwa zina mwazomwe zimachitika, zingapo ndizodziwika:

  • kuchuluka kwa mafuta m'thupi,
  • kunenepa
  • kudya kwamafuta
  • kusayenda kwa bile
  • kudya zakudya zamafuta, zokazinga.

Kodi kuchitira polyp mu ndulu? Kukula kumodzi mpaka mamilimita 5 sikowopsa. Ma saizi awo akakhala mamilimita 5 mpaka 10, amayang'aniridwa nthawi zonse azachipatala.

Mankhwala othandizira amafunikira kupatula kuwonjezeka kwa zophuka. Lemberani mankhwala: "Allohol", "Cholenzyme", bear bile.

Nthawi yomweyo, kudya mosamalitsa, chithandizo chamankhwala azikhalidwe Onani momwe kukula kumawonekera pachithunzichi.

Mapangidwe akachulukana, amakhala oposa mamilimita 10, ndipo polypectomy ya endoscopic ya ndulu imachitidwa. Pogwira ntchito imeneyi, ndi okhawo omwe amachotsedwa, ndipo chiwalo chokha chimakhalabe cholimba, chimapitilizabe kugwira ntchito nthawi zonse.

Ndi kukula kwamapangidwe opitilira masentimita awiri, tikulimbikitsidwa kuti tichotse matenda omwe ali ndi matendawa, chifukwa pali khansa yapamwamba. Opaleshoniyo imachitika mwachangu, patatha masiku awiri wodwalayo akupitiliza mankhwala kunyumba.

Malinga ndi gulu la padziko lonse la ICD-10, matenda omwe ali ndi neoplasms ali ndi code K80-K86.

Kuphatikiza pa kumwa mankhwala, zakudya zimayikidwa. Ndi polyposis, ndizokhwima kwambiri. Zakudyazo sizimaphatikizapo zakudya zamafuta ndi zomwe zimasuta, zimachepetsa kugwiritsa ntchito maswiti ndi uchi, komanso zimachepetsa mchere.Zotsatirazi sizimachotsedwa konse:

  • anyezi, adyo, radish,
  • nyama yamafuta
  • nyemba, sipinachi,
  • wowawasa zonona
  • kuphika,
  • maapulo
  • bowa
  • khofi wamphamvu.

Zakudya za ma polyp mu ndulu zimaphatikizira zakudya zowonjezera - kasanu patsiku. Ndikofunikira kumwa madzi ambiri, mpaka malita awiri, kuti nduluyo ikhale yochepa. Ndikulimbikitsidwa kuti muwonjezere michere yambiri mu fiber. Chololedwa:

  • nyama yokonda
  • zipatso zokoma
  • tchizi chamafuta ochepa
  • masamba ophika
  • kefir
  • batala
  • phala pamadzi.

Zithandizo za anthu

Ngati muli ndi polyp mu ndulu, chithandizo ndi wowerengeka azitsamba imayimitsa kuwonjezeka kwake. Zotsatira zabwino kwambiri zimapezeka pogwiritsa ntchito decoction ya celandine.

Njira yochizira imatenga mwezi umodzi, yopuma imapangidwa kwa masiku 10, kenako njirayi imapitilirabe, motero miyezi itatu. Kuti akonze mawonekedwe ake, supuni ya udzu wa celandine imathiridwa mu thermos, amathira lita imodzi ya madzi otentha. Atakalamba ola limodzi.

Iyenera kumwedwa musanadye, katatu patsiku. Mlingo - zana zana.

Kodi ndizotheka kuchiritsa polyp of the gallbladder

Matendawa sangathe kuchiritsidwa kwathunthu. Zomera sizimatha popanda kufufuza. Amatha kuyimitsa kukula kwawo. Kwa izi, kuzindikira koyambirira ndikofunikira. Pokhapokha mutagwiritsa matendawa poyamba, ndipo mawonekedwe ake ndi ochepa, chithandizo ndichotheka. Lembetsani mankhwala, zakudya, mankhwalawa ndi wowerengeka azitsamba. Nthawi yomweyo, kuwunikira kwakanthawi kwa ultrasound ndikofunikira.

