Kodi pali kusiyana kotani pakati pa zizindikiro za cholecystitis ndi kapamba? Kusiyanaku nkovuta kuzindikira, koma ndikofunikira kwambiri.

Masana abwino, abwenzi okondedwa ndi owerenga bulogu ya Aleksey Shevchenko "Okhala Ndi Moyo Wathanzi". Lero ndili ndi mbiri zachisoni. Mmodzi mwa anzanga onse adadandaula za kupweteka kwam'mimba kosamveka, ndipo atapita kwa dokotala, zidapezeka kuti anali ndi cholecystitis ndi kapamba kwa nthawi yayitali. Chifukwa chake, ndikufuna kupereka nkhani ina pamutuwu: Zizindikiro za cholecystitis ndi kapamba

Cholecystitis ndi kapamba - pali kusiyana kotani?

Ngati mungayerekeze zizindikiro za cholecystitis ndi kapamba, zikuonekeratu kuti pakati pawo pali zofanana ndendende. Zomwe zimayambitsa matendawa ndizofanana: pazinthu zazikulu ziyenera kukhalapo:

kuperewera kwa zakudya m'thupi komanso kusowa masewera olimbitsa thupi,
uchidakwa
poyizoni (kuledzera).

Heredity imathandizanso kwambiri: ngati wachibale wapafupi kwambiri ali ndi matenda aliwonse, ndiye kuti munthuyo ali pachiwopsezo chachikulu.

Zimayambitsa cholecystitis ndi kapamba

Kumbuyo ndi chizindikiro cha kutuluka kwa matenda omwe amafanana. Chifukwa chake, zovuta zambiri zimapangitsa wina kukulira. Mwachitsanzo, kulowa kwa kapamba wamadzi am'mimba kuchokera ku chifinya cha matenda m'matumbo am'mimba kumayambitsa kutupika kwakukulu kwa ndulu ndi chimbulu cha mucosal. Ndipo ndimatenda a ndulu, kutupa kwak pachimake nthawi zambiri kumawonekera, komwe pakapita nthawi kumakhala ngati matenda osachiritsika.

Momwe mungachiritsire matenda ophatikizika amapezeka pokhapokha mutawunika kwathunthu ndikutsimikizira kuti mwazindikira. Ganizirani zomwe zinayambitsa tsatanetsatane winayo:

kupezeka kwa matenda pamphuno, pakhosi,
kagayidwe kachakudya
matenda ashuga
kusowa zolimbitsa thupi
kudzimbidwa ndi kutsegula m'mimba
mavuto onenepa kwambiri
kuchuluka kwa mafuta, mchere, zakudya zazakudya,
uchidakwa
pafupipafupi chakudya cham'mimba matenda kapena kuledzera ndi zinthu zina zoyipa.

Zizindikiro

Ndi thanzi labwinobwino, kapamba ndi ndulu zimagwira ntchito pafupipafupi, kulola kuti matumbo athu azigwiritsa ntchito zakudya zosiyanasiyana.

Komabe, pamene chiwalo chimodzi sichili bwino, ndiye kuti nthawi zambiri izi zimayambitsa matenda wachiwiri. Mwachitsanzo, ndi pancreatitis, msuzi wa pancreatic uli mu ndulu ndi kuwononga makhoma ake.

Chifukwa chakuti matendawa ali ndi zizindikiro zofanana, akatswiri azachipatala amatcha cholecystitis ndi kapamba wotchedwa cholecystopancreatitis.

Zizindikiro ndi mankhwala a pancreatitis ndi cholecystitis ali ndizofanana zambiri.

Zizindikiro wamba za kapamba ndi cholecystitis:

kumva mseru ndi kusanza,
kupweteka kwakanthawi
kutentha kwambiri
thukuta lamphamvu.

Chizindikiro chachikulu chomwe matendawa amasiyana amadziwika chifukwa chakuti ndi kapamba amkakhala ndi ululu kumanzere pamimba, ndipo ndi cholecystitis, ululu umagwera mbali yakumanja, popeza chikhodzodzo chimakhala pomwepo.

Matenda amatha kusiyanasiyana pakamwa pouma, omwe amadziwika kuti ndi kapamba. Koma kuwawa ndi chizindikiro cha cholecystitis.

Kafukufuku

Kuzindikira kumatengera mbiri yakale yazachipatala. Onetsetsani kuti mwayika njira zofananira zowerengera, monga magazi ndi ndowe. Mothandizidwa ndi diagnostics, njira yokhazikika kapena yowopsa yatsimikizidwe. Kutengera ndi izi, dokotala amakupatsani mankhwala.

Chithandizo chopanda mankhwala choyambirira sichimachitika, chifukwa kuoneka kwa zovuta ndizotheka. Kusiyanitsa kwakumveka kwa kapamba mu nthawi ya pachimake kumachitika ndi mayeso ena: ndi chironda cham'mimba, kutsekeka kwamatumbo, pachimake cholecystitis, appendicitis.

