Kodi inunso muli ndi vuto la ndulu? (Matenda a ndulu) Tiyeni tidziwe bwino za izi!

Kodi munayamba mwamvapo kupweteka kwambiri kumtunda kwa mimba yanu, makamaka pansi pa nthiti zanu zakumanja? Kapena mumamva kupweteka m'mimba mwanu kapena kumva nseru mutadya chakudya chonenepa? Izi zitha kukhala zizindikiro za vuto la ndulu yanu. Lero, tiyeni tikambirane za matenda a ndulu.

Kodi Matenda a Gallbladder ndi chiyani?

Mwachidule, matenda a ndulu ndi vuto lililonse lomwe limakhudza thanzi la ndulu yanu. Kodi mukudziwa kuti ndulu ndi chiwalo chaching'ono m'thupi lathu? Chili ngati thumba laling'ono. Ntchito yake yayikulu ndikusunga ndulu ina yomwe imapangidwa ndi chiwindi chathu kenako, titadya, kuthandiza kugaya chakudya chomwe timadya, potumiza nduluyo pang'onopang'ono m'matumbo ang'onoang'ono . Izi zimachitika kudzera munjira ya ndulu yomwe ili ngati mapaipi amadzi.

Tangoganizani, ngati pali matenda kapena kutsekeka kwa ndulu kapena njira za ndulu zomwe zalumikizidwa nayo, zimatha kukhudza ndulu. Chifukwa ndulu imalumikizidwa ndi ziwalo zina zambiri, monga chiwindi ndi kapamba, kudzera mu njira za ndulu izi. Choncho ngati pali matenda mu ndulu, amatha kukhudzanso ziwalo zina.

Kodi matenda akuluakulu omwe amakhudza ndulu ndi ati?

Pali matenda angapo omwe angakhudze ndulu. Tiyeni tiwone zazikulu.

1. Miyala ya ndulu (Miyala ya ndulu / Cholelithiasis)

Imeneyi ndi vuto lofala kwambiri la ndulu. Koma si aliyense amene ali ndi vuto la miyala ya ndulu. Miyala ya ndulu imayamba pamene zinthu zomwe zili mu ndulu, makamaka cholesterol, zimasonkhana mu ndulu ndikupanga ziphuphu zazing'ono. Ziphuphu zimenezi zimatha kukula pang'onopang'ono pakapita nthawi. Anthu ena sangakhale ndi zizindikiro zilizonse ndipo sangadziwe kuti ali ndi miyala ya ndulu. Komabe, mavuto amayamba pamene miyala iyi imatseka kuyenda kwa ndulu mu ndulu kapena m'mitsempha ya ndulu.

Taganizirani ngati mwala womwe ukugwa mu chitoliro cha madzi. Kenako madziwo sadzayenda. Mofananamo, chikhodzodzo chikalephera kusuntha, ululu ndi zizindikiro zina zimayamba kuonekera.

2. Kutupa kwa ndulu (Cholecystitis)

Kutupa kwa ndulu, kapena cholecystitis, ndi chizindikiro china chofala cha matenda a ndulu. Ichi ndi chizindikiro chomwe chingayambitsenso mavuto ena. Cholecystitis imatha kuchitika chifukwa cha matenda a ndulu, miyala ya ndulu, kusagwira bwino ntchito kwa ndulu, kapena, kawirikawiri, khansa. Nthawi zambiri, chifukwa chake ndi miyala ya ndulu yomwe imaletsa kutuluka kwa ndulu.Ngati kutupa kukupitirira kwa nthawi yayitali, zipsera za minofu ya ndulu zimatha kuchitika, zomwe pamapeto pake zimapangitsa kuti minofu ifa (gangrene), ndipo mwina ngakhale kuboola kwa ndulu.

3. Kulephera kugwira ntchito kwa biliary dyskinesia

Izi zimatchedwanso `(Functional gallbladder disorder)`. `(Biliary dyskinesia)` ndi vuto la kuyenda kwa ndulu, kapena kuthekera kokankhira ndulu kunja ndi kulowa mu ducts ya ndulu. Kunena zoona, izi zitha kuchitika chifukwa cha vuto linalake la minofu kapena mitsempha ya ndulu. Izi zikufanana ndi zomwe zimachitika pamene mwala wa ndulu wakodwa. Ndulu siimachoka mu ndulu ndipo imasonkhana, zomwe zimapangitsa ndulu kutupa ndi kutupa pakapita nthawi.