: chochita ndi polyp ya ndulu

Akatswiri ena amakuuzani kuti opaleshoni ndiyofunikira pamaso pa neoplasms, pomwe ena amati chithandizo ndichotheka. Onerani kanemayo ndipo mudzazindikira zomwe zimayambitsa matendawa komanso zomwe zimayambitsa matenda. Zidzadziwika kwa inu, ngati mungafunike opareshoni pamavuto ena. Ndi liti pamene chithandizo popanda opaleshoni chikufunika kwa ma polyp mu ndulu?

Ndemanga pazotsatira zamankhwala

Atamuyesa, adotolo adapeza mwangozi pa khoma la ndulu. Analangiza kudya mosamalitsa. Gawo lovuta kwambiri pa zonsezi ndikupereka maswiti, ma pie. Zimakhala zovuta kumwa madzi nthawi zambiri. Miyezi isanu ndi umodzi pambuyo pake, adabwera ndikuwonetsa ultrasound, ndipo kukula sikukula, komanso kutaya ma kilogalamu 6. Zakudya zothandiza kwambiri, ndikukulangizani kuti muzitsatira.

Ndidafika kuchipatala ndili ndi ululu waku hypochondrium kumanja. Ndimaganiza kuti chiwindi chimapweteka, zidakwaniritsidwa chifukwa ichi ndi kukula pang'ono mu chikhodzodzo. Adalangizanso kumwa kulowetsedwa kwa celandine. Sindinganene kuti zili bwino. Koma adotolo adati ngati sichingalandiridwe, ndiye kuti polyp ikula, muyenera kugwira ntchito. Adatenga miyezi itatu, adapita kukawunika kwa ultrasound - palibe chowonjezera. Chinsinsi chachikulu. Ndikulangizani.

Panali kupweteka m'mbali, kumanja. Ndinapita kukayezedwa, ndipo mu bile anapeza ma papilloma ang'ono. Dotolo adati padakali pano ndizovomerezeka kuti ma polyp ali mu chikhodzodzo azichiritse popanda opaleshoni. Kukolola kwazitsamba kumaimitsa kukula kwawo. Tawonani immortelle ndi yarrow ndi rhubarb. Pambuyo pa miyezi isanu ndi umodzi, ultrasound sinasinthe. Ndikupangira kwambiri kumwa zitsamba.

Zomwe zafotokozedwa m'nkhaniyi ndizongowatsogolera zokha. Zipangizo za m'nkhaniyo sizitanthauza chithandizo chokha. Ndi dokotala woyenera yekha yemwe angadziwe za matenda ake ndikuwapatsa chithandizo chamankhwala malinga ndi zomwe wodwala wina ali nazo.

Cholesterol polyps mu bile - ndi chiyani

Cholesterol polyp ndi kuchuluka kwachilengedwe kwa maselo a epithelial, omwe nthawi yomweyo amaikapo cholesterol pamakoma a chiwalo. Ma polypous neoplasms nthawi zambiri amakhala ndi mawonekedwe ozungulira kapena mawonekedwe a "dontho pa mwendo". Bile ndimachokera ku cholesterol mwachindunji. Ndi kuchuluka kwa cholesterol m'magazi, bile imapeza mphamvu yolakwika yopanga lipid precipitate mu ndulu. Popita nthawi, cholesterol polyp imakhala yowuma ndikuuma.

Popanda kulandira chithandizo pakanthawi kochepa, mafuta a cholesterol amakula pazigawo zonse zomwe khoma lachiwalo limakhala. Pali chiwopsezo chachikulu cha kusokonekera kwa mapangidwe a polypous kukhala chotupa chowopsa ndi kufalikira kwa metastases.

Zizindikiro ndi kuwonetsa matendawa

Mu magawo oyambirira a chitukuko, matendawa amatha kukhala asymptomatic. Ululu pamimba yakumanja kumachitika ndi kuwonjezeka kwa neoplasm, makamaka mutatha kudya chakudya chamafuta. Gawo lachitukuko cha matendawa ndikuchiritsika limakhazikitsidwa ndi gastroenterologist pambuyo pazoyesera. Njira zofufuzira zomwe zimagwiritsidwa ntchito pozindikira ma polyp:

  • Kuunika kwa Ultrasound: kumathandiza kupeza chidziwitso cholondola cha kukula kwa ma neoplasms ndi kutengera kwawo.
  • Ultrasonography.
  • Laboratory matenda magazi okwanira cholesterol.
  • Laboratory mayeso a mkodzo.
  • Cholangiography.

