Cholecystopancreatitis - Ichi ndi matenda wodziwika ndi kuphatikiza kwa kutukusira kwa ndulu ndi kapamba. Matendawa ndi amodzi mwa matenda ofala kwambiri am'mimba. Khodi ya MBC-10 ya cholecystopancreatitis ndi K86.8.2. Matendawa amadziwika ndi kupweteka kumanzere kumanzere ndi kumanzere kwa hypochondrium, epigastrium, kusanza kwa nthawi yayitali komanso zizindikiro zina. Choyambitsa chachikulu cha vutoli chimatsimikiziridwa ndi kulumikizana kwapafupi komanso thupi lanu pakati pa ziwalo ziwirizi.

Chifukwa chake, ngati chimodzi mwazinthuzi zakhudzidwa, pali mwayi woti kusintha kwa njira yachiberekero ku chiwalo chachiwiri. Kuphatikiza apo, mu pachimake cholecystopancreatitis, chiwindi chimakhudzidwa ndi pathological process. Dystrophic ndi necrotic zovuta zimatha kupezeka mu chiwalochi.

Ngati matenda amodzi a ziwalo atalephera kudziyang'anira payokha Chingwe cha Vater, ndiye panthawi inayake kusintha kwamomwe kumachitika mu chiwalo china. Limagwirira chiwonetsero cha cholecystopancreatitis amagwirizanitsidwa ndi kupindika bile ndi madzi a pancreatic mu duodenum. Ngati njirayi imachitika mwachizolowezi, ndiye kuti kusinthanitsa mwachinsinsi sikubwera chifukwa chogwiritsa ntchito ma sphincters a pancreatic ndi wamba bile duct. Ngati matenda oopsa a bongo atayamba chifukwa cha kukomoka kwa spdi wa Oddi kapena makina otsekemera a Vater papilla, bile imayamba kulowa pancreatic duct.

Zotsatira zake, kutsegukira kwa phospholipase ndi ma enzymes ena a pancreatic amadziwika. Mwa zigawo za bile, zinthu zokhala ndi poizoni kwambiri zimapangidwa, zomwe zimawononga pang'onopang'ono chiwalocho.

Milandu pamene odwala kapamba Ma enzyme amaponyedwa munthaka, zomwe zimakwiyitsa chiwonetserochi cholecystitis.

Chinanso chowonekera, chomwe ndi kufalikira kwa maluwa hemato native, Refluxndi zam'malomwa njira.

Mitundu ya pachimake ya matendawa imadziwika ndi matenda a catarrhal kapena purulent-necrotic, mu aakulu - fibro-degenerative.

Gulu

Kusintha mitundu ya matendawa, muziganizira momwe machitidwe ake ndi mtundu wa kusintha kwa mbiriyakale.

Popeza kusintha kwakukulu pamakhalidwe, mitundu yotsatirayi ya cholecystopancreatitis imatsimikiza:

• purulent,
• chokhumudwitsa,
• zoyipa-zowononga,
• atrophic.

Kutengera mtundu wa matendawa, matendawa ndi omwe atsimikiza:

• Pachimake cholecystopancreatitis - amakula kwambiri ngati zimachitika kutsekeka kapena zovuta kudya. Mtundu woyipa wa matendawa umadziwika ndi kupweteka kwambiri komanso ma regndrend. Ichi ndi chowopsa, chifukwa pakakhala kuti palibe chithandizo choyenera chamankhwala, anthu omwe amafa amatha kupitirira 55%.
• Matenda a cholecystopancreatitis - matendawa amakula pang'onopang'ono. Nthawi yomweyo, zizindikiro za dyspeptic, kumverera kosasangalatsa mu hypochondrium ndi zigawo za epigastric zimadziwika. Popeza pamakhala kupindika pancreas pang'onopang'ono, njira za chimbudzi zimasokonekera, ndipo izi zimachitika pang'onopang'ono. Khodi ya matenda a ICD-10 ndi K86.8.2.
• Matenda mobwerezabwereza cholecystopancreatitis - monga lamulo, izi zimachitika motsutsana ndi maziko a matenda owopsa a matendawa, kawirikawiri - chifukwa chomapitilira maphunziro.

