Ungayiphatha kanjani i-cholesterol polyps gallbladder?

Ama-polyp angama-neoplasms angenakubalwa avela ezicutshini ze-epithelial. Imvamisa, ingavela kulwelwesi lwangaphakathi, okuwukuthi, ulwelwesi lwamafinyila lwangaphakathi kolwelwesi lwezithambo zezitho zangaphakathi eziyize eziyize. Lezi zitho zifaka phakathi kwesinye inyongo kanye nesibeletho. Uhlobo oluvame kakhulu lwama-polyps ayindilinga noma ngendlela yokudonsa. Kunzima kwesinye isikhathi ukuthola kubo, njengoba, eqinisweni, bekubaphatha.

Ngokokuqala ngqa, ama-gypbladder polyps akhonjwa ngekhulu leshumi nesishiyagalolunye ngu-Virchow waseJalimane oyisazi sezinhlungu. Ngemuva kocwaningo oluningilizayo ngesakhiwo se-neoplasm ngaphansi kwesibonakhulu, baqala ukukholelwa ukuthi isizathu esiyinhloko sokubonakala kwayo kwakuwukuphula umthetho we-lipid metabolism.

Njengamanje, kukholelwa ukuthi ama-polyps we-gallbladder atholakala cishe amaphesenti ayi-10 abantu, inqwaba yabo kungabesifazane abangaphezulu kweminyaka engama-35.

Izimbangela kanye nezinhlobo zama-polyps

I-polyposis (ukuba khona kwama-polyps amaningana) yisifo esiholela ezimbalweni eziningi ezahlukahlukene.

Umlando womndeni osindayo, noma, umane nje, ukubekelwa phambili kofuzo - lokhu kungafaka ubukhona bezimpawu ezinhlobonhlobo zohlobo lwe-papillomas, polyps, adenomas ezihlotsheni eziseduze. Izingxenye ezithile zofuzo zinesibopho sokubukeka kwazo, ngakho-ke amathuba okuthuthuka ezizukulwaneni ezilandelayo angakhula;

Izifo zendlela yokuphilisana yomsuka wokutheleleka nokuvuvukala, ngokwesibonelo, i-cholecystitis (inqubo yokuvuvukala gallbladder), lapho udonga lwesinye siyaqina, ukuqina kwayo kuyanda, kufaka ne-cholesterol, okuyisisekelo sokusungulwa kwepholesterol polyp. Futhi kuyisifo esinsimbi, ngenxa yokuthi ukuphuma okujwayelekile kwe-bile kuyaphazamiseka futhi kube nokuqina kwawo. Ukugweda kuholela ekugayweni, ebuhlungwini, ebungeni. Njengomphumela walokhu, ukukhula kwama-granulations odongeni lwe-bubble kuqala, bese i-polyp ngokwayo iqala ukwakha;

Ukuphazamiseka kwemetabolic mhlawumbe kuyimbangela ejwayelekile futhi evamile. Okubaluleke kakhulu ukwephulwa kwe-lipid metabolism, okuholela ekuqokeleleni kwe-cholesterol nama-lipoprotein aphansi futhi aphansi kakhulu emzimbeni wonke. Ngenxa yezinguquko ezinjalo kubalo lamafutha, hhayi i-atherossteosis kuphela, kodwa ne-polyposis ingakhula. I-cholesterol, ngaphezu kwemithambo yegazi, ifakwa ezindongeni zomphala, ngaphezu kwalokho okuvame ukutholakala kwi-bile. Ngakho-ke i-polyp iqala ukwakha;

I-dyskinesia ye-Biliary ukwephula ukuhamba kwe-bile, okubangelwa ukwephulwa kokuqina kwengqimba yemisipha ye-gallbladder. Ngalesi sifo, i-bile ayingeni ngokuphelele kwi-duodenum futhi kukhona ukuzuma okuncane. Isiguli singathola isicanucanu, ukugabha okungavamile, izinhlungu kwi-hypochondrium efanelekile, ukunciphisa isisindo.