Nthawi zambiri kupezeka kwa cholesterol polyp kumayambitsa kuwoneka kwa matenda otupa. Komanso pamtunda wa lipid kuvala kumatha kusiyanitsa ndikutseka chovalacho.

Cholesterol polyposis imatha kutsagana ndimatenda a dyspeptic, monga nseru, kusanza, ndi fungo la bile kuchokera mkamwa.

Zoyambitsa matenda

Kuwonjezeka kwa kuchuluka kwa mafuta m'magazi oyendayenda ndi chimodzi mwa zifukwa zazikulu zomwe zimapangitsa kuti cholesterol polyp ichitike. Ndipo zinthu zotsatirazi zimawonjezera chiopsezo cha cholesterosis:

  • Kunenepa kwambiri.
  • Kukhazikika kwa chidwi kwa Hyperlipidemia.
  • Kukula kwa zakudya zamafuta m'zakudya za tsiku ndi tsiku.
  • Mowa ndi fodya.
  • Matenda a chiwindi ndi mtima.
  • Matenda a kutupa kwamitsempha.
  • Biliary dyskinesia.

Ndi kuphwanya kwa limagwirira wa cholesterol synthesis, chiwindi chimatha kutulutsa zinthu zochuluka za chinthuchi. Zomwe zimawopseza kupangika kwa milomo ya lipid mu ndulu.

Cholesterol polyp imathandizira kugaya, chifukwa ndizovuta kuchotsa bile kuchokera posungira. Kuchuluka kwa ndulu sikokwanira kuti kumalize kugaya chakudya m'matumbo aang'ono. Chifukwa chake, magawo opindulitsa a chakudya samayamwa mokwanira m'thupi.

Kuchotsa opaleshoni

Kuchita maopaleshoni okhawo ndi kumene kungathandizire kuchotsa polyp yokulira bwino. Opaleshoni yochotsa lipid neoplasm yoposa 7 mm ndikuchotsa ndulu yonse panjira yotseguka kapena laparoscopically (kudzera pazitseko zam'mimba khoma). Popeza polyp yayikulu ingasanduke chotupa choopsa, musachedwe kuthandizira pochita opaleshoni.

Njira za anthu

Kuphatikiza pa mankhwala osokoneza bongo komanso chifukwa chosagwirizana ndi dokotala, mutha kugwiritsa ntchito mankhwala omwe amadziwika. Mwachitsanzo, supuni imodzi yamafuta a azitona pamimba yopanda kanthu m'mawa imakhala ndi choleretic, ndipo imalepheretsa kusintha kwa chikhodzodzo.

Kulowetsedwa kwa celandine ndi chamomile ndi mthandizi wachilengedwe polimbana ndi ma polyps. Kuti mukonzekere malonda, muyenera kusakaniza supuni ya chamomile ndi celandine. Ndiye kuthira supuni ya osakaniza ndi madzi otentha, lolani kuti liyime usiku. Chida ichi tikulimbikitsidwa kuti muzimwa supuni imodzi musanadye kamodzi patsiku, makamaka m'mawa. Nthawi yayitali kwambiri ndi masiku makumi atatu.

Decoction ya yarrow, rhubarb ndi dieelle imathandizira kuchotsedwa kwa bile, imakhala ndi antiatherogenic. Supuni ya chisakanizo cha zitsamba zitatu iyenera kuwiritsa owiritsa kwa mphindi 10-15 mutawira. Tiyeni tiime kwa ola limodzi, ndiye kuti tithana. Tsiku lomwe muyenera kumwa za kapu imodzi ya msuzi, ndikugawa zomwe zidagawidwa m'magawo atatu.

Lamulo la zopatsa thanzi

Popewa kupezeka kwa mafuta a cholesterol, chakudya chochepa m'mafuta amnyama chofunikira.Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo chakudya chambiri, monga:

  • Mbewu za chimanga.
  • Masamba: kabichi, broccoli, udzu winawake.
  • Zipatso: maapulo, mphesa, ma Persimmons, mphesa zamphesa.
  • Ziphuphu

Kuchuluka kwa michere yazakudya kumathandizira kuchotsedwa kwachangu kwa mankhwala a bile acid mthupi, komanso lipid mopitirira muyeso. Ndikofunikira kupatula kwathunthu kugwiritsa ntchito batala, nyama yamafuta, makamaka nkhumba.