Chofunika cha mayeso: phunzirani kuchuluka kwa alpha 2 macroglobulin mu seramu yamagazi. Pankhaniyi, ma alpha 2 macroglobulin ofanana ndi 200 mg / l amatengedwa pamfundo imodzi.

Chifukwa chake, mulingo wofika 800 mg / l ndi 4 mfundo, zomwe zikufanana ndi kukhalapo kwa kapamba, komanso pamlingo woposa 800 mg / l - cholecystitis yacute.

Kuti mupeze kuzindikira koyenera, kufufuza kwina, kuphatikiza ndi ultrasound, kudzafunika.

Njira zochizira

Ndikofunikira kuchitira kutupa kwa pancreatic ndi bile duct mothandizidwa ndi mankhwala moyang'aniridwa ndi katswiri. Nthawi zambiri, madokotala amalangiza njira yolumikizirana yothandizirana ndi wowerengeka, chinthu chomwe chimapangitsa kuti njira yachiberekero ichitike mwachangu kwambiri. Chifukwa chake, ndikuyenera kuthana ndi kukokomeza. Ndikofunika kuphatikiza chithandizo ndi zakudya ndi kusintha kwa njira ya moyo. Kuphatikiza koteroko kumawonetsa zotsatira zabwino zamankhwala.

Ngati matendawa sanalandiridwe, vuto lina lathanzi lingayambike, kuphatikizapo matenda a shuga a mtundu wachiwiri. Njira yothandizira matendawa onse idzafotokozedwera ndi gastroenterologists, omwe angadziwe mosavuta kuti chifukwa chani chinali chizindikiro choyamba chotukula matendawa.

Mankhwala

Chithandizo cha cholecystitis ndi pancreatitis yayitali ndi yayitali ndipo imafuna kugwiritsa ntchito maantibayotiki. Choyamba, mankhwalawa amatengedwa, mwachitsanzo, biseptol, omwe amayenera kutengedwa kupewa matenda. Chotsatira, muyenera kuchotsa pazomwe mabakiteriya adayamba kuchulukana mwachangu. Dokotala atha kukulemberani mankhwala kuti muchepetse kufinya kwa ndulu. Chifukwa chake, lipatseni mapiritsi nosh-pa kapena papaverine.

Nthawi zambiri, zikondamoyo zowonongeka zimapangika pang'ono kapena madzi ammimba ambiri, motero, wodwalayo amapatsidwa pantoprazole, lansac.

Kuti muchepetse kuphipha, muyenera kumamwa mankhwala omwe angayambitse bwino.

Mankhwala azitsamba

Mukamachiritsa, ndikofunikira kudziwa zomwe zitsamba zomwe zimakhala ndi kapamba ndi cholecystitis zimathandizira kuchiritsa ziwalo zamkati. Mankhwala nthawi zonse amakhala osakonzeka kupereka zotsatira zomwe akufunazo, chifukwa kugwiritsidwa ntchito kwawo kwakanthawi nthawi zambiri kumabweretsa toxicosis. Zogulitsa zopangidwa ndi mbewu sizovulaza konse, ndipo mutha kumamwa kwa nthawi yayitali. Zothandiza kwambiri zimaphatikizapo dandelion muzu, stigmas chimanga, calendula ndi chamomile.

Mukakhala ndi miyala mu duct ya bile kapena ducts zake, pamenepa, mutha kugwiritsa ntchito udzu kuti uziwasungunula komanso ngati mankhwala opweteka.

Zosintha zamasiku a tsikulo

Ndikulimbikitsidwa kuti muzitsatira zakudya zoyenera, amuna. Odwala zotchulidwa zakudya nambala 5, lomwe limayang'ana pa kuyambiranso kwa ntchito ya chiwindi, matumbo ndimimba. Nthawi zina njira yothandizira mankhwala ochokera ku zitsamba imabweretsa zotsatira zambiri.

Zakudya zoyenera ziyenera kuphatikiza mapuloteni, mafuta ndi chakudya chamagulu, komanso magawo tsiku lonse sayenera kukhala akuluakulu, koma amagawidwa nthawi 5-6.

Zakudya zofananira za tsiku ndi tsiku zimawoneka motere:

8.30 - kadzutsa. Steeled cutlets ku nkhuku - 60 gr. Oatmeal mkaka, madzi -100 gr. Tiyi (wokhala ndi mkaka) - 200 gr.
11.00 - chakudya cham'mawa chachiwiri. Kanyumba tchizi casserole - 100 gr. Tiyi ya zitsamba - 200 g
14,00 - nkhomaliro. Msuzi wamasamba ndi phala la buckwheat - 150 gr. Nsomba yophika kuphatikiza ndi saladi wa beetroot - 60 g iliyonse. Mmodzi wophika mkate.
16,00 - tiyi wamasana. Maqanda awiri a dzira - 100 gr. Karoti wa karoti - 150 gr.
19.00 - chakudya chamadzulo. Nyama yophika nyama - 30 gr. Steamed kabichi mphodza - 60 gr. Uzvar -100 gr.
21.00 - chakudya chachiwiri. Kefir si mafuta - 150 g.

