Timatchula dzina ma gallstoneskapena cholelithiase, mapangidwe a miyala mkati mwa ndulu, chiwalo chomwe chimasunga bile chotuluka m'chiwindi. Kuwerengera, komwe nthawi zina kumatchedwa "miyala" kumawoneka ngati timiyala tating'ono. Nthawi zambiri, amapangidwa mafuta kristalo. Miyala yopangidwa kuchokera ku bile pigment imathanso kupanga, makamaka ndi matenda oopsa a chiwindi kapena sickle cell anemia, koma izi sizikambidwa pano.

Maonekedwe, kukula ndi chiwerengero cha kuwerengetsa (pakhoza kukhala mazana angapo) amasiyana kuchokera kwa munthu mmodzi ndi mzake. Zitha kukhala zazing'ono ngati mchenga kapena zazikulu ngati mpira wa gofu.

Nthawi zambiri, miyalayi siyambitsa zizindikiro zilizonse. Komabe, amatha kutsekereza mayendedwe omwe amatsogolera bile ku chiwindi ndi matumbo. Izi zimatchedwa a biliary colic (onani chithunzi) ngati vutolo lili lakanthawi. Sangathenso kutulutsa, ndulu imayamba kutupa, zomwe zingayambitse zachiwawa ululu. Miyala ikapanda kuyambitsa colic, nthawi zina imapezeka mwachisawawa pa ultrasound kapena CT scan.jambulani) m'mimba.

Kuyenera kudziŵika kuti mphamvu ya zizindikiro sikudalira pa zisankho kuwerengera. Zoonadi, miyala yaing’ono imatha kubweretsa ululu waukulu, pamene miyala ikuluikulu idzakhala yosazindikirika. Nthawi zina zimakhala zazikulu kwambiri moti sizingatuluke mu ndulu ndi kutsekereza njira.

Zimayambitsa

La ya ndulu imakhala makamaka ndi madzi, mchere wa bile (omwe, mwa emulsifying mafuta, amatenga gawo lalikulu pakugayidwa kwawo ndi matumbo), cholesterol, phospholipids, pigments ndi electrolytes.

The ma gallstones Cholesterol imapangidwa ngati: +

• ndulu imakhala ndi cholesterol yambiri;
• bile alibe mchere wambiri wa bile;
• ndulu sichimakokoloka nthawi zonse (chikhodzodzo chimanenedwa kukhala "chaulesi").

Sizidziwika bwino zomwe zimayambitsa mapangidwe a miyala, koma zifukwa zosiyanasiyana zowopsa zadziwika. Kunenepa kwambiri ndi chimodzi mwa izo. Dziwani kuti palibe kulumikizana pakati pa hypercholesterolemia ndi kuchuluka kwa cholesterol mu bile.¹.

Ndani akukhudzidwa?

La ma gallstones, kapena calculus ya ndulu ndiyofala kwambiri ndipo imakhudza 2 mpaka 3 kuwirikiza katatu akazi kuposa amuna. Kuyambira zaka 70, 10% mpaka 15% ya amuna amakhala nayo, komanso 25% mpaka 30% ya amayi. Chiwopsezo chokhala ndi ndulu chimawonjezeka ndim'badwo, kufika pafupifupi 60% pambuyo pa zaka 80, mwina chifukwa cha kuchepa kwa mphamvu ya kugunda kwa ndulu. Kuwerengera kumayambitsa zovuta mu 20% yokha ya iwo ndipo kungakhale kwa chiwindi colic, cholecystitis, cholangitis, kapena pachimake biliary kapamba.

Biliary colic

A mavuto de chiwindi colic kapena biliary colic, zimachitika chifukwa cha mwala wa ndulu womwe umadutsa munjira za bile ndikutsekeka pamenepo kwakanthawi, ndikuletsa kwakanthawi kuti ndulu zisatuluke. Zimatenga pafupifupi mphindi 30 mpaka maola 4. Kutalika kwa maola opitilira 6 kuyenera kuyambitsa mantha azovuta. Ululuwo umachepa pamene mwala umatuluka modzidzimutsa, zomwe zimapangitsa kuti ndulu ikuyenda bwino kachiwiri. Munthu amene wadwala matenda a biliary colic ndi mwayi, mu 70% ya milandu, kuvutika ena. Ngati matenda oyamba atha kupirira, amayamba kuipiraipira pamene miyalayo sinachiritsidwe.

Kukomoka kwambiri kumachitika kunja kwa chakudya. Zitha kuchitika nthawi iliyonse ya tsiku, ndipo nthawi zambiri palibe chochitika choyambitsa. Kukomoka kumachitika ndulu ikagwirana ndikutulutsa mwala womwe ungatseke njira ya ndulu. Kudya chakudya mwachibadwa kumapangitsa kuti ndulu igwire, kusonkhezeredwa ndi kupezeka kwa chakudya m'mimba. Chikhodzodzo chimagwiranso mwachisawawa komanso mwachisawawa nthawi zonse usana ndi usiku.

Zovuta zotheka

Nthawi zambiri, ma gallstones osayambitsa zovuta. Komabe, kupweteka kosalekeza kosalekeza tsiku lina kungakulire mpaka kufika poika moyo pachiswe: pachimake cholecystitis (kutupa kwa ndulu), pachimake cholangitis (kutupa kwa minyewa ya ndulu) kapena kapamba (kutupa kwa kapamba).

Pamaso pa zizindikiro pansipa, onani dokotala mwachangu :

• malungo;
• mtundu wachikasu wapakhungu;
• kupweteka kwambiri komanso mwadzidzidzi kumanja kwa mimba komwe kumapitirira maola oposa 6;
• kusanza kosalekeza.

Kuphatikiza apo, anthu omwe akudwala ndulu, m'kupita kwa nthawi, amakhala pachiwopsezo chokhala ndi a khansa ya gallbladder, zomwe ndizosowa kwambiri.