Ma Dietiti amalimbikitsa kuti azikhala nthawi yambiri akuyenda, kuchita masewera olimbitsa thupi, komanso kuyenda maulendo ataliatali. Izi zimathandizira kukonza kwa menyu othandizira ndikuthandizira kukhala ndi kulemera kwamtundu woyenera.

Hyperlipidemia ndi wowopsa osati atherosulinosis, komanso kupezeka kwa cholesterol polyps mu ndulu. Ndikofunika kuwunika pafupipafupi momwe magazi amayambira ndimakina amtundu wam'mimba ndikuwonetsetsa. Popeza kudziwika kwakanthawi kwa lipid neoplasm kumapewe opaleshoni yayikulu.

Epidemiology

Kapangidwe kosadziwika mu ndulu kanatulukiridwa koyamba ndi katswiri wazam'madzi wa ku Germany R. Virchow, ndipo izi zinachitika zaka za zana la 19. Wasayansi wina nthawi yomweyo anakwanitsa kupenda mwatsatanetsatane zamatsenga pansi pa ma microscope ndikuyifotokoza. Kuyambira pamenepo, chachikulu chomwe chimayambitsa matendawa chimayamba kuonedwa ngati vuto la mafuta kagayidwe m'thupi.

Kutulutsa kwachiwiri kwa kafukufuku wa polyposis kunayamba kuyambira nthawi yomwe mtundu watsopano wazidziwitso unayambitsidwa machitidwe - kusanthula kwa ultrasound.

Malinga ndi ziwerengero zaposachedwa, kakulidwe kazinthu kena ka ndulu kakupezeka 6% ya anthu. Komanso, nthawi zambiri matendawa amapezeka mwa azimayi azaka zopitilira 35.

Mwa odwala amuna, makamaka mawonekedwe a cholesterol amapezeka. Mwa akazi, makamaka ma hyperplastic inclusions amapezeka.

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Zimayambitsa ma polyp mu ndulu

Monga momwe zimakhalira, kusokonekera kwamafuta kagayidwe sindicho chifukwa chokhacho chopanga mapangidwe a polyposis. Zitha kuchitika mchikakamizo cha zifukwa zina:

  • Matenda amtundu, olemedwa ndi chibadwidwe (banja lidali ndi zochitika za kakulidwe ka ma polyp),
  • matenda opatsirana otupa ndi otupa
  • kagayidwe kachakudya matenda
  • dyskinesia a bile ducts, zina za chiwindi ndi biliary dongosolo.

Ntchito yofunikira pakukula kwa matendawa imaseweredwa ndi zinthu zoopsa, zomwe ziyenera kulingaliridwa mwatsatanetsatane.

Zowopsa

  • Kuwonongeka kwa chiwopsezo mwina ndi chinthu chofala kwambiri pakukula kwa matendawo. Choyamba, izi zimagwira ntchito pamapangidwe okondweretsa komanso biliary papillomas. Komanso, ngati panali milandu ya benign polyposis mu ziwalo zina m'banj, ndiye kuti chiwopsezo chokhala ndi vuto la gallbladder chimakulanso.

Heredity ndikofunika kwambiri pakuchitika kwamatenda, zovuta zake zomwe ndi ma polypous kukula. Mwachitsanzo, bysary dyskinesia amadziwika ngati matenda otere.

