ʻO Chololithiasis ka maʻi maʻamau iʻike pinepineʻia, i nā kānaka ma kahi o 40 mau makahiki. ʻO ka maʻi nui ma muli o nā wāhine, i loko o nā kāne 5-10 mau manawa ke emiʻole. Ināʻikeʻia ka maʻi ma ka manawa, hiki iāʻoe ke hoʻokuʻu i nā concrements me nāʻano hanaʻole. Ma nā kūlana kūikawā, hiki i ka lawelaweʻana i nā hana maʻamau.
ʻO nā pōhaku ma ka gallbladder - kumu
ʻAʻole i weheweheʻia keʻano o ka hoʻokumuʻana i nā concrements,ʻo nā mea wale nō e hoʻonui i ka hopena o ka hana. Uaʻikeʻia heʻano lapuwale loa nā cholelithiasis i nā keiki, a me ka piʻiʻana o ka piʻiʻana i ka wāʻelemakule aʻelemakule. ʻO Chololithiasis he 5-10 mau manawa ke holomua i nā wāhine,ʻoiai ma hope o 2-3 mau hānau aʻoi aʻe paha.
ʻO kekahi kumuhana'ē aʻe e hoʻonāukiuki i nā gallstones:
- kūpono i ka piha;
- ʻai i ka meaʻai i nā meaʻai a me nā momona holoholona;
- ka hopena o nā maʻi a me nā pōʻino e hoʻonele i ka excretion o bile;
- nā maʻi, i hele pū me ka palaha hana o nā kele koko uila;
- ola maʻamau;
- nā maʻiʻeha o ke ake a me ka gallbladder;
- ʻole kahiʻai;
- nā mana autoimmune;
- ka nele i ka hanana;
- nā hana ma ka'āpanaʻokoʻa;
- ke kiʻekiʻe cholesterol ma ke kino a me nā mea'ē aʻe.
Nāʻano likeʻole o nā pōhaku i loko o ka pila
Ma mua o kaʻikeʻiaʻana o nā paʻa paʻa, hoʻomaka muaʻia kahi lepo lepo biliary. Heʻino, e like me ka putty, bile. I ka manawa maʻamau, he wai, aia i kahi 95% wai. ʻO nā'ōmole biliary i hoʻohuiʻia i loko o ka momona. Heʻano'ē aʻe ko lākou, keʻano a me ka nui (mai kahi one o ke one i ka moa moa), e hilinaʻi ana i kā lākou hana mele. Nāʻano o nā pōhaku ma ka bile:
- ka cholesterol;
- nā kāpena;
- puaʻaleʻa;
- i huiʻia.
Hōʻuluʻulu ma keʻano:
- 'ōpala;
- mea kilokilo;
- amorphous;
- kūleʻa.
Ka hoʻokaʻawaleʻana o nā pēlēne i keʻano:
- hoʻonui (multifaceted);
- hāʻiliʻili;
- keʻano o ka pahu;
- 'ōlohelohe;
- ovoid a me nā mea'ē aʻe.
Nā pōhaku Cholesterol
ʻO kēiaʻano o ka concgre ka mea maʻalahi ma mua o nā mea'ē aʻe, ma kahi o 80% o nā hihia. ʻO nā pōhaku i loko o ka bele,ʻo ia ka cholesterol. Eia hou,ʻo nā puaʻa a me nā paʻakai calcium (ʻaʻole iʻoi aku ma mua o 10-15%) hiki ke hoʻokomoʻia i loko o kā lākou hana. ʻAʻole i pau ka Cholesterol i ka wai a me nā meaʻona'ē aʻe, no laila e hele kaʻawale ana me nā mea koleka colloidal - micelles. Ke hoʻonāukiukiʻia nā kaʻina hana kinakolic, e hukiʻia kēia mau pūpū mai loko mai o kēlā mauʻeleʻele e hoʻokomoʻia i loko o ka pūpū. I ka mua, heʻuʻuku lākou, e like me nā one o ke one, akā e ulu ana, e kīkoʻo ana kekahi me kekahi.
Nā pōhaku hoʻonohonoho
Hoʻokumuʻia kēiaʻano hakakā e pili ana i keʻano o nā papa hana pāheona. ʻO nā pōhaku makamae i ka gallbladder - ka hopena o ka laweʻiaʻana o nā paʻakai calcium e pili ana i ka hōʻiliʻiliʻana i nā hua bacteri, ka liʻiliʻi o ka cholesterol a me nā pūnaewele epithelial. ʻO ka mea hoʻolālā lele pinepine o ka mumūʻo E. coli. I kekahi manawa, hanaʻia nā pōhaku lime i loko o ka gallbladder no ka hypercalcemia, me ka piʻiʻana o hyperperthyroidism. Heʻano laulā maʻamau kēia.
Nā pōhaku i kālaiʻia
ʻO ke kumu o kaʻikeʻana i kēiaʻano o nā waihona heʻano likeʻole o ka anemia āpau. Hoʻopilikia ka maʻi i ka hanaʻana i ka bilirubin hana, i mea e hoʻokumuʻia ai nā pōhaku momona i ka gallbladder. I ka manawa pinepine, e hana hou lākou, me ka hui pū me nāʻano likeʻole o ka concrements (cholesterol a mau kahu hānai). I nāʻano likeʻole, ua hoʻokumuʻia nā pōhaku i loko o ka gallbladder no ka hana pilikino. Hiki i ka līlū ke hana i nā cholelithiasis pono'ī, nā kino a me nā lepa viral.
Nā pōhaku kūmole
ʻO kaʻano o nā concrements i haʻiʻia he laulā a nui ka nui. ʻO nā pōhaku pāpili he nui i ka gallbladder ka hopena o ke kauʻana o nā paʻakai calcium i ka cholesterol a me ka bilirubin. ʻO ka heleʻana o iaʻano hōʻike e hōʻike ana i kahi lōʻihi o ka maʻi. ʻAʻohe paʻakikī ka hoʻomaʻamaʻaʻana i nā papa maʻalahi. ʻO ka pinepineʻana o ka hanaʻana e hoʻopau i ka weheʻana i ke kino i hoʻopiliʻia me ka helu.
ʻO nā pōhaku ma ka gallbladder - hōʻailona
Ma kahi o 60-80% o nā maʻi me nā cholelithiasisʻaʻole lākou eʻike i nā hōʻailona o ka pilikino ma nā makahiki 5-15 mua o kona uluʻana. No kēia kumu, i ka hoʻomaka muaʻana, ua aneane hikiʻole keʻikeʻia nā pōhaku ma loko o ka bele. ʻO kēia keʻano o ka pali o nā pōhaku, nā mea hoʻonāukiuki e hoʻonāukiuki wale i ka neʻeʻana o nā lewa.
I kekahi manawa,ʻikeʻia kekahi mau pōhaku i loko o ka'ōpū e nā hōʻailona hōʻailona:
- ʻo kaʻawaʻawa ma ka waha;
- nausea;
- flatulence ;
- pīpī me bile ;
- nā wāwahi o ka hoʻokahuli;
- ka lāʻau o kaʻili a me nā maka;
- ka pale me ka ea;
- malaise;
- ka hopena iki o ke ana wela o ke kino;
- ʻikeʻia nā feces;
- nā hōʻeha o ka hōʻoki a me kaʻehaʻeha i loko o ka māina;
- ka hopena o kaʻona.
Nā papahana o nā cholelithiasis
ʻO ka paʻakikī o kēia mau hōʻailona ma muli o ka lōʻihi o ka holomua o nā maʻi a me kona koʻikoʻi. Nā kūlana o nā cholelithiasis:
- Pre-pōhaku. Ke ulu nei ka bile, ua hoʻokumuʻia ka lepo biliary. Hiki ke komo i loko o nā'āpana o nā soda calcium a me bilirubin, kahi paepae cholesterol.
- ʻO Asymptomatic. ʻO nā pōhaku mua i hanaʻia i loko o nā'alelele a me ka momona. Heʻuʻuku lākou a heʻuʻuku lākou, no lailaʻaʻohe hōʻailona o ka maʻi.
- Holomua. He nui nā pāhola a he lehulehu, he pinepine ka mea e hōʻeha ai i ka pōkole. I kēia wā, hiki iāʻoe ke wehe i nā pōhaku i loko o ka bale me kaʻole o ke kīʻaha, hiki ke mālamaʻia i ka lāʻau maʻamau.
- Ua maʻalahi. ʻO Chololithiasis o ka wā holoʻokoʻa, kahi wale nō o nā meaʻokoʻa. Nā hoʻopihapiha e hoʻopihapiha i nā wahi āpau a pau o ke kiko.
ʻO ka maʻi nui - hōʻailona
ʻO ke kumu nui o ka weheʻana i kēia maʻi,ʻo ia ke hanaʻana i nā ultrasound. Inā hoʻokōʻia e kekahi kauka lapaʻau,ʻaʻole pono e hana hou. I kekahi mau kumu'ē aʻe, ua kauʻia nāʻano o nā mea kōkua, eʻae ana eʻike i nā hana i loko o ka gallbladder:
- ua heluʻia ka pilina;
- hana hou;
- i ka hopena o ka hakahaka.
ʻO nā pōhaku ma ka gallbladder - he aha ka hana?
Aiaʻelua wale no koho koho no nā cholelithiasis. ʻO ka kohoʻiaʻana o ka heleʻana ma luna o keʻano o ka hale, ka helu a me ka nui o nā pōhaku,ʻo ia hoʻi nā pōhaku i loko o ka gallbladder -ʻo nā hōʻailona, ke kūlike e pili ana i ka pae o nā maʻi. Ma mua o kaʻikeʻiaʻana o nā hōʻailona o ka maʻi, hiki ke hoʻopauʻia ma nāʻano maʻamau. I ka pilikia o nā pilikia, ua hoʻonohonoho kokeʻia ka lawelaweʻana i nā mea āpau.
ʻO ka pōhaku i loko o ka'ōpū -ʻo ka maʻi me kaʻaʻaʻole
Ināʻaʻohe kiʻi pilikino, kohoʻia keʻano o ka maʻamau maʻamau. Hiki ke kāohi i ka holomua o ka maʻi a hōʻole i ka cholecystitis maʻamau -ʻo ka maʻamau ua hāʻawiʻia:
- kānāwai hoʻomalu;
- hoʻoponopono maikaʻi;
- ke kaulike kaulike;
- ka hana kino.
I keʻano like, pono i kekahi kanaka ke hoʻohana i lāʻau lapaʻau nāna e wehe nā pōhaku i loko o ka gallbladder:
- Ursosan ;
- ʻo Henoala;
- ʻO Ursofalk;
- ʻO ka wahine;
- Pona;
- ʻo Henosan;
- ʻO Ursofalk a me nā analogues.
I loko o ke kāohi (colic), ua hoʻonohonohoʻia ke kūpono o ka hoʻolālā kūpono:
- ʻO ka pōloli, a hala ka luaʻiʻana.
- Ke noiʻana i kaʻeke a hōʻoluʻolu paha i ka hypochondrium pono.
- ʻO kaʻeha o kaʻeha me nā spasmolytics (No-Shpa, Platifillin, Papaverin) a me nā analgesics (Maxigan, Ibuprofen, Nimesil).
- ʻO ka lāʻau'alopelo. Ua koho waleʻia lākou e ke kauka inā loaʻa ka maʻi.
- Hoʻoponoponoʻia - Enterosgel, Atoxil.
- ʻO ka māmā o ka weheʻana o ka wai mai ke kino me ke kōkua o nā diuretics (Ureit, Lasix a me nā mea'ē aʻe).
Ke nui ka nui o nā pōhaku i ka gallbladderʻaʻole iʻoi aku i ke 2 knm ke anawaena, a heʻuʻuku nā concrements, ua'ōleloʻia ka lithotripsy kānana. ʻO kēia keʻano e wāwahi ai i nā paʻapuni paʻa mai waho mai, hoʻohanaʻia wale nō ia ma ka pukaʻole o nā papahana inflammatory. No ka hanaʻana, pono ke kuʻikahi o ka'ōpena i hoʻopiliʻia i loko o ka palena maʻamau, i 75%.
ʻO nā pōhaku ma ka gallbladder - ka hana
Hanaʻia ka hanana o ka cholecystectomy. Hanaʻia ia e keʻano laparoscopic me ka hoʻohālikelike liʻiliʻi a me ka manawa hoʻoluhi pōkole (e hiki i nā lā 3). ʻAʻole kēiaʻo ka laweʻana i nā pōhaku mai ka bile, akā,ʻo ka hoʻokuʻuʻana o ka momona mai ka pūpū me nā pāʻani. Ke holo nei ka hopena o ia hana i 99%, ua loli ke kaʻina hana ma nā mea kūpono o cholelithiasis.
ʻO ka Cholecystolithotomy, aʻo ka weheʻana i nā pōhaku mai ka gallbladder me ka mālamaʻana i ke kino,ʻaʻole ia eʻaeʻia. Ua ho'āʻoʻia ka ho'āʻoʻana e hoʻokō i kēia koho o ka hoʻopau pilikiaʻana i nā 60 o. He kūlana weliweli a me ka hopena o ia hana, a me nā hopena maikaʻi loa. Ma hope mai, hiki mai nā hopena, a he mea pono ka hanaʻana o kekahi kanaka i kahi cholecystectomy.
ʻAiʻia me nā pōhaku i loko o ka gallbladder
Ma kēlā me kēia manawa o cholelithiasis, kahi mea nui o ka curerapy kaʻai. Ināʻaʻole i loaʻa nā pōhakuʻeleʻele a me nā pōhaku liʻiliʻi i loko o ka gallbladder, ua kūpono ka mālamaʻana i ka mālamaʻana i ka Pevzner Diet # 5. Eʻai i kaʻai i ka manawa 4-6 i ke ao, i nā manawa āpau. Ma ka'ōpū'ōpū e'ōleloʻia e inu i ka wai maʻemaʻe. I ka manawa o colic, hoʻopauʻia ka hoʻokēʻai pokole me ka hoʻololi ikiʻana i kaʻai No. 5a. Hanaʻia kaʻai hoʻokahi i ka heleʻana o ka cholecystitis bana i ka mumū. ʻO ka pono kūpono e pono ai ke ola a pau, me kaʻoleʻole.