Kuphatikizika kwina kwa kapamba ndi chikhodzodzo kumachitika motsutsana ndi kumbuyo kwa chotupa cha chiwalo chimodzi. Pafupifupi 85% yamatenda, matendawa amakula motsutsana ndi maziko a cholecystitis, mu 15%, matendawa amayamba kapamba, pambuyo pake amakhudzidwa ndi yachiwiri enzymatic cholecystitis. Kukula kwa cholecystopancreatitis kumapangitsa zochita zotsatirazi:

• Makina kutsekereza kwa Vater papilla - ngati njira zotulutsira za ndulu, pancreatic madzi zimatsekedwa, stili ya biliary imadziwika. Zotsatira zake, maluwa ambiri m'matumbo amadziunjikira mu ndulu, ndipo limba limadzaza. Kupanikizika kwachilengedwe mu pancreatic gland kumakulanso, ndipo ma enzymes ake omwe amalowa minofu, omwe amatsogolera ku zovuta zotupa komanso zowonongeka.
• Sphincter ya Oddi kukomoka - ndi mkwiyo wokhazikika ndi miyala yaying'ono, dyskinesia ya minofu yosalala ya Vater papilla imayamba. Chifukwa cha biliary-pancreatic and pancreatic-biliary Reflux, bile imalowa m'matumbo. Ma pancreatic michere amalowetsanso bile ducts. Kuphatikizika kwa matenda oopsa pakati pa kukhudzika kwa sphincter kwa Oddi ndi chinthu chowonjezera.

Ponena za zomwe zimayambitsa matendawa, ambiri omwe ali ndi awa ndi awa:

• matenda opatsirana
• matenda ashuga,
• kagayidwe kachakudya,
• zilonda zam'mimba
• matenda a ndulu,
• zotupa mu ndulu,
• matenda oyamba ndi majeremusi,
• njira zama oncological.

Zimaputa chitukuko cha matenda ndi kuperewera kwa zakudya m'thupi, komanso zizolowezi zoipa. Omwe amasuta fodya kwambiri ndipo amamwa mowa nthawi zambiri ndipo zochulukirapo zimawonjezera mwayi wokhala ndi cholecystopancreatitis.

Njira zotupa m'matumba a chikhodzodzo ndi ndulu zimatheka chifukwa chamankhwala osalamulirika.

Chochititsa chidwi ndi kupsinjika ndi kupsinjika kwamphamvu kwamalingaliro.

China chomwe chingayambitse matendawa ndi kupezeka kwa matenda oyamba ndi bakiteriya m'thupi. Ngakhale aakulu sinusitis kapena makasitomala zingayambitse kukula kwa cholecystopancreatitis.

Zizindikiro za cholecystopancreatitis

Zizindikiro zamatenda a cholecystopancreatitis aakulu zimatha kukhala zosiyana kwambiri ndikuwonetsa ngati zizindikiro za kutukusira kwa mapapo am'mimba, komanso njira yotupa ya ndulu. Monga mtundu pachimake cha matendawa, cholecystopancreatitis yayitali imawonetsedwa ndi kupweteka pamimba, yomwe imadziwika kumtundu wa epigastric kapena hypochondrium. Mwanjira yovuta kwambiri, ululuwo umakulirakudya munthu atatha kudya mafuta kapena atamwa mowa. Kusanza mobwerezabwereza kumachitikanso, komwe ma bile amadziwika. Koma samabweretsa mpumulo kwa wodwala.

Komanso, ndikukula kwamatenda, zizindikiro zotsatirazi zimawonekera:

• mawonetseredwe a dyspeptic - nseru, kupindika, kuwawa mkamwa, kumva kupsinjika m'mimba,
• kuphwanya kwa chopondapo - ndowe zimasungunuka, chakudya chosasungika chimakhalamo, kuchepa kumachitika kangapo patsiku,
• mkodzo umakhala wakuda
• sclera, khungu ndi mucous nembanemba zimatha kutembenukira chikasu,
• kupweteka kosalekeza kumatha kuchitika kusowa tulo,
• pa kuchuluka malungokutsitsa kuthamanga kwa magazi ndi kumverera kofooka wamba.

Mokulira, Zizindikiro za matenda awa ndizofanana ndi kuwonetsa kwa matenda ena am'matumbo. Mu mawonekedwe osakhwima, nthawi zochotsedwa ndi kutuluka zimadziwika. Pakuchulukana kwa matendawa, chiwindi chimakulitsidwa, chomwe adokotala amatsimikiza pa nthawi ya palpation.

Ndi mawonekedwe olepheretsa matendawa, omwe ndi ovuta kwambiri, ma pancreatic ducts amakhala otsekeka, ndipo njira zogaya chakudya zimasokonekera. Zotsatira zake, ziwalo zina zam'mimba zimayatsidwa.

Odwala ena amakhala ndi zizindikiro zosowa za matendawa. Izi zikuphatikiza:

• ascites
• kuwonongeka kwa zombo zazing'ono,
• mabala abodza.