Ama-polyps angaba ezinhlobo eziningana:

1. I-Papillomas - ngokwemvelo yazo i-benign, nayo ingavela esikhunjeni. IPapilloma inesimo sepilla. Ngohlobo oluthile lokuchayeka, zingaba izilonda, okungukuthi, ziba yisilonda;
2. I-Adenomatous - nayo ayisihlukumezi, kepha ingaba njalo. Ama-polyps e-adenomatous avela ngenxa yokwanda kwezicubu ze-glandular. Ngokungafani ne-papillomas, ukubabheka kufanele kube kubi kakhulu, futhi ukwelashwa ngokushesha;
3. Ukuvuvukala - ama-polyps anjalo akhula ngenxa yezinqubo zokuvuvukala emgodini noma ngenxa yokuvezwa kwezinto ezicasulayo ezifana nokulimazeka kwe-helminthic, izifo ezithathelwanayo, amatshe we-bile (amatshe). Awahlukaniswa njengezimila.
4. I-cholesterol - angamanga, noma ama-pseudotumors, ngoba angakwazi ukubuyela emuva ngokwelashwa okwanele nangokuphelele. Baye babala izindawo ezivelayo phakathi kwenqubo ye-cholesterol metamorphosis, futhi ngenxa yokubakhona kwalezi zibalo ngesikhathi sokuxilongwa kwe-ultrasound, bangahlanganiswa namatshe e-bile noma ezinye izinhlobo zama-polyps. Kungempela ngenxa yamaphutha anjalo ukuthi kuyadingeka ukuthi kwenziwe uhlolo olunzulu lweziguli, okubandakanya ukuhlolwa kwelabhoratri.

Ngemuva kokuthola ukuba khona kwama-polyps, ezinye izindlela zokuxilonga zenziwa ukuhlonza uhlobo lwe-polyp futhi kunqunywe amaqhinga afanele okwelashwa.

Ukubonakaliswa kwemitholampilo kwama-cholesterol polyps

Izimpawu ze-polyposis gallbladder zivame ukungacacisi.

Izimpawu zokukhula kwe-pathology zingahle zidideke ngenkathi kutholakala ukuthi une-cholecystitis, i-hepatic colic noma i-biliary dyskinesia.

Izimpawu zincike ekwazini kwendawo inqubo, usayizi wayo, inani lama polyps.

Kungahle kube khona nenkambo yesifo eyi-asymptomatic noma emnene.

Izimpawu zama-polyps ngala:

• imizwa yezinhlungu yesimo esibuhlungu noma esibuthakathaka esifundeni se-hypochondrium yangakwesokudla (isayithi lokuqagela le-gallbladder), zingaba zimbi kakhulu ngemuva kokudla kakhulu kwamafutha nokudla okuthosiwe, ukuphuza utshwala, ngenxa yokuxineka ngokomzwelo;
• i-jaundice ethambisayo - ibangelwa indawo ye-polyp entanyeni yesinye, lapho igqokisa i-lumen futhi ivimbele ukuphuma kwe-bile, kuyilapho isikhumba nolwelwesi lwe-mucous, i-sclera iba mphuzi ngokuluhlaza ngombala, ukulunywa, isicanucanu ngezikhathi ezithile nokuhlanza kungenzeka futhi;
• izinhlungu ezifana ne-hepatic colic - zingabantu be-paroxysmal, be-stitch, futhi ukubukeka kwabo kukhombisa ngokuqondile ukusonteka noma ukubhoboza umlenze we-polypous;
• umunyu emlonyeni;
• isicanucanu, ikakhulukazi esishiwo ekuseni;
• ukugabha ngaphandle kwesizathu esibonakalayo;
• isifo sohudo - kwenzeka ngenxa yokuhamba okunganele kwe-bile ukungena emathunjini amancane, ngenxa yalokho ukugaya kuphazamiseka;

Ngaphezu kwalokho, enye yezimpawu zokuthuthuka kwe-pathology kungaba khona kokushisa okuhlala isikhathi eside kwe-subfebrile (37-38⁰C)

Izindlela zokuxilonga ze-polyp

Ezenzweni zesimanje zokwelapha, kusetshenziswa izindlela ezahlukahlukene zokwenziwa elebhu kanye nezinsimbi. Ezindlela zokwenziwa elabhoratri, kuhlolwa igazi le-biochemical, ukuhlaziywa kwe-fecal kanye nokuhlaziywa okujwayelekile komchamo.

