Majoe ka ducts bile: Sesosa, Matšoao le Phekolo

Choledocholithiasis - nako e bua ka ho ba teng ha majoe a bile ducts. E le busa, obstruction joalo thehoa ka senya nyooko. Ducts - e leng ke methapo tse nyenyane ka eona bile phallang ho tloha gallbladder ho intestine le. Lekala emela pyriform mokhatlo tlas'a sebete, a hukung e ka holimo e nepahetseng ea cavity mpeng. Ka tloaelo ho, majoe ka senya kapa ba lule ba le bolokolohi ba ho feta ka pampitšana ho tloaelehile hore batho biliary.

Leha ho le joalo, liphello tsa lithuto tsa dipalopalo ho ile ha fumanoa hore ka bang 15% ea bakuli le ho ba teng ha gallstones ba le majoe a ka ducts bile.

le matšoao

Choledocholithiasis - indolent lefu tse ke keng ba itlhalose ka tsela efe kapa efe likhoeli esita le lilemo. Leha ho le joalo, maemong a moo lejoe gets bukkake ile a khomarela a difapho, 'me e fetoloa obstruction e, o ba le matšoao tse latelang tsa:

• bohloko mpeng localized ka lehlakoreng le ka holimo le letona kapa ka bohareng;
• feberu;
• nyooko (yellowing ea mahlo le letlalo);
• tahlehelo ea takatso ea lijo;
• ho nyekoa ke pelo le ho hlatsa;
• letsopa-mala litulo.

Stone ka nyooko senya difapho ka etsa hore bobeli ba bohloko tsoeng le bo tsoelang pele. Ka linako tse ling, bohloko bonahala ho kokobela, leo e ka bang nako e sharply eketseha. bohloko a hlobaetsang le ho ka etsa hore le tlhokahalo e potlakileng ho batla tlhokomelo ea meriana. The liponahatso tse matla ka ho fetisisa mafu a ba atisa ho ferekanngoa le matšoao a lefu le cardiac - tse kang lefu la pelo.

mathata

Lejoe e bile difapho (ho ba teng ha matšoao a eo mokuli hlokomoloha telele) ka etsa hore tshwaetso ya pampitšana biliary. Libaktheria potlako proliferating ka sebaka sa tshebetso sa lethopa ho, ka fallela sebete. Liphello tsa ho tšoaetsoa mafu joalo sokela ka ho toba bophelo ba motho. Ho phaella tabeng ea ho ea timetsong ea baktheria e ka etsahala le mathata a kang sebete ho thatafala ha sebete holangiolitichesky kapa pancreatitis.

mabaka a

Ho na le mefuta e 'meli ea majoe: k'holeseterole le pigment.

K'holeseterole Education na le 'mala o yellowish le ke atileng ka ho fetisisa. Bo-rasaense ba lumela hore majoe a mofuta ona wa butle-butle e haha ka bile, e nang:

• k'holeseterole e ngata haholo;
• feteletseng bilirubin;
• lekaneng bile letsoai.

mobung k'holeseterole hlaha tabeng ea e sa fellang kapa e sa tloaelehang haholo gallbladder li fella.

Leha ho le joalo u se ke ua tseba ka lebaka eng thehoa majoe pigment ka ducts bile. Ho ea ka lintho tse hlokometsoeng tsa lingaka, ba li fumanoa bakuli ba tšoeroeng ke:

• ho thatafala ha sebete;
• biliary pampitšana mafu a tšoaetsanoang;
• mafu a futsitseng mali, ea isang ho ho hlahisoeng ka tsela e feteletseng ea bilirubin sebete.

lintlha kotsi

Kotsing le sebaka sa pele ba batho ba nang le histori e ba gallstones le pathologies tse ling tse amanang le ea ka tšebetso ea 'mele ho hlahisa bile le litseleng tse amanang. Ho feta moo, bakuli bana ba atisa ho fumana majoe a ka ducts bile ka mor'a ho tlosa senya. Gallstones ka linako tse ling ho lekaneng ho e etsa hore boemong bo sa thabiseng bohlokoa le bohloko matla.

Mabaka a latelang eketsa kotsi ea deposition ya k'holeseterole le diso pigmented ka deducing litsela tsa:

• botenya;
• phahameng-khalori lijo le mafura ka tsela e feteletseng le ho e tlase e faeba ho tlala;
• bokhachane;
• telele poso;
• ka potlako boima ba 'mele;
• ho hloka ho ikoetlisa.

Tse ling tsa lintlha tsena ke batlang e le bonolo ho e lokisa, ho etsa liphetoho tse loketseng ho phela bophelo ba hao.

