Chithandizo cha cholecystitis

Cholecystitis ndi njira yotupa mu ndulu yomwe imachitika motsutsana ndi kachilombo ka bakiteriya, dyskinesia, komanso kupezeka kwa miyala kapena kulibe. Zoyambitsa zingapo, njira zopititsira patsogolo komanso zizindikiro za matenda zimapangitsa kuti pakhale mankhwala ogwira mtima omwe angathandize wodwalayo kuthana ndi matendawa ndikuwongolera njira yake. Pachifukwa ichi, magulu akuluakulu a mankhwalawa amagwiritsidwa ntchito: maantibayotiki, antiparasitic, choleretic, antispasmodics, cholekinetics, cholelitics.

Cholecystitis ndi kutupa komwe kumachitika pachithunzichi. Pali mitundu iwiri ya matenda:

Lachiwiri likhoza kukhala mwala (wowerengeka) komanso wopanda miyala.

Njira imodzi yodziwika ndi kuperewera kwapakati pa cholecystitis, womwe umapangidwa motsutsana ndi matendawa.

Zinthu zotsatirazi zimathandiza kwambiri pakukula kwa ziwalo:

• Matenda opatsirana.
• Kutupa kwa kapamba, komwe kumatha kudutsa chikhodzodzo.
• Kupezeka kwa dyskinesias (kuphwanya mamvekedwe a chikhodzodzo ndi biliary thirakiti).
• Kupezeka kwa calculi mu chiwalo.
• Zakudya zopanda pake.
• Matenda a parasitic (giardiasis, opisthorchiasis, amoebiasis, etc.).

Njira yovuta ya kuwerengetsa cholecystitis imakhala nthawi zambiri limodzi ndi zotuluka, zomwe zimadziwika kuti ndi vuto la colic. Amatuluka chifukwa cha “mwala” wa mwala m'khosi mwa thovu, chifukwa chomwe chiwalo chimangokhala chosasunthika, kuyesera kukankhira kuwerengera. Chizindikiro chachikulu cha kuukira ndi kupweteka kwambiri mu hypochondrium yoyenera, yomwe imatha kupatsa tsamba lakumanja, phewa, kolala.

Nthawi zambiri, colic ya biliary imagwira ntchito mosavutikira, komanso mawonekedwe awowonjezera, monga kutentha thupi, thukuta, kusanza kwa bile, komwe sikubweretsa mpumulo, kukuwonetsa kukula kwa cholecystitis yovuta kwambiri, yomwe imafunikira opaleshoni.

Maantibayotiki omwe amagwiritsidwa ntchito pochiza

Ndi matenda a gallbladder kutupa, maantibayotiki mankhwala ndi mankhwala. Kusankha kwa maantibayotiki kumatengera mphamvu yake yolowera mu bile ndikupanga momwemo. Kutalika kwa mankhwalawa kumapangitsa kuti wodwalayo akhale ndi mphamvu yayitali komanso azisinthasintha.

Zochizira cholecystitis, ma anti-sipekitiramu ambiri amagwiritsidwa ntchito limodzi ndi kukonzekera kwa vitamini ndikukonzekera kubwezeretsanso microflora.

Kusankha kwa maantibayotiki kumathandizanso kuopsa kwa matendawa. Pakuthwa pang'ono kapena pang'ono, mankhwala ochokera ku gulu la cephalosporins ndi omwe amapatsidwa. Ndipo ngati pali kutupa kwambiri, komanso kwa okalamba ndi odwala matendawa, kuphatikiza mankhwala ophatikizika ndi ma antimicrobials ndi mankhwala.

Mayina odziwika kwambiri ogulitsa maantibayotiki a magulu osiyanasiyana omwe amagwiritsidwa ntchito pochiza cholecystitis ndi:

• Zopertsin, Aurotaz, Tazar, Revotaz,
• Ampiside, Unazin, Sulbacin,
• Augmentin, Amoxiclav, Flemoclav,
• Aris, Merogram, Ronem,
• Cefantral, Tsefogram, Aurocef, Sulcef, Suprax, Cefix,
• Erythromycin,
• Chloramphenicol
• Ampiok.

Mankhwala onse omwe ali pamwambawa amapezeka m'mapiritsi kapena jakisoni, mlingo wa tsiku lililonse muzochitika zonse ndi dokotala. Mlingo makamaka umatengera kuzunzika kwa matenda opatsirana ndi njira zina zophatikizira kapena zovuta zina.

Ophera

Sitikulimbikitsidwa kugwiritsa ntchito ma pinkiller popanda kuyezetsa kuchipatala koyambirira, chifukwa izi zitha kufooketsa chithunzi cha matendawa ndipo sizimalola kuzindikira bwino matendawo ndi gawo la matendawo.Izi zikhoza kubweretsa chithandizo chosagwiritsidwa ntchito bwino, kunyalanyaza matendawa, komwe kumawopseza thanzi la wodwalayo. Ma antispasmodics a cholecystitis amasonyezedwa kuti athetse kuphipha kwa minofu yosalala ya ndulu ndi ma ndulu.

Mankhwalawa amapezeka mu mawonekedwe a mapiritsi, suppositories ndi njira zovomerezeka. Odwala opweteka kwambiri a cholecystitis ndi madokotala amatchedwa chithandizo chotsatira:

• Papaverine - njira yotsitsimutsa minofu yosalala,
• No-Shpu - antispasmodic wapamwamba kwambiri wa zotsatira za myotropic,
• Drotaverinum ndi myotropic antispasmodic, analogue ya No-Shpa, mankhwala omwe ali ndi kuyamwa kwambiri komwe kumakhudza impso, chiwindi, chomwe chikutsutsana ndi glaucoma, adenoma ya prostate, hypotension,
• Plifillin ndi cholembera cha mm-cholinergic cholandilira bwino m'thupi.

Ma antispasmodics omwe apatsidwa amatha kugwiritsidwa ntchito ndi odwala pokhapokha akutsimikiziridwa ndi dokotala, poganizira kulekerera kwa matenda olimba.

Cholagogue

Mankhwala a Choleretic a cholecystitis amagawidwa m'magulu awiri a mankhwala - choleretics omwe amalimbikitsa kupanga bile, ndi cholekinetics, omwe ali ndi udindo wolimbikitsa bile excretion. Kukonzekera kwa Cholagogue kumayikidwa pokhapokha pakuwunika wodwalayo kuchepa kwa ntchito ya chiwindi kapena kuchepa kwa mphamvu ya thirakiti la biliary kuwululidwa.

Ngati calculi yayikulu ilipo mu ducts ya bile, kugwiritsa ntchito mankhwala a choleretic kumatha kupangitsa kuti ndulu ya dongo iyambike ndi miyala ndikupangitsa kuti pakhale zovuta kwambiri kuchipatala.

Mankhwala a Cholagogue amagwiritsidwa ntchito ngati wodwala akufunika kubwezeretsa kulumikizidwa kwa ndulu. Choleretic chabwino kwambiri ndi mankhwala azitsamba ndi opanga, omwe amagwiritsidwa ntchito limodzi ndi antibacterial therapy.

Mankhwala odziwika kwambiri a choleretic omwe amaperekedwa ndi cholecystitis ndi awa:

1. Allohol ndi njira yothandizira zitsamba kuti chiwongolere ntchito ya chiwindi, kulepheretsa mawonekedwe amiyala m'mitsempha ya biliary, kukonza magwiridwe onse am'mimba, kuthana ndi kudzimbidwa, kutsekemera komanso osavomerezeka chifukwa cha zilonda zam'mimba komanso matenda a chiwindi.
2. Oxafenamide ndi piritsi kukonzekera mapangidwe ndi katulutsidwe a bile, kuthetsa spasms, osavomerezeka a chiwindi dystrophy.
3. Kukonzekera kwa Ursodeoxycholic acid - okhala ndi choleretic ndi hepatoprotective, amagwiritsidwa ntchito kwambiri mu gastroenterology, kuphatikizapo mankhwala a hepatosis yamafuta, biliary dyskinesia.

Mankhwala olimbana ndi zotupa

Kukonzekera kuchokera pagulu la mankhwala omwe si a antiidal a anti-yotupa a cholecystitis amagwiritsidwa ntchito ngati gawo limodzi la chithandizo chokwanira ngati pakufunika kupereka zotsatira zakubwezerera kwa nthawi yayitali ndi anti-yotupa, komanso mankhwala a antipyretic. Ubwino wogwiritsa ntchito mankhwala osagwiritsa ntchito mankhwala a anti-yotupa mu kuphatikiza mankhwala a cholecystitis ndi chitetezo chokwanira ndi kugwiritsa ntchito kwakanthawi kochepa (modabwitsa) komanso mitundu yotsika mtengo yotulutsira mankhwala (mapiritsi, jakisoni). Mankhwala odziwika kwambiri omwe samakhala a anti -idalidal omwe amagwiritsidwa ntchito pa cholecystitis, madokotala ndi awa: Diclofenac, Piroxicam, Celecoxib, Ibuprofen, Rofecoxib.

Physiotherapy ya cholecystitis

Njira zamankhwala zogwiritsidwa ntchito polimbitsa thupi zimagwiritsidwa ntchito pochotsa chikhululukiro cha cholecystitis. Pankhaniyi, akatswiri amatcha UHF-chithandizo, matope othandizira, othandizira ndi madzi amchere, diathermy ndi ena njira zothandiza kwambiri zolimbitsa thupi. Potumiza matenda, odwala nthawi zambiri amalimbikitsidwa kulandira chithandizo cha sanatorium ku Essentuki, Borjomi.

Therapy imatha kukhala yayitali ndipo iyenera kuyang'aniridwa ndi achipatala.

Madzi amchere

Madzi amchere ndi gawo limodzi la chithandizo chokwanira cha cholecystitis, kotero kugwiritsidwa ntchito kwake kuyenera kuyang'aniridwa kwathunthu ndi madokotala omwe amapezekapo. Kumwa madzi amchere kuchokera kumagwero kumapangitsa kuchuluka kwa mchere, koma m'matawuni m'madzi okhala ndi mabotolo omwe amakhala ndi magalasi ndikugulitsidwa muma pharmacies amathanso kugwiritsidwa ntchito.

Mothandizidwa ndi mchere wam'madzi, zimatha kulimbikitsa mapangidwe a mapangidwe a bile ndi kutuluka kwa bile mu thupi la munthu. Chifukwa chake, biliary stasis imachotsedwa, ndipo microflora ya pathogenic kuchokera mthupi imatuluka nayo.

Ndi cholecystitis, mchere wam'madzi umagwiritsidwa ntchito, kutengera mtundu wa vuto la ndulu:

• ndi hypotension ya biliary thirakiti, mchere wamchere wamchere wokhala ndi mchere wambiri umasonyezedwa,
• ndi matenda oopsa - kuchuluka kwa mchere m'madzi amchere ayenera kukhala ochepa,
• Hypotension ya ndulu imaphatikizapo zovuta kuchiritsa, zomwe zimaphatikizapo zakudya ndi kugwiritsa ntchito mchere.

Chithandizo choterocho chimawonjezera kuyenderera kwa bile, potero kumachepetsa milingo ya bilirubin ndi cholesterol.

Kuti mugwiritse ntchito bwino, tikulimbikitsidwa kutsuka ndulu ndi madzi am'mawa musanadye njira zochizira, ndipo izi zimayenera kubwerezedwanso kamodzi pa sabata 1.5 maola asanadye, pamene bile limayikidwa mu ndulu, komanso mphindi 30 musanadye. Izi zimathandizira kuthetsa bile mu matumbo, pomwe amatha kutenga gawo logaya chakudya.

Pa mankhwala, mchere wam'madzi umatengedwa pakamwa kapena kutentha kapena kutentha - 30-50 madigiri. Madzi amatha kuwotchera madzi osamba okha, ndipo amaletsedwa kumwa madzi ozizira, chifukwa pamenepa amachititsa kupindika msana komanso kupweteka kwambiri. Madzi amoto otentha amachepetsa kupweteka kwambiri.

Kuchuluka kwa madzi omwe amagwiritsidwa ntchito nthawi imodzi sikuyenera kupitirira 200-250 mamililita. Nthawi zina, pamagawo oyamba a chithandizo, madokotala amalimbikitsa kumwa mamililita 100 amadzi otere. Kuchuluka kwa madzi am'mimbamo omwe amagwiritsidwa ntchito pochiza cholecystitis amatha kuwerengera chilichonse pamatendawa, chifukwa choti wodwala amafunika kugwiritsa ntchito mamililita 4 amadzi amaminolo kwa kilogalamu iliyonse ya kulemera kwake. Muyenera kumwa madzi akumwa katatu patsiku, pang'onopang'ono, m'malo ochepa. Kutalika kwa mankhwala nthawi zambiri mwezi umodzi. Contraindication chithandizo ndi mchere madzi ndi matenda am'mimba thirakiti, pambuyo-stroko kapena pambuyo infarction.

Komanso, mchere wamadzi ungagwiritsidwe ntchito pochiza matenda a cholecystitis komanso ngati zinthu zakunja kwa njira zakunja, mwachitsanzo, kukhetsa kwa duodenal.

Pankhani ya cholecystitis, kuyambitsidwa kwa madzi am'mimbamo ndi kafukufuku mu duodenum kungathandize njira yodutsira ya ndulu m'matumbo, ndipo ndi chithandizo chomwe chitha nthawi yayitali, kumatha kuyeretsa ndikuwongolera chiwindi, kuthetsa utsi wa bile ndi bile, ndikuletsa njira yotupa.

Kuphatikiza pa njira zomwe tafotokozazi, mankhwalawa a cholecystitis, odwala amawonetsedwanso kukasamba kwa hydrogen sulfide, komwe kumakhudza dongosolo lamanjenje, kukonza kagayidwe kazinthu kalikonse, kuchepetsa kuchepa kwa cholecystitis, mankhwala osokoneza bongo ndikuwongolera magwiridwe antchito amthupi.

Chifukwa chake, madzi amchere ndi othandizira kwambiri ku cholecystitis, yomwe, ikagwiritsidwa ntchito moyenera, imathandizira kupewa kutukusira kwa ndulu, kuchepetsa ndende ya bile, kuchotsa ndikuchotsa magwiridwe amtumbo.

Masewera olimbitsa thupi omwe ali ndi cholecystitis

Kukhala moyo wongokhala ndi kusachita mokwanira zinthu zolimbitsa thupi kumathandizira kusokonekera kwa ndulu mu ndulu.Ochita masewera olimbitsa thupi apadera amathandizira kuchotsa chiwonetsero cha cholecystitis, imayendetsa magazi mu peritoneum, imathandizira kutuluka kwa bile ndikuyenda bwino kwamatumbo. Masewera olimbitsa thupi onse omwe cholinga chake ndi kuyambitsa ndulu iyenera kuchitidwa m'mawa, pomwe m'mimba mulibe kanthu ndipo mulibe bile m'matumbo.

Chithandizo chovuta kwambiri cha masewera olimbitsa thupi chimaphatikizanso masewera olimbitsa thupi omwe amapuma modabwitsa omwe amapangitsa kupuma modabwitsa, ogwira ntchito ziwalo zonse zam'mimba komanso kulimbitsa minofu ya m'mimba. Zochita izi zimapangidwa kuti zitha kupanikizika atolankhani, zina mwazoyenera kuzichita pochita mbali yakumanja kapena pamimba. Makalasi otero ochita masewera olimbitsa thupi amatha kuchitika pa masewera olimbitsa thupi, atagona pamimba pake pomwe mumatha kupindika ndikulimbitsa magazi mu chiwindi ndi chikhodzodzo. Komanso, pakati pa masewera olimbitsa thupi ochiritsira cholecystitis, mutha kupeza kutembenuka ndi ma thupi omwe amachititsa chikhodzodzo ndikuwonjezera njira za choleretic.

Opaleshoni

Chizindikiro chamankhwala othandizira opaleshoni ndi kusagwira bwino kwa chithandizo chamankhwala, pomwe colic ya biliary imachitika nthawi iliyonse ndi zolakwika zazing'ono pakuyang'anira kudya mosamalitsa. Panthawi imeneyi, mankhwalawa amatha kuchepetsa vutoli kwakanthawi kochepa, kenako zizindikirozo zimayambiranso. Wodwala amayenera kupita kwa dotolo kuti agamule kuti athe kuchitidwa opaleshoni.

Opaleshoni yochotsa nduluyo imatchedwa cholecystectomy. Imachitika ndi pachimake kuwerengetsa cholecystitis, choledocholithiasis komanso zovuta mitundu ya cholecystitis. Mitsempha ya bile ikatsekedwa ndi Calculator, wodwalayo amakhala ndi mawonetseredwe amisala yotupa yovutikira, pafupipafupi wa biliary colic pester iye. Milandu ya cholecystectomy yomwe idakonzedwa, pakakhala zovuta komanso popanda zovuta, opareshoni imachitika mosalekeza - timachubu tating'onoting'ono 3 timayilowetsedwa pamatumbo ang'onoang'ono kuti tiwunike ndikusintha. Kuwonongeka kocheperako kwa opaleshoni kumalola wodwalayo kuchira kwathunthu mkati mwa masabata awiri komanso mkati mwa masiku awiri atatha kulowererapo kuti azipita kwawo.

Mwazovuta komanso kupezeka kwa kutulutsa, madokotala ochita opaleshoni amachita opaleshoni yoyesera kuti achotse ndulu, ndikutheka kwa chikhodzodzo kudzera mukuyang'ambika pansi pa hypochondrium yoyenera.