4. Kufa kwa minofu ya ndulu (Gangrene)

Chilonda cha gangrene ndi vuto lalikulu la cholecystitis yosatha. Pamene ndulu ikupitirira kutupa ndi kutupa, minofu pamapeto pake imawonongeka ndikuyamba kufa. Minofu yakufa iyi imakhala ndi mwayi wophulika. Ngati khoma la ndulu litaphulika, matendawa amatha kufalikira ku ziwalo zina za m'mimba, zomwe zimayambitsa matenda oopsa otchedwa peritonitis . Ndicho chifukwa chake sitiyenera kutenga cholecystitis mopepuka.

5. Khansa ya ndulu

Khansa ya ndulu ndi matenda osowa koma oopsa . Zizindikiro za khansa ya ndulu nthawi zambiri sizimawonekera mpaka matendawa atafalikira, choncho madokotala amatenga njira zochizira ngati pali chiopsezo chochepa chotenga khansa ya ndulu. Ma polyp ambiri mu ndulu ndi osavulaza. Komabe, ngati muli ndi polyp yayikulu mu ndulu yanu, dokotala wanu angakulangizeni kuti muchotse kuti mukhale otetezeka.

6. Matenda a ndulu (Cholangiopathy)

`(Cholangiopathy)` amatanthauza matenda aliwonse omwe amapezeka m'mitsempha ya ndulu. Nthawi zambiri amayamba ndi kutupa kwa mitsempha ya ndulu `(Cholangitis).` Choyambitsa chingakhale matenda osakhalitsa, kutsekeka, kapena matenda odziteteza okha monga `(Primary biliary cholangitis).` Ngati kutupa kwa mitsempha ya ndulu kukupitirira kwa nthawi yayitali, mitsempha ya ndulu imatha kukhala ndi zipsera ndi kucheperachepera (Biliary stricture). Kenako ndulu siyenda bwino, ndipo imayamba kubwerera mmwamba mu ndulu ndi chiwindi.

Kodi matenda a ndulu ndi ofala bwanji?

Akuti miyala ya ndulu imakhudza anthu pafupifupi 15% . Komabe, 20% yokha ya anthu omwe ali ndi miyala iyi amakhala ndi mavuto kapena zizindikiro. Matenda ena a ndulu omwe sakhudzana ndi miyala ya ndulu ndi ochepa kwambiri.

Ndani amene ali ndi mwayi waukulu wopeza matenda a ndulu? (Zinthu zomwe zingakubweretsereni chiopsezo)

Ngati muli ndi miyala ya ndulu, muli ndi mwayi waukulu wopeza matenda a ndulu. Tiyeni tiwone zinthu zazikulu zomwe zimayambitsa matendawa:

• Zakudya zokhala ndi cholesterol yambiri:Miyala yambiri ya ndulu imapangidwa kuchokera ku cholesterol yochulukirapo yomwe imasonkhana mu ndulu. Chifukwa chake, anthu omwe amadya zakudya zokhala ndi mafuta ambiri nthawi zambiri amakhala pachiwopsezo chachikulu.
• Kunenepa kwambiri ndi kunenepa kwambiri: Pamene mukulemera, thupi lanu limapanga cholesterol yambiri, makamaka ngati index yanu ya body mass (BMI) ili pamwamba pa 30.
• Zaka zoposa 60: Chiwopsezo chokhala ndi miyala ya ndulu chimawonjezeka ndi ukalamba. Izi zitha kukhala chifukwa chakuti zinthu zina zimakhala ndi nthawi yochulukirapo yoti zisonkhanitsidwe mu ndulu pakapita nthawi.
• Kukhala mkazi: Akazi ali ndi mwayi wowirikiza kawiri wodwala matenda a ndulu kuposa amuna. Kuchuluka kwa estrogen m'thupi (makamaka panthawi ya mimba) kumawonjezera kuchuluka kwa cholesterol m'thupi ndipo kumachepetsa kutuluka kwa ndulu m'thupi.
• Mbiri ya banja la matenda a ndulu: Pafupifupi 25% ya matenda a ndulu akhoza kukhala obadwa nawo. Asayansi apeza majini pafupifupi 12 omwe ali ndi vuto limeneli.
• Kukhala ndi fuko la ku America la Indian kapena Mexico: Anthu a mafuko awa ali ndi mwayi wa 30% mpaka 70% wokhala ndi ndulu. Zakudya ndi majini onse awiri angayambitse izi.
• Matenda a shuga: Anthu omwe ali ndi matenda a shuga ali ndi mwayi wopeza miyala ya ndulu kawiri kapena katatu. Izi zitha kukhala chifukwa cha kuchuluka kwa mafuta acid.
• Matenda a Crohn: Anthu omwe ali ndi matenda a Crohn ali ndi mwayi wowirikiza kawiri wokhala ndi miyala ya ndulu chifukwa ndulu yawo siimatha kuyamwa mchere wa ndulu, womwe umathandiza kusungunula cholesterol.
• Matenda a chiwindi: Iyi ndi gawo lomaliza la matenda a chiwindi. Pa vutoli, kutuluka kwa ndulu kuchokera ku chiwindi kupita ku ndulu kumachepa, ndipo ndulu imatha kusonkhana.
• Matenda a sickle cell: Matendawa amachititsa kuti bilirubin izisonkhana mu ndulu, zomwe zimapangitsa kuti miyala ya ndulu ikhale ndi utoto, yomwe nthawi zambiri siimawonekera kwambiri.
• Zakudya zonse za parenteral: Kwa anthu omwe amapatsidwa zakudya zamadzimadzi kudzera m'mitsempha chifukwa cha matenda enaake, pali chiopsezo cha ndulu kusonkhana mu ndulu chifukwa cha kuchepa kwa ntchito yogaya chakudya.
• Mankhwala ena ochepetsa cholesterol: Ngakhale kuti mankhwalawa amachepetsa cholesterol m'magazi, amapangitsanso cholesterol kusonkhana mu ndulu.

Kodi "5 Fs" ya matenda a ndulu ndi chiyani?

"5 Fs" ndi njira yachidule yomwe madokotala ankagwiritsa ntchito kukumbukira zinthu zomwe zimayambitsa matenda a ndulu. Ma Fs asanuwa ankayimira: Wangwiro (wakhungu loyera), Wachikazi (wachikazi), Wonenepa (wonenepa), Wobereka (akazi a msinkhu wobereka), ndi Wazaka makumi anayi (wazaka makumi anayi).Ngakhale izi zikuchokera ku ziwerengero, pali mkangano pa izi masiku ano. Chifukwa izi zili ngati kuyika bokosi m'gulu linalake. Ngati madokotala akuyang'ana mawonekedwe ndi zizindikiro zina akamapeza matenda a ndulu, angaphonye odwala omwe sangawakwanire, ndipo angaphonye matenda ena mwa odwala omwe ali nawo.

Komabe, zinthu zomwe zatchulidwa mu "5 Fs" izi ndi zinthu zomwe zimawopseza kwambiri.

• "Fair" imachokera ku mfundo yakuti anthu oyera nthawi zambiri amakhala ndi matenda a ndulu. Izi zitha kukhala chifukwa cha majini komanso zakudya za kumadzulo.
• "Mkazi" amatanthauza "mkazi" chifukwa akazi ali ndi mwayi wowirikiza kawiri wodwala matendawa.
• "Mafuta" ndi mawu ofala kwa anthu omwe amadya zakudya zokhala ndi cholesterol yambiri ndipo mwina ali ndi matenda a shuga.
• "Kubereka" kumachitika chifukwa chakuti akazi omwe akhalapo kapena omwe ali ndi pakati amakhala ndi mphamvu zambiri pa mahomoni otchedwa estrogen.
• "Makumi anayi" amatanthauza kuti chiopsezo chimawonjezeka ndi ukalamba, kotero anthu opitirira zaka makumi anayi ali ndi mwayi waukulu wopeza vutoli.

Kodi matenda a ndulu amakhudza bwanji thupi lanu?

