Ko te mahi ki te tango gallstones. Te faaineineraa no te pokanga fili

inaianei mate Gallstone kua meinga tetahi o nga ari tino noa i roto i māuiuitanga puku, me te pokanga ki te tango gallstones - he tikanga o te otinga taketake ki te raruraru.

mate Gallstone - he aha te mea te reira?

e pā ana tēnei mate e ki te hanganga i roto i te aerodynamics ate me nga kohatu au tōngāmimi (calculi). Kei te whakawhanakehia te reira mo nga take e whai ake nei:

• stagnation huringa ranei i te hanganga o te ate;
• ngā tukanga inflammatory;
• takahi bilification (dyskinesia).

I roto i te hanganga, i reira e toru nga momo o te kohatu. Ko te noa tino (80-90% o te wā) i reira he kohatu cholesterol. whai wāhi ratou hanganga ki te ihirangi cholesterol i te taikaha i roto i te ate. A, no te puta tenei te hanganga o tioata e tika ana ki te waipara o cholesterol i roto i te hohenga i te taikaha. Ki te pakaru te motility o te tōngāmimi au te, na e kore e whakaatuhia ēnei ngā i roto i te rohe intestinal, a noho i roto i taua mea, ka timata ki te tupu.

E hanga e kohatu ngarahu tika ki nui haere mimiti haere o ngā pūtau toto - pūtau toto whero. Nuinga o ngā wā e taea te kitea i te reira i roto i te anemia hemolytic. He hoki mātauranga whakauru. Ko ratou he huinga o ngā puka e rua. Kei te tito te reira o te cholesterol, bilirubin me te konupūmā.

Ahakoa he tika mahi

Tangata katoa i nei kua pāngia ki gallstones, maoro, haukotia ki te pātai o mehemea ki te wawaotanga operative ka ranea ki te maimoatanga momo kia ranei. Ko reira utu te whakahua e kore e whenua ki te tango i te gallbladder nga kohatu ratou. Ki te kore ratou e whakaatu ia ratou, a kahore e pā te mahi noa o te tahi atu mau tino, e kore e taea e te mahi whakaaro. Heoi, ki te reira i mamae i roto i te gallbladder, he takahi o te huru whānui, yellowness, te hiahia akiaki ki te kōrero i te taote. Ko ia te tangata e, i muri i te rangahau, ka whakatau mehemea he tika wawaotanga mahi me he aha i reira. Engari kia mōhio e cholecystitis gallbladder tikanga tīmata kē te tukanga inflammatory. Ki te nui ki te faataime i te whakatau, te tūponotanga ki tino whakahokia hauora i muri i te pokanga tino iti. Ahakoa, ki te reira ko te whawhai kotahi, ki gallstones pai tango.

Tuhinga mō te pokanga

A, no te whakatau i runga i te hiahia mō te pokanga, tohunga te tikanga whakaaro i te āhuatanga e whai ake nei:

• aroaro o kohatu (calculi) o rerekē te rahi o, noho i te toru o te tōngāmimi au;
• ki te ko te mate he whakaeke auau o te mamae i roto i te gallbladder (colic biliary), kawea te mahi i roto i ahakoa o te nui o concrements;
• Ki te whakaritea nga kohatu i roto i te tōngāmimi au me i te aerodynamics;
• i te whakaiti i te kaha o te gallbladder ki kirimana tona momotunga oti ranei;
• te whanaketanga o te pancreatitis biliary;
• i naianei o te taiepa gallbladder;
• ki occlusion o te tau mahani ate noa.