Pamavuto akulu matendawa, pakakhala vuto la matenda opha ziwalo, chikhodzodzo, kukonza kwa chikhodzodzo komanso peritonitis, madokotala amatha kuchita opaleshoni mwa kupezeka kwa laparotomic kudzera pa khoma lakutsogolo la m'mimba mwa wodwalayo, kuti athe kuwona bwino zovuta zomwe zingachitike komanso kuchotsedwa kwawo. Komabe, machitidwe awa masiku ano ndi osowa kwambiri. Pambuyo cholecystectomy, wodwalayo amayenera kuunikidwanso ndi katswiri wa gastroenterologist (nthawi zina wamankhwala ochiritsira), komanso kupita kukonzanso ndikubwezeretsa pambuyo pake. Zakudya zamankhwala zokhala ndi cholecystitis ndi gawo limodzi lofunika la mankhwalawa musanachitike kapena pambuyo pakuchita opaleshoni.

Njira zamankhwala achikhalidwe

Njira zina zochizira cholecystitis ndizosiyanasiyana komanso zothandiza ngati zimagwiritsidwa ntchito limodzi ndi mankhwala komanso kuyang'aniridwa ndi achipatala. Maphikidwe osiyanasiyana a decoctions ochokera ku zitsamba, zipatso, mbewu zimathandizira kuthetsa chisonyezo cha zopweteka, kukhala ndi choleretic, ndikuthandizira kuchotsa komwe kumayambitsa matenda m'thupi.

Njira imodzi yodziwika bwino yothandizira anthu osagwiritsa ntchito cholecystitis yosavomerezeka ndikuchita njira ya tubing malinga ndi Demyanov, wokhala ndi xylitol, sorbitol, magnesium sulfate kapena mchere wamchere wamchere. Njira imeneyi imagwiritsidwa ntchito pa cholecystitis ndi hypomotor ntchito ya biliary thirakiti.

Koma njirayi iyenera kuyang'aniridwa ndi adokotala ndipo amawongolera.

Maphikidwe azitsamba

Zitsamba zimagwiritsidwa ntchito kwambiri pochiza matenda a cholecystitis, onse palokha komanso kuwonjezera pa chithandizo chachikulu. Cholinga chachikulu cha mankhwala azitsamba ndi mphamvu yake ya choleretic, nthawi zina antispasmodic komanso anti-kutupa.

Kutupa kwa ndulu ndi kuthamanga kwa kapangidwe kake m'thupi ndi zinthu zofunika kwambiri pakuyambiranso kwachilendo kwa ntchito ya ndulu. Ndikofunikira kudziwa kuti, poyerekeza ndi mankhwala, zitsamba za choleretic zimathanso kukhala ndi choleretic kapena cholekinetic. Mitundu yosiyanasiyana ya birch ndi timbewu tambiri imatchulidwa ku zitsamba za choleretic. Mutha kukwaniritsa zotsatira za cholekinetic pogwiritsa ntchito tansy, stigmas chimanga, centaury, barberry, Amur velvet.

Kuti mupeze zovuta zovuta za choleretic m'thupi, akatswiri amalimbikitsa kugwiritsa ntchito njira zotsatirazi. Kwa iye, zitsamba zimatengedwa m'malo ofanana, monga matope wamba, maluwa a chamomile, masamba a burdock, peppermint, chingwe, stigmas chimanga, thumba la abusa ndi knotweed udzu, wosakanizidwa, ndi supuni 4 za zitsamba izi zimathiridwa ndi madzi okwanira 1 litre. Kenako osakaniza amawiritsa pamoto kwa mphindi 2-3, ola limalimbikitsidwa, kusefedwa. Tengani kulowetsedwa kuyenera kukhala chikho 1/3 katatu pa tsiku kwa mphindi 30 musanadye.

An antispasmodic wabwino kwambiri komanso wotsutsa-yotupa ndi cholecystitis ndi chamomile. Pamaziko ake, ma infusions ambiri ndi ma decoctions amakonzedwa, ululu wopumulira, kuchepetsa kukokana. Chinsinsi chothandiza kwambiri cha tiyi wa chamomile wokhala ndi cholecystitis ndikuphika supuni youma ya chamomile mu theka la lita imodzi ya madzi oyera kwa mphindi 15. Kenako tiyi amamuthira kwa maola awiri ndipo amamwa mowa wachitatu kapu katatu patsiku.

Kupanga Madzi

Madzi okhala ndi cholecystitis amatha kupereka zotsatira zabwino mthupi la wodwalayo, chifukwa ambiri amachititsa njira zamayimbidwe amiyala ndi ma polyp, amalepheretsa kuchulukana kwa matendawa, ndikuchotsa zizindikiro zazikulu.

Chifukwa chake, madzi a bere amatha kuyeretsa dongosolo lazakudya ndikuthandizira kuphwanya miyala mu chikhodzodzo. Ndikofunikira kutenga ma milliliters 100 a madzi a beet tsiku lililonse 2 kawiri pa tsiku, momwe mungachitire kuti njira za chitukuko zitha kuyimitsidwa, ndipo zizindikiro zomwe zikupezeka zimatha pang'ono pang'ono. Ngati mumamwa 125 milliliters a dandelion madzi tsiku lililonse, ndiye kuti kuchuluka kwa cholecystitis kungathe kupewedwa kwa nthawi yayitali. Dandelion madzi ndi othandiza kwambiri kuphatikiza ndi watercress ngati pachimake nthenda ya matenda, chifukwa amachepetsa kutupa ndikuchotsa kuphipha.

Njira zina

Mu wowerengeka azitsamba zochizira cholecystitis, zigawo zingapo zilipo. Zothandiza kwambiri ndi mafuta a turmeric, propolis, oats, mandimu ndi masamba.

Turmeric imagwiritsidwa ntchito ku cholecystitis monga njira ina yothandizira anti-kutupa ndi antibacterial.

Komanso, mankhwalawa, mankhwala ake a choleretic akhoza kukhala othandiza. Kukonzekera mankhwala kuchokera ku turmeric kwa cholecystitis, muzu wake, ufa, umagwiritsidwa ntchito ndikusakanizidwa ndi uchi. Zosakanikirana zomwe zimapangidwira mumagulu ang'onoang'ono ndikutenga supuni 1 ya mipira katatu patsiku. Zotsalira za malonda ndizofunikira kuzisunga molondola. Turmeric simalola kuyenda kwa mpweya, chifukwa chake imasungidwa mu chidebe chotsekedwa bwino chagalasi chomwe chili m'malo amdima. Contraindication chithandizo ndi turmeric ndi mimba ndi chiwindi.

Propolis yakhala ikugwiritsidwa ntchito kukhazikitsa njira ya mapangidwe a bile ndi kutuluka kwa bile. Tincture wake woledzera, womwe magalamu 10 a phula ndi mamililita 100 a mowa wamankhwala amatengedwa (70% mphamvu), pakatha milungu iwiri yaukalamba, amatha kubwezeretsanso njira zosinthira za bile. Kumwa tincture woterewu ndikofunikira mkaka wofanana ndi 20 madontho pa mamililita 100 amkaka.Mochenjera, phula liyenera kugwiritsidwa ntchito kwa anthu omwe samakonda njuchi.

Oatmeal, yomwe imagwiritsidwa ntchito ngati tincture, imathandiza kwambiri kulimbana ndi chiwonetsero cha cholecystitis. Pa tincture, magalamu 200 a oatmeal amathiridwa ndi lita imodzi ya mkaka wowiritsa kapena madzi enieni ndikugwiritsa ntchito tincture katatu patsiku, 1 galasi lililonse. Mafuta oatmeal amathandizanso, omwe angayenere bwino mu chakudya cha cholecystitis.

Mankhwala a cholecystitis, osavomerezeka kudya zakudya zamafuta, kuphatikiza mafuta a mitundu yonse. Komabe, mafuta ena azamasamba omwe amawonjezeredwa ndi zakudya zozizira amathandizira kukhazikika kwa cholesterol. Mafuta a sea buckthorn ali ndi katundu wotere, womwe ndi cholecystitis amathandizanso kusinthanso minofu. Mutha kugwiritsa ntchito mafuta am'madzi amtundu umodzi nthawi imodzi patsiku la mamililita 50 komanso mukamachotsa matendawa.

Ngakhale kuti acidic yokhala ndi cholecystitis amaletsedwa kudya, mandimu amathanso kukhala ndi zotsatira zabwino pa matendawa. Choyamba, zipatso zingagwiritsidwe ntchito popanga zotayira, kusakaniza mandimu ndi madzi, ndipo chachiwiri, mankhwalawa amatha kukonzedwa kuchokera ku chipatso, chomwe chimagwiritsidwa ntchito pakamwa. Kuti akonze mankhwala a mandimu motsutsana ndi cholecystitis, mandimu 4 akulu ndi kilogalamu 1 ya uchi watsopano wamadzi amatengedwa, mandimu amayeretsedwa, kuphwanyidwa ndikuphatikizidwa ndi uchi. Kudya zotsekemera zoterezi 2 pa tsiku kwa supuni, kuyambiranso kupewedwa.

Mukamagwiritsa ntchito wowerengeka azitsamba pochiza matenda a cholecystitis, ndikofunikira kukumbukira kuti zonse zili bwino pokhapokha ngati muli ndi matenda osachiritsika. Mu pachimake kuwerengetsa cholecystitis, kugwiritsa ntchito njira zina maphikidwe koletsedwa.

Fomu yovuta

Pachimake cholecystitis ali m'gulu la pachimake, zadzidzidzi opaleshoni yam'mimbamo, kumene chithandizo chamankhwala mwachangu komanso chofunikira ndikofunikira. Chithandizo cha cholecystitis pachimake chimachitika kokha mkati mwa chipatala chopangira opaleshoni, chithandizo chanyumba pankhaniyi sichovomerezeka, chifukwa chitha kubweretsa zotsatira zoyipa.

Nthawi zambiri, mu pachimake cholecystitis, odwala amafunika kuchitidwa mwadzidzidzi kuti athetse ndulu.

Komabe, njira zamakono zochizira komanso kutsatira zakudya ndi moyo wophatikizidwa ndi njira zina zowonera milandu nthawi zambiri zimalepheretsa kukula kwa cholecystitis yachilendo. Njira zamankhwala zimasankhidwa mogwirizana ndi mawonekedwe a matendawa. Chifukwa chake, kupepuka kwa catarrhal cholecystitis kumathandizidwa mosavuta ndi njira zosungira, mosiyana ndi mitundu yowonongeka ya matendawa.

Choyamba, mu cholecystitis ya pachimake, komanso ngati pakukulirakulira kwachulukirachulukira, tikulimbikitsidwa kuti chithandizo chamankhwala chofuna kuthetseratu mawonekedwe a zipupa za ndulu, komanso kuletsa kupweteka komanso kuchepetsa kuledzera. Pachifukwachi, wodwalayo amalimbikitsidwa kudya zakudya zosafunikira, pomwe wodwalayo ayenera kufa ndi njala masiku awiri oyambilira, kenako amadya theka lamadzi amadzimadzi. Pakusala kudya, munthu amatha kumwa madzi ofunda kapena decoction ya rose m'chiuno. Pakati pazovomerezeka zamadzimadzi zowirikiza, zipatso zokhala ndi zipatso, zakudya zonunkhira, msuzi wosenda, mpunga kapena oatmeal, nyama yokhala ndi mafuta ochepa komanso owotcha ayenera kupambana mtsogolo.

Komanso, kuti muchepetse zizindikiro za pachimake cholecystitis, mankhwala amalembedwa. Pakati pawo pamayenera kukhala maantibayotiki otakata omwe amachepetsa kutupa, antispasmodics ndi anticholinergics, kusintha kwa kayendedwe ka bile, kusokonezeka chifukwa cha kuphipha kwa sphincter ya Oddi, ndikuwonjezera kukakamiza kwa ma ducts. Ngati wodwala akumva kupweteka kwambiri, amagwiritsa ntchito analgesics yama noncotic.

Mwa zina mwa njira zochizira pachimake cholecystitis, chizolowezi kugwiritsa ntchito madzi amchere amkamwa, kutsekemera kwa mankhwala azitsamba, komanso kuyambitsa mankhwala othandizira kuti athetse vuto la matendawa.

Mkhalidwe wodwala umayang'aniridwa mosamalitsa nthawi yonse yogona kuchipatala. Palibe kusintha kwa chithandizo chamankhwala, akatswiri amaganiza zothandiza pakuchita opaleshoni.

Njira yofala kwambiri yochitira opaleshoni yochotsa ndulu lero ndi cholecystectomy. Mu nthawi yake, kubera kwina kumachitika nthawi zambiri - cholangiography, zomwe zimatanthawuza kufufuza kwa ma ducts a bile. Ngati cholecystectomy siyotheka chifukwa cha ukalamba kapena matenda opatsirana, madokotala ochita opaleshoni amatha kuchita opaleshoni ina - cholecystostomy. Zomwe zimapezekanso chifukwa chakuti chubu yomakayo imayikidwa mu ndulu, kudzera momwe bile yambiri imatha kuchoka m'thupi. Njira imeneyi imathandiza kuthetsa kutupika mu ndulu.

Njira yamakono ya laparoscopic yochizira cholecystitis siyikuphatikizira kutsegula m'matumbo a gallbladder, koma makamaka pakupanga inchi 5 mamilimita kutalika. Zida zapadera nthawi yomweyo zimagwira ntchito yoboola matenda, komwe kumakhala kufunafuna kodzaza ndi kachilomboka, kutsuka ndulu ndi njira za antiseptics ndi maantibayotiki.

Fomu yovuta

Chithandizo cha cholecystitis aakulu nthawi zambiri zimachitika angapo magawo. Choyamba, akatswiri amaletsa kusokonezeka kwa dyspeptic ndi kupweteka kwa wodwalayo, amachotsa zovuta zomwe zimapangitsa kutupa mu ndulu. Kenako njira yabwino yochizira imasankhidwa yomwe imalepheretsa kuchitika kwa zovuta komanso kubwereranso kumatenda. Mapeto ake, akatswiri amafufuza wodwalayo mozama kuti adziwe zomwe zithandizire pochiritsa.

Mankhwala ochizira cholecystitis akuphatikiza kugwiritsa ntchito maantibayotiki, omwe amaperekedwa palokha, kutengera mtundu wa kufalikira, kupweteka, mankhwala omwe amachepetsa kuledzera ndi mankhwala a choleretic.

Ngati matenda a cholecystitis nthawi zambiri amabwereranso ndipo amawerengera mawonekedwe a biliary thirakiti, akatswiri amasankha za opareshoni. Izi zikuthandizira kupewa kukongoletsa kwa makhoma a ndulu, kupewa chotupa kapena necrosis. Ngati calculi sikhala pachiwopsezo pakukula kwa mavuto omwe ali pamwambapa, ndiye kuti amachotsedwa palokha panthawi yomwe akukonzekera.

Pokukhululuka kwa cholecystitis, tikulimbikitsidwa kugwiritsa ntchito physiotherapy ndi physiotherapy kusintha njira zama metabolic a biliary system, zomwe zimakhudza magazi mozungulira, kuchepetsa njira yotupa ndi kuwongolera kwamanjenje.

Njira zodziwika bwino za physiotherapeutic yodwala cholecystitis yayitali ndi ntchito zamatope ndi ma electrophoresis, inductothermy, ultrasound ndi microwave.

Chithandizo cha cholecystitis ana

Nthawi zambiri ndikofunikira kuchiza cholecystitis kwa mwana kunyumba, pokhapokha ngati ndiwowoneka bwino matenda, phlegmonous, kapena gangrenous matenda omwe akuwonetsa opaleshoni yodzidzimutsa. Opaleshoni ya cholecystitis pachimake kwa ana ndikofunikira kuti pakhale kusintha koopsa komanso kowononga pamakoma a ndulu. Ndi mitundu yomwe siyinayambitsidwe ya pachimake cholecystitis, ana amayesetsa kuti asachotse gallbladder, kudzipangitsa kukhala cholecystostomy kapena microcholecystostomy.

Makoma a chiwalo akawonongeka, ndulu imachotsedwa kwathunthu kwa ana osakhudza ma ducts.

Wowerengeka mankhwala a mwana cholecystitis zachokera ntchito antibacterial wothandizila kuthetsa matenda, mankhwala kuthetsa kutupa ndi matenda matenda a ndulu ndi ndulu.

Nthawi zambiri, chithandizo chamankhwala chimakhazikitsidwa pazinthu monga:

• kutsatira kupuma pabedi (kofunikira pokhapokha kutentha kwambiri, chifukwa nthawi zina sikofunikira kulimbitsa thupi, kuyambitsa kusayenda kwa bile),
• gwiritsani ntchito nthawi ya chakudya pachakudya "Paz. No. 5", komanso mtsogolomo -
• Chithandizo cha mankhwala (kugwiritsa ntchito mankhwala opha maantiamu ambiri, antispasmodics, matenda am'mimba - michere ndi ma coenzymes),
• phytotherapeutic njira.

Chofunikira kwambiri pa mankhwalawa cholecystitis ya ana ndikutsatira zakudya, malinga ndi malingaliro a chithandizo chamankhwala No. 5.

Ngakhale atachira, ana sayenera kudya zakudya zoletsedwa ndi cholecystitis, kuti asayambenso kudwala. Simalimbikitsidwanso kudyetsa ana mokakamiza, mopitirira muyeso.

Popewa cholecystitis ana, ndikofunikira kuyesedwa kuti pakhale giardia ndi mphutsi kangapo pachaka ndikuthandizira matenda aliwonse mthupi m'nthawi yake.

