Kurapa kwehutachiona hweganda kunobva kune rudzi rwechirwere chiripo. Kana zvasvika pakurapa maronda , pane zvinowanzosarudzwa zvitatu-"kurinda uye kumirira" kana pasina zviratidzo, kuvhiyiwa kubvisa nduru uye mabwe, kana mishonga kuti iparadze maronda. Kurapa zvimwe zvinokonzera gorosi kana kuti bile, sezvakaita dombo rakaiswa munharaunda yakawanda yebat bile, inogona kuda imwe nzira yakasanangurwa inonzi ERCP.
"Tarisa uye Wamirira" Nzira
Chiratidziro chinowanzoonekwa chenduruvladder chirwere nderenduru. Nyaya dzakawanda dzemapuranga, zvisinei, hazvikonzeri zviratidzo uye naizvozvo hazviregi kuratidzira.
Apo pavanokonzera marwadzo, zvisinei, kuvhiyiwa kunowanzobvumirwa. Mishonga haisati yashandiswa kubata zvirwere, kunyange zvazvo inoshandiswa kurapa marwadzo e gallbladder chirwere.
Mishonga
Paunorapa chirwere chenduru, chiremba wako achada kurapa zvose zviratidzo zvako uye kuongorora kwepfungwa.
Kurapa Zviratidzo
Chiratidzo chinowanzoonekwa chenduruvladder chirwere chinorwadza, kazhinji chiri kumusoro kwepamusoro kwechidziro. Chiremba wako anogona kurapa marwadzo ako ne-nonsteroidal anti-inflammatory (NSAID) se ibuprofen, kana opioid yakafanana ne morphine.
Zvakakosha kuziva kuti maopioids anowanzoita kuti vanhu varara uye zvinowanzokonzera kuvimbiswa, ndicho chikonzero chiremba wako angakurudzira kutora chironga chinopisa pamwe nepiritsi yako inorwadza.
Kuchengetedza Gondbladder Inoenderana Nechinetso
A bile acid mapiritsi akadai seActigall (ursodiol) inogona kutorwa kuti iparadze zvinyorwa zvemaruva echolesterol, iyo ndiyo inowanzova yakawanda yeguru muUnited States. Kunyange zvazvo iyi piritsi inowanzomirirwa zvakanaka, vamwe vanhu vanokudziridza chirwere chemahara, kunyange zvazvo chinowanzoenda nenguva.
Kunyorera kwekutora a bile asidi mapiritsi ndeyekuti inogona kutora makore mazhinji kuitira kuti mazamu matombo aparadze zvachose; saka a bile acid mapiritsi haisi iyo nzira yakanaka yevanhu vane nguva yakawanda yegorova kurwisa.
Kana munhu ane uchapupu hwehutachiona hweguruva kana kuti bhiariary tract (an complication of gallstones) iye achange aida maantibioti (anopiwa muchipatara), pamwe nemvura uye marwadzo ekurwadza, kusvikira kugadziriswa kurapwa sechiremba kana ERCP ( ona pasi apa) yaitwa.
Nzira dzeUnyanzvi
Iko kunyanya kurapwa kwehuwandu hwezvirwere zvechirwere ndiko kubviswa kushandiswa kwegorobladder, inonzi cholecystectomy.
Zvisinei, pane zvisarudzo zvisingasaruri, kunyanya kune vanhu vane ngozi yakakura yekuvhiyiwa. Nechepasi yevasingashanduri nzira ndeyokuti gallbladder ichiripo, saka chirwere chinoputika (kunyanya gorosi) chinogona kudzoka zvakare.
Cholecystectomy
A cholecystectomy inoitwa pasi peanesthesia muchipatara uye ndiyo inonyatsoshanda kurapa chirwere chenduru.
Muzhinji rwevanhu, chirwere ichi chinoitwa laparoscopically, chinoita kuti chiremba chiremba aise chidimbu chine simba, chinogadziriswa (nekamberi kamera pamagumo) kuburikidza nechingwa chiduku mudumbu. Achishandisa midziyo yakareba, chiremba anovhiya anoita zvidimbu zviduku zvishoma mumudumbu, uye bvisa gorofu.
A laparoscopic cholecystectomy haisi inowedzera uye zvinowanzo nyore nyore kupora kubva pane cholecystectomy yakazaruka, umo kudhonza kukuru kwemuviri kunobviswa kubvisa nduru.
Gallbladder Cancer
A laparoscopic cholecystectomy haisi inowanzoshandiswa kurapa kenza yeganda nokuti pane ngozi yokuti mamwe kenza ichashaikwa. Uyezve, kune hanya ne "kukura" kana kupararira kenza kune dzimwe nhengo dzomuviri. Pane kudaro, pakuchengetedza kenza yeganda, chiremba anovhiya achaita zvakanyanya cholecystectomy, inonziwo radial cholecystectomy.
