Amatye kule bile duct: Oonobangela, Iimpawu and Treatment

Choledocholithiasis - igama elibhekisela kuyo ubukho amatye enyongweni imibhobho. Njengomgaqo, loo isithintelo kwasekwa lwesinye nenyongo. Imibhobho - ezo iityhubhu ezincinane apho inyongo aqukuqela ephuma senyongo ukuya emathunjini. Ilungu imele iziko pyriform phantsi kwesibindi, kwikona engasentla ekunene kwisisu. Ngokuqhelekileyo, amatye esinyini okanye uhlale ukhululekile ukuba adlule iphecana eqhelekileyo biliary.

Nakuba kunjalo, iziphumo zophando zamanani kufunyaniswe ukuba malunga ne-15% ezigulane kunye ubukho enyongweni yaye yamatye bile duct.

iimpawu

Choledocholithiasis - isifo odangeleyo ukuba ukuthetha nangayiphi na indlela iinyanga kunye neminyaka. Nakuba kunjalo, kwiimeko apho ilitye lixinga kwi bile, kwaye uzimilisa isithintelo, ubone iimpawu ilandelayo:

• neentlungu esiswini eyendayo okwicala elingaphezulu ekunene okanye phakathi;
• umkhuhlane;
• senyongo (yellowing kwamehlo kunye kwesikhumba);
• ukulahleka emnyama;
• isicaphucaphu nokugabha;
• ilindle ngodongwe-umbala.

Lityeni bile inyongo isinyi kungabangela zombini intlungu engagunyaziswanga nengapheliyo. Maxa wambi, iintlungu kwabonakala ukuba umoya, ukuba ezinye ixesha kabukhali kwandisa. ahlekise kungakhokelela imfuno engxamisekileyo ukuba bafune unyango. Wabonakala ngokuqatha ukuphazamiseka basoloko bexakaniseka iimpawu zesifo kwentliziyo - ezifana nesifo sentliziyo.

ukungaphili

Lityeni bile duct (ubukho iimpawu apho isigulane ayiluhoyi elide) kunokukhokelela ukusulelwa iphecana biliary. Iintsholongwane ziyanda ngokukhawuleza kule ndawo sisilonda esidumbileyoesingaphakathi, Ungasa esibindini. Imiphumo izifo ezifana yingozi ngqo kubomi babantu. Ukongezelela intshabalalo bacteria Inokwenzeka kunye nezigulo ezifana isibindi kwesibindi holangiolitichesky okanye pancreatitis.

izizathu

Kukho iindidi ezimbini yamatye: cholesterol kunye ebala.

Cholesterol Education babe umbala bulubhelu kwaye ezivame kakhulu. Izazinzulu zikholelwa ukuba amatye olu hlobo ngokuthe esakha ngayo ibile ducts, equlethe:

• cholesterol kakhulu;
• yibilirubin ukuzibhubhisa;
• iityuwa enyongweni ayonelanga.

kuvela iidipozithi cholesterol kwimeko senyongo yokulahla engaphelelanga okanye kunqabile kakhulu.

Sekunjalo Andazi ukuba yintoni isizathu akhiwa amatye mbala kwi bile duct. Ngokutsho kokuma oogqirha, zifumaneka izigulana:

• ukuqina;
• iphecana biliary izifo ezosulelayo;
• negazi ilifa, okukhokelela imveliso ngokugqithisileyo zesibindi yibilirubin.

ubungozi

Engozini kwindawo yokuqala abantu kunye nembali yazo enyongweni kunye nezinye izinto ezimbi ezinxulumene nokusebenza umzimba yokuvelisa duct iindlela ezinxulumene. Ngaphezu koko, ngokufuthi la izigulane bafumana amatye kwi bile duct emva kokususa isinye. Enyongweni wambi ngokwaneleyo ukuba ubuhlungu ezibalulekileyo buhlungu kakhulu.

Ezi zinto zilandelayo kwandisa umngcipheko yokulahlwa kwe-cholesterol nangokujaduka ulwehlo xa deducing ngeendlela:

• ukutyeba;
• uqhagamshelwano lwetshiphu emsebenzi-ukudla ngamanqatha ngokugqithisileyo kwaye kangako nefayibha saturation;
• nokukhulelwa;
• post elide;
• ngokukhawuleza komzimba;
• ukungabikho umzimba.

Ezinye zezi zinto lula ukulungisa, ukwenza utshintsho ezifanelekileyo yokuphila kwakho.