Zimayambitsa cholecystitis

Cholecystitis imatha kupezeka pazifukwa zotsatirazi:

1. Kutupa kwa ndulu motsutsana ndi maziko a matenda apang'onopang'ono a ndulu. Poterepa, miyala mu ndulu imayipitsa makhoma a chiwalocho ndikuletsa mawonekedwe a bile.
2. Kukula kwa cholecystitis motsutsana maziko a zotupa kapena zotupa za thupi.
3. Zofooka zosabadwa mukukula kwa ndulu.
4. Kukula kwa ma oncological pathologies mu ziwalo za peritoneal.
5. M'mbuyomu adavulala gallbladder, kuphatikizira kuwomba pamimba, kugwa kuchokera kumtunda, ngozi yagalimoto, ndi zina zambiri. pomwe deta imatha kuwonongeka kwambiri.
6. Matenda owopsa a endocrine dongosolo (shuga mellitus, etc.).
7. Zovuta zam'mimba mu ndulu.
8. Zizolowezi zoipa (kusuta, kumwa).
9. Moyo wosakwanira wa mafoni.
10. Zakudya zopanda pake (chakudya chouma, kudya zakudya zopanda pake, kudya kwambiri, ndi zina zambiri).

Zizindikiro zake

M'pofunika kunena nthawi yomweyo kuti cholecystitis imatha kudziwonekera mosiyana, ndipo poyang'ana koyamba, osakhala ndi zizindikiro zoyenera, chifukwa chake zimakhala zovuta kudziwa, mosiyana ndi matenda amtundu wamatumbo.

Nthawi zambiri, matendawa amawonetsedwa ndi zizindikiro zotsatirazi:

1. Kuchulukitsa kwa kugunda kwa mtima ndi kukula kwa zilonda m'dera la mtima (momwe mungadziwire zomwe chikhodzodzo chimapweteka - werengani apa).
2. Zopweteka.
3. Chizungulire
4. Mutu wapafupipafupi.
5. Zofooka.
6. Kusakhazikika mtima.
7. Kuchulukitsa thukuta.
8. Kusokonezeka tulo.
9. Kusintha koyezetsa magazi magazi.
10. Nthawi zambiri mseru komanso kusanza, makamaka mukatha kudya.
11. Kubwula.
12. Kutentha kwa mtima
13. Kubwera pansi kwa chopondapo.
14. Kutsegula m'mimba
15. Kuyesa kudzimbidwa.
16. Kuzindikira kwa chimbudzi cha chakudya.

Zofunika! Ngati zizindikiro zomwe zili pamwambazi zikuchitika, munthu akulimbikitsidwa kukaonana ndi dokotala posachedwa ndikupanga matenda, chifukwa cholecystitis yozindikira nthawi yake imatha kuthandizidwa mwachangu komanso mosavuta.

Ngati mukukayikira cholecystitis, adotolo amatumiza wodwala kukayezetsa ndi kupimidwa kwa ndulu kuti asatenge matenda ena.

Kukonzekera kwa cholecystitis

Maziko othandizira achire a cholecystitis komanso kufalikira kwake ndi maantibayotiki. Adzatha kupanikizira mwachangu ntchito zodwala komanso kupatsanso mphamvu yotupa.

Musanafotokozere mankhwala omwe ali ndi antibayotiki, ndikofunikira kuwunika momwe bile akumvera kuti asankhe mankhwala oyenera. Kuphatikiza apo, dokotala wopezekapo amayeneranso kuganizira zaka ndi kupezeka kwa matenda ena osafunikira wodwala asanapereke mankhwala.

Nthawi zambiri, maantibayotiki amagwiritsidwa ntchito pochita izi: Azithromycin, Tetracycline, Chloramphenicol, Ampicillin, Oxacillin.Mankhwalawa amatha kugwiritsidwa ntchito limodzi ndi furazolidone, zomwe zimalepheretsa ntchito ya bakiteriya tizilombo toyambitsa matenda.

Zofunika! Furazolidone imaphatikizidwa kwa odwala omwe ali ndi matenda a impso.

Kutalika kwa mankhwala opha maantibayotiki sikuyenera kupitilira milungu iwiri. Ngati ndi kotheka, mankhwalawa amathetsedwa ndipo wodwalayo amapatsidwa analogue.

Komanso, kuperekedwa kwa maantibayotiki mothandizidwa ndi metronidazole amasonyezedwa kwa odwala omwe ali ndi cholecystitis. Amawerengeredwa nthawi yomweyo ngati mankhwala antimicrobial ndi antifungal.

Zofunika! Kupereka mankhwala opha maantibayotiki kapena mankhwala ena paokha kungakhale koopsa thanzi lanu. Chithandizo chimodzi kapena china chitha kutumikiridwa ndi adokotala okha, kutengera zotsatira za mayeso a wodwalayo, zaka zake, matumizidwe othandizirana, ndi zina zambiri.

Wochepa pachimake, mankhwalawa cholecystitis ndi wowerengeka azitsamba n`zotheka.

Chithandizo chambiri chokhala ndi mankhwalawa chikuyenera kuchitika kuchipatala moyang'aniridwa ndi achipatala. Izi ndizowona makamaka pochiza ana aang'ono.

Ngati mankhwala azikhalidwe samagwira mokwanira, wodwalayo adayikidwa kuti achotse ndulu. Pambuyo pa opaleshoni yotere, munthu amawonetsedwa kuti azitsatira zakudya.

Mankhwala a antifungal

Mankhwala a Antifungal amalembedwa limodzi ndi maantibayotiki okalamba kapena odwala omwe ali ndi chitetezo chofooka. Kutalika kwa kudya kwawo pafupifupi masabata awiri.

Chithandizo chothandiza kwambiri cha gulu la mankhwalawa ndi Nystatin. Imaletsa ntchito za bowa mwachangu.

Cholagogue

Cholagogue adalembedwa kuti apititse kutulutsa kwa bile ndi kupanga ndi chiwindi. Gwiritsani ntchito mankhwalawa ndi maantibayotiki. Chifukwa chake mankhwalawa amakhala othandiza kwambiri.

Pafupifupi mankhwala onse a choleretic amachokera ku masoka awo, motero sangadzaze m'mimba, chomwe ndi chophatikiza chachikulu pa matenda a cholecystitis.

Mankhwala abwino kwambiri m'gululi ndi:

1. Allohol. Sikuti amangokhala ndi cholecystitis, komanso amathandizira ndi chiwindi, mseru komanso kudzimbidwa. Muyenera kumwa mapiritsi awiri musanadye kawiri patsiku.
2. Holarol. Imalimbikitsa chinsinsi cha bile ndipo imachepetsa ululu.
3. Cholenzyme imakhazikitsidwa pazinthu za bovine bile. Zimasintha mayamwidwe ndi kuwonongeka kwa mafuta.

Mankhwala Ofunika Ofunika

Kuphatikiza pa mankhwala omwe ali pamwambawa, mankhwalawa a cholecystitis, mankhwala otsatirawa amaperekedwa kwa wodwala:

1. Choleritics kapena mankhwala osokoneza bongo kuti utulutse kutuluka kwa bile.
2. Cholekinetics - onjezani mamvekedwe a gallbladder.
3. Ma analgesics amalembera ululu (Papaverine).
4. Ma Antispasmodics amagwiritsidwa ntchito ngati ma spasms (No-shpa, Atropine).

Mawonekedwe azakudya zamankhwala

Wodwala cholecystitis amawonetsa chakudya chamagulu. Amapereka izi:

1. Wodwalayo akuwonetsedwa zakudya zopatsa thanzi. Zogulitsa zopere sizingathe kuphatikiza pa chakudya chimodzi.
2. Zakudyazo ziyenera kukhala zabwino komanso zopatsa thanzi. Maziko a menyu azikhala zakudya zamphesa ndi masamba.
3. Kugwiritsa ntchito nyama yophika ndi nsomba, chimanga ndi puddings, msuzi wa duwa lakuthengo ndi tiyi wobiriwira ndilolandiridwa.
4. Mutha kudya zakudya zamafuta ochepa ndi uchi pang'ono.
5. Zipatso, maapulo osakhala wowawasa, nthochi, ndi zipatso zonse zouma zimaloledwa.
6. Pocheperako, mumatha kudya mtedza ndi mapiritsi omanga thupi kwa banja.

Zotsatirazi ndizoletsedwa:

1. Khofi
2. Bowa.
3. Maapulo.
4. Mchere wamchere.
5. Masoseji.
6. Zakudya zakusuta.
7. Kuphika
8. Msuzi wazokometsera.
9. Mafuta ndi nsomba.
10. Keke yokoma ndi mafuta.
11. Mkate Woyera.
12. Maswiti.

Cholecystitis sindiye matenda okha omwe angakhudze ndulu ndi ma ndulu. Matenda ena amapezeka mwatsatanetsatane apa.

Zochitika pa zaka zoposa 7.

Maluso aluso: kuzindikira ndi kuchiza matenda am'mimba komanso biliary dongosolo.

Kodi cholecystitis ndi chiyani?

Cholecystitis ndi njira yotupa mu ndulu, ikuchitika mokwanira kapena mosakhazikika. Cholecystitis imadziwika ndi kuwawa mkamwa, nthawi ndi nthawi kupweteka koyenera kwa hypochondrium (chiwindi chokha sichimapweteka!) Ndi malingaliro osasangalatsa a nseru. Nthawi zambiri, matendawa amakhala kale mwa matenda omwe amapezeka mwa azimayi atatha zaka 40. Komabe, milandu ya pachimake cholecystitis mwa ana siachilendo.

Zofunikira pazomwe zimayambitsa matenda a cholecystitis: kuphwanya kutuluka kwa ndulu ndi kuchuluka kwa tizilombo tating'onoting'ono tomwe timalowetsa ndulu kudzera m'mitsempha ndi matumbo, ndimagazi kapena mwanabele kuchokera pa maziko a matenda oyamba.

• biliary dyskinesia (wobadwa nawo osachulukana mawonekedwe a bile ducts, matenda a chiwindi ndi lamblia),
• cholelithiasis (imatha kukhala chifukwa komanso chifukwa cha cholecystitis),
• matenda am`mimba thirakiti - hepatitis, kapamba, chifuwa, insulin, dysbiosis ,,
• endocrine matenda -, kunenepa,
• mimba ndi pakamwa kulera
• poyizoni woopsa.

Zolakwika zotsatirazi pamoyo wathu komanso matenda ena amayamba chifukwa cha zinthu zotsitsimutsa:

• ntchito zamagalimoto otsika
• kuperewera kwa zakudya m'thupi - kumwa kwambiri mafutaakudya okazinga, zokhwasula-khwasula, mankhwala osokoneza bongo
• mankhwala osokoneza bongo - mowa, kusuta,
• kuchuluka kwa nkhawa, kupsinjika,
• cholinga cha matenda mthupi - pyelonephritis ndi cystitis, tonsillitis ndipo, ndi prostatitis,
• kuphwanya kwamphamvu magazi ku ndulu (ndi atherosulinosis, matenda oopsa),
• kumwa mankhwala ena ake ndi matupi awo sagwirizana.

Udindo wofunikira umachitika ndi kubadwa kwa makolo. Komabe, chiopsezo cha cholecystitis muzochitika zotere ndizochepa ngati munthu akhala ndi moyo wabwino.

Zizindikiro za cholecystitis mwanjira yamatendawa

Zizindikiro za kupweteka ndi cholecystitis, chithunzi

Cholecystitis (ICD K81) imatha kuyamba pambuyo pakudziwitsidwa ndi chinthu chopangitsa kapena pang'onopang'ono (mawonekedwe osakhazikika) ndi kukula kwamapangidwe pang'onopang'ono. Zizindikiro za matendawa komanso njira zamankhwala ake zimadalira mawonekedwe a cholecystitis.

Kuwerengetsa cholecystitis, zizindikiro ndi mawonekedwe ake, mankhwalawa komanso kupewa:

Acute cholecystitis (ICD 81.0)

Kutupa kwachimake kumatha kuchitika m'njira ziwiri: kuwerengera cholecystitis (ndikupanga calculi mu ndulu) ndi acalculous (kumachitika popanda kupanga miyala).

kuwawa mkamwa ndi chizindikiro choyamba cha cholecystitis

1. Ululu mu hypochondrium yoyenera - nthawi zina imatuluka kwambiri chilengedwe ndi kuphipha w / mumayendedwe, omangika - - a cystic hypotension. Nthawi zambiri amawalira kwa epigastrium, m'munsi kumbuyo, scapula. kolala ndi khosi kudzanja lamanja.
2. Zizindikiro za Dyspeptic - kuwawa mkamwa, kupweteka kowopsa, mseru ndi kusanza (kusanza kwachikaso / lalanje - chizindikiro cha kukhalapo kwa bile), kutulutsa.
3. Zizindikiro zikuluzikulu - kufooka, thukuta, kusakwiya, kusowa tulo, kutentha thupi.

Kutengera ndi kuopsa kwa chotupa, cholecystitis imadziwika:

• catarrhal - zilonda zowawa kwambiri, kutentha kwabwinobwino kapena mpaka 37,5ºº,
• phlegmonous - kupweteka kwambiri, kukulitsidwa ndikutembenuza thupi kapena kutsokomola, kutentha kumafika pa 38.0-39.0º,, tachycardia (110-120 pa mphindi) popumula, kumayamwa ndikumapumira kumbali yakumanja kwa khoma lam'mimba, kung'ung'udza kwamatumbo,
• gangrenous - chotsatira cha kusowa kwa chithandizo mu phlegmonous siteji, njira yofulumira komanso yovuta ya wodwalayo, izi zimawopseza moyo wa wodwalayo.

Mwa ana osakwana zaka 7, kusokonezeka kwa dongosolo la biliary ndikotheka - dyskinesia:

Zosankha zachikale Njira ya cholecystitis (ICD 81.8-81.9):

• mtima - kupweteka mtima, arrhythmia,
• rheumatic - kuphatikizika ndi kupweteka kwa mtima, mkhalidwe wa kusintha kwa misempha pa ECG,
• m'mimba - kuchuluka kwa zizindikiro kuchokera m'mimba thirakiti (kusokeretsa chopondapo, kutuluka kwamphongo, mseru, kusanza),
• thyrotoxic - kukwiya kwambiri, kutentha thupi, nthawi zina kumachitika palpitations,
• neurogenic - mutu wofanana ndi mutu wa migraine, kusowa tulo, kukhumudwa, chidwi chochulukirapo komanso kusakwiya,
• thupi lawo siligwirizana - mobwerezabwereza urticaria, mphumu, eosinophilia m'magazi.

Cholecystitis (ICD 81.1)

Zizindikiro za cholecystitis mwa akulu nthawi zambiri zimayamba pang'onopang'ono chifukwa cha kuphwanya kwakanthawi kwa chakudyacho kapena ndi miyala yopangidwa mu ndulu. Exacerbations imayamba ngati pachimake kutupa.

Komabe, ngakhale munthawi ya chikhululukiro (kusintha kwakanthawi), wodwalayo amakhala ndi malungo ocheperako, khungu limakhala lofooka komanso khungu, komanso khungu loyipa (chifukwa cholowa kwa ndulu zamkati mwa magazi).

Kuzindikira kwa cholecystitis kumachitika potsatira madandaulo a wodwalayo komanso zotsatira za kuyesa kwa matenda (ultrasound, kuyezetsa magazi - ambiri komanso zamankhwala am'madzi, x-ray mosiyanitsa, fibrogastroduodenoscopy, compact tomography, chikhalidwe cha bile).

Mankhwala Chithandizo cha cholecystitis akuluakulu ndi:

1. Kuthetsa kuphipha - No-spa, Papaverine, Platifillin, Analgin, Baralgin,
2. Ndi kupezeka kwa gallbladder - mankhwala a choleretic (Allohol, Cholenzyme),
3. Ndi kutupa kwambiri - ma anti-sipekitiramu ambiri,
4. Ndi cholestasis ndikuyamba kupanga miyala - Ursodeoxycholic acid, kudya miyezi 1-3,
5. Kuti achulukane kaphatikizidwe ka bile - hepatoprotectors (Hofitol, Hepabene, Karsil),
6. Pofotokozedwa - zotsitsimutsa (Momwort, Valerian).

• mankhwala azitsamba - tiyi wokhala ndi chimphepo, St. wort, stigmas, chimanga,
• kuwomba khungu (chubu) kachitidwe - kumachitika nthawi 1 m'masiku 7, pokhapokha pakumamatira komanso kutchulidwa kokhotakhota kwa ndulu,
• physiotherapy - electrophoresis, diathermy, matope mankhwala, inductothermy,
• cholecystectomy - chithandizo cha opaleshoni chimasonyezedwa kokha chifukwa chowerengera zovuta za cholecystitis (miyala yayikulu), mawonekedwe achifwamba ndikuopseza peritonitis.

Kuchulukitsa kwa cholecystitis - njira zochizira

Nthawi zambiri, cholecystitis yachilendo imawonjezera kukokoloka kwa mawonekedwe a biliary colic. Zowawa zakuthwa zimaphatikizidwa ndi jaundice wowonjezereka, dontho la kupanikizika, kusanza kosaletseka, kusungunuka kwa ndowe ndi kuzimiriritsa kwamikodzo.

Pothandizanso msanga ululu, Plifillin amagwiritsidwa ntchito, ndipo antispasmodics amagwiritsidwa ntchito kudzera m'mitsempha.

Ngati biliary colic imayamba chifukwa cha kupindika kwa bile duct ndi miyala ikuluikulu (yoposa 2 cm) ndipo osayimitsidwa posachedwa ndi mankhwala, chiopsezo cha peritonitis chimakulitsidwa kwambiri.

Zikatero, laparoscopic yodzidzimutsa (kudzera mwa mini-incitions) kapena kutseguka (yotakata mbali ya khoma lam'mimba mu hypochondrium yoyenera) ikuchitika.

Zakudya: mawonekedwe a zakudya za cholecystitis

Zakudya zopatsa thanzi ndi gawo limodzi la chithandizo chothandiza cha cholecystitis. Zakudya za cholecystitis zimawonedwa kwa nthawi yayitali kuti apewe matendawa komanso kupewa mapangidwe amwala.

