Unewo matambudziko enduru here? (Chirwere chenduru) Ngationei chokwadi nezvenyaya iyi!

Wakambonzwa kurwadziwa kwakanyanya here mudumbu rako, kunyanya pasi pembabvu dzako dzekurudyi? Kana kuti unonzwa kusvotwa mudumbu kana kunzwa kuda kurutsa mushure mekudya chikafu chine mafuta? Izvi zvinogona kuva zviratidzo zvedambudziko nedundira rako. Saka nhasi, ngatitaurei nezvechirwere chedundira.

Chii chinonzi chirwere chenduru?

Zvichitaurwa zviri nyore, chirwere chenduru chero chirwere chinokanganisa hutano hwenduru yako. Waizviziva here kuti nduru inhengo diki mudumbu redu? Yakaita sebhegi diki. Basa rayo guru nderekuchengetedza imwe nduru inogadzirwa nechiropa chedu uye, mushure mekudya, kubatsira kugaya chikafu chatinodya, nekutumira nduru iyoyo zvishoma nezvishoma muura hudiki . Izvi zvinoitika kuburikidza nehurongwa hwemachubhu enduru akafanana nemapombi emvura.

Chimbofungai, kana paine hutachiona kana kuvharika kwenyongori kana ducts dzenyongori dzakabatana nadzo, zvinogona kukanganisa nyongori. Nekuti nyongori yakabatana nedzimwe nhengo dzakawanda, dzakadai sechiropa nepancreas, kuburikidza neducts idzi dzenyongori. Saka kana paine chirwere munyongori, chinogona kukanganisawo dzimwe nhengo.

Ndezvipi zvirwere zvikuru zvinokanganisa gallbladder?

Kune zvirwere zvakawanda zvinogona kukanganisa gallbladder. Ngatitarisei zvikuru.

1. Matombo eGallstone (Matombo eGallstone / Cholelithiasis)

Ichi ndicho chirwere chinowanzoitika padullstone. Asi havasi vese vane matambudziko nematombo emunduru. Matombo emunduru anoumbwa kana zvinhu zviri mudullstone, kunyanya cholesterol, zvikaungana mudullstone zvoita mapundu madiki. Mapundu aya anogona kukura nekufamba kwenguva. Vamwe vanhu vanogona kunge vasina zviratidzo uye vangasatomboziva kuti vane matombo emunduru. Zvisinei, matambudziko anotanga kana matombo aya achivhara kuyerera kwedullstone mudullstone kana mudull ducts.

Fungidzira nezvazvo sedombo riri kunamirwa mupombi yemvura. Ipapo mvura haichayerere. Saizvozvowo, kana dundira risingachakwanisi kufamba, kurwadziwa nezvimwe zviratidzo zvinotanga kuoneka.

2. Kuzvimba kwenyongo (Cholecystitis)

Kuzvimba kwenyongo, kana kuti cholecystitis, chimwe chiratidzo chinowanzoonekwa chechirwere chenyongo. Ichi chiratidzo chinogonawo kukonzera mamwe matambudziko. Cholecystitis inogona kukonzerwa nehutachiona hwenyongo, matombo enyongo, kusashanda zvakanaka kwenyongo, kana, kashoma, kenza. Kazhinji, chikonzero chacho matombo enyongo anovhara kuyerera kwenyongo.Kana kuzvimba kukaramba kuripo kwenguva yakareba, mavanga enyama yenyongo anogona kuitika, zvichizoguma zvaita kuti nyama iparare (ronda rinoboora), uye pamwe kutoboora nyongo.

3. Kusashanda zvakanaka kwenyongo

Izvi zvinonziwo `(Functional gallbladder disorder)`. `(Biliary dyskinesia)` idambudziko rekufamba kwenyongo, kana kugona kusundira bile kunze nekupinda mumigero yenyongo. Kutaura chokwadi, izvi zvinogona kukonzerwa nedambudziko remakanika netsandanyama kana tsinga dzenyongo. Izvi zvakafanana nezvinoitika kana dombo renyongo ranamatira. Nyongo haribvi munyongo uye rinoungana, zvichiita kuti nyongo izvimbe uye izvimbe nekufamba kwenguva.

