Ukufumanisa i-gallstones ayisoloko isichaza ukusebenza. Kwezinye iimeko, zanele ukuqhuba unyango olufanelekileyo lweziyobisi. Uhlobo lwenyango olukhethwe yi-gastroenterologist kunye nodokotela ohlinzayo, ngokusekelwe kwimiba yamatye efumaneka kwisigulane nalapho ihlala khona.
Ukunyangwa kweziyobisi zamathambo
Ukuba umntu unamatye ye-cholesterol kwi-gallbladder, unyango lunokudityaniswa kuphela. Yenzelwa ngoncedo lweziyobisi ursodeoxycholic okanye i-chenodeoxycholic acid. Amayeza anjalo afaka amaphilisi:
- Ursofalk ;
- Henosan;
- Ursosan;
- Genohol;
- Henofalk.
Ngoncedo lwabo, unokubuyisela ubungakanani obuqhelekileyo be-bile acids kunye ne-cholesterol. Kule meko, i-cholesterol eyongeziweyo iguqulwa ibe yifom ehambileyo, iyancipha, kwaye ngamanye amaxesha imisa ngokupheleleyo inkqubo yokubunjwa kwamatye. Ngexesha lonyango olunjalo neziyobisi, kufuneka ungabandakanyi ukusetyenziswa kwezidakamizwa ezahlukahlukeneyo ezikhuthaza ukubunjwa kwamatye (umzekelo, i-estrogens ezenza izicwangciso zokukhusela ezahlukeneyo).
Ukunyangwa kweziyobisi zamatye e-cholesteric kwi-gallbladder kunokwenziwa kuphela xa amatye engagcwalanga ngaphezu kwesigamu segungu, kwaye i-bile ducts ine-permmeability. Inkqubo yonyango olunjalo ihlala kwiinyanga ezingama-24, kwaye ukusebenza kwayo kuhlolwa ngethuba eli-2 ngonyaka nge ultrasound.
Ukuphathwa ngamatye kwi gallbladder nge ultrasound okanye laser
Ukuba ububanzi bamatye e-gall bladder abugqithanga u-3 cm, unyango lunokwenziwa ngelasi okanye i-ultrasound. Biza unjalo unyango oluqhekeza kude - i-cholesterol, i-calcareous, i-pigmentary okanye i-concretions edibeneyo iyachithwa zibe ziincinci ezincinci (ubukhulu obuphakathi kwe-1-2 mm). Ziye zanyulwa zivela emzimbeni kunye namafesi. Le nqubo iboniswa kuphela kwizigulane ezinokwaneleyo ezinkontileka ze-gallbladder. Unokukuthwala ukuba inani leendwangu zingaphandle kweengcambu ezintathu.
Ukunyanga amatye kwi-gallbladder nge-ultrasound okanye i-laser yinkqubo engenakubuhlungu. Ukunyamezela kakuhle izigulane zeminyaka eyahlukeneyo kwaye unokwenziwa nakwizigulane. Njengomthetho, ubude bayo bunemizuzu engama-30-60.
Ukususwa kwamatye
Ukuba amatye awona mkhulu okanye unyango lwama-gallstones alusebenzi, kwenziwa umsebenzi - i-cholecystectomy evulekile okanye i-laparoscopic cholecystectomy. Ngethuba lokuvula i-cholecystectomy, i-cut cut of stomace is made, ugqirha uqhuba uviwo, uyasusa i-gallbladder, imvula (xa kuyimfuneko) kunye ne-sutures isilonda. Ukuba iimfudu (iiplastiki zamatye) zifakwe kwi-outflow yegazi, inxeba ye-exudate kunye ne-biological fluids, emva kweentsuku ezimbalwa, kufuneka zisuswe. Oku kwenziwa kwakhona ngugqirha.
I-laparoscopic cholecystectomy yintsebenzo yokususa i-gallbladder , eyenziwa ngoncedo lwezixhobo ze-endoscopic kunye ne-laparoscopes (i-tube ekhethekileyo kunye nenkqubo ye-lens, ikhamera yevidiyo kunye nekhebula elibonakalayo elixhotywe ngethambo le-xenon okanye enye imithombo yokukhanya "ebandayo"). Le ndlela inamathuba amaninzi ngaphezu kobuqhelo obuqhelekileyo. Kubuhlungu kakhulu, njengoko kungenziwa
Ukunyangwa kwamatye amakhulu okanye amaninzi kwi-gallbladder yindlela yokwenza i-laparoscopic cholecystectomy iphikisana kuphela xa:
- ukukhulelwa (3rd trimester);
- izifo ezinzima ze-cardiopulmonary;
- imeko engacacanga.