Chakudya chokhwima chimawonedwa kwa miyezi iwiri kuyambira nthawi yodwalayo, koma odwala matendawa amayenera kudya zakudya zoletsedwa kwa miyezi osachepera 8-9.

Mukamatsatira upangiri wopewa kufalikira kwa matenda, ndiye kuti kuphwanya kuchiritsidwa mosavuta, pomwe matendawa amangopereka zotsatirapo zabwino. Pokhala ndi kusadya bwino komanso kugwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso, zovuta za mavuto zimawonjezeka.

Nthawi zambiri, kuchitapo kanthu opaleshoni kumafunika, komwe nthawi zina kumatha kufa. Ndi chiyambi cha zizindikiro zoyambirira, ndibwino kukaonana ndi dokotala nthawi yomweyo ndikuyamba kulandira chithandizo cha kapamba. Ntchito yofunikira mu izi imachitidwa ndi chithandizo cha mankhwala limodzi ndi zakudya, komanso mankhwala azitsamba.

About cholecystitis ndi kapamba amafotokozedwa mu kanema munkhaniyi.

Kodi matenda awa amafanana bwanji ndikuwasiyanitsa?

Cholecystitis ndi kapamba ndi matenda am'mimba. Mu thupi la munthu, ndulu ndi kapamba zimagwira ntchito limodzi kuti zimange michere yofunikira pakukola chakudya. Koma matendawa akapezeka, ziwalozo zimayamba kugwira ntchito kwambiri. Ndi cholecystitis, bile, kusayenda mu ndulu, kumabweretsa kukula kwa kutupa. Ndi kapamba, madziwo samasiya malire a kapamba, ndipo amayamba kudzipenda okha. Kuphatikiza apo, msuzi wa pancreatitis ukhoza kuponyedwa mu ndulu, ndikuwononga makoma ake. Ichi ndichifukwa chake cholecystitis yokhala ndi kapamba imawerengedwa ngati matenda omwe amathandizana wina ndi mnzake.

Monga lamulo, pali zofanana mokwanira pazizindikiro za matenda, ndipo ndi katswiri yekha yemwe angadziwike bwino.

Chifukwa chake, Zizindikiro Zodziwika ndi:

Ululu
Kusanza ndi kusanza
Thukuta lokhazikika
Thupi.

Ndipo matenda amasiyana m'mawuwo:

Ndi kapamba, ululu umakhala wowonekera kumanzere, ndi cholecystitis - kumanja,
Ndi kapamba, pakamwa pouma, ndipo ndi cholecystitis imawawa.

Kodi matendawa amatha kukhala limodzi?

Cholecystitis ndi kapamba ndimatenda awiri otchuka omwe amayenda limodzi. Zonsezi zimatha kuchitika chifukwa cha kudya kwambiri, kudya yokazinga, zakudya zonunkhira komanso mafuta, chakudya mwachangu, mowa komanso mavuto ena akudya.

Popeza matenda awiriwa atha kukhala palimodzi, njira yochiritsira imayenera kusankhidwa mwanjira yoti ichiritse wodwalayo onse awiri.

Mavuto

Ndi cholecystitis ndi kapamba, zovuta zimatha kuchitika. Zodziwika bwino zimaphatikizapo:

Njira yotupa yotupa mu chiwindi,
Kutupa mu ma ducts a bile,
Jaundice
Kukongoletsa kwamakoma a ndulu,
Purulent cholecystitis,
Sepsis
Kutupa mu khoma lakunja kwamkati,
Kulephera kwamitundu yambiri
Encephalopathy
Trophic chisokonezo
Kugwira ntchito kwam'mapapo ndi impso,
Intravascular inagawa coagulation syndrome
Matenda a shuga a sekondale.

Pancreatitis

Kutupa kumeneku kumatha kuchitika pazifukwa zosiyanasiyana. Ndizosatha, ndipo kuchulukana kumapitilira ndi kuchotsedwa. Chowonadi ndi chakuti pamene zinthu zoyipa zikavulazidwa ndi chiwalo chathanzi, minofu yake imayamba kufa, ndikusinthidwa ndi minofu ina yolakwika.

Nthawi imadutsa, minofu yathanzi imachepetsedwa, ndipo kapamba sangathe kugwira ntchito moyenera. Pakapita kanthawi, njirayi imasinthika ndipo nduluyo imataya ntchito.

Pali zowawa zambiri, ndipo zimatha kutulutsidwa mbali zonse kumanzere ndi kumanja pansi pa nthiti. Nthawi zambiri amayamba kupweteka atatha kudya china chakuthwa kapena chamafuta, ndipo ululuwo umakulirakulira pomwe wodwala atayima.

