Ngatidzidzei zvakawanda nezvematombo emunduru. Unofanirawo kuziva zvinhu izvi.

Wakambonzwa nezve "matombo emunduru" here? Pamwe mumwe wemhuri yako kana shamwari yako akambova nechirwere ichi. Zvichitaurwa zviri nyore, izvi zvidimbu zvakaoma, zvakaita sematombo zvinoumba mukati menduru yako, nhengo diki iri pasi pechiropa chako. Chiremba wako anogonawo kudana chirwere ichi kuti "cholelithiasis."

Basa regallbladder uye kuti matombo anoumbwa sei

Zvakanaka, ngatitangei taona zvinoitika kugaro. Basa guru regaro nderekuchengetedza 'garo' kwenguva pfupi, kana kuti mvura yatinodaidza kuti `(garo), iyo inotibatsira kugaya chikafu chatinodya, kunyanya chikafu chine mafuta. 'Garo' iri rinogadzirwa muchiropa. Pamusoro pekutibatsira kugaya chikafu, 'garo' iri rinoshandiswawo kubvisa tsvina yakaita secholesterol yakawandisa nebilirubin mumuviri.

Saka, kana nekuda kwechimwe chikonzero huwandu hwecholesterol kana bilirubin mu "bile" iyi hukawedzera, kana kana huwandu hwemakemikari ari mu "bile" hukarasika, anoungana uye anooma kuita matombo. Ndizvo zvatinodaidza kuti matombo emunduru. Matombo aya anogona kuva madiki sejecha, kana kukura sebhora regorofu. Vamwe vanhu vanogona kunge vaine dombo rimwe guru, nepo vamwe vangave nematombo madiki mazana.

Mhando huru dzematombo emunduru

Matombo emudumbu anogona kukamurwa kuita mhando mbiri huru.

Unoziva sei kana uine matombo emunduru? (Zviratidzo)

Sezvandambotaura, vanhu vazhinji vane matombo asi havaratidzi zviratidzo. Zviratidzo zvinongoitika chete kana dombo rikadzivira duct yenyongo inoburitsa nyongo kubva munduru. Izvi zvinonzi "gallbladder attack" kana kuti "biliary colic". Zviratidzo zvinogona kusanganisira:

• Kurwadziwa kamwe kamwe uye kwakanyanya mudumbu, pasi pembabvu.
• Marwadzo emudumbu anopararira kusvika pafudzi rekurudyi kana pakati pemusana.
• Kusvotwa nekurutsa.
• Zvimwe zvinetso zvekugaya chikafu zvakaita sekuzvimba, kugaya chikafu zvisina kunaka, chirungurira, uye flatulence.

Chii chinonzi kurwadziwa uku?

Kurwadziwa kwedombo remunduru kunogona kuva kwakanyanya. Vamwe vanoti zvinoita sekunge banga riri kuvabaya. Kurwadziwa kwacho kwakanyanya zvekuti vamwe vanofunga kuti chirwere chemwoyo.

• Marwadzo anowanzotanga mushure mekudya zvine mafuta.
• Dzimwe nguva kurwadziwa kunogona kunge kwakanyanya zvekuti unomuka husiku.
• Kurwadziwa kunogona kugara kubva pamaminitsi gumi nemashanu kusvika maawa akati wandei.
• Kana dombo rabviswa panzvimbo yaro rakanamira, kurwadziwa kwacho kunozopera otomatiki.

Ndiani ari panjodzi huru yekubatwa nematombo emunduru?

Vamwe vanhu vane mukana mukuru wekuva nematombo emunduru kupfuura vamwe. Heano mamwe ematambudziko:

• Kuva mukadzi: Vakadzi vane mukana mukuru wekukura matombo kupfuura varume.
• Kuva nemakore anopfuura makumi mana ekuberekwa.
• Kufuta: Vanhu vakafuta zvakanyanya vari panjodzi huru.
• Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako akambova nematombo emunduru, iwe une mukana mukuru wekuva nawowo.
• Kubata pamuviri: Njodzi inogona kuwedzera zvishoma nekuda kwemahormone anoburitswa panguva yekuzvitakura.
• Kudzikira uremu nekukurumidza: Kudzikira uremu hwakawanda munguva pfupi idambudzikowo.
• Zvimwe zvirwere: Zvirwere zvakaita sechirwere cheshuga, chirwere cheCrohn, uye cirrhosis yechiropa.
• Kudya: Kudya chikafu chine mafuta akawanda, cholesterol, uye chine fiber shoma.
• Mimwe mishonga: Kune avo vanotora mapiritsi ekudzivirira pamuviri kana kurapa kwekutsiva mahomoni.