Kuyesa ndi kufufuza matenda

Katswiri amatha kukayikira cholecystopancreatitis ngati wodwala akudandaula za mawonekedwe ena ndipo ali ndi zizindikiro zina zakuthupi. Koma pofuna kutsimikizira matendawa, kuyezetsa kofunikira kumafunikira. Kwa izi, maphunziro a labotale ndi othandizira amachitidwa. Zothandiza kwambiri popanga matenda ndi njira zotsatirazi:

• Kuyesa kwa magazi a biochemical - panthawi ya kafukufukuyu wa labotale, kuwonjezeka kwakukulu kwa zizindikiro zowonekera kumatsimikiziridwa bilirubin ndi zamchere phosphatase. Ngati pancreatic necrosis imadziwika, milingo ya AST ndi ALT imachuluka. Chifukwa chosagaya chakudya chokwanira, hypoalbuminemia ndi dysproteinemia apezeka.
• Kusanthula ndowe za microscopic - kumawululira zotsalira za chakudya zomwe sizinapakidwe, zoumba zouma komanso michere yambiri yosagwiritsidwa ntchito. Phunziro la chopondapo cha alpha-amylase limapangidwanso. Ngati zomwe zalembedwaku zikuchulukitsidwa katatu, chizindikirocho chimatsimikiziridwa.
• Kuyesedwa kwa magazi - ndi kuchulukitsa kwa matendawa, kuchuluka kumadziwika ESRochepa leukocytosis.
• Biochemical kuwunika mkodzo - akhoza kutsimikiza urobilin ndi bilirubin.
• Kuyesedwa kwa magazi kwa enzyme - kumachitika ngati wodwala amakayikiridwa helminthiasis.
• Ultrasound yam'mimba - ndi kafukufuku wotere, mutha kudziwa zizindikiro zowonongeka kwa ndulu, kapamba. Matendawa amadziwika ndi kukhalapo kwa kutupira kwa ndulu, makulidwe a makhoma ake, calculi, komanso kusinthika kwa masamba a kapamba, heterogeneity ya parenchyma.
• MRI - kufufuza kumachitika ngati njira zina sizothandiza. Pogwiritsa ntchito maginito a resonance pancreatocholangiography, ndizotheka kuphunzira mwatsatanetsatane magawo apangidwe a kapamba ndi dongosolo la biliary. Pogwiritsa ntchito njirayi, cysts, madera a necrosis, matenda a chiwindi ndi kapamba amatha kupezeka.
• Retrograde cholangiopancreatography - pogwiritsa ntchito njirayi, ma pancreatic ducts ndi bile ducts amawonetsedwa, imalola kuwunika mkhalidwe wa Oddi sphincter, kudziwa momwe mulifupi mwa ducts ya bile.
• X-ray - unachitika kupatula kukhalapo kwa pathologies a ziwalo zina zam'mimba thirakiti.

Kusiyanitsa kosiyanasiyana kumachitika, choyambirira, ndi pachimake appendicitis.

Chithandizo cha cholecystopancreatitis

Mukamasankha njira yochizira, zinthu zingapo zofunika zimaganiziridwa: kusintha kwa matendawa, kupezeka kwa kusintha kwa morphological mu ziwalo ndi zovuta zina. Wodwala akayamba kudwala kwambiri cholecystopancreatitis, am'gonekedwa m'chipinda chopangira opaleshoniyo ndikumupatsa ziwalo zopumira. Monga lamulo, njala, kuwonongeka kwamatumbo kumachitika. Ngati ndi kotheka, kafukufuku wa zakudya umachitika - mwaubwino kapena mwaubwino.

Chithandizo cha cholecystopancreatitis aakulu sichimangotengera chithandizo chamankhwala, komanso kutsatira kwambiri zakudya zoyenera ndi kuletsa kokhazikika kwa zakudya zamafuta komanso kuchepa kwa chakudya chamafuta.

Zifukwa zachitukuko

Kugonana kwabwinoko kumatenga. Ma pancreatic ducts ndi bile ducts amakhala pafupi kwambiri. Izi zikufotokozera kusintha kwa dongosolo lotupa kuchoka pa chiwalo chimodzi kupita ku chapafupi. Ndi cholecystopancreatitis, chiwindi chimagwira ntchito zambiri. Mavuto ambiri am'matumbo amtundu wamatenda amasinthidwe amkati a chiwindi.

Zizindikiro za cholecystopancreatitis chimodzimodzi zimatengera zomwe zimachitika. Zomwe zimayambitsa matendawa ndi monga:

• majeremusi
• matenda
• helminthic infestation,
• khansa ya kapamba
• matenda ashuga
• bowa
• chotupa cha Vater,
• kuchuluka kwa chiwindi ndi duodenum,
• zopatsa kapena zopweteka,
• matenda a bacteria
• kutupa kwa ndulu,
• zilonda zam'mimba
• matenda a ndulu
• kagayidwe kachakudya.