Chidendene chikalephera kugwira ntchito yake bwino, ndulu imayamba kusonkhana m'magazi m'malo mopita kumatumbo ang'onoang'ono kuti ikathandize kugaya chakudya. Chifukwa ndulu m'matumbo ang'onoang'ono ndi yofunika kwambiri pogaya mafuta, mungakhale ndi vuto logaya chakudya , makamaka zakudya zamafuta. Komanso, chifukwa ndulu imathandiza kuchotsa poizoni m'chiwindi, ndulu ikasonkhana m'magazi, mutha kudwala. Chidendene chodwala chingayambitsenso ululu waukulu .

Matenda ambiri a ndulu amatha kuchiritsidwa ndi opaleshoni. Kaya miyala ya ndulu imachotsedwa, kapena ndulu imachotsedwa. Madokotala amalumikiza ndulu yodutsa kuchokera pachiwindi kupita ku matumbo ang'onoang'ono, osadutsa ndulu. Mwanjira imeneyi, mutha kupitiriza kugaya chakudya bwino ndikukhala bwino popanda ndulu. Komabe, kuwonongeka komwe matenda a ndulu angabweretse ku ziwalo zina za thupi kungakhale ndi zotsatirapo za nthawi yayitali ngati sikuzindikirika ndikuchiritsidwa msanga.

Kodi mavuto omwe angakhalepo chifukwa cha matenda a ndulu ndi ati?

Matenda a ndulu angakhudze njira zanu zotulutsira ndulu, chiwindi, kapena kapamba.

1. Cholangitis

Matenda a ndulu angayambitse kutupa, matenda, ndi/kapena kutsekeka kwa ndulu (cholangitis). Izi zitha kuchitika makamaka ngati mwala wa ndulu ukusamuka kuchokera ku ndulu kupita ku ndulu. Chinthu chimodzi chikachitika, zinthu zina zimatsatira. Pakapita nthawi, izi zingayambitse zipsera za ndulu, kuzichepetsa, komanso mavuto a nthawi yayitali okhudzana ndi kuyenda kwa ndulu.

2. Matenda a chiwindi

Ngati ndulu ikabwerera m'chiwindi chifukwa cha mavuto a ndulu, njira zotulutsira ndulu, kapena zonse ziwiri, zimatha kupangitsa chiwindi kutupa ndipo pamapeto pake chilonda. Izi zimatchedwa cirrhosis . Izi zingayambitse kuwonongeka kwa nthawi yayitali kwa ntchito ya chiwindi. Cirrhosis ingayambitsenso mavuto m'ziwalo zina.

3. Pancreatitis

Ngati mwala wa ndulu ukuyenda kuchokera mu ndulu kupita mu ndulu ndikutsekeka komwe ndulu imayambira, ungayambitse ndulu kubwerera mu ndulu ndi kapamba. Ichi ndi chifukwa chofala cha kapamba . Ngati kapamba ndi woopsa kapena wokhalitsa, ungayambitse kuwonongeka kwa kapamba kwa nthawi yayitali.

Kodi zizindikiro za matenda a ndulu ndi ziti?

Zizindikiro za matenda a ndulu zitha kugawidwa m'magulu angapo.

1. Kupweteka m'mimba (Biliary colic)

Uwu ndi ululu womwe umachokera mkati mwa mimba, `(Biliary colic)`. Kawirikawiri, ichi ndi chizindikiro choyamba chomwe chimawoneka ngati pali vuto ndi ndulu. Dzina lokha limasonyeza kuti ndulu imakhudzidwanso. Ndipotu, imakhala yogwirizana, kaya mwachindunji kapena mwanjira ina. Ngati pali kutsekeka kwa ndulu kapena ndulu, kuthamanga kwa magazi m'magawo onse awiri kumawonjezeka. Nthawi zambiri chifukwa chake ndi ndulu. Komabe, kutupa chifukwa cha matenda, kuchepa kwa ndulu `(Biliary stricture)`, kapena vuto la kutuluka kwa ndulu, kuthamanga kwa magazi kumatha kuwonjezeka. Kupweteka kumayenderana ndi kuthamanga kumeneku.

