Nā pōhaku i loko o ka bile ducts: 'ehaʻeha ka, Symptoms a me ka iapaau ana

Choledocholithiasis - he kau e pili ana i ke alo o nā pōhaku i loko o ka bile ducts. E like me ka rula, ua iaʻi i hanaʻia i loko o ke au bladder. Ducts - i nā paipu liʻiliʻi ma i bile kahe mai ka gallbladder a hiki i ka naʻau liʻiliʻi. Hui, ho pyriformʻahahui ma lalo o ke akepaa, i loko o ka luna akau kihi o ka abdominal lua. Nō kāu, i nā pōhaku i loko o ka bladder paha koe noa, e hele ana oukou ma ka mea, he pono ole biliary'āpana.

Aka hoi, i loaʻa ai ka hopena o ke ana helu haʻawina ia ia ma kahi o 15% o nā mea maʻi i ke alo o nā gallstones mea a me nā pōhaku i loko o ka bile ducts.

symptoms

Choledocholithiasis - palaualelo maʻi i ole ka hoike hiki ia lakou iho ma kekahi aoao no ka mahina a me ke ahiahi makahiki. Eia naʻe, ma ka hihia ma ka pohakuʻia apo la ma ka leki uea, a ua lilo iho i loko o ka iaʻi, e 'ike i ka penei na hoailona o ka:

• abdominalʻeha IIeEeAIEUIeXAIIUE i loko o ke keena'ākauʻaoʻao a ma ka waena;
• kuni;
• jaundice (yellowing o ka maka a me ka ili);
• kahe o ka ikaika loa ka makemake;
• nausea a me ka luaʻi;
• pālolo-nā pōpō pā holoi.

Stone i loko o ke au bladder leki uea hiki i nā ole a me ka paakiki eha. I manawa, i kaʻeha mea e e mālie iho, i ma kekahi manawa o ia hoʻonui. Huʻiʻeha ke alakai i ka manaʻo pono, e imi mālama '. pinepine i ka loa loa hoikeana o kāna hana i pioloke me symptoms o cardiac mai - e like me ka naau hoouka.

complications

Stone i loko o ka bile leki uea (i ke alo o symptoms o i ka hoʻomanawanui ignores lōʻihi) ke alakai i ka maʻiʻaʻai ana i ka biliary'āpana. Koʻohune hoʻomaka koke proliferating i loko o ka wahi o ka lesion, ke neʻe i loko o ke akepaʻa. I ka hopena o ia nā mea palahēhē oweliweli i ka pololei hoʻoweliweli 'i kanaka ola. Ma waho aʻeo ia mea koʻohune luku kānāwai a me nā complications e like me ake cirrhosis holangiolitichesky paha pancreatitis.

kumu

Aia he mau ke ano o ka pohaku: naʻokoko a me ka pigment.

Naʻokoko Education i ka yellowish waihoʻoluʻu aʻo ka loa, he pono ole. ʻepekema,ʻo ke kiʻekiʻe o kūkulu i ka bile, a iloko ona i kakauia na pohaku o kēiaʻano.

• nui loa naʻokoko;
• oi bilirubin;
• lawa bile paʻakai.

Naʻokoko hoʻokomo kālā e ala aʻeʻoe i loko o ka hihia o ka kāpili paha ua pohihihi keia gallbladder emptying.

Nō mai i ike i ka mea i hanaʻia, ke pigment pohaku ma ka bile ducts. E like me na loina o ka poe kumu, e loaʻa ka mea, i loko o nā mea maʻi e loaa ana mai:

• cirrhosis;
• biliary'āpana infectious maʻi;
• ili koko kāna hana, e alakai i ka excessive? iecaianoaaiiuo o ke akepaʻa bilirubin.

kamepiula kumumea

Ma kamepiula ma ka wahi mua i kanaka me ka mōʻaukala o nā gallstones a me nā pathologies pili me ka functioning o ke kino hua bile a me ka pili mau alahele. A, i kēia mau nā mea maʻi pinepine i loaʻa nā pōhaku i loko o ka bile ducts ma hope o ka wehe 'ana i ka bladder. Gallstones mea kekahi manawa lawa i ka i nui discomfort, a me ka ikaika nui.

ʻO kēia kumumea hoomahuahua i ka pilikia o ka palapala moʻopane o ka naʻokoko, a pigmented lesions ma deducing aoao:

• obesity;
• kiʻekiʻe-calorieʻai me ka excessive momona a me ka haahaa ma ka puluniu saturation;
• hāpai keiki;
• lōʻihi puka paha;
• kokololio kaumaha poho;
• ka nele o physical haʻawina.

Kekahi o kēia mau kumumea i kŘpa a oluolu e koho, e kūpono loli i kou Aloha Hawaii.

