Zizindikiro zamatenda a kapamba ndi ndulu ya ndulu ndi mankhwala othandizira

Masiku ano, mutakumana ndi matendawa, ndi anthu ochepa omwe amadziwa, kapamba ndi matenda a kapamba kapena chikhodzodzo? Mu gulu la pathologies am'mimba dongosolo pali matenda a cholecystitis. Ndi kuphwanya kumeneku, chodabwitsa chotupacho nthawi yomweyo chimagwira kapamba ndi chikhodzodzo. Monga lamulo, choyamba kapamba amasokonekera, kenako pamakhala mawu akumva ululu.

Zolemba za matenda a ndulu ndi kapamba

Ndi kukomoka kwa ndulu, njira za pathological nthawi zambiri zimangokhala osati mu chikhodzodzo chokha, komanso kapamba. Monga lamulo, ndi cholecystitis ndi kapamba. Cholecystitis ndi matenda oyambitsidwa ndi kusakhazikika kwa katulutsidwe mu ndulu. Mwanjira yonyalanyazidwa, imalimbikitsa kupangidwa kwa ma stony amana, ndiye kuti, cholelithiasis. Pali matenda chifukwa cha kusayenda bwino kwa ziwalozo ndi ma ducts ake, omwe amalephera kuchita bwino ndi kutulutsa ndulu m'mimba.

Pancreatitis ndi njira yotupa mu kapamba. Kuopsa kwa matendawa kuli m'kusokonezeka kwa njira yogaya chakudya, dongosolo la endocrine, popeza thupi limataya mphamvu yake yopanga insulin.

Zikondamoyo zosokoneza ndikusagwira bwino kwa ndulu zimakwiyitsidwa ndi zinthu zomwezo.

• kusowa kwa endocrine,
• kusasamala kwa mahomoni,
• chibadwa
• osagwirizana ndi zakudya,
• moyo wosachita bwino
• kumwa kwambiri mowa,
• chakudya choopsa, poyizoni wa mankhwala.

Nthawi zina, kupatuka kumatheka nthawi yobala mwana komanso pambuyo povutika ndi matenda opatsirana.

Chizindikiro chachikulu cha matendawa ndi chiwonetsero chowoneka bwino cha kupweteka m'dera la epigastric pansi pa nthiti yakumanja ndikumasulira kwa scapula yoyenera. Mwanjira yapakhungu ya kapamba, ululu umayambitsidwa kumbuyo.

Zizindikiro zowonetsa matenda:

• kumva mseru, kusanza,
• kutentha kwambiri kwa thupi
• mukatha kudya, kumuchotsa pamimba yopanda kusangalatsa,
• kupindika pansi (m'mimba),
• kuchuluka kwa mpweya.

Kufufuza mwatsatanetsatane kumathandizira kudziwa bwino matendawo komanso kukula kwa chitukuko.

Akatswiri akuti kapamba amapezeka nthawi zambiri motsutsana ndi maziko a cholecystitis. Izi zimachitika chifukwa cha kupindika kwa bile katulutsidwe m'matumbo, zomwe zimayambitsa magazi osagwirizana, edema ndipo, koyipa kwambiri, matenda a pancreatic.

Zizindikiro zosasangalatsa zimawonetsa zovuta za kapamba ndi cholecystitis. Kutupa kwa chikhodzodzo, kutupa kwakapulogalamu kapenanso kufa kwa kapamba, peritonitis imakula mwachangu. Madokotala ati zovuta zimapha, makamaka pakakhala kuti palibe odziwa bwino ntchito zamankhwala.

Kuti muwone ntchito ya ndulu ndi kapamba, muyenera kuyesedwa kothandizidwa:

• kuyesa kwa ultrasound
• magonedwe amatsenga,
• compression tomography,
• splenoportography,
• dopplerography.

Kuyesedwa kwa labotale ndikofunikira:

• kuyezetsa magazi konse
• zomwe zili m'magazi m'magazi,
• kusanthula kwa kupezeka kwa diastase mu mkodzo, magazi - enzyme chinthu nawo yoyenera kugaya chakudya,
• kutsimikiza kwa mafuta m'thupi,
• mapuloteni okhutira, bilirubin.

Chithandizo cha cholecystitis ndi kapamba ndi mankhwala

Atatha kuzindikira njira zodziwira, dokotala amagwiritsa ntchito njira yokwanira yochizira.

Mulinso zinthu izi:

1. Mankhwala.
2. Kutsatira kwambiri zakudya.
3. Kukana zosokoneza bongo ndi zinthu zovulaza.
4. Kusamalira njira yumwa ndikubwinobwino.
5. Chakudya chamagulu.

Maantibayotiki

Ndi kuwonekera kwa njira yotupa yolimba mu ziwalo zomwe zimayambitsidwa ndi microflora yoyipa, akatswiri amagwiritsa ntchito othandizira othandizira - maantibayotiki. Makampani opanga mankhwala amapanga mankhwala mu mawonekedwe a makapisozi kapena mapiritsi, jakisoni wa intramus kapena intravenous.

Mankhwala

Pakuchulukitsa, mugwiritsidwa ntchito mankhwala ochepetsa rifampicin.

1. Ili ndi katundu woyipa kwambiri pamlingo wokhazikika.
2. Kugwiritsidwa ntchito moyenera ndi matenda a bacteria.
3. Kuphatikizikako kuli ndi gawo logwira - rifampicin.
4. Mlingo amawerengedwa potengera thupi la wodwala: 10 mg ya mankhwala pa 1 kg.
5. Ndi koletsedwa kugwiritsa ntchito hepatitis yachilengedwe, kulephera kwa impso, panthawi yobereka, ana osakwana miyezi 12.
6. Zosiyanasiyana zimakhudzana ndi zigawo zikuluzikulu za mankhwalawa: kusanza, kupindika, chizungulire, kutsitsa magazi.

Mu gawo lachiwopsezo chachikulu cha kapamba, Ampicillin ndi mankhwala.

Zodziwika zazikulu:

• amalepheretsa kukula kwa microflora ya pathogenic pamaselo a ma cell,
• Zizindikiro zazikulu zogwiritsidwa ntchito ndi matenda opatsirana a m'mimba,
• gawo lothandizira ndi ampicillin,
• mankhwala mankhwala mu mawonekedwe a jakisoni wa 500 mg maola 6 aliwonse,
• zovuta zosagwirizana - kutentha kwa wodwala, kutuluka kwa mamphuno, kupweteka kwamkati, kuyanjana ndi mawonekedwe a urticaria,
• Ndi koletsedwa kugwiritsa ntchito kusalolera kwa munthu payekha, kukanika kwa chiwindi, matenda a mononucleosis.

Cholagogue

Mankhwala a Cholagogue amathandizira kutulutsa kutuluka kwa ndulu ndi pang'ono pancreatic madzi. Amalimbikitsa kuti aphatikizidwe ndi antispasmodics. Mtunduwu sungagwiritsidwe ntchito pamaso pa miyala yamiyala mu ndulu kapena ngati mapangidwe ake akuwakayikira.

Mankhwala onse a choleretic amagawidwa m'magulu atatu:

1. Choleretics - kumathandizira kapangidwe ka zinthu.
2. Cholespasmoliths - onjezerani kutuluka kwazinsinsi zobisika kuchokera ku ndulu.
3. Cholekinetics - ndi ofanana mu katundu ndi zochita kwa cholespasmolytics.

Gawani mankhwala osokoneza bongo:

• zopangidwa
• kutengera bile acids
• pa mchere wamchere wa dehydrocholic acid,
• maziko a mbewu.

Zotsirizazi zikuphatikiza:

• Allohol
• Essentiale Forte,
• Cholenzyme
• Ursosan
• Chophytol, etc.

Mankhwala amagwiritsidwa ntchito theka la ola musanadye. Mlingo wovomerezeka tsiku lililonse uyenera kugawidwa kwa tsiku lonse malinga ndi kuchuluka kwa chakudya. Kupanda kutero, nkovuta kulankhula za kufalikira kwa mankhwalawa. Onetsetsani kuti mumamwa madzi akumwa ambiri oyera.

Mankhwala a enzymatic amalembedwa chifukwa cha kapamba. Chochita chachikulu ndikudzaza kusowa kwa michere m'matumbo a mankhwalawa panthawi yamatendawa ndikuwongolera njira yogaya ndi kuperewera kwa michere.

Zotchuka kwambiri zikuphatikiza:

1. Pancreatin ndi enzymatic yokonzekera yopanda bile acid. Muli amylase, lipase, proteinase. Chipangizocho chimakhala chofanana ndi chimbudzi cha chakudya, mayamwidwe a zinthu zopindulitsa. Makampani opanga mankhwala amapanga mapiritsi. Muzidya musanadye kapena nthawi ya chakudya.
2. Creon ndi ofanana zikuchokera ndi zochita pancreatin. Kusiyanako kuli ngati mapiritsi ndipo mumagwiritsidwa ntchito pakudya.
3. Festal - imakhala ndi zigawo zogwiritsidwa ntchito za bile ndi zovuta za michere ya kapamba. Tengani mapiritsi atatu pakudya kapena mukangomaliza kudya. Mlingo wa munthu wamkulu umasiyana piritsi 1 mpaka 2. Mu chithandizo cha ana, amaloledwa kugwiritsa ntchito zaka zopitilira zitatu. Njira ya chithandizo ndi kumwa mankhwala imatsimikiziridwa ndi katswiri, aliyense payekhapayekha.

Hepatoprotectors

Mokulira, zokhudzana ndi mankhwala a homeopathic, omwe amateteza gallbladder moyenera komanso kupewa kutalika kwa chiwindi.

Zodziwika bwino zimaphatikizapo:

1. Hepatosan ndi mankhwala ochokera ku nyama. Amapangidwa m'mabotolo kuti athandizire ndikubwezeretsa chiwindi ndi ndulu. Mankhwalawa ali ndi zinthu zoteteza ku zotsatira zoyipa za mankhwala oopsa pama cell, amachepetsa kuyamwa kwa zinthu zosafunikira. Zotsatira zoyipa, thupi limagwa.
2. LIV-52 ikupezeka mu mawonekedwe a mapiritsi ndi madontho. Muli ndi zosakaniza zachilengedwe. Chidacho chimabwezeretsa ntchito ya chiwindi ndi ndulu, chimachotsa poizoni. Amathandizanso kagayidwe ndi kutuluka kwa bile, kupewa kapangidwe kachulukidwe. Tengani mapiritsi 2 katatu patsiku. Kwa ana amaloledwa kugwiritsa ntchito azaka ziwiri. Zotsatira zoyipa - kugaya chakudya, kuyabwa, mseru, edema. Imakhala ndi contraindication kuti mugwiritse ntchito - nthawi ya pakati komanso yoyamwitsa, tsankho la magawo ake.
3. Heptral limafinya bile bile, ndipo limasintha kutulutsa kwa bile mu duodenum. Adanenanso antioxidant katundu. Amagwiritsidwa ntchito mosamalitsa mukamadya.
4. Phospholip. Zomwe zimagwira ndi lecithin. Kupangidwa mu mawonekedwe a makapisozi. Mu pachimake gawo, piritsi 2 katatu patsiku, ndipo chikhululukiro, 1 chidutswa katatu. Njira ya mankhwala sayenera kupitirira 3 miyezi.

Odwala omwe amalandila mavitamini a cholecystitis ndi kapamba sakonda kudandaula za ululu pansi pa nthiti yoyenera.

Monga tanena kale, kutupa m'matumba kumachitika chifukwa cha kuponyedwa kwa miyala mu chikhodzodzo. Amayamba chifukwa chosowa ascorbic acid ndi tocopherol.

Mavitamini B amawongolera ntchito ya sphincter ya Oddi ndikumata ndulu ya ndulu, potero kuyambitsa kutulutsa kolondola kwa bile. Ngati mutsatira zakudya, zinthu za enzyme zimapangidwa zochuluka. Zakudya zake ndizosowa kwambiri kotero kuti pali mavitamini ochepa mthupi ndipo samamwa kwambiri chifukwa cha kusowa kwa pancreatic. Pachifukwa ichi, akatswiri amati pancreatitis ndi cholecystitis, ndikofunikira kuti mutenge mavitamini owonjezera.

Maumboni abwino kwambiri ndi:

Mwa pathologies a kapamba ndi ndulu ya chikhodzodzo, makamaka amalimbikitsidwa kugwiritsa ntchito vitamini B12. Zimathandizira kubwezeretsa njira yogawa maselo amafuta, kusintha kagayidwe ndi kugwira ntchito kwa m'mimba. Ndi pancreatitis, mavitamini amtunduwu saikidwa osati mapiritsi, koma jakisoni.

Ma painkiller, antispasmodics

Kuthana ndi vuto la ululu mu kutupa kwa kapamba ndi chikhodzodzo, mankhwala omwe ali ndi analgesic ndi anti-kutupa amagwiritsidwa ntchito:

M'mapapo azakudya zam'mimba, ndimatenda a chikhodzodzo ndi ma ducts ake, mankhwalawo ali ndi antispasmodic mphamvu ya Buscopan amagwiritsidwa ntchito.