Chiremba angasimbisa sei kuti iri idombo remunduru?

Mushure mekuteerera zviratidzo zvako nekukuongorora, chiremba wako anogona kuita bvunzo dzinoverengeka kuti asimbise chirwere chako.

• Ultrasound yemudumbu: Iyi ndiyo bvunzo inonyanya kushandiswa uye iri nyore kuita. Inokwanisa kuona kana paine matombo mudundira renyongo neremudumbu.
• Kuongororwa kweropa: Izvi zvinogona kubatsira kutarisa hutachiona, kuvharika kwenzira yeropa, kana zvimwe zvinetso.
• Zvimwe zvekuskena: Mune zvimwe zviitiko, unogona kutumirwa kunoskena kwakasarudzika senge `CT` scan, `MRCP` (Magnetic Resonance Cholangiopancreatography), uye `HIDA` scan.

Matombo emunduru anorapwa sei?

Kurapwa kunoenderana nekuti une zviratidzo here kana kuti kwete.

Zvisinei, kana uchinzwa kurwadziwa nezvimwe zviratidzo, ungangoda kurapwa. Kurapa kunowanzoitwa kuvhiyiwa kubvisa nduru zvachose.

Kubviswa kwenyongo (Cholecystectomy) nekuvhiyiwa

Ungave uchizvibvunza kuti, "Oh, unogona kurarama here wakabviswa nduru yako?"Ehe, unogona pasina matambudziko. Kana nduru yapera, nyongo inogadzirwa muchiropa inoyerera ichipinda muura hudiki. Muviri unojaira izvi mushure mechinguva.

Kuvhiyiwa kunoitwa nenzira mbiri huru:

1. Kuvhiyiwa kweLaparoscopic Cholecystectomy: Uku ndiko kuvhiyiwa kwakajairika mazuva ano. Kuchekwa kudiki kushoma kunoitwa mudumbu, kamera nezvimwe zvinhu zvakakosha zvinoiswa, uye nduru inobviswa. Kuvhiyiwa uku kunogona kuitwa nekukurumidza, uye kugara muchipatara kunowanzova kwenguva pfupi sezuva rimwe chete.

2. Kuvhiyiwa kweCholecystectomy: Iyi inzira yekuvhiyiwa apo gallbladder inobviswa nepaburi guru mudumbu. Izvi zvinoitwa kana paine hutachiona hwakakomba kana mamwe matambudziko. Zvinotora nguva kuti upore.

Kurapa kunogona kuitwa pasina kuvhiyiwa

Kune mumwe munhu ane zvimwe zvirwere zvinoita kuti kuvhiyiwa kusakwanise, dzimwe nzira dzekurapa dzinogona kufungwa nezvadzo.

• Mishonga: Kune mishonga inogona kunyungudutsa matombo echolesterol. Asi iyi inoshandiswa chete pamatombo madiki. Uye kurapwa kunogona kutora mwedzi, kunyange makore. Kana kurapwa kwangomiswa, matombo anogona kudzokazve.
• Nzira yeERCP: Nzira inonzi Endoscopic Retrograde Cholangiopancreatography (ERCP) inoshandiswa kubvisa matombo akanamatira mumigero yenyongo.

Matombo emunduru anogona kudzivirirwa here?

Kunyangwe tisingakwanise kuchinja zvimwe zvinhu zvinoisa njodzi (senge zera uye nhoroondo yemhuri), tinogona kuderedza njodzi iyi nekuchinja mararamiro edu.

• Ramba uine huremu hwakanaka: Kufuta zvakanyanya chinhu chikuru chine njodzi. Zvisinei, usadzikise huremu hwakawanda panguva imwe chete. Deredza huremu zvishoma nezvishoma, nenzira ine hutano.
• Idya chikafu chakakwana: Deredza kudya kwakakurumidza uye kudya kwakagadziriswa kwakawanda mumafuta, mafuta, uye shuga. Isa zvekudya zvakawanda zvine fiber zvakaita semiriwo, michero, uye zviyo zvakakwana mukudya kwako.
• Rovedza muviri nguva dzose: Ita maekisesaizi, akadai sekufamba netsoka, kwemaminitsi makumi matatu pazuva.
• Usarega kudya: Kutsanya kwemaawa akawanda panguva imwe chete kunogona kuwedzera njodzi yekuti bile riungane munduru yoita matombo. Saka usarega kudya kwako kukuru.