Popeza kapambayu ndiye amachititsa kupanga ma enzyme ofunikira kuti chimbudzi chidziwike, ndikuphwanya ntchito zake, momwe amagwirira ntchito m'mimba mwake amasintha. Pakadali pano, kulakalaka kwa wodwalayo kumakulirakulira, amazunzidwa chifukwa cha kupindika komanso kupweteka kwa mtima, nseru ndi kusanza, zomwe sizithandiza wodwalayo. Mimba yake yotupa ndi mpweya umatulutsidwa mosadzipereka. Mpando umasweka, mafuta ndi kuwala ndi fungo wowawasa. Kutsegula m'mimba kumathandizana ndi kudzimbidwa, ndowe zomwe zimapezeka m'zakudya zosaphatikizidwa, zosambitsidwa bwino.

Khungu limakhala louma, lopindika, ndipo zimagwira mucous zimasandukanso. Malo ofiira amawoneka pachifuwa ndi pamimba, kupweteka kwam'mawa kumapweteka. Nthawi zina, chiwindi chokhala ndi ndulu zimakulanso kukula kwake.

Kuzindikira ndi matenda

Kuzindikira onse cholecystitis ndi kapamba amayamba ndi kupita kukaonana ndi gastroenterologist. Amvera madandaulo, awerenga mbiri yachipatala, amamufufuza ndikupanga matenda oyamba. Ndipo kenako, kuti adziwe mtundu wa matenda ndi kuuma kwake, wodwalayo adzatumizidwa kuti akamuyeze.

Ndi cholecystitis yomwe mukufuna, ndikofunikira kuchita:

Ultrasound ya ndulu. Iyi ndiye njira yayikulu yodziwira matenda, chifukwa imagwiritsidwa ntchito kuzindikira mawonekedwe, kukula, makulidwe amtundu, kuwerengera ndi ntchito yopanga. Ngati wodwala ali ndi cholecystitis yokhazikika, ndiye kuti makhoma a chikhodzodzo amakhala opunduka ndikuthinitsidwa.
Cholecystocholangiography. Ndi chithandizo chake, ndizotheka kudziwa momwe mawonekedwe a bubble ndi biliary amagwira ntchito mwamphamvu. Njira yosiyanitsa ndi x-ray imawululira kusintha kwa chikhodzodzo, calculi, komanso kuphwanya kwa ntchito yamagalimoto.
Kuyang'ana duodenal. Pa phunziroli, akatswiri amatenga atatu a bile kuti awunike pansi pa maikulosikopu. Njira iyi imakuthandizani kuti muzitha kuyesa kusasinthasintha, mtundu ndi mtundu wa bile.

Ndi pancreatitis yomwe akuti ikudwala, wodwalayo adzafunika:

Onjezani magazi pang'onopang'ono kapena kupenda kwamankhwala ofotokoza kuti mumve bwanji zamelo, komanso ma pancreatic enzymes - elastase ndi lipase.
Tengani mkodzo wowunikira kuti muone diastasis mmenemo.
Tengani ndowe kuti muzipenda kuti muone momwe muliri mafuta ambiri.

Nthawi zambiri zimakhala zokwanira kumayesa mayeso kuti katswiri azindikire matenda a kapamba.

Koma nthawi zina amatha kuwonjezera:

Ultrasound yam'mimba. Munthawi ya dokotala, dokotala amatha kuwona kusintha kwasintha, makulidwe a khoma, komanso kutupa kwa kapisozi kake. Kuphatikiza apo, zitha kukhala zothandiza kuwunika momwe chiwindi ndi ndulu zimayambira, komanso ma ndulu.
Zolemba pamakompyuta. Imagwira ntchito ngati zovuta zayamba kale. Nthawi yake, mutha kudziwa zambiri za momwe gland imapangidwira, onetsetsani kuchuluka kwake, komanso kuchuluka kwa zomwe zimatsala.
ERCP (endoscopic retrograde cholangiopancreatography). Imachitika pogwiritsa ntchito probe yapadera, yomwe imatsitsidwa mu duct yayikulu, kusiyanitsa kumayikiridwa, kenako ndikujambulidwa. Kuunika kumeneku kumathandizira kudziwa momwe malekezirawo amatha, ngakhale kuti pali zomata ndi zina. Koma chofunikira ndichiti munjira imeneyi - munthawi yake mutha kuchotsa miyala ing'onoing'ono yomwe imatuluka mwachilengedwe.

Monga tafotokozera pamwambapa, cholecystitis ndi kapamba ali ndi zofananira, chifukwa chake ndibwino kuchiza matenda onse omwewo munthawi yomweyo komanso mothandizidwa ndi mankhwala omwewo.

