The nkume na opi mgbailu: akpatara, Mgbaàmà na Ọgwụgwọ

Choledocholithiasis - a na-ezo aka ọnụnọ nke nkume na bile ducts. Dị ka a na-achị, ndị dị otú ahụ ihe mgbochi guzobere ńsí eriri afo. Ducts - nke bụ obere akpa site na nke bile aga si gallbladder na eriri afọ. Organ anọchi anya pyriform kwadoro n'okpuru imeju, na n'elu akụkụ aka nri nke abdominal uji eze. A, na nkume na eriri afo ma ọ bụ ịnọgide free gabiga nkịtị biliary tract.

O sina dị, ihe ndị mgbakọ na mwepụ ọmụmụ ọ hụrụ na ihe 15% nke ọrịa na ọnụnọ nke gallstones bụ na nkume na opi mgbailu.

mgbaàmà

Choledocholithiasis - indolent ọrịa na-apụghị-egosipụta onwe ha n'ụzọ ọ bụla maka ọnwa na ọbụna ọtụtụ afọ. Otú ọ dị, n'ebe ndị nkume ego n'anya rapaara na duct, na-ghọọ ihe mgbochi, ị na-enwe ndị na-esonụ ihe ịrịba ama nke:

• abdominal mgbu metụtara nanị akụkụ ụfọdụ na elu n'akụkụ aka nri ma ọ bụ n'etiti;
• fever;
• jaundice (yellowing nke anya na akpụkpọ);
• ọnwụ nke agụụ;
• ọgbụgbọ na vomiting;
• ụrọ na-acha stools.

Nkume na ńsí eriri afo duct nwere ike ime ka ma oge ufodu na persistent mgbu. Mgbe ụfọdụ, ihe mgbu yiri ka obi ruo m ala, na site na ụfọdụ oge nke sharply mụbaa. Nnukwu mgbu pụrụ iduga ngwa ngwa mkpa ọ dị ịchọ nlekọta ahụ ike. The kacha njọ bụ ngosipụta nke ọrịa na-emekarị mgbagwoju anya na mgbaàmà nke gbasara obi ọrịa - dị ka obi ọgụ.

nsogbu

Nkume na bile duct (ọnụnọ nke mgbaàmà nke ọrịa leghaara ogologo) nwere ike ime ka ọrịa nke na biliary tract. Nje bacteria n'ike n'ike proliferating nọ n'ógbè nke lesion, pụrụ ịkpali n'ime imeju. The esi nke ndị dị otú ahụ na-efe efe okobụp a kpọmkwem ihe iyi egwu na ndụ mmadụ. Ke adianade nje mbibi nwere ike ime na nsogbu dị otú ahụ dị ka imeju imeju holangiolitichesky ma ọ bụ pancreatitis.

ihe

E nwere ihe abụọ na ụdị nkume: cholesterol na ink.

Cholesterol Education nwere a acha na agba na bụ kasị. Ọkà mmụta sayensị kweere na nkume nke ụdị nwayọọ nwayọọ na-ewuli elu nke bile, bụ nke nwere:

• ukwuu cholesterol;
• ngafe bilirubin;
• ezughi oke bile salts.

Cholesterol ego ibili na ikpe nke na-ezughị ezu ma ọ bụ kwa obere gallbladder nsị.

Ka na-amaghị ihe kpatara na-guzobere ink nkume opi mgbailu. Dị ka kwuru nke dọkịta, ha na-hụrụ na ndị ọrịa na-ata ahụhụ site na:

• imeju;
• biliary tract na-efe efe;
• ketara ọbara ọrịa, na-eduga oké mmepụta nke imeju bilirubin.

ihe ize ndụ ihe

Na n'ihe ize ndụ nke mbụ bụ ndị na-a akụkọ ihe mere eme nke gallstones na ndị ọzọ pathologies metụtara na ịrụ ọrụ nke ahụ na-amị bile na metụtara ụzọ. Ọzọkwa, ndị ọrịa a na-hụrụ nkume opi mgbailu ama okodorode eriri afo. Gallstones bụ mgbe ụfọdụ iji mee ka ịrịba erughị ala na a siri ike mgbu.

Ndị na-esonụ ihe na-amụba ihe ize ndụ nke deposition nke cholesterol na pigmented ọnya na deducing ụzọ:

• ibu oké ibu;
• elu-kalori nri na oké abụba na ala na eriri saturation;
• ime;
• ogologo post;
• ngwa ngwa arọ ọnwụ;
• adịghị emega ahụ.

Ụfọdụ n'ime ihe ndị a bụ dịtụ mfe idozi, na-eme ihe kwesịrị ekwesị mgbanwe gị si ebi ndụ.