• nyama yamafuta ndi nsomba, mafuta anyama, oyamwa (chiwindi, impso),
• Zakudya zokazinga, dzira la mazira,
• nyemba (nandolo, nyemba),
• makeke, makeke,
• marinade ndi akunyumba opangidwa tokha, msuzi (ketchup, mayonesi),
• zipatso wowawasa
• adyo, sorelo, radish, anyezi, sipinachi,
• bowa
• zonunkhira, viniga, mpiru, nsapato,
• mowa
• zakumwa zozizilitsa kukhosi, khofi, chokoleti, cocoa, ayisikilimu,
• shuga (kuchepetsa mowa kuti musinthe mawonekedwe a bile).

Zakudya zomwe zimapangitsa kuti pakhale matenda a gallstone komanso mfundo zoyambirira za zakudya:

Zinthu Zololedwa ndi cholecystitis:

• nyama yokonda, nsomba ndi soseji,
• zinthu zamkaka zamafuta ochepa (tchizi chokhala ndi mafuta ochepa, kirimu wowawasa, tchizi, yogati),
• buledi, tirigu wamkaka,
• mafuta osasankhidwa (azitona),
• maswiti ena - kupanikizana, mararmade achilengedwe, marshmallows, uchi (ali ndi tanthauzo la choleretic),
• zipatso zopanda acid
• Hercules, buckwheat, pasitala,
• odzola, zipatso zoperewera, msuzi wokoma, tiyi wopanda mphamvu, khofi wokhala ndi mkaka,
• turmeric monga zokometsera za mbale.

Matenda a cholecystitis osawerengeka, zakudya zopatsa thanzi zimathandiza kupewetsa kupweteka kwambiri kwa vuto la colic komanso zovuta. Ngakhale pambuyo pa cholecystectomy, wodwalayo ayenera kutsatira kadyedwe kuti azigaya bwino.

Kutupa kwa ndulu kumatchedwa ndi mankhwala amakono a cholecystitis. Matendawa amatha kuoneka mwa ana komanso akulu. Kutupa kwamtunduwu m'zigawo zamagayidwe am'mimba nthawi zambiri kumayendetsedwa ndi zovuta zosiyanasiyana, kuphatikizapo zomwe zimagwirizanitsidwa ndi dongosolo la biliary.

Malinga ndi ziwerengero, pafupifupi 10% ya anthu onse mdziko lathu amadwala ndi cholecystitis ndipo chaka chilichonse zizindikirozi zikukula, ngakhale atapita patsogolo kwambiri pazachipatala. Masiku ano, pali njira zingapo zochizira cholecystitis yodwala komanso yovuta kwambiri. Koma ndi dokotala yekhayo amene angafotokozere chithandizo, poganizira zotsatira za kupezeka kwa wodwalayo komanso msinkhu wake.

Kutupa kwa ndulu kumatha kukula mwa akulu ndi mwana. Matendawa amatuluka pachimake kapena mawonekedwe osachiritsika ndi zizindikiro zazikulu za matendawa kapena asymptomatic kwathunthu. Kuphatikiza apo, cholecystitis ndimatenda wamba, nthawi zina amabweretsa zovuta.

Nthawi zambiri, kutupa kwa ndulu kumachitika chifukwa cha matenda a ndulu. Koma achinyamata (osakwana zaka 20) samakonda kupangidwa miyala, ngati tiwayerekezera, mwachitsanzo, ndi achikulire kuposa zaka 50. Kuthekera kwa kudziwa mayendedwe a hyperechoic (ma polyp ndi miyala) pa ultrasound yokhala ndi cholecystitis mwa okalamba ndikwambiri.

Nkhani ya ana, amapezeka ndi angiocholecystitis kapena cholecystocholangitis. Zilonda za purulent ndizosowa, ngakhale muzochita zamankhwala palinso milandu yovutayi.

Mwana akapezeka ndi cholecystitis, zizindikiro za matendawa zimatha kusiyana ndi momwe akuwonekera mwa akulu. Chifukwa chake, ana nthawi zambiri amakhala ndi nkhawa za kupweteka kwa paroxysmal, nseru, kukhumudwa, kukoma kwa mkamwa ndi kusowa kwa chilakolako cha chakudya. Ngati pali chithunzi cha chipatala chotere, muyenera kufunsa chithandizo chamankhwala mwachangu. Mutha kuyamba kuyendera dokotala wa ana. Zikakhala kuti zizindikirozi zikuwoneka mwa munthu wamkulu wokhala ndi cholecystitis, kufunsira kwa othandizira kapena gastroenterologist kudzakhala kofunikira.

Kupangidwe kwa miyala mu ndulu ndi chinthu chachikulu chomwe chimayambitsa kuwoneka kwa pachimake cholecystitis. Ndi mawonekedwe osokoneza bongo omwe nthawi zambiri amatseka kutulutsa kwa bile ndikupanga malo abwino moyo wa patrofic microflora. Streptococci, staphylococci, Escherichia, ndi ena otero amatha kupangitsa kukula kwa kutupa.

Acute cholecystitis imatha kuwoneka kumbuyo:

Ndi dokotala wokhazikika amene angadziwe zomwe zimayambitsa maonekedwe ndi chitukuko cha kutukusira kwa ndulu. Kuyesera kulikonse ndi cholinga chodzidzipangira tokha kungadzetse zotsatirapo zina zosapweteketsa.

Zakudya zopatsa thanzi monga chifukwa cha pachimake komanso cholecystitis yayikulu

Chakudya chopatsa thanzi chimaphatikizapo mndandanda wonse wazinthu zingapo zomwe zingayambitse vuto lomwe limayambitsa kukula kwa pachimake kapena cholecystitis yayikulu. Zotsatira zoyipa zingakhale ndi:

• kudya mwadongosolo,
• Zovuta
• kutafuna chakudya chokwanira
• menyu wosapatsa thanzi munthu akamagula mafuta, zakudya zowiritsa, zakudya zam'chitini kapena zakudya zopatsa chakudya cham'mawa, nkhomaliro, kapena chakudya chamadzulo (zakudya zomwe zili ndi cholesterol yambiri sizikulimbikitsidwanso).

Kuphatikiza apo, simuyenera kudya mbale zophika popanda kutsatira malamulo oyambira. Mwachitsanzo, masamba ophika mu mafuta akale a mpendadzuwa, zakudya zopanda pake, chithandizo chosakwanira cha kutentha, etc. zitha kuvulaza dongosolo logaya chakudya.

Matenda a cholecystitis amatha kuperewera chifukwa cha kuperewera kwa zakudya m'thupi, motero ndikofunika kutsatira malangizo a dokotala panthawi yachikhululukiro. Amaloledwa kuphatikiza ndi zakudya:

• tchizi chamafuta ochepa
• zipatso ndi zipatso zopanda acid
• nyama ndi nsomba,
• mafuta a masamba
• msuzi wa rosehip, tiyi wofooka, zipatso zowuma,
• buledi wowuma
• masamba ophika kapena owiritsa.

Ngati munthu ali ndi cholecystitis yayikulu kapena yovuta, ndiye kuti madokotala amalimbikitsa mwamphamvu kusiya mowa, nyemba, mafuta amkaka, masamba osankhidwa, khofi, bowa, zokometsera komanso zakudya zamzitini.

Cholecystitis ikapezeka, zizindikiro za matendawa zimatha kukhala zosiyanasiyana. Kuphatikiza apo, chithunzi cha matenda nthawi zonse chimatengera mtundu wa matendawa, kupezeka kwa matenda opatsirana odwala, komanso chilengedwe.

Pakati pazizindikiro zofala kwambiri za cholecystitis yovuta komanso yopweteka, kupweteka kwa hypochondrium kumanja kumatha kusiyanitsidwa. Chizindikiro chimatha kuwoneka kwambiri kapena kukulira mukatha kudya, mwachitsanzo, ngati wodwalayo wadya zakudya zamafuta ndi zokutidwa, zakumwa zoledzeretsa kapena zakumwa zoziziritsa kukhosi.

Ngati pachimake cholecystitis wapezeka, Zizindikiro zake zimakhala zosiyanasiyana:

• kupweteka kwakuthwa kwa paroxysmal komwe kumawonekera m'khosi, m'mapewa, mtima,
• thukuta kwambiri
• kusanza ndi kusanza
• malungo
• kumva kuwawa mkamwa.

Kutentha kwa thupi si chizindikiro chovomerezeka cha cholecystitis, chifukwa mwa wodwala aliyense payekha matendawa ali ndi chithunzi chake chachipatala. Ndipo ngati mwa wodwala m'modzi kutentha kwa thupi mkati mwachuma kumakhala ndi zisonyezo za fibril, ndiye kuti mwa wodwala wina chizindikiro choterechi sichitha kukhalako. Makamaka pankhani ya okalamba kapena awo omwe ali ndi vuto lalikulu lachitetezo cha mthupi.

Oposa theka la akazi ndi amuna omwe ali ndi zaka 30 amakhala ndi cholecystitis. Nthawi zambiri, matenda a pathology amawoneka chifukwa cha moyo wopanda thanzi, koma pali zinthu zina zomwe zimapangitsa kuti chitukuko chake chikhale bwino. Kuti mudziteteze ku matendawa, muyenera kuphunzirapo za zomwe zimayambitsa cholecystitis, komanso kumvetsetsa momwe mungazindikire zizindikiro za cholecystitis mwa azimayi komanso momwe mungathanirane ndi matenda osasangalatsa awa.

Kodi cholecystitis ndi chiyani

Cholecystitis amatchedwa njira yotupa, yomwe imatulutsidwa mu ndulu. Chiwalocho chili pa hypochondrium yoyenera, kotero ndikosavuta kuzizindikira mwa akazi kuposa amuna, popeza zowawa zimamveka zowala.

Kupatuka kulikonse mu ntchito ya ndulu kumakhudza thanzi lathunthu la munthu. Izi zimachitika chifukwa nthawi ya kutupa, valavu pakati pa ndulu ndi duodenum imasokonekera. Asidi samachotsedwa kwathunthu kuchokera ku chikhodzodzo kapena kubwezeretsedwanso pambuyo pake. Amayambitsa kusasangalala kwambiri osati kokha chifukwa cha kugonana koyenera, komanso kwa amuna.

Matendawa amatengedwa kuti ndi amodzi ofala kwambiri, chifukwa mtundu wamasiku ano wamoyo wamunthu sukulolani kuti muzidya moyenerera kapena kukhala ndi moyo wathanzi. Matendawa amatha kuchitika mwa anthu azaka zopitilira 35, koma kukula kwake sikungosiyidwa, ngakhale atakhala zaka zingati.

Zolemba Za Mimba

Chithandizo cha cholecystitis pa nthawi ya pakati chimasankhidwa ndi kutenga matenda a gynecologist kumayang'ana mkazi, chifukwa mankhwalawa amayenera kuphatikiza onse ogwira ntchito komanso chitetezo chokwanira kuti mwana akule.

Chithandizo cha cholecystitis mwa amayi apakati pamunsi sichimasiyana ndi njira zovomerezeka, koma kuganizira mankhwala omwe amavomerezeka panthawi yoyembekezera.

Chithandizo cha M'mawere

Chodziwika bwino kwambiri ndi kupezeka kwa zowawa mu hypochondrium yoyenera mwa azimayi olemba kumene. Cholecystitis imatha kupezeka m'matenda a metabolic omwe amayamba chifukwa chobeleka.Ngati mayi wapezeka ndi calculi mu ndulu kapena ducts asanamwali, ndiye kuti cholecystitis pambuyo pobadwa mwana ndiyotheka kwambiri. Pankhaniyi, chithandizo chamankhwala chosokoneza bongo chimagwiritsidwa ntchito nthawi zambiri, komabe, mkazi amafunsa funso loti chitetezo choyamwitsa mwana wake.

Madokotala amakono saona kufunika koletsa kuyamwa kwa mankhwalawa pochizira kupuma. Choyamba, kugwiritsa ntchito maantibayotiki sikofunikira nthawi zonse chifukwa cha ichi, makamaka cholecystitis pamenepa imawonekera. Koma ngakhale ngati mankhwala othandizira ofunikira afunikira mwachangu, madokotala masiku ano angapatse odwala awo mitundu ingapo ya mankhwala othandiza omwe sangakhudze mwana ndipo sadzalowa mkaka wa m'mawere. Wothandiza achire othandizira mankhwalawa cholecystitis mu mkaka wa m`mawere adzakhala okhwima zakudya mankhwala. Nthawi yomweyo, zinthu zoletsedwa ndi zololedwa ziyenera kusankhidwa ndi katswiri wa gastroenterologist kuti awonetsetse kuti chikhodzodzo chimayambira komanso kutsekemera mkaka wa m'mawere.

Momwe mungaperekere thandizo loyamba

Choyamba, ndikuwopsa kwa cholecystitis yachilendo, wodwalayo ayenera kuyimba ambulansi, ndipo asanafike, wodwalayo ayenera kuyikidwa mbali yake yamanja ndikupumula.

Mukamapereka chithandizo choyambirira, palibe chifukwa chake muyenera kudyetsa wodwalayo chilichonse, kutentha thupi lake, kuyesa kutsuka m'mimba mwake kapena matumbo, kupereka mankhwala aliwonse. Chilichonse chomwe chatchulidwa pamwambapa chingasinthe chithunzi cha matendawa, chomwe chidzasokoneza kupezeka kwa matenda ndikulepheretsa nthawi yochizira. Wodwala akamupititsa kuchipatala, chinthu choyamba chomwe madokotala amachita ndikumufufuza mosamala, afotokozere zomwe angachite kuti achepetse ululu kudzera mu jakisoni wa antispasmodic, machitidwe a detoxification, ndikuletsa kukula kwa njira ya kusakhazikika kwa bile. Pambuyo popereka thandizo loyamba, akatswiri amatha kuyamba kupanga algorithm yothandizira odwala, kuikidwa kwa njira zodziwonera. Ngati thandizo loyambirira silinaperekedwe kwa wodwala kapena linaperekedwa molakwika, pamakhala chiwopsezo cha zovuta zazikulu.

Kutalika kwa chithandizo ndikuchira kwathunthu

Ndi kupatula kwa zinthu zomwe zimapangitsa kuti maonekedwe a cholecystitis, matenda a ndulu atha kupewedwa. Kuti muchite izi, ndikofunikira kutsatira mfundo zachakudya zoyenera, gwiritsani ntchito kukonzekera kwa mankhwala ndi ma phytotherapeutic otchulidwa ndi dokotala, kulandira chithandizo choyenera cha spa munthawi yake, ndikuchita zosintha nthawi zonse.

Izi zithandiza kupewa kuyambiranso pachimake kwa cholecystitis komanso kufalikira kwamatenda akulu, koma sikutsimikiza kuti matendawa sadzadziwonekeranso, ngakhale osakhala ndi chidziwitso kwanthawi yayitali. Pankhani yochizira cholecystitis, sikuti kuthamanga kwenikweni, koma zochita za dokotala ndi wodwala, zomwe zimapangitsa kuti pakhale nthawi yayitali matenda a ndulu ndi ndulu. Chifukwa chake, kutalika kwa chithandizo kungaweruzidwe pokhapokha pa matenda.

Ponena za funso la kuchira kwathunthu kwa cholecystitis, ndikofunikira kumvetsetsa kuti ndi matendawa kusintha kosasinthika kwa makhoma a gallbladder kumachitika, chifukwa chake njira zolembera sizingathandize kuchira kwathunthu. Komabe, mukamagwiritsa ntchito zovuta pochizira matendawa, kuchotsedwa kwokhazikika kumatha kukhalapo kwa nthawi yayitali kwambiri, komwe kumafotokozera kufunika kotsatira malamulo onse a dotolo, ngakhale pambuyo poti amuletse mankhwala.

Dokotala amachiza cholecystitis

Ngati mukumva zoyamba za cholecystitis, muyenera kufunsa kuchipatala msanga.Choyamba, wothandizira ayenera kutenga wodwalayo, yemwe, akamvera madandaulo, amawongoletsa wodwalayo kukayezetsa koyenera, kenako, kutengera zotsatira zawo, dokotala amamulembera malangizo a dokotala wa gastroenterologist.

Gastroenterologist pa nthawi yoyambirira adzazindikira matendawa ndikuwunika komanso kumuyesa wodwalayo, pambuyo pake adzadziwa bwino zotsatira za mayeserowo ndikupanga lingaliro la njira zina zowunika. Malinga ndi zotsatira za kufufuza kokwanira, gastroenterologist imapeza chithunzi cha kuuma kwa cholecystitis, mawonekedwe ake. Ngati matendawa apezeka movutikira, wodwala yemwe ali ndi cholecystitis amapezeka kuti am'pezetse dokotala.

Zambiri zatsopano komanso zogwirizana ndiumoyo wathu pa telegalamu yathu. Amalembetse: https://t.me/foodandhealthru

Zapadera: wazachipatala, wa nephrologist.

Kutalika konse kwa ntchito: Zaka 18 zakubadwa.

Malo antchito: Novorossiysk, malo azachipatala "Nefros".

Maphunziro: 1994-2000 Stavropol State Medical Academy.

Maphunziro owonjezera:

1. 2014 - "Therapy" maphunziro opitiliza maphunziro nthawi zonse pamaziko a Kuban State Medical University.
2. 2014 - "Nephrology" maphunziro opitiliza nthawi zonse ku Stavropol State Medical University.

Kodi zamatenda ndi chiyani?

Cholecystitis ndi matenda omwe amapezeka chifukwa cha maphunziro. yotupa njira mu ndulu.

Musaiwale kuti chiwalochi ndichofunikira kwambiri pa thanzi la munthu, chifukwa chake chikakhudzidwa, ndiye kuti izi zimakhudzanso wodwala.

Malinga ndi ziwerengero, nthumwi zachikazi ndizomwe zimayambika pakukula kwa matendawa kuposa abambo.

Zikatere, nthawi zambiri matendawa amayamba kuvutitsa anthu zaka makumi atatu mpaka makumi anayi. Gulu lowopsa lomwe lili ndi odwala onenepa kwambiri.