Pa ululu womwe umayamba chifukwa cha kuchuluka kwa matupa a ndulu zam'mimba, tenga:

Maantacid

Mankhwala amtunduwu amachepetsa kutulutsa kwa hydrochloric acid, kukonza chimbudzi ndi kupereka magwiridwe anthawi zonse a michere yotulutsidwa ndi kapamba.

Kwenikweni, ndi ma pathologies awa, mankhwala "Almagel" ndi mankhwala. Pulogalamu yogwira ndi aluminium hydroxide, yomwe yakhala maziko a mankhwalawa onse ochita izi.

Kugwiritsidwa ntchito pakulowetsa, muyenera kugwedeza kaye. Akuluakulu amalembedwa kuchokera supuni 1 mpaka 2, koma posakhalapo, mankhwalawo amaloledwa kuwonjezeka mpaka 15 ml pa ntchito imodzi. Patsiku, musatenge mankhwala osaposa 90 ml. Zinthu zazikulu ndikutsatira mlingo, idyani theka la ola musanadye komanso musanagone.

Matendawa amaphatikizidwa ndi kusanza, mseru komanso ululu, pomwe mankhwalawa "Almagel A" amayambitsidwa, ndipo pambuyo pake pakuwonekera kwa zizindikiro zosasangalatsa, amasinthana ndi gawo lalikulu.

1. Chachikulu matenda a ziwalo za excretory dongosolo.
2. Matenda a Alzheimer's.
3. Ana a zaka mpaka 10.
4. Kusalolera payekha.
5. Kubadwa tsankho kuti fructose.

Kukonzekera zitsamba

Zothandiza kwambiri ndi ndalama zomwe zimakhala ndi artichoke ndi nthula zamkaka:

1. "Legalon" ndi hepatoprotector omwe amachotsa njira yotupa ndikubwezeretsa maselo. Kutengera ndi kuchuluka kwa mankhwala othandizira, tengani 1 mpaka 2 makapisozi katatu patsiku.
2. Karsil ndi hepatoprotector wokhala ndi katundu wa antitoxic. Maphunzirowa ndi mlingo wake ndi dokotala. Amapezeka mu mawonekedwe a mapiritsi okhala ndi tulo. Njira ya mankhwala sayenera upambana 90 masiku.
3. "Hofitol" - imasinthasintha kutuluka kwa bile katulutsidwe ndikuyeretsa magazi ku urea. Tengani supuni 1 katatu patsiku. Zotsatira zoyipa - chifuwa, kusweka kwa chopondapo ndi kugwiritsa ntchito nthawi yayitali
4. Sinemal ndi hepatoprotector amene amachotsa poizoni ndipo amakonzanso zimakhala. Tengani makapu awiri katatu patsiku musanadye. Zotsatira zoyipa - thupi siligwirizana, kuphwanya pansi. Ndi zoletsedwa kugwiritsa ntchito nthawi yapakati.

Pamaso pa cholelithiasis, mankhwala amagwiritsidwa ntchito mosamala komanso atakambirana ndi katswiri. Kupanda kutero, mutha kukulitsa thanzi labwinopo, zomwe zingachititse kuti ziwalozo zichotsedwe.

Mtengo wamankhwala

Kukonzekera kubwezeretsa magwiridwe antchito ndi kosiyana kutengera ndi lingaliro lochita ndi wopanga.

Ganizirani mtengo wapakati wa ena:

Kupewa matenda

Pofuna kupewa kukula kwa matenda a biliary system, muyenera kuyang'anira thanzi lanu nthawi zonse, komanso kuchitira njira zopewera pafupipafupi. Ngakhale chiwindi chimatha kuchira, iyenera kutetezedwa.

1. Zakudya zoyenera. Njira zophikira - kuwira, kuwotcha, kutumiza popanda mafuta, kuphika popanda mapangidwe a kutumphuka wagolide. Ndikofunikira kupatula zinthu zomwe zimakhudza matupi a ziwonetsero - zakumwa zoledzeretsa, zakumwa zoledzeretsa, soseji ndi nyama zotsekemera, zodyera, chakudya mwachangu, etc.
2. Musapereke mankhwala nokha. Kupanda kutero, zikhalidwe zingakule.
3. Khalani ndi moyo wokangalika: kuchita masewera olimbitsa thupi, kukhala ndi nthawi yambiri mu mpweya wabwino.
4. Pezani mayeso azachipatala pafupipafupi.
5. Onani zaukhondo.
6. Tengani mankhwala, mavitamini ndi zina zowonjezera zamankhwala munthawi yochepa kuti muteteze ziwalo kuchokera ku zovuta zakunja.
7. Pambuyo kukambirana ndi katswiri, tengani decoctions, kulowetsedwa mankhwala azitsamba.

Ndikofunika kukumbukira kuti mapiritsi othandizira matenda a ndulu ndi kapamba amatengedwa kuti ateteze maselo, kupanga moyenera ndulu ndikuyeretsa ziwalo za poizoni.

Kodi pali ubale wanji pakati pa kapamba ndi cholecystitis

Matenda a cholecystitis ndi kapamba ndi matenda otsegula m'mimba. Matenda oyamba ndikusintha kwa pathological m'makoma a bile, chachiwiri ndikuphwanya ntchito za kapamba. Ziwalo zonsezo zimayatsidwa nthawi yomweyo chifukwa cha kufalikira kwa njira yodziwika bwino yoyeserera pang'onopang'ono, yomwe imalowa limodzi ndi kubisala kwa chiwindi.

Pachimake cholecystitis kapena kapamba kumafunika opaleshoni.Chifukwa chake, simungachedwe kupita kwa dokotala kapena kuyitanira ambulansi!

Pazaka 20% zokha, pancreatitis imayambitsa cholecystitis. Izi zimachitika ngati cholembera cha munthu sichikuphatikizana ndi duct wamba wa bile, koma chikutseguka mumalo mwake masentimita angapo pamwamba pake. Izi zimawonjezera mwayi woti uzilowedwa ndi madzi a pancreatic mu kuwira ndi kutsekemera kwampanda kwake.

Chifukwa chiyani njira zotupa zimachitika?

Pancreatitis ndi cholecystitis zimayambitsa zinthu zomwezo:

• ma gallstones
• supretory duct dyskinesia,
• matenda am'mimba, kwamikodzo dongosolo,
• helminthic kuukira kwa chiwindi ndi bile,
• matenda a chiwindi,
• magazi osakwanira kwa thupi,
• kuperewera kwa zakudya m'thupi
• uchidakwa
• kubadwa mwatsopano (kugwa, ma neoplasms),
• moyo wosachita bwino.

Zomwe zimakonda kufalikira kwa ndulu ndi kapamba ndi momwe mungazisiyanitsire

Zizindikiro zodziwika bwino za kutukusira kwa dongosolo la kugaya chakudya m'mimba ndi mseru, kusanza, kutentha thupi, thukuta, komanso kupweteka m'mimba mutatha kudya. Ngati munthu alibe maphunziro azachipatala, ndiye kuti zingamuvute kudziwa kuti ndi chiwalo chiti chomwe chatsitsidwa.

Zomwe zimasiyanitsa ndi kuperewera kwa pancreatic ku cholecystitis, dokotala wa gastroenterologist amadziwa. Ndi kwa iye kuti munthu atembenukira kuchipatala. Pa kutupa kwa kapamba, kuoneka kowuma pamkamwa wamkati ndi khalidwe. Ndi matenda a ndulu, wodwalayo amamva kuwawa mkamwa mwake. Ndi pancreatic pancreatitis, kupweteka kumachitika mbali yakumanzere, kumatha kukhala ngati lamba. Ndi cholecystitis, imapweteka mbali yakumanja, imapereka pansi pa phewa.

Matenda opatsirana

Chifukwa cha cholecystopancreatitis, kuchuluka kofunikira kwa ma pancreatic enzymes ndi chiwindi chokwanira kumasiya kulowa m'matumbo, pomwe chakudya chokonzedwa ndi msuzi wa m'mimba chiyenera kugayidwa ndi kumizidwa. Chimbudzi cha Duodenal chimatupa (Zizindikiro: kuphwanya pansi, kulemera kosalekeza pamimba, kutsekula m'mimba kumachitika ndi kudzimbidwa). Dysbacteriosis imapangidwa, komwe chitetezo cha m'thupi chimachepa, chiwopsezo cha kuledzera kwa thupi ndi neoplasms yoyipa imakulanso.

Mavuto owopsa a cholecystitis ndi ovulala ndi kuwononga makhoma a ndulu.

Kuzindikira

Njira zazikulu zodziwira kutukusira kwa dongosolo la chimbudzi:

• Ultrasound - kuti mupeze mawonekedwe a ziwalo zamkati, kuzindikira mawonekedwe a bile duct, mu kapamba wa pancreatic.
• Kuyesa kwa magazi pa biochemical - kuchuluka kwa ma pancreatic enzymes kumatsimikizira kakhalidwe kakhansa kakhansa.
• Kusanthula kwa magazi, mkodzo - kuchuluka kwa leukocytes kumatsimikizira zizindikiro za kutupa.
• Kusanthula kwamatsenga a ndowe - kumakupatsani mwayi wofufuza momwe matumbo ake amagwirira ntchito.

Zizindikiro za kutupa kwa makoma a chikhodzodzo ndi zotupa zimakhala zofanana ndi zizindikiro za matenda ena am'mimba. Kuti muwasiyanitse, kuzindikira kusiyanasiyana kumayikidwa.

Zakudya achire

Zakudya ndiye njira yoyamba komanso yayikulu yochizira.

Kuchiritsa cholecystitis ndi kapamba panthawi ya kufalikira, mfundo zitatu ziyenera kuonedwa: kuzizira, njala ndi kupuma.

Ngati pachimake matenda amatenga matenda, kuzizira, ndi mtendere, ndiye kuti kapamba kovomerezeka kumalimbikitsidwa kudya bwino:

• Kudya m'magawo ang'onoang'ono mpaka 7 pa tsiku. Chakudyacho chizikhala chotentha.
• Kanani mafuta, okazinga, osuta, zonunkhira zotentha, mowa, chokoleti, koloko.
• Nyama yazakudya zopaka, pogaya musanagwiritse ntchito.
• Phatikizanipo zinthu monga mkaka wa skim, zakudya zamasamba, sopo wamphongo ndi mbewu monga menyu.
• Mukatha kudya, muyenera kusuntha kwa theka la ola kuti muwonjezere kutuluka kwa ndulu, kusintha chimbudzi cha chakudya.

Zakudya zamagulu amthupi zimathandizira kuchepetsa katundu pa ndulu ndi kapamba, kuchotsa ululu, kulemera pamimba.

Mankhwala

Mndandanda wa mankhwala kuchiza cholecystitis ndi kapamba kuchepa:

• Kontrikal, Antagozan - zoletsa za ma pancreatic enzymes. Mankhwala amapatsidwa mankhwala oopsa a matenda kuti athetse chinsinsi cha gland.
• Methyluracil, Pentoxyl - ma anabolic othandizira omwe akuwonetsa kusintha kwa kagayidwe kachakudya mthupi.
• Omeprazole, cimetidine - kuchepetsa ntchito zam'mimba.
• Festal, Pancreatin - kukonzekera kwa enzyme kofunikira pakutha kwa chakudya chochuluka m'mimba.
• Bactrim, Biseptol - maantibayotiki a cholecystitis ndi kapamba amasonyezedwa kuti amatenga kachilombo, makamaka ngati anayambitsa matenda.
• Holosas, Cholenzyme - mankhwala a choleretic, kusintha kutulutsa kwa bile kuchokera ku chikhodzodzo ndi ma ducts ake.
• No-spa, Papaverine, Motilium - muchepetsani minyewa yam'mimba, yotsutsa.

Zithandizo za anthu

Zitsamba zokhala ndi pancreatitis ndi cholecystitis zimagwira bwino ntchito m'mimba. Ndalama zochiritsira zochizira bile ndi kapamba nthawi zambiri zimaphatikizapo chamomile, chomera, chowawa, chosafa, marigolds, yarrow ndi mbewu zina zamankhwala.

Kugwiritsa wowerengeka azitsamba a kapamba ndi cholecystitis:

• Sakanizani 1 tbsp. l chitsamba chowawa, maluwa osafa, yarrow ndi mbewu za fennel. Supuni imodzi ya zopangira zimatulutsira 500 ml ya madzi otentha, mulole kuti ifuse kwa maola 8. Zovuta. Tengani 1 tbsp. l masana. Kufunika ndi kutalika kwa chithandizo chamankhwala chovunda ziyenera kuvomerezedwa ndi wowerengeka wazitsamba.
• Sakanizani magawo ofanana mizu yophwanyika ya burdock ndi elecampane, marigold, chowawa, St. John wa wort, chamomile, chingwe, tchire ndi mahatchi. Thirani supuni yayikulu ya chophatikiza mu thermos, kutsanulira 0,5 malita a madzi otentha. Pambuyo 2 hours, kupsyinjika. Imwani mankhwala a pancreatic osakwanira tsiku lililonse mu 100 ml 30 mphindi musanadye.