Ọnọdụ nke-apụghị gbanwere na-agụnye:

• afọ: nkume mgbe hụrụ na ndị agadi;
• Gender: Women ọzọ yiri ka na-ata ahụhụ si na ọrịa a;
• mba: Asians, Mexico na American Indian choledocholithiasis na-chọpụtara karịa ndị nnọchiteanya nke ndị mba ọzọ;
• akụkọ ezinụlọ: dị ka ụfọdụ ndị ọkà mmụta sayensị, mkpụrụ ndụ ihe nketa e ji mara ike na-egwu a dị ịrịba ama ọrụ na mmepe nke pụrụ ịrịa choledocholithiasis.

nchọpụta nsogbu

Na ihe kwesịrị ekwesị mgbaàmà dọkịta ga mkpa ijide n'aka na ọnụnọ nke nkume izugbe biliary tract. N'ihi na-achọpụta ọrịa na nzube, rụrụ otu n'ime ndị na-esonụ Onyonyo ọmụmụ:

• transabdominal ultrasound - a usoro nke na-emetụta elu ugboro ụda ebili mmiri, na-ekwe na-enyocha onodu nke imeju, gallbladder, splin, akụrụ, na pancreas;
• abdominal agbakọrọ tomography (X-ray cross);
• endoscopic ultrasound (ultrasound mmetụta na-enịm ke a mgbanwe endoscopic tube na-rụrụ site n'ọnụ n'ime digestive tract);
• endoscopic retrograde cholangiography - a usoro na-enye gị ohere ọ bụghị nanị na ịchọta nkume opi mgbailu, ma ndị ọzọ na-enweghị nchịkwa na phenomena (etuto ahụ, ibelata ngalaba);
• Magnetik resonance cholangiopancreatography - MRI nke gallbladder na pancreatic duct;
• Percutaneous transgepaticheskaya cholangiogram - X-ray nke bile duct.

The dọkịta nwere ike ikpo onye ma ọ bụ karịa ọbara ule iji nyochaa ọnụnọ ma ọ bụ na-anọghị nke ibute ọrịa na n'out oge ịlele nkwụsi ike nke ịrụ ọrụ nke imeju na-na pancreas. Ndị na-esonụ e mere na a na-kenyere Ọtụtụ:

• zuru ọbara ọnụ;
• bilirubin ule;
• Analysis nke pancreatic enzymes;
• imeju ọrụ analysis.

ọgwụgwọ

The nkume si bile duct ga-ewepụ n'ihi na nkịtị teren, na ofufe nke mgbu. Iji kpochapụ ihe mgbochi, ndị dọkịta nwere ike ikwu na otu n'ime ndị na-esonụ usoro:

• mmịpụta nke nkume;
• agbasa cholesterol na ink guzobere n'ime iberibe (lithotripsy fragmentation);
• ịwa ahụ iji wepụ gallbladder na ductal mgbochi (cholecystectomy);
• ịwa ahụ, nke ndị mejupụtara na dissection nke ngụkọta biliary duct maka wepụ nkume ma ọ bụ ikwado ha Itie (sphincterotomy);
• biliary stenting.

usoro

Endoscopic biliary sphincterotomy anọgide ndị kasị ọgwụgwọ maka choledocholithiasis. N'oge a usoro, a bile duct occluded e debere a pụrụ iche ngwaọrụ n'ụdị a balloon ma ọ bụ nkata. Na ya enyemaka kpochapụ tract mgbochi. Nke a na usoro pụtara irè 85% nke ikpe.

Ọ bụrụ na nkume adịghị pụta na ha onwe ha na dọkịta kwo na endoscopic biliary sphincterotomy bụ ezughị, ịhọpụta lithotripsy. Na a usoro, na nkume na-echi ọnụ n'ala n'ime obere iberibe ikwado ha mwepụ ma ọ bụ onwe Itie.

Nkume na ńsí eriri afo duct nwere ike n'akụkụ aka n'otu ụdị ahụ ke idem. N'ọnọdụ dị otú ahụ, ndị kasị dị irè ọgwụgwọ a na-ewere mwepụ nke gallbladder. N'oge awa ahụ, dọkịta ga-enyocha eruba iji hụ ya nkịtị chakoo.

Ọ bụrụ na nkume n'ihi ihe ụfọdụ nwere ike ghara wepụrụ kpamkpam site ịwa ahụ (nakwa dị ka ma ọ bụrụ na ị na-ata ahụhụ site na ihe mgbu mere site clogged duct nkume, ma achọghị iji wepụ ńsí eriri afo), dọkịta ga nwere ike ikwu na biliary stenting. The usoro mejupụtara ke echichi nke obere akpa inyịme Itie na otú kpochapụ ihe mgbochi na nkume na bile duct. Ọrụ bụ nwayọọ na ọdịdị na-enye irè mgbochi nke ikpe nke choledocholithiasis n'ọdịnihu. Ọzọkwa, stents nwere ike ichebe na-efe efe.

mgbochi

Ọ bụrụ na ozugbo ị nwetara ihe mgbu metụtara na choledocholithiasis, o yiri ihe mgbu ọzọ - bụghị otu ugboro. Ọbụna mwepụ nke gallbladder anaghị anọchi anya ọgwụgwọ kasị mma: nkume nke bile duct ga-kwara kpọmkwem, ma ọ bụghị ihe ize ndụ iji nọgide na ngosipụta ahụkarị ihe mgbaàmà nke a enweghị nchịkwa ọnọdụ.

