Zvipfeko zvinoumba kana kusina kuenzana mukugadzirwa kweB bile, zvichiguma nematombo akaoma ayo anogadzirwa necholesterol yakavhenekerwa, pigment, kana kusanganiswa kwemaviri. Gallstones inogona kuenzaniswa nekukura kubva sediki sejecha rejecha kusvika kune guru sebhokisi yegorofu. Iwe unogona kuva negorosi imwe huru, mazana ezviuru ematombo maduku, kana kusanganiswa kwematombo makuru uye maduku.
Gallstones inowanzojairika, inokanganisa vanhu vanenge mamiriyoni 25 muUnited States.
Kune mhando mbiri dzematombo emawere:
- Dombo reCholesterol : Matombo eCholesterol ndiwo mugumisiro weB bile unogadzirwa neholesterol yakawandisa kana bilirubin uye kwete yakawanda bile salt. Dombo reCholesterol rinogonawo kuumba apo ganda rinokundikana kusina chinhu munguva yekudya. Izvi zvinowanzowedzera mavara emagetsi matsvuku.
- Pigment matombo : Vanhu vanoita marombo e-pigment vanowanzo vanhu vane chirwere chepirusisitiri chechiropa, zvipembenene zvebhiriyari, uye zvirwere zveropa, zvinosanganisira sickle cell anemia . Izvo zvose ndizvo zvinokonzera kukanganisa bilirubin, izvo izvo mabwe anoitwa. Nguruve dzematombo dzinowanzova dzisina ruvara kana ruvara.
Zviratidzo
Zviratidzo hazvisi nguva dzose zviripo, saka munhu anogona kuva nemaronda uye asingazvizivi. Chaizvoizvo, vanhu vazhinji vane maronda emakumbo havana zviratidzo .
Zvisinei, apo mazamu anoenda mukati uye achivhara ducts yemakwenzi ako ebheyariary, kurwadziwa kunorwadza kamwe kamwe kunonzwika kumusoro kwepamusoro kana mukati memimba yako. Marwadzo anokwanisa kuitika nekuvhara uku ndiko kunowanzozonzi biliary colic, kana kurwisa kweguruva. Izvozvo zvinorwadza, zvinowanzova zvakanyanya, zvinogona kupedza maminetsi mashomanana maawa akawanda.
Zvinokonzera
Bhuku rebhaariary ndiyo nzira iri pakati pechiropa chako nepascreas kusvika kune chikamu chokutanga chemukati mudumbu. Iyo nduru, chikamu chegurakiti ichocho, chikamu chiduku, chakagadzirwa nepeari chinogara pasi pechiropa chako kumusoro kwepamusoro kworudyi rwemuviri wako pakati pebhokisi rako uye chiuno chako. Inoshanda seimba yekuchengetera bile , iyo inonaya inogadzirwa neropa rako kubatsira muviri wako kudya mafuta.
Bhiri inobatsira muviri wako kufuta mafuta uye mavhithamini ane mafuta. Mushure mekudya mafuta, mapurisa enyu emakumbo, kusundira bha rakachengetwa muitiro yakazara bile duct, iyo inounza mvura kumutsipa wako muduku kubatsira rubatsiro.
I bile yakachengetwa mu gallbladder ine mvura, bile salt, cholesterol, mafuta, mapuroteni, uye bilirubin . Siri yemafuta inoparadza mafuta anopedzwa mune zvatinodya. Iyo bilirubin inopa bile ye-yellowish-ruvara ruvara uye zvigaro zvedu maruva mavara.
Mifananidzo inogona kuumba mu gallbladder apo bile yakaoma mukati mematombo-akafanana, izvo zvinogona kuitika kana kune yakawanda yakawanda ye-salt, cholesterol, kana bilirubin mairi.
Pane zvikonzero zvakasiyana-siyana zvinokonzerwa nei izvi zvingaitika. Kunyanya kudya uye kudya zvakakwirira mumakrohydrates akacheneswa-zvakadai sechingwa chena uye pasta-nemafuta, uyewo kudya kwe-calorie uye kukurumidza kuora muviri, zvakasanganiswa ne gallstones.
Mukuwedzera, mukana wekugadzirisa mararamiro unowedzera nezera, uye vakadzi vanowanzova nemaronda akawanda kupfuura varume, nekuda kwehomoni.
Kuziva
Kune huwandu hweuedzo hunogona kuitwa nachiremba wako kuti aongorore maronda . Ropa rinogona kuitwa kuti riongorore utachiona kana kuputika, zvisinei kwete maronda. Kuenzanisa miedzo inoshandiswa nokuda kwechinangwa ichocho, uye ultrasound inofungidzirwa kuedzwa kwesarudzo; magnetic resonance imaging (MRI) kana kuti computers (tomography) (CT) zvinogona kuitwawo.
Kurapa
Kurapa kwemapuranga kunongoratidzwa chete kana iwe une zviratidzo. Kana ivo varipo-kunyanya kana pane kurwadziwa kwakanyanya-kubviswa kushandiswa kwegorobladder (laparoscopic cholecystectomy) ndiyo inowanzosarudzwa.
Mune zvimwe zviitiko, nzira dzisingabatsiri dzinogona kushandiswa, asi dzinongoratidzwa apo chirwere chinorwara. Nzira dzakadai sokunyangarika komuromo uye chirongwa chinoputika chinonzi shockwave lithotripsy (EWSL), pakati pevamwe, chinogona kutaridzirwa, asi chakakosha chete kurapa matombo echolesterol.
Shoko Rinobva
Kana iwe unofungidzira kuti une gallstones kana iwe wakarwara une chirwere chacho, ramba uchifunga mupfungwa kuti chirwere chepfungwa ndechimwe chekuvhiya kwakanyanya kune vanhu vakuru. Iva nechokwadi chekutaura nachiremba wako pamusoro pezvinetso kana mibvunzo yaunayo.
> Sources:
> Lee JY, Keane MG, Pereira S. Kuziva nekurapa kweGallstone Disease. Practitioner . June 2015; 259 (1783): 15-9, 2.
> Mayo Clinic Staff. Gallstones. Mayo Clinic. Yakapedzwa musi waNovember 17, 2017.
> National Institute of Diabetes and Digestive and Kidney Diseases. Gallstones. National Institutes of Health. Dhipatimendi reUnited Health Health and Human Services. Yakavandudzwa munaNovember 2017.