Pachimake komanso matenda gawo la matenda

Mpaka pano, madokotala amasiyanitsa magawo awiri a matendawa: pachimake komanso chovuta. Kodi mawonekedwe aliwonse ndi ati, tsopano tikambirana.

Pachimake matenda ndizowopsa, popeza nthawi zambiri imayendera limodzi ndi kupangidwa kwa miyala mumiyala ya ndulu kapena mwachindunji mu chiwalocho. Malinga ndi madokotala, pafupifupi nthawi zonse matenda amatenga limodzi ndi mawonekedwe a calculi, omwe amachititsa kuti akhale oopsa kwambiri pamoyo wamunthu.

Mchere, cholesterol ndi zinthu zina zimadziunjikira mawonekedwe amtundu waung'ono pamakoma a chikhodzodzo, pambuyo pake zimakula kwambiri. Izi zimapatsa wodwalayo kuchuluka kwa zosasangalatsa ndikusokoneza moyo wabwinobwino. Nthawi zambiri, matenda oterewa amafunika opaleshoni kuchitapo kanthu.

Zofunika! Nthawi zambiri, moyo wolakwika umabweretsa matenda. Yang'anirani zakudya zanu, ndipo muchepetsani chiopsezo chotenga matendawa kangapo.

Kodi cholecystitis wodwala ndi chiyani?

Awa ndi matenda owopsa, omwe amapezeka nthawi zambiri kuposa mawonekedwe owopsa, ndipo samayenda ndi mawonekedwe amiyala. Koma, ngakhale izi, matendawa amayambitsanso zovuta kwa eni ake.

Mu mawonekedwe osakhazikika zotupa zimachitika chifukwa cha kuzunzidwa kwa tizilombo tating'onoting'ono, kapena chifukwa cha masinthidwe a kapangidwe ka bile.

Mukayamba kuchiza matendawa nthawi, ndiye kuti mutha kuwachotsa mu masiku angapo. Mitundu yomwe idakhazikitsidwa imafuna chithandizo chotalikirapo, mpaka miyezi ingapo.

Zindikirika bwanji?

Inde, cholecystitis imakhala yoopsa ngati chithandizo sichinayambike pa nthawi. Masiku ano, pali njira zambiri zomwe zimatha kudziwa kukhalapo kwa matenda oopsa. Kupita kuchipatala ndi zizindikiro zomwe zalembedwa pamwambapa, adokotala azikulangizani kuti mupite laparoscopy, kuwomba, komanso kafukufuku wa bacteria.

Ultrasound mankhwala imaperekanso zotsatira zabwino.Kuphatikiza kwa njirazi kumathandizira kuti madokotala azindikire msanga. Kafukufuku wamankhwala amakupatsani mwayi kuti muwone zomwe zikuwonetsa kuti ali mu bile acid. Pa chithandizo, amafunika kuwongolera, makamaka, umunthu wa thupi.

Inde, muyenera kupita kuchipatala pa chizindikiro choyamba chokana . Koma, mwatsoka, anthu ambiri amafunafuna thandizo la akatswiri pokhapokha matendawa atadutsa kale. Kupatula apo, si anthu ambiri omwe amadziwa kuti cholecystitis ndi chiyani. Izi zimakulitsa vutoli.

Zomwe zikuluzikulu zimayambira

Masiku ano, nthawi zambiri pamakhala matenda ngati cholecystitis. Chifukwa chake ndizowopsa, ochepa amadziwa, ochepa amawalabadira zomwe zimawonetsa.

Matenda a gallbladder

Nthawi zambiri izi matendawa amapezeka pazifukwa zotsatirazi:

• Ma microflora a ndulu amasintha mothandizidwa ndi tizilombo tating'onoting'ono. Izi zimabweretsa kupezeka kwa njira zotupa.
• Nthawi zambiri, matendawa amapezeka mwa amayi nthawi yomwe ali ndi pakati.
• Matendawa atha kubadwa nawo.
• Komanso, anthu omwe amakhala moyo wongokhala, ndipo amadya zakudya zambiri zamafuta komanso zowononga amatha kutenga matendawa.

Kodi cholecystolithiasis ndi chiyani

Chodabwitsachi chimatha kutchedwa kuti machitidwe a mawonekedwe amiyala mu ndulu. Nthawi zambiri, ndi cholecystitis, miyala. Izi zimasokoneza chithandizo cha matenda, ndipo nthawi zambiri zimayambitsa kuchitidwa opareshoni.

Nthawi zamiyala - Iyi ndi njira yayitali kwambiri komanso yovuta, ndipo ngakhale ikhoza kumveka yachilendo bwanji, imagwirizanitsidwa ndi kuchuluka kwa cholesterol m'thupi.

Bile imatha kupitiliza kuzinthu izi (izi zimadziwika makamaka kwa anthu omwe ali ndi moyo wosayenera, komanso odwala).

Zotsatira zamachitidwe amtundu amthupi cholesterol imasanduka ma miccrystals olimba zomwe pakupita nthawi zimatha kufikira zazikulu zazikulu. Ichi ndichifukwa chake cholecystolithiasis ndiowopsa, ndipo nthawi zambiri imabweretsa imfa.

Zochizira

Choyambirira kuchita ngati matenda apezeka ndi Izi ndi kuthetsa ululu ndi kudziwikitsa moyenera. Ndipokhapo pokhapokha njira yothetsera chithandizo china ichitike.

Tsopano muyenera kuthana ndi kuthetseratu njira zotupa. Ngati akukhala m'dera lalikulu mokwanira, pamenepo, madokotala amapereka mankhwala othandizira, komanso amalimbikitsa kumwa mankhwala omwe ali ndi zotsatirapo zosiyanasiyana.

Mankhwalawa atachotsedwa ndikuwachotsa matendawa, ndikofunikira kuti ndulu ikhale. Pachifukwa ichi, akatswiri amalimbikitsa odwala awo kuti azitha kulandira chithandizo cha mankhwala a choleretic. Amakulolani kuti muthane ndi zotupa mthupi.

Uphungu! Ngati matendawa sanadutse mwa mtundu wopita patsogolo, ndiye kuti nthawi zina, mumamwa maantibayotiki akhoza m'malo ndi okodzetsa.

Kodi cholecystostomy ndi chiyani?

Chithandizo cha cholecystitis nthawi zina chimaphatikizapo kulowererapo. Imodzi mwanjira zotere wotchedwa cholecystostomy.

Iyi ndi njira ina yapadera yomwe imalola kugwiritsa ntchito njira yomakamo kuti atulutsire ndulu ya kachilombo.

Kuchita kotereku kumachitika pansi pa mankhwala ochita opaleshoni yovomerezeka yowunikira. Njira zamankhwala izi ndizothandiza kwambiri, ndipo zimapereka mwayi wabwino wochira.

Musaiwale kuti cholecystosis ndi matenda owopsa.

Njira zina zochizira

Zofunika! Kudzichiritsa nokha kumatha kuvulaza thanzi lanu.

Ngati mukukayikira kukhalapo kwa matendawa, osagwiritsa ntchito njira yotenthetsera kumalo omwe akhudzidwa. Chifukwa chake mumangosangalatsa zomwezo zokha. Njira yotenthetsera imatha kubweretsa kuti miyala iyambe kusuntha, ndipo izi zikuwonekedwa chifukwa cha zovuta zambiri.

Mutha kugwiritsa ntchito zithandizo zachikhalidwe chokha pokhapokha ngati dokotala akuvomerezani. Mufunseni zomwe mungamwe ndi cholecystitis. Nthawi zambiri, akatswiri okha lembani kukonzekera kwazitsamba amathandizira kuti ntchito ichiritse.

Pali mitundu yambiri yazomera zamankhwala zomwe zimatha kusintha njira zotupa, ndikuthandizira kutuluka kwa bile. Izi zikuphatikiza calendula, mint, yarrow, nettle, dogrose, wort wa St. John, plantain, ndi ena ambiri. Komabe, zindikirani kuti mu mawonekedwe owopsa a matendawa komanso pamaso pa miyala, zitsamba zomwe zatchulidwa pamwambazi sizikuthandizani. Potere, njira zopitilira muyeso zidzafunika.

Kupewa kwa cholecystitis

Pangozi yapadera yotsogola matendawa ndi azimayi, komanso anthu okalamba.

Musaiwale kuti matenda aliwonse ndiosavuta kupewa kuposa kuchiza, chifukwa chake samalani ndi thanzi lanu. Kupewa cholecystitis ndi m'makhalidwe abwino.

Anthu omwe amadya zakudya zapamwamba komanso zopatsa thanzi, komanso amakonda kuchita masewera olimbitsa thupi, samakhala ndi vuto la cholecystosis (mukudziwa kale matenda).

Samalani ndi zomverera zilizonse mthupi lanu. Ngakhale ululu wocheperako umatha kuwonetsa mavuto akulu azaumoyo. Pimayezeni pafupipafupi magazi kuti azindikire kuchuluka kwa acidity ya bile.

Kudya

Pamaso pa matenda monga cholecystitis, ndikofunikira kuonetsetsa Kupatula apo, ndi amene adzathandizire kuchira msanga. Pewani zakudya zomwe zili ndi mafuta ambiri m'thupi mwanu monga zakudya. Kuchokera pachakudya sichiyenera kupatula msuzi wa nyama, zipatso zouma kwambiri, ufa, mafuta ndi zonunkhira. Ndikofunikanso kusiya zakudya zamzitini ndi masoseji.

Phatikizani zipatso ndi masamba ambiri momwe mungathere, buledi wa tirigu wathunthu, nyama yophika ndi zakudya zamkaka muzakudya zanu.

Kanema: Cholecystitis, kutupa kwa ndulu. Zizindikiro, matenda, mankhwala

Masiku ano, cholecystitis ndiyofala. Ndi matenda amtundu uti omwe tidawerengera m'nkhaniyi. Matendawa ndi owopsa komanso nthawi zambiri zakupha. Chifukwa chake, samalani thanzi lanu lero.

Cholecystitis ndi kutukusira kwa ndulu. Matendawa amadziwika ndi mawonekedwe a zomera za pathogenic pakhoma lamkati la chiwalo. Imapezeka kawirikawiri mwa azimayi atakwanitsa zaka 40 komanso mwa anthu omwe ali ndi matenda opatsirana.

Pali pachimake komanso matenda a cholecystitis. Acute cholecystitis woyamba kupezeka kutupa kwa ndulu, aakulu ndi matenda omwe amakhala nthawi yayitali, nthawi zambiri amakhala ndi miyala mu ndulu.

Zomwe zimachitika

Mu etiology ya cholecystitis, pali zinthu zingapo zofunika zomwe zimathandizira bile mu ndulu, zomwe zimapangitsa kukula kwa cholecystitis.

Pakati pawo, pali zinthu zomwe zimayambitsa kutupa kwa ndulu:

• Kuphwanya zakudya. Kudya zakudya zambiri zamafuta ndi zonunkhira, chakudya chochuluka, chakudya chosakhazikika komanso zina, kumwa mowa kwambiri.
• Kupsinjika, kusokonezeka kwa malingaliro. Mothandizidwa ndi kupsinjika mtima, kusokonezeka kwamagalimoto ndi chinsinsi cha gallbladder kumatha kuchitika, komwe kumayambitsa kukondoweza kwa bile ndi kukula kwa cholecystitis.
• Zovuta zakumaso kwa mahomoni chifukwa cha endocrine matenda. M'mikhalidwe yotere, kusintha kwa mapangidwe a bile kungawonedwe ndipo, chifukwa chake, mphamvu yake mkati mwa makoma amkati mwa chiwalo.
• Kutupa kwamaganizidwe a ziwalo zina, makamaka zopweteka, kumatha kukhala koopsa.Constillitis, gastritis, kutupa kwa mwanabele komanso matenda ena otupa angayambitse cholecystitis mwa kufesa bile ndi tizilombo tating'onoting'ono tokhala ndi magazi. Kuphatikiza apo, chinthu chofunikira pankhaniyi ndi kuchepa kwathunthu kwa chitetezo chokwanira.
• Anomalies pamalo kapena kakulidwe ka ndulu. Ndi kobadwa nako pathologies, etiology ya malo a ziwalo kapena kukhalapo kwa magawo owonjezeramo momwemo imayambitsa zovuta zamagalimoto, kukondoweza kwa bile ndipo, chifukwa chake, kukulira kutupa.

Mitundu ya cholecystitis

Kuti adotolo azitha kudziwa bwino matenda a cholecystitis, kuwasiyanitsa ndi matenda ena am'mimba ndipo ayambe kulandira chithandizo chofunikira, mawonekedwe apadera azizindikiro ndi syndromes apangidwa. Amaonedwa ndi dotolo palpation ndi njira zina ndipo ngati alipo, mutha kulankhula molimba mtima za mtundu wa matendawo, magawo ake komanso zovuta zake.

Pachimake cholecystitis

Zizindikiro zotsatirazi zimagwiritsidwa ntchito kuti muwone bwino kutupa kwa ndulu ya gallbladder:

• Zizindikiro za Kera ndizowonjezereka zowawa mu hypochondrium yoyenera ndikumapanikizidwa kwambiri pakudzodza.
• Chizindikiro cha Murphy - chodziwika ndi kuwonjezeka kwa kupweteka kwa ndulu mukakanikiza ndi chala chakumaso pansi pa nthiti. Nthawi yomwe wodwala sangapitirize kupweteka chifukwa chala cha dokotala chomwe chili pamtengo wokwera mtengo, chizindikiro cha Murphy chimawoneka ngati chabwino.
• Chizindikiro cha Ortner - chimawonekera ndi kuwoneka kwa zilonda m'matumbo pomwe nthiti kumanja kwa nthiti ndi m'mphepete mwa manja a dokotala.
• Chizindikiro cha Mussi - chizindikiro chomwe chimagwiritsidwa ntchito nthawi zambiri, chomwe chimatchedwanso chizindikiro cha phrenicus - chimadziwika ndi mawonekedwe a ululu pamene mukumva malo omwe ali pamwamba pa kolala kumanja pakati pa njira ya minofu ya sternum-mastoid.
• Zizindikiro Obraztsova - zimatsimikizika ndi kupezeka kwa ululu pansi pa chipilala choyenera chamtengo panthawi yolimba ngati wodwala atakweza mwendo wake wowongoka kumanja.
• Zizindikiro Zakharyin - wodziwika ndi kuwonekera kwa ululu kuchokera kumbuyo mpaka kumanja kwa msana, ndikutupa kwa ndulu, madera awa ali ndi chidwi chochulukirapo.

Matenda a cholecystitis

Kukhalapo kwa matenda monga kutupa kwakatikati kwa ndulu kumatha kuwonetsa kupweteka kwakanthawi mu hypochondrium yoyenera. Nthawi zambiri kupweteka kumachitika pakumeza chakudya chamafuta kapena zonunkhira, makamaka kwambiri. Ululu umatha kumveka m'matalala ndipo umatha kuperekedwa hafu ya thupi: kumapewa, phewa ndi khosi.

Ndikulimbitsa thupi kwakukulu, colic yoopsa imatha kuchitika. Nthawi zambiri ndi matenda a cholecystitis, odwala amadandaula chifukwa cha mseru, kusanza kwa bile, makamaka m'mawa, kubala komanso kusakhazikika. Nthawi zambiri pamakhala kukwiya, kugona, kusowa chidwi.

Catarrhal cholecystitis

Kukhalapo kwa kutukusira kwa ndulu kosavuta kumatha kuweruzidwa ndi zizindikiro zabwino za Murphy, Ortner pakalibe ma perndoneal syndromes.

Matendawa, monga lamulo, amayamba popanda zowawa komanso kutentha thupi kosaposa 38 digiri. Ululu umabuka ndikukula pang'onopang'ono. Mavutidwe nthawi zambiri samawonedwa.

Nthawi zambiri, matendawa amatenga masiku angapo ndipo amadutsa pambuyo kugwiritsa ntchito njira zochizira.

Phlegmonous ndi gangrenous cholecystitis

Mitundu yovuta ya kutupa kwa ndulu imakhala yovuta kwambiri kwa odwala kuposa catarrhal cholecystitis. Ululu sutha kapena kupuma kapena pakusuntha, umakhala wolimba nthawi zonse ndipo umapezeka mu hypochondrium yoyenera. Odwala ambiri samva mseru wokha, komanso kusanza kwa bile.

Ndi subfebrile mitundu yosavuta, kutentha kumakwera ndikufika madigiri 39-40, kuzizira kumakhalapo. Zizindikiro zake ndi zabwino monga Shchetkina - Blumberg, Kerr ndi Obraztsov, Ortner, Mussi. Kuphatikiza apo, zizindikiro zaubwino nthawi zambiri zimakhala zabwino.

Zizindikiro za kutupa kwa ndulu:

1. Mankhwala akumva kupweteka m'zigawo za epigastric, nthawi zambiri amafikira kumapewa, phewa ndi kumanja kwa khosi. Ululuwo umakulirakudya utatha kudya zonunkhira komanso mafuta.
2. Kutentha kochepa kwamthupi (mpaka madigiri 38), kukwera nthawi yamadzulo ndi usiku. Chizindikiro ichi chimatha kukhala chowopsa kutentha kukakwera pamwamba pa madigiri 39.
3. Khansa ya m'mimba, yotupa, malo osakhazikika, kumverera kukanikiza koopsa mu hypochondrium yoyenera.
4. Kuwawa mkamwa, makamaka m'mawa, nthawi zina kumasintha kukhala kusanza kwa bile.
5. Kusakhazikika m'malingaliro, kufooka, kugona, kusakwiya.

Zizindikiro za cholecystitis mwa amuna ndi akazi sizosiyana.