  • Matenda opatsirana komanso otupa - mwachitsanzo, cholecystitis, imachitika motsutsana ndi maziko a kusakhazikika kwa biliary, komwe kumayambitsa kukula kwa bile zophuka. Polyp wa ndulu ndi cholecystitis imachitika kawirikawiri. Panthawi yotupa, khoma lachiwalo limakhala lofinya, mawonekedwe ndi mawonekedwe ake zimasokonekera. Chifukwa cha kusinthaku, ma biliary stasis amawoneka, omwe amatsogolera ku zowawa, dyspepsia, belching. Zotsatira za izi ndi kukula kwa granulations m'makoma a bile limba, yomwe imakhala choyambitsa cha mapangidwe a post-kutupa polyposis nyumba.
  • Mavuto a kagayidwe kachakudya nthawi zambiri amakhudza mapangidwe a cholesterol. Popita nthawi, mawonekedwe awa amawonjezeka ndikuchitika. Njira zoterezi zimachitika chifukwa cha kusokonezeka kwamafuta kagayidwe kachakudya, pomwe cholesterol yowonjezera imazungulira m'magazi.Cholesterol yowonjezera imayikidwa mkati mwa makoma osati zotengera zokha, komanso dongosolo la bile. Bile lili kale ndi cholesterol: ngati kukokoloka kwa ndulu kumachitika, ndiye kuti zochulukirapo zidzasungidwa mkati mwachikhodzodzo.
  • Dyskinesia ya ducts ya bile imayambitsa kuphwanya ntchito ya bile pamene akusunganso yachilengedwe. Dyskinesia imayendera limodzi ndi kulephera kwa mphamvu yolepheretsa kubereka ya gallbladder, yomwe imalowetsa kulowa kwa bile mu duodenum 12: katulutsidwe ka bile sikulinso ofanana ndi njira zina zam'mimba. Wodwalayo amatchula zizindikiro monga nseru atatha kudya (makamaka atatha kudya mafuta), kupweteka, kuchepa thupi.

, , ,

Monga tanena kale, polyposis ndimatenda a polyetiological, ndiye kuti, amatha kukhala ndi zifukwa zambiri zachitukuko.

Ndulu ya gallbladder ili ndi khoma loonda lotalika atatu, lomwe limakhala ndi chipolopolo chakunja, minofu yosanjikiza ndi minyewa yolimba.

Minofu ya mucous imalowetsa makoma amkati mwa chiwalo: mawonekedwe a polypous amapanga pa iyo. Tiziwalo timene timapanga timitundu tambiri, timalowetsedwa ndimatumbo ndikakutidwa ndi gawo limodzi la epithelium.

Ma polypous, nawonso akhoza kukhala owona kapena otchedwa "pseudo-polyps":

  • mitundu yoona ya polyposis imapangidwa chifukwa cha kukula kwambiri kwa epithelium,
  • "Pseudo-polyps" amachokera ku cholesterol kapena chiyambi chotupa.

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Zizindikiro za ma polyp mu ndulu

Zizindikiro za polypous neoplasms sizikhala zodziwika bwino komanso zachindunji chifukwa cha matendawa. Kukula kwake ndi zizindikiro zake zosiyanasiyana zimatengera zinthu zambiri: kutengera maphunziro, kuchuluka kwawo, kukula kwake, ndi zina zambiri.

Ndizowopsa ngati polypous node ili mkati mwa khomo lachiberekero, kapena mkati mwa duct: muzochitika zotere, pali ngozi yolepheretsa kutulutsa kwa bile, komwe kumayambitsa jaundice.

Ndi zovuta zina zamatenda, Zizindikiro zake zitha kukhala zobisika kapena zofatsa.

Zizindikiro zoyambirira za ma polyp mu ndulu nthawi zambiri zimakhala zotsatirazi:

  • ululu wowonda kumanja pafupi ndi nthiti (ikhoza kukhala yodzikama), makamaka mutatha kudya mafuta, pambuyo pamagawo akudya kwambiri, mutamwa mowa, mutatha kupanikizika,
  • khungu, lomwe khungu, mucous nembanemba limakhala chikasu (nthawi zambiri jaundice imayendera limodzi ndi kuyabwa kwa khungu, kupuma mseru komanso kusanza),
  • kupweteka kwamatumbo - ululu, wokhazikika, wofanana ndi hepatic colic mu cholelithiasis (nthawi zambiri imawonetsa kutuluka ndi kupindika kwa mwendo wa polyp),
  • kuwoneka kowawa m'mkamwa, kudwala m'mawa, kusanza kwakanthawi kochepa.

Ndikofunikira kudziwa kuti nthawi zambiri ma polypous inclusions samadziwonetsa mwanjira iliyonse: amapezeka mwangozi, pakuzindikira matenda ena. Pokhapokha mapangidwe akachulukana kukula, kapena ndi zovuta, chithunzithunzi cha pamwambapa chikuwululidwa.

