Ukuba uye wafumanisa ukuba unama-gallstones, kuya kufuneka ufune unyango, ngaphandle kokuba kungabangeli naziphi iimpawu. Kwimeko apho, ugqirha uya kugqiba ukuba unyango luyimfuneko ngokuxhomekeka kwimeko yakho. Ukuba udinga unyango, utyando (cholecystectomy) mhlawumbi oko ugqirha wakho uya kukuphakamisa.
Ukuhlinzwa
Ugqirha ukususa i-gallbladder yindlela eqhelekileyo yokunyanga i-gallstones yezibonakaliso.
Enyanisweni, utyando lwe-gallbladder, olubizwa ngokuba yi-cholecystectomy, lunye lwezonyango eziqhelekileyo ezenziwa ngabantu abadala.
Ngethamsanqa, unokuhlala kakuhle ngaphandle kweli candelo. Nangona kunjalo, ipesenti encinci inokufumana uhudo olusuka kwi-bile ephuma emathunjini amancinci. Kwiimeko ezininzi kakhulu, i-bile ihamba ngokuthe ngqo kwi-isibindi ngodaka kunye nasentanyeni encinci, kwaye akukho zitshintsho ezibonakalayo kwi-digestion.
I-Laparoscopic Cholecystectomy
Ukuhlinzwa okusemgangathweni ukususa i- gallbladder yakho kuthiwa i-laparoscopic cholecystectomy. Kulo msebenzi, ugqirha wenza iincinci ezincinci kwisisu sakho kwaye ufake izixhobo zokucoca kunye nekhamera yevidiyo encinane. Ikhamera ithumela umfanekiso ophakamileyo ukusuka ngaphakathi komzimba wakho kwi-monitor monitor, unike ugqirha ukuba ube nembono osondeleyo lwezitho zakho kunye nezicubu.
Ngoxa ubukele iliso, ugqirha usebenzisa izixhobo ukuhlula ngokucokisekileyo i-gallbladder yakho kwisibindi, amathanga kunye nezinye izakhiwo.
Umzila wakho we-cystic ugqitywa kwaye i-gallbladder yakho isuswe ngenye yezinto ezincinci.
Ngenxa yokuba imisipha yomzimba ayinqunywanga ngexesha lokuhlinzwa, iigulane zineentlungu ezincinci kunye neengxaki ezincinci kunokuba zakuba nazo emva kokuhlinzwa ngokusetyenziswa okukhulu kwiisisu. Uyakwazi ukubuyela ekhaya ngosuku olufanayo, kunye nemisebenzi ekhuselekileyo yeveki ekhaya.
Vula i-Cholecystectomy
Ukuba ugqirha ufumanisa nayiphi na imithintelo kwinkqubo ye-laparoscopic, njengokusuleleka okanye ukusweleka kwezinye izinto, iqela lokusebenza lingafuneka litshintshele ekuvuyweni okuvulekileyo. Kwezinye iimeko, le miqobo iyaziwa ngaphambi kokuba utyando lwakho kunye novulo oluvulekile lucwangciswe.
Ubizwa ngokuthi "ukuvuleka" ngenxa yokuba ugqirha kufuneka enze ukuchithwa kwe-5 ukuya kwe-8 intshi kwisisu sakho ukususa i-gallbladder yakho. Le ngongoma enkulu kwaye ingadinga ukuhlala kweveki esibhedlele kunye neeveki eziliqela ukuya kwinyanga yokubuyisela ekhaya.
Vula ukuhlinzwa kuyadingeka malunga neepesenti ezingama-5 zemisebenzi ye-gallbladder.
Iingxaki zokuPhepha
Ingxaki eqhelekileyo ye-gallbladder ukuhlinzwa kukulimala kwi-bile ducts. I-buct ye-biling ye-bia ekhuseleyo ingalimaza kwaye ibangele isifo esinobungozi nokuba sisengozini. Ukulimala kancinci ngamanye amaxesha kunokuphathwa ngononophelo. Ukulimala okukhulu, nangona kunjalo, kunzulu kwaye kudinga ukuhlinzwa okongeziweyo.