Kuphatikiza pazifukwa, buku la gastroenterology limafotokozanso zomwe zimayambitsa matendawa. Zina mwa izo ndi:

• zizolowezi zoipa (kusuta, kuledzera),
• mavuto akulu azisangalalo,
• mawonekedwe osakhazikika a ndulu,
• kukondoweza kwa ndulu (kumachitika pakakhala pakati, moyo wongokhala, kuchuluka kwa ziwalo zam'mimba),
• kugaya chakudya,
• kuchuluka kwa kapamba,
• chakudya chopanda malire, kudya zakudya zama GMO,
• kudya kwambiri kapena kunenepa kwambiri,
• mankhwala osalamulirika
• miyala yamiyala ndi miyala yamiyendo,
• gastritis
• zopsinjika pafupipafupi.

Zizindikiro za matenda am'mimba

Zizindikiro za cholecystopancreatitis ndi ofanana ndi zizindikiro za matenda osiyanasiyana am'mimba. Izi zimatha kupweteka mu hypochondrium yoyenera, kugaya chakudya m'mimba (dyspeptic), kusanza, kapena nseru mkati maola ochepa mutatha kudya. Mwina kumva kuti ndinu otopetsa.

Pali mitundu iwiri ya cholecystopancreatitis: pachimake komanso chovuta. Zizindikiro za mawonekedwe owopsa zimachitika mutatha kudya zakudya zamafuta kapena zamkaka, mutangodya. Zizindikiro za pachimake cholecystopancreatitis ndi:

• kudzimbidwa
• lunda m'chiuno
• kutsegula m'mimba
• kusowa tulo chifukwa cha ululu
• kusanza
• kubwatula
• ukufalikira.

Kuwonetsedwa kwa mawonekedwe osakhazikika

Matendawa amadziwika ndi nthawi zakhululukidwa komanso kutuluka. Zizindikirozo ndizofanana ndi maonekedwe owopsa, koma ndikhululukidwa mu chithunzi cha ultrasound, kuwonjezeka kwa chiwindi kumawonekera bwino. Pa palpation, wodwalayo amamva ululu.

Ululu umatheka mu malo a ndulu. Mtundu wodwalayo wamatendawo uli ndi njira yotalikilapo. Ndi kuchulukirachulukira kwa mtundu wodwalayo wa matenda, zotsatirazi zatchulidwa:

• kuwonda
• mavuto a dyspeptic
• ukufalikira
• steatorrhea (mafuta mu ndowe).

Palinso zizindikiro zamatenda. Izi ndi:

• kapangidwe kake mumkaka,
• kutsekeka kwa minofu ya peritoneum,
• Kuchepetsa mafuta ozizira
• kupweteka m'mbali
• khungu loyera kuzungulira msomali,
• zotupa pang'ono m'derali.

Chifukwa cha kutalika kwa matumbo am'mimba, kusowa kwa michere yam'mimba kumachitika. Chifukwa cha izi, zizindikiro zamankhwala zimawonekera:

• kutsika kwa lipase secretion (madzi sungunuka pancreatic enzyme),
• zoperewera kapena zopanda pake za minofu kapena mafuta mu ndowe,
• chopondacho chimakhala chamadzi ndi chowonjezerapo.

Zizindikiro zowopsa

Mtundu wowopsa kwambiri wa cholecystopancreatitis ndi wovuta. Zimatengera zizindikiro monga kusokonezeka kwa chimbudzi komanso kukula kwa kutupa m'mimba.

Ndi matenda awa, matendawa amayambitsa kutsekeka kwa milomo ya duodenum. Monga lamulo, izi zimachitika mkati mwa zaka 5. Nthawi zina, wodwalayo amapanga zotsalazo za matenda:

• kuwoneka kwa mapangidwe abodza a cystic,
• kukulitsa kwa ascites (kukomoka),
• khungu louma ndi kupindika,
• zovuta zam'minyewa yaying'ono,
• kukulitsa matenda a manja (nyamakazi),
• zokutira yoyera pa lilime
• Kufewetsa misomali,
• chikasu pakhungu.

Zovuta zotheka

Munthu yemwe akudwala matenda kwa nthawi yayitali amatha kuyamba kuchepa kwa kapamba. Ngati chithandizo cha matendawa sichikuchitika munthawi yake, ndiye kuti chiwopsezo cha zovuta zimachuluka.