Ukuhlolwa kwegazi kwe-biochemical - kuyo, phambi kwama-cholesterol polyps, okuqukethwe kwe-bilirubin kuzonyuswa. IBilirubin ingumkhiqizo wokuqhekeka kokugcina kwe-hemoglobin. Ishintsha ngobuningi lapho kukhona noma yiziphi izinkinga ngesibindi, i-gallder kanye ne-biliary. IBilirubin ayiqondile (ayihlanganisiwe) futhi iqondile (ihlanganiswe). Ingxenyana engaqondile ikhuphuka ngokubizwa nge-hemolytic noma i-suprahepatic jaundice, lapho ukubhujiswa kwamangqamuzana abomvu egazi kwenzeka kakhulu. I-hemoglobin ekhishwe ngesivinini esikhulu iqala ukuguqulwa ibe yi-bilirubin. Ingxenyenamba eqondile inyuka nge-subhepatic, noma mechanic, noma i-jaundice evimbayo, eyenzeka ngenxa yokuvinjezelwa kwepheji le-biliary nge-Calculator noma, kithi, i-polyp. Ukwanda kwe-alkaline phosphatase futhi, i-cholesterol nayo ingabonakala.

Ukuhlaziywa kwe-Fecal, noma i-coprogram - inani elincane le-stercobilin, omunye wemikhiqizo ephakathi nendawo yokuqhekeka kwe-hemoglobin, ingahle ibe khona ezindundwini.

I-Urinalysis - kumchamo, i-urobilinogen, okubuye kube yindawo ephakathi nokuqhekeka kwe-hemoglobin, kungathengiswa.

Ngaphezu kwezindlela zokucwaninga zaselebhu, ama-cholesterol polyps angatholakala kusetshenziswa i-ultrasound, i-endoscopic ultrasonography kanye ne-magnetic resonance imaging.

Indlela yokucwaninga ye-Ultrasonic (ultrasound) iyindlela ejwayelekile futhi engabizi kakhulu. Kususelwa ekubonisweni kwamagagasi e-ultrasonic aqhamuka kwizitho zomzimba. Ngokuhlelwa kwesakhiwo se-gallbladder ngaphandle kwe-pathologies, okusaqanda okumnyama, okuvinjelwe udonga oluncane, kuzobonakala esikrinini. Uma ngabe kukhona ama-neoplasms atholakala esinyeni, azobukeka njengamabala amhlophe anendawo ecacile etholakala eduze kodonga lwesitho.

Ngokwesakhiwo sabo, bazoba yi-hyperechoic (echogenicity is the density of ekwakhekeni). Umehluko omkhulu phakathi kwama-polyps ne-calculi ukuthi i-polyp ayishintshi indawo yayo lapho isikhundla somzimba sesiguli sishintsha. Ngaphambi kokwenza i-ultrasound, kungakuhle ukuthi uthathe kuphela ukudla okulula, okungeke kulayishe uhlelo lokugaya ukudla, futhi ngeke kube nomthelela ekwakhiweni kwegesi ngokweqile.

I-Endoscopic ultrasonography (EUS) indlela yokucwaninga engangeneki eyenziwa kusetshenziswa i-endoscope. I-endoscope, kanye nesihloli se-ultrasound, ifakwa kuyi-duodenum. I-Ultrasonography inezinzuzo ezithile phezu kwendlela ye-Ultra, ngoba lapho isenziwa, ukwakheka kwe-gallbladder nanoma iyiphi i-neoplasms ekuyo kuboniswa ngemininingwane eminingi nangokucacile. Ngaphambi kokwenza i-ESR, isiguli asivunyelwe ukudla, futhi emva kwayo kusihlwa - ukudla okulula kuphela.

I-Magnetic resonance imaging (MRI) ukuhlolwa okufundisa kakhulu kweziguli ezine-polyposis okusolwayo. Ikuvumela ukuthi uhlaziye kabanzi ngesakhiwo se-gallbladder, ukwakheka kwama-neoplasms, ikuvumela ukuthi uhlole ubukhona bezenzo zokuzala noma zokutholwa kunoma yiluphi uhlelo lwesitho. Kodwa, ngeshwa, akubona bonke abantu abangakwazi ukukhokhela i-MRI ngenxa yezindleko ezinkulu.

Izindlela zokwelapha ama-polyps

Ama-polyps we-cholesterol we-gallbladder angalashwa ngemithi nangokuhlinzwa.

Ukwelashwa kokuhlinzwa kwe-pathology kusetshenziswa uma ukusetshenziswa kwemithi kunganikeli umphumela omuhle ofanele.

Kwezidakamizwa ezinqunyelwe izidakamizwa ezifana neHoliver, Ursosan, Ursosulfak, Hepabene, Drotaverin (No-Shpa) neSimvastatin.

Indlela yokusebenza yesidakamizwa ngasinye imi kanje.

