Kana iwe uine chirwere chinonzi gallstones, iwe unenge uchida kurapwa, kunze kwekuti asiri kukonzera zviratidzo. Kana zvakadaro, chiremba wako achaona kana kurapwa kwakakosha zvichienderana nemamiriro ako ega. Kana iwe uchida kurapwa, chirwere (cholecystectomy) zvichida izvo chiremba wako achakurudzira.
Surgery
Kuvhiya kubvisa nduru ndiyo nzira yakakurumbira yekurapa zviratidzo zvemaronda.
Kutaura zvazviri, chirwere chenduru, chinonzi cholecystectomy, ndechimwe chekuvhiya kunowanzoitwa nevanhu vakuru.
Nenzira yakanaka, iwe unogona kurarama zvakanaka kunze kwechimiro ichi. Zvisinei, chikamu chiduku zvikuru chinogona kuwana zvirwere kubva kune kuwedzera mubi inopinda mumukomana muduku. Muhuwandu hwakawanda hwezviitiko, bile inotenderera zvakananga kubva pachiropa ichipinda mumatope uye kupinda mumukati muduku, uye hapana kuonekwa kunoonekwa mukudya.
Laparoscopic Cholecystectomy
Kuvhiyiwa kwakakwana kubvisa nduru yako inonzi laparoscopic cholecystectomy. Pamusana pekuvhiya uku, chiremba anovhiya anoita zvishoma zvishoma mumakumbo ako uye anoshandisa midziyo yekuvhiya uye kamuvhidhiyo kamera. Iko kamera inotumira chimiro chakakura kubva mukati memuviri wako kusvika pane vhidhiyo chekucherechedza, ichipa chiremba chiremba chekuvhara kwezvikamu nhengo dzako.
Paunenge uchitarisa kuongorora, chiremba anovhiya anoshandisa zviridzwa kunyatsoparadzanisa nduru yako kubva muchiropa chako, mapundu, uye zvimwe zvivako.
Nzira yako ye cystic inobva yatemwa uye nduru yako inobviswa kuburikidza nechimwe chezvidiki zviduku.
Nemhaka yokuti masumbu emimba haagadziriswa panguva yekuvhiya kweparoscopic, varwere vane marwadzo maduku uye vashoma zvinetso kupfuura zvavangadai vakazoita mushure mekuvhiyiwa vachishandisa kuvhara kukuru pamimba. Iwe unogona kazhinji kuenda kumusha musi iwoyo, neine vhiki yekuvhara kwebasa rekuita kumba.
Vhura Cholecystectomy
Kana chirwere ichi chichiwana chero zvipingamupinyi kumararamiro eparoscopic, zvakadai sehutachiona kana kupererwa kubva kune mamwe maitiro, boka rekushanda rinogona kushanduka kuti rivhiwe pachena. Mune zvimwe zviitiko, zvipingamupinyi izvi zvinozivikanwa musati mavhiyiwa uye chirwere chakazaruka chinorongwa.
Iko kunonzi "kuzarura" kuvhiyiwa nokuti chiremba anovhiya anofanira kuita incision ya 5 kusvika ku8-inch mudumbu rako kubvisa nyota yako. Uku ndiko kuvhiyiwa kukuru uye kunogona kudiwa kusvika kwevhiki vogara muchipatara uye mamwe mavhiki akawanda kune mwedzi wekudzorera kumba.
Kuvhurwa kwakasununguka kunodiwa munenge 5 muzana yemagetsi.
Matambudziko Anogona Kuvhiya
Kugadzikana kwakajairika kwe chirwere cheguruvladder kukuvadzwa kune bile ducts. Munhu akakuvara anowanzo bile duct anogona kukonzera uye anokonzera utachiona hunorwadza uye hunogona kuva hutachiona. Kukuvara kwakakomba dzimwe nguva kunogona kurapwa pasina. Kukuvadzwa kukuru, zvisinei, kune zvakanyanya kukura uye zvinoda kuvhiyiwazve.
Kana zvirwere zviri muhutori yako, chirwere ichi chinogona kushandisa endoscopic retrograde cholangiopancreatography (ERCP) kuvabvisa kare kana panguva yekuvhiyiwa kweguru . Kamwe apo endoscope iri mudumbu rako duku, chiremba anovhiya anotsvaga bhata rakagadzirirwa neB bile.
Chimbo chekupedzisira chinoshandiswa kutema duct, uye ibwe rinotorwa muhomwe duku uye rinobviswa ne endoscope.
Pane imwe nguva, munhu ane chironga cholecystectomy anonzi ane gallstone mu bile ducts vhiki, mwedzi, kana kunyange makore mushure mekuvhiyiwa. Iyi nhanho mbiri ERCP inowanzobudirira mukubvisa ibwe.
Maitiro uye Zvokurapa
Nzira dzemagetsi dzinoshandiswa mumamiriro ezvinhu chaiwo, akadai apo hutano hwako hunodzivisa kushandisa anesthetic, uye inongoshandiswa chete muhomwe yeklesterol. Matombo anodzokorora mushure mekurapa kwechigadziro kwehafu yenguva.
Izvi zvinosanganisira:
- Nyaya yekurapa inorapwa: Zvinodhaka zvakaitwa kubva bile acid zvinoshandiswa kuparadza mabwe. Mishonga-Actigall (ursodiol), somuenzaniso-shanda zvakanakisisa pamatombo maduku echolesterol asina kukwana nhamba. Zvinogona kutora mwedzi kana makore ekurapa musati matombo ose apera, kana vachiita zvachose. Zvese zvinodhaka zvinokonzera kubuda kwemahara, uye chenodiol inogona kuwedzera kwenguva yeropa yeklesterol uye chiropa chechiropa chinonzi transaminase.