Zotsatira zoyipa ndizotheka ndikukula komanso kunyalanyaza matendawa. Izi zimachitika pakati theka la milandu. Zina mwazomwe zimachitika chifukwa cha matenda ndi izi:

• kutupa okhudzana ndi peritoneum (peritonitis),
• bile duct chotchinga,
• kuwonongeka kwa mitsempha,
• msempha
• matenda endocrine.

Njira zoyendera

Pamaziko a mayeso owonekera, zotsatira za kufufuza kwa zasayansi komanso kutengera madandaulo a wodwalayo, kuwunika kwa cholecystopancreatitis kumachitika. Njira zodziwitsa:

• magonedwe amatsenga,
• kupimidwa kwa ma pancreas ndi chikhodzodzo,
• mkodzo ndi kuyesa magazi,
• fibrogastroduodenoscopy (FGDS).

Njira yotsiriza yodziwitsira matenda imaphatikizanso kuyang'ana ulusi wa mucous wa duodenum ndi zomwe zili m'mimba. Njira ya FGDS imachitidwa pogwiritsa ntchito kanema ya endoscope. Monga njira yowonjezerapo yozindikira, dokotalayo amapereka mankhwala opumira. Kuunika kwa X-ray kumathandiza kuzindikira kupezeka komanso mtundu wa matenda am'magazi m'magawo:

• kapamba
• bile duct ndi chikhodzodzo,
• papilla wamkulu duodenal.

Njira zochizira

Pamaso pa madandaulo ndi kuikidwa kwa chithandizo, ndikofunikira kukaonana ndi gastroenterologist. Katswiri adzauza wodwalayo za cholecystopancreatitis, zizindikiro ndi chithandizo chake. Chithandizo cha matendawa chimayenera kukhala chokwanira.

Woopsa, opaleshoni ingafunike. Chithandizo cha zovuta cha cholecystopancreatitis chikuchitika ntchito:

• mankhwala
• zakudya ndi kusintha kwa zakudya,
• mankhwala achikhalidwe
• njira zolimbitsa thupi.

Mankhwala

Dokotala wa m'magazi amapereka mankhwala oyenera ochizira matendawa. Pofuna kuthana ndi kutupa komanso zosasangalatsa za matendawa, pali magulu ambiri azachipatala:

1. M'malo a plasma am'magazi (Polyglyukin, Reopoliglyukin, Refortan, Gemodez).
2. Amatanthawuza kuti amachepetsa acidity yam'mimba, maantacid (Fosfalugel, Almagel, Vicalin, Maalox).
3. Kukonzekera komwe kumapangitsa kuti m'mimba musayike, prokinetics (Motilium, Perinorm, Cerucal, Raglan).
4. Histamine H2 receptor blockers (Kvamatel, Roxatidine, Ranitidine, Gastrosidine).
5. Mankhwala omwe amachepetsa ululu womwe umayambitsidwa ndi ma spasms, antispasmodics (Spazgan, Baralgin, No-Shpa, Buskopan).
6. Proton pump inhibitors (Esomeprazole, Rabeprazole, Omeprazole, Lansoprazole).
7. Ma Painkiller, analgesics (Analgin, Ketanov, Nimesil).
8. Mankhwala a Cholinergic, anticholinergics (Gastrocepin, Platifillin, Atropine, Scopolamine).
9. Othandizira ndi ma inhibitors (Festal, Kontrikal, Gordoks, Trasilol).

Zakudya ndi kusintha zakudya

Chithandizo chokwanira cha cholecystopancreatitis chimaphatikizapo kuwunika kwathunthu kwa zakudya. Ndikofunikira kwambiri kuti wodwala azitsatira zakudya okhazikika zomwe dokotala wamupatsa. Popanda kuwunika menyu, sizingatheke kuchiritsa matenda am'mimba. Mukamadya zakudya zovulaza, matendawa amabwereranso. Malangizo osintha boma lakumwa zakumwa:

• kumwa pafupipafupi komanso kumwa kwambiri (pafupifupi malita awiri amadzi), koma pang'ono panthawi,
• Imwani madzi ofunda ndi mandimu,
• Zomera zothandiza zitsamba kuchokera ku chamomile, dandelion, calendula.

Kugwiritsa ntchito misuzi kuyenera kukhala kochepa, makamaka zipatso. Mowa ndi khofi, zakumwa zochokera m'maboni ndizoletsedwa. Wodwalayo akuwonetsedwa kuti azitsatira upangiri pazakudya za mankhwala a tebulo Na. 5, wolemba wake yemwe ndi chakudya Pevzner M. I. Ndikofunikira kusunga zakudya zowonjezera kwa miyezi itatu, koma kudya kwakutali kungafunikenso. Zina mwa zakudya zoletsedwa ndi:

• masamba osaphika (makamaka tomato ndi nkhaka),
• zakudya zamafuta, zokazinga, zonunkhira komanso zokazinga,
• ankasuta nyama
• amadyera
• chokoleti
• zopikira, makeke ndi makeke,
• mkate wopanda bulawuni, makeke,
• chakudya chamchere
• chakudya chamzitini
• chakudya chopatsa thanzi,
• msuzi wonenepa wopangidwa kuchokera ku masamba, nsomba ndi nyama,
• masoseji.