Mankhwala

Cholecystitis amathandizidwa ndi mankhwala monga:

Chosachika - An antispasmodic amene amasiya colic. Imakhala ndi chochita chosankha, kumasangalatsa makoma am'mimba ndipo osakhudza maselo ali ndi thupi. Zotsatira zimamveka kale mphindi 30 pambuyo pa utsogoleri, ndipo zotsatira zake zimatha maola 6.
Ursofalk - mankhwala omwe amachepetsa mafuta a cholesterol ndikuwonjezera emulsization yamafuta.
Motilium - mankhwala omwe amachotsa mseru komanso kusanza, komanso kuledzera kwa thupi.
Duspatalin -Mankhwala osokoneza bongo omwe amayenera kutengedwa ndi zowawa m'matumbo kapena m'mimba. Mankhwala othandiza kwambiri pamatumbo. Imayamba kuchita mphindi 15 pambuyo pa utsogoleri, kuchepetsa ululu kapena kuchotsa kwathunthu. Zisakhudze gawo lina la m'mimba.
Holosas - madzi omwe amathandiza kuthetsa mavuto ndi kuledzera komanso chikhodzodzo cha ndulu. Oyenera mankhwalawa matenda a chiwindi, omwe ndi zovuta za cholecystitis ndi kapamba. Oyenera onse akulu ndi ana.
Odeston - mankhwala amene amachotsa ululu wa bile ndipo amatulutsa kayendedwe ka bile. Imatengedwa mu maphunziro a masabata awiri kapena theka theka la ola musanadye. Contraindicated vuto la duodenal zilonda, chiwindi ndi impso kulephera, hemophilia.
Trimedat - amathandiza kuti matenda a m'mimba thirakiti, kupweteka kumayima mkati mwa ola limodzi, ndikuchotsa dyspepsia.
Meteospasmil - An antispasmodic yomwe imatha kuthetseratu kusakhalitsa kwakanthawi, chifukwa kutulutsa magazi kumachitika kawirikawiri m'matenda am'mitsempha yamitsempha.

Pancreatitis amathandizidwa ndi mankhwala monga:

Pregabalin - mankhwala omwe amalepheretsa mawonekedwe a khunyu, komanso kupereka zotsatira zabwino pakuchotsa kupweteka kwambiri ndi kapamba.
Mezim, Festal, Creon - kukonzekera enzyme, omwe amalimbikitsidwa kuti agwiritse ntchito pochotsa mankhwala. Muyenera kuwamwa mukamadya kapena mukatha kudya.

Physiotherapy

Monga mukudziwa, physiotherapy amawonetsedwa kokha ngati matenda omwe ali kale. Ngati kuchulukitsa kumachitika, ndiye kuti njira yothandizira mankhwalawa sigwira ntchito.

Ndi cholecystitis, UHF, electrophoresis ndi ultrasound pa chiwindi zimayikidwa. Monga lamulo, njira zamagetsi zimasintha magazi mu gallbladder ndikuwonjezera kupanga kwa bile. Amathandizanso kuchepetsa ululu ndi kutupa, ndipo ngati cholecystitis imachitika popanda miyala, njira zoterezi zimaletsa maonekedwe ake.

Njira zomwezi zimapangidwira zochizira pancreatitis, zimangokhudza gawo lina lam'mimba. Wodwalayo adzapangidwanso kugwiritsa ntchito madzi amchere (Borjomi ndi Essentuki) ndi kugwiritsa ntchito malo osambira - mchere, sodium chloride, wokhala ndi mpweya.

Phindu labwino kwambiri pochiza matenda osakhazikika limatulutsidwa ndi matope, omwe amathandizanso ku chikhodzodzo ndi chiwindi, komanso kapamba. Mutha kusamba ndi matope kapena kugwiritsa ntchito malo owawa.

Mitundu ya matenda

Zikondamoyo zimathandiza kugaya chakudya ndikupanga michere ina:

Ndi kapamba, timadziti tam'mimba timalowa m'matumbo, ndipo ma enzymes amayamba kukonza kapamba, zomwe zimapangitsa kupweteka kwambiri. Ngati mankhwalawa atayambika, njira zake zimatha kufalikira ku ziwalo zina. Woopsa, minofu necrosis imachitika, yomwe imatsogolera kuimfa.

Cholecystitis Ndi matenda otupa a ndulu. Ndi cholecystitis, bile sasiya chiwalo ndipo kusayenda kwake kumachitika. Kutupa njira zimayamba pambuyo pa kusintha kwa mapangidwe a bile. Nthawi zambiri, cholecystitis imayendera limodzi ndi cholelithiasis.

Nthawi zambiri pamakhala kuphatikiza kwamatenda awiri chifukwa choti msuzi wa kapamba umawola kapamba ndipo umalowa mu ndulu. Mu mawonekedwe owopsa, cholecystitis ndi kapamba amathandizidwa pothandizidwa ndi maantibayotiki ndi mankhwala ena, omwe amayamba chifukwa cha zovuta zonse za matenda.

Zochita za cholecystitis ndi kapamba

Tsiku lililonse muyenera kuchita kukonzekera m'mawa, komwe kungakhale ndi masewera olimbitsa thupi a 5-10 okha. Ngakhale masewera olimbitsa thupi asanu ndi cholecystitis ndi kapamba, omwe amachitidwa tsiku lililonse kwa miyezi iwiri ndi itatu, akhoza kubwezeretsanso magwiridwe antchito.