1. I-Holiver isidakamizwa esivusa ukumbiwa kwe-bile kusuka esigaxeni, iguqule ukuqina kwayo, ivikele ukuqunjelwa kwe-bile. Kuyenqatshelwa ukunquma ukuphazamiseka kwe-biliary. Kuyadingeka ukuyiphuza amaphilisi ama-2 kathathu ngosuku ngaphambi kokudla.
2. I-Hepabene - lesi sidakamizwa saziwa kubantu abaningi, ngoba sivame kakhulu. Ibuyisela amandla emgodini we-bile ngama-hepatocytes, ikhulula ubuhlalu. Indlela yokufaka isicelo - i-1 capsule kathathu ngosuku.
3. IDrotaverine (No-Shpa) isidakamizwa okuyiqembu le-antispasmodics. Iyakhulula ukuqaqamba nobuhlungu, ikakhulukazi nge-hepatic colic. Kufanele kuthathwe amaphilisi ama-1-2 ngesikhathi sokuhlaselwa kobuhlungu noma imizwa engakhululeki.
4. I-Simvastatin isidakamizwa ekwelapheni i-atherossteosis, ingeyoqembu lama-statins. Yehlisa inani le-cholesterol egazini. Iphuzwe ithebhulethi engu-1 ngesikhathi sokulala, ngoba inqwaba ye-cholesterol ikhiqizwa ngokunembile ebusuku.
5. I-Ursosan - isiza ukwelapha ama-polyps wemvelaphi ye-cholesterol kuphela. It, njenge-Simvastatin, yehlisa izinga le-cholesterol kanye ne-low dopity lipoprotein egazini, futhi ivimbela nokuqongelela okusha kwe-cholesterol. Ukuncishiswa kokusetshenziswa kwayo yizinguquko ezibhubhisayo odongeni lomthambo, isithikamezo sepheshana le-biliary, usayizi omkhulu we-polyp (ngaphezu kwama-2 cm). Umthamo we-Ursosan ubalwa njenge-10 mg nge-1 kg yesisindo somzimba. Isikhathi sokwelashwa sisukela ezinyangeni eziyisithupha kuya onyakeni owodwa.
6. I-Ursofalk - indlela esebenza ngayo ifana neka-Ursosan. Kuyi-solvent yama-cholesterol amana. Umthamo wesidakamizwa uyafana - 10 mg nge-1 kg yesisindo somzimba. Ngesikhathi sokulashwa konke, ukuqapha usayizi we-polyp kuyimpoqo.
7. I-Allochol isidakamizwa se-choleretic. Ivuselela motility kanye ne-extretion ye-bile evela esinyeni. Akunakubekelwa ukuthi kuvinjelwe ipheshana le-biliary. Kuyadingeka ukuwaphuza amaphilisi ama-2 kathathu ngosuku ngemuva kokudla inyanga.
8. I-Ovesol ilungiselelo lekhambi okuyisengezo sokudla. Isebenza kancane futhi isikhathi eside. Isenzo saso ukukhuthaza ukumbiwa kwe-calculi, ukuqeda ukuzuma kwe-bile, ukuvusa ukuzwelana kwe-gallbladder. Ukuvumelanisa ukusetshenziswa kwe-Ovesol kungukuphazanyiswa ngokuphelele kwezicubu ze-bile. Thatha u-15-20 wehla kabili ngosuku. Cishe izifundo ezine zokwelashwa ezihlala inyanga eyodwa kufanele zenziwe ngonyaka.

Ukungenelela kokuhlinzwa kwenziwa ngosayizi obalulekile wama-neoplasms, ngama-pathologies akhona wethambo le-biliary (isifo se-gallstone, i-cholecystitis kanye ne-pancreatitis), ngokukhula okusheshayo kwe-polyp, ngenani elikhulu labo futhi ngengozi enkulu yokulimala. Benza imisebenzi efana ne-polypectomy - ukususwa kwe-polyp kuphela, ne-cholecystectomy - ukususwa ngokuphelele kwe-gallbladder.

Ngemuva kokuhlinzwa, kufanele unamathele ekudleni okuthile. Kuqukethe ukudla okuthosiwe okunamafutha kuphela, ekusebenziseni izitsha ezibilisiwe futhi ezinosiwe, ekubekweni okugcwele kotshwala, kusawoti, kubhema. Ukwelashwa okusekelayo ngamakhambi esintu (i-propolis, uju, i-herbal infusions, imithi yasekhaya) kunconyiwe.

Imiphumela ye-cholesterol emzimbeni ichazwe kuvidiyo kule ngxenye.