Mukati
Mishonga yekurapa gallstones
Kunokosha. Vanhu vanofunga kuti vane biliary colic vanofanira kugara vachitaura nachiremba wavo. Kunyange kana kubatwa kunopera pakarepo, ultrasound inofanira kuitwa uye zvichida kupindira kunoitwa, kuitira kudzivirira dzimwe nguva zvinetso zvakakomba. Uye kana kurwisa kusingaregi mushure memaawa mashomanana, kana kana chiitiko chezviratidzo zvealarm zvichiitika nokukurumidza, (fivha, jaundice, kurutsa), zvakakosha kubvunza nokukurumidza sezvinobvira. |
Ultrasound yemudumbu inoita kuti zvikwanise kumisa kuongororwa, kuona 90% yematombo. Inobatanidzwa nekuongorora kwebiology (blood test) kuitira kufungidzira kuipa kwemamiriro ezvinhu. Kurapa kunoratidzwa kana gallstones ichikonzera kurwisa kunorwadza kana matambudziko. Kana gallstones inowanikwa nemukana panguva yekuongororwa kwechiremba uye isingakonzerese kusagadzikana, hazvikurudzirwe kuvarapa.
dhayeti
Inotarirwa kwenguva inenge maawa makumi mana nemasere.
Mishonga yekurapa gallstones: nzwisisa zvese mu2 min
Pharmaceuticals
Mukubatwa, gallstone inogona kuvhara nzira iyo bile inopfuura. Izvi zvinotungamirira kuoma mukuyerera kwe bile uye maitiro ekuputika, uye kushungurudzika kwegallbladder wall (ischemia kana kushaya okisijeni, necrosis kana kuparadzwa kwemasero mumadziro) uye dzimwe nguva utachiona hwehutachiona hwegallbladder. 'uko kwakakosha kurapwa.
Antibiotics
Ivo vanotemerwa pahwaro hwemaitiro anoita kuti zvikwanise kufungidzira kana kuvepo kwebhakitiriya kunogoneka mune bile fluid. Maitiro aya anosanganisira kuoma kwezviratidzo, zera, kuvapo kwekutonhorwa, chirwere cheshuga, kusadzivirirwa zvakanaka, tembiricha iri pamusoro pe38 ° 5 uye bvunzo dzemurabhoritari.
Marwadzo
Iyo hepatic colic kurwisa dzimwe nguva inorwadza, analgesics yakakosha. Chiremba anorayira asiri-opioid analgesics akadai seVisceralgine.
Antispasmodics
Yakasanganiswa neanalgesics, seSpasfon.
Antiemetics
Iyi mishonga yekusvotwa uye kurutsa, semuenzaniso, Primperan.
sejari
Muchiitiko chehepatic colic kana biliary colic, kurapwa kwepainkiller kunobvumira dambudziko rinorwadza kuti rikundwe. Abdominal ultrasound inogara ichiitwa uye kana iri calculus, oparesheni yekubvisa gallbladder inorongwa mumwedzi unotevera, kuitira kudzivirira kudzokorora kana matambudziko.
Kana iri gallstones inokonzera acute cholecystitis yezvinyoro kana zvine mwero kuomarara, chiremba anovhiya anoitagallbladder kubviswa (cholecystectomy). Iyi ndiyo chete nzira yechokwadi yekudzivisa kudzoka kwegallstones, iyo inowanzoitika.
Kuvhiyiwa kunowanzoitwa nelaparoscopy, kureva nekuita zvidimbu zvidiki izvo chiremba anovhiya anopfuura optical fibers kuti aone uye zviridzwa zvinodiwa pakuvhiya. Izvi zvinodzivirira kuvhurika kwakafara mumadziro edumbu uye zvinobvumira kukurumidza kupora. Mune zvimwe zviitiko, zvisinei, chiremba anovhiya anosarudza kuita laparotomy, kureva kuvhura kwedumbu.
Kupora kunongotora mazuva mashoma. Kupindira uku kunowanzoitika uye mhedzisiro yacho kazhinji yakanaka. Kana cholecystitis yakaoma, kuvhiyiwa kunosanganisira kubvisa gallbladder kubva paganda.
Panguva yekushanda kwakadaro, boka rekuvhiya rinoita a cholangiographie peropératoire, kuongorora kuona dombo mune imwe intra- kana extrahepatic bile ducts, uye mune huru bile ducts. Kana aripo anogona kukonzera matambudziko gare gare saka anofanira kurapwa.
Kubvisa gallbladder kazhinji kune mashoma enguva refu mhedzisiro. Mushure mekuvhiya, chiropa chinoramba chichibudisa bile, iyo inopfuura nepakati peyakajairika bile duct uye inobudiswa zvakananga mumatumbo maduku. Saka munhu anogona kudya zvakajairika. Biro rinobva ravharwa kakawanda, izvo zvinogona kukonzera tsvina yakawanda yemvura. Kana dambudziko riripo uye richiratidza kuva rinonetsa zvikuru, kumwe kuchinja mukudya kunogona kubatsira, zvakadai sokudzivisa zvokudya zvine mafuta uye zvinopfungaira uye kupedza faibha yakawanda.
Mukuwedzera, cholestyramine (somuenzaniso, Questran®), mushonga unobata bile mumatumbo, unobatsira kudzora mamiriro ezvinhu aya.