Vprašanje
Spoštovani dr. Živan Krevl,
na ultrazvoku pred pričetkom hujšanja za 10 kg (višina 168 cm, teža 74 kg, sedaj 66 kg) mi je bil ugotovljen polip v žolčniku - Stena žolčnika ni zadebeljena. V žolčniku je vidna 9 x 5 mm velika ehogena formacija brez distalne akustične sence. Žolčni vodi niso dilatirani. V levem jetrnem režnju sta vidni 11 un 9 mm veliki nekoliko hiperehogeni formaciji, sicer so jetra strukturno v mejah normalnega.
Prosim vas za vaše mnenje glede zdravljenja. Zdravnik mi je predlagal odstranitev žolčnika. Zanima me, če se s homeopatskimi pripravki lahko bolezen ustavi oz. ali se lahko z njimi izognem operaciji žolčnika.
Hvaležna vam bom za odgovor, poklicala pa bi vas tudi po telefonu, da se naročim za vašo ordinacijo. Kljub temu, da delam v farmacevtski banži, si poskušam čimveč pomagati z alternativo.
Lepo pozdravljeni,
Odgovor
Spoštovani,
hvala lepa za zanimivo vprašanje. Za začetek - moje čestitke za uspešno hujšanje!
Nisem strokovnjak za to področje, lahko pa Vam posredujem nekaj misli. Razlog zakaj zdravnik predlaga odstranitev je predvsem majhna možnost, da bi se polip maligno preobrazil. Ne poznam dovolj dobro podrocja, da bi vedel, v kakšnem odstotku do tega pride. Priporočam razgovor z Vašim zdravnikom.
Glede homeopatskega zdravljenja: lahko dosežemo ustavitev rasti tovrstnih (najpogosteje) benignih tvorb (seveda ne vedno). Včasih tudi odpadejo. Problem je le majhna možnost, da je zadeva maligna. Zato Vam predlagam razgovor z zdravnikom.
Še nekaj: tudi po najnovejšem Zakonu o zdravilih, so bivši "homeopatski pripravki" homeopatska zdravila, kar je edinole pravično, saj dejansko zdravijo.
Prilagam Vam nekaj, kar sem našel na internetu:
What is polyps in the gall bladder and is it bad? I am 69 years old male.
31st March 2000
A polyp is an outgrowth, generally attached by a stalk to the mucous membrane from which it has arisen. Polyps are formed in a variety of locations, for example within the lumen of the intestines or the nasal cavity, and are generally harmless and asymptomatic. Just occasionally a polyp can give rise to cancer, and this is why the presence of polyps is taken seriously by doctors. Gall bladder polyps are quite commonly observed during examinations of the abdomen, especially in ultrasound scans, and the majority are benign and symptom-free (Moriguchi et al, 1996).
For many years now there has been a discussion about what should be done when gall bladder polyps are detected. Some clinicians feel that the affected gall bladder should be removed, just in case, while others have been developing tests which can distinguish between the majority of harmless polyps and the occasional malignant polyp so that operations are carried out only on selected people.
New techniques such as colour Doppler ultrasonography (Hirooka et al, 1996) and endoscopic ultrasonography (Sugiyama, Atomi, and Yamato, 2000) are making the pre-operative distinction between benign and malignant polyps much more reliable.
The present consensus appears to be that an operation should be considered if symptoms have appeared, if the polyp is 1.0 cm or more in diameter, if it is associated with gallstones, and when the patient is over 50 years of age (Yang, Sun, and Wang, 1992; Toda et al, 1995; Mainprize, Gould, and Gilbert, 2000).
It will be helpful to discuss these matters with your doctor so that you can understand the thinking behind any treatment decisions that are made.
References
Hirooka, Y., Naitoh, Y., Goto, H., Furukawa, T., Ito, A., and Hayakawa, T. (1996) Differential diagnosis of gall-bladder masses using colour Doppler ultrasonography. Journal of Gastroenterology and Hepatology, 11(9), 840-846 (Sep).
Mainprize, K.S., Gould, S.W., and Gilbert, J.M. (2000) Surgical management of polypoid lesions of the gallbladder. British Journal of Surgery, 87(4), 414-417 (Apr).
Moriguchi, H., Tazawa, J., Hayashi, Y., Takenawa, H., Nakayama, E., Marumo, F., and Sato, C. (1996) Natural history of polypoid lesions in the gall bladder. Gut, 39(96), 860-862 (Dec).
Sugiyama, M., Atomi, Y., and Yamato, T. (2000) Endoscopic ultrasonography for differential diagnosis of polypoid gall bladder lesions: analysis in surgical and follow up series. Gut, 46(2), 250-254 (Feb).
Toda, K., Souda, S., Yoshikawa, Y., Momiyama, T., and Ohshima, M. (1995) Significance of laparoscopic excisional biopsy for polypoid lesions of the gallbladder. Surgical and Laparoscopic Endoscopy, 5(4), 267-271 (Aug).
Yang, H.L., Sun, Y.G., and Wang, Z. (1992) Polypoid lesions of the gallbladder: diagnosis and indications for surgery. British Journal of Surgery, 79(3), 227-229 (Mar).
Želim Vam uspešno razrešitev problema, lep pozdrav,
Preberi še
Živan Krevel, dr. med., univ. dipl. biol.
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