Ukuba ama-gallstones asezintsheni zakho, ugqirha ungasebenzisa i- endoscopic retrograde ye-cholangiopancreatographyography (ERCP) ukususa ngaphambi okanye ngexesha lotyando lwe-gallbladder . Emva kokuba i-endoscope isesithombeni sakho esincinci, ugqirha ugqitha i-bile.
Isixhobo ekupheleni kwe-endoscope sisetyenziselwa ukunqumla umzila, kwaye ilitye lifakwe kwiqotyi encinci kwaye isuswe nge-endoscope.
Ngamanye amaxesha, umntu oye waba ne-cholecystectomy ufumaneka ngegolstone kwiiveki ze-bile, iinyanga, okanye kwiminyaka emva kokuhlinzwa. Inkqubo ye-ERCP inyathelo eliqhelekileyo livame ukuphumelela ekususeni ilitye.
Iinkqubo kunye neZonyango
Iindlela ezisetyenziselwa ukusetyenziswa kwezonyango zisetyenziselwa kuphela kwiimeko ezizodwa, njengokuba xa imeko yakho ingavumeli ukusebenzisa i-anesthetic, kwaye isetyenziselwa kuphela amatye e-cholesterol. Amatye abuyele emva kwonyango olungapheliyo malunga nesiqingatha sithuba.
Ezi zonyango ziquka:
- Ukwelashwa komlomo: Izidakamizwa ezenziwe nge-bile acid zisetyenziselwa ukutshabalalisa amatye. Amachiza-Actigall (i-ursodiol), umzekelo-sebenze kakuhle kwii-cholesterol zamatye amancinci kwinombolo. Kungathatha inyanga okanye iminyaka yokunyanga phambi kokuba onke amatye aqhekeke, ukuba akwenzayo nantoni na. Zomibini izidakamizwa zibangela ukurhuda komzimba, kwaye i-chenodiol inokuphakamisa okwethutyana i-cholesterol yegazi kunye ne-enzyme-transaminase yesibindi.
- I-extracorporeal shotwave lithotripsy (ESWL): Le nyeza isebenzisa amaza okutshatyalaliswa ukuze aphule amatye zibe ziincinci ezincinci ezinokudlula ezinqeni ze-bile ngaphandle kokubangela ukucima. Ukuhlaselwa kwe-biliary colic (intlungu ebuhlungu) iyaqheleka emva kokunyanga, kwaye izinga le-ESWL lempumelelo aliphezulu kakhulu. Amatye ahleliyo ngamanye amaxesha ahlawulwa ngamachiza. Le nyeza ayifumaneki kakhulu.
- I-Endoscopic retrograde i-cholangiopancreatographyography (ERCP): Njengoko kuchaziwe ngentla, ngamanye amaxesha oogqirha baya kusebenzisa i-ERCP, ukudibanisa kwe-endoscopy kunye ne-X-rays, ukususa amatye kwi-buct ejwayelekile.
- I-cholecystostomy ye-Percutaneous: Le nkqubo inokungabikho inkunkuma ibandakanya ukubeka i-catheter kwi-gallbladder yakho ekunciphiseni ukuvutha, ngokuphindaphindiweyo uze ukwazi ukuhlinzwa okanye olunye unyango. Amanye amatye angasuswa nakwi-catheter emva kweeveki ezimbalwa ngokwenza umzila omkhulu ngokwaneleyo ukuvumela ukukhutshwa, kodwa le ndlela ayisebenzisi kaninzi.