Kuphatikiza pa masewera olimbitsa thupi okhazikika, madokotala amalimbikitsa kuyenda kwa 5-10 km kwa othamanga tsiku lililonse. Mtunda umasankhidwa kutengera mtundu wa thanzi, kulemera ndi zina. Ndikwabwino kuyenda mu mpweya wabwino kutali ndi misewu ndi malo opangira mafakitole. Yankho labwino kwambiri lingakhale paki, nkhalango kapena gombe.

Zimayambitsa cholecystitis ndi kapamba

Cholera cholecystitis, kapamba nthawi zambiri amayamba chifukwa chazomwezo. Zina mwazakudya zotere ndizakudya zopanda pake, kusuta kwa mafuta, kusuta, zakudya zonunkhira, kudya zakudya zosasinthika kwakanthawi. Komabe, cholecystitis imayambanso chifukwa chamawonekedwe amiyala mu ndulu, yomwe, imapangidwa pamenepo pomwe njira za metabolic m'thupi zimasokonekera. Zolakwika mu zakudya zimatha kukhala poyambira kukulitsa kuchuluka kwa cholecystitis, pomwe pankhani ya kapamba, amakhala ndi gawo lalikulu. Kuphatikiza apo, kukokomeza kwa kapamba kumakwiya chifukwa chomwa mowa, koma pakachitika kutupa kwa ndulu kulibe kulumikizana kowonekeratu.

Kuwonetsedwa kwa cholecystitis ndi kapamba

Matenda onse awiriwa amadziwika ndi ululu pamimba yapamwamba, yomwe imakulirakudya mutatha kudya, makamaka mafuta, osuta kapena pachimake. Komabe, ndi pancreatitis, ululu umamangidwa, ndipo ndi cholecystitis, ululu umapangidwira panthawi inayake mu hypochondrium yoyenera. Komanso, kuchulukitsa kwa kapamba kumadziwika ndi mawonekedwe a dyspeptic - kufalikira, kulemera, kuphwanya chopondapo. Ndi kuchuluka kwa cholecystitis, makamaka kuwerengetsa, zizindikiro za jaundice zitha kuchitika. Nthawi yomweyo, khungu, mucous nembanemba ndi sclera zimatenga tint yachikasu, ndowe zoyera ndi mkodzo wakuda ukhoza kuonekera. Ndi kapamba, Zizindikiro zotere sizipezeka.

Chithandizo cha cholecystitis ndi kapamba

Ngati wodwala wapezeka ndi cholecystitis kapena kapamba, chithandizo chimasankhidwa payekha ndi katswiri kapena gastroenterologist. Chofunika kwambiri pa mankhwalawa ndi zakudya. Pa kukokomeza m'masiku oyambilira, amalimbikitsa kuti azikhala ndi chakudya kapena zakudya zochepa, momwemo ndikofunika kudya chakudya chophika chophika (mbatata, chimanga, nyama purees). Mtsogolomo, munthu amalimbikitsidwa kupewa kukazinga, kusuta, kumalongeza, kuwonjezera zonunkhira, tsabola, mchere wambiri. Mankhwala othandizira kupweteka, antispasmodics akhoza kutumikiridwa (No-shpa, Buskopan).

Komabe, chithandizo cha mankhwala paz matenda onsewa ndi chosiyana. Ndi kapamba, adotolo amasankha zokonzekera zingapo zam'mimba zomwe zimatsitsa kapamba ndi kuthandizira pakukumba chakudya (Creon, Mezim, Pancreatin, ndi zina), proton pump inhibitors (Omeprazole, Pantoprazole). Mankhwalawa a cholecystitis, amakonda kupatsidwa mankhwala omwe amalimbikitsa kupanga mankhwala a bile kapena choleretic. Izi zimatengera mawonekedwe a cholecystitis.

Chifukwa chake, cholecystitis ndi kapamba zimakhala ndizodziwika zambiri komanso zosiyana.

Udzu wothandizira pochiza matenda

Ndi cholecystitis ndi pancreatitis, zakudya zochizira zimagwira ntchito yayikulu pakuchira munthu ndikusungitsa thupi lamunthu pamlingo woyenera.

Zakudya zopatsa mphamvu ndi kukhathamiritsa kwa ndulu ndi kapamba ziyenera kuyambika mutangoyamba kumene matenda. Zakudya zoyenera zimakhudza komwe matenda amayambira - bwino kapena zoyipa. Cholecystitis yokhala ndi kapamba ndimatenda awiri omwe amapezeka palokha komanso akakhala amodzi mwa iwo. Koma ali ndi zofanana kuti matenda amenewa amaphatikizidwa ndi ziwalo za m'mimba, ndipo amachititsa kuti chakudya chikhale m'thupi la munthu. Zakudya zothandizirana moyenera zakhala zikugwiritsidwa ntchito kwa zaka zambiri, ndipo tsopano ndizabwino kwambiri - izi ndiye Zakudya Zisanu.

