Mwala wamakono umawoneka ngati mulibe vuto lokhala ndi bile, zomwe zimapangitsa miyala yolimba yomwe imapangidwa ndi cholesterol, pigment, kapena osakaniza. Miyala imatha kukula kukula kuchokera kuzing'ono monga mchenga waukulu mpaka mpira wa golf. Mutha kukhala ndi gallstone imodzi yaikulu, masauzande ambirimbiri, kapena kuphatikiza miyala ikuluikulu ndi yaing'ono.
Zingwe zamtunduwu zimakhala zachilendo, zimakhudza anthu pafupifupi 25 miliyoni ku United States.
Pali mitundu iwiri ya malonda:
- Mafuta a Cholesterol : miyala ya cholesterol imachokera ku bile yomwe imapangidwa ndi cholesterol wochuluka kapena bilirubin osati ma salt bile. Mwala wa cholesterol ukhoza kukhazikanso pamene ndulu imalephera kutaya mkati mwa njira yodetsa chakudya. Mitundu imeneyi imakhala yamtundu wobiriwira kwambiri.
- Mwala wa nkhumba : Anthu amene amapanga miyala ya pigment ndi anthu omwe ali ndi matenda a chiwindi, matenda a biliary, ndi matenda a magazi, kuphatikizapo maselo a mitsempha . Izi ndi zonse zomwe zimayambitsa bilirubin kwambiri, zomwe ndi miyala. Miyala ya nkhumba imakhala yofiira kapena yakuda.
Zizindikiro
Zizindikiro sizilipo nthawi zonse, kotero aliyense akhoza kukhala ndi gallstones ndipo sakudziwa izo. Ndipotu, anthu ambiri okhala ndi gallstones alibe zizindikiro .
Komabe, pamene mitsempha imalowa mkati ndikusungira madontho a pakompyuta yanu, kupweteka kodzidzimutsa kumamveka kumtunda kapena kumtunda kwa mimba. Ululu umene ukhoza kuchitika ndi kutsekedwa uku ndimene nthawi zambiri zimatchedwa biliary colic, kapena nkhanza. Kupweteka kumeneko, komwe kawirikawiri kumakhala koopsa, kukhoza kukhala mphindi zingapo mpaka maola angapo.
Zimayambitsa
Tsamba la biliary ndi njira pakati pa chiwindi ndi kapangidwe ku gawo loyamba la matumbo aang'ono. Nkhumba, mbali ya kapepala kameneka, ndi kachigawo kakang'ono kooneka ngati peyala kamene kali pansi pa chiwindi chanu kumtunda kwa mbali ya thupi lanu pakati pa chifuwa ndi m'chiuno. Zimakhala ngati nyumba yosungiramo bile , yomwe imatulutsa chiwindi chanu kuti thupi lanu lidye mafuta.
Mitsempha imathandiza thupi lanu kukumba mafuta ndi mavitamini osungunuka. Mutatha kudya mafuta, malonda anu a ndulu, mukukankhira mankhwala osungiramo mankhwala m'kati mwake, yomwe imabweretsa madzi m'mimba mwanu kuti amuthandize kuchepa.
The bile yosungidwa mu ndulu muli madzi, salt salts, kolesterolini, mafuta, mapuloteni, ndi bilirubin . Mafuta amchere amathyola mafuta omwe amadya zakudya zomwe timadya. Bilirubin imapangitsa bile kukhala mtundu wobiriwira komanso maonekedwe awo a bulauni.
Magalasi angapangidwe mu ndulu pamene bile imakhala yofanana ndi miyala, yomwe ikhoza kuchitika ngati muli ndi salt salt, cholesterol, kapena bilirubin mmenemo.
Pali zifukwa zosiyanasiyana zomwe zingatheke kuti izi zichitike. Kunenepa kwambiri ndi zakudya zomwe zimakhala ndizakudya zosafunika monga mkate wonyezimira ndi pasita-ndi mafuta, komanso zakudya zochepa kwambiri komanso kulemera kochepa, zakhala zikugwirizanitsidwa ndi gallstones.
Kuonjezera apo, kuthekera kwa kukula kwa mitsempha kumakula ndi ukalamba, ndipo amayi amakhala ndi gallstones kusiyana ndi amuna, chifukwa cha zinthu zamadzimadzi.
Kudziwa
Pali mayesero angapo omwe dokotala angakhoze kuchita kuti azindikire zitsulo zam'mimba . Mwazi ukhoza kuchitidwa kuti ufufuze kachilombo ka HIV kapena kutupa, ngakhale kuti sikununkha. Mayesero ojambula amagwiritsidwa ntchito pa cholinga chimenecho, ndi ultrasound amaonedwa ngati mayeso osankha; Kujambula kwa maginito (MRI) kapena makina a kompyuta (CT) angayambitsenso.
Chithandizo
Chithandizo cha zilonda zamtunduwu chimangotchulidwa ngati muli ndi zizindikiro. Ngati alipo - makamaka ngati pali ululu waukulu-kuchotsa opaleshoni ya ndulu (laparoscopic cholecystectomy) ndi njira yowonjezera.
Nthaŵi zina, njira zopanda ntchito zingagwiritsidwe ntchito, koma zimangoganiziridwa pamene opaleshoniyo sali kulangizidwa. Njira zowonjezereka monga mankhwala opatsirana pakamwa ndi zina zotchedwa shockwave lithotripsy (EWSL), pakati pa zina, zingaganizidwe, koma zimangoyenera kuthana ndi miyala ya kolesterol.
Mawu Ochokera
Ngati mukuganiza kuti muli ndi gallstones kapena kuti mwapezeka kuti muli ndi vutoli, kumbukirani kuti opaleshoni yamakono ndi imodzi mwa opaleshoni yodziwika kwambiri kwa akuluakulu. Onetsetsani kuti muyankhule ndi dokotala wanu za nkhawa iliyonse kapena mafunso omwe muli nawo.
> Zotsatira:
> Lee JY, Keane MG, Pereira S. Kuzindikira ndi Chithandizo cha Matenda a Gallstone. Dokotala . June 2015; 259 (1783): 15-9, 2.
> Chipatala cha Mayo Clinic. Miyala. Chipatala cha Mayo. Idasinthidwa November 17, 2017.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Miyala. National Institutes of Health. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Kusinthidwa November 2017.