4. Kufa kwenyama yenyongo (Gangrene)

Gomarara idambudziko guru rinokonzerwa nechirwere checholecystitis chisingaperi. Kana nduru ikaramba ichizvimba uye ichizvimba, nyama yacho inozopedzisira yakuvara yotanga kufa. Nyama iyi yakafa inogona kuputika. Kana madziro enduru akaputika, hutachiona hunogona kupararira kune dzimwe nzvimbo dzedumbu, zvichikonzera chirwere chine njodzi chinonzi peritonitis . Ndosaka tisingafaniri kutora cholecystitis zvishoma.

5. Gomarara remunduru

Kenza yemudumbu chirwere chisingawanzoitiki asi chakakomba . Zviratidzo zvegomarara remudumbu hazviwanzoonekwa kusvika chirwere chapararira, saka vanachiremba vanotora matanho ekurapa kana paine mukana mudiki wekuva negomarara remudumbu. Mapombi mazhinji ari mudumbu haana njodzi. Zvisinei, kana uine pombi yakakura mudumbu rako, chiremba wako anogona kukurudzira kuibvisa kuti ive yakachengeteka.

6. Zvirwere zvemutsinga dzenyongo (Cholangiopathy)

`(Cholangiopathy)` zvinoreva chero chirwere chinoitika mumaburi enyongori. Kazhinji chinotanga nekuzvimba kwemaburi enyongori `(Cholangitis).` Chikonzero chinogona kunge chiri hutachiona hwenguva pfupi, kuvharika, kana chirwere che autoimmune senge `(Primary biliary cholangitis).` Kana kuzvimba kwemaburi enyongori kukaramba kuripo kwenguva yakareba, maburi enyongori anogona kuva nemavanga uye kutetepa (Biliary stricture). Ipapo nyongori haifambi zvakanaka, uye inotanga kudzokera mugallbladder nechiropa.

Chirwere chenduru chakajairika zvakadii?

Matombo emunduru anonzi anokanganisa vanhu vanosvika 15% . Zvisinei, 20% chete yevanhu vane matombo aya vanowana matambudziko kana zviratidzo. Zvimwe zvirwere zvemunduru zvisingabatanidzwi nematombo emunduru hazviwanzoitiki.

Ndiani ane mukana mukuru wekuwana chirwere chenduru? (Zvinhu Zvinokonzera Njodzi)

Kana uine matombo munduru, une mukana mukuru wekuwana chirwere chenduru. Ngatitarisei zvinhu zvikuru zvinokonzera njodzi:

• Kudya kwemafuta akawanda echolesterol:Matombo mazhinji emunduru anoumbwa necholesterol yakawandisa inoungana munduru. Saka, vanhu vanogara vachidya chikafu chine mafuta akawanda nemafuta akawanda vari panjodzi huru.
• Kufuta zvakanyanya uye kufuta: Sezvaunowedzera uremu, muviri wako unoburitsa cholesterol yakawanda, kunyanya kana body mass index yako (BMI) iri pamusoro pe30.
• Makore anopfuura makumi matanhatu ekuberekwa: Njodzi yekubatwa nematombo emunduru inowedzera nekukura. Izvi zvinogona kunge zvichikonzerwa nekuti zvinhu zvakawanda zvinotora nguva yakawanda yekuungana munyongo nekufamba kwenguva.
• Kuva mukadzi: Vakadzi vane mukana wakapetwa kaviri wekuva nematombo emudumbu kupfuura varume. estrogen yakawandisa mumuviri (kunyanya panguva yekuzvitakura) inowedzera cholesterol uye inononoka kubuda kwegallbladder.
• Nhoroondo yemhuri yechirwere chenduru: Inenge 25% yevanhu vane chirwere chenduru vanogona kunge vakagara nhaka. Masayendisiti akawana majini angangoita gumi nemaviri anobatanidzwa mune izvi.
• Kuva nerudzi rwekuAmerica rweIndia kana rwekuMexico: Vanhu vemadzinza aya vane mukana we30% kusvika 70% wekuva nematombo emunduru. Zvese zvinhu zvekudya uye zvemajini zvinogona kukonzera izvi.
• Chirwere cheshuga: Vanhu vane chirwere cheshuga vane mukana wekuwana matombo emunduru kaviri kana katatu. Izvi zvinogona kunge zvichikonzerwa nekuwedzera kwemafuta acid mumuviri.
• Chirwere cheCrohn: Vanhu vane chirwere cheCrohn vane mukana wakapetwa kaviri wekuva nematombo emunduru nekuti nduru yavo haikwanise kunwisa munyu wemunduru, izvo zvinobatsira kunyungudutsa cholesterol.
• Kurwara kwechiropa: Iri ndiro danho rekupedzisira rechirwere chechiropa. Mumamiriro ezvinhu aya, kubuda kwenyongo kubva muchiropa kuenda kunyongo kunononoka, uye nyongo inogona kuungana.
• Chirwere cheSickle Cell: Chirwere ichi chinokonzera kuti bilirubin iungane munduru, zvichiita kuti pave nematombo emunduru ane ruvara, ayo anowanzoonekwa zvishoma.
• Kudya kwakakwana kwevabereki: Kune vanhu vanopihwa kudya kwemvura kuburikidza netsinga nekuda kwezvimwe zvirwere, pane njodzi yekuti bile riungane mudundira nekuda kwekusashanda zvakanaka kwekugaya.
• Mimwe mishonga inoderedza cholesterol: Kunyange zvazvo mishonga iyi inoderedza cholesterol muropa, inokonzerawo cholesterol kuungana mudundira.

Ndezvipi zviratidzo zve "5 Fs" zvechirwere chenduru?

"5 Fs" inzira pfupi iyo vanachiremba vakashandisa kurangarira zvinhu zvinowanzokonzera chirwere chenduru. MaFs mashanu aimiririra: Akanaka (ane ganda rakachena), Mukadzi (mukadzi), Akakora (akafuta), Akabereka (vakadzi vezera rekubereka), uye Makumi mana (ane makore makumi mana).Kunyangwe izvi zvichibva panhamba, nhasi pane gakava pamusoro peizvi. Nekuti izvi zvakafanana nekuisa bhokisi mune chimwe chikamu. Kana vanachiremba vakatsvaga chitarisiko nezviratidzo pavanenge vachiongorora chirwere chenduru, vanogona kushaya varwere vasingachikwane, uye vanogona kushaya zvimwe zvirwere muvarwere vanochikwana.

Zvisinei, zvinhu zvakataurwa mu "5 Fs" idzi ndizvo zvinhu zvinowanzokonzera njodzi.

• "Fair" yakavakirwa pakuti vanhu vachena vane mukana mukuru wekuva nematombo emunduru. Izvi zvinogona kunge zvichikonzerwa nemajini pamwe nekudya kwevanhu vekuMadokero.
• "Mukadzi" zvinoreva "mukadzi" nekuti vakadzi vane mukana wakapetwa kaviri wekuwana chirwere ichi.
• "Mafuta" izwi rinowanzo shandiswa kune vanhu vanodya chikafu chine cholesterol yakawanda uye vanogona kunge vaine chirwere cheshuga.
• "Kubereka" kunokonzerwa nekuti vakadzi vakambova nepamuviri kana kuti vane pamuviri vane simba guru pahormone inonzi estrogen.
• "Makumi mana" zvinoreva kuti njodzi inowedzera nekukura, saka vanhu vane makore anopfuura makumi mana vane mukana mukuru wekuva nechirwere ichi.

Chirwere chenduru chinokanganisa sei muviri wako?