Zizindikiro

Kuti mupeze chidziwitso cholondola cha cholecystitis, zovuta zamaphunziro ndikuwunika zimagwiritsidwa ntchito pophunzira pathogenesis, kuphatikizapo:

• Kuyesa kwa magazi. Zambiri komanso zamitundu mitundu. Zotsatira zamaphunzirowa, neutrophilic leukocytosis, kuchuluka kwa ESR, ndipo bilirubin yambiri imawonedwa nthawi zambiri.
• Kuomba kwa duodenal kumakupatsani mwayi woti mutenge zitsanzo za bile ndikuwunikira. Nthawi zambiri ndi kutupa, bile ndi kwamitambo, pomwe pali ma flakes ndi ma tizilombo, mawonekedwe a pH amasunthira kumbali ya asidi, zomwe zimakhala ndi leukocytes. Kusanthula kwa bile kumakupatsani mwayi wodziwa pathogen ya kutupa ndikupereka chithandizo chokwanira.
• Kupenda kwa gtrbladder kumakupatsani mwayi wodziwa kuphwanya kwa makulidwe a limba, kupezeka kwa miyala, zotupa, kupsinjika, ndi septa. Popeza cholecystitis imatha kuchitika chifukwa cha zotchinga zakunja za bile, kudziwa kukhalapo kwawo ndikuwachotseratu pakapita nthawi ndikosafunikiranso pakulandila kwina kuposa kuzindikira mtundu wa kutupa.

Cholecystitis amathandizika kwathunthu. Chithandizo choyamba cha cholecystitis chitha kuperekedwa pokhapokha ngati wodwala akudziwa bwino matenda ake komanso ngati ali ndi dokotala. Sitikulimbikitsidwa kuti mudzipatse nokha mankhwala.

Mukazindikira matenda ndi ma labotale zizindikiro za zotupa, zotsatira zabwino za bakiteriya pazomwe zili m'matumbo, mankhwala othandizira amapatsidwa. Dokotala amasankha mankhwalawa, chifukwa cha kuthekera kokumbukira mu bile nthawi iliyonse.

Chotsani zizindikiro ndikusintha momwe ntchito yothandiza panjirayi ingathandizire:

• analgesics - Baralgin, Analgin,
• anticholinergics - Platifillin,
• antispasmodics - No-shpa, Papaverin, Mebeverin,
• anticholinergics - Riabal.

Ndi hypotension ya ndulu ndi vuto la kusakhalapo kwa calculi, mankhwala a choleretic amalembedwa: Allahol, Cholenzym kapena mankhwala azitsamba.

Mankhwala achikhalidwe amagwiritsidwa ntchito kwambiri pochiza cholecystitis. Zomera zamankhwala monga chimanga stigmas, dieelle, St. wort wa St. John, tansy zimathandizira katulutsidwe ka bile, zimachepetsa mawonekedwe ake omveka, komanso zimakhala ndi zotsutsana ndi zotupa. Mankhwala azitsamba amalimbikitsidwa pakachotsedwa kwa matendawa kwa mwezi umodzi.

Kukhalapo kwa microliths mu bile, kupezeka kwa cholestatic syndrome ndi hypotension ya gallbladder kumafuna makonzedwe a bile acid kukonzekera kwa miyezi itatu, mwachitsanzo, ursodeoxycholic acid.

Matenda a biliary a chiwindi mothandizidwa ndi mankhwala-hepatoprotectors, omwe ali ndi choleretic. Mwachitsanzo, Hofitol ndi mankhwala azitsamba ophatikizika ndi masamba amtundu wa artichoke.

Ndi vegetovascular dystonia, adotolo atha kukulemberani mankhwala osokoneza bongo (mamawort, valerian) ndi mankhwala a anxiolytic (Adaptol).

Pofuna kuthana ndi cholecystitis, gawo lofunikira limasewera ndi zakudya. Pazakudya za cholecystitis, tikulimbikitsidwa kutsatira zakudya No. 5. Chake ndikuchepetsa zakudya zamafuta ndi zonunkhira, komanso zakudya zamafuta a cholesterol. Ndi zokwanira zopatsa mphamvu ndi kumbuyo.

Mankhwala othandizira kutentha, kuphika ndi kuwotcha kuyenera kufalikira. Ndi zoletsedwa kusala nyama ndi ufa wa mafuta.

Mwa kutentha, mbale ziyenera kutentha. Zosavomerezeka ngati kugwiritsa ntchito ozizira kwambiri komanso otentha mbale. Kugwiritsa ntchito mchere komanso zinthu zina zowonjezera zomwe zimapangitsa kuti khungu lizitulutsa pang'ono ndizochepa.

Chakudya chizikhala chowonjezera komanso chamtundu umodzi (nthawi 5-6 pa tsiku) m'magawo ang'onoang'ono.

Nthawi yachikhululukiro

Pambuyo pa chithandizo kuchipatala, physiotherapy ndi spa chithandizo cha cholecystitis amasonyezedwa kuti athetse vuto la wodwalayo ndikuletsa pathogeneis.

Zotsatira zabwino zimaperekedwa ndi:

• Njira za UHF motsatira njira za 10-15,
• electrophoresis ndi novocaine,
• mafunde othamanga kwambiri,
• coniferous, kaboni ndi mpweya osambira.

Mavuto

Ndi chithandizo chokwanira cha cholecystitis, matenda osagwirizana kapena mochedwa kufunafuna chithandizo chamankhwala osazindikira pathogenesis, cholecystitis imatha kubweretsa zovuta monga:

1. Cholangitis. Njira yotupa imatha kuchoka pa ndulu kupita ku ndulu zamkati, zomwe zimakulitsa mkhalidwe wa wodwalayo. Ndi cholangitis, kuzizira kochititsa chidwi kumawonjezeredwa ndi zizindikiritso za cholecystitis, kutentha kwa thupi mpaka madigiri 40, kupweteka kokhazikika kwa hypochondrium yoyenera. Nthawi zambiri izi zimafuna kuyimba foni ya ambulansi.
2. Hepatitis, duodenitis ndiwonso chotsatira cha kusintha kwa chotupa pa ziwalo zina zam'mimba.

Amayambitsa Cholecystitis

Kutupa kwa gallbladder kumatha kuchitika pazifukwa zosiyanasiyana. Mitu ikuluikulu ndi:

• Kupangidwa kwa miyala yomwe imawonongera mucous nembanemba ndipo imatha kusokoneza kayendedwe kabwinidwe ka bile,
• Zakudya zamagulu (kugwiritsa ntchito mafuta osokoneza bongo, zopatsa mphamvu kwambiri komanso zakudya zokazinga, zakumwa zoledzeretsa, chakudya chosasinthika),
• kuchuluka kwa maganizo
• olemedwa ndi chibadwa,
• mawonekedwe achilendo (nthawi zambiri obadwa nawo) a ndulu (zigawo zingapo, maondo, magawo amodzi amomwe angayambitse kusokonezeka kwa bile
• kusalinganika kwa mahomoni ndi othandizira mahomoni (kuphatikiza kugwiritsa ntchito njira zakulera za mahomoni, mankhwala ogwiritsidwa ntchito pa IVF),
• chifuwa (mwachitsanzo chakudya)
• matenda obwera mthupi
• mankhwala (cyclosporin, clofibrate, octreotide amathandizira pakupanga miyala),
• kuwonda mwadzidzidzi
• matenda opatsirana (mabakiteriya, ma parasites, ma virus) omwe amatha kulowa mu ndulu kuchokera pazomwe zilipo kale za matenda opatsirana omwe ali m'thupi.

Zinthu zopatsirana zimalowa mu ndulu ndi ma ducts pamodzi ndi njira ya lymph (lympho native njira), magazi (njira ya hemato native), ndi kuchokera ku duodenum (njira yokwezeka).

Kutupa komwe kumachitika mu ndulu sikungakhudze ntchito za chiwalocho, komanso kungawononge ntchito zonse ziwiri zamagalimoto ndi magalimoto (mpaka kugwiritsidwa ntchito kwathunthu kapena "kusakanikirana" chikhodzodzo).

Gulu la cholecystitis

Ndi maphunziro a cholecystitis agawika:

Onse pachimake komanso matenda a cholecystitis akhoza kukhala:

• kuwerengetsa (i.e. kuphatikizidwa ndikupanga miyala mu chikhodzodzo, gawo lake limafika 80%),
• wopanda miyala (mpaka 20%).

Mwa odwala achichepere, monga lamulo, cholecystitis yopanda miyala imapezeka, koma kuyambira zaka 30, pafupipafupi kutsimikizira kuchuluka kwa cholecystitis kukuchulukirachulukira.

Nthawi yayitali cholecystitis, magawo ochulukirachulukira amasintha ndi magawo a chikhululukiro (kupezeka kwa zonse zamankhwala ndi ma laboratorine.

Amayambitsa ndi mitundu ya matenda

Pazifukwa zina, azimayi amayenera kuthana ndi cholecystitis nthawi zambiri kuposa amuna ambiri.

Ngati palibe mafunso omwe ali ndi njira yolerera pakamwa, popeza amathandizira kwambiri pamakhalidwe a mayi wamkazi mahomoni, ndipo izi zimadziwika, azimayi ambiri amakhala ndi funso loti kubereka kapena matenda opatsirana amakhudza bwanji mawonekedwe a matenda. Nthawi yapakati, makamaka pakapita nthawi, kuthamanga kwamphamvu kumayikidwa pa ndulu. Kachiwiri, mkhalidwe wa pakati pakokha, popanda mankhwala, umasintha masinthidwe amthupi a mkazi.

Pakadwala matenda opatsirana, zilibe kanthu kuti ali ndi mtundu wanji, ngakhale ndi matenda a genitourinary system, ziwalo za akazi zimakhala pachiwopsezo chachikulu. Hafu yokongola yaumunthu imakhudzidwa kwambiri chifukwa cha zovuta za thupi, koma ngakhale izi, azimayi amatha kulekerera mosavuta kuposa mwamuna aliyense. Izi zimachitika chifukwa chamalingaliro ndi chikhalidwe cha thanzi la munthu aliyense.

Kutupa kwachidziwikire mu ndulu kumakhala ndi mitundu yake, kutengera kukhalapo kapena kusowa kwa miyala. Pali mitundu iwiri yamatenda: cholecystitis yowerengeka komanso yosawerengeka. Matendawa ali ndi mtundu wake, amatha kudwala komanso amakhala pachimake, kutengera matendawa.

Mtundu wamatenda umatengera kutupa. Amadziwika ndi 5:

• purulent
• chapa
• kusakaniza
• achifwamba
• zolimbikitsa.

Chizindikiro chilichonse cha cholecystitis chimakhala ndi zizindikiro zake ndipo chimasiyanasiyana malinga ndi zizindikilo za matendawa.

Ndikofunika kukumbukira kuti koyambirira kwa matendawo chitukuko, ambiri amanyalanyaza zizindikiritso chifukwa cha kusazindikira kwawo, komwe ndi kulakwitsa kwakukulu. Chifukwa chake, ndibwino kufunafuna chithandizo chamankhwala munthawi yake ngati zizindikiro zoyambirira za matendawo zikuwonekera.

Zizindikiro za cholecystitis mwa akazi

Mu theka lachikazi, Zizindikiro nthawi zambiri zimawonetsedwa pang'ono kuposa amuna, zomwe zimakupatsani mwayi wowona matendawa mukakumana ndi dokotala. Zizindikiro za cholecystitis iliyonse imasiyana, koma ululu wawo, womwe umapezeka kumanja pansi pa nthiti, umawagwirizanitsa. Ndizosiyana, koma china chilichonse chimapangitsa kubisala.

Mwa zina mwazomwe chitukuko cha matendawa chimadziwika:

• kupweteka kumbuyo
• nseru kapena kugonja
• kudzimbidwa pafupipafupi, kutsegula m'mimba, kudzimbidwa,
• ulemu m'mimba
• kulawa kowawa mukasamba kapena mukatha kudya,
• kulemera m'mimba kwakanthawi mukatha kudya,
• kusokonezeka kwa tulo,
• kusowa kwa chakudya kapena kuchepa kwake,
• kumva kwa khungu,
• kumva kufooka thupi lonse.
• malungo
• akafufuzidwa ndi dokotala, chiwindi chokulirapo chimapezeka.

Panthawi yoyeserera, dokotala amatha kudziwa kukula kwa makoma a ndulu.

Zizindikiro zotere zimawonetsa mwina kukhalapo kwa matenda enaake, kapena kungoyambira kwamatenda. Popeza matenda a cholecystitis amawonekera nthawi yayitali, imakhala yofanana ndi mtundu wa matenda.

Pa kukokomeza kapena pachimake cholecystitis, kuwonjezera pazowonjezera zomwe zimakulitsidwa, mkazi amatsatiridwa ndi kupweteka kwa mutu, kukwiya msambo, kupweteka kwambiri. Kuukira kovuta kumachitika mwadzidzidzi. Ngati pali miyala mu chikhodzodzo, ndiye kuti zizindikiro zonse zimayamba kutchulidwa.

Ululu umadziwonekera muukali ndipo nthawi zambiri umafalikira osati pansi pa nthiti, komanso umakhudza mkono, tsamba ndi phewa. Pafupipafupi mwa akazi, mawonekedwe a kuzizira ndi chikasu cha khungu, komanso nembanemba yamaso, amadziwika. Amayi ndizovuta kwambiri kupirira izi, chifukwa nthawi zambiri amapita kwa dokotala.

Zizindikiro za cholecystitis aakulu

Mukusintha kwa cholecystitis, kupweteka kwambiri kumadziwika kokha komanso kutuluka, koma ngakhale mu gawo lokhululukidwa, matendawo amadzimva, motero muyenera kulabadira chenjezo loyambirira la momwe matendawa amayambira.

Nthawi zambiri, pakukokomeza, munthu amakwiya ndipo sagona mokwanira pafupifupi nthawi yonseyi. Chomwe chimapangitsa izi kukhala chosasangalatsa, popeza mukamamwa mankhwala osankhidwa bwino, mankhwalawa amangokhalira kwakanthawi.

Chikhalidwe cha kusanza nthawi zambiri chimasintha. Kutulutsa magazi kumatha kuyamba, bile ikuwoneka bwino m'misili, pakusanza komanso pambuyo pake pakumva kuwawa kapena kuwawa kwazitsulo mkamwa.
Khalidwe lawo limakhala losiyana: mwa odwala ena mumakhala kupweteka kwambiri, koma ena amapweteka. Nthawi zina, ululu umatha.Zonse zimatengera mtundu wa njira yotupa, komanso machitidwe a thupi la wodwalayo.

Ngati pali zizindikiro zakukhazikika kwa matendawa, muyenera kufunafuna thandizo ku chipatala msanga momwe mungathere, ndizovuta kwambiri kuchiritsa matenda. Ngati sanalandiridwe, zovuta zina zimakhala zotheka, zomwe ndi bwino kuyesetsa kupewa kuposa momwe mungachitire. Matenda aliwonse amafalitsa mabakiteriya m'thupi lonse ndikukulitsa matendawa. Kwa thupi la mkazi, komanso wamwamuna, zotsatirapo zake zimakhala zoopsa, motero sikulimbikitsidwa kukana kupita kwa dotolo, makamaka ngati pali zizindikiro zomveka zakukula kwa matendawa. Nthawi zina, matendawa amatha chifukwa cha kapamba, chifuwa kapena chiwindi.

Mwanjira imeneyi, zizindikirazo zimakulitsidwa kapena kumizidwa ndi zochulukirapo zomwe zimadza chifukwa cha matenda ena.

Ndikofunika kukumbukira kuti ndi matenda osachiritsika zizindikiro zonse zimachitika nthawi ndi nthawi, zomwe zimayambitsa zovuta zambiri, makamaka popanda kulandira chithandizo choyenera.

Thandizo loyamba lothandizira kwambiri

Kuukira kumachitika modzidzimutsa, koma nthawi zambiri zimachitika nthawi ikatha kudya, makamaka ngati zakudya zamafuta ambiri kapena zonunkhira zidatha. Pankhaniyi, amafunika kuchotsa zizindikiro zamphamvu posachedwa ndikuyimbira ambulansi, chifukwa zimakhala zovuta kwambiri kuti wodwalayo afike kuchipatala payekha.

Pambuyo kuyitanitsa adotolo, compress yozizira iyenera kuyikidwa pamatumbo a wodwalayo, panthawiyi ayenera kukhala pamalo apamwamba.

Pazovuta zopweteka kwambiri, ma painkillers amaloledwa, kuphatikiza No-shpa, Papaverin kapena Analgin wamba. Ngati mseru sukutulutsa, muyenera kumwa madzi oyera opanda mpweya kapena tiyi ndi kuwonjezera kwa timbewu.

Ngati kusanza sikuleka, ndibwino kusonkha kuchuluka kotero kuti adotolo awerenge. Ndikofunika kumwa madzi oyera komanso oyera bwino kuti muzitha kutsuka m'mimba.

Zakudya za zakudya za cholecystitis

Chofunikira pakuchiritsira ndikutsatira zakudya. Zakudya zilizonse zimapatsidwa chakudya chake, koma zimatengera chikhalidwe chakuchotsera zakudya zoyipazo.

Zakudya zovulaza zimaphatikizapo:

• zakudya zokazinga
• zakudya zamafuta
• Zakudya zamchere, wowawasa kapena zotsekemera kwambiri,
• chakudya chofulumira kapena zakudya zosavuta,
• mowa
• ankasuta nyama
• Zakudya zokometsera kapena zonunkhira
• kuphika,
• khofi, tiyi wamphamvu, komanso zakumwa zamagalasi ndi mitundu yokumba,
• Zipatso za malalanje ndi zipatso zowawasa,
• mtedza ndi nyemba zomwe zimayambitsa maluwa.