Maemo a le ke keng la fetohile kenyeletsa:

• ea lilemo: majoe hangata e fumanoang ka batho ba hōlileng;
• Bong: Women ho ka etsahala hore le bothata ba ho lefu lena;
• sechaba sefe: Asia, batho ba Mexico le American Maindia choledocholithiasis e fumanoa hangata ho feta baemeli ba lichaba tse ling;
• histori lelapa: ho latela ba bang ba bo-rasaense, litšobotsi tse liphatsa tsa lefutso e ka phetha karolo ea bohlokoa ka ho hōla ha predisposition ho choledocholithiasis.

tlhathoba

Le matšoao a loketseng ngaka e tla lokela ho etsa bonnete ba hore ho ba teng ha majoe pampitšana kakaretso biliary. Bakeng sa merero ea ho hlahloba lefu, o phethile e mong oa latelang lithuto tsa ho nka litšoantšo:

• transabdominal oa ultrasound - mokgwa oo e sebetsa phahameng maqhubu a ka maqhubu a molumo, e le hore ho hlahloba boemo ba sebete, gallbladder, spleen, a liphio, 'me manyeme;
• ka mpeng ea computed tomography (X-ray leketla sefapanong);
• endoscopic oa ultrasound (oa ultrasound kutlo e kenngoa ka tenyetsehang tube, endoscopic le o etsoang ka molomo le ka pampitšana tshilong ya dijo);
• endoscopic retrograde cholangiography - mokgwa e lumella u ho se feela fumane majoe ka ducts bile, empa hape e meng pathological liketsahalo (lihlahala, narrowing dikarolo);
• Matla a khoheli gomoso cholangiopancreatography - MRI ea gallbladder le pancreatic difapho;
• Percutaneous transgepaticheskaya cholangiogram - X-ray a bile difapho.

ngaka e ka boela kgetha le 'ngoe kapa ho feta liteko mali ho netefatsa ho ba teng kapa ho ba sieo ha tshwaetso le ho ka nako hlahloba botsitso ba tshebetsong tsa sebete le manyeme. Phuputsong e latelang e hlophisitsweng hangata ka ho fetisisa:

• e feletseng ea mali count ya;
• bilirubin teko;
• Ho hlahloba enzyme pancreatic;
• sebete mosebetsi o hlahlojoe.

kalafo

Majoe a tloha bile difapho lokela ho tlosoa ho sebaka tloaelehileng, le nyamele utloa bohloko. E le hore ho felisa obstruction, lingaka le ka ho kgothaletsa e 'ngoe ea mekgwatshebetso ya ho tse latelang:

• tse qotsitsoeng ea majoe;
• roba k'holeseterole le pigment sebopeho ka likhechana (lithotripsy fragmentation);
• ho buuoa ho tlosa gallbladder le ductal obstruction (cholecystectomy);
• ho buuoa, e leng e na le ka dissection ya palo yohle biliary difapho bakeng sa ho tlosa majoe a maholo kapa ho bebofatsa temana ea bona (sphincterotomy);
• biliary stenting.

mekgwa ya tshebetso

Endoscopic biliary sphincterotomy sa ntse e le kalafo atileng ka ho fetisisa bakeng sa choledocholithiasis. Nakong ea Tsamaiso ena, e bile difapho occluded ile kenngoa mochine o khethehileng ka mokgwa wa e balune kapa baskete. Ka thuso ea lona ho felisa pampitšana obstruction. Mokhoa ona o proven atleha ho 85% ea linyeoe.

Ha lejoe ha a tsoa ka lithahasello tsa bona 'me ngaka e ile ea babelaelloa hore endoscopic biliary sphincterotomy ha ea lekana, ho ba khethiloeng lithotripsy. Ka mokhoa ona, majoe sithabetseng likoto tse nyenyane e le ho bebofatsa ho tloswa bona kapa temana ikemetseng.

Stone ka nyooko senya difapho ka 'na ba haufi le tsela e tšoanang ka' mele. Maemong a joalo, ho phekola atlehang ka ho fetisisa e nkoa e tlosa gallbladder le. Nakong ea ho buoa, ngaka e tla hlahloba phallo ho etsa bonnete ba sebaka lona tloaelehileng.

Ha majoe ka lebaka le itseng e ke ke ea tlosoa ka ho feletseng ke ho buuoa (hammoho le haeba u ba 'nile ba utloa bohloko ho tswa ho bohloko a bakoang ke majoe kibiloe difapho, empa u se ke ua batla ho tlosa senya nyooko), ngaka e tla khothalletsa biliary stenting. Tsamaiso li entsoe ka ho hlongoa methapo nyenyane extending temana me ka tsela eo a felise obstruction le majoe a bile difapho. Opereishene e bonolo tlhaho 'me e fana ka e atlehang ho thibela maemo a ho choledocholithiasis nakong e tlang. Ho feta moo, stents ba ka khona ho sireletsa le mafu a tšoaetsanoang.

thibelo

Ha hang u bone bohloko amanang le choledocholithiasis, mohlomong bohloko hape - eseng hanngoe. Esita le tlosa gallbladder le ha ba emela kalafo ho fetisisa: majoe a bile difapho lokela ho tobisoa ka ho khetheha, ho seng joalo kotsi ea ho lula re liponahatso matšoao a tloaelehileng tsa boemo ba motho ba pathological.