Kana nduru ikasakwanisa kuita basa rayo nemazvo, nduru inotanga kuungana muropa pachinzvimbo chekuenda kudumbu diki kunobatsira kugaya chikafu. Nekuti nduru iri mudumbu diki yakakosha pakugaya mafuta, unogona kunetseka kugaya chikafu , kunyanya chikafu chine mafuta. Zvakare, nekuti nduru inobatsira kubvisa chepfu muchiropa, kana nduru ikawanda muropa, unogona kurwara. Dumbu rine chirwere rinogonawo kukonzera kurwadziwa kwakanyanya .

Zvirwere zvakawanda zvenduru zvinogona kurapwa nekuvhiyiwa. Matombo enduru anobviswa, kana kuti nduru inobviswa. Vanachiremba vanosanganisa ducts dzenduru zvakananga kubva pachiropa kuenda kuura hudiki, vachipfuura nduru. Nenzira iyi, unogona kuramba uchigaya chikafu zvakanaka uye uchirarama zvakanaka usina nduru. Zvisinei, kukuvara kunogona kukonzerwa nechirwere chenduru kune dzimwe nhengo dzemuviri kunogona kuva nemigumisiro yenguva refu kana chikasaonekwa uye chikarapwa nekukurumidza.

Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere chenduru?

Chirwere chenduru chinogona kukanganisa ducts dzenyongo, chiropa, kana pancreas.

1. Cholangitis

Chirwere chenduru chinogona kukonzera kuzvimba, hutachiona, uye/kana kuvharika kwenzira dzemudumbu (cholangitis). Izvi zvinogona kuitika kunyanya kana dombo remudumbu richibva mudumbu richienda munzira dzemudumbu. Kana chimwe chinhu chikaitika, zvimwe zvinhu zvinotevera. Nekufamba kwenguva, izvi zvinogona kukonzera mavanga enzira dzemudumbu, kudziita kuti dzive shoma, uye matambudziko enguva refu ekuyerera kwemudumbu.

2. Kurwara kwechiropa

Kana nyongo ikadzokera muchiropa nekuda kwematambudziko egallbladder, ducts dzenyongo, kana zvese zviri zviviri, zvinogona kukonzera kuti chiropa chizvimbe uye pakupedzisira chive nemavanga. Izvi zvinonzi cirrhosis . Izvi zvinogona kukonzera kukuvara kwenguva refu kwebasa rechiropa. Cirrhosis inogonawo kukonzera matambudziko mune dzimwe nhengo dzemuviri.

3. Chipembenene

Kana dombo remunduru richifamba kubva munduru richidzika nemugero wenyongori rovharika panotangira nduru, rinogona kukonzera kuti nyongo idzokere mugomba renyongori nepancreas. Ichi ndicho chikonzero chinowanzoitika chenyongori . Kana nyongori yakanyanya kana kuti yakareba, inogona kukonzera kukuvara kwenguva refu kwenyongori.

Ndezvipi zviratidzo zvechirwere chenduru?

Zviratidzo zvechirwere chenduru zvinogona kukamurwa muzvikamu zvakasiyana-siyana.

1. Kurwadziwa kwemudumbu (Biliary colic)

Uku kurwadziwa kunobva mukati medumbu, `(Biliary colic)`. Kazhinji, ichi ndicho chiratidzo chekutanga chinonzwika kana paine dambudziko nenduru. Zita racho pacharo rinoratidza kuti nduru dzinobatanidzwawo. Kutaura zvazviri, dzine hukama, kungave zvakananga kana zvisina kunanga. Kana paine kuvharika kwenduru kana nduru, kumanikidzwa kwezvose zviri zviviri kunowedzera. Kazhinji chikonzero idombo renduru. Zvisinei, kuzvimba nekuda kwehutachiona, kutetepa kwenduru dzinoyerera `(Biliary stricture)`, kana dambudziko nekubvisa nduru, kumanikidzwa kunogona kuwedzera. Marwadzo anoenderana nekumanikidzwa uku.