Zogulitsa zotere pogwiritsa ntchito mosalekeza zimakhala ndi vuto ngakhale kwa munthu wathanzi lathunthu. Pamaso pa njira yotupa, chakudyachi chili pamtundu womwe uli ndi zinthu zoopsa zomwe ziyenera kupewedwa mpaka adokotala atakulolani kuti mubwererenso momwe mudyera. Koma nthawi zambiri, zakudya zopatsa thanzi zimayenera kutsatira m'moyo wonse, makamaka mtundu wa matenda.

Ngati mutsatira zakudya, mwayi wochotsa matendawa umachulukanso, choncho simuyenera kudzipatuka, ngakhale mutafuna. Mu malo oyamba ayenera kukhala athanzi.

Pali malamulo angapo azakudya omwe muyenera kutsatira mukamakula, kapena panthawi yomwe matendawa amayamba kutha.

Malamulo awa azakudya amaphatikizapo:

• kutsatira zakudya panthawi,
• kudya zakudya pokhapokha pa kutentha, chakudya sichiyenera kuzizira kapena kutentha kwambiri,
• chakudya chimayenera kuphwanyidwa: ndibwino kudya pafupipafupi, koma m'malo ochepa,
• imwani madzi ambiri kapena madzi ambiri momwe mungathere
• samalani ndi zakudya zomwe siziletsedwa kudya,
• Sitikulimbikitsidwa kuti tidye mwamphamvu osachepera maola atatu musanagone.

Mwa zina mwa zakudya zomwe zimaloledwa: nyama yopanda, nyama zowotcha kapena zophika, masamba kapena masamba mkaka, chimanga, mkaka wowawasa, koma ndi mafuta pang'ono komanso mkaka, mkaka wopanda tiyi, zipatso zowuma. Ndikulimbikitsidwanso kudya zipatso ndi ndiwo zamasamba, koma okhawo omwe alibe fiber.

Amaloledwa kuphatikiza zakudya zanu ndi mavitamini.

Pakapita kanthawi, zidzakhala zotheka kubwerera ku zakudya zam'mbuyomu, koma izi sizikutsimikizira kuti kuukidwaku sikumachitikanso, chifukwa chake ndibwino kutsatira zakudya, ngakhale osakhala okhwima kwambiri, nthawi zonse.

Njira zina zochiritsira

Pofuna kuthana ndi zizindikiro za cholecystitis, njira zina zochiritsira zimagwiritsidwa ntchito ndi wowerengeka azitsamba. Pali okwanira kuti adzisankhire oyenera.

Ndikofunika kuganizira mawonekedwe amomwe thupi la munthu limapangidwira, chifukwa nthawi zina pamakhala zosokoneza zina pazakudya za matendawa.

Ndi cholecystitis, ndikofunika kutenga kulowetsedwa kwa oats. Pokonzekera, lita imodzi yamadzi otentha idzafuna theka la kilogalamu ya oats. Thirani osakaniza kwa ola limodzi, kenako kupsyinjika. Imwani supuni musanadye chilichonse.

Mu matenda a ndulu, akukhulupirira kuti mapeyala athengo ndi zipatso zosafunikira popanda shuga ndizothandiza. Sikuti ndizokoma zokha, komanso zili ndi zinthu zambiri zothandiza, koma mankhwala oterewa ndi oyenera kokha matenda osachiritsika, siabwino kwa cholecystitis yovuta kwambiri.

Udzu wa Yarrow uli ndi zofunikira. Kapu yamadzi otentha idzafunika supuni ziwiri za therere. Kuumirira pafupifupi ola limodzi. Tengani kanayi pa tsiku kwa kotala. Ndikofunika kuchita izi musanadye chakudya.

Hafu ya lita imodzi ya madzi otentha kuwonjezera supuni za 2 za sage, siyani theka la ola, mavuto ndi kutenga supuni imodzi maola angapo aliwonse.

Mutha kukonzanso chopereka chathanzi zofanana za celandine, masamba a mtedza, muzu wama chicory. Pogaya ndikusakaniza supuni yosonkhetsa, onjezani 200 ml ya madzi otentha. Tengani kulowetsedwa katatu patsiku mugalasi.

Mfundo ina yothandiza ndikugwiritsa ntchito mafuta a azitona ngati mankhwala. Ili ndi zambiri zothandiza, koma pokhapokha ngati mafuta atapanikizika.

Palibe munthu wachikulire amene samadwalitsa matendawa, makamaka pompopompo. Koma mutha kuyesa kupewa kuyanjana ndi matendawa. Kuti tichite izi, ndikukwanira kutsata moyo wokangalika, kusewera masewera, kusiya zizolowezi zoipa, kusiya kugonja mothamanga, kudya kwambiri. Mankhwalawa sangathenso kudya zakudya zoyipa. Pakapita nthawi, aliyense amamva kusintha kwakukulu mthupi lathu. Ndikulimbikitsidwa kuyesedwa kamodzi pachaka kuti athe kuzindikira matenda oyambira m'magawo oyambira, pomwe angathe kuchiritsidwa mwachangu kwambiri.

Maonekedwe a kutupa kwa ndulu, limodzi ndi ululu, ndi vuto lalikulu, lomwe limayenera kuchitika. Njira yomwe idakhazikitsidwa mwa akulu imatha kuyambitsa mavuto. Ndikofunika kudziwa Zizindikiro za cholecystitis kuti muyambe kulandira chithandizo, imwani mankhwala omwe adokotala adapereka.

Cholecystitis - Zizindikiro

Matendawa ndi kutupa komwe kumayamba m'makoma a ndulu, limodzi ndi zomverera zowawa. Amadziwika ndi mapangidwe ndi kayendedwe ka miyala. Zomwe zimachitika kaamba ka njirayi ndi mabakiteriya omwe amalowa mu chikhodzodzo m'matumbo, ndimagazi omwe amapanga ziwalo zovunda. Zizindikiro za matendawo akulu:

Zizindikiro zapadera za cholecystitis zimawonekera mu chitukuko cha matenda, limodzi ndi njira yake yodalirika, zimafunikira chithandizo. Pankhaniyi, zizindikiro zotsatirazi zimawonedwa mwa akulu:

• kupezeka kwa ululu wosakhazikika kumanja, pamwamba m'chiuno, poyankha tsamba, phewa kumbuyo, nkono,
• kusowa kwa chakudya
• mavuto a chimbudzi
• nseru zosatha
• kupweteka kwambiri
• kuphwanya kapangidwe ka gasi,
• maonekedwe a kuzizira.
• Zizindikiro za jaundice pakhungu.

Zizindikiro mwa akazi

Amayi amayenera kuvutika pafupipafupi chifukwa cha vuto la chikhodzodzo, chomwe chimalumikizidwa ndi mawonekedwe a thupi. Kusinthasintha kwa ma Hormonal, kugwiritsa ntchito njira zakulera, mimba - izi ndi zifukwa zomwe zitha kuphunzitsidwa. Zakudya, chakudya chouma, mavuto azachipatala amathandizira. Kupezeka kwa chitseko chachikulu kupweteka kumalepheretsa kuyambika kwa matendawa. Pali zizindikiro za cholecystitis mwa akazi:

• nseru
• kamwa yowuma
• ndowe zowala
• kutentha kwa mtima
• chikasu pakhungu
• kupweteka m'mbali
• Khungu
• kusowa tulo
• kamwa yowuma.

Palibe kusiyanasiyana kwenikweni kwa zisonyezo za matendawo mwa amuna. Tisaiwale kuti chimodzi mwazifukwa zomwe zimachitika ndikuchitika kwa kutupa kwa gawo la genitourinary. Thupi lamphongo limadziwika ndi mapangidwe osowa a miyala. Koma ali ndi matenda opweteka. Zizindikiro za cholecystitis mwa amuna zimadziwika:

• kudziwa komwe mumayang'ana pamalo owawa,
• ukufalikira
• kuwonjezeka ululu kumanzere mukuyenda, kutsokomola,
• kutentha pang'ono,
• kuchuluka kwa mtima
• kamwa yowuma m'mawa
• kusintha kwa kudzimbidwa ndi kutsegula m'mimba.

Cholecystitis Attack - Zizindikiro

Maonekedwe a zilonda zapakhungu amatsitsa kufunikira kwa chisamaliro chodzidzimutsa, chithandizo kuchipatala. Panthawi imeneyi, kumwa mankhwala kumachotsedwa kuti chithunzi cha matendawa chisasinthe mpaka ambulansi itafika. Ndi isanayambike matenda a cholecystitis, Zizindikiro zake ndi izi:

• kuwoneka kowawa, lakuthwa kumanja, pamwamba m'chiuno,
• chikasu pakhungu
• kusanza mutatha kudya
• wodwala sangapeze malo
• kumachitika chofooka chachikulu,
• kuchepetsedwa kwa mavuto
• kugunda kwa mtima
• maonekedwe mkamwa mwa kuwawa kwambiri.

Ngati cholecystitis ikupezeka, zizindikiro ndi chithandizo mwa achikulire zimatsimikizika poganizira momwe zimayambira. Momwe mungachepetsera kutupa kwa ndulu? Kunyumba, kuchita izi ndizowopsa. Funso - momwe angachitire cholecystitis - limasankhidwa ndi adokotala malinga ndi zotsatira za kuyesedwa, kuwunika kwa zizindikiro. Ndikofunika kuchiritsa mawonekedwe owopsa - sangakhale okhazikika. Njira zotsatirazi zikuperekedwa:

• chakudya
• kumwa mankhwala
• mankhwala azitsamba
• tyubazh,
• wowerengeka azitsamba
• physiotherapy
• kuchiritsa kwamadzi
• miyala yophwanya
• kuchotsedwa kwa ndulu.

Kodi kuchitira cholecystitis

Mankhwala othandizira matenda a zamitsempha ayenera kuchotsa zizindikiro za matendawa - kuchepetsa kuphipha, kuchepetsa ululu, kusiya kutupa. Ntchito yawo ndikulimbikitsa kupanga bile, kuti athandizire kuthetsedwa kwake. Osatinso kuwonjezeka kwakukulu kwa toni ya ndulu ndi kufooka kwake munjira yothandiza. Madokotala amapereka mankhwala othandiza cholecystitis kuchitira:

• antispasmodics
• maantibayotiki
• mankhwala osapweteka a antiidal
• michere
• analgesics
• mankhwala opatsirana,
• hepatoprotectors
• choleretic
• mankhwala apanyumba.

Udindo wofunikira umaperekedwa pochiza matendawa kwa anthu akuluakulu omwe amadya zakudya. Zakudyazi ziyenera kuphatikizapo zakudya zopanda mafuta a cholesterol. Kuti muthane ndi ma spasms, ndikofunikira kuti muchepetse kudya kwa mitundu yambiri m'malo otentha komanso ozizira. Kugwiritsa ntchito mosavomerezeka:

• msuzi
• msuzi wa nyama
• yokazinga
• chakudya chokometsera
• mafupa
• marinade
• zonunkhira
• zipatso zosapsa
• chakudya zamzitini
• masoseji
• khofi
• nyemba.

Thanzi la cholecystitis liyenera kukhala la pafupipafupi kotero kuti kupanga kwa bile kumapitilirabe, mbali ndizochepa. Kugwiritsa ntchito zakudya zamasamba, chinangwa ndikolandiridwa. Ndikofunika kuphatikiza pazosankha:

• chimanga
• supu zamasamba
• mkate wa rye
• tchizi tchizi
• wowawasa zonona
• mafuta a azitona
• mkaka
• pasitala
• zipatso zokoma
• nsomba zam'madzi
• masamba
• compotes
• odzola
• madzi amchere opanda gasi.

Chithandizo cha wowerengeka azitsamba a cholecystitis

Pali njira zambiri zochitira chikhodzodzo mwa akuluakulu kunyumba pogwiritsa ntchito maphikidwe a wowerengeka. Ndikofunikira kumvetsetsa - izi ndi zina zowonjezera pazolinga zazikulu. Ndikofunikira kugwirizanitsa chithandizo chamankhwala a cholecystitis ndi dokotala. Kugwiritsa ntchito njira mwayekha kumatha kuyipa. Yambitsani gawo la bile, mpumulo wa zizindikiro:

• kulowetsedwa kwa khungwa lotchedwa barkthorn, dandelion, peppermint,
• kabichi pickle
• msuzi wa dandelion udzu, chomera,
• Maluwa a maluwa osatha ndi hypericum,
• msuzi wamasamba kuchokera kusakaniza mandimu, beet, nkhaka.

Zomera zamankhwala zimakhala ndi zabwino kwambiri za choleretic pochiza matenda akuluakulu a ndulu. Zitsamba zokhala ndi cholecystitis zimachepetsa kutupa, zimathandizanso kupindika komanso kupweteka. Gwiritsani ntchito mwanjira ya ma decoctions ndi ma tinctures, pogwiritsa ntchito padera kapena kuphatikiza. Zitsamba zothandizadi:

• yarrow
• wamisala,
• chomera
• stigmas,
• parsley
• nthula mkaka
• mbewa
• muzu wa gangus
• mbewu ya fulakesi
• wosafera
• fennel.

Cholecystitis pa mimba

Kukhazikika kwa matendawa mwa mayi amene akuyembekezera kuoneka kwa mwana ndi nkhani yofala. Mavuto amayamba ngati adayamba asanabadwe, zomwe zimapangitsa kufalikira. Ntchito yofunikira pakukula kwa cholecystitis nthawi yapakati imaseweredwa ndikuwonjezera kumapeto kwa nthawi ya kupanga kwa progesterone, yomwe imakhudza ntchito ya ndulu. Ndi kukula kwa kukula kwa mwana wosabadwayo kumapanikizika, kukulira kwa milomo yake. Vutoli limakhala lotetezeka kwa azimayi, limadutsa mwana akangobadwa. Mayi woyembekezera amafunika kukayezetsa, chithandizo cha cholecystitis moyang'aniridwa ndi dokotala.

Zakudya zamankhwala

Thanzi la odwala omwe ali pachimake cha ndondomekoyi ayenera kukhala odekha komanso osalala. Muzochitika zazikulu kwambiri, nthawi zina amapita masiku angapo "anjala", pomwe pali zakumwa zokha (tiyi ofunda ofunda, msuzi wamtchire, mabulosi osenda kapena zipatso zamasamba, zina). Kenako, zinthu zonse zimaphikidwa kapena kuphika pogwiritsa ntchito chowiritsa chowirikiza, kenako ndikupukuta. Kuzimitsa ndi kuphika musanachotsedwe koletsedwa. Zakudya zonse zamafuta ndi mafuta (mkaka, nkhumba, tsekwe, mwanawankhosa, bakha, nsomba zofiira, mafuta anyama, mafuta ophikira, ndi zina), chakudya chosuta, zakudya zam'chitini, zonunkhira zotentha, maswiti, coco ndi zakumwa zoziziritsa kukhosi, chokoleti, mazira a mazira amachotsedwa muzakudya. , kuphika. Supu zokonda, mapira osenda, masamba, nsomba, nyama kapena soufflés, phara, mavuvu, ma cutlets a nthunzi, ma jelly, mousses, ma omele amapuloteni ndi abwino. Kirimu (monga gwero la chitetezo cha mucosal - Vitamini A) ndi mafuta a masamba (soya, chimanga, masamba, kapamba, maolivi, etc.) amaloledwa. Zakumwa zonse ndi mbale ziyenera kudyetsedwa kwa wodwala, chifukwa kuzizira kumayambitsa kupweteka kwapweteka.

Pambuyo pa chikhululukiro chomwe chakhala chikuyembekezeredwa kwa nthawi yayitali, amalola kuphika ndi kudya, zoperekazo zimasiya kupukuta, zipatso zatsopano, zitsamba, masamba, zipatso zimaphatikizidwa muzakudya. Kusintha kapangidwe ka bile ndikuchepetsa mphamvu yake yopanga miyala, mapangidwe azakudya amasonyezedwa. Muli zakudya monga chimanga (buluwheat, oats, barele, ndi zina), kelp, chinangwa, masamba, algae, zipatso.

Chithandizo cha mankhwala a cholecystitis

Pa kukokosera kwa cholecystitis iliyonse, odwala akulimbikitsidwa:

• Ma antibayotiki omwe amalowetsa mu bile mumalingaliro okwanira kupha matendawa (doxycycline, ciprofloxacin, erythromycin, oxacillin, rifampicin, zinnat, lincomycin, etc.),
• antibacterial othandizira (biseptol, nevigramon, furazolidone, nitroxoline, etc.),
• antiparasitic mankhwala (kutengera mtundu wa majeremusi, amatchulidwa - macmirror, metronidazole, tiberal, nemozole, biltricid, vermox, etc.),
• othandizira detoxification (mayankho a Ringer, shuga, reamberin, etc.,
• sanali-narcotic analgesics (baralgin, spazgan, trigger D, anatenga, etc.),
• antispasmodics (papaverine, halidor, mebeverin, no-shpa, buscopan, etc.).
• perirenal novocaine blockade (ndi ululu wosapilira, ngati samachotsedwa ndi mankhwala ena),
• njira yokhazikitsira dongosolo lodziyimira palokha (elenium, mamawort, eglonil, melipramine, benzohexonium, etc.),
• mankhwala a antiemetic (domperidone, metoclopramide, etc.),
• immunomodulators (immunofan, polyoxidonium, sodium nati, lycopid, thymoptin, etc.).

