Stone esinyeni nenyongo.

Kumiswa itshe esinyeni nenyongo is ngenxa cholelithiasis. Lokhu kwenzeka ngenxa yokuphazamiseka cholesterol kanye bilirubin futhi ngenxa yalokho, - kumiswa ezifakwa esinyeni (cholecystolithiasis) noma ku Amapayipi Bile (choledocholithiasis).

Lesi sifo livela ngenxa yokujama tsi of Bile futhi izinguquko ngezithako zawo, izinqubo ukuvuvukala. Lapho ibizwa supersaturated ne cholesterol, ke kusheshisa cholesterol zinhlayiya izinhlamvu ziqala ukwakheka. Bilirubin amatshe zingavela ngesikhathi nokwahlukana kwaqinisa kwamangqamuzana egazi abomvu. izinhlobo ezixutshiwe ukuhlanganisa kokubili ifomu bese aqukethe bilirubin, i-calcium, i-cholesterol.

Itshe esinyeni inyongo izimpawu zazo isikhathi eside ingekho, kungatholakala kuphela ultrasound. On the izimpawu zesifo kuthinta indawo amatshe, degree of ukuvuvukala nokubhujiswa nezinye izitho zokugaya.

Lapho itshe esinyeni nenyongo futhi ushukumisela aphume Amapayipi, kukhona neziqubu colic ngesimo buhlungu okungazelelwe futhi abukhali ohlangothini lwesokudla esiswini engenhla. emizweni Buhlungu zivame ukuhambisana isicanucanu nokuhlanza, nomlomo owomile. Nokuqala kwemihelo-ubuhlungu okungatheni kungase kuhlale amahora amaningana. Ubuhlungu ubabonisa ngokwayo noma ngemuva kwesicelo of amaphilisi ezinhlungu. Ukuze izinhlangano zikwazi ukusungula i ukusazi ngokunembile isifo esikuphethe, kufanele ngokushesha ukufuna usizo lodokotela ngesikhathi izimpawu zokuqala zesifo.

Itshe gallbladder kungenziwa ngesikhathi esifanele Kutholwe kuphela emva ukuhlola okunzulu kanye zocwaningo laboratory. Okokuqala, afeze ultrasound kanye x-ray wokugaya ukudla. Esimeni ingxabano Endoscopy futhi magnetic resonance cholangiography angaqokwa.

Ngemva ucwaningo kuyadingeka ukuze uxhumane udokotela ohlinzayo ukukhetha ilungelo amacebo ukwelashwa.

Ukwelashwa cholelithiasis eyenziwa olandelanayo noma surgically.

indlela okulondoloza kuhlanganisa imithi futhi Shockwave holeliotrepsiyu. It is lisetshenziswe kumiswa cholesterol amatshe, kokuba Ubukhulu elingu of 15 mm futhi ukungabi khona ukuvuvukala kule gallbladder.

Amalungiselelo equkethe ursodeoxycholic acid, athatha izintambo izinyanga eziyisithupha kuya onyakeni owodwa. Ithonya lakhe lemithi chaza cholesterol amatshe. Nokho, le ndlela yokwelapha, ematfuba kabusha kumiswa 50%. Impatho enjalo wenziwa kuphela ngaphansi kokuqondisa udokotela ukuba khona. Ukwelashwa nge amagagasi ukushaqeka ivumela ukuhlukanisa izingcezwana ezinkulu ku izingcezu ezincane. Khona-ke kubalulekile ukwamukela unamasu ursodeoxycholic acid. Phinda kumiswa kuphela kwenzeka e-30% amacala.

Lapho amatshe atholakala enyongweni wathola, ukuhlinzwa kufanele sigcwaliswe ngendlela lohleliwe. Ithanda ngaphambi ukuvela colic noma ngemva nje-ke, ukuze kuvinjelwe ukuthuthukiswa yezinkinga. Ngemva kokuhlinzwa kubalulekile ukuba bagcine esiqinile Ukudla siqu ayifakiwe ngokuphelele kusukela ekudleni ukudla okuthosiwe nokudla okunamafutha. Ukuqeda ngokuphelele ukuphuza utshwala.

Lesi sifo kuyingozi e yezinkinga ezihlukahlukene. Ephambi kwezinduna amatshe e ukutheleleka gallbladder kungenzeka ngesikhathi esifanayo, kuphakamisa ukuthuthukiswa cholecystitis oyingozi. Ngesikhathi esifanayo kukhona ukuvuvukala Amapayipi kanye olwenzeka enkulu ubomvu. yezinkinga ezinjalo usongo impilo nokuphila isiguli. Kuzo zonke izimo zidinga esibhedlela esiphuthumayo esibhedlela kuhlinzwa, ukuthola indawo esiqondile amatshe futhi okunye ukwelashwa. Kungenjalo kungase kube nemiphumela emibi kakhulu, okuyisimo esisongela ukuphila.