Munguva yakawedzerwa cholecystectomy, chiremba anovhiya achabvisa gorova, zvimwe zvechiropa chechiropa pedyo ne-gallbladder, uye chero ipi zvayo yakakoswa nhengo dzeropa. Dzimwe nguva, mamwe masukisi anobviswa (somuenzaniso, yakawanda bile duct, pancreas, kana chikamu chikuru chechiropa), zvichienderana nekureba kwakaita kuti kenza yakapararira.
Radiation uye chemotherapy inogona kushandiswawo kubata chirwere cheguruva.
Ngozi dzekuvhiya
Sezvakaitwa nekuvhiyiwa chero kupi zvako, kune ngozi dzakabatanidzwa, dzinogona kusanganisira:
- Bleeding
- Incision site infection
- Ropa rinovhara
- Pneumonia
- Matambudziko kubva kune anesthesia
Chiremba wako achakuongorora iwe kuti uone kuti izvi zvinotaridzirwa zvakakurumidza uye zvakakodzera.
Kugadziriswa Kwemigumisiro
Kunyange zvazvo zvakachengeteka uye zvakanaka kuti urarame pasina nduru, vamwe vanhu vanoona gesi, kubvongodza, uye kubuda kwemashure mushure mekutsvaira gorosi. Kunyange zvazvo izvi zvisiri zvenguva, zvinogona kupfuurira kwemakore mune vamwe vanhu.
Ikoko kunogona kuva nemigumisiro yakakomba kubva kune cholecystectomy yakakura yekenza yeganda, kufanana nekudya kana kudya zvinetso, bile kuputira mumimba, kana kushaya simba kwechiropa. Iva nechokwadi chokuti chiremba wako achacherechedza uye agadzirise njodzi idzi.
Percutaneous Removal
Kana munhu achida kuve nehombodo yavo yabviswa asi ane zvirwere zvakawanda zvehutano, saka inofungidzirwa sehutano hukuru hwekuvhiyiwa, angave aine nzira dzakasiyana-siyana dzemvura yekudzikisa kubvisa ibwe rinodzivisa.
Nekubviswa kwebwe kunopfurikidza, tsvina yakaonda kwazvo inonzi catheter inowanikwa kuburikidza neganda uye kupinda mumvura kuitira kuti ibviswe mvura yakawanda. Iyo bile inodonha kuburikidza nebhuragi inotungidzirwa yakabatana kusvika kumugumo we catheter. Zvadaro, pamusoro pemavhiki mashomanana anotevera, chirongo chakakonzerwa nekateti chinowedzera kuwedzerwa, zvichibvumira kuti ibwe (s) ribvise.
Extracorporeal Shock Wave Lithotripsy
Extracorporeal shock wave lithotripsy (ESWL) inzira isiri nzira yekuvhiya iyo isingawanzoshandiswa kurapa maronda. Iyi nzira inoshandiswa pasi pechipfuva uye inosanganisira kushandisa kushungurudza mazai ekuputsa mazamu emakona kuita zviduku zviduku, izvo zvinogona kuparara nekubuda kunze kwegungwa.
Kana yakashandiswa, ESWL yakachengeterwa vanhu vasina kuoma, vane zvishoma pamatatu ematombo, uye vane vane utano hwakanaka hwehutano.
ERCP
Imwe nzira inonzi endoscopic retrograde cholangiopancreatography (ERCP) inobvumira chiremba kufungidzira zvakaitwa ne bile kuitira chero kusakanganiswa kwakafanana nekuvhara dombo, cyst, kana tumarara. Nepo kuongororwa, ERCP inobatsirawo, sezvo chiremba anogona kubata chirwere panguva imwe chete. Pamusoro pazvo, ERCP yakashandura kurapwa kwekurapa bile ducts zvinetso muvarwere.
An ERCP inongororwa kuitira kubvisa kusagadzikana kwebate duct, kazhinji kubva padombo.
Zvaunotarisira
Munguva ye ERCP , gastroenterologist inotungamirira tambo yakaonda, inogadziriswa yakaita kamera kadiki pakuguma kwayo (inonzi endoscope) pasi pemuromo mukati mudumbu uye mudumbu mutsva. Kusiyanisa dhayi kunowedzerwa kuburikidza ne tube kuitira kufungidzira kuti ivhu rinotora x-ray. Kana kuvhiringidzika kuchionekwa, gastroenterologist inogona kushandisa zvishandiso zvakasununguka (zvinowanikwa kuburikidza ne endoscope kubvisa kana kudzikisa kubviswa). Somuenzaniso, chiremba anogona kubvisa ibwe rinodzivisa bhati yakawanda yebate kana kuisa stent kana duct iri shoma.