Kodi opaleshoni ndiyofunikira liti?

Madokotala amachita chilichonse chothekera kuchiritsa wodwala mosasamala popanda kugwiritsa ntchito opaleshoni. Koma mwatsoka, pali nthawi zina pomwe simungathe kuchita popanda icho.

Chifukwa chake, ndi cholecystitis, opaleshoni ikuwonetsedwa:

Matendawa ndi pachimake
Matendawa ndi osachiritsika, koma obwerera kumachitika nthawi zambiri,
Ma ducts a bile amatsekedwa ndi calculi.

Mu matenda a gallstone, palibe chofunikira pakuchita opaleshoni, pokhapokha ngati panthawiyo miyala siyiyika pachiwopsezo ku thanzi la munthu. Itha kuchitika m'njira yoyenera, koma iyenera kuchitidwa, chifukwa nthawi iliyonse mwala ukhoza kubudula bile duct, ndikupangitsa kwambiri colic, ndiye kuti opaleshoniyo ikufunika mwachangu.

Ndi chifuwa chachikulu chazovuta, zovuta zimatha kukhalanso zomwe zimafuna opaleshoni. Izi zikuphatikiza:

Kupezeka kwa chotupa (muyenera kutsegula ndi kuchotsa zomwe zili mkati mwamkati),
Zowonongeka zamkati (zimafunikira kuchotsa gawo lomwe lakhudzidwa kwambiri).

Laparoscopic fenestration kapena cyst drainage ingafunenso.

Kodi kuchitira cholecystitis ndi kapamba ndi wowerengeka azitsamba?

Anthu ena amaganiza ngati kapamba angachiritsidwe mothandizidwa ndi mankhwala achikhalidwe. Mutha kuyesa karoti kapena misuzi ya mbatata, komanso msuzi wa sauerkraut. Zitsamba ndizoyenereranso - mbalame kumtunda, celandine, chamomile, dandelion, violet wamitundu itatu.

Mankhwalawa matenda a cholecystitis, mutha kuyambanso kupeza wowerengeka azitsamba. Mwachitsanzo, mutha kuphika:

Sage Flask. Thirani supuni zingapo zamasamba achire mu chidebe, kuthira madzi otentha (makapu awiri), siyani theka la ola kuti mulimbikire. Chikhodzodzo chikayatsidwa, tengani kulowetsedwa maola angapo ali 1 tbsp. l
Tulutsani madzi. Tengani zakuda zakuda, zilekeni, pofinyira cheesecloth. Madzi okonzeka kuphatikiza ndi uchi m'chiwerengero cha 1: 1. Imwani 50 ml tsiku lililonse.
Botolo kuchokera ku gangus. Tengani wosweka aira muzu (1 tsp), kuthira madzi otentha (1 tbsp), kusiya kupatsa kwa mphindi 20, kupsyinjika. Gwiritsani ntchito kanayi pa tsiku kwa 0,5 tbsp.

Ngakhale zili choncho, koma musanayambe mankhwala ochizira, ndikofunika kuti dokotala azikambirana za zomwe akufuna kuchita kuti avomereze kapena afotokozere chifukwa chake izi kapena zitsamba sizitha kuthandizidwa.

Kodi ndizotheka kuthana ndi zovuta izi kwamuyaya?

Ngati pancreatitis yovuta imayamba ndi zovuta, ndiye kuti sizingachitike mu njira zonse zochiritsidwira ndipo mukuyenera kuchitira opareshoni, ndipo izi ndizochitika zomwe zimachepetsa mwayi wochira kwathunthu. Mwambiri, matendawa amasintha kukhala mawonekedwe osakhazikika.

Ndipo ndikuchira kwathunthu ku chifuwa chachikulu, sichilinso chophweka. Popeza kubwerera m'mbuyo kumatha kuchitika ngakhale mutapitiliza kukhululuka komanso mwa anthu omwe amatsata malangizo a chipatala. Chifukwa chake, sizokayikitsa kuti munthu azitha kumwa, kusuta ndi kudya chilichonse chomwe angafune mu kuchuluka konse kachiwiri.

Ndi pachimake cholecystitis, ndulu ya gallbladder imasintha ndipo kusintha kumeneku sikungasinthe. Kukokoloka, zipsera ndi makulidwe zimawoneka, zomwe, mwatsoka, zimangokhala ndi munthuyo moyo wake wonse. Ndipo izi zikutanthauza kuti nthawi ndi nthawi cholecystitis imadzimverera yokha ndipo muyenera kugwiritsa ntchito mankhwala a choleretic ndi antispasmodics.

Mukamalemba mndandanda wa odwala omwe ali ndi cholecystitis ndi kapamba, ndikofunikira kulingalira kwakanthawi kuti chakudya chiziloledwa ndikusiyanasiyana.