  • Ma polyp a 3, 4, 5, 6 mm mu ndulu amatengedwa ngati kapangidwe kakang'ono ndipo nthawi zambiri samadziwonetsa ndi zizindikiro zakunja. Kukula kotereku sikuchotsedwa ntchito: kumayang'aniridwa. Ngati nodeyo imachulukirachulukira kuposa 2 mm pachaka, ndiye kuti funso lingadzutsidwe pakuchotsa kwake.
  • Chipolyp mu ndulu ya ndulu chingayambitse kuthothoka kwa duct, komwe kumadziwonetsera mu mawonekedwe a jaundice ovuta, zomwe zimachitika chifukwa cha kuchuluka kwa bilirubin m'magazi. Zizindikiro za jaundice: madera achikasu ndi pakhungu lathu, kuyabwa pakhungu, mseru wa paroxysmal. Zizindikiro zothandizira zimatha kukhala: mkodzo wakuda, kupweteka kwa minofu ndi minyewa, kutentha thupi.
  • Ululu wokhala ndi ma polyp mu ndulu nthawi zambiri umadziwika bwino: awa ndi malo omwe ali ndi hypochondrium, ndiko kuti, malo amakulidwe a chiwindi ndi dongosolo la biliary. Ululu umatha kukhala wopepuka komanso kupweteka, koma nthawi zambiri umakhala wokuluka, wofinya, ndipo mwendo wakuphulika ukaphwanyidwa, umakhala wamkati (wowonda, mwadzidzidzi komanso wowopsa). Ndi ululu wamtunduwu, wodwalayo nthawi zonse amakhala osakhazikika, samapeza malo ndipo nthawi zambiri amasintha mawonekedwe ake pofunafuna mawonekedwe abwino.
  • Kusintha kovuta mu kapamba ndi polyp ya ndulu nthawi zambiri kumazindikiridwa ndikuphatikizana. Nthawi zambiri, kusintha koteroko kumayendera limodzi ndi cholecystopancreatitis - kutulutsa kosakanikirana komwe kumakhudza kapamba ndi kachitidwe ka katulutsidwe ka bile. Kuphatikiza pa kutukusira, ukalamba amathanso kukhala chifukwa chosinthira masinthidwe: pomwe kuchuluka kwa kapamba kumakhalabe kwabwinobwino, ndipo wodwalayo sangadandaule.
  • Kutsegula m'mimba ndi ma polyp of the gallbladder mwina ndi chizindikiro chodziwika bwino, limodzi ndi mseru komanso kusanza. Kutsegula m'mimba kumawonekera chifukwa cha kusayenda bwino komanso kubisala kwa bile. Izi zimadzetsa chakuti chakudya m'matumbo sichikumbidwa bwino: chifukwa kuphatira mafuta mwabwinobwino, bile limafunika. Zotsatira zake, kukhumudwa kumachitika - m'mimba.
  • Kutentha kokhala ndi ma polyps a ndulu kumatha kukhala kwabwinobwino, koma pamaso pa kutupa nthawi zambiri kumakwera. Kukhalitsa kwanthawi yayitali (kumatha kuwonedwa kwa miyezi yambiri) kumawonetsa kukhalapo kwa matenda osachiritsika otupa - cholecystitis. Ndi hepatic colic, matenthedwe amatha kukwera kwambiri mpaka pafupifupi + 38 °. Komabe, chizindikirochi ndi chododometsa, chifukwa mwa odwala ambiri zizindikiro za kutentha sizimasinthasintha. Kukhalapo kwa polyp pakokha sikukhudza kusintha kwa kutentha.

Psychosomatics yokhala ndi ma polyp of the gallbladder

Ma polypous node pawokha samayesedwa ngati vuto la psychosomatic, koma amatha kukhala chifukwa cha zovuta zotere. Chifukwa chake, ma neoplasms ambiri amakula chifukwa cha njira yotupa, dyskinesias, zovuta zamagazi ndi trophism mu chiwalo. Chifukwa chake, sitinganene kuti psychosomatics sichita gawo lililonse pakapangidwe ka polyposis inclusions.

