Yintoni CL? Iimpawu zesi sifo kunye nonyango yayo.

State ngenxa imbonakalo yamatye senyongo kunye iphecana biliary, ekuthiwa cholelithiasis, cholelithiasis, okanye anegama. Iimpawu zesi sifo, ngokukodwa libizwe ngexesha exacerbation. Esi sisifo eliqhelekileyo kwinkqubo yokwetyisa. In yobudala eliphakathi - eneminyaka engama-40, cholelithiasis, iimpawu zesi sifo sivakala-30% abasetyhini kunye% namadoda-15. Lidla xa enyongweni bafumana ukudumba esinyini (malunga nama-35% amatyala). Ukubonakala amatye ezinxulumene rhoqo kakuhle phakathi asidi inyongo, lecithin kwelinye icala kunye izinto unyityilikiswa inyongo (cholesterol, yibilirubin, calcium carbonate) kunye nomnye ngesandla. Kuba ukulahleka cholesterol ezike, ncam ukuhla kakhulu singabalulekanga yale eseleyo. Isiphumo ke crystallization of duct angaboni yayo ezike. Izizathu obugqithisileyo cholesterol iqashiso. Oku, okokuqala, ukwanda imveliso cholesterol, ukunciphisa ukuyilwa asidi duct kunye phospholipids. Okwesibini, isifo se senyongo yabela glycoproteins ezinokuthi zibe negalelo ekusekweni Ukwanda ngokugqithisileyo inyongo kunye cholesterol. Enye ingxenye kwezakhi inyongo - yibilirubin, ngenaniwakrukrile cholesterol acacisa, njengoko ukuqinisa ukuba siphinde siqhubeke ngokomeleza ngamatye. Le calculus ngenxa lineziphumo zophendlo lwezifo: nokuncipha ngamatye isinyi zinokuyithintela le mithambo we bile, kwelinye icala, njalo kucaphukisa kwalimala lwesinye, oko kukhokelela kuphuhliso cholecystitis.

Uxilongo isifo gallstone, iimpawu

izikhalazo imifuziselo kwisigulana, ekufumanekeni yamatye esinyini, njengoko umthetho, ngokulula kukuvumela ukuba ubeke kwagqirha unesifo cholelithiasis. Iimpawu kunye yiklinikhi luphawulwa yimbonakalo ngexesha exacerbation yokulunywa (iintlungu eziqatha paroxysmal) kwi ezayo esinyini kunye esibindini. Ntlungu angakanani entanyeni, ngesandla sokunene phantsi igxalaba. Konke oku kufuneka ikhatshwe isicaphucaphu, incasa krakra emlonyeni ukugabha kunye inyongo. Kwintlungu ixesha elide, ukuvaleka imibhobho excretory ilitye ibonakala silume kwaye ukuphuhlisa senyongo ulusu kunye sclera. yokulunywa ezimandundu sikhatshwe iimpawu aphazamiseke le peritoneum.

Kufuneka sazi kakuhle into yonke indawana okanye exacerbation izifo, okuhlala iiyure ezimbalwa, ukuba amanyathelo angqingqwa athathwa olungasebenziyo, inkomba esibhedlele kwisebe utyando ukumisela isicwangciso olunye unyango.

Kuphando, kunokwenzeka ukuba ajongwe Ngokucofa kunye senyongo buhlungu ziphangalalisiwe. Isibindi nako wandiswe kancinane kwaye kabuhlungu. HIV okufana gallstone Iimpawu (Ortner, Murphy, Kerala, Zakharyin kunye nabanye).

Ekubeni GSD ixhaphake kakhulu kwabasetyhini, kuyimfuneko ukuba zihlale zodwa olu guqulelo njenge CL nokukhulelwa. Ukuba ibhinqa liye waba phambi amatye ukukhulelwa, okanye kukho ukuthambekela nokudaleka (zamafu duct bend deformation isinyi, zeDyskinesia biliary), i ukukhulelwa kunokubangela ukuqhubela phambili kwesifo. Isibeleko eyandisiweyo Sehla kwiqamza, ngaloo ndlela ebangela ngxi ngayo ibile kunye crystallization yayo. Ukugcina le izigulane exacerbation kunciphisa cupping endala kunokwenzeka kunye nemisebenzi ezilandelayo emva kokubeleka. Ukuba uhlaselo olo wayeka, ngokungxamisekileyo ukwenza cholecystectomy kunye duct eedreyini.

iingxaki cholelithiasis

Iingxaki esi sifo kuba uphuhliso cholecystitis ngenxa yokwenzakala lwesinye kunye nosuleleko ukubambelela. ilitye impaction Choledoch okanye enye duct hepatic ebangela ukuvaleka (choledocholithiasis), kunye nohlobo senyongo ngoomatshini. Le nto ibangela ukudumba imibhobho. Obona bunzima kakhulu wesifo gallstone na uphuhliso inyongo peritonitis. uncedo Ilibazisekile kungakhokelela ekufeni.

unyango

unyango CL yotyando. Ukuvelisa ukususwa bubble. Ukuba matye kwi bile duct eqhelekileyo, iya kuvulwa, concrements isuswe emva sutured kwaye mthombo.