Ana i hiki ole ke hoʻololi loaʻa:

• makahiki: nā pōhaku pinepine i loaʻa i loko o ka poʻeʻelemākule;
• Hoohanau: Women hou paha, e ae aku mai keia maʻi;
• aupuni 'ē aku: Hawaii, Mexicans a me American Indians choledocholithiasis ua diagnosed oi pinepine ma mua o' elele o nā lāhui kanaka;
• ohana mōʻaukala: e like me kekahi mau kānakaʻepekema, aaiaoe ano e pāʻani i ka nui kūlana i loko o ka ulu o ka predisposition i ka choledocholithiasis.

lapaʻau '

Me ke kūpono symptoms ke kauka, e pono e mālama pono ana i loko o ke alo o nā pōhaku i loko o ka mau biliary'āpana. No ka PalekanaEND_LINK manao paa, hana kekahi o ka kēia kiʻi haʻawina:

• transabdominal ultrasound - ka hana i loko o i pili kiʻekiʻe alapine (frequency) nä hawewe kani, hiki e nana i ka moku'āina o ke akepaʻa, gallbladder, spleen, hakuʻala, a me ka pancreas;
• abdominal Me tomography (X-Ray keʻa);
• endoscopic ultrasound (ultrasound mīkiniʻimi ua waiho ia ma ka'ōlewa endoscopic Tube, a ua laweia aku la oia ma ka waha i loko o ka digestive'āpana);
• endoscopic retrograde cholangiography - he hana ia e leie aku oe, e ole wale huli i nā pōhaku i loko o ka bile ducts, akā, i nā pathologicalʻike manaʻo (hikoko, hou na pauku);
• ʻume mākenēki resonance cholangiopancreatography - MRI o ka gallbladder a me ka pancreatic leki uea;
• Percutaneous transgepaticheskaya cholangiogram - X-Ray o ka bile leki uea.

Ke kauka e hoi i hoʻokohu 'ia hoʻokahi a oi ke koko e ho'āʻo ai e hōʻoia i ka alo a kaawale o ka maʻiʻaʻai a me ka poʻe e kaha i ke kumupaʻa o functioning o ke akepaʻa a me ka pancreas. ʻO kēia anamanaʻo Ua kuhikuhi loa pinepine:

• piha koko helu;
• bilirubin hōʻike;
• Ka Ikepili o pancreatic nā'ūhū;
• akepaʻa kuleana pili i Ka Ikepili.

lapaʻau

I ka pohaku, mai ka bile leki uea pono e wehe 'ia no ka maʻamau'āina, a me ka nalowale o ka eha. I mea e hoʻopau iaʻi, kauka e waiho aku i kekahi o na kēia mau kaʻina hana:

• pōʻalo o nā pōhaku;
• wawahi ae naʻokoko a me ka pigment ho okumu i ke koena (lithotripsy fragmentation);
• ʻoki kino, e wehe i ka gallbladder a me ka ductal iaʻi (cholecystectomy);
• ʻoki kino, a he loko o ka dissection o ka huina biliary leki uea no ka wehe pohaku paha, e kōkua kā lākou e hooholo ia (sphincterotomy);
• biliary stenting.

kaʻina hana

Endoscopic biliary sphincterotomy koe o ka loa e like me ka iapaau ana no ka choledocholithiasis. I loko o kēia kaʻina hana, he bile leki uea occluded Ua kau i ka kūikawā manaʻo i loko o ka palapala o ka hoʻonui 'ole hīnaʻi. A me kona kōkua hoʻopau'āpana iaʻi. Kēia papa hana ua maopopo mana i loko o 85% o ka hihia.

Inā o ka pohaku, aole ia i hele mai ma luna o lākou iho, a me ka kauka hāʻupu i endoscopic biliary sphincterotomy mea,ʻaʻole lawa ka, e hoonohoia lithotripsy. Ma keia hana, ua weluwelu nā pōhaku i loko o a liilii, e kōkua kā lākou pōpilikia 'ana i' ole kuokoa e hooholo ia.

Stone i loko o ke au bladder leki uea paha e pili ana i ka ia ano i loko o ke kino. Ma ia mau hihia, o ka loa ka hoʻokō lapaʻau ua noʻonoʻo pono ana o ka gallbladder. Maʻoki kino, i ke kauka, e nānā i ka pele, e hamama ai kona maʻamau'āina.

Inā ka pohaku no kekahi kumu,ʻaʻole hiki ke wehe loa eʻoki kino (e like me, ināʻoe i ua loaa mai ka eha, kena ae la ia e puka liiiU leki uea pohaku, akā, e i makemake e wehe i ka laau make bladder), ke kauka e waiho aku biliary stenting. Ke kaʻina hana ninoieo i loko o ka mea hoʻonoho o ka moku paipu hiki e hooholo ia, a ma ia hoʻopau iaʻi a me nā pōhaku i loko o ka bile leki uea. Ana mea akahai ma ke ano maoli, a ua hoakaka pono ka Kāohiʻana o nā hihia o choledocholithiasis i loko o ka wā e hiki mai. Eia kekahi, stents i hiki hoi ke hoʻomalu a me infectious maʻi.

Kāohi

Inā koke oe i naʻau hou i ka eha pili me ka choledocholithiasis, paha eha - i kekahi manawa. O ka wehe 'ana o ka gallbladder , aole ia i ho i ka mea maikaʻi lapaau: nā pōhaku o ka bile leki uea pono e kakau manaʻoi, ai ole i ke kamepiula, e noho hoike ana typical symptoms o ka pathological kulana.