• Zvinogona kutanga sekurwadziwa kusingafadzi, kunorwadza kunouya kwozopera , kunyanya mushure mekudya kana gallbladder yagundika.
• Unonzwa kurwadziwa uku kumusoro kwedumbu rako, pasi pembabvu dzako dzekurudyi , uko kune nduru yako.
• Inogonawo kunzwikwa pakati pedumbu, kana kuti kurwadziwa kunogona kuyerera kupfudzi rekurudyi.
• Zvakajairika kuti kurwadziwa uku kuenderane nekusvotwa uye kurutsa .
• Kurwadziwa uku kunowanzogara kwemaawa mashoma. Hazviwanzoitika nguva dzose, asi zvinoitika nguva nenguva. Izvi zvinoreva kuvharika kunoitika kana gallbladder yabatana yodzikira kana gallbladder yasununguka, asi isina kukwana uye inoitika dzimwe nguva.

2. Chirwere checholecystitis chinokonzeresa chirwere checholecystitis

Chirwere checholecystitis chinokonzeresa chirwere ichi, chinogona kukonzerwa nekuvharika kunogara kuripo, hutachiona, kana bundu riri munduru, chinogona kuva chakanyanya kupfuura kurwadziwa kwenyongo.

• Kusvotwa nekurutsa zvinogona kuperekedzwa nefivha nechando .
• Marwadzo acho anogara aripo, dzimwe nguva akanyanya zvekuti anoda kuenda kuchipatara .
• Sezvo gallbladder richigumburwa, semushure mekudya, kurova kwemoyo kunogona kuwedzera kana kuti BP inogona kudzikira kamwe kamwe.
• Kana nyongo yakabatwa yatanga kuungana muropa, zviratidzo zvekunze zvakaita sejaundice (kutsvuka kwemaziso neganda), weti yakasviba, uye tsvina yakachenuruka zvinogona kuoneka.

3. Cholecystitis isingaperi

Zviratidzo zvenguva refu, zvinoreva kuti zvinogara kwenguva refu, hazvina kunyanya kuipa kupfuura zviratidzo zvenguva pfupi. Zvingasaonekwa kwenguva yakareba. Unogona kungonzwa kusagadzikana mukugaya chikafu chete. Semuenzaniso, kuzvimba, kunzwa kuguta mushure mekudya, kugara uine gasi, kuda kurutsa, kana manyoka.Zvinhu zvakaita seizvi. Sezvo paine zvimwe zvikonzero zvakawanda zvezviratidzo izvi, hazvifungidzirwe sedambudziko renduru. Kunyangwe nekenza yenduru, panogona kuva nekuzvimba kwenguva refu nejaundice isina kusimba pasina kurwadziwa. Nekuda kwekusajeka kwezviratidzo izvi, uye kusava nekurwadziwa kwakanyanya, cholecystitis isingaperi inogona kusaonekwa uye kukonzera kukuvara kwenguva refu.

Ndezvipi zvinokonzera chirwere chenduru?

Matombo emunduru ndiwo anonyanya kukonzera matambudziko emunduru. Zvisinei, haawanzo kukonzera matambudziko. Kana akaitika, kazhinji imhaka yekuti anovhara kuyerera kwenyongo munduru, mumigero yenyongo, kana zvese zviri zviviri. Pamusoro pezvo, kashoma, nyongo inogona kuungana mumigero yenyongo nekuti nyongo inononoka kubuda, kana nekuda kwechimwe chirwere. Kudzoka kwenyongo ndiko kunonyanya kukonzera cholecystitis. Asi dzimwe nguva, kuzvimba kunogonawo kukonzerwa nehutachiona hwakasiyana. Kuzvimba uku kunoita kuti nyongo izvimbe, zvichiwedzera kumanikidzwa mukati. Izvi zvinogonawo kukonzera kuti nyongo idzokere shure semhedzisiro yechipiri.

Nzira yekuziva sei chirwere chenduru?

