Stone munduru dundira.

Ibwe iri nduru dundira achiumbwa somugumisiro cholelithiasis. Izvi kunoitika nokuda vachivavhiringidza pamusoro remafuta akawandisa uye bilirubin uye somugumisiro, - nokuumbwa deposits vari dundira (cholecystolithiasis) kana iri bile ducts (choledocholithiasis).

The chirwere anozviratidza nokuda kurega kunotanga kubva bile uye kuchinja ayo akafanana, mune anogumbura kwendangariro. Kana supersaturated pamwe remafuta akawandisa, nayo precipitates uye remafuta akawandisa crystals dzinotanga kuumbika. Bilirubin mabwe kuonekwe panguva zvakasimbisa disintegration masero matsvuku eropa. Mixed marudzi vanobatanidza zvose chimiro uye ane bilirubin, calcium, remafuta akawandisa.

Stone ari nduru dundira, zviratidzo izvo kwenguva refu hakuitiki nguva, unogona kuonekwa chete Ultrasound. On zviratidzo hosha kunokanganisa nzvimbo namabwe, ukuru kuzvimba uye kuparadzwa dzimwe zvomudumbu nhengo.

Kana ibwe munduru dundira uye kunoita kunze ducts, pane tichibatwa colic muchimiro pakarepo uye marwadzo kurudyi rokumusoro dumbu. Anorwadza nezvekufadza kazhinji achiperekedzwa kuda kurutsa uye kurutsa, muromo yakaoma. Pazvinotanga kurwadziwa agare kusvikira akawanda maawa. Pain kunosvika pachayo kana pashure kushanda inonyaradza marwadzo omusoro. Kuti asimbise kuongororwa zvakarurama, unofanira pakarepo kutsvaka zano yezvokurapa nezviratidzo chirwere wokutanga.

Stone ari gallbladder inogona nenguva kuona chete pashure kwakakura Diagnostics uye tsvakurudzo murabhoritari. Chokutanga, aite Ultrasound uye maekisirei ari zvomudumbu hurongwa. Mune chiitiko nharo endoscopy uye rinobva resonance cholangiography anogona yakatarwa.

Mushure zvokutsvakurudza zvinokosha kunoona chiremba kusarudza zvakarurama nzira kurapwa.

Treatment cholelithiasis vakatakura kuchinja kana surgically.

Kuchinja nzira zvinosanganisira zvinodhaka kurapwa uye the shockwave holeliotrepsiyu. Rinoshandiswa pakugadzirwa remafuta akawandisa mabwe, rine kukura 15 mm uye pasina kuzvimba ari gallbladder.

Kugadzirira ine ursodeoxycholic acid, achitora pamusoro mwedzi mitanhatu kuti gore rimwe. simba rake zvinodhaka izvi kuiparadza remafuta akawandisa matombo. Zvisinei, nzira iyi yokurapa, mukana kunenge inotungamirwa 50%. kurapwa kwakadaro rinoitwa chete pasi kutarisira kupinda chiremba. Treatment pamwe kugwinha mafungu anobvumira Makakamura makuru zvimedu zvidimbu zvidiki. Zvino zvakafanira kuti kugamuchira kugadzirirwa ursodeoxycholic acid. Re-inotungamirwa chete kunoitika muna 30% nyaya.

Kana akawanikwa matombo omunduru, kuvhiya yaifanira nenzira yakarongwa nenzira. Zvinganaka asati kwaita colic kana chete pashure pacho, kuitira kudzivirira kukura yematambudziko. Pashure pokuvhiyiwa zvakafanira kuchengeta kuomesa pachake kudya kunze zvachose zvokudya fried uye mafuta zvokudya. Kubvisa zvachose kushandisa doro.

chirwere ichi ndiyo ngozi mune matambudziko akasiyana-siyana. In pamberi matombo ari gallbladder chirwere anogona kuitika panguva imwe chete, chinokurwadzai pave rikwanise cholecystitis. Panguva iyo kune kuzvimba ducts uye hombe kuunganidza pus. yematambudziko akadaro kukanganisa utano uye upenyu murwere. Muzviitiko zvose vanoda nokukurumidza muchipatara muchipatara zvomusejari, kuziva chaiyo nzvimbo yorukangarabwe uye zvakare kurapwa. Zvikasadaro pangava migumisiro, upenyu pangozi.