Njira zowonjezera

Ndikosatheka kuchiritsa matenda kapamba. Kulimbitsa mphamvu ya mankhwalawa ndikuthandizira kuyambika kwa chikhululukiro, kuyambitsa kutentha kwa pamimba kumathandiza. Ndi kutupa kwa biliary, electrophoresis imalembedwanso (mawonekedwe osakanikirana a mankhwala amalowa pakhungu mothandizidwa ndi mwachindunji pakalipano) m'dera la chiwindi. Izi zimathandizira kupanga hepatic secretion komanso zimapangitsa magazi kulowa m'chiwalo. Zimatenga magawo 10.

Kuti athandizire kugaya chakudya, odwala amapatsidwa madzi akumwa am'madzi a Borjomi, Essentuki, malo osambira m'madzi am'nyanja, odzazidwa ndi mpweya woipa. Pambuyo pochotsa zotupa, chithandizo chamatope ndi ntchito zochizira zimayikidwa m'dera la chiwindi ndi kapamba.

Ngati pakufunika opaleshoni

Opaleshoni ya ndulu imayikidwa ngati ili ndi ma calcication akulu omwe sanawonongeke ndi mankhwala. Miyala yayikulu ikhoza kulepheretsa lumen ya duct, yomwe imayambitsa matenda a chiwindi ndi kapamba. Zikatero, opaleshoni yochotsa mwala mwadzidzidzi imafunikira.

Palibe amene sangachite popanda dokotala wa opaleshoni ngati vuto la kapamba wokhala ndi puract necrotic yachitika. Mwakutero, gawo lomwe limakhudzidwa ndi gland limachotsedwa, machubu amadzaza amayikidwa.

Momwe mungakhalire ndi kutupa kosatha

Kuchulukirachulukira kwa matenda a pathological a m'mimba dongosolo kumachitika mobwerezabwereza. Nthawi zambiri nthawi imeneyi imadziwika ndi ululu wolimba wamkamwa. Kuti athetse vuto lowopsa ambulansi isanafike, wodwalayo amatha kupatsidwa jakisoni wamkati wa No-shpa, ndiye kuti amuikeni m'khosi. Osalimbikitsa kuti mutenge mapiritsi a pinkiller pakadutsa. Mankhwala amathandizira kutulutsa gland, zomwe zimakulitsa mkhalidwe wa wodwalayo.

Ngakhale munthu wodwala chifuwa cham'mimba amatsatira zakudya, nthawi zina amatha kupweteka, kusanza, komanso kusapeza bwino mu hypochondrium yoyenera.

Kupewa kufalikira kwa matenda osachiritsika nkotheka pokhapokha ngati njira yoteteza. Kuti muchite izi, muyenera kutsatira zakudya zoyenera nthawi zonse, kukayezetsa kuchipatala kawiri pachaka. Ndikofunika kumwa pafupipafupi zitsamba za choleretic komanso anti-kutupa.

Zimayambitsa matenda a chiwindi

Matenda a chiwalochi amakula mwa anthu pazifukwa zingapo. Monga chofala kwambiri pakati pawo, akatswiri amadziwa matenda opatsirana(tikulankhula za ma virus a hepatitis), matenda matenda ashuga, kuchepa kwa mafuta kagayidwe kachakudya, komanso kumwa mosokoneza bongo kwa munthu.

Nthawi zambiri munthu amakhala ndi ululu wa chiwindi ngati amamwa mankhwala kwakanthawi kambiri kapena akakumana ndi zoopsa. Pankhaniyi, kupweteka kwa chiwindi kumachitika chifukwa cha poizoni. Zizindikiro za matenda amchiwindi chimawonekeranso mwa anthu omwe ali ndi chibadwa cha matenda oterewa. Njira yoteteza thupi la wodwala imayamba kutenga maselo achilendo a chiwindi ndi ma ducts a bile, ndichifukwa chake wodwalayo amaphunzira momwe chiwindi chimapwetekera.

Chiwindi cha munthu chimatha kukhudzidwa ndi majeremusiomwe amapatsira minyewa ya chiwindi. Kukula kwa munthu kumathandizanso kuti asakhale ndi vuto. matenda a magazi, chifuwa chachikulu, kulephera kwa mtima.

Komabe, nthawi zina, munthu sangazindikire chifukwa chake chiwindi chimasokonekera pang'onopang'ono. Chifukwa chake, nthawi zina chomwe chimayambitsa matendawa chimakhala njira yolakwika yazakudya za tsiku ndi tsiku, kutsatira mosamalitsa mosamalitsa Zakudyamwachangu kunenepa kwambiri. Zoyenera kuchita pankhaniyi, katswiriyo ayenera kuyambitsa, popeza chithandizo chodziyimira pawokha chingapangitse kuti zinthu ziwonjezeke.

Chifukwa chake, osati matenda akulu okha komanso kusokonezeka kwa kayendedwe ka kayendedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendedwe ka thupi kanakhudze chiwindi. Mulimonsemo, matenda oyamba ndi njira yoyenera yothandizira ndikofunikira.

Zowopsa

Kutupa kwa ndulu nthawi zambiri kumachitika chifukwa cha matenda a chiwalo ndi tizilombo tating'onoting'ono totsutsana ndi maziko a matenda ofooka komanso kupezeka kwa matenda am'mbuyo. Udindo wofunikira pakupanga chiyembekezo cha cholecystitis amapatsidwa gawo lobadwa nalo.

Zomwe zimayambitsa matendawa:

• kumayambiriro kwa chikhodzodzo cha zotulutsa maluwa - staphylococcal, streptococcal,
• tiziromboti, matenda a helminthic - giardiasis, opisthorchiasis,
• fungal matenda
• kachilombo ka chiwindi,
• kuledzera
• kukhudzana kwa nthawi yayitali ndi allergen.

Kuyambitsa njira yotupa yotupa, zotsatira za zovuta zoyipa ndizofunikira:

• kukondoweza kwa bile pamasamba otupa a biliary thirakiti, dyskinesia,
• pachimake matenda opatsirana
• kugaya chakudya thirakiti,
• kusowa kwa masewera olimbitsa thupi
• kuperewera kwa zakudya zopanda chakudya mosasunga nthawi pakudya,
• kudya kwambiri, kugwiritsa ntchito zakudya zamafuta,
• kumwa pafupipafupi, kusuta,
• kuwonetsedwa pafupipafupi zochitika zomvetsa chisoni,
• kusokonekera kwa endocrine.

Zizindikiro

Kutupa mu ndulu kumayamba pang'onopang'ono, mowonjezereka, nthawi zambiri kumasintha kukhala mawonekedwe obwerezabwereza. Zizindikiro za kutupa kwa ndulu zimasiyana kutengera mtundu wa matenda.

Pachimake cholecystitis akuwonetsedwa ndi zizindikiro zotsatirazi:

• kupweteka kwapakati ndi kukoka, kuphulika, ndi kutulutsa kwina kumanja pansi pa nthiti, kuwotcha kumanja, kolala kapena phewa lamkati ndikotheka, kupweteka mwanjira yakuukira ndikomwe kumachitika ndi cholelithiasis - kupezeka kwake kumachitika chifukwa chakutseka kwa ndulu ya bile
• kusowa kwa chakudya ndi kuchepa thupi,
• chotupa chotchinga ndi khungu komanso khungu la maso,
• malungo, mpaka malungo ngati chizindikiro cha kuledzera,
• kusanza ndi episodic kusanza ndi bile mu masanzi,
• ukufalikira
• kuphwanya chopondapo (kudzimbidwa).

Zizindikiro za kutukusira kwa ndulu yosakhalitsa sizitchulidwa pang'ono, zitha kuzimiririka ndikuwonekanso. Matenda a cholecystitis amawonekera:

• ululu wofooka kapena wowonda mbali yakumanja, ndipo ululu umakulirakudya mutatha kudya zakudya zamafuta kapena kuchita masewera olimbitsa thupi mopitirira muyeso, chikhalidwe chake cha ululu chimasiyanasiyana ndikusintha ndikusinthasintha komanso kukakamira kwa irradiation kulowa mu sacrum, dera la solar plexus,
• mpweya wambiri, chakudya,
• matenda m'mawa "m'mimba" yopanda kanthu,
• zovuta ndi kusasangalala mu epigastric dera.

Zina mwazizindikiro zakutupa kwa odwala ena omwe ali ndi cholecystitis amakhala ndi VVD - kuchuluka thukuta, tachycardia, kuchuluka kwa mtima, migraine, ndi kusowa tulo. Kuphatikiza apo, pali zizindikiro zingapo za cholecystitis yomwe imachitika mwa akazi okha:

• kusinthasintha
• kutupa kwa miyendo ndi khungu lakhungu pamenepo.
• kupweteka kwa mutu, kusanachitike msambo,
• premenstrual tension syndrome.

Zizindikiro

Zizindikiro zoyipa zoyambitsa matenda a biliary amafunika kupita kwa katswiri wa gastroenterologist. Kufunsa madandaulo ndikusonkhanitsa anamnesis kumapangitsa kuti athe kuwulula zambiri zokhudzana ndi matenda am'mbuyomu am'mimba komanso dongosolo la biliary, matenda opatsirana, momwe amakhalira komanso kudya. Mukakoka chiwindi ndi bile ndikusintha kwamatenda, dokotalayo amatchula khoma lamkati lam'mimba komanso zowawa kumanja.

Pambuyo pa mayeso oyamba, njira zingapo zodziwira matenda zimachitika:

• kuyezetsa magazi ndi zamankhwala ambiri, zotsatira zake zomwe zimadziwika ndi kukhathamiritsa kwa ESR, kuchuluka kwa maselo oyera am'magazi komanso neutrophils, kuwonjezeka kwa ntchito ya michere ya chiwindi ndi bilirubin, mapuloteni a C-reactive.
• kusanthula kwakanthawi kwamkodzo, mothandizidwa ndi kupezeka kwa ma bile acids ngati chisonyezo chovuta kuchokera munthaka ya biliary,
• mamembala a ziwalo za biliary system akuwonetsa ophatikizika, ma hypertrophic, makoma a bile, mawonekedwe osakhazikika a limba kapena kukakamira kwakukulu
• Kuzika kwa duodenal kumakupatsani mwayi wokhazikitsa zolephera pakukonzekera ndi kuchuluka kwa bile, kuwonekera kwa kutulutsidwa kwa ndulu ndikutupa kwa chikhodzodzo ndikuwonetsa - ndi kukhalapo kwa matope, ntchofu, leukocytes, cholesterol, ma cysts a lamblia alipo.

Amayambitsa Cholecystopancreatitis

Chifukwa chachikulu ndi kuperewera kwa zakudya m'thupi. Matumbo am'mimba m'thupi la munthu amapangidwa mwadongosolo kuti ngati chiwalo chimodzi chikukhudzidwa, kutupa kumatha kufalikira ku ziwalo zina zofunika kwambiri zam'mimba.

Zoyambitsa matendawa:

• Kuperewera kwa zakudya m'thupi, kuchepa kwa mavitamini,
• Kulephera kuchita masewera olimbitsa thupi,
• Zofooka mthupi
• Mavuto apanthawi zonse
• Kusavomerezeka mu chakudya cham'mimba (pancreatic juice sikupangidwa mokwanira)
• Kupezeka kwa matenda am'mimba (matenda a m'mimba, zilonda zam'mimba),

Anthu ambiri amawadziwa zomwe zimayambitsa matendawa, choncho matendawa amalembedwa nthawi zambiri.

Njira zochizira

Chithandizo cha kutukusira ndulu ndi chovuta ndipo chimalinga kupondereza chidwi cha matenda, kuthetsa gallstasis, komanso kuthana ndi ululu ndi dyspepsia. Chizindikiro cha mankhwala opha maantibayotiki ndim zotsatira za inoculation ya bile secretion pa zomera za bakiteriya. Koma maantibayotiki otupa a ndulu amatchulidwa nthawi zonse, ndipo atalandira zotsatira za kufesa, kukonza njira zochizira kumachitika. Zothandiza kwambiri kwa cholecystitis ndi Ciprofloxacin, Azithromycin, Ofloxacin, Doxycycline.

Ngati chifukwa cha cholecystitis ndi tizilombo tosakhazikika tomwe timatha kugwiritsa ntchito maantibayotiki, kuphatikiza antimicrobials omwe amachepetsa microflora ndi majeremusi amawonjezeredwa ku chithandizo:

• sulfonamides mu mawonekedwe a Biseptolum, Bactrim,
• nitrofurans mu mawonekedwe a furadonin.

Mankhwala ena omwe amagwiritsidwa ntchito popanga mankhwala ochizira matenda a kutupa:

• antispasmodics (Drotaverinum), analgesics (Baralgin) ndi M-anticholinergics (Metacin) amathandizira kumasuka kwa ma spasms ndi ululu,
• mankhwala okhala ndi prokinetic kanthu akuwonetsedwa kuti kuchepetsedwa contractility ya ndulu ndi ndulu (Motilak, Domperidon),
• othandizira okhala ndi litholytic zotsatira amawonetsedwa pakuwerengeka kwamphamvu kwa chikhodzodzo (Ursosan),
• mankhwala kukweza kubwezeretsa katulutsidwe ka bile (Allahol, Odeston) zotchulidwa kunja pachimake nthawi ndipo yekha ndi cholecystitis wopanda miyala,
• hepatoprotectors ndikofunikira osati kungotulutsa kutuluka kwa bile secretion, komanso kubwezeretsa magwiridwe antchito a chiwindi (Hofitol, Hepabene),
• Njira zowongolera njira zogaya chakudya zimachepetsera katundu m'mimba ndikuchotsa dyspepsia (Creon, Pangrol),
• Mankhwala okhala ndi mphamvu yoletsa kukonzekera amawonjezeranso kuperekedwa kwa azimayi atatsala pang'ono kusamba komanso kwa anthu omwe ali ndi mawonekedwe owopsa a dystonia (mamawort Tingafinye, Novopassit).