Sezvimwe zvirwere, chiremba wako achatanga nekubvunza nezvenhoroondo yako yehutano nezviratidzo . Achaongorora zviratidzo zvako (kurova kwemoyo, BP, tembiricha yemuviri - pane fivha here, nezvimwewo). Vachabva vaita bvunzo yemuviri, vachitarisa zviratidzo zvejaundice nekuzvimba mudumbu. Vanogona kubata nzvimbo iri gallbladder. Kana gallbladder ichinzwa kunyorova, chiratidzo chekuzvimba. Kana paine kurwadziwa paunobata nzvimbo yacho kunogona kubatsira kusiyanisa kuzvimba kwakanyanya kunokonzerwa nematombo emudumbu uye kuzvimba kwenguva refu kunokonzerwa nekenza. Vachabva varaira kuongororwa kweropa uye kuongororwa kwemifananidzo.

Ndezvipi zviedzo zvekuongorora chirwere?

• Kuverengwa kweropa rose: Izvi zvinotarisa huwandu hwemasero machena eropa. Kana akakwira, zvinoratidza hutachiona kana kuzvimba.
• Kuongororwa kwebasa rechiropa: Kuongororwa kweropa uku kunobatsira kuona kuvharika kwemutsinga dzeropa.
• Kuongororwa kwebasa repancreas: Kuongororwa kweropa uku kunobatsira kuona kuvharika kwemugero wepancreas.
• Ultrasound yedumbu: Iyi bvunzo yekunze isingarwadzi inogona kuona zvinhu zvakaita sekuzvimba, kuvharika, kana bundu mudundira renyongo kana nyongo.
• HIDA scan (HIDA scan / Cholescintigraphy scan): Iyi bvunzo yekufungidzira inoyera kubuda kwenyongo kubva munduru ichienda muura hudiki uye kuyerera kwenyongo kuburikidza neducts dzenyongo.
• Endoscopic Retrograde Cholangiopancreatography (ERCP):Iyi bvunzo inosanganisa endoscopy (chubhu diki ine kamera) neX-rays. Endoscope, iyo inoiswa pasi pehuro, inogona kushandiswa kuona nhengo dziri mudumbu. MaX-rays chaiwo (fluoroscopic X-rays) anogona kuratidza zvakajeka ducts dze bile. Kana paine kuvharika panguva yebvunzo, chiremba anogona kukwanisa kurapa nekupinza zvishandiso zvidiki kuburikidza ne endoscope.
• Endoscopic Ultrasound (EUS): Izvi zvinosanganisawo tekinoroji ye ultrasound ne endoscopy. Mudziyo we ultrasound unosungirirwa pamucheto we endoscope. Izvi zvinopinzwa nepahuro uye zvinoita kuti nhengo dzemudumbu, kunyanya ducts ye bile, pancreas, gallbladder, nechiropa, zvionekwe zvakajeka. Kana paine zvimwe zvinhu zvisina kunaka zvikaonekwa, mimwe miedzo kana kurapwa kungadiwa.

Zvirwere zvegallbladder zvinorapwa sei?

• Mishonga Inoderedza Marwadzo: Kana paine kurwadziwa kwakanyanya senge "Biliary colic", inozivikanwawo se "gallbladder attack", mishonga inoderedza marwadzo inonyorerwa nachiremba inogona kudiwa kudzora marwadzo. Chiremba wako ndiye achasarudza mushonga wakakodzera zvichienderana nenhoroondo yako yehutano nezviratidzo.
• Mishonga inorwisa mabhakitiriya: Kana uine hutachiona, chiremba wako anokupa mishonga inorwisa mabhakitiriya kuti irapwe. Kazhinji iyi ingori nzira yekutanga yekurapa usati wavhiyiwa.
• Kupindira kweEndoscopic: Chiremba wako asati avhiyiwa, anogona kukwanisa kurapa matambudziko madiki egallbladder achishandisa endoscope. Endoscopic retrograde cholangiopancreatography (ERCP) uye/kana endoscopic ultrasound (EUS) inogona kubatsira kuona kuvharika, bundu, nematombo. Munguva yekuyedzwa uku, zvishandiso zviri kumagumo eendoscope zvinogona kushandiswa kubvisa matombo egallbladder, kuisa stents kuchengetedza ducts dze bile dzakavhurika, uye kutora sampuli dzenyama (biopsy).
• Kuvhiyiwa: Mhinduro chete inogara iripo uye inoshanda zvikuru yechirwere chenduru chisingaperi ndeye cholecystectomy . Uku kurapa kwakajairika. Unogona kurarama zvakanaka usina nduru. Vanhu vazhinji vanogona kubviswa nduru yavo kuburikidza nekuvhiyiwa kwe laparoscopic ( kuvhiyiwa kunoitwa kuburikidza nekuchekwa kudiki). Muzviitiko zvakaoma, zvakaita sehutachiona kana kenza yenduru, kuvhiyiwa kwakavhurika kunogona kudiwa.