He aratohu ao mō te whakatau i te hiahia mō te pokanga i roto i cholelithiasis. Komititanga ake nga ngā e kua whakaritea ki te ngā tohu tātaritanga, ka whakatau i te tākuta mehemea e hiahiatia ana pokanga te, me te tohu whanaunga, me te tino hoki reira.

momo o ngā mahi

Tikanga, te tukanga o te hanganga o gallstones - e kore ko reira nohopuku. O te akoranga, ki te he i waimarie koe, a ka tango ia koutou waka tūroro ki te hōhipera hāparapara ki te whakaeke whakapeka, i pāngia rite cholecystitis, gallbladder, he iti te pai rawa i a koe. te nuinga o te iwi nei i katoa e mohio ana e pā ana ki te raruraru i roto i mua ki tō tākuta te whiriwhiri i nga kōrero Otiia, whakatau i te rā o te pokanga whakaritea.

I roto i te rongoā hou, i reira e rua ngā tikanga o te tango i te gallbladder (cholecystectomy)

• cholecystectomy tuwhera - te tikanga tuku iho o te whakarato mō te whakatuwheratanga i te kōhao puku;
• cholecystectomy laparoscopic - he tikanga hou meinga e te tenei ra.

tuwhera cholecystectomy

Tenei mahi ki te tango gallstones ko te pokanga matarohia. I muri i hanga he wāhanga me te kātahi o te puku te tirohanga o te kōhao puku, me te tango au tōngāmimi, ki te tika, pana wai (korere tāutanga, i roto i te tikanga ki te whakarite i te matamua o te exudate hua me ētahi atu fluids tinana).

Ahakoa te putanga o te tikanga hou, me te nui-tech, e hāngai ana tonu tuwhera cholecystectomy. Ka taea te faataa i tēnei i te meka e kore te tahi mau haumanu e whai i te tohu taputapu ranei tohunga e tika ana ki te kawe i roto i ngā tukanga laparoscopic. I tua atu ki enei, i reira e etahi contraindications.

gallbladder Laparoscopy

Ko ahua tetahi o pokanga i roto i te mate gallstone tenei. Ki te rā, kei te hoko atu noa tenei tikanga no te mea o tona tōtika, iti-pānga, whakaiti o ngā ora. whakamana ana te mahi kei te whakamahi i te laparoscope - he taputapu motuhake, e taea te uru ki te okana tūkinotia mā maha punctures te taiepa puku i roto i nei e whakaurua nga haavare, me, mau, he laparoscope. Mā tēnei aratuka ki a koutou e kore anake tango e kore te te gallbladder mahue nga tohu, engari i roto i ētahi wā tango anake kohatu, mahue te tinana i roto i te wahi. Kei te whakamahia tētahi tikanga rite mō te maimoatanga o te mate gallstone kore anake, engari ano hoki mo te tango o whēkau, te maimoatanga o te hernias inguinal, etahi mate gynecological, me ngā mahi tātaritanga. Ahakoa nga painga mārama o cholecystectomy laparoscopic, kua ona contraindications tenei tikanga. Ko ētahi o ēnei:

• whēwhē, kei roto i te rohe o te mahi;
• te toru marama whakamutunga o te haputanga;
• nui mate manawa.

Hoki, kia mau i roto i te ngakau e i roto i pokanga laparoscopic i take o te fifi iti i roto i ona nāianei, haere, tākuta ki te whakatuwhera i cholecystectomy. Ko te kupu mutu e pā ana ki 5% pokanga laparoscopic.

Takanga hoki pokanga

Ka rite ki ki tetahi pokanga, kia pokanga tango kohatu i roto i titau i te gallbladder etahi whakangungu. Haunga te rangahau paerewa, tae atu i te tätari tuku (CBC me urinalysis, toto mataora, coagulation - tūhuratanga o upoo- toto, whakamātautau ate mahi), he mea e tika ana ki te hanga ultrasonography puku, electrocardiography, pouaka X-hihi, kia rite ki tohu FGS me colonoscopy, me whiwhi pūrongo o te mahi. Ano, te faaineineraa no te pokanga fili ngā taero whakakorenga e pā coagulability o toto. Ko ētahi o ēnei he momo o anticoagulants, huaora E, kore-steroidal taero anti-inflammatory. He ra torutoru i mua i te mahi titau tokanga makehe ki kai i roto i cholelithiasis. E kore e te tahua i roto i kai taimaha, me te tīmata i te waenganui po o te ra, ka whakahaere te mahi te, ko reira e tika ana ki te tutakina kai me te inu. I runga i te eve o te ra hokohoko mo te horoi i te whēkau te ata me te ahiahi hanga whakamakanga enemas tango taero motuhake ranei. I roto i te ata tango i te ua ki te hopi antibacterial.