Pambuyo potuluka kukhathamira, odwala amatha kupatsidwa physiotherapy. Kugwiritsa ntchito physiotherapy ndikukhathamiritsa kuyenda kwamphamvu kwa thupi, kukonza mamvekedwe a machitidwe a biliary. Ndi cholecystitis panthawi yachikhululukiro, UHF, ultrasound, parafini ndi matope kugwiritsa ntchito pa dera la bile ndizothandiza. Zotsatira zabwino zochotsa kutupa zimaperekedwa ndi ma radon ndi ma hydrogen sulfide osambira, ayenera kumwedwa.

Ndikosatheka kuchepetsa kutukusira kwa ndulu popanda kutsatira zakudya zochepa. Kutsatira mfundo za kadyedwe kabwino kumakupatsani mwayi kusintha mapangidwe a bile ndikutulutsidwa kwa ndulu mu duodenum. Kukwaniritsa cholinga ichi kumathandizira zakudya zopatsa thanzi pogwiritsa ntchito zakudya zochepa. Ngati wodwalayo atenga chakudya mpaka 6 pa tsiku, chikhodzodzo chimabisitsa bile m'matumbo panthawi yake, chiwopsezo cha kupsinjika chimachepetsedwa. Munthu akamadya kuthamanga, pang'ono pang'onopang'ono, komanso zakudya pakati pamatha maola opitilira asanu ndi amodzi, bile limadziunjikira, ndipo chikhodzodzo chimadzaza.

Ndi matenda monga cholecystitis, chakudyacho chimasankhidwa payekha ndi gastroenterologist poganizira mawonekedwe a kutupa kwa chikhodzodzo. Nthawi zonse, zakudya zomwe zimakhumudwitsa m'mimba zimaphatikizidwa kuchokera kuzakudya:

• chakudya chokometsera komanso wowawasa
• chakudya chotentha kwambiri kapena chozizira
• mbale zomwe zimakhala ndi viniga, zonunkhira,
• mafuta, okazinga komanso osuta zakudya.

Zakudya za odwala omwe ali ndi cholecystitis imakhala ndi yophika, yophika, yopatsa chakudya. Maphala amaloledwa, masamba osakhala ndi ma coarse fiber, nyama yopanda mphamvu, maeleeleta am'madzi ndi ma puddings, mafuta ochepa amkaka. Kuphika kwatsopano ndi koletsedwa, koma mutha kugwiritsa ntchito zotsalira zopangidwa ndi mikate yoyera, buledi wamphongo. Mwa mafuta, zokonda zimaperekedwa ku masamba, koma osapitirira 100 g patsiku.

Kuvomerezedwa kwamadzi ambiri otupa a bile ndi kofunikira. Mukamagwiritsa ntchito malita awiri amadzimadzi patsiku, ndulu zamadzimadzi ndikupeza zinthu zabwino kwambiri zowonjezera, zomwe zimathandizira njira yotulutsira kudzera m'mitsempha popanda chiopsezo chotchinga. Analimbikitsa zakumwa - mchere wa mchere wopanda mafuta, wophatikizira zipatso za rosehip, kuchepetsedwa 1: 1 madzi otsekemera.

Phytotherapy

Mutha kuchiza zotupa pogwiritsa ntchito njira zachikhalidwe. Mankhwala azitsamba amakulolani kuthamangitsa kubwezeretsa thupi, kuthetsa ululu ndi kusasangalala m'dera lamavuto. Koma ndikwabwino kuphatikiza mankhwala azitsamba ndi chithandizo chachikulu cha mankhwala - mapiritsi ndi zitsamba zomwe zimaphatikizidwa zimapereka mphamvu kwambiri. Musanayambe kumwa mankhwala azitsamba, kuthandizirana ndi dokotala ndikofunikira - chithandizo chamankhwala osafunikira chingakupatseni zotsatira zoyipa.

Maphikidwe ogwira mtima a anthu a cholecystitis:

• Mothandizidwa ndi Tingafinye ku zovuta za chimanga kuchepetsa ululu kukokana ndi kusintha katulutsidwe a bile. Kukonzekera 10 g ya stigmas youma, onjezani 250 ml ya madzi otentha ndikuumirira ola limodzi. Tengani 50 ml musanadye.
• Peppermint kulowetsedwa ndikothandiza kwa amayi omwe ali ndi cholecystitis, chifukwa chotonthoza komanso anti-yotupa. Kukonzekera 20 g ya masamba a timbewu, kutsanulira kapu ya madzi otentha ndikusamba m'madzi osamba kwa mphindi 25. Kuziziritsa ndi kumwa musanadye katatu patsiku.
• Kulowetsedwa kwa Parsley kumakongoletsa chimbudzi ndipo kumakhala ndi choleretic pang'ono. Finely akanadulidwa parsley mu 10 g kutsanulira kapu ya madzi otentha, mulole brew ndi kumwa ofunda mawonekedwe, 50 ml aliyense asanadye.

Zotsogola ndi kupewa

Momwe matendawo amachira ndi mitundu yosavuta ya cholecystitis ndi yabwino. Mitundu yowerengeka imakhala yovuta kwambiri kuchiritsa. Pamaso pa cholecystitis yovuta, ndikotheka kukwaniritsa kuchotsedwa kwakanthawi (kwanthawi yayitali) mwa kuwona mankhwala omwe mumalandira - kumwa mankhwala, kudya moyenera, ndikupanga ma ultrasound a ziwalo zam'mimba zodwala chaka chilichonse. Zotsatira zoyipa zimatha kuchitika mwa mitundu yayikulu ya purulent ya cholecystitis ndi miyala yambiri yama volumetric. Pankhaniyi, njira yokhayo yotuluka ndiyoyang'ana kwathunthu ndulu.

Popewa kukula kwa cholecystitis, ndikofunikira kuchotsa zoyipa zomwe zimapangitsa kuti gallbladder igonjetsedwe - tichotse zizolowezi zoyipa ndi kunenepa kwambiri, sinthani chakudya, komanso muchiritseni matenda oyamba ndi bakiteriya. Ndikofunikira kwa anthu omwe ali ndi cholowa kuti azichita pafupipafupi ma diagnostics a ultrasound kuti awonere gawo logaya chakudya.

Malo ndi Kuyankhulana

Odwala omwe adakumana ndi matenda am'mimba nthawi zambiri amakhala ndi chidwi, kodi ndulu ndi chikhodzodzo ndizofanana?
Kuzindikira kwa chikhodzodzo kumapangidwa kutsogolo kwa poyambira kwakutali kwa chiwindi. Choyambirira ndicho mawonekedwe a peyala kapena chulu. Chikhodzodzo chachikulu kwambiri ndimayerekeza ndi dzira. Chimawoneka ngati thumba loyambira.

Nthendayi ndi glandular organ yomwe imagwira ntchito ya endocrine exocrine. Tizilombo timeneti timayang'aniridwa pamimba pamimba kumbuyo kwa m'mimba mu epigastric zone pafupi ndi ndulu. Gawo lake lamanzere lili pansi pa nthiti yakumanzere. Chikwama cham'manja chimagawa m'mimba ndi kapamba. Pambuyo pake pamadutsa mitsempha ndi msempha.

Chikhodzodzo ndi chikhodzodzo chimalumikizidwa molumikizana komanso mwamphamvu.

Kulumikizana kwapadera kumawoneka koyambirira kwamapangidwe amtundu, akaphatikizidwa mu mawonekedwe amodzi wamba, momwe chinsinsi ndi bile zimalowa nthawi imodzi. Mapangidwe otere nthawi zambiri amatsogolera pakukula kwa matendawa, chifukwa njira yofalikira imatha kutsekereza:

• chimbudzi
• mapangidwe chotupa
• kukulira ndi polyp, osalola zomwe zilowe mu matumbo.

Palinso ubale wapakati pa ndulu ndi chithokomiro. Kuwonongeka kwa chakudya kumachitika ndi kutenga nawo gawo pachinsinsi chomwe chili ndi ma enzymes. Ndi omwe amaphwanya chakudya, mafuta ndi mapuloteni muzinthu zosavuta zomwe zimatengedwa m'mitsempha ndikuchita nawo zochitika zina zam'tsogolo. Madzi am'mimba amathandizidwanso ndi bile acid omwe amapezeka mu bile. Chifukwa chake, kutuluka kwa ndulu m'mimba mwa ngalande kumayendetsedwa ndi njira yamanjenje ndi yamanjenje.

Matenda a kapamba nthawi zambiri amalumikizana ndi mayankho otupa, chotupa, mapangidwe a cysts ndi kupezeka kwa calculi mu zimakhala. Matenda a gland ya yotupa kumene ndi kapamba, yemwe amadziwonetsa panjira yovuta komanso yopweteka.

Biliary pancreatitis amadziwika chifukwa cha kugonjetsedwa kwa kapamba. Popeza ma enzymes a chiwalo sangathe kulowa m'matumbo, amayamba kuchepa, ndikuwonongeka kapamba. Poizoni amalowa m'matumbo, choncho chotupa chimatha kuphimba ziwalo zoyandikana.

Matendawa amatha kuonekera chifukwa cha zifukwa zingapo.

1. Ndi chakudya cholakwika komanso moyo wosayenera, kumwa kwambiri mowa, koloko, kudya zakudya zoletsedwa.
2. Pankhani yakubadwa kwa matenda.
3. Wodwala akamamwa mankhwala amphamvu kwanthawi yayitali, monga mankhwala a antibacterial - tetracyclines, mankhwala okhala ndi estrogen ndi corticosteroids.
4. Chifukwa cha kusintha ndi ukalamba, chifukwa chake pali kuphwanya kwamwazi pama ziwalo.
5. Ngati matenda apamwamba a matenda am'mimba amawonedwa.

Zotsatira zotsatirazi zingayambitsenso kuwonongeka kwa gallbladder zone:

• kulowetsa mabakiteriya
• Kukula kwa cholesterol ndi mapangidwe ake,
• kusintha kwa mapangidwe a bile,
• kusintha kwa ubale wa chikhodzodzo ndi dongosolo lamanjenje,
• kupezeka kwa anomali mu kapangidwe ka chikhodzodzo.

Matendawa nthawi zambiri amawonedwa mwa azimayi opitirira 40. Izi zimalumikizidwa ndi kuwonjezeka ndi kuchepa kwa thupi, zikhalidwe zowonongeka. Komanso, odwala ali pachiwopsezo pamaso pa mimba kapena 3-4.

Zizindikiro za kutupa kwa ndulu ndi kapamba

Zikondamoyo ndi chikhodzodzo, ngakhale zimagwira ntchito zosiyanasiyana m'mimba, zimatha kukhudzana. Pancreas imapereka kugwira ntchito kwa chinsinsi chomwe chimakhala ndi ma enzymes ndi mahomoni. Pamene kukula kwa njira yotupa mu kapamba kumachitika, kusintha kwakuwonongeka kwa ma enzymes kumawonedwa. Kuchuluka kwawo kumalowa mu ndulu, komwe kumabweretsa njira yopweteka ku chiwalo ichi.

Zizindikiro za kutukusira kwa ndulu ndi kapamba ndizofanana. Nthawi yomweyo, cholecystitis yokhala ndi kapamba imakonda kuphatikizana, kotero ma pathologies amapanga ndikukwiyitsana wina ndi mnzake. Kuphatikiza apo, matenda amawonedwa ngati osatetezeka ndipo amatsogolera pakupanga zotsatira zoyipa, ngati simutayamba kuchitira pancreatitis ndi cholecystitis. Zizindikiro zoyambirira za matenda a ndulu ndi kapamba zikawoneka, muyenera kupita kwa dotolo kuti mukawonetsetse ngati muli ndi matenda.

Matenda a Gallstone amadziwika ndi chitukuko cha mapangidwe a calculi mu ngalande kapena chikhodzodzo. Miyala ndi miyala yamakristali yolimba yomwe imapangidwa kuchokera ku mchere wamchere ndi cholesterol, yolumikizidwa ndi gawo la bile - bilirubin.
Zizindikiro za gallbladder pathologies zimayamba kutengera kuchuluka ndi kukula kwa calculi. Kwa nthawi yayitali, amatha kuvutitsa wodwalayo. Poyamba gawo lawo, wodwalayo amamva:

• colic mu chiwindi, chomwe chidzakhala cholimba, chakuthwa pansi pa nthiti ndikupereka pansi pa phewa lamanja, nthambi,
• nseru zimachitika
• kusanza kwa bile
• pakumwa zowawa mkamwa
• kamwa yowuma
• kufooka.

Komanso, kutentha kwa wodwala kumakweza, chilakole chimachepa, zakudya zomwe sizigwirizana.