Munhu anonyoreswa panguva ye ERCP kudzivirira chero kusagadzikana uye kuva nechokwadi kuti vakasununguka. Kunyange zvazvo ERCP inowanzochengeteka uye inobvumirwa zvakanaka, munhu angava neshungu rinorwadza pamutsipa kana kuputika mushure mekuita.
Zvisinganzwisisiki, zvinetso zve ERCP zvinogona kuitika, kusanganisira:
- Pancreatitis, iyo inowanzonyorova, asi inoda nguva shomanana yekugara muchipatara kwemvura uye marwadzo ekutambudzika
- Iko mukati mumatumbo (anonzi perforation), iyo ishoma uye yakaoma, uye inoda kuvhiyiwa kugadzirisa
- Kutapukira kwe bile ducts (inonzi cholangitis), inoda kuti chipatara chirambe chichirwisa mishonga inorwisa mabhakitiriya uye mvura yakasviba yakawanda
- Aspiration pneumonia, ndicho chikonzero nei zvakakosha kuti usadya kana kunwa kwemaawa akawanda isati yasvika
Complementary Medicine
Kunyange zvazvo chirwere chenduru chichifanira kuporerwa nachiremba, zvine musoro kufunga nezvemishonga inobatanidza. Izvo zvakati, zvakakosha kungotora mishonga, mavitamini, kana kudya kwezvokudya pasi pekutungamirirwa kwachiremba wako.
Herbs
Mimwe herbs yakafanana silymarin ( Silybum marianum ), iyo inonziwo mukaka mutsvuku , inogona kupa zvose gurbladder uye chiropa kutsigirwa. Imwe tsvakurudzo inoratidza kuti mishonga yakadai seyemori, Oregon mazambiringa, bupleurum, uye uswa hwemari zvinogona kuita kuti ganda rive nekuputika uye kubvisa chiropa chisungo.
Zvokudya Zvakasikwa
Kugamuchira kudya kwemajoka kwakagadzikana kunogona kubatsira kudzivirira mamwe mapfupa ekurwisa. Chikafu chinokonzera kugadzikana ndechemwe yakazara muzvibereko nemiriwo, kunyanya miriwo yakakura mu vitamini B nematare, seminopinashi nekare, uye antioxidant-richine zvokudya zvakadai sama blueberries, cherries, tomato, squash, uye bhisipiro bheri. Mapuroteni akaremara akaita sezvipembenene zvine nyama, hove, tofu, kana nyemba uye zviyo zvose zvinoshandiswa.
Acupuncture
Chimwe chiduku cheChina chinodzidza akawana kuti kupora kwakaderedza zviratidzo zveguruvladder kuputika (kunonzi cholecystitis), sekurwadziwa kwemafudzi uye kumashure. Kunyange zvazvo kuvhara muviri kunogona kubvisa marwadzo ehutachiona hwehutachiona, zvakakosha kuona chiremba kurapwa (chirwere, zvichida) chechipingamupinyi chinetso.
Kudzivirira
Mararamiro ehupenyu uye hutano hwakadai sechirwere cheshuga, kuneta, uye chirwere chemagetsi chinosanganiswa ne gallbladder chirwere, kunyanya kuumbwa kweganda.
Mashoko akanaka ndeokuti munhu anogona kuderedza dambudziko ravo rekuwedzera mafirimu (uye zvinetso zvakafanana) nekuchengetedza muviri wakazara mashoma index (BMI), kushandisa zuva rega rega, uye kuona chiremba wavo mukuru wekuchengetedza kuti varambe vachitarisira chirwere cheshuga kana kuti high cholesterol (kana iripo).
Sezvakatsauka, kana iwe uri kunyanya kuwandisa kana kuti wakanyanyisa uye uchitanga regimen yekurasikirwa kweutoro, iva nechokwadi chekuzviita pasi pekutungamirirwa kwachiremba wako, sezvo kukurumidza kurasikirwa kwehuregi kunowedzera dambudziko rako rekugadzirisa maitiro.
Pakupedzisira, pakusarudza kudya, kutsvakurudza kwakawana kuti kudya kwakanaka kunoenderana nekudya kwakanyanya kwemiriwo, michero, mazai emakaka asina mafuta, zvizere, mbeu, uye zvinonhuwira zvinobatanidzwa nehuwandu hwehutachiona hwehutu. Zvinofadza, kutsvakurudza kunoratidzawo kuti kunwa doro kunogona kuderedza dambudziko remunhu wekukura kwemajoni.
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