Isifo se-Gallstone yisifo esakhiwa kuwo amatshe ngaphakathi kwe-gallbladder futhi (noma) emadayini we-bile. Ama-gallstones akhiwa kusukela ezingxenyeni eziyisisekelo ze-bile -hlukanisa i-lime, i-cholesterol, i-pigment namatshe axutshwe. Ubukhulu kanye nokuma kwamatshe nakho kuyahlukahluka - ezinye zazo ziyisihlabathi esihle kakhulu kune-millimeter, abanye bangakwazi ukuhlala kuyo yonke indawo ye-gallbladder. Sekuyisikhathi eside, lesi sifo singaba namandla, futhi isiguli sivame ukufunda ngokutholakala kwamatshe kuphela emva kokuhlolwa kwe-ultrasound.
Izindlela zokwelapha i-cholelithiasis
Ukwelashwa kwe-cholelithiasis kwenziwa ngezindlela zombili zokuzimela nokusebenza. Kodwa-ke, kufanele wazi ukuthi emva kokwelapha, ukubunjwa okuphindaphindiwe kwamatshe akukhishwa, uma imbangela enkulu yesifo ingaqedwa.
Ake sichaze ngayinye yezindlela zokwelashwa zalesi sifo:
- Ukwelapha - ukwelashwa kwe-cholelithiasis ngaphandle kokuhlinzwa ngokusiza ngamalungiselelo amakhemikhali (amaphilisi). Le ndlela isebenza kuphela ngamatshe e-cholesterol, engaqedwa. Amalungiselelo e-bile acid (i-ursodeoxycholic, i-chenodeoxycholic acid) noma amalungiselelo okutshala okusitshalo okuvuselela ukuhlanganiswa kwe-bile acids (okukhipha umhlabathi we- immortelle ) asetshenziswa. Ukwelapha okunjalo okulondolozayo kuhlala njalo: amaphilisi athathwa okungenani iminyaka engu-1-2. Kufanele kuqaphele ukuthi lezi zidakamizwa zibiza kakhulu futhi zinemiphumela emibi eminingi.
- Indlela ye-ultrasonic ukubhujiswa kwamatshe abe izingxenye ezincane ngokusebenzisa isenzo esikhethekile sokusakaza. Le ndlela isebenza ngokungabikho kwe- cholecystitis , ububanzi obunamathemikhali wamatshe kuze kube ngu-2 cm kanye nokuvumelanisa okujwayelekile kwe-gallbladder. Amatshe achotshoziwe abese asuswa ngendlela yemvelo, eyenza isiguli sibe nomuzwa omubi kakhulu, noma indlela yokusebenzisa imithi isetshenziselwa ukuyisusa.
- Indlela ye-laser isebenzisa i-laser ekhethekile, edla ngokuqondile ngamap puncture emzimbeni futhi iqoqe amatshe. Ukuphazamiseka kwalendlela yukuthi kukhona ingozi yokushiswa kwamangqamuzana angaphakathi.
- Ukuhlinzeka ngemithi yindlela ejwayelekile kakhulu futhi engabizi yokwelapha. Isetshenziswa ikakhulukazi phambi kwamatshe amakhulu, ngokuzwa okubuhlungu nokuphindaphindiwe okuphindaphindiwe, ukutholakala kwenqubo yokuvuvukala. I-gallbladder isuswe ngesikhuthazo esifundeni se-hypochondrium ngakwesokudla, kufika ku-30 cm ubude. Izinkinga zalolu hlelo zingangena ukuphuma kwangaphakathi noma ukuthuthukiswa kwenqubo yokutheleleka.
- I-cholecystectomy ye-laparoscopic yindlela yamanje lapho amatshe asuswa khona kanye ne-gallbladder nge-laparoscope - ithubhu encane encane enekhamera yevidiyo. Ngalokhu, ukucubungula okuncane okuncane kwenziwa (hhayi ngaphezu kuka-10 cm). Inzuzo yale ndlela yilapho ilulame ngokushesha kusuka ekuhlinzekeni kanye nokungabikho kweziphambeko eziphambili zezimonyo.
Izindlela ngayinye inezinzuzo, ukungalungi kanye nokuphikisana. Ukuzikhethela indlela enhle kunazo zonke yokususa amatshe avela ku-gallbladder kwenziwa ngabathengi ngabanye.
Ukwandiswa kwe-cholelithiasis - ukwelashwa
Ukwandiswa kwe-cholelithiasis (i-colic biliary) kuhambisana nosizi olunzima, umkhuhlane, ukubola, i-dyspepsia. Lezi zimpawu zivame ukuvela ngenxa yokuhamba kwama-gallstones. Ukuhlasela okunamandla kuyisibonakaliso sokubhedlela okuphuthumayo futhi, kwezinye izimo, ukuhlinzwa okuphuthumayo. Izenzo zithathwa ukuze kukhululwe ukuvuvukala nokukhulula ubuhlungu.