Cholecystitis amawonetsedwa m'mitundu iwiri - yovuta komanso yopweteka. Chifukwa cha zovuta za matendawa zimayamba:

• kusanza
• kuzunza wodwalayo
• kutentha kumakwera
• zizindikiro za jaundice zimawonekera
• Khungu limatulutsa.

Matenda osachiritsika amatuluka pang'onopang'ono, pomwe exacerbations imatheka. Nthawi zambiri mtunduwu umayamba chifukwa cha kupezeka kwa mabakiteriya.

Matendawa amayambitsa kusamvana kopweteka pansi pa nthiti kumanja, kupweteka kwapadera kumawonekera kwa masiku angapo. Kuwala kwakanthawi kochepa nthawi zina kumakhala kotheka.

Ngati zizindikiro zina zikuwoneka, muyenera kufunsa dokotala.

Zizindikiro za matenda a chiwindi

Ngati munthu akukula chiwindi, ndiye tikulankhula za kutupa kapena kufinya kwamphamvu kwa chiwindi, komwe kumatha kukhala kosiyana.

At pachimake hepatitisnthawi zina zizindikiro zake zimakhala zofatsa. Chifukwa chake, amadzazindikira matendawa kuti adziwe matenda ena. Koma kwambiri chiwindi chachikulu chimayamba ndi gawo lotchedwa preicteric site.Pakadali pano, zizindikiro za matendawa zimafanana ndi zizindikiro ndi chimfine. Pakatha pafupifupi milungu iwiri, gawo lodetsa limayamba.

Matenda owopsa kwambiri ndi pachimake poizoni hepatitis. Chifukwa cha kuledzera kwa thupi, matendawa amakula msanga. Khungu la wodwalayo, komanso zimagwira pakhungu lake, zimakhala ndi chikasu chachikasu, mkodzo umakhala wofiirira, ndipo chopondacho chimakhala choyera. Ngati pali matendawa akuwonetsa matendawa, ndikotheka kukulitsa khungu, mphuno, mtima arrhythmias, komanso palinso zizindikilo za kuwonongeka kwapakati pa manjenje.

Kufufuza wodwala yemwe ali ndi matenda oopsa a hepatitis, katswiriyo akuwonetsa kuti chiwindi chake chimakulitsidwa, ndipo pamakhala kupweteka pang'ono palpation. Mothandizidwa ndi mayeso a labotale, kuzindikira kumatsimikiziridwa, ndipo chithandizo chimayikidwa.

Mukakhazikitsa matenda, ndikofunikira kuti adokotala aunikire ma anamnesis mosamala, chifukwa nthawi zonse pamakhala mwayi woti wodwalayo virus hepatitis.

Mukazindikira matenda a chiwindi, nthawi zambiri amakhala okwanira mwa odwala aakulu a chiwindi. Zizindikiro za matenda amchiwindi pamenepa amasonyezedwa ndi kuwonjezeka kwake, kumverera kwa kulemera kapena kupweteka mu hypochondrium yoyenera. Zizindikiro monga kuyabwa kwa khungu ndi jaundice sizachilendo, ndipo chikumbumtima chochepa kwambiri cha mucous nembanemba chimadziwika. Koma nthawi imodzimodzi, munthu amakhala ndi mseru pafupipafupi, kuchepa kwa chilimbikitso. Kuphatikiza apo, munthu amasokonezeka ndi mpando wosakhazikika, chisangalalokumverera kofooka. Zimakhudza mkhalidwe ndi zakudya: wodwalayo salekerera mafuta. Ndiye chifukwa chake kudya kwa matenda a chiwindi ndikofunikira kwambiri.

Kuphatikiza pa mitundu ya matenda a chiwindi, madokotala pakufufuza amatchulanso mitundu ina ya matendawa: chidziwitso ndi wamakanichiwindi, wosagwira ndi yogwirachiwindi, pang'onopang'ono hepatitis. Ndikotheka kudziwa mtundu wa matendawa molondola kwambiri laparoscopy ndi kutenga zinthu za biopsies chiwindi.

At hepatosis wodwala amakhala ndi vuto la chiwindi. Kusintha kwa Dystrophic kumayamba pang'onopang'ono. Palibe kutupa. Nthawi zambiri, odwala amapezeka mafuta hepatosiskumachitika kawirikawiri komanso kudya mafuta ambiri m'chiwindi. Zotsatira zake, kunenepa kwambiri kwamaselo a chiwindi kumachitika.

Ndi mawonekedwe apamwamba a chiwindi, munthu amatha kuyamba pang'onopang'ono matenda ammbuyo. Matendawa ali ndi maphunziro osatha, amadziwika ndi mtundu wowonongeka wa chiwindi. Kukonzanso kwathunthu kwa minyewa ya chiwindi kumachitika, chifukwa chake zinthu zonse za chiwalo zimasokonekera, ndipo munthu akuwonekera kulephera kwa chiwindi. Ndi cirrhosis ya chiwindi, munthu amadandaula kuti akuwonetsa kufooka kwapafupipafupi, kupweteka kosalekeza kapena kumva kupsinjika mu hypochondrium yoyenera ndi gawo lapansi, akumva kuwawa mkamwamasamba, kuchepa thupi, ukufalikira. Ali ndi jaundice, kufiira kwa manja, mawonekedwe a chotupa pamphumi, pachifuwa, ndi m'manja. Chiwindi chokhala ndi cirrhosis chimakulitsidwa, pomwe kuchepa kwake kumawonedwa ngati chizindikiro chosavomerezeka. Komanso, wodwalayo amakhala ndi ndulu yowonjezereka. Kupititsa patsogolo kwa matendawa kumachitika kale ndi zizindikiro za matenda oopsa a portal. Munthu amadzaza madzimadzi m'mimba, chifukwa chamimba chimakula, chimawonedwa mitsempha ya varicose rectum, esophagus, m'mimba, edema imawoneka. Ndikotheka magazi.

Cirrhosis yambiri ya chiwindi imakhudza anthu omwe amamwa pafupipafupi zaka zambiri. Cirrhosis nthawi zina amakumana motsutsana ndi maziko a matenda opatsirana, chiwindi C ndi B.

Chifukwa cha kukula kwamankhwala amakono, komanso kukhazikitsidwa ndi madokotala a njira za pharmacotherapy ndi njira zina zomwe sizikhala zachikhalidwe, chithandizo cha chiwindi chimagwira.Asanapereke mankhwala oti athandizidwe, dokotala amayambitsa kudwala ndikuchotsa zomwe zinayambitsa matendawa.

Chithandizo cha matenda amchiwindi ndi ziwindi zina za chiwalochi ndi njira yopweteka komanso yayitali. Pankhaniyi, ndikofunikira kuti wodwalayo apemphe thandizo pakanthawi ndipo osaphonya mphindi, popeza kuchedwa kumakhala kokwanira chifukwa cha matenda oopsa, makamaka, amatha kuwonekera khansa ya chiwindi. Odwala ena amakhulupirira kuti mankhwala azikhalidwe angathandize. Koma chithandizo cha chiwindi ndi wowerengeka azitsamba chitha kuchitidwa kokha motsogozedwa ndi dokotala, osatinso kudziyimira pawokha. Pochita mankhwala ovuta, adokotala amatha kupangira chithandizo chamankhwala azitsamba ndi mankhwala ena wowerengeka (chithandizo cha chiwindi, uchi, oats, etc.).

Mfundo yofunikanso kwambiri pochiritsa chiwindi ndi chakudya chosavomerezeka. Chifukwa chake, munthu akayamba mafuta a hepatosis, momwe kunenepa kwambiri kwa maselo a chiwindi kumachitika, zopangidwa ndi mapuloteni ziyenera kupezeka mu chakudya chake. Kusintha kwamafuta komwe kumapangidwa kumakhudzanso kuletsa kokhazikika pakudya kwamafuta. Odwala omwe ali ndi hepatosis samalimbikitsidwa kudya mafuta azinyama. Nthawi yomweyo, mavitamini, mankhwala othandizira kuti chiwindi chichitike. Ndikulimbikitsidwa kukhala ndi moyo wokangalika.

Ngati wodwala wapezeka hemangioma kapena chotupa cha chiwindi, ndiye kuti chithandizo cha mawonekedwe oterowo chimatengera malo ndi kukula kwawo. Pankhaniyi, ndikofunikira kufufuza moyenera, kenako dokotala payekhapayekha asankhe chithandizo.

Monga mankhwala ochizira matenda a chiwindi ndi biliary thirakiti, kutengera mawonekedwe a matendawa, machitidwe a omwe akuti mankhwala a hepatotropic. Agawidwa m'magulu atatu. Cholagogue yambitsani secretion ya bile ndikusintha njira yolowera mu duodenum. Mankhwala a hepatoprotective kusintha kagayidwe kachakudya mu chiwindi, kuuloleza kuti azindikire zotsatira zapamwamba za pathogenic, kumathandizira kubwezeretsa chiwindi. Mankhwala a Cholelitolytic yambitsa njira yakuwonongeka kwa gallstones.

Mankhwalawa matenda a chiwindi a mitundu yosiyanasiyana Mankhwala othandizira ovuta amachitidwa, kuphatikiza njira ndi njira zosiyanasiyana. Makamaka, mankhwalawa amagwiritsidwa ntchito omwe amakhudza ntchito ya chiwindi, zakudya zapadera ndi regimen. Pa nthawi yochira, odwala amapatsidwa mankhwala othandizira ndi phala.

At pachimake tizilombo hepatitisKuti muwonetsetse kuti poizoni wa zinthu zoopsa m'thupi mulinso mankhwala ambiri azitsamba. Mankhwala achikhalidwe amalimbikitsa kugwiritsa ntchito decoctions wamba filakisi, chamomile, sinamoni rosehip, clover wofiira, peppermint, oats, hypericum, zitsamba zina ndi mbewu. Ndi hepatitis ya viral, tikulimbikitsidwa kutenga mavitamini E ndi A, komanso mafuta ndi zinthu zomwe zimakhala ndi mavitamini awa. Mankhwalawa amachita ndi wakuda radish madzi, mkaka nthula mafuta, nyanja buckthorn ndi ena.

Ndi cirrhosis ya chiwindi, wodwalayo amamulembera zakudya, mowa samadziwidwa m'magulu. Ngati ntchito yogwira mu chiwindi, wodwalayo amamulembera njira yochizira, yomwe imaphatikizapo Cocarboxylases, Mavitamini B, folic acid, ascorbic acid, mavitamini A, D. Ngati wodwala akuwonetsa zizindikiro zomwe zikuwonetsa kulephera kwa chiwindi, amawonetsedwa haemodeis, 5% shuga yankho, mchere njira. Pamaso pa njira yotchulidwa yotupa, corticosteroid mahomoni amathandizira, ndipo amadziwikanso Levamisole (Decaris). Chithandizo chimayang'aniridwa ndi dokotala.

Timalankhula za kutsimikizira njira zopewera kudwala matenda a chiwindi, choyambirira, tikulankhula za njira yoyenera yothandizira gulu la anthu odwala.Kudya kosamalidwa sikungathandize odwala matenda a chiwindi, komanso kuthandizira matenda a chiwindi, mapangidwe a bile mu thupi, ndikubwezeretsanso njira za metabolic. Odwala omwe ali pachiwopsezo cha kuchepa kwamafuta m'thupi amawonetsedwa zakudya zapadera za matenda a chiwindi. Monga momwe amalimbikitsira malonda, cod, soya, tchizi tchizi, chomwe chili ndi zambiri lipotropic zinthu. Anthu omwe amawonetsa zizindikiro za matenda a chiwindi amawonetsedwa kuti azidya zakudya zochepa m'mafuta. Munthu sayenera kudya mafuta opitilira 80 g pa tsiku, pomwe tsiku lililonse amakulimbikitsidwa kudya pang'ono masamba omwe amapereka choleretic, motero, mankhwalawa. Ngati wodwalayo ali ndi vuto la kufooka kwa bile, amawonetsedwa kuti azidya mafuta pafupifupi 150 g patsiku, theka, theka la iwo ayenera kukhala mafuta azipatso.

Sitikulimbikitsidwa kudya zakudya zamafuta ambiri. Mu matenda a chiwindi osachiritsika, zakudya zopatsa chidwi zimachitika m'mbale zokhala ndi kuchuluka kwa mapuloteni, chakudya ndi mafuta. Chakudya chimayenera kuwiritsa kapena kuwiritsa. Ndi hepatitis, chakudyacho chimayenera kukhala ndi mapuloteni ambiri omwe amatha kupukusa mosavuta.

Ndi zoletsedwa kudya nyama yamafuta, kusuta nyama, msuzi wolemera, zakudya zam'chitini, chokoleti, chakudya wowawasa, mowa. Ngati matenda ambiri a chiwindi amadyedwa amayenera kuchitika pokhapokha pakuthandizidwa ndikuchira, ndiye kuti matenda ena azikhala ndi moyo wonse. Kuphatikiza apo, zoletsa zoperewera m'thupi lanu la matenda oopsa ndizovuta kwambiri.