• Poyamba zingayambe ngati ululu wosasangalatsa komanso wopweteka womwe umabwera ndikutha , makamaka mukatha kudya ndulu ikakokana.
• Mukumva ululu uwu mbali yakumanja ya mimba yanu, pansi pa nthiti yanu yakumanja , komwe kuli ndulu yanu.
• Ingamvekenso pakati pa mimba, kapena ululu ungafike mpaka ku phewa lamanja.
• Kawirikawiri ululu uwu umayendera limodzi ndi nseru ndi kusanza .
• Ululu umenewu nthawi zambiri umakhala kwa maola angapo. Sizimachitika nthawi zonse, koma zimachitika nthawi ndi nthawi. Izi zikutanthauza kutsekeka komwe kumachitika ndulu ikakokana ndikuchepa ndulu ikamasuka, koma sikokwanira ndipo kumachitika nthawi zina.

2. Matenda a cholecystitis aakulu

Matenda a cholecystitis owopsa, omwe angayambitsidwe ndi kutsekeka kosalekeza, matenda, kapena chotupa mu ndulu, akhoza kukhala ovuta kwambiri kuposa ululu wa biliary colic.

• Kusanza ndi nseru kungaphatikizepo malungo ndi kuzizira .
• Ululuwu ndi wokhazikika, nthawi zina woopsa kwambiri moti umafunika kupita kuchipatala chadzidzidzi .
• Pamene ndulu ikugwa, monga mutatha kudya, kugunda kwa mtima kungakwere kapena kuthamanga kwa magazi kungachepe mwadzidzidzi.
• Pamene ndulu yogwidwa ikuyamba kusonkhana m'magazi, zizindikiro zakunja monga jaundice (kuoneka kwachikasu kwa maso ndi khungu), mkodzo wakuda, ndi ndowe zotumbululuka zingawonekere.

3. Matenda a cholecystitis osatha

Zizindikiro zosatha, zomwe zikutanthauza kuti za nthawi yayitali, sizili zovuta kwambiri poyerekeza ndi zizindikiro zadzidzidzi. Zingawonekere kwa nthawi yayitali. Mutha kukhala ndi vuto logaya chakudya m'mimba. Mwachitsanzo, kudzimbidwa, kumva kukhuta mukatha kudya, mpweya woipa nthawi zonse, nseru, kapena kutsegula m'mimba.Zinthu ngati zimenezo. Popeza pali zifukwa zina zambiri zomwe zimayambitsa zizindikirozi, sizimaganiziridwa kuti ndi vuto la ndulu. Ngakhale khansa ya ndulu, pakhoza kukhala kutupa kwa nthawi yayitali komwe kumakhala ndi jaundice wochepa popanda kupweteka kulikonse. Chifukwa cha kusamveka bwino kwa zizindikirozi, komanso kusowa kwa ululu waukulu, cholecystitis yosatha imatha kusapezeka ndipo ingayambitse kuwonongeka kwa nthawi yayitali.

Kodi zimayambitsa matenda a ndulu ndi chiyani?

Miyala ya ndulu ndiyo imayambitsa mavuto ambiri a ndulu. Komabe, nthawi zambiri siimayambitsa mavuto. Ikatero, nthawi zambiri imakhala chifukwa chakuti imaletsa kuyenda kwa ndulu mu ndulu, m'mitsempha ya ndulu, kapena zonse ziwiri. Kuphatikiza apo, nthawi zambiri, ndulu imatha kusonkhana m'mitsempha ya ndulu chifukwa ndulu imachepa pang'onopang'ono, kapena chifukwa cha matenda ena. Kubwerera kwa ndulu kumeneku ndiye chifukwa chofala kwambiri cha cholecystitis. Koma nthawi zina, kutupa kumathanso kuchitika chifukwa cha matenda ena. Kutupa kumeneku kumapangitsa ndulu kutupa, ndikuwonjezera kupanikizika mkati. Izi zingayambitsenso ndulu kubwerera m'mbuyo ngati zotsatira zachiwiri.

Kodi mungazindikire bwanji matenda a ndulu?