Ndingaderedza sei njodzi yangu yekubatwa nechirwere chegallstone?

Hatigone kudzora zvinhu zvese zvinoisa njodzi. Zvisinei, unogona kuchengetedza nduru yako ine hutano nekuchengetedza kudya kwakanaka uye mararamiro ane hutano . Kudya kwemazuva ano kwekuMadokero kune mafuta akawanda necholesterol, uye kune fiber shoma, izvo zvinobatsira kubvisa mafuta akawandisa mumuviri. Edza kudya michero nemiriwo yakawanda ine fiber, uye deredza kudya chikafu chine mafuta, chakagadziriswa . Kurovedza muviri nguva dzose kwakakoshawo .Zvinobatsira kuderedza njodzi nekuti zvinovandudza kufamba-famba kwenhengo dzemuviri dziri mudumbu rako - kureva, marwadzo emuviri nguva dzose.

Chii chandingatarisira kana ndine chirwere chenduru?

Matambudziko mazhinji enduru anozoguma nekuvhiyiwa (kubviswa kwenduru). Asi kana izvozvo zvikaitika, hausi wega, vanhu vazhinji vanopinda muizvi. Vanhu vazhinji vanopora nekukurumidza uye havazovi nemigumisiro yenguva refu mushure mekuvhiyiwa . Ungasangana nekusagadzikana kwechinguva paunenge uchipora. Sezvo muviri wako usisipo munduru, ungangoda kuderedza kudya kwako chikafu chine mafuta kwenguva yakati kusvika muviri wako wajaira. Mushure memwedzi mishoma, vanhu vazhinji vanogona kudzokera kukudya kwakajairika, asi kune hutano.

Chirwere chenduru chinogona kuva chakakomba usingatombozvizivi. Paunenge wava nezviratidzo, chinogona kunge chatove chakakomba. Nerombo rakanaka, matombo mazhinji enduru anogona kurapwa zviri nyore nekuvhiyiwa kudiki. Chinhu chakakosha ndechekutsvaga mazano echiremba, kunyangwe zviratidzo zvacho zvisiri zvakanyanya. Ungave uine kurwadziwa kudiki, kunoitika panguva imwe chete, uko kungaita sekunopera kwega. Asi kunogona kuva dambudziko rinogara riripo, rinoenderera mberi. Usamirire kusvika wava nezviratidzo zvakakomba zvecholecystitis yakaoma kana kukuvara kwenguva refu kunokonzerwa necholecystitis isingaperi. Chiremba wako anogona kuwana uye pamwe kubvisa matombo enduru ane matambudziko panguva yekuongororwa kwechiremba nguva dzose.

Pakupedzisira, zvinhu zvekurangarira

Chirwere chenduru chinhu chekuchenjerera. Kana uine chimwe chezviratidzo zvataurwa munyaya ino, kunyanya kana uine kurwadziwa mudumbu mushure mekudya chikafu chine mafuta kana kurwadziwa kunogara kuripo mudumbu rekumusoro kurudyi, unofanira kuona chiremba . Kana zvikaonekwa nekukurumidza, kurapwa kuri nyore uye matambudziko anogona kudzivirirwa. Kudya zvine hutano uye mararamiro anoshanda ndiyo nzira dzakanakisa dzekuzvidzivirira kubva kuzvirwere zvakadaro.

Dundira , matombo emunduru, cholecystitis, cholesterol, jaundice, kugaya chikafu, kuvhiyiwa