Matenda a gallbladder

Chikhodzodzoili pansi pa chiwindi, chomwe chikugwirizana ndi chikhodzodzo ndi dongosolo la bile ducts. Bilezopangidwa ndi chiwindi, zimayambitsa kupanga mafuta m'chiwindi. Cholinga cha bile ndikupititsa patsogolo kuyamwa kwa mafuta ndikuwongolera kuyenda kwa chakudya kudzera m'matumbo. Pa makoma a ndulu ndi zimbudzi pali gawo losanjikiza lamatumbo lomwe, mgwirizano, umalimbikitsa kayendedwe ka bile. Ngati pali zolephera pakuchepetsa koteroko, ndiye kuti munthuyo wapezeka dyskinesia, ndiko kuti, kuphwanya kwa kayendedwe ka biliary. Dyskinesia imawonetsedwa ndi kupweteka kwakanthawi mu hypochondrium yoyenera.

Ngati tilingalira za matenda a ndulu yonse, ndiye kuti matenda a dyskinesia samawoneka ngati owopsa, komabe, chifukwa cha kufalikira kwa nthawi yayitali, zizindikiro za matenda a ndulu zimayamba.

Mu matenda a ndulu, miyala imapangika mu ducts ya bile kapena chikhodzodzo. Nthawi zambiri, azimayi azaka zopitilira muyeso amadwala matendawa. Kukhazikika pachikhodzodzo, miyala singadandaule kwa wodwalayo, komabe, polowa m'makola a bile, kuukira kumayamba Biliary colic. Munthu amakhala ndi ululu wam'mimba kwambiri, nseru, kusanza, kuwawa mkamwa. Kuukira kumatsika ngati mwala utasiya duodenum pawokha. Kupanda kutero, ma bile amadzitsekera, ndipo zotsatira zake ndi kutupa kwa ndulu - lakuthwacholecystitis. Mu chikhalidwe ichi, pali ngozi yayikulu ku moyo, chifukwa chake iyenera kuthandizidwa mwachangu.

Ngati njira yotupa mu ndulu ikupita pang'onopang'ono, ndiye kuti tikulankhula aakulu cholecystitis. Chithandizo chake chimachitika ndikuwonjezera matendawa. Komanso, wodwalayo amayenera kutsatira zakudya mosamala, mutha kuyeserera mankhwala azitsamba ndi njira zina za wowerengeka. Chifukwa cha kuchuluka kwa matendawa, madokotala amalimbikitsa kudya zakudya zochepa kwa masiku angapo. Mankhwalawa amalembedwa kuchokera m'magulu angapo osiyanasiyana, omwe amachotsa zizindikiro zazikulu za matendawa ndikulola kuti matenda azigwira ntchito.

Ngati wodwalayo ali ndi kobadwa nako kugwada matendawa sangachitike konse.Izi ndi gawo chabe la mawonekedwe a ndulu yomwe imatha kupezeka mwamwayi panthawi yamakina a ultrasound. Koma nthawi zina, kukhazikika kwa ndulu kumapangika chifukwa cha cholecystitis, matenda a ndulu. Zizindikiro zomwe zimayambitsa kupindika kwa ndulu nthawi ndi nthawi zimawonekera: kusanza kugaya chakudya, kusanza, kusanza. Walandidwa kulowetsedwa kwa ndulu ayenera kuchitiridwa. Poyamba, kugwiritsa ntchito mankhwala osokoneza bongo kumachitika, masewera olimbitsa thupi ndi zakudya zimachitidwanso.

Chithandizo cha ndulu chimachitika kokha motsogozedwa ndi dokotala. Ngati chithandizo chamankhwala sichikupatsani zotsatira zoyenera, ndipo kutupa kumapitilira, ndiye kuti muyenera kufunsa dokotala.

Ndi ma pathologies a gallbladder, chithandizo chokha cha opaleshoni ndiyotheka. Chifukwa chake, opaleshoni imakhala yofunikira ngati wodwala wapezeka ndulukomanso ma gallstones. Ngakhale m'mbuyomu, nthawi zina zimatheka popanda kuchita opareshoni. Pankhaniyi, njira zamakono zamankhwala zimachitidwa, komanso chithandizo chamankhwala ndi wowerengeka azitsamba.

Nthawi zambiri, pochiza matenda a ndulu, njira yoyenera kwambiri ndikuchotsa ndulu (cholecystectomy). Imachitidwa onse ndi maopail opaleshoni komanso njira laparoscopic.

Matenda a kapamba

Kapamba ili m'mimba mwa munthu. Ntchito yayikulu ya chiwalochi ndikupanga michere, yomwe m'thupi limatenga nawo gawo pokonza mafuta, mapuloteni ndi chakudya. Poyamba, ma enzyme amatulutsidwa m'matumbo a gland, kenako, ma enzyme amatha kumapeto kwa duodenum. Mmenemo ndi momwe chimbudzi cha chakudya chimachitika. Zopangidwanso mu kapamba insulinudindo wa malamulo a shuga kagayidwe. Chifukwa chake, kuperewera kwake kumabweretsa chitukuko cha matenda ashuga.

Matenda akuluakulu a kapamba ndi kapamba mitundu pachimake ndi matenda, komanso zotupa. Zizindikiro za matenda amenewa atha kukhala ofanana.

Matenda a kapamba, monga lamulo, amawonetsedwa ndi zowawa m'dera la epigastric, lomwe limaperekedwa kumbuyo kumbuyo kwa tsamba lamanzere. Zizindikiro izi zamatenda a pancreatic zimakulitsidwa pambuyo poti munthu wadya mbale yokazinga kapena mafuta, kumwa mowa. Chifukwa chake, mfundo yofunika pakuchiritsa ndiyo chakudya choyenera. Munthuyu amakhudzidwanso ndi kusanza, kutsegula m'mimba, nseru. Kuphatikiza apo, chilakolako chake cha thupi chimatayika, thupi lake limatayika.

At pachimake kapambapamakhala kutupa. Matendawa amatha kudwala munthu chifukwa chomwa mowa wambiri, komanso chifukwa cha matenda a ndulu ndi duodenum. Mu kapamba pachimake, munthu amakhala ndi ululu waukulu, ndipo amafunika thandizo la dokotala. Chithandizo cha kapamba ndi wowerengeka azitsamba popanda kuyesedwa koyambirira ndi dokotala pankhaniyi sizingatheke.

Fomu yazovuta imakhala nthawi zonse. At aakulu kapambakutupa kanyumba kamakhala kotalika komanso kotupa. Matendawa akamakula, minyewa yake yotsalira imayamba kusintha pang'onopang'ono. Zotsatira zake, ma enzyme ochepa amatulutsidwa, chimbudzi cha chakudya chimachepa. Kuphatikiza apo, chiopsezo chotenga matenda a shuga chikuwonjezereka, chifukwa kupanga insulin kumacheperanso.

Mankhwalawa amadwala matendawa, ndikofunikira kutsatira zakudya, kumwa mankhwala omwe amachepetsa kupanga msuzi wam'mimba, komanso zinthu zomwe zimakhala ndi enzyme. Pankhaniyi, chithandizo cha kapamba ndi zitsamba ndizothekanso.

Zotupa zam'mimba logawidwa m'mitundu iwiri: khansa ya kapamba ndi zotupa zokhala ndi mahomoni. Ndi maphunziro a oncological, wodwalayo amakhala ndi jaundice, chifuwa chachikulu, matenda a shuga, kupweteka kwambiri kumamuvutitsa, ndipo kulemera kwake kumachepa. Mankhwala othandizira amachitidwa. Ndi zotupa zomwe zimagwira m'thupi, zimatsimikiziridwa poyambira kudziwa ngati zilidi zovunda kapena zosaopsa. Pambuyo pake, chisankho chimapangidwa pa chemotherapy kapena opaleshoni.

Ndikofunika kuti chithandizo cha matenda oterewa chikhale chokwanira komanso kuti chichitike nthawi yomweyo matenda atapezeka.

Zizindikiro za cholecystopancreatitis

Zizindikiro za matendawa ndi ofanana ndi zizindikiro za cholecystitis ndi kapamba, chifukwa chake matendawa ndi ovuta kuwazindikira. Amasiyana ndi cholecystitis mwa kukhalapo kwa kutupa kwa ziwalo zina zam'mimba. Ndikofunika kupimidwa moyenera kuti ayambe kulandira chithandizo. Wodwalayo amakhala ndi zodandaula komanso zodandaula za:

• Kuukira mseru pambuyo chakudya
• Kusanza kwambiri, nthawi zina ndimatupa obisika,
• Zochiritsa, kutentha thupi,
• Kupweteka kwambiri mu hypochondrium yoyenera,
• Khungu loyera
• Kuchepetsa thupi
• Kusintha khungu (chikaso),
• Kutupa kwam'mimba, thanzi labwino,
• Kuthamanga kapena khungu mu navel (chizindikiro chosowa),
• Kuphwanya pafupipafupi
• Zizindikiro zotupa zam'mimba,
• Maonekedwe a mkamwa wowawa,
• Kusowa tulo kumachitika,
• Kutsegula m'mimba.

Cholecystopancreatitis imatha kuchitika kwambiri kapena nthawi yayitali. Ngati pali zizindikiro, ndikofunikira kudziwa bwino lomwe komwe kumayambira matendawa, kuyamba chithandizo mwachangu. Njira yonyalanyaza yamatenda imabweretsa njira zingapo:

• Zimayambitsa zotupa za ziwalo zina zoyandikana,
• Zimathandizira kuchepa kwa dambo la bile, kukokoloka kwa ndulu,
• Zimakhudza minyewa yamitsempha, imakwiyitsa matenda amitsempha,
• Kuwonongeka kwa kapangidwe ka ziwalo zamkati,
• Imasokoneza kupanga kwa mahomoni a endocrine system (chithokomiro cha chithokomiro, tiziwalo tating'onoting'ono ta adrenal, gland pituitary),
• Kusokoneza ntchito yogaya mafuta,
• Amakweza shuga, mwina kuphatikiza shuga.

Yang'anani mosamala ndi kukhazikitsidwa kwa zizindikiro, njira ya matendawa.

Kufunafuna nthawi yachipatala, kuzindikira matendawa ndi chithandizo chake kumathandizira kuti matendawa achulukane kwambiri.

Njira Zodziwitsira

Cholinga chodziwitsa ndi kudziwa zomwe zimayambitsa matendawa. Njira zotsatirazi zimagwiritsidwa ntchito kuti mudziwe za matendawa:

• Zizindikiro ndi zodandaula za wodwala (mbiri ya zamankhwala),
• Kuyesedwa ndi dokotala
• Khungu pamimba,
• Kusanthula magazi, mkodzo, ndowe,
• Kuyesa kwa Ultrasound,
• Kumveka pamimba
• Magnetic resonance imaging (MRI) ya m'mimba.

Kutengera zotsatira zakuwunika kwathunthu, kudziwikitsa moyenera matendawa akuti.

Cholecystopancreatitis imafuna njira yolumikizira chithandizo. Maphunzirowa amakhala ndi kumwa mankhwala, kutsatira kadyedwe koyenera, ndi physiotherapy. Kutengera ndi kuopsa kwa matendawa, mtundu wa chithandizo cha munthu amasankhidwa. Lemberani mankhwala: Maantibayotiki (Cefazolin, Ampiok, Gentamicin), choleretic (Cholagol, Liobil), painkillers (No-shpa, Papaverin), ma enzymes (Omeprazole, Creon, Mezim, Pancreatin), kubwezeretsa thirakiti la m'mimba, antispasmodics, Drota ), antibacterial (Cycvalone, Oxafenamide), maantacid (Almagel), mankhwala osokoneza bongo. Kutalika kwa maphunziro, mankhwalawa kuti athane ndi cholecystopancreatitis amasankhidwa ndi adokotala. Ndi zoletsedwa kugwiritsa ntchito mankhwala omwe mumagwiritsa ntchito nokha, mutha kuyambitsa zovuta zina matendawa!

Physiotherapy imalembedwa kwa wodwala ngati matendawo akukhululuka. Chifukwa cha electrophoresis, kufalikira kwa magazi kumayenda bwino, kupanga kwa bile kumachulukitsa, ndipo njira zotupa zimachepa. Ngati pachimake cholecystopancreatitis (kapamba cholecystitis) kapena kuchuluka kwa matendawa, njira zimatsutsana. Kuphatikiza pamodzi kwa matendawa kumapereka zotsatira zabwino.

Zakudya za cholecystopancreatitis

Zakudya zopatsa thanzi ndi gawo lofunika la chithandizo. Chakudya chimatha kusokoneza chimbudzi, kupangitsanso nkhawa pa chikhodzodzo, chiwindi, impso. Tsatirani kwambiri malamulo a kadyedwe ndi malingaliro a dokotala.

• Idyani pomwe,
• Idyani zakudya zazing'ono
• Chakudyacho chimawonedwa kwa nthawi yayitali, osati kokha pakufalikira kwa matendawa,
• Idyani zakudya zovomerezeka zokha,
• Osasokoneza chakudyacho (mwachitsanzo, zakudya zochepa zomwe zimasuta zimatha kuyambiranso).

Zakudya zamagulu azakudya zimapangidwa limodzi ndi adokotala. Odwala okhala ndi cholecystopancreatitis ndiwo mankhwala No. 5. Chakudyacho chimakhala ndi zakudya zopatsa thanzi: nyama yophika nyama, nsomba zowotcha, msuzi wamasamba, zakudya zamafuta ochepa mkaka wowawasa, chimanga, tiyi wofooka, compote, zakumwa zamalonda, ndi zina zambiri.

