A duwatsu a cikin bile ducts: Sanadin, Alamun kuma Jiyya

Choledocholithiasis - wani lokaci da cewa tana nufin gaban duwatsu a cikin bile ducts. Matsayin mai mulkin, irin toshewa kafa a cikin gall mafitsara. Ducts - wanda su ne kananan shambura ta hanyar abin da bile gudana daga gallbladder da hanji. Organ wakiltar pyriform mahaluži a karkashin hanta, a cikin sama dama kusurwa na kogon ciki. Yawanci, da duwatsu a cikin mafitsara ko zama free su ratsa da na kowa biliary fili.

Duk da haka, sakamakon ilimin kididdiga nazarin an gano cewa, game da 15% da marasa lafiya da gaban gallstones ne, kuma duwatsu a cikin bile ducts.

cututtuka

Choledocholithiasis - indolent cutar da cewa ba zai iya bayyana kansu a kowane hanya domin watanni har ma shekaru. Duk da haka, a lokuta inda dutse ya makale a cikin bututu, da kuma aka canza kama zuwa wani toshewa, ka fuskanci wadannan alamun:

• ciki zafi sarrafa a cikin sama dama gefe ko a tsakiyar.
• zazzabi.
• jaundice (yellowing na idanu da kuma fata).
• asarar ci.
• tashin zuciya da kuma amai.
• lãka-canza launin stools.

Stone a cikin gall mafitsara bututu zai iya sa duka biyu sababbu, kuma m zafi. A wasu lokuta, da zafi da jũna a kwantar da hankali, cewa ta hanyar wasu tsawon sharply kara. M zafi na iya haifar da gaggawa bukatar neman magani. A mafi tsanani manifestations da cuta sukan gauraye da bayyanar cututtuka na cardiac cuta - kamar ciwon zuciya.

rikitarwa

Stone a bile bututu (gaban bayyanar cututtuka na wanda haƙuri watsi dogon) zai iya haifar da kamuwa da cuta daga cikin biliary fili. Kwayoyin cutar hanzari proliferating a yankin na rauni, za a iya motsa a cikin hanta. A sakamakon irin wannan cututtuka matsayi a tsaye barazana ga rayuwar dan Adam. Bugu da kari a kwayan halaka su iya faruwa da kuma rikitarwa kamar hanta cirrhosis holangiolitichesky ko pancreatitis.

dalilai

Akwai iri biyu na duwatsu: cholesterol kuma pigment.

Cholesterol Ilimi da yellowish launi da kuma sun fi na kowa. Masana kimiyya yi imani da cewa duwatsu da irin wannan a hankali gina up na bile, wanda ya ƙunshi:

• da yawa cholesterol.
• wuce haddi bilirubin.
• kasa bile salts.

Cholesterol adibas bayyana a cikin hali na wani bai cika ko ma rare gallbladder emptying.

Har yanzu ba su sani ba ga abin da dalilin suna kafa pigment duwatsu a cikin bile ducts. Bisa ga lura da likitoci, an same su a cikin marasa lafiya fama da:

• cirrhosis.
• biliary fili cututtuka.
• gaji jini cuta, abu don wuce kima samar da hanta bilirubin.

hadarin dalilai

A hadarin da fari ne mutane tare da wani tarihi na gallstones da sauran pathologies dangantaka da aiki na jiki samar da bile da alaka da tafarkin da. Haka kuma, wadannan marasa lafiya sau da yawa samu duwatsu a cikin bile ducts bayan cire mafitsara. Gallstones ne wani lokacin isa ya sa gagarumin rashin jin daɗi da kuma mai karfi da zafi.

Wadannan dalilai kara hadarin shaida na cholesterol, da kuma gashin raunuka a deducing hanyoyi:

• kiba.
• high-kalori rage cin abinci da matsanancin kitsen da kuma low a fiber jikewa.
• ciki;
• dogon post.
• m nauyi asara.
• rashin jiki aiki.

Wasu daga cikin wadannan dalilai ne mun gwada da sauki kafa, yin dace canje-canje zuwa ga salon.

