ʻO kaʻikeʻiaʻana o nā gallstonesʻaʻole i ka manawa a pau e hōʻike ai i ka hana. I kekahi mau kumu, ua lawa ia i ka mālamaʻana i ka lāʻau lapaʻau lāʻau kūpono. ʻO keʻano o ka maʻamau i kohoʻia e ka gastroenterologist a me ke kauā, e like me keʻano o nā pōhaku i loaʻa i ka mea maʻi a ma kahi e waihoʻia ana.
ʻO ka lawelaweʻana i nā lāʻauʻawaʻawa
Inā loaʻa i kekahi kanaka nā pōhaku cholesterol ma ka gallbladder, hiki ke hoʻomaluʻia ka lāʻau. Hanaʻia ia me ke kōkua o nā lāʻau lapaʻau i ka ursodeoxycholic a iʻole ka chenodeoxycholic acid. ʻO nāʻano lāʻau likeʻole nā papa:
- ʻO Ursofalk ;
- ʻo Henosan;
- Ursosan;
- ʻO ka wahine;
- Hanopala.
Me ko lākou kōkuaʻana, hiki iāʻoe ke hoʻihoʻi i ka lakeneka maʻamau o ka wai a me ka cholesterol. I kēia hihia, ua hoʻololiʻia ka cholesterolʻoi aku i loko o kahiʻano maʻalahi, e ho'ēmi ana i lalo, ai kekahi manawa e hoʻopau loa i ke kaʻina hana o nā pōhaku. I ke kauʻana me nā lāʻau lapaʻau, ponoʻoe e hoʻokaʻawale i ka hoʻohanaʻana i nā lāʻau lapaʻau e hoʻoikaika i ke kāpili pōhaku (e like me nā'enerogene i hoʻopiliʻia i nā mea likeʻole).
Hiki ke mālamaʻia ka lāʻau lāʻau wale nō i nā pōhaku momona ma ka gallbladder keʻole nā pōhaku i piha i ka hapalua o ke kola, a he maikaʻi maikaʻi nā kalele. ʻO ka papa hana o iaʻano hoʻolālā he ola ia i ka 24 mau mahina, a ke nānāʻia nei kona kūpono ma kahi oʻelua manawa i kēlā me kēia makahiki ma o ke kaniʻana.
Ke hanaʻana i nā pōhaku i loko o ka gallbladder me ka ultrasound a iʻole ka laser
Ināʻaʻole iʻoi aku ke kiʻekiʻe o nā pōhaku i loko o kaʻahu o ka'ilila ma mua o 3cm, hiki ke hana i nā lāʻau ma muli o ka laser a me ke ultrasound. E kāhea i ka hōʻailona kūpilikiʻiʻana - ka cholesterol, nā kakanua, ka puaʻaleʻa a iʻole nā'āpana kūpuni iʻokiʻia i loko o nā'āpana liʻiliʻi loa (hiki i ka 1-2 mm). Ua hoʻokuʻuʻia lākou mai ke kino me nā feces. Hōʻikeʻia kēia kaʻina hana no nā maʻi wale nō i loaʻa kaʻaelike kūpono o ka gallbladder. Hiki iāʻoe ke lawe iā ia ināʻaʻoleʻoi aku ka helu o nā pebbles iʻekolu mau'āpana.
Ke hanaʻana i nā pōhaku i loko o ka gallbladder me ka ultrasound a iʻole ka laser he hana kūponoʻole. Ua maikaʻi ka maʻiʻana o nā maʻi o nā makahiki likeʻole a hiki ke hanaʻia ma kahi o waho. ʻOiai, he 30-60 mau minuke kona lōʻihi.
Kau i nā pōhaku
Inā nui loa nā pōhaku aʻaʻole kūpono ka lāʻau lapaʻauʻana i nā pēpē, ua hanaʻia kahi hana - ka cholecystectomy a me ka cholecystectomy laparoscopic. I ka wā e weheʻia ai ka cholecystectomy, eʻokiʻia ke koʻi o ka'ōpū, hanaʻia ka nānāʻana e ka kanikipō, hoʻokuʻu i ka gallbladder, ākea (inā he kūpono) a kau i kaʻeha. Inā hoʻokomoʻia nā waiwaena no ke kaheʻana o ka toto, ka'ōpū a me nā wai ola, a laila ma hope o kekahi mau lā, pono e hemo. Hoʻoholoʻia kēia hana e ka lōiko.
ʻO ka cholecystectomy laparoscopic he hana ia e hoʻoneʻe ai i ka gallbladder , i hanaʻia me ke kōkua o nā mea endoscopic a me nā laparoscopes (kahi lua pele me kahi'ōkeke lekiō, kahi kamepiula kamepiula a me ke kaula i hoʻohuiʻia me kahi lampen xenon a iʻole kekahi "kukuiʻike"'ē aʻe). ʻO kēiaʻanoʻoi aku ka maikaʻi ma mua o ka hana maʻamau. ʻAʻole iki ka hopena, no ka mea,ʻaʻole i hanaʻia
Hana 'ia nā lāʻau nui a nui paha i loko o ka gallbladder ma keʻano o ka cholecystectomy laparoscopic i ka manawa wale nō:
- 'ōpū (3rd mau makahiki);
- nā maʻi nui o ka maʻipikipona;
- kahi kūlanaʻikeʻole.