Monga matenda ena aliwonse, dokotala wanu adzayamba wafunsa za mbiri yanu yachipatala ndi zizindikiro . Adzayang'ana zizindikiro zanu zofunika (kugunda kwa mtima, kuthamanga kwa magazi, kutentha kwa thupi - ngati pali malungo, ndi zina zotero). Kenako adzakuyezani thupi, kuwona zizindikiro za jaundice ndi kutupa m'mimba. Akhoza kukhudza malo omwe ndulu ili. Ngati nduluyo ikumva yofewa, ndi chizindikiro cha kutupa. Ngati pali ululu mukakhudza malowo kungathandize kusiyanitsa kutupa koopsa komwe kumakhudzana ndi miyala ya ndulu ndi kutupa kosatha komwe kumakhudzana ndi khansa. Kenako adzalamula mayeso a magazi ndi mayeso ojambula zithunzi.

Kodi mayeso oyezetsa matenda ndi ati?

• Kuchuluka kwa magazi: Izi zimayang'ana kuchuluka kwa maselo oyera m'magazi. Ngati ali pamwamba, zimasonyeza matenda kapena kutupa.
• Mayeso a ntchito ya chiwindi: Mayeso a magazi awa amathandiza kuzindikira kutsekeka kwa ndulu m'mitsempha.
• Mayeso a ntchito ya kapamba: Mayeso a magazi awa amathandiza kuzindikira kutsekeka kwa njira yotulutsira kapamba.
• Ultrasound ya m'mimba: Iyi ndi njira yoyesera yakunja yopanda ululu yomwe imatha kuzindikira zinthu monga kutupa, kutsekeka, kapena zotupa mu ndulu kapena ndulu.
• Kujambula kwa HIDA (HIDA scan / Cholescintigraphy scan): Kujambula uku kumayesa kutuluka kwa ndulu kuchokera mu ndulu kupita m'matumbo ang'onoang'ono komanso kuyenda kwa ndulu kudzera m'mitsempha ya ndulu.
• Endoscopic Retrograde Cholangiopancreatography (ERCP):Iyi ndi njira yoyezera yomwe imaphatikiza endoscopy (chubu chopyapyala chokhala ndi kamera) ndi X-ray. Endoscope, yomwe imayikidwa pakhosi, ingagwiritsidwe ntchito kuwona ziwalo zomwe zili m'mimba. X-ray yapadera (fluoroscopic X-rays) imatha kuwonetsa bwino ducts ya ndulu. Ngati papezeka kutsekeka panthawi yoyezera, dokotala atha kuchiza popereka zida zazing'ono kudzera mu endoscope.
• Endoscopic Ultrasound (EUS): Izi zimaphatikizanso ukadaulo wa ultrasound ndi endoscopy. Chipangizo cha ultrasound chimalumikizidwa ku nsonga ya endoscope. Ichi chimayikidwa kudzera pakhosi ndipo chimalola ziwalo zam'mimba, makamaka ndulu, kapamba, ndulu, ndi chiwindi, kuti ziwonekere bwino kwambiri. Ngati pali vuto lililonse, mayeso ena kapena chithandizo chingafunike.

Kodi matenda a ndulu amachiritsidwa bwanji?

• Mankhwala Ochepetsa Ululu: Pakakhala ululu waukulu monga ``Biliary colic'', yomwe imadziwikanso kuti ``gallbladder attack'', mankhwala ochepetsa ululu omwe dokotala wakupatsani angafunike kuti muchepetse ululu. Dokotala wanu adzasankha mankhwala oyenera kutengera mbiri yanu yachipatala komanso zizindikiro zake.
• Mankhwala Opha Ululu: Ngati muli ndi matenda, dokotala wanu adzakupatsani mankhwala opha tizilombo toyambitsa matenda. Nthawi zambiri awa ndi mankhwala oyamba musanachite opaleshoni.
• Kuchiza matenda a Endoscopic: Musanayambe opaleshoni, dokotala wanu akhoza kuchiza mavuto ang'onoang'ono a ndulu pogwiritsa ntchito endoscope. Endoscopic retrograde cholangiopancreatography (ERCP) ndi/kapena endoscopic ultrasound (EUS) zingathandize kuzindikira kutsekeka, zotupa, ndi miyala. Pamayeso awa, zida zomwe zili kumapeto kwa endoscope zingagwiritsidwe ntchito kuchotsa miyala ya ndulu, kuyika ma stents kuti ndulu isatseguke, ndikujambula zitsanzo za minofu (biopsy).
• Opaleshoni: Njira yokhayo yokhazikika komanso yothandiza kwambiri yothetsera matenda osatha a ndulu ndi cholecystectomy . Iyi ndi njira yodziwika bwino yochizira. Mutha kukhala bwino popanda ndulu. Anthu ambiri amatha kuchotsedwa ndulu yawo kudzera mu opaleshoni ya laparoscopic ( opaleshoni yochitidwa kudzera m'mabala ochepa ang'onoang'ono). Pazochitika zovuta, monga matenda kapena khansa ya ndulu, opaleshoni yotseguka ingafunike.