Munthu amatenga matenda ambiri chifukwa cha kupsinjika, zochitika zosemphana ndi nthawi zambiri, kusakhutira ndi moyo, mantha, ndi zina. Akatswiri amati anthu omwe amakhala ndi nkhawa kapena kuponderezetsa ena mwa iwo okha “amawatsogolera” mthupi, zomwe zimapangitsa kuwoneka ngati matenda. Kuphatikiza pa polyposis, odwala oterewa amatha kudwala matenda a gallstone, colitis, kukhumudwa komanso mantha.

Chimodzi mwazinthu zothandizira kwambiri polyposis kuonedwa ngati kusowa kwa nkhawa komanso mtendere wamakhalidwe, wothandizidwa ndi moyo wathanzi komanso wathanzi labwino.

Gallbladder polyp mwa amuna

Mwa odwala amuna, cholesterol inclusions nthawi zambiri imapezeka, komanso okalamba. Zomwe zimachitika ndi ma cholesterol amana omwe amapezeka zaka zambiri, omwe pakapita nthawi amawonjezeka ndipo amalowetsedwa ndimchere wamchere (woyipitsidwa).

Malinga ndi ziwerengero, abambo ndiwotheka kwambiri kuposa azimayi kuti akhale onenepa kwambiri komanso azovuta kudya, chifukwa chake nthawi zambiri amakhala akuphwanya mafuta kagayidwe. Ndi kuwonjezeka kwa cholesterol m'magazi, imayikidwa mkati mwa makhoma a mtima komanso munthawi ya biliary. Ngati wodwala nthawi yomweyo akuvutika ndi kusayenda kwa ndulu, ndiye kuti chiwopsezo cha kukula kwa polypous chimawonjezeka kangapo.

Muzochitika zambiri, cholesterol polypous node sizimayambitsa zizindikiro zilizonse kwa wodwala, chifukwa chake wodwalayo amafufuza chithandizo chamankhwala ngakhale ngati pali ma cholesterol ofunika.

Ma polyp mu ndulu nthawi yapakati

Madokotala ambiri amavomereza kuti ngati pali kuphatikizidwa kwa polypous mu biliary dongosolo, ayenera kuchiritsidwa (kuchotsedwa) asanakonzekere kutenga pakati. Chinsinsi chake ndikuti nthawi yakusintha kwamphamvu kwa mahomoni, chiwopsezo cha kufooka koipitsidwa kwa polypous chikuwonjezeka. Ndiye kuti, momwe kukula kudzakhalire sikudziwika. Kuchita opareshoni kwa amayi apakati kumakhalanso koopsa.

Koma bwanji ngati mawonekedwe a polypous adapezeka panthawi yapakati? Apa yankho lake silingakhale lovuta. Nthawi zambiri, akatswiri amasankha kusunga matenda, kuti azitsogolera kukula kwa maphunziro. Ngati ndi kotheka, mupeze mankhwala opangira opaleshoni, koma mwana atabadwa.

Ma gallbladder ma polyp mwa ana

Ma polypous inclusions amatha kuwonekera osati pakati pa odwala azaka zapakati komanso okalamba, komanso mwa ana. Nthawi zambiri amapezeka mwa ana osakwana zaka 10: zoopsa ndikuti kumayambiriro kwa chitukuko mawonekedwe awa ndi ovuta kuwazindikira, ndipo matenda osadziwika angayambitse zotsatira zoyipa: kusokonezeka kwa njira zamagayidwe am'mimba, matenda a matenda a kugaya chakudya, etc.

Maonekedwe a zida za polyposis amatha chifukwa cha zifukwa zambiri. Nthawi zambiri, ana amapezeka mwa ana, omwe amapezeka ndi vuto lobadwa nalo.

Kawirikawiri mwa ana, matendawa amayambitsa chiwonetsero chilichonse chazachipatala: ma polypous node nthawi zambiri samadziwonetsa kwa nthawi yayitali, ndipo zizindikilo zoyambira zitha kukhala zofanana ndi zizindikiro za kutupa wamba - cholecystitis. Kuzindikira kwa polyposis kumakhazikitsidwa pokhapokha patakhala padera pofufuza matenda.

Kusiya Ndemanga Yanu