Pancreatitis ndi bysary dyskinesia: magawo a matendawa

Kwa zaka zambiri, osagwirizana ndi gastritis ndi zilonda zam'mimba?

Mutu wa Bungwe: “Mudzadabwa momwe kuliri kovuta kuchiritsira matenda am'mimba ndi zilonda mwakumwa tsiku lililonse.

Pochizira gastritis ndi zilonda zam'mimba, owerenga athu amagwiritsa ntchito tiyi wa Monastic bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a parasitic ndiofala. Asayansi akukhulupirira kuti zoposa gawo limodzi mwa magawo atatu aanthu padziko lapansi pano ali ndi zinthu zaku Giardia - tizinthu tating'onoting'ono kwambiri tomwe timayambitsa mwayi m'matumbo ang'onoang'ono a anthu (chithunzichi chikuwonetsa momwe akuwonekera). Koma ziwerengerozi sizingakhale zolondola, chifukwa nthawi zambiri matendawa amabwera mwachinsinsi. Chiwerengero cha matenda omwe ali ndi giardia chikukula pang'onopang'ono, akatswiri omwe amafufuza mozama za thupi ndi zofunikira za giardia, adazindikira kuti amatha kupatsirana osati matumbo ochepa, komanso chikhodzodzo cha ndulu. Kodi zimatheka bwanji? Kodi giardia imatha kuyambitsa cholecystitis? Yankho la funsoli lili munkhaniyi.

Chifukwa chake, kuti timvetsetse ngati lamblia amatha kukhazikika mu ndulu, ndikuyambitsa cholecystitis, ndikofunikira kuyankhula pang'ono za physiology ya michere yosavuta kwambiri ya flagellar. Amatha kupezeka m'mitundu iwiri: mumtundu wamagulu (yogwira) ndi ma cysts (osagwira). Fomu yoyamba, kwenikweni, ndi khungu limodzi lomwe kutalika kwake ndi 12 micons, m'lifupi - 7 maikuloni. Mawonekedwe, imawoneka ngati peyala. Pazida zokulirapo pali ziwalo ziwiri.

Gawo ndi kukula kwa matenda

Kutengera mtundu wa njira yodutsidwayo, gulu la matendawa limapereka madigiri atatu: ofatsa, odziletsa komanso okhwima. Ndi ofatsa mawonekedwe a pathological ndondomeko, khunyu mwa wodwala amapezeka osaposa kawiri pachaka, amadziwika ndi kanthawi kochepa.

Monga lamulo, kuchulukitsa kumagona posagwirizana ndi zakudya zomwe zaperekedwa. Ndi pancreatitis, zakudya zina zimafunikira, kupatula mafuta, zonunkhira komanso zonunkhira. Muyeneranso kukonza kutsitsa tsiku ndi nthawi kuti chitsulo chizipumira.

Ngati kupweteka kumachitika ndi mawonekedwe ofatsa, ndiye kuti ndikosavuta kuyimitsa mothandizidwa ndi mankhwala. Chikhululukiro chikayamba, wodwalayo akumva bwino.

Kukula kwapakati kwamatenda kumadziwika ndi mfundo zotsatirazi:

• Kuwonjezeka kowonjezereka kanayi pachaka,
• Zikondwerero zimakoka nthawi zonse, pamakhala zowawa.
• Pali kuphwanya magwiridwe antchito a thupi,
• Ultrasound imawonetsa kusintha kwa kapamba,
• Wodwala akuchepa thupi.

Ndi mawonekedwe oopsa a matendawa, exocrine ndi intracecretory insuffuffence amadziwika, zizindikiro za kutulutsa zimatchulidwa, zimakhala kwanthawi yayitali. Zomwe zimayambitsa zimaphatikizapo kuperewera kwa zakudya m'thupi, matenda ophatikizika - cholecystitis, dyskinesia, gastroduodenitis, kutupa kwa duodenal papilla yayikulu.

Magawo anayi a matenda kapamba amodzi amadziwika:

1. Perclinical siteji. Palibe kachipatala, matendawa amapezeka mwangozi mothandizidwa ndi mayeso a labotale ndi zida zothandizira kuzindikira.
2. Mu gawo lachiwiri, munthu wamkulu amakhala ndi ululu wolimba wamkati, zizindikiro za dyspeptic palibe. Gawo lotere limatha kukhala zaka 5 mpaka 10, munthawi imeneyi kupezeka kochulukirapo ndikuchotsedwa.
3. Pa gawo lachitatu, chipatalachi chimapezeka nthawi zonse. Kuwonjezeka kwa ululu, mawonetseredwe a dyspeptic amadziwika, