Kunyengedza zvinhu zvakawanikwa
Muchirevo chekurapa chisina kutaurwa pane chine chinhu chakadai se "kukanganisa gallbladder". Izvi zvinoreva kuti haichazozadzikisa mabasa ayo, nokuti mairi (kana kuti mu bile bile ducts) mabwe anoumbwa, uye munhu anoita chirlelithiasis. Kubuda kweB bile kunodzvinyirirwa, izvo zvinoreva kuti zvirwere zvinopinda mumuviri nyore nyore, masvingo e-gallbladder uye mapundu anopisa. Vavakidzani - iyo pancreas, duodenum, mudumbu - vari kushingaira mukubatwa kwezvokuvhiringidza, uye vanachiremba vanoona kuti acle cholecystitis. Zvakaipisisa, apo mabheji acho haasi kungova chete buct buct, asiwo pancreatic duct. Ipapo bile haigoni kusvika kune imwe nzvimbo, uye maitiro ayo uye mavara akaiswa muropa. Iko kunwa doro (kutyisa nehutu hwezvinhu) uye zvinonzi ma mechanical jaundice (mumunhu manyozha eye ma protini, ganda). Kana pancreas ichibatwa (acute pancreatitis uye pancreatic necrosis), hupenyu hunotyisa hunogona kuitika. Kuti urege kuzviunza kune zvakanyanyisa zvakadaro, pakarepo tsvaga chiremba pachiratidzo chekutanga cholelithiasis.
Ultrasound kuongororwa kwemuviri wepamuviri
Nekubatsira kwe ultrasound, kukanganisa mubasa remuviri kunoratidzwa. Ukuru hwavo uye mamiriro ezvinhu zvinooneka pane chekuona. Nzira yacho inoshandiswa kakawanda, iyo ndiyo yegoridhe yemirizhonga yemazuva ano.
Computed Tomography
Kuongororwa kwevanhu vomuviri mukati mavo vachishandisa X-rays. Kusiyana kwezvinhu zvakakonzerwa muvheini, ropa rinoipararira mumuviri wose. Mushure mokudaro munoita mifananidzo yakawanda yakavezwa, kuongorora uye kuwana dhiyabhorosi data pamusoro penhengo dzemuviri. Iyo nzira inoshandiswa kugadzirisa kuongororwa, apo migumisiro ye ultrasound inopesana. Endoscopic fibrogastroduodenoscopy (FGDS). Tsvina yakareba ine fibrous optics inoiswa mumuromo kune murwere. Icho chinotumira mufananidzo wemu mucosa wewesophagus, mudumbu kana duodenum kusvika pakatarisa. Iyo nzira inobvumira kuti iongorore mamiriro emukati membrane yepamusoro chikamu chemukati wematumbo. Endoscopic retrograde pancreatocholangiography (RPHG).
Kusiyana kwezvinhu zvinoshandisa chigadzirwa chakakosha - endoscope - inoshandiswa munzvimbo yekuyerera kweguruva mumukumbo. Pakati pe RPCH zvinogona kubvisa mabwe maduku kubva kune bile ducts. Rinoshandiswa kazhinji, chete pane zviratidzo zvakananga.
Nzira dzemazuva ano dzinokubvumira kuti uone zviratidzo zvokutanga zvechirilotiasis uye uzviite zvisinganzwisisiki uye pasina migumisiro yakakomba pamuviri, kwete kupfuura awa. Nhoroondo yezvakaitika kare: apo wegumi nerimwe mutungamiri weUnited States, James Polk, aiva nemakore gumi nemashanu, akabviswa kubva ku gallbladder. Vanachiremba vakapedza aneshesia, vachidiridza mutungamiri wemangwana ne cognac. Nhasi varwere havagoni kutya nzira yakadaro: panguva yekushanda vanopiwa kurara zvakadzama pasi peaneshesia.
Laparoscopic cholecystectomy. Izvo zvinoitwa nekubatsirwa nemidziyo yakakosha midziyo, iyo inopindirwa mukati mechidziro chemuviri kuburikidza nemakomba mana maduku, kusvika kune imwe masentimita. Saka bvisa gorofu pamwe chete nematombo. Mushure mokuvhiyiwa, pane zvishoma zvinenge zvichisara paganda. Iyi nzira haina kunyatsobatsirika pamusoro pekushandiswa kwematombo ekudzidzira mabwe: kutapurirwa panguva yekushandiswa hakubviri, kushungurudzika kwakanyanya, nguva pfupi (kusvika kumasere 4-5) nguva yekurapa, kudzoka nokukurumidza nenzira yehupenyu.
Classical operation. Pakati payo inoita kukanganisa kwakakwana kwemuviri. Kune chiso chema 10-12 cm murefu. Kuvandudza nguva kubva kune mazuva manomwe nezvimwe zvinodiwa.
Upenyu hutsva
Kuti kukurumidze kupora kubva pakuvhiyiwa, chiremba anogona kukurudzira kushandiswa kwepasi-carbonated mineral waters: "Naftusi", "Berezovskaya", "Luzhanskaya", "Glade Kvasova". Asi nzvimbo dzekutora mvura dzinobvumirwa kusiya mushure mekunge mwedzi 6-8: kuwandisa chikamu chepamuviri hachina kukosha.
Mugore rinofanira kutevera nhamba yekudya nhamba ye5: mafuta akaderera mumidziyo, kusanganisa zvakabikwa, zvinonhuwira uye zvinotapira. Mafuta ezvipfuwo anofanira kunge asina kukwana kusvika kumusoro, achizvitsiva nemiti. Kubatsira kwekupedzisira ndekukwanisa kukurudzira kushandiswa kwemasabolism muropa uye kuderedza kushandiswa kweB bile kutema maitiro. Iyo inobatsira kuwedzera fiber kune kudya. Yakapfuma muapuro, kabichi, bhanana, salads kubva mumiriwo.
Security Strategy
Utano hwakanaka. Kunwa kaviri pagore yakaoma kunzwisisa pane zvinoratidzwa nachiremba, sanganisira mimwe miriwo nemichero muzvokudya. Kuita mitambo. Kumhanyira, kushambira, mabhasikoro ndivo vanopesana nevarwi vekuchoriitiasis.
Art therapy. Nyanzvi dzezvepfungwa dzinopa maitiro ekuti "marwadzo" anowanzoshandiswa muupenyu hwezuva nezuva hwemavara nemirau yebhuruu - vane simba rakanaka pane hurongwa hwemagetsi. "Nyarara uye ugare wakanyarara!" - yakasikwa kwete chete yevarwi vemabhuku evana uye mapikicha, asiwo nezvehutano hwehumukati.
Zviratidzo Zvengozi
Pain in right right quadrant, kunyanya mushure mekudya kwakawandisa mafuta kana kudya kwemanheru, kushungurudza, kurutsa, fivha kusvika kusvika 38 degrees. Ngwarira: marwadzo anokwanisa kupiwa muruoko rworudyi kana papfudzi, akanzwa mumucheto wakadzika kana pasi pekoloni. Kuti uone chinokonzera marise, unoda hutano hunoonekwa. Mapoka evanhu vanotambura Vakadzi vane pamuviri, vanhu vane uwandu hwehuwandu hwemapfupa, ekuremara kwema endocrine, kushandiswa kwemadzinza. Gallstone chirwere chinokanganisa vakadzi 4-5 kakawanda kakawanda kupfuura varume. Chiratidziro chematombo Anoumbwa semugumisiro wekuisa dense zvinyorwa zve bile. Kazhinji mabwe acho ane cholesterol, bilirubin (bile pigment) uye calcium salt. Masimba avo anobva kune mashoma mamita kusvika 10 masendimita. Nhamba - kubva kune imwe kusvika kune makumi matatu.