- Extracorporeal shockwave lithotripsy (ESWL): Kurapa uku kunoshandisa kushamiswa kwemazai kuputsa matombo kuita zviduku zviduku zvinogona kudarika bicy ducts pasina kukonzera kubvisa. Kurwiswa kwebiliary colic (kurwadziwa kwakanyanya) kwakajairika mushure mokurapa, uye kushandiswa kweSept kubudirira hakusi kwakanyanya. Kuramba mabwe dzimwe nguva kunopedzwa nemishonga. Iko kurapwa hakuwanzoshandiswa.
- Endoscopic retrograde cholangiopancreatography (ERCP): Sezvakataurwa pamusoro apa, dzimwe nguva vanachiremba vanoshandisa ERCP, kusanganiswa kwekupedzisira uye X-rays, kubvisa matombo kubva mubatanidzwa wevanhu wakawanda.
- Percutaneous cholecystostomy: Izvi zvinosanganisa kuisa catheter muchirwere chako kuti usununguke, kune dzimwe nguva kusvikira uchikwanisa kuvhiyiwa kana kumwe kurapwa. Mamwe matombo anogona kubviswa kuburikidza ne catheter mushure memavhiki mashomanana nekuita iyo yataire yakakura zvakakwana kubvumira kubviswa, asi iyo nzira haishandisirwi kakawanda.
Alternative Medicine
Kunyangwe tsvakurudzo pamusoro pemashandisirwo emishonga yakasiyana-siyana mukurapa kana kudzivirira maitiro emakungwa ishoma, zvinotevera zvingasarudzwa zvingabatsira kudzivirira kusagadzirisa matombo emhepo zvakare:
Fiber
Kutsvakurudza kunoratidza kuti kutevera kudya kunowanikwa mune fiber kunogona kubatsira kuchengetedza cholesterol muBive mumvura yakadzika, kudzivirira gorosi rakagadzirwa. Nokuwedzera kushandiswa kwako kwezvinhu zvose zvisingasviki uye zvisingasviki fiber, izvo zvinoderedza kushandiswa kwe deoxycholic acid kuburikidza nekugadzirisa kuchinja kwakanaka mumutatu wezvinhu zvinodzora kusuruvara kweklesterol in bile, iwe unogona kuderedza dambudziko rako rekuwedzera maronda.
Simba rakasvibiswa rinobudirira rinosanganisira guar gum uye pectin, pamwe nemamwe marudzi e fiber, kusanganisira bran oat, gorosi yegorosi, uye soy fiber. Zvibereko nemiriwo zvinowanikwa; kubatsirwa kwehutachiona kunoonekwa mumatambudziko mashoma emakonduru ari mune zvinomera. Zvimwe zvinotakura zvinyorwa zvinosanganisira zviyo zvose, mbeu, psyllium , uye flaxseeds.
Vitamin C
Mune chidzidzo chevanhu vakuru vanosvika 2129, vatsvakurudzi vakawana kuti kupararira kwemazana emakonduru kunobatanidza nekugara uchitora vitamini C kuwedzera. Izvozvo zvakati, sangano rose rekutsvakurudza harina kuratidza kuti vitamini inoshanda kuti iparadze matombo emagetsi. Vitamini C, iyo inokosha pakushandura cholesterol kune bile acids, inowanikwa mune michero yakawanda nemiriwo (kusanganisira citrus, berries, broccoli, uye kare), uyewo muwedzere fomu .
Milk Thistle
Silibinin, kemukari inowanikwa mumucheka wemucheka wekwenzi, yakawanikwa kuderedza cholesterol mazinga mu bile, iyo inogonawo, kuchengeta zvinyoronyoro kubva pakuumba. Zvisinei, nhoroondo pamusoro peiyi haina kukwana uye izvi hazvisi zviratidza. Uyewo, cherechedza kuti vamwe vanhu vanokonzerwa nemukaka thistle.
Tsvaga Chiremba Wako
Pamusana pekutsvaga kwekutsvakurudza, zvakakurumidza kutaurira chero nzira ipi zvayo yekurapa kwakasiyana-siyana kuporesa kana kudzivirira ndarama. Zvakakoshawo kuziva kuti kuzviraramisa mamiriro ezvinhu uye kudzivisa kana kunonoka kutarisirwa kwese kunogona kuva nemigumisiro yakakomba.
Kana iwe uchifunga kushandisa imwe mushonga, ita nechokwadi chekuona chiremba wako pakutanga, kunyanya nokuti dzimwe nzira dzinogona kupindira nevamwe. Izvozvo zvakati, fiber chinhu chinokosha chekudya, uye kuwedzerwa kwemari kunowanikwa zvakanaka kuvanhu vakawanda.
> Sources:
> Gaby AR. Nutritional Inosvika pakudzivirira nekurapa kweGallstones. Alternative Medicine Review . Svondo 2009; 14 (3): 258-67.
> National Institute of Diabetes and Digestive and Kidney Diseases. Mishonga yeGallstones. National Institutes of Health. Dhipatimendi reUnited Health Health and Human Services. Yakavandudzwa munaNovember 2017.
> Walcher T, Haenle MM, Kron M, et al. Vitamini C Kuwedzerwa Kushandiswa Kwingaita Kudzivirirwa Nezvimwe Zvipfeko: Chidzidzo Chekucherechedza paVanhu Vose Vasarudzwa. BMC Gastroenterolog y. 2009; 9: 74. doi: 10.1186 / 1471-230X-9-74.
> Zakko SF. Nonsurgical Treatment yeGallstones. Kusvika pari zvino. Yakasunungurwa naJanuary 15, 2018.