Gastroenterologist amapatsanso wodwala mndandanda wazakudya zomwe azilimbikitsidwa. Mndandandandawu umaphatikizapo chakudya chomwe sichimakakamiza kugaya chakudya pakudya. Zakudya zolimbikitsidwa ndi zakumwa ndizophatikiza:

• nsomba zodulira, ng'ombe, nkhuku,
• odzola
• zipatso ndi ndiwo zamasamba
• decoction of currants, ananyamuka m'chiuno,
• tiyi wopepuka kwambiri
• adyo
• nati
• phala yokazinga kapena yamadzimadzi,
• mafuta opopera a protein (opanda yolk),
• sopo owala.

Mankhwala achikhalidwe

Kugwiritsa ntchito wowerengeka azitsamba ndiolandiridwa pa matenda a cholecystopancreatitis. Chithandizo cha mankhwala chitha kuphatikizidwa ndi mankhwala wowerengeka. Kukonzekera decoctions ndi mankhwala infusions, mungagwiritse ntchito:

• Wort wa St.
• chowawa chowawa
• peppermint
• Mtundu wa linden
• violet
• yarrow
• wosafera
• basil
• ginseng.

A kulowetsedwa kwapadera kwa Aloe, monga masamba ake, amachepetsa Zizindikiro za pachimake cholecystopancreatitis. Chinsinsi chopangira kulowetsedwa kwa Aloe:

1. Sambani mbale, tsitsani bwino.
2. Ikani chidebe chagalasi.
3. Thirani madzi ozizira mu chidebe chagalasi.
4. Kuumirira maola 6.
5. Tsitsani kudzera cheesecloth yoyera.

Chifukwa mankhwala amadyedwa mu 1 tbsp. l Katatu patsiku. Ndikofunika kuti muzisunga nthawi yolowa - mphindi 40 chakudya musanadye. Zithandizo zonse zachikhalidwe siziyenera kugwiritsidwa ntchito popanda kufunsa dokotala. Maphikidwe ena a mankhwala azikhalidwe:

1. Mutha kukonzekera zopangidwa ndi peppermint, wort wa St. Muyenera kutenga 1 tsp. zigawo zonse, kutsanulira 0,5 malita. madzi otentha. Kuumirira yankho kwa mphindi 20, tenga 250 ml. 2 pa tsiku pamimba yopanda kanthu.
2. Thirani chowawa ndi yarrow kwa 1 tsp, kutsanulira kapu yamadzi otentha ndikusiya kwa mphindi 30. Unikani ndi kumwa ½ chikho mpaka 4 pa tsiku.
3. Tengani 1 tsp. maluwa, maluwa, peppermint, maluwa a linden. Ndikofunikira kusakaniza zosakaniza zonse, kutsanulira 0,5 malita a madzi otentha. Kuumirira mphindi 30 ndi kutenga 250 ml. Katatu patsiku musanadye.

Njira zolimbitsa thupi

Mofananamo amapatsidwa matenda a cholecystopancreatitis. Kuchita bwino kwa njira za physiotherapy kukufotokozedwa ndikuti kukhazikitsa kwawo kumathandizira kuthetsa kutupa.

Pambuyo pochotsa zowawa za matenda am'mimba, matope ochiritsa amatha kuikidwa. Amakhala ndi phindu pa mankhwalawa a cholecystopancreatitis, popeza amalimbitsa chitetezo cha mthupi, amakhala ndi analgesic komanso anti-kutupa. Pakati pa njira zolimbitsa thupi zamankhwala zimagwiritsidwa ntchito:

• Chithandizo cha UHF
• njira za ultrasound
• electrophoresis.

Cholecystopancreatitis

Zambiri zakuyerekeza cholecystopancreatitis. Nkhaniyi sikuti ikuwongolera pakudziyesa nokha mankhwala.