Atayimitsa kutupa pakakhala cholecystitis yowerengeka, odwala ena amayesa kupasuka miyala ndi mankhwala. Mwa izi, madokotala amawapatsa mankhwala a ursodeoxycholic kapena chenodeoxycholic acid (ursofalk, henofalk, urdox, ursosan, etc.). Ndikwabwino kuti musamamwe nokha mankhwalawa, chifukwa amatha kuthandizira kokha mu 20% ya odwala. Pali zodziwikiratu zodziwika bwino polandirira, zomwe zingatsimikizidwe kokha ndi katswiri woyenera. Kwa wodwala aliyense, mulingo woyenera wa mankhwalawa umayikidwa payekhapayekha. Amayenera kutengedwa nthawi yayitali (pafupifupi chaka) komanso pafupipafupi. Chithandizo chimachitidwa pansi pa kayendetsedwe ka zamankhwala ndi ma labotale (nthawi zina ndikofunikira kudziwa magawo amomwe ammagazi amwazi, kuchita mawonekedwe a ultrasound). Kudzipatsa nokha mankhwala kumachitika ndi kapamba wa kapamba (kutupa kwa kapamba), kufinya kwam'mimba, kupweteka kwambiri, m'mimba.

Mu gawo la chikhululukiro chopanda cholecystitis, odwala akhoza kuyamba maphunziro a choleretic mankhwala. Koma chifukwa cha izi ndikofunikira kukhala ndi chidziwitso cha mtundu wa zovuta zomwe zimagwira ntchito. Zida zamakono za choleretic zamakono ndizachuma kwambiri. Hofitol, Odeston, Oxaphenamide, Pumpkin, Cholenzyme, Nicodene, Hepatofalk, Mkaka Thistle, Tansy, Utsi, Barberry, Helichrysum, Halstenum, Holagogum, Magnesium Salts, Xylitol, etc. alimbikitsidwa kwa odwala. chikhodzodzo) choleretic ndiyowopsa.

Extracorporeal lithotripsy (kugwedeza kwamphamvu)

Miyala imawonongeka ndi mafunde owopseza omwe amapangidwa kuchokera kukhazikitsidwa kwapadera. Njirayi imatheka pokhapokha ngati mafuta a cholesterol ali ndimiyala ndipo amatulutsa chikhodzodzo. Nthawi zambiri amaphatikizidwa ndi mankhwala a litholytic (cheno- ndi ursodeoxycholic acid) mankhwala, omwe amafunikira kuti athetse zidutswa zamiyala zomwe zimapangidwa chifukwa cha extracorporeal lithotripsy. Mu Russian Federation, njirayi imagwiritsidwa ntchito kawirikawiri.

Opaleshoni mankhwala a cholecystitis

Ndi kusagwira ntchito kwa njira zosasinthika izi, chikhodzodzo chosagwira ntchito, matenda oopsa, kupangika kosalekeza, colic ya biliary pafupipafupi, komanso zovuta, chithandizo chitha kugwira ntchito. Opaleshoni amachotsa kutupa kwa ndulu (cholecystectomy). Kutengera ndi mwayi wopezeka ndi cholecystectomy, zimachitika:

• zachikhalidwe zokhala ndi khoma lachiberekero komanso mwayi wotseguka (makamaka pakachitika zovuta, koma zowopsa, pambuyo poti wodwalayo achira nthawi yayitali, mavuto ambiri obwera pambuyo poyerekeza ndi mitundu iwiri iyi),
• laparoscopic (imawerengedwa kuti ndi njira yomwe ingakonde, kufalikira kwa chikhodzodzo kumaperekedwa ndi ma punctures angapo, zida zofunikira ndi kamera ya kanema imayambitsidwa kudzera mwa iwo, ndizosavuta kunyamula, odwala amathandizidwanso komanso amatulutsidwa kale kuchipatala),

minicholecystectomy (imasiyana ndi mini-access, yomwe kutalika kwake sikoposa masentimita 5, ndi njira yapakatikati, popeza pali zinthu zina za "lotseguka").

Kodi cholecystitis amawonetsedwa bwanji - zimayambitsa?

Cholecystitis ndi catarrhal, purulent, phlegmonous, wopanga, gangrenous.

• Pachimake cholecystitis - zimayambitsa

Choopsa kwambiri ndi mtundu wovuta kwambiri wa cholecystitis, womwe umakhala limodzi ndi mapangidwe amiyala, onse mu chikhodzodzo palokha komanso m'miyala yake. Ndi mapangidwe amwala omwe ndi owopsa kwambiri pamatenda awa, matendawa amatchedwanso calactic cholecystitis. Poyamba, kuphatikiza kwa bilirubin, cholesterol, mchere wa calcium pamakoma a ndulu mawonekedwe, koma, ndi kuchuluka kwawo kwa nthawi yayitali, kukula kwa madambawo kumawonjezeka ndipo kumatha kubweretsa zovuta zina pakukula kwa ndulu. Nthawi zambiri pamakhala zochitika pamene calculi imalowa mu ducts ya bile ndikupanga zovuta zina kutulutsa kwa bile kuchokera ku ndulu. Izi zingayambitse kutupa ndi peritonitis, ngati simupereka chithandizo kwa wodwala panthawi yake.

• Matenda a cholecystitis - zimayambitsa

Matenda a cholecystitis ndiwokhazikika mtundu wa matenda. Amadziwika ndi nthawi zakhululukidwe komanso kukokomeza. Kukula kwa matenda a pathology kumachitika chifukwa cha kuwonongeka kwa makoma a chikhodzodzo kumbuyo kwa kusokonekera kwa bile kutulutsidwa mu izo (hypo kapena hypermotor dyskinesia, matenda a sphincter a Oddi). Kachiwiri, kachilombo kakang'ono ka bakiteriya kamakhala kopanda tanthauzo pa zinthu izi, kuthandizira kutupa kapena kusandutsa purulent.

Matenda a cholecystitis amatha kuwerengetsa komanso osawerengeka. Poyambirira, ndi mchenga ndi miyala yomwe imavulaza mucous membrane wa chikhodzodzo, yovala ma ducts a bile kapena khosi la chikhodzodzo, kuteteza kutuluka kwa bile.

Mitundu yopanda miyala imadza chifukwa cha zonyansa pakukhudza chikhodzodzo ndi mavu, ma kink, ma ischemia (omwe ali ndi matenda osokoneza bongo), zotupa ndi zotupa za cystic duct komanso chikhodzodzo, kuyamwa kwa ma encyme a pancreatic, kutsekeka kwa ma ducts ndi mphutsi, kusuntha kwa bile mwa amayi apakati omwe akulemera msanga kapena akulemera kwambiri zakudya za makolo.

Tizilombo tating'onoting'ono tomwe timayambitsa kutupa ndi streptococci ndi staphylococci, komanso ascherias, enterococci, ndi proteina. Mitundu ya Emphysematous imagwirizanitsidwa ndi clostridia. Pafupipafupi, matenda a cholecystitis omwe ali ndi kachilombo amatha kukhala kachilombo, kapenanso chifukwa cha matenda opatsirana. Mitundu yonse yamatenda imalowa mkatikati mwa kulumikizana (kudzera m'matumbo), kudzera m'njira yodutsa m'mimba.

Ndi mitundu yosiyanasiyana ya chiwopsezo cha helminthic, -

Zomwe zimayambitsa cholecystitis:

• Kubadwa kwatsopano kwa ndulu, kutenga pakati, kufalikira kwam'mimba
• Biliary dyskinesia
• Matenda a Gallstone
• Kukhalapo kwa nkhondo ya helminthic - ascariasis, giardiasis, solidyloidosis, opisthorchiasis
• Mowa, kunenepa kwambiri, zakudya zamafuta ambiri, zonunkhira m'zakudya, kuphwanya zakudya

Ndi mtundu uliwonse wa cholecystitis, kukula kwa kutupa kwa makoma a ndulu kumayambitsa kutsekeka kwa lumen ya ma ducts, kutsekeka kwake, kuti asokere bile, yomwe imayamba kukula. Pali bwalo loipa lomwe, posakhalitsa, gawo la autoimmune kapena allergic kuvimba.

Mukamayambitsa matenda a cholecystitis, amasonyezedwa:

• siteji (kukhathamiritsa, kuchulukitsa, kuchulukitsa)
• kuuma (modekha, pang'ono, kwambiri)
• Maphunziridwe ake (owonjezera, obwereza pafupipafupi)
• gallbladder ntchito mawonekedwe (otetezedwa, osagwira ntchito)
• chikhalidwe cha dyskinesia wa biliary
• zovuta.

Zizindikiro za cholecystitis pachimake

Chochititsa chidwi chomwe chimapereka chidziwitso pakukula kwa chiwopsezo cha cholecystitis ndi kupsinjika kwamphamvu, kudya zokometsera, zakudya zamafuta, kumwa mowa kwambiri. Pankhaniyi, munthu amakumana ndi zotsatirazi za pachimake cholecystitis:

• Kupweteka paroxysmal pachimake pamimba, hypochondrium yoyenera, ikuwunikira kumaso kwa scapula, sikumatha kuwala.
• Kutopa, kufooka kwambiri
• Kuwonjezeka pang'ono kwa kutentha kwa thupi kufikira manambala a 37.2 -37.8 ° C
• Kuwala kwamphamvu kumawonekera
• Kusungunuka popanda mpumulo, kupuma mseru, nthawi zina kusanza ndi bile
• Zopanda kanthu
• Maonekedwe amtundu wakhungu lachikasu - jaundice

Kutalika kwa pachimake cholecystitis zimatengera kuopsa kwa matendawa, amatha kukhala osiyanasiyana masiku 5 mpaka mwezi umodzi. Osati ovuta kwambiri, popanda miyala ndipo njira yotsuka samayambitsa, munthu amachira msanga. Koma ndi kufooka kwa chitetezo chathupi, kupezeka kwa matenda olimba, komanso kupaka khoma la ndulu (chotupa chake), zovuta zazikulu komanso zotsatira zakupha ndizotheka.

Zizindikiro za Chronic Cholecystitis

Matenda a cholecystitis samachitika mwadzidzidzi, amapezeka kwa nthawi yayitali, ndipo atatha kuchuluka, munthawi ya chithandizo ndikutsatira kudya, nthawi zochotsa zimayamba, mukamatsatira kwambiri njira yodyetsera ndikusamalitsa, nthawi yayitali yopanda zizindikiro.

Chizindikiro chachikulu cha cholecystitis ndi kupweteka kosakhazikika mu hypochondrium yoyenera, yomwe imatha milungu ingapo, imatha kuperekera phewa lamanja, komanso dera lumbar lamanja, kuti likupweteka. Kukula kwa ululu kumachitika pambuyo pakumenyera mafuta, zakudya zonunkhira, zakumwa zoledzeretsa kapena mowa, hypothermia kapena kupsinjika, mwa akazi, kuchulukitsa kungagwirizane ndi PMS (premenstrual syndrome).

Zizindikiro zikuluzikulu za matenda a cholecystitis:

• Kudzimbidwa, kusanza, nseru, kusowa kwa chakudya
• Pweteka pang'ono kumanja pansi pa nthiti, ndikupereka kumbuyo, tsamba la phewa
• Kuwawa mkamwa, kubuma kuwawa
• Kulemera mu hypochondrium yoyenera
• Mankhwala ocheperako
• Kuyika chikaso chakhungu
• Nthawi zambiri, zizindikiro za matendawo zimachitika, monga kupweteka kwa mtima, kumeza matenda, kutulutsa magazi, kudzimbidwa

Pozindikira kuti muli ndi pachimake komanso wodwala cholecystitis, njira zophunzitsira ndizotsatirazi:

• cholera
• kuwomba mawu
• cholecystography
• Ultrasound yam'mimba
• scintigraphy
• Kuyesedwa kwa biochemical kumawonetsa kuchuluka kwa ma enzymes a chiwindi - GGTP, alkaline phosphatase, AcT, Alt.
• Diagnostic laparoscopy ndi kafukufuku wa bacteria ndi njira zamakono kwambiri komanso zotsika mtengo zodziwira matenda.

Zachidziwikire, matenda aliwonse ndiosavuta kupewa kuposa kuchiza ndipo kufufuza koyambirira kungavumbuluze kuphwanya koyambirira, kupatuka pakupanga kwa bile. Ndi chakudya chokhwima, zidzakhala zokwanira kwa nthawi yayitali kuwonjezera nthawi yachikhululukiro cha matendawa komanso kupewa zovuta zovuta.

Chithandizo cha matenda a cholecystitis

Chithandizo cha matenda osakhazikika osapangidwa ndi miyala nthawi zonse chimagwiridwa ndi njira zosasinthika, zomwe zazikulu ndi chakudya chamagulu (chakudya 5 - zakudya zopatsa thanzi ndi madzi okwanira, mchere wam'madzi). Pamaso pa gallstones - kuletsa kugwira ntchito molimbika, kuchuluka thupi, kugwedeza.

Mankhwala otsatirawa amagwiritsidwa ntchito:

• Maantibayotiki, ophatikizira kwambiri kapena cephalosporins
• Kukonzekera kwa enzyme - Pancreatin, Mezim, Creon
• Detoxization - kulowetsedwa mwa sodium kolorayidi, njira za shuga
• NSAIDs - nthawi zina amagwiritsidwa ntchito kuti athetse kutupa ndi ululu

Cholagogue nthawi zambiri imagawidwa kukhala:

• Choleretics - mankhwala omwe amalimbikitsa mapangidwe a bile. Kukonzekera komwe kumakhala ndi bile ndi bile acid: allochol, lyobil, vigeratin, cholenzyme, dihydrocholic acid - chologon, mchere wa sodium wa dehydrocholic acid - decholine. Kukonzekera kwazitsamba kumawonjezera katulutsidwe ka bile: flacumin, stigmas, berberine, konvaflavin.Kukonzekera kwapangidwe: osalmide (oxafenamide), otinamide hydroxymethyl (nikotini), cyclavone, gimecromon (odeston, holonerton, cholestil).
• Cholekinetics agawidwa kukhala: kumathandizira kutulutsa kwa bile ndikuwonjezera mamvekedwe a ndulu (magnesium sulfate, pituitrin, choleretin, cholecystokinin, sorbitol, mannitol, xylitol) ndi cholespasmodicum, ndikuchepetsa mphamvu ya bile ducts ndi sphincterinaminoridinideide gracortinaminoridin hydororin hydorfinide hydroutororide, hydotaforinideide hydroutideide. , mebeverin (duspatalin).

Munthawi ya kukokomeza, mankhwala azitsamba amagwiritsidwa ntchito kwambiri, osagwirizana ndi izi - mankhwala a chamomile, dandelion, peppermint, valerian, calendula. Ndipo munthawi zakhululuka, ndizotheka kupereka mankhwala a homeopathic kapena mankhwala azitsamba, koma ndi zitsamba zina - yarrow, marshmallow, tansy, buckthorn.

Ndikofunikira kwambiri kutsatira zakudya mosamalitsa pambuyo pakuchulukitsa kwa cholecystitis, ndiye kuti zizindikiro zake zimachepa. Kuphatikiza apo, tikulimbikitsidwanso kuti nthawi ndi nthawi muzigwira tubages ndi xylitol, mchere wam'madzi kapena magnesia, physiotherapy -, Reflexology, ndi mankhwala a SMT ogwira ntchito.

Pankhani ya cholecystitis yowerengeka yokhala ndi zizindikiro zotchulidwa, tikulimbikitsidwa kuchotsa chikhodzodzo, gwero la kukula kwamiyala, komwe kumatha kukhala pachiwopsezo cha moyo pakuyenda kwawo. Ubwino wa cholecystitis yokhazikika ndi miyala yochokera pachimake kuwerengedwa kwa cholecystitis ndikuti ntchito iyi inakonzedwa, sikuti mwadzidzidzi ndipo mutha kukonzekera bwino. Onse opaleshoni ya laparoscopic ndi cholecystectomy ya mini amagwiritsidwa ntchito.

Pakupanga opaleshoni pakuchita kuponderezedwa, nthawi zina wodwala cholecystitis, mankhwalawo amatha kukhala ngati njira yopondera miyala ya mantha wave lithotripsy, njira zowonjezerazi sizitulutsa miyala, koma zimangowagwetsa, kuziwononga, ndipo nthawi zambiri zimakulanso. Palinso njira yowononga miyala pogwiritsa ntchito mchere wa ursodeoxycholic ndi chenodeoxycholic acid, kuwonjezera pamenepa kuti mankhwalawa samatsogolera kuchiritsi kwathunthu, amakhalanso nthawi yayitali komanso amakhala mpaka zaka ziwiri.

Chithandizo cha pachimake cholecystitis

Ngati pachimake cholecystitis adalembedwa koyamba, miyala ndi chithunzi chachikulu cha chipatala sichikupezeka, palibe zovuta zowononga, ndiye kuti chithandizo chamankhwala chodziwika bwino - maantibayotiki, antispasmodics, NSAIDs, detoxation ndi enzyme.

Munthawi zopweteka kwambiri za cholecystitis yowonongeka, cholecystotomy kapena kuchotsedwa kwa ndulu ndikofunikira (onani. Nthawi zambiri, cholecystectomy imachitidwa kuchokera ku kupezeka kwa mini. Ngati wodwalayo akana kuthandizira, mutha kuchotsa kuukira koopsa ndi mankhwala, koma kumbukirani kuti miyala ikuluikulu imayambitsa kubwereranso m'mbuyo. komanso kusintha kwa matenda a cholecystitis, mankhwalawa amatha kutha mu njira yogwira ntchito kapena angayambitse zovuta.

Mpaka pano, mitundu itatu ya njira zochitira opaleshoni imagwiritsidwa ntchito pochiza cholecystitis - cholecystotomy yotseguka, laparoscopic cholecystotomy, kwa anthu ofooka - percutaneous cholecystostomy.

Odwala onse omwe ali ndi cholecystitis pachimake, popanda kupatula, akuwonetsedwa zakudya zowonjezera - tiyi yekhayo amatha kumwa m'masiku awiri oyambilira, ndiye kuti gome la 5A limaloledwa kupita pachakudya, pomwe chakudya chimangophika ndi mafuta okhaokha kapena owiritsa, mafuta ochepa amagwiritsidwa ntchito, yokazinga, kusuta, kukazinga zakumwa zoledzeretsa. Zambiri pa izo m'nkhani yathu.