Alternative Medicine
Nangona uphando malunga nokusetyenziswa kolunye uhlobo lweyeza ekwelapheni okanye ukuthintela i-gallstones lucacisiwe, oku kukhethwa lulandelayo kunokunceda ukukhusela ekukhuseleni i-gallstones kwakhona:
Fiber
Uphando lubonisa ukuba emva kokutya okucebileyo kwi-fiber kunokukunceda ukugcina i-cholesterol ibe yi-bile kwifom yefayili, ukukhusela ukubunjwa kwamatye. Ngokunyusa ukusetyenziswa kwakho kwefiber e-soluble kunye ne-insoluble, okunciphisa ukutshatyalaliswa kwe-acid ye-deoxycholic ngokuvelisa ukutshintsha okulungileyo kwizinto ezintathu ezilawula ukutyunjwa kwe-cholesterol kwi-bile, unokunciphisa umngcipheko wokuvelisa i-gallstones.
Iimbumba ezinqabileyo ezinokusebenza ziquka i-gum ne-pectin, kunye nezinye iintlobo ze-fiber, kubandakanywa ne-oat bran, i-bran bran, ne-soy fiber. Iintyatyambo kunye nemifuno imithombo eninzi; inzuzo yefiber ibonakala kwiimeko eziphantsi ze-gallstones kwizityalo. Ezinye iindawo ezifakwe kwiifayibha zibandakanya ukutya, izityalo, izityalo ze- psyllium kunye neefelkseeds.
Vitamin C
Kuhlolisiso lwabantu abadala abangama-2,129, abaphandi bafumanise ukuba ukunyuka kwe-gallstones kufutshane kunye nokuthatha ii-vitamin C rhoqo. Oko kwathiwa, umzimba wonke uphando awuzange uveze ukuba iivithamini isebenza ukuphazamisa ama-gallstones. I-Vitamin C, ebalulekileyo ekuguquleni i-cholesterol kwi-bile acid, ifumaneka kwinani lezityalo kunye nemifuno (kuquka i-citrus, amajikijolo, i-broccoli, kunye ne-kale), kunye nefom yokongeza .
Ingxube Yamanzi
I-Silibinin, iqela elifunyenwe kwintambo yobisi lweengcambu, kufunyenwe ukunciphisa ama-cholesterol amanqanaba e-bile, anokuthi, agcine ama-gallstones angenzi. Nangona kunjalo, idatha kule nto iyancipha kwaye le mpawu ayibonakali. Kwakhona, qaphela ukuba abanye abantu baxhamla ubisi bebisi.
Xhumana noDokotela wakho
Ngenxa yophando oluncitshisiweyo, kungekudala ukuba bancome nayiphi na indlela yeyeza elinye ukunyanga okanye ukukhusela i-gallstones. Kwakhona kubalulekile ukuba uqaphele ukuba ukuzithobela imeko kwaye ukuphepha okanye ukulibazisa ukunakekelwa okuqhelekileyo kunokuba nemiphumo emibi.
Ukuba ucinga ukusebenzisa enye iyeza, qiniseka ukuba udibane nodokotela wakho kuqala, ingakumbi kuba ezinye iindlela zingaphazamisa abanye. Okokuthi, i-fibre yinto eyinxalenye yokutya, kunye nexabiso elinyukayo lilungile kubantu abaninzi.
> Imithombo:
> Gaby AR. Izindlela zokuLondla koLondolozo kunye nokuPhathwa kwamaGallstones. Ukuhlaziywa kweMithi . NgoSeptemba 2009; 14 (3): 258-67.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Unyango lweGallstones. AmaZiko eZiko lezeMpilo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa ngoNovemba 2017.
> Walcher T, Haenle MM, uKron M, et al. I-Vitamin C Ukusetyenziswa kweeMeyile zingakhusela i-Gallstones: iSifundo seNgqwalasela kwiNani labantu abakhethiweyo. BMC Gastroenterolog y. 2009; 9: 74. i-doi: 10.1186 / 1471-230X-9-74.
> Zakko SF. Utyando lwezonyango zamaGallstones. Isemgangathweno. Ukuhlaziywa ngoJanuwari 15, 2018.