Pancreatitis ndi kutupa kwa kapamba. Cholecystitis ndi kutukusira kwa ndulu. Njira yotupa mu ziwalo zonse ziwiri, kapamba ndi ndulu, zimayambitsa kukula kwa cholecystopancreatitis (dzina lake lina ndi kapamba wamatumbo), matenda ofala kwambiri am'mimba. Chithunzi cha chipatala chimadziwika ndi kusokonezeka kwakukulu pakugwira ntchito kwa dongosolo lonse la kugaya chakudya, komanso kuopsa kwa zovuta zingapo, mwachitsanzo, matenda osokoneza bongo, kutsekeka kwa bile duct, venous thrombosis, kupatuka kwakukulu mu dongosolo la endocrine.

Ndi cholecystopancreatitis, njira yogawa mafuta ndi michere imakhala yovuta kwambiri, ndipo kupanga michere yam'mimba yamatumbo yaying'ono ndi kayendedwe ka bile sikasokonezeka. Matenda a cholecystopancreatitis m'zaka zochepa amakwiyitsa kuchepa kwa madzi a pancreatic ndi ma enzymes, omwe angayambitse kukula kwa matenda ena ndi zizindikiro zotsatirazi:

• zonyansa zoyera
• kuchepa kwa kapamba kapamba,
• Steatorrhea, ali ndi matendawa, mafuta osasamba amapezeka ndowe,
• creatorrhea - ulusi wosagwira bwino ulipo mu ndowe.

Kukula kwa cholecystopancreatitis kumachitika chifukwa cha mgwirizano wapakati pakati pa kapamba ndi ndulu, ndendende, pakati pa ndulu ya bile ndipo ndulu yayikulu ya kapamba. Pazotheka, chiphunzitso chomwe chimakhudza chiwalo chimodzi chimafalikira nthawi yomweyo. Kuphatikiza apo, pachimake cholecystopancreatitis, kutupa kumakhudzanso chiwindi, zomwe zimapangitsa kuti masinthidwe a necrotic ndi dystrophic.

Kuzindikira matendawa

Ndizotheka kuzindikira molondola cholecystopancreatitis pokhapokha pakuwunika mayeso a wodwalayo, poganizira madandaulo ake ndikuwonetsetsa mayeso. Ngati pali zovuta kupeza matenda, gastroenterologist atha kugwiritsa ntchito njira zodziwikitsa, kuphatikizapo:

• Mayeso a MRI ndi CT,
• FGDS, kapena matenda owopsa a biopsy,
• kusanthula kwamakedzana pogwiritsa ntchito kuyezetsa magazi,
• Ultrasound
• Kutsimikiza kwa puloteni wa puloteni wokhala ndi biochemical kufufuza ndowe.

Mankhwala othandizira amapangidwa pokhapokha atazindikira mozama, omwe amalekanitsa chipatala cha inshuwaransi cha pancreatic cholecystopancreatitis.

Zokhudza chithandizo cha matenda

Chithandizo cha pachimake cholecystopancreatitis umalimbana kuthetsa kuphipha kwa Oddi, wamba duct ndi wamba pancreatic duct.

Mayankho a 0.1% atropine ndi metacin mu 1 ml imathandizira kudzera m'mitsempha. Mitundu ya Dropper imaphatikizapo no-shpu, diphenhydramine, baralgin, aminophylline, magnesia ndi ascorbic acid kuti athetse zisonyezo za kutupa, za poizoni. Woopsa milandu, blockade ndi novocaine amachitidwa.

Chithandizo cha mankhwala ophatikizira

• maantibayotiki
• proteinase zoletsa
• mankhwala antifungal
• antiemetics.

Popeza odwala amapatsidwa njala, polyglucin, glucose amawathandizira kudzera m'mitsempha, ndipo ma sorbents amaperekedwa mkati. Nthawi zina chidwi cha zomwe zili m'mimba chimafunikira.

Matenda a cholecystopancreatitis amathandizidwa panthawi yowonjezera, koma motsutsana ndi maziko amakhululuka, ndikofunikira kuthetseratu zakudya zamafuta, msuzi wa nyama, zonunkhira ndi zokometsera.

Kufufuza kwathunthu kumalola kuzindikira matenda: kuyezetsa magazi konse, kuzindikira kuchuluka kwa bilirubin, mapuloteni, ntchito ya transaminase. Ndi kutupa kwanthawi yayitali, kagayidwe ka lipid kamayesedwa, chifukwa kumeza mafuta m'thupi kumakhudza ma cell a thupi lonse.

Dokotala wa gastroenterologist amachita matenda, ndipo mayeso amakhala ngati maziko a chithandizo chamankhwala. Ultrasound imawonetsa mkhalidwe wa bile ducts ndi chiwindi. Nthawi zina kuwunika ndi chithandizo cham'mimba ndi duodenum amafunikira kuti athe kusintha ziwalo zoyandikana.