Otú ọ dị, ọtụtụ mgbe ọ nwere ike isi gbochie choledocholithiasis. Ọ bụ iji mee ka obere mgbanwe gị si ebi ndụ. The ize ndụ nke ọrịa budata belata mmega na ìhè mgbanwe nri. Dọkịta nye ndụmọdụ ọzọ mgbe dị ka na-eje ije nwere ike na-eme iji jide n'aka na ihe oriri gị dị akwukwo nri emep uta eri ugbu a na nnukwu quantities. Jupụta abụba oriri na-achọsi ike iji belata.

ogologo nso amụma

Ke 2008, ọtụtụ maara nke ọma ọgwụ clinics na Canada na United States na-eduzi ọmụmụ ihe dị ka nke banyere 14% nke ọrịa re-na-eche na ihe mgbaàmà nke ọnụnọ nke nkume opi mgbailu n'ime afọ iri na ise mgbe mbụ mgbaàmà nke a typical mgbu na Itie ọgwụgwọ kwesịrị ekwesị. O doro anya na mwepụ nke nkume si bile duct na-bụghị mgbe niile na-eme na-ezu na-elekọta, dị ka e nwere ihe mere kwere na ntighari ọrịa a na-ejikọta ya na-abawanye na mmapụta cholesterol formations na size.

ndiife ịgba akwụkwọ

Alternative na nkà mmụta ọgwụ na-adịghị-atụle ga-a ukwuu irè n'aka emeso choledocholithiasis, Otú ọ dị, dị ka ụfọdụ ndị ọkachamara, ndị dị mfe ndiife ọgwụ kwadebere n'ụlọ, ike ike na ugbu a nke bile ma gbochie oké mmepụta na ìgwè cholesterol.

Ị na-eche ihe mgbu na chee na-akpata - a nkume na bile duct? Gịnị na-eme, ma ọ bụrụ na anyị na-atụgharị na nke dọkịta na e nweghị ohere? Gbalịa otu n'ime ndị a ndiife ụzọ.

eke ngwaahịa

• Yet a tablespoon nke apple cider mmanya na a iko apple ihe ọṅụṅụ na bido. Aṅụ oge ọ bụla ị na-eche na ihe mgbu na-elu ilu eriri afo na ducts. Pụtara inye analgesic mmetụta mgbe 5-15 nkeji.
• Tinye anọ tablespoons nke lemon ihe ọṅụṅụ na a iko mmiri. Aṅụ ngwakọta na ihe efu afo kwa ụtụtụ. The ọgwụ dịruru ọtụtụ izu - ruo mgbe zuru ezu mkpochapu nkume ahu.
• Obụpde a cup of mmiri, tinye a teaspoon nke gburu mịrị amị epupụta nke pepemint, wepụ si okpomọkụ, cover na-ahapụ maka nkeji ise. Nje na-tinye a teaspoon mmanụ aṅụ. Aṅụ Mint tii ọkụ ugboro abụọ n'ụbọchị nke 4-6 izu, ọ dị mma n'etiti nri.
• Kwadebe akwukwo nri ngwakọta. Iji mee nke a, afanyekwa na ihe ọṅụṅụ nke a biiti a kukumba na anọ na-ajụ-sized carrots. Mix na-aṅụ ugboro abụọ n'ụbọchị. Soro nzọụkwụ ndị a izu abụọ na ị ga-achọpụta otú ngwa ngwa gị ọnọdụ laghachi nkịtị.

herbs

• Ebe a teaspoon nke ntụ ntụ nke Fikiere Dandelion mgbọrọgwụ n'ime a iko. Yet mmiri ọkụ, cover ka nkwụnye nkeji ise. Nje, tinye a obere mmanụ aṅụ iji melite uto. Aṅụ a tii mere site Dandelion, abụọ ma ọ bụ ugboro atọ n'ụbọchị maka 1-2 izu, igbari nkume na ducts mgbe mwepụ nke gallbladder.
• Medicinal tii nwere ike nakwa ka nke ndị ọzọ bara uru osisi. Tinye abụọ teaspoons nke marshmallow mgbọrọgwụ na otu teaspoon nke Mahonia aquifolium na anọ iko mmiri. Obụpde na ngwakọta maka 15 nkeji, mgbe ahụ, wepu si okpomọkụ. Tinye abụọ teaspoons nke Fikiere Dandelion epupụta na otu teaspoon nke Fikiere pepemint epupụta, mgbe ahụ, inye tii 15 nkeji. Nje na-aṅụ ofụri usen.

Ke adianade do, obi green epupụta nke Dandelion ike ga-eji na na nri - n'ihi na ihe atụ, steamed ma ọ bụ kwukwara na ọhụrụ akwukwo nri salads.

Dandelion contraindicated na ọrịa chọpụtara na-arịa ọrịa shuga.