Ko te wā postoperative

I teie mahana, ko reira uaua ki te ohorere te tangata cholecystectomy. Tenei mahi ki te tango gallstones kua roa hoatu "i runga i awa", me he e pā ana ki rite noa hei appendectomy. wha haora i muri i te otinga o te mahi, i roto i te mea e kore e taea ki te inu me te kia tukua kaupapa koi te ki te tahuri i roto i te moenga i kē te manawanui. ka taea e koe te timata ki te inu i te wai, kahore hau i roto i wahi iti (1-2 pharynx, engari e kore e neke atu i te 500 ml). I muri i te ono haora i muri i te pokanga laparoscopic taea te manawanui tiki ake. Mahi pai, ki te mea i reira he tangata i te kaimahi hauora whanaunga ranei, mai i muri i te tinana mo te wa roa i noho i roto i te tūnga whakapae, me te i roto i te āhua o te rehunga, ina ngana koe ki te tiki ake i reira kia kia whanoke me te pouri. Ko te ra nui atu i muri i muri i te mahi e taea e te manawanui neke noa i roto i te fare ma'i.

I muri i te pokanga, he hira i roto i cholelithiasis te kai. Tahua o te ra e ngā te kai wai - pāreti i runga i te wai, hupa kai, hua miraka. I tua atu i roto i te kai e taea ngā mīti kohuatia, uma heihei, apples tunua panana ranei. Me mahara te reira e i roto i te wiki tuatahi i muri i rāhuitia te mahi te waipiro, tea kaha ranei kawhe, te huka, parai me ngā kai fatty.

therapy litholytic

Ki te kore te mea taea wawaotanga hāparapara tika ki kino mate somatic ranei disorders o upoo- toto, me te te kore o te manawanui i te pokanga, puritia therapy litholytic. Tenei tikanga, i whakamahia formulations kei waikawa ate, tikanga ki te tareka ia te kohatu i hanga. Mai te mea te reira e tika ana ki te whakaaro kia rerekē te roanga o te maimoatanga i te tau kotahi ki te rua tau, a tae noa ki te mea e taea ki te tareka te gallstones tino, e kore e kī i te reira e kore e puta ano ratou. I tua atu, i roto i te akoranga o te maimoatanga kia ngā pōauautanga o te mate gallstone, tae atu te hunga e rapu utu wawaotanga hāparapara.

Paearu Therapy litholytic

Ko tētahi atu therapy herenga litholytic e etahi whakaritenga mo nga paearu o te mate:

1. titauhia gallstones cholesteric, me ngā āhuatanga e kore rawa 20 mm.
2. Taumahi o te gallbladder ora me kore e kohatu noho neke atu i te hawhe o tona rōrahi.
3. kia mau tonu whēwhē, me te noa tau mahani ate ona patency.
4. Mai te hanganga o kohatu kore ake atu i te rua tau.
5. I roto i te aamu i reira kia akoranga ngāwari o te mate - te mamae ngawari, pāngia wā o colic.

kawea maimoatanga i roto i raro i ultrasound katoa 3-6 marama. Ki te i muri i te ono marama i reira he kahore whakapai ake, ka kua kiia reira hua, a kotahi ano whakaarahia te take o te pokanga. Ki te kua therapy litholytic kua angitu, i roto i te tikanga ki te wā kitea te gallstones hou i hanga, kia i te iti rawa kotahi US i roto i te toru marama.