Gallstones (cholelithiasis)
Tinopa mazita gallstones, kana cholélithiase, kuumbwa kwematombo mukati gallbladder, nhengo inochengeta bile inovanzwa nechiropa. Masvomhu, ayo anombonzi "matombo" anotaridzika sehurungudo diki. Muzviitiko zvakawanda, ivo vanogadzirwa cholesterol crystallized. Matombo akagadzirwa kubva bile pigment anogonawo kuumba, kunyanya aine chirwere chechiropa chakakomba kana sickle cell anemia, asi izvi hazvizokurukurwa pano.
Chimiro, saizi uye nhamba ye kuverenga (panogona kunge paine mazana akati wandei) akasiyana kubva kune mumwe munhu kune mumwe. Dzinogona kuita diki setsanga yejecha kana dzakakura sebhora regorofu.
Kazhinji yenguva, matombo haakonzeri zviratidzo. Zvisinei, vanogona kuvhara madhaidhi anoendesa bile kuchiropa nemuura. Izvi zvinonzi a biliary colic (ona mufananidzo) kana dambudziko riri renguva pfupi. Isingachakwanisi kubvisa, gallbladder inobva yatanga kuzvimba, izvo zvinogona kukonzera mhirizhonga marwadzo. Kana matombo asingakonzere colic, dzimwe nguva anowanikwa zvisina tsarukano pane Ultrasound kana CT scan.Shandisa scan) yedumbu.
Izvo zvinofanirwa kucherechedzwa kuti kusimba kwezviratidzo hakubvi pane iyo zvisarudzo maverengero. Zvechokwadi, matombo maduku anogona kuguma nekurwadziwa kukuru, asi matombo makuru achaenda asingaoneki. Dzimwe nguva dzakakura zvakanyanya kuti dzibude mugallbladder uye dzivhare madhaivhi.
Gallbladder inoshandiswa nei? Gallbladder kasaga kadiki kakaita peya kakareba masendimita manomwe kusvika gumi nemaviri. Inochengeta bile, mvura yakasvibirira-yero inogadzirwa nechiropa, iyo inoshandiswa kubatsira mukugaya kwechikafu. Panguva yekudya, gallbladder inobvumirana uye inobudisa bile, iyo inobva yatenderera mune yakajairika bile duct kuura, iyo inobatsira mukugaya, kunyanya mafuta. Gallbladder inozorora uye inozadza zvakare nenyota. |
Zvinokonzera
La kunyange inosanganisira kunyanya mvura, bile munyu (iyo, ne emulsifying mafuta, inoita basa guru mukugaya kwavo nemudumbu), cholesterol, phospholipids, pigments uye electrolytes.
The gallstones cholesterol inoumbwa kana:
- iyo bile ine cholesterol yakawandisa;
- iyo bile haina zvakakwana bile munyu;
- gallbladder haibatiki nguva dzose ( gallbladder inobva yanzi "ine nungo").
Hazvinyatsozivikanwi kuti chii chinokonzera kuumbwa kwematombo, asi zvakasiyana-siyana zvinokonzera njodzi zvakaonekwa. Kufutisa ndechimwe chazvo. Ziva kuti hapana chinongedzo pakati pe hypercholesterolemia uye kuwanda kwecholesterol mu bile.1.
Matombo anogona kuoneka munhengo dzakasiyana-siyana dzisina maburi (itsvo, dundira) kana mugomba (gall bladder, salivary glands), obva atenderera kana kunamira munzira inobuda iyi. Zvichienderana nekwavanowanikwa, matombo aya achaumbwa nezvinhu zvakasiyana-siyana: calcium, phosphate, cholesterol, mito yekudya kana zvimwe. Gallstones anowanzo gadzira mugallbladder kwete muchiropa nekuti bile rinonyanya kuzara ipapo. |
Ndiani anobatwa?
La gallstones, kana gallbladder calculus yakajairika uye inokanganisa kaviri kusvika katatu kupfuura vakadzi kupfuura varume. Kubva pazera re70, 10% kusvika 15% yevarume vanayo, pamwe ne25% kusvika 30% yevakadzi. Ngozi yekuva nenduru inowedzera nezera, kuti isvike inenge 60% mushure memakore makumi masere, zvichida nekuda kwekuderera kwekubudirira kwezviputi zvegallbladder. Masvomhu anokonzera matambudziko mu80% chete uye anogona kunge ari hepatic colic, cholecystitis, cholangitis, kana acute biliary pancreatitis.
Biliary colic
A dambudziko de hepatic colic kana biliary colic; Inokonzerwa nedombo renduru rinopinda mubile ducts uye rinovharika ipapo kwenguva pfupi, ichidzivirira kwenguva pfupi kuti bile kubva pakuyerera. Inotora avhareji yemaminitsi makumi matatu kusvika kumaawa mana. Nguva inopfuura maawa matanhatu inofanira kupa chikonzero chekutya dambudziko. Marwadzo acho anopera kana ibwe richingozvikanda pasi, richibvumira bile kuti riyerere zvakajairika zvakare. Munhu akatambura nekurwiswa kwebiliary colic angangodaro, mu30% yezviitiko, kutambura vamwe. Kana kurwiswa kwekutanga kuchitakurika, kunowedzera kuipa kana matombo asina kurapwa.
Kazhinji pfari inoitika kunze kwekudya. Zvinogona kuitika chero nguva yezuva, uye kazhinji hapana chinokonzeresa chiitiko. Kubatwa kunoitika mushure mekunge gallbladder chibvumirano uye inoburitsa dombo rinogona kuvhara bile duct. Kudya kwechikafu kunokonzeresa kuti gallbladder ibatane, inokurudzirwa nekuvapo kwechikafu mudumbu rekudya. Gallbladder inobatirawo zvisina tsarukano uye zvega panguva dzese dzemasikati nehusiku.
Zvinogona kuitika
Muzviitiko zvakawanda, gallstones usakonzeresa matambudziko. Zvisinei, kurwadziwa kunoramba kuripo pasina kurapwa kunogona kuwedzera zuva rimwe kana kuti kutungamirira kumamiriro ezvinhu anotyisidzira upenyu: acute cholecystitis (kuzvimba kwegallbladder), acute cholangitis (kuzvimba kwebile ducts) kana acute pancreatitis (kuzvimba kwerwatata).
Mukuvapo kwezviratidzo zviri pasi apa, ona chiremba nekukasika :
- kupindwa nechando;
- abnormally yellow color yeganda;
- kurwadziwa kwakanyanya uye kamwe kamwe parutivi rworudyi rwedumbu rinopfuurira kwemaawa anopfuura 6;
- kuramba kurutsa.
Mukuwedzera, vanhu vanotambura nenduru vari, munguva refu, zvishoma panjodzi yekuvandudza a gomarara gallbladder, izvo zvisinei zvisingawanzoitiki.