Eia naʻe, ma na hihia a pau e hiki ke hooki choledocholithiasis. ʻO lawa e lawe mai loli liʻiliʻi i loko o kou Aloha Hawaii. Ka pilikia o ka maʻi me ka nui loa ho'ēmi i lōpū hoounauna a me ka malamalama loli i loko o kaʻai. Kauka kūkā hou pinepine e like me ka holoholo hiki ke hana ia e hōʻoia i kouʻai mea nō hoʻi olona, i hiki mai i ka nui mea. Paʻa kūhohonu loa momonaʻai ana mea kupono e ho'ēmi i.

lōʻihi-huahelu kēla

I ka 2008, mau pono-ike 'inikua nā keʻena lāʻau lapaʻau ma Canada a me kaʻAmelika Hui Pūʻia lawelawe' ia i kekahi ao e like me a ma kahi o 14% o nā mea maʻi hou-haha aku i ka symptoms o ke alo aku o nā pōhaku i loko o ka bile ducts loko o umikumamalima makahiki ma hope o ka symptoms mua o ka typicalʻeha a me ka hooholo ana i kūpono lapaau. Ua akaka no i ka wehe 'ana o na pohaku, mai ka bile leki uea ua ole mau hana me ka lawa malama, e like me he mea kumu e manaoio i recurrent maʻi ua pili me ka hoomahuahua i koena naʻokoko me ka ho okumu i ka nui.

hoolaʻi Kids

Kekahi papa hana lapaau ua i manaoia ia e ka lahui pono ka mea o Hana me ka choledocholithiasis, nae, e like me kekahi poe akamai, i ka poe noonoo ole poʻe lapaau makaukau ma ka home, hiki e hooikaika i ka pono o ka bile, a nuiʻole ka iecaianoaaiiuo a me ka hoʻomāhuahua o ka naʻokoko.

E pau ka eha, a me ka manao ana o ka mea - i ka pōhaku i loko o ka bile leki uea? He aha e hana, ina mākou huli i ke kauka, aohe he manawa? E ho'āʻo i kekahi o kēia mau kānaka ki ina hana like.

maoli huahana

• Ninini iho i ka tablespoon o ka ohia cider vīnega i loko o ke aniani o ka ohia wai a me ka pioloke. Inu i na manawa e manao i ka eha i loko o ke au bladder a me ducts. O ia hoʻi, ka hoʻolako 'ka analgesic kanawai ma hope 5-15 minuke.
• Add eha tablespoons o ka wai lemi i loko o ke aniani o ka wai. Inu i ka läÿau, ma luna o ka nele'ōpū kela kakahiaka. Ke Inc mau mau hebedoma - a hiki i ka piha hoʻopau o ka pohaku, mai ka kino.
• Hoʻolapalapa i kekahi kiaha o ka wai, hui aku i ka teaspoon o pepe iho la ka maloʻo ka lau o ka peppermint, wehe mai ka wela, uhi a me ka haʻalele i elima mau minuke. Ke kanana nei, a hui aku i ka teaspoon o ka meli. E inu ka mineta kī mehana palua i ka lā no ka 4-6 pule, ia mea maikaʻi ma waena oʻai.
• A hoʻomākaukau nō hoʻi ukuhiia. E hana i kēia, kaomi i ka wai o ka beet ka kaʻukama a me ka eha meakino-pepa paia carrots. Hui pu a inu palua i ka lā. E hahai mauʻanuʻu no elua pule, a oe e nana ole pehea koke kou kulana hoi i ka maʻamau.

lau nahele

• E kau i ka teaspoon o ka lepo o ka maloʻo dandelion kumu i loko o ke aniani. E ninini i ka wai wela, uhi, a e kū no elima minuke. Ke kanana nei, hui aku i ka meliʻuʻuku wale nō e hoʻoikaika 'i kaʻaiʻana. Inu i kī i mai dandelion, elua a ekolu manawa i ka lā no ka 1-2 pule, e hoike mai i ka pohaku ma ka ducts ma hope o ka wehe 'ana o ka gallbladder.
• Lāʻau lapaʻau kī pū hiki ke i mai o nā mea pono keia mau mea kanu. Add mau teaspoons o marshmallow kumu, a me kekahi teaspoon o Mahonia aquifolium i kaʻEhā nō ipu o ka wai. Hoʻolapalapa i ka läÿau, no 15 minuke, a laila, wehe mai ka wela. Add mau teaspoons o maloʻo dandelion lau a me kekahi teaspoon o maloʻo peppermint lau, alaila, hookomo ua i ke kī no 15 mau minuke. Ke kanana nei a me ka mea inu ma ka lā.

Eia hou, i ka mea uliuli lau o ka dandelion hiki ke hoʻohana 'ana i meaʻai - no ka laʻana, mahu paha i hoʻohuiʻia i hou nō hoʻi salads.

Dandelion contraindicated i loko o nā mea maʻi diagnosed me mimikō.