• Zakudya zamafuta, zonunkhira, zonunkhira,
• Zakudya zakusuta
• Kuphika: mkate woyera, buns,
• Zowawa, zotsekemera,
• Zinthu zomwe zimakhala ndi cocoa (chokoleti),
• Garlic, anyezi, radish,
• Tiyi yapamwamba kwambiri
• Mowa
• Madzi owala
• Marinade okhala ndi viniga.

Kupewa matenda

Kupewa matendawa ndikosavuta kuposa kuchiritsa, kumwa mapiritsi ndi kuthana ndi zovuta zina zomwe zimadza pambuyo pake. Njira zopewera:

• Moyo wathanzi
• Zakudya zoyenera, kudya,
• Kuzindikira kwakanthawi
• Njira zoyenera kulandira chithandizo,
• Kusiya zizolowezi zoipa,
• Yang'anani kulemera, kupewa kudya kwambiri,
• Pewani zochitika zovuta.

Cholecystopancreatitis ndi matenda oopsa, koma mwaukadaulo wodziwa bwino za mankhwalawa, mutha kuchotsa zizindikiro zosasangalatsa. Khalani athanzi!

Cholecystopancreatitis amatanthauza matenda ofala am'mimba. Awa ndi matenda pamene kutupa m'matumbo a chamba ndi chindunji kumachitika nthawi yomweyo. Izi zikufotokozedwa ndi oyandikana nawo. Nthawi zambiri mu chiwindi, chiwindi chimayamba.

Zomwe zimayambitsa matenda

Matenda a Gallstone angayambitse kukula kwa cholecystopancreatitis.

Kutupa kwa ndulu kumatsutsidwa pazifukwa izi:

1. kuphwanya kayendedwe ka bile mu ducts ya bile,
2. kusayenda kwa bile
3. zosavomerezeka pakudya,
4. kupezeka kwa tiziromboti m'thupi,
5. kulowa kwa gland madzi mu bile ducts.

Pancreatitis imachitika ngati pali zifukwa monga:

• kudya zakudya zamafuta
• kumwa mowa
• kumwa mankhwala popanda kutsatira dokotala,
• kudya mapuloteni ochepa
• kuphwanya kwamitsempha yamagazi,
• matenda a ziwalo (chotupa, zotupa).

Kukula kwa cholecystopancreatitis aakulu chifukwa cha zinthu:

• acidity yayikulu
• matenda a ndulu
• zilonda zam'mimba
• khansa ya m'matumbo,
• chotupa inclusions wa m'mimba thirakiti.

Mukadwala matenda a ndulu, kapamba amayambika mosiyanasiyana. Mu gawo la kuchulukitsa kwa matendawa, kumachepa thupi, kusakhazikika kwa magazi, kutuluka kwa magazi, kupezeka kwa mafuta okhudzana ndi ndowe.

Pali zotupa pakhungu, pamakhala khungu pakhungu. Kupweteka kwakuthwa kwa kapamba ndi kukhalapo kwa mawonekedwe. Nthawi zambiri, necrosis yam'mimba minofu.

Kuperewera kwa michere yazakudya nthawi yayitali kumayambitsa matendawa, kupezeka kwa ulusi wopepuka wa ndowe. Pali blockage mu gawo lobisalira la duodenum.

Kupweteka kwambiri mu hypochondrium predominates. Zowawa zimachitika mutatha kudya ndipo zimachepetsa mukakhala ndi mtima wopita kutsogolo. Zizindikiro zosowa kwambiri za matendawa ndi monga:

• khungu loyera
• kudzikundikira kwamadzimayi pamimba (ascites),
• matenda amitsempha yama manja.
• pseudocyst development,
• kuyera lilime.
• Kusenda khungu ndi misomali
• zotupa zofiirira pakhungu la pamimba.

Imfa mu magawo otukuka imafika 50%.

Kuzindikira matendawa

Ultrasound yam'mimba ndiyo njira yabwino yodziwira matenda.

Njira zakuzindikiritsa zimatha kukhala: zowongolera, zosalunjika, ndowe za elastase (chimbudzi), kuyesa kwapadera, kupezeka kwamavuto am'madzi, kusanthula kwa steatorrhea (mafuta ndi mafuta oyambira). Kuphatikiza apo, amakhalanso ndi mayeso:

1. kusanthula kwachuma kwam magazi
2. kuyezetsa magazi
3. kupenda kwam'mimba pamimba,
4. magonedwe amatsenga,
5. mapuloteni.

Cholecystopancreatitis aakulu, njira zochizira

Kuphatikizidwa kwa mayeso achindunji komanso osakhudzika kumakupatsani chithunzi cha matendawa, malo ake komanso kuopsa kwa mkhalidwe wa wodwalayo. Kutengera ndi zotsatira za zotsatira zonse, chithandizo chimalembedwa chomwe chimatenga nthawi yayitali. Mukamamatira motsatira mfundo za:

• Kubwezeretsa ntchito yabwinobwino yamkati ndi kunja kwa kapamba.
• Kuchotsa njira zotupa mu gland.
• Chotsani zomwe zimabweretsa mavuto.
• Sinthani moyo wodwala, khazikitsani zakudya zoyenera ndi kupumula.

About aakulu cholecystitis ndi matenda a ndulu amawuza kanemayo:

Njira zochizira

Madzi amchere amathandizira kuthana ndimatenda owopsa a cholecystopancreatitis.

Kuchotsa pachimake mawonekedwe a cholecystopancreatitis, amamwa kumwa mchere wa madzi a bicarbonate - chloride 250 g kasanu patsiku.

Chakudya chopanda mafuta, zakudya zonunkhira, msuzi wowawasa ndi maapulo amitundu ina, masuti osuta, marinade, tiyi wamphamvu ndi khofi amalimbikitsidwa. Thanzi liyenera kukhala lopangika komanso losungika kwa ziwalo zopweteka. Chithandizo cha mankhwala osokoneza bongo ndi motere:

1. Kuletsa ululu wammbuyo ndikupititsa patsogolo kukwezedwa kwa bile ndi pancreatic madzi, antispasmodics (papaverine, duspatalin) ndi analgesics (analgin mu jakisoni ndi tramadol) amagwiritsidwa ntchito.
2. Kuti muwone kugaya bwino, mankhwalawa amagwiritsidwa ntchito - ma enzymes (konkroni, pancreatin), omwe amatengedwa chakudya chisanachitike.
3. Kuchepetsa katulutsidwe ka England, mankhwala amaloledwa, monga omeprazole, pantoprazole.
4. Ikani ma antibacterial othandizira (metronidazole, azithromycin).
5. Kubwezeretsa matumbo microflora zotchulidwa (bifiform, hilak).

• mankhwala a laser
• otsika mwamphamvu UHF njira
• UHF wapamwamba kwambiri.

Njira zomwe zimachepetsa ululu:

Njira zothandizira kupumula kwamisempha:

1. maginito apamwamba pafupipafupi,
2. electrophoresis ndi antispasmodics (no-shpa, papaverine),
3. kugwiritsa ntchito parafini pamawebusayiti.

Pa ntchito ya ndulu, ma pulises omwe amakhala pano amagwiritsidwa ntchito. Osavomerezeka pa siteji ya kukokedwa kwa spa chithandizo.

Zizindikiro za matendawa

Mu nthawi yomwe cholecystopancreatitis yachulukirachulukira, wodwalayo atha kuzindikira zotsatirazi:

• kusokoneza kwam'mimba,
• kupweteka atatha kudya
• kuwonda
• chisangalalo
• kupezeka kwa mafuta mu ndowe,
• kupweteka kapena kusasangalala m'dera pansi pa nthiti yakumanja,
• Khungu lomwe limakhala ndi msomali limatha kupindika.
• kupezeka kwa kapangidwe kake m'dera lomwe kapamba amapezeka,
• kupezeka kwa zipolopolo pafupi ndi navel,
• kuchepa kwamkati minofu yam'mimba, kuphatikiza ndi kupatulira kwa mafuta ozungulira.

Ngati kwa nthawi yayitali wodwala samathandizidwa ndi kapamba ndi cholecystitis, izi zimatha kubweretsa kuperewera kwa kapamba. Pankhaniyi, kusowa kwa michere yam'mimba kumayambitsa matenda:

• mafuta sakhazikika,
• kapamba kapamba amapangidwa kakang'ono,
• ndowe zimakhala madzi ndipo zimayera,
• kukhalapo kwa ulusi wamisempha wosasamalidwa mu ndowe.

Nthawi zina, matendawa amatenga njira yapadera - cholecystopancreatitis yodwala.Amadziwika ndi kubisa kwa ma ducts a duodenum.

Mwanjira zambiri, zizindikiro za matendawa zimatha kutengera mtundu wake. Chifukwa chake, kupweteka m'dera la nthiti yakumanja kumatha kuchitika ndi cholecystopancreatitis mu mawonekedwe osakhalitsa kapena gawo la kuchuluka.

Pamaso pa njira yotupa mu kapamba kapena ndulu, ululu umayamba kuchuluka mukatha kudya. Izi zitha kuchepa ngati wodwala akhala pansi ndikutsamira pang'ono.

Kusanza kwambiri komanso kusanza ndi zizindikiro zazikulu za mowa cholecystopancreatitis. Pankhaniyi, zamatenda zimayamba, monga lamulo, chifukwa cha kuwonongeka kwa epanclios epithelium.

Kuchepetsa mseru ndi kusanza kungathenso kumuwonetsa poizoni m'thupi ndi mowa wa ethyl. Yotsirizirayi imakonzedwa mu chiwindi, pambuyo pake imalowa m'magazi. Ndi kudzikundikira kwa nthawi yayitali m'thupi mokwanira m'maselo, kuphwanya kwa zochita zam'magazi kumatha kuchitika, kupanga michere yogaya zakudya kumachepa, ndipo kutulutsidwa kwa zinthu zogwira ntchito kumatsika. Izi ndizomwe zimayambitsa nseru, kusanza, matenda ammimba.

Muyenera kudziwa

Kupweteka kwambiri cholecystopancreatitis kungayambitse:

• njira zotupa pafupi ndi mitsempha,
• kuwonongeka kwa minofu ya pancreatic, yomwe ingayambitse zinthu zosiyanasiyana,
• kuchepera kwa bile duct.

Kuphwanya kupanga kwa mahomoni ena kumatha kudwalitsa, komwe njira yogaya mafuta imatha kusokonekera kwambiri, chifukwa cha iwo imatha kutuluka mu mawonekedwe osagwirizana ndi ndowe.

Pa magawo oyambirira a chitukuko cha zotupa za m'mapapo mwa wodwala, kulolerana kwa shuga kumatha kusokonezeka.

Poyamba, izi sizingayambitse zizindikiro zilizonse ndipo zimatha kupezeka nthawi yoyeserera ya labotale.

Ngati mungafune thandizo kuchipatala munthawi yake, mutha kudziwa za matenda anu musanafike shuga pamagazi.

Chizindikiro chachikulu cha shuga m'magazi ndikusintha kwa ziwiya za fundus.

Woopsa milandu, ndi kudzikundikira lactic acid m'mimba thirakiti, wodwalayo atha kukhala ndi zizindikiro za zovuta za matenda ashuga. Ngati shuga wamagazi afika 200 mg / dl, wodwalayo amakhala ndi zotupa za mitsempha, kusokonekera kwa mitsempha, komanso matenda amisala.

Palinso zizowoneka zina zosowa zomwe zikuwonetsa matenda monga cholecystopancreatitis aakulu:

• chikasu pakhungu,
• ascites
• kutuluka kwa mbali
• mapangidwe abodza onyenga,
• nyamakazi, yomwe imakhudza mafupa ang'onoang'ono ammanja.

Malinga ndi nosology, kufa kwa 50%. Chifukwa chake, ndikofunikira kuti musamangoganiza nokha. Dokotala wokha ndi amene amadziwa njira yochizira matendawa moyenera.

Kufa kungakuonjezeke ngati wodwalayo ali ndi zovuta zotsatirazi:

• Mitsempha yamagazi ili m'mitsempha,
• yofunika bile
• kukhalapo kwa ma neoplasms oyipa mu pancreatic duct,
• kuwonongeka kwa ulusi wamitsempha yamapapo,
• matenda a endocrine.

Mukamayang'ana wodwala wodwala cholecystopancreatitis, dokotalayo amatha kuwona chovala choyera pamilomo, "khunyu" m'makamwa, kuwuma kwambiri pakhungu, kupindika kwa misomali. Kukhalapo kwa mawanga ofiira pamimba kungasonyeze kuphwanya magazi.

Ntchito zopitilira

Chinthu choyamba chomwe dokotala amalembera wodwala omwe ali ndi matendawa ndi maantibayotiki. Zimafunikira kuti muchotse matenda omwe angayambitse matendawa.Mankhwalawa matenda a cholecystitis ndi kapamba, mankhwala ambiri amathandizidwa kuti apewetse matenda osasangalatsa, mankhwalawa amagwiritsidwa ntchito painkiller ndi antispasmodics.