Leha ho le joalo, maemong a mangata e ka thibeloa choledocholithiasis. Ho ho lekaneng ho e tlisa liphetoho tse nyenyane ka ho phela bophelo ba hao. Kotsi ea lefu fokotsa itekanetseng ho ikoetlisa le khanya liphetoho ka ja lijo le. Lingaka li ho eletsa khafetsa joaloka ho tsamaea ka ho phethwa ka ho etsa bonnete ba hore dijo tsa hao ke meroho likhoele le teng ka bongata. Ba phelelang ho noa mafura ke tse lakatsehang ho fokotsa ho.

prognoza nako e telele

Ka 2008, 'maloa tsebahalang litleliniking bongaka Canada le United States khannela thuto ea ho latela eo ka 14% ea bakuli boela ikutloa matšoao a ho ba teng ea majoe ka ducts bile nakong ea lilemo tse leshome le metso e mehlano ka mor'a matšoao pele ba le lehlaba tloaelehileng le temana ea phekolo e loketseng. Ho totobetse hore ho tlosoe majoe ho tswa ho bile difapho hase kamehla etsa ka hloko e lekaneng, e le ho na le lebaka la ho lumela hore lefu le iphetang le amahanngoa le ho eketseha ha k'holeseterole lihlopha barrel ka seemo.

litlhare setso

moriana mefuta e meng e sa nkoa e le mokhoa haholo e atlehang ea ho sebetsana le choledocholithiasis Leha ho le joalo, ho ea ka litsebi tse ling li, le meriana e bonolo setso lokisetsa lapeng, ba khona ho matlafatsa jwale ya bile le ho thibela tlhahiso ea ka tsela e feteletseng le ho bokella k'holeseterole.

U ikutloa bohloko le belaella hore sesosa - lejoe ka bile difapho? Seo ho etsa, haeba re retelehela ho ngaka ha ho na monyetla oa? Leka e 'ngoe ea mekhoa ena setso.

lihlahisoa tsa tlhaho

• Tšela e thispone ya asene apole cider ka khalase ea lero apole le pherekano. Noa nako le nako u ikutloa bohloko ka nyooko senya le ducts. E bolela ho fana ka ama analgesic mor'a metsotso 5-15.
• Eketsa tablespoons tse 'nè tsa lero la lemone ka khalase ea metsi. Noa motsoako ka mpeng letho hoseng. phekolo e nka libeke tse 'maloa - ho fihlela ho felisoa ka ho feletseng ea majoe ho' mele.
• Pheha kopi ea metsi, eketsa teaspoon ea e sithabetseng makhasi omisitsoeng tsa peppermint, tlosa ho tloha mocheso, sekoahelo le tlohela bakeng sa metsotso e mehlano. Mathata me a ekelletsa ka teaspoon ea mahe a linotsi. Noa koena tee mofuthu habeli ka letsatsi, ka libeke tse 4-6, ho molemo pakeng tsa lijo.
• Lokisetsa meroho motsoako. Ho etsa sena, pepeta le lero la beet le le likomkomere le tse 'nè tse mahareng-boholo bo lekaneng lihoete. Kopanya le ho noa habeli ka letsatsi. Latela mehato ena ka libeke tse peli 'me u tla hlokomela kamoo ka potlako boemo ba hao o khutlela ho tloaelehileng.

litlama

• Beha ka teaspoon ea phofo ea omisitsoeng dandelion motso ka khalase e. Tšela chesang metsi, sekwahelo ebe o re ema bakeng sa metsotso e mehlano. Mathata, eketsa ea mahe a linotsi hanyane ho ntlafatsa tatso. Noa tee entseng ho tloha dandelion, ka makhetlo a mabeli kapa a mararo ka letsatsi bakeng sa dibeke tse 1-2, ho qhala majoe ka ducts ka mor'a hore tloswa ha gallbladder le.
• tee meriana ka boela ho entsoe ka limela tse ling e metle. Eketsa dikgabana tse pedi ea marshmallow motso le teaspoon e mong oa Mahonia aquifolium ka linoelo tse 'nè tsa metsi. Pheha motsoako bakeng sa metsotso e 15, ka nako eo tlosa mocheso. Eketsa dikgabana tse pedi ea omisitsoeng makhasi a dandelion le teaspoon e mong oa makhasi a omisitsoeng peppermint, joale fa tea ka metsotso e 15. Khatello le ho noa ho pholletsa le letsatsi.

Ho phaella moo, lerato le makhasi a tala ea dandelion ka sebelisoa ka ho toba ka lijo - ho etsa mohlala, ka setimi kapa ekeletsoa Salads foreshe meroho.

Dandelion contraindicated bakuli na le boloetse ba lefu la tsoekere.