Kodi ndingachepetse bwanji chiopsezo changa chotenga matenda a ndulu?

Sitingathe kuwongolera zinthu zonse zomwe zingakubweretsereni mavuto. Komabe, mutha kusunga ndulu yanu kukhala yathanzi mwa kukhala ndi zakudya zabwino komanso moyo wabwino . Zakudya za kumadzulo masiku ano zili ndi mafuta ambiri ndi cholesterol, komanso ulusi wochepa, zomwe zimathandiza kuchotsa mafuta ochulukirapo m'thupi. Yesetsani kudya zipatso ndi ndiwo zamasamba zokhala ndi ulusi wambiri, ndikuchepetsa kudya zakudya zamafuta, zokonzedwa . Kuchita masewera olimbitsa thupi nthawi zonse ndikofunikiranso.Zimathandiza kuchepetsa chiopsezo chifukwa zimathandiza kuti ziwalo zomwe zili m'mimba mwanu ziziyenda bwino - kutanthauza kuti, zimachepa nthawi zonse -.

Kodi ndingayembekezere chiyani ngati ndili ndi matenda a ndulu?

Mavuto ambiri a ndulu amatha ndi opaleshoni (kuchotsa ndulu). Koma ngati zimenezo zitachitika, simuli nokha, anthu ambiri amakumana ndi izi. Anthu ambiri amachira msanga ndipo samakhala ndi zotsatirapo zoyipa kwa nthawi yayitali mutatha opaleshoni . Mutha kukhala ndi vuto la kugaya chakudya kwakanthawi pamene mukuchira. Popeza thupi lanu sililinso mu ndulu, mungafunike kuchepetsa kudya zakudya zamafuta kwa kanthawi mpaka thupi lanu litazolowera. Patatha miyezi ingapo, anthu ambiri amatha kubwerera ku zakudya zabwinobwino, koma zathanzi.

Matenda a ndulu amatha kukhala oopsa popanda inu kuzindikira. Mukayamba kukhala ndi zizindikiro, amatha kukhala oopsa kale. Mwamwayi, miyala yambiri ya ndulu imatha kuchiritsidwa mosavuta ndi opaleshoni yaying'ono. Chofunika kwambiri ndikufunsa upangiri wa dokotala, ngakhale zizindikirozo sizili zovuta kwambiri. Mutha kukhala ndi ululu wochepa, womwe nthawi zina umatha wokha. Koma ukhoza kukhala vuto lopitirira. Musadikire mpaka mutakhala ndi zizindikiro zazikulu za cholecystitis yoopsa kapena kuwonongeka kwa nthawi yayitali chifukwa cha cholecystitis yosatha. Dokotala wanu angapeze ndikuchotsa miyala ya ndulu yomwe imayambitsa mavuto panthawi yoyezetsa wodwalayo nthawi zonse.

Pomaliza, zinthu zoti muzikumbukira

Matenda a ndulu ndi chinthu choyenera kusamala nacho. Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa m'nkhaniyi, makamaka ngati muli ndi ululu m'mimba mutadya zakudya zamafuta kapena kupweteka kosalekeza m'mimba yakumanja, muyenera kuwonana ndi dokotala . Ngati mwapezeka msanga, chithandizo chimakhala chosavuta ndipo mavuto amatha kupewedwa. Kudya zakudya zabwino komanso moyo wokangalika ndi njira zabwino kwambiri zodzitetezera ku matenda otere.

Chikhodzodzo cha ndulu, miyala ya ndulu, cholecystitis, cholesterol, jaundice, kugaya chakudya, opaleshoni