Yanayi wanda ba za a iya canza sun hada da:

• shekaru: duwatsu sau da yawa samu a cikin tsofaffi.
• Jinsi: Women mafi kusantar su sha wahala daga wannan cuta.
• kabila: Asians, Mexicans da kuma Indiyawan Dajin Amirka choledocholithiasis ne suka kamu da mafi sau da yawa fiye da wakilan sauran kasashe.
• iyali tarihi: kamar yadda wasu masana kimiyya, kwayoyin halaye iya taka muhimmiyar rawa wajen ci gaban na predisposition zuwa choledocholithiasis.

bincikowa da

Tare da ya dace cututtuka likita zai bukata don tabbatar a gaban duwatsu a cikin general biliary fili. Domin bincike dalilai, yi daya daga cikin wadannan Dabarar nazarin:

• transabdominal duban dan tayi - wata hanya a cikin abin da ya shafi high mita sauti tãguwar ruwa, da barin su bincika jihar na hanta, gallbladder, saifa, koda, da kuma pancreas.
• ciki lissafta tomography (X-ray giciye).
• endoscopic duban dan tayi (duban dan tayi haska aka sanya a cikin wani m endoscopic tube da kuma aka kwashe ta bakin cikin narkewa kamar fili).
• endoscopic retrograde cholangiography - wata hanya da cewa ba ka damar ba kawai gano wuri da duwatsu a cikin bile ducts, amma kuma sauran pathological mamaki (marurai, takaita sassan).
• Magnetic rawa cholangiopancreatography - MRI na gallbladder da pancreatic bututu.
• Percutaneous transgepaticheskaya cholangiogram - X-ray na bile bututu.

Likita na iya ma designate daya ko fiye jini gwaje-gwaje don tabbatar da kasancewar ko rashi na kamuwa da cuta da kuma lokaci guda duba kwanciyar hankali na aiki na hanta da kuma pancreas. Wadannan binciken da aka wajabta mafi sau da yawa:

• cikakken jini count.
• bilirubin gwajin.
• Analysis na pancreatic enzymes.
• hanta aiki analysis.

magani

A duwatsu daga bile bututu dole ne a cire ga al'ada ƙasa, kuma bacewar zafi. Domin kawar da toshewa, likitoci na iya bayar da shawarar da daya daga cikin wadannan hanyoyin:

• hakar na duwatsu.
• watse cholesterol da pigment samuwar guntu-guntu (lithotripsy fragmentation).
• tiyata don cire gallbladder da ductal toshewa (cholecystectomy).
• tiyata, wadda ta ƙunshi a cikin dissection na jimlar biliary bututu domin cire duwatsu ko don sauƙaƙe su nassi (sphincterotomy).
• biliary stenting.

hanyoyin

Endoscopic biliary sphincterotomy ya zauna ya fi na kowa magani ga choledocholithiasis. A lokacin wannan hanya, a bile bututu occluded da aka sanya musamman na'urar a cikin wani nau'i na balan-balan ko kwandon. Tare da taimakon kashe fili mai shãmakacẽwa. Wannan hanya ta tabbatar da tasiri a 85% na lokuta.

Idan dutse ba ya fita a kan nasu, kuma likita ake zargi da cewa endoscopic biliary sphincterotomy bai isa ba, za a nada lithotripsy. A wannan hanya, to, duwatsu aka niƙa a kananan guda don sauƙaƙe su kau ko m nassi.

Stone a cikin gall mafitsara bututu iya zama m ga wannan siffar a cikin jiki. A irin haka ne, mafi tasiri magani aka dauke kau na gallbladder. A lokacin tiyata, likita zai yi nazarin da ya kwarara domin tabbatar da al'ada ƙasa.

Idan duwatsu saboda wasu dalilai ba za a iya cire gaba daya ta hanyar tiyata (kazalika idan ka an wahala daga zafi lalacewa ta hanyar gidan ya toshe bututu duwatsu, amma ba ka so ka cire gall mafitsara), likita zai bayar da shawarar biliary stenting. A hanya kunshi a cikin shigarwa na kankanin shambura mikawa nassi game da shi kawar da toshewa da kuma duwatsu a cikin bile bututu. Operation ne m, a yanayi da kuma bayar da tasiri rigakafin lokuta na choledocholithiasis a nan gaba. Bugu da ƙari kuma, stents ne iya kare da kuma cututtuka.

rigakafin

Idan da zarar ka samu zafi dangantawa da choledocholithiasis, m zafi sake - ba sau daya. Ko da kau da gallbladder ba wakiltar mafi kyau jiyya: duwatsu na da bile bututu dole ne a jawabi musamman, in ba haka ba hadarin zama bayyananen hankula bayyanar cututtuka na wani pathological yanayin.