Iimeko apho alunako ukutshintshwa ziquka:

• ubudala: amatye afunyanwa rhoqo kwi abadala;
• Isini: Abasetyhini okuba ubunzima kwesi sifo;
• ubuzwe: Asia, eMexico namaNdiya aseMelika choledocholithiasis banesifo kaninzi ngaphezu nabameli bezinye iintlanga;
• imbali yosapho: ngokutsho kwezinye izazinzulu, zofuzo ukuze adlale indima ebalulekileyo kuphuhliso ukuthambekela choledocholithiasis.

ekuxilongweni

Ngenxa iimpawu ezifanelekileyo ugqirha kufuneka baqinisekise phambi amatye kwisiqwenga biliary jikelele. Ukulungiselela iinjongo diagnostic, kwenziwa olona phando umfanekiso ilandelayo:

• ultrasound transabdominal - inkqubo apho esebenza rhoqo amaza omsindo, uvumela ukuba ukuhlola imeko kwesibindi, senyongo, udakada, zezintso, nepancreas;
• Itomography ngenzolo ngekhompyutha (X-ray cross);
• ultrasound endoscopic (isivamvo ultrasound ibekwe kwityhubhu bhetyebhetye endoscopic ufuduswe ngomlomo kwisiqwenga wokudla);
• endoscopic cholangiography retrograde - inkqubo evumela ukuba ukubeka amatye hayi kuphela bile duct, kodwa ezinye iziganeko lwezidumbu (nangezilonda, nokunciphisa macandelo);
• Magnetic intlokoma cholangiopancreatography - MRI le senyongo kunye duct nepancreatic;
• Percutaneous transgepaticheskaya cholangiogram - X-ray we bile duct.

Ugqirha uya mazichonge iimvavanyo enye okanye ngaphezulu igazi ukuqinisekisa ubukho okanye ukungabikho kosulelo kwaye ngaxeshanye khangela uzinzo ukusebenza kwesibindi nepancreas. Le saveyi ilandelayo kakhulu rhoqo:

• epheleleyo wegazi;
• test yibilirubin;
• Uhlalutyo enqanda pancreatic;
• Uhlalutyo umsebenzi isibindi.

unyango

Amatye evela bile duct kufuneka isuswe ukuze ntlango eqhelekileyo, kwaye yokuduka intlungu. Ukwenzela ukuphelisa isithintelo, oogqirha zingacebisa enye kwezi nkqubo zilandelayo:

• nezokukhupha ngamatye;
• ngokwaphula cholesterol kunye sombala ukuyilwa zibe ngamaqhekeza (lithotripsy nokuqhekeka);
• utyando ukususa senyongo kunye wobisi isithintelo (cholecystectomy);
• utyando, ekukho phakathi asike iyonke duct biliary ngenxa yokubulala amatye okanye ukuququzelela indima yabo (sphincterotomy);
• stenting biliary.

iinkqubo

sphincterotomy Endoscopic biliary kuhlala unyango oluqhelekilyo choledocholithiasis. Ngethuba le nkqubo, i bile duct occluded yabekwa isixhobo ekhethekileyo ngohlobo ibhaloni okanye ibhaskithi. Ngoncedo yayo ukuphelisa phecana kokuphazanyiswa. Le ndlela iye zingqineke ngempumelelo 85% yamatyala.

Ukuba ilitye ivakale ilumeza ngokwazo kunye ugqirha akrokrela ukuba sphincterotomy endoscopic biliary akwanelanga, kuqeshwa lithotripsy. Kule nkqubo, amatshe batyunyuzwa laziinyama amancinci ukuququzelela ukususwa okanye umhlathi elizimeleyo.

Stone usenyongweni esinyini bile inokuba kufutshane kwifom efanayo emzimbeni. Kwiimeko ezinjalo, unyango isebenzayo igqalwa kususwa senyongo. Ngexesha kwegazi, Ugqirha uya kuvanya ukuhamba ukuqinisekisa yayo ntlango yesiqhelo.

Ukuba amatye ngenxa yesizathu esithile akakwazi kususwa ngokupheleleyo uqhaqho (kwakunye ukuba sele owayehlamba ntlungu ezivuswa amatye bile manzi, kodwa musa ufuna ukususa esinyini inyongo), ugqirha uza ingcebiso stenting biliary. Le nkqubo iqulathe kwi ufakelo ngemibhobho amancinane ukwandisa ndima ngokwenjenjalo nokuphelisa isithintelo kunye amatye ye bile duct. Umsebenzi elithethe ngokwendalo kwaye inika nokuthintela ngempumelelo amatyala choledocholithiasis kwixesha elizayo. Ngaphezu koko, stents ayakwazi ukukhusela kunye nezifo ezosulelayo.

ukuvimbela

Ukuba wakuba wakubona intlungu ezinxulumene choledocholithiasis, mhlawumbi intlungu kwakhona - hayi kanye. Nkqu ukususwa senyongo akubonakalisi nolona nyango lungcono: amatye bile duct kufuneka kujongwane ngqo, kungenjalo umngcipheko ukuba ahlale abonakalisa iimpawu eziye imeko zophendlo lwezifo.