Dokotala wofunsayo amatipatsa mankhwala omwe amathandizira kugaya. Mothandizidwa ndi mapiritsi okhala ndi ma enzymes am'magazi a anthu, mutha kuthana ndi steatorrhea, kuteteza ma enzyme ena kuti asalowe mu ndowe. Ndi kuperewera kwa bile, adokotala amatipatsa mankhwala a choleretic.

Chithandizo cha mankhwala a cholecystitis ndi kapamba zimangoyang'ana zochitika zotsatirazi:

• kapangidwe ka michere ya pancreatic ndi mankhwala apadera,
• kuchotsa kwa maziko a kutupa,
• Kuchotsa munthu pamavuto omwe amadza chifukwa cha matendawa,
• kubwezeretsa ntchito kwa wodwala.

Kuti ayeretse thupi pazinthu zovulaza, dokotala atha kukulemberani mitundu ina yamadzi amchere, omwe amalimbikitsidwa kuti azigwiritsidwa ntchito kasanu patsiku, galasi 1 lililonse. Njira zolimbitsa thupi, zakudya ndi zitsamba za kapamba zimathandizira kufulumira kuchira.

Zakudya zamatumbo

Ngati wodwala sayamba kutsatira zakudya, zizindikiro za cholecystitis zimamuvutitsabe kwanthawi yayitali. Izi ndichifukwa choti ambiri mwa matenda am'mimba amatuluka ndendende chifukwa cha kuperewera kwa zakudya m'thupi. Madokotala amalimbikitsa kuti ngakhale anthu athanzi azidya magawo ang'onoang'ono, kutafuna kwathunthu. Chakudya chotsiriza sichikhala mochedwa kuposa maola 3-4 asanagone.

Ndi pancreatitis ndi cholecystitis, choyambirira, muyenera kusiya mbale yokazinga, zokometsera komanso mafuta. Ndikulimbikitsidwa kupatula zakudya zamchere ndi zosuta, zakudya zam'chitini, soseji, chokoleti, cocoa ndi zakumwa zonse zomwe zimakhala ndi mowa.

Ndikulimbikitsidwa kwambiri kudya tchizi chimbudzi, zakudya zamkaka, masamba ndi zipatso, nyama yankhuni ndi nsomba, njere zosiyanasiyana. Mutha kumwa zipatso zokometsera komanso zosafunikira.

Zakudya zonse zomwe wodwalayo amadya zimayenera kukhala "zopepuka", kugayidwa mwachangu, osadzaza matumbo.

Njira zolimbitsa thupi

Njira zolimbitsa thupi zimayikidwa pokhapokha ngati matendawa sakhala pachimake.

Ndi cholecystitis, adokotala amatha kukupatsani mankhwala a electrophoresis, ultrasound kapena UHF. Chifukwa cha izi, kufalikira kwa magazi m'chiwindi kumayenda bwino, kupanga kwa bile kumakulanso. Pambuyo pa njirazi, odwala achepetsa kutupa.

UHF, ultrasound ndi electrophoresis amagwiritsidwa ntchito pancreatitis ndi kuphatikiza matenda. Njirazi zimasiyana pokhapokha chifukwa zimachitika m'matumbo osiyanasiyana.

Zizindikiro matendawa atatha, chithandizo cha matope chitha kuyikidwa. Wotsirizirayi amathandizira kutukusira, kutsata komanso kulimbitsa chitetezo cha mthupi.

Kupewa matenda

Popewa kukula kwa matendawa, wodwalayo ayenera kusiya zizolowezi, monga kusuta fodya kapena kumwa mowa, samalira boma lantchito ndi kupuma.

Pakapukusira kwamatumbo, wodwalayo amamva kupweteka atatha kudya m'mimba yam'mimba.

Potere, sizikulimbikitsidwa kugwiritsa ntchito mankhwala opweteketsa mtima. Simungadye zakudya zamafuta, kuletsa kukula kwa vitamini.

Osamangodzisamalira.

Pezani chithandizo chamankhwala pazizindikiro zoyambirira zomwe zikusonyeza kuti cholecystitis kapena kapamba, ndi katswiri woyenera yekha yemwe angathe kuchiza matendawa.

Kuchulukirapo, anthu amawapeza ndi pachimake cholecystopancreatitis. Zizindikiro zake ndizofanana ndi matenda ena am'mimba. Izi ndichifukwa cha mphamvu ya chilengedwe pa thupi la munthu, zakudya zomwe zimakhala ndi GMOs komanso kupsinjika kwapafupipafupi.

Madokotala amazindikira kuchuluka kwa matendawa, ndipo azimayi ambiri amakhudzidwa ndi vutoli.Kodi pachimake cholecystopancreatitis (Zizindikiro ndi mankhwala) ndi chiyani? Awa ndi matenda a ndulu ndi kapamba. Mpaka pano, madokotala sanakhazikitse ndendende mgwirizano pakati pa ziwalo ziwiri izi, mphamvu zawo pa wina ndi mnzake komanso kutulutsa kwake munthawi yomweyo.

Zomwe zimawonekera ndizosiyana kwambiri. Mitundu yonse ya mabakiteriya, nyongolotsi, mafangasi, ma hepatitis chiwindi ma virus amatha kugwira ntchito ngati chothandizira kuti pakhale matenda;

Pakuyambika kwa matendawa, kupindika kwa ma ndulu, miyala mu ndulu, osakhazikika mawonekedwe a bile ducts, matenda am'mimba, ndi endocrine system matenda. Mimba, kuchuluka kwa zam'mimba, moyo wongokhala, kusowa kwa zakudya m'thupi kumatha kuyambitsa kukokoloka kwa bile.

Nthawi zambiri chomwe chimayambitsa matendawa ndi kudya kwambiri, kudya zakudya zamafuta, kumwa kwambiri mowa kapena kutupa ziwalo zina. Kwenikweni, cholecystopancreatitis imayamba ngati matenda odziyimira pawokha. Mawonekedwe akuwonekera pazama ndi zovuta zina: gastritis, gallstones, kufalikira kwa kapamba kapena kunenepa kwambiri.

Zizindikiro za matenda

Zizindikiro za Cholecystopancreatitis amatchulidwa, kwambiri. Wodwalayo amavutitsidwa ndi ululu wosalala, wopweteka, womwe umamangidwa m'chilengedwe, amatha kufalikira kuchokera kumbali yakumanja pansi pa nthiti. Kodi cholecystopancreatitis amawonetsedwa bwanji? Zizindikiro zimachitika patatha maola atatu mutadya. Nthawi zambiri izi zimachitika chakudya chikakhala chamafuta kapena zonunkhira.

Kuphatikiza apo, mwa munthu yemwe ali ndi cholecystopancreatitis, Zizindikiro zimatha kuwonetsa monga kusanza kosalekeza. Pakhoza kukhala kutulutsa, kupweteka m'mapewa kapena scapula yamanja ndikotheka, wodwalayo amamva kuwawa mkamwa, kukonzekera kumawonekera. Kudzimbidwa kumatha kuchitika, kapena, kusokonezeka m'mimba, kugona.

Onetsetsani kuti mwamuyesa wodwalayo mwachindunji kumimba. Wodwala yemwe ali ndi matenda osatha a cholecystopancreatitis zizindikiro amawona izi: kusapeza bwino mu ndulu, chiwindi chimakulitsidwa, kupweteka palpation. Zizindikiro za Mussi-Georgiaievsky, Ortner ndizotheka.

Kodi cholecystopancreatitis wodwala amadziwika bwanji? Zizindikiro nthawi zambiri zimakhala zowawa. Njira ya matendawa nthawi zambiri imakhala yayitali, amasinthana ndi kuchotsedwa kapena kufalikira.

Kodi cholecystopancreatitis ndi chiyani?

Kutengera mtundu wa maphunzirowa, ulesi kapena wobwerezabwereza, purcin-ulcerative cholecystopancreatitis, zomwe zimafotokozedwera pamwambapa zimatha kusiyanitsidwa. Ngati zizindikiro zonsezi zikapezeka, muyenera kulumikizana ndi dokotala wanu wam'mimba kuti mumupime mwatsatanetsatane ndikuwonetsetsa.

Dokotala amalembera mankhwala

Tsopano mukudziwa zomwe zizindikiro za cholecystopancreatitis (zizindikiro) zake zili. Chithandizo chikuyenera kutsimikiziridwa ndi adokotala, simungathe kupereka mankhwala nokha. Nthawi zambiri odwala amathandizidwa kuchipatala. Pankhani ya peritonitis kapena kusintha kwina kwakukulu mu bile kapena kapamba, wodwalayo amamugwirira ntchito.

Pambuyo pa izi, kuwonjezera pa mankhwala, mankhwalawa amathandizira kubwezeretsa ziwalo zomwe zakhudzidwa.

Matenda a cholecystopancreatitis, omwe zizindikiro zomwe zafotokozedwa pamwambapa, pakakhala zovuta zimafunikira opareshoni yosakonzekera. Ngati chithandizo cha opaleshoni sichifunika, ndiye kuti wodwala amayankhidwa kuti alandire mankhwala. Zithandiza kusiya kutupa pachimake mu ndulu ndi kapamba.

Kuti mukhale ndi zotsatira zabwino, ndikofunikira kupita ku kachipatala kokwanira. Zitatha izi, wodwalayo amafunika kuunikanso ziwalo zonse zodwala.

Zoyenera kuchita ngati pachimake cholecystopancreatitis wapezeka? Chithandizo chikuchitika mu chipatala, moyang'aniridwa ndi dokotala wa mbiri yoyenera.Ngati kusintha kwasinthika pakuwunika, ndiye kuti wodwalayo amamuika opaleshoniyo pa ziwalo zonse ziwiri. Zotsatira zamankhwala zimatengera kuchuluka kwa kuwonongeka kwa ndulu ndi kapamba, pa gawo la chitukuko cha matendawa ndi kulandira chithandizo munthawi yake.

Zakudya zoyenera

Zoyenera kuchita ngati cholecystopancreatitis (zizindikiro) zikuwoneka? Chithandizo chiyenera kukhala chodzetsa ziwalo zoyipazo. Muyenera kudya zakudya zabwino, kapena, kudya. Wodwalayo akuyenera kuchotsa zinthu zingapo pachakudya: nyama zakusuta, zipatso, yokazinga, zakudya zam'chitini, maswiti (makamaka omwe ali ndi cocoa) ayenera kusiyidwa.

Madokotala amalimbikitsa mu masiku angapo oyamba kukokomeza kuti muchite zochizira, ndipo wodwalayo asinthane ndi soups zowala. Pambuyo pokhapokha - pazovomerezeka. Ndikofunika kwa wodwalayo kudya masamba ophika, owiritsa kapena othandizira, nsomba ndi nyama yophika mumbafa.

Panthawi yobwezeretsa, mutha kudya zinthu zopaka mkaka: tchizi tchizi, tchizi, yogati. Ndikofunika kudya chimanga, kuphika zakudya zonunkhira ndikuyambitsa zipatso (zopanda acidity) muzakudya. Dzulo mkate wopanda tirigu ukuphatikizidwanso m'zakudyazo.

Nyama yophika zakudya zoyenera kudya iyenera kutenthedwa. Ngati mumaphika mbalame, ndiye musanadye mpofunika kuchotsa khungu pakhungu, madokotala sawalimbikitsa kuti idye.

Sage tincture

Pa tincture wotsatira, tengani supuni imodzi ya soseji, onjezerani supuni ziwiri za buckthorn (musanadule), mbewu za katsabola, knotweed, serated ndi supuni zitatu za wort wa St. Chiwerengero chomwecho cha masamba a mabulosi abulu, flaxseed, supuni zinayi za mizu ya burdock, dandelions, ndipo kuwonjezera izi supuni zisanu za tirigu ndi mizu ya bowa yaying'ono.

Sakanizani osakaniza bwino, kenaka dzazani supuni ziwiri ndi kapu imodzi yamadzi otentha, aperekeni kwa maola awiri. Tengani msuzi wokonzeka katatu patsiku musanadye theka lagalasi. Kutalika kwa chithandizo akuyenera kukhala miyezi iwiri osasokoneza.

Ngati munthu akudwala cholecystopancreatitis (Zizindikiro), mankhwalawa amaphatikizapo kugwiritsa ntchito pafupifupi malita awiri a madzi. Muyenera kutenga mafuta a fulakesi kuti muyeretse ndulu. Ngati ndi kotheka, imwani mandimu ambiri kapena zipatso zomwe zili ndi vitamini C (malalanje, mandimu, mphesa), zomwe zimathandiza ndi kutupa kwa ndulu.

Ndikofunika kuti muzidya mazira ochepa momwe mungathere ndikupewa zakudya zomwe zitha kukweza mafuta m'thupi. Zotsatira zamankhwala zimatengera wodwalayo. Kutengera ndi malamulo omveka, zakudya zapadera ndi malingaliro a dokotala, kukonzanso kudzakhala kotalika, koma ndi zotsatira zabwino.

Ndikofunikira mothandizidwa ndi wowerengeka azitsamba kuti mupeze zizindikiritso zomwe pachimake cholecystopancreatitis (zizindikiro) ali nazo. Ndipo chithandizo chamankhwala sichiyenera kunyalanyazidwa. Kubwezeretsa moyenera ntchito zolimbitsa thupi kumapewetsa zosafunikira.