Anthu ena amatha kuchita popanda kudya mosasamala komanso kugwiritsa ntchito kukonzekera kwa enzyme ngati kuukira kumayambika chifukwa chomwa mowa kwambiri wamafuta - mafuta wowawasa zonona, mowa, mtedza ndi chokoleti yambiri. Mwa ana, kusokonekera kumawonetsedwa ndi acetone yayikulu komanso kusanza.

Kuphatikiza pa Pancreatin, Mezim ndi ma pinkiller motsutsana ndi kutupa ndi kukakamizidwa mu ma ducts, othandizira othandizira amagwiritsidwa ntchito. Mankhwala a Methyluracil amathandizira kubwezeretsanso thupi, chitetezo chokwanira.

Njira za anthu

Ndikotheka kuchiritsa kwathunthu cholecystopancreatitis ndi wowerengeka azitsamba ngati mungasankhe mankhwala omwe amakhudza majeremusi, matenda omwe amasokoneza m'mimba. Palibe phindu kutenga zitsamba zopanda tsankho pogwiritsa ntchito mankhwala anthelmintic.

Kupititsa patsogolo chidwi, kuchepetsa kutupa ndi kupondaponda ntchito za tizilombo tating'onoting'ono tithandizire othandizira pazinthu zina.

Kuti muchite izi, muyenera kutenga chamomile, wort wa St. John ndi suppermint, supuni 1 iliyonse, kutsanulira magalasi awiri amadzi otentha, tsimikizirani kwa theka la ola. Imwani kapu musanadye.

Chithandizo cha cholecystopancreatitis chimathandizira ndi vitamini C mu mawonekedwe a zowonjezera kapena mwatsopano kabichi. Nthawi zambiri tsabola wokoma, ma citruse samatha kulekeredwa bwino ndikutupa kwa ndulu ndi kapamba.

Malangizo Othandizira Zizindikiro

Pachimake cholecystopancreatitis ndi kusanza ayenera kuthandizidwa kuchipatala kupewa ascites, hypovolemic mantha, kuledzera. Kusakhazikika pang'onopang'ono kumakhazikika kunyumba.

Gwiritsani ntchito kupumira mwakuya kwa diaphragmatic: chagona kumbuyo kwanu, ndikugwira nthiti kutsogolo ndi zala zanu. Pa kudzoza, tsegulani mbali yam'munsi ya chifuwa, pakupumira - musalole nthiti kuti zichepetse, mutambasule mawonekedwe ndi michere ya ziwalo zapafupi. Bwerezani katatu.

Chitani minofu yotsitsimuka: ndikanikizani pang'onopang'ono pambali yakumanja, kenako kumanja pafupi ndi pakati ndi njira ya xiphoid. Ikani zala zanu kumanzere polojekiti yofananira, kenako pakati pa mzere pakati pa navel ndi ilium lamanja.

Osteopathy amagwira ntchito ndi kutupa kwa kapamba ndi ndulu ya mkhungu ndi kusokonekera kwamphamvu kwa ma sphincters ndi m'mimba. Madokotala amachotsa kusakhazikika pakati pa magawo a parasympathetic komanso omvera chisoni a dongosolo la autonomic mantha.

Njira zopewera

Nthawi zina kumwa mankhwala ngati chithandizo kumadzetsa mpumulo wakanthawi. Zochita zachipatala zimadalira zakudya zokhwima, zomwe zonse zomwe zimapangitsa kupanga ma enzyme ndizochepa. Mankhwala aliwonse ndi okhudza kuthana ndi vuto popanda kuthetsa vutoli. Chifukwa chake, musamaphwanya chakudyacho ndi cholecystopancreatitis, kudya ayisikilimu, anyezi, msuzi wowawasa, kenako tengani Pankeatin kapena Omeprazole popewa kusasangalala.

Monga cholecystitis, zakudya panthawi ya kukokoloka zimaphatikizira nsomba yophika kapena yamkaka, nyama, masamba omwe amapezeka m'masamba komanso otentha, chimanga chokhala ndi madzi.

Kuchipatala, chakudya No. 5 chimayikidwa, chomwe chimayikidwa mu canteens kuchipatala. Gwiritsitsani kwa milungu iwiri itatha.

Kodi ndizotheka kudya tsabola wokoma, tchizi tchizi, mkate woyera? Zonse zimatengera momwe ziwalo ziliri. Mukabwezeretsa kusuntha, zinthu zoponderezedwa zimayambitsidwa pang'onopang'ono, ndikukulitsa chakudya.

Popewa tsiku lililonse cholecystopancreatitis, zolimbitsa thupi m'njira zoyenera ndizofunikira. Ntchito ya ziwalo zimadalira msana wa thoracic, womwe umayenda mosunthira pang'ono.