Chakudya cham'mawa chimatha kukhala ndi oatmeal, nsomba yophika ndi uvuni, mazira ophika yofewa, tchizi, beets ndi kaloti, grated, mbatata zosenda, grated steam cutlets, tchizi grated, kanyumba tchizi casserole ndi kirimu wowawasa pang'ono. wokondedwa, ma cookie owuma.
Chakudya chamasana chimakhala ndi msuzi wa mbatata yosenda, mphodza wamasamba, magawo otentha a soseji yotsika mafuta, supu ya karoti, nsomba zodulira, noodle, mapira, mapira, nyama yanyama, nyama yankhuni, bere la nkhuku, mabulosi odzola. zokongoletsa, msuzi wamasamba ndi mpunga, masamba a nyama kuchokera ku nyama, msuzi ndi udzu winawake, saladi wobiriwira, nsomba yophika, beets grated.
Chakudya chamadzulo chimatha kukhala ndi tchizi yophika, kuphika mpunga, soseji yopanda mafuta, dzungu lomwe limaphikidwa mu uvuni, mbatata yophika, omelette, mapuloteni ophika ndi mbatata mu zojambulazo.

Mwa zakumwa masana, mutha kugula mkaka, tiyi, khofi (nthawi zonse ndi mkaka), msuzi, zakudya, msuzi wa rosehip, compote.

Okondedwa owerenga, lingaliro lanu ndilofunika kwambiri kwa ife - chifukwa chake, tidzakondwera ku ndemanga yanu pa chithandizo chokwanira cha cholecystitis ndi kapamba m'mawu, izi ndizothandizanso kwa ogwiritsa ntchito ena tsambali.

Asya

Kwa kanthawi ndimazunzidwa ndi kupweteka kumbuyo. Ndinapita kuchipatala, ndinapezeka kuti ndine cholecystitis ndi kapamba mu mawonekedwe osakhazikika. Ma Ultrasound m'matupi awa sanapeze chilichonse chodabwitsa. Mezim adayimiridwa kuti azidya, ndipo kadyedwe kake nkofunika kwambiri. Kwa milungu ingapo tsopano, ndakhala ndikuchita zonse zomwe ndidauzidwa, koma zowawa sizindisiya kwathunthu. Zimakulirakulira kenako kuzimiririka. Mwina nthawi yochepa kwambiri yapita? Kapena mwina adazindikira molakwika ... Ndidikirira pang'ono ndikupitilanso kuchipatala.

Daria

Ndili mwana, adandipatsanso matenda omwewo. Koma zondivutitsa zinali zamphamvu kwambiri mwakuti sindimatha kupita kusukulu. Komanso, mseru uwu ... Ndipo unawonjezera kugwa kulikonse. Ndinkamwa mapiritsi m'makosi, osadya nyama yokazinga, mafuta. Kenako zonse zidachepa ndipo kuyambira 23 sindinakumbukirepo matenda awa (tsopano ndili ndi zaka 33).

Kodi pali kusiyana kotani?

Pakamwa pakamwa pamatanthawuza zovuta ndi zikondamoyo, ndipo mawonekedwe aukali amawonetsa kuwonongeka kwa ndulu.
Ndi kapamba, kupweteka kumapezeka kumanzere, ndi cholecystitis - kumanja.
Ndi kutupa kwa kapamba, kupanikizika kumakula, ndikutupa kwa ndulu, kuchepa kumawonedwa nthawi zina.

Mosiyana ndi cholecystitis, pancreatitis ya pachimake imayendera limodzi ndi kuwonongeka kwakukulu pamthupi. Zilonda zowoneka bwino zimapereka, kumanzere. Mwanjira imeneyi, matendawa amatha kuwoneka ndi zosangalatsa mu hypochondrium yoyenera, pang'onopang'ono kupita kumbuyo. Kutentha kwa thupi sikukwera.

Cholecystitis imawonetsedwa ndi kupweteka kwa kumanzere kwa hypochondrium, komwe kumatha kukula pambuyo pakuchita zolimbitsa thupi kwambiri kapena kudya kwambiri. Komanso, nthawi zambiri zimakhala zosasangalatsa kumachitika pambuyo paulendo wautali pagalimoto. Nthawi zina, ululu umawoneka pamimba kapena colic. Zizindikiro zachikhalidwe zakuchulukirachulukira zimaphatikizapo mavuto a kugaya, kutsekemera kwazitsulo mkamwa. Mfuwa yayikulu ikhoza kuyamba.

Ngati muli miyala mu ndulu, zizindikiro zimatha kugwirizana ndi zizindikiro za kugunda kwa mtima.

Zizindikiro za cholecystitis kapena kapamba zikaonekera, muyenera kufunsa katswiri. Pankhaniyi, gastroenterologist kapena endocrinologist amathandiza. Osadzinyengerera - zotsatira zake zitha kukhala zosayembekezeka.