Nangona kunjalo, kwiimeko ezininzi zinokuthintelwa choledocholithiasis. Akwanelanga ukuba ukuzisa utshintsho ezincinane yokuphila kwakho. Umngcipheko sifo ukunciphisa kakhulu eliphakathi utshintsho umzimba kunye nokukhanya ekutyeni. Oogqirha Cebisa kakhulu ezifana nokuhamba iya kwenziwa ukuqinisekisa ukuba ukutya kwakho Imicu imifuno ekhoyo ezininzi. Kugcwale ngenzuzo amanqatha enqwenelekayo ukunciphisa.

ixesha elide sase-

Ngowe-2008, eziliqela kakuhle eyaziwa iiklinikhi zonyango e Canada nase-United States waqhuba isifundo njengako apho malunga ne-14% ezigulane kwakhona uzive iimpawu ebusweni yamatye bile duct kwisithuba seminyaka elishumi elinesihlanu emva kokuba iimpawu yokuqala intlungu eqhelekileyo kunye indlela unyango olufanelekileyo. Kuyabonakala ukuba kususwe amatye ukusuka bile duct akusoloko kwenziwa ngenkathalo ezaneleyo, njengoko kukho isizathu sokukholelwa ukuba isifo nezolo lu dityanisiwe ukwanda ngokobuninzi cholesterol ntsalela ubukhulu.

amayeza abantu

angakhetha akuthathwa ukuba indlela ephumelelayo kakhulu ngayo choledocholithiasis, Noko ke, ngokutsho kwezinye iingcali, amayeza ezilula iintsomi ilungiswe ekhaya, uyakwazi ukomeleza yangoku duct ukuthintela imveliso ngokugqithiseleyo kunye ukuqokelelana cholesterol.

Uziva intlungu yaye ukrokrela ukuba unobangela - lityeni bile duct? Kufuneka wenze ntoni, ukuba babuyele kugqirha akukho ithuba? Zama enye yezi ndlela womthonyama.

mveliso zendalo

• Galela i icephe apile cider iviniga esipilini yejusi apile ulwe. Sela lonke ixesha ndiva intlungu esinyini ngenyongo imibhobho. Kuthetha ukunika isiphumo iintlungu emva kwemizuzu 5-15.
• Yongeza amacephe amane intlama yejusi yelamuni kwi iglasi yamanzi. Nisele umxube ungatyanga imiso ngemiso. Uthomalaliso ithatha iiveki eziliqela - de nokuphelisa epheleleyo amatye emzimbeni.
• Bilisa ikomityi yamanzi, makongeze itispuni amagqabi ezomisiweyo nakhandiweyo yeminti, susa lakubalela, Kogqume oku ze ukushiye imizuzu emihlanu. Nzima kakhulu kwaye ufake itispuni yobusi. Sela zetyeleba iti efudumeleyo kabini ngemini iiveki 4-6, kungcono phakathi izidlo.
• Lungisa umxube semifuno. Ukuze wenze oku, buthi ijusi beet a yemixoxozi kunye neminqathe naphakathi emine. Xuba usele kabini ngemini. Landela la manyathelo iiveki ezimbini yaye uya phawula indlela ngokukhawuleza imeko yakho ubuyela eqhelekileyo.

imifuno

• Beka itispuni ngumgubo eyomileyo ingcambu edandelion esipilini. Galela amanzi ashushu, isiciko ime imizuzu emihlanu. Nzima, faka intwana yobusi ukuphucula incasa. Sela iti eyenziwe edandelion, amaxesha amabini okanye amathathu ngosuku iiveki 1-2, ukunyibilikisa amatye kwi imibhobho emva kokuba ukususwa senyongo.
• iti amayeza nako kwakhona nezinye izityalo luncedo. Yongeza iitispuni ezimbini marshmallow nengcambu itispuni ye Mahonia aquifolium e beekomityi ezine yamanzi. Bilisa umxube imizuzu eli-15, uze ususe ebushushwini. Yongeza iitispuni ezimbini ezomisiweyo amagqabi edandelion kunye itispuni amagqabi inxina eyomisiweyo, ngoko sokufaka yiti imizuzu eli-15. Strain nomnikelo imini yonke.

Ukongeza, ithenda amagqabi aluhlaza of edandelion zingasetyenziswa ngqo ukutya - umzekelo, iyabiliswa okanye idityaniswe salads yemifuno entsha.

Edandelion contraindicated kwizigulane unesifo seswekile.