Duk da haka, a lokuta da dama da shi za a iya hana choledocholithiasis. Yana isa ya kawo kananan canje-canje a cikin salon. A hadarin cutar rage matsakaici motsa jiki da haske canje-canje a cikin abinci. Doctors shawara mafi sau da yawa irin na tafiya za a iya yi don tabbatar da cewa rage cin abinci ne da kayan lambu zaruruwa ba a cikin manyan yawa. Cikakken mai ci ne kyawawa don rage.

dogon zangon-forecast

A 2008, da dama sanannun shan magani a Canada da Amurka ta gudanar da wani bincike bisa ga abin da game da 14% da marasa lafiya sake jin bayyanar cututtuka na gaban duwatsu a cikin bile ducts cikin shekara goma sha biyar bayan na farko da bayyanar cututtuka na wani hali zafi da nassi na dace magani. Ya tabbata cewa, da kau da duwatsu daga bile bututu ba ko da yaushe yi tare da isasshen kulawa, kamar yadda akwai dalilin yi imani da cewa maimaita cutar da ake dangantawa da wata karuwa a saura cholesterol tsarin a size.

jama'a magunguna

Alternative magani ba a dauke su da wani sosai tasiri wajen mu'amala da choledocholithiasis, duk da haka, a cewar wasu masana, da sauki jama'a magunguna shirya a gida, iya karfafa yanzu na bile da kuma hana wuce kima samar da jari na cholesterol.

Ka ji zafi da zargin cewa dalilin - wani dutse a bile bututu? Abin da ya yi, idan muka juya zuwa ga likita babu damar? Gwada daya daga wadannan jama'a hanyoyin.

halitta kayayyakin

• Zuba a tablespoon na apple cider vinegar a gilashin apple ruwan 'ya'yan itace da dama. Sha duk lokacin da ka ji zafi a cikin gall mafitsara da kuma ducts. Yana nufin samar da wani analgesic sakamako bayan 5-15 minti.
• Add hudu tablespoons na lemun tsami ruwan 'ya'yan itace a cikin wani gilashi na ruwa. Sha cakuda a kan komai a ciki kowace safiya. A far yana makonni da dama - har sai da cikakken kawar da duwatsu daga cikin jiki.
• Tafasa a kofin ruwa, ƙara teaspoon na murƙushe bushe ganyen ruhun nana, cire daga zafi, murfin kuma barin for minti biyar. Zuriya da kuma ƙara teaspoon na zuma. Sha Mint shayi dumi sau biyu a rana ga 4-6 makonni, shi ne mafi alhẽri a tsakanin abinci.
• Shirya kayan lambu cakuda. Don yin wannan, matsi da ruwan 'ya'yan itace na wani gwoza wani kokwamba da hudu matsakaici-sized karas. Mix da sha sau biyu a rana. Bi wadannan matakai da makonni biyu, za ka lura da yadda sauri da yanayin ya kõmo zuwa al'ada.

ganye

• Wajen wani teaspoon na foda na bushe Dandelion tushen a cikin wani gilashi. Zuba ruwan zafi, murfin kuma bari tsaya ga minti biyar. Iri, ƙara kadan zuma don inganta dandano. Sha shayi sanya daga Dandelion, biyu ko sau uku a rana for 1-2 makonni, ta soke da duwatsu a cikin ducts bayan da kau da gallbladder.
• Magani shayi kuma za a iya sanya wasu amfani shuke-shuke. Add biyu teaspoons na marshmallow tushen da kuma daya teaspoon na Mahonia aquifolium a hudu kofuna na ruwa. Tafasa da cakuda mintina 15, sa'an nan kuma cire daga zafi. Add biyu teaspoons na bushe Dandelion ganye da kuma daya teaspoon na bushe ruhun nana ganye, sa'an nan infuse da shayi na mintina 15. Iri da kuma abin sha a ko'ina cikin yini.

Bugu da kari, da m kore ganyen Dandelion za a iya amfani da kai tsaye a cikin abinci - misali, steamed ko kara to sabo da kayan lambu salads.

Dandelion contraindicated a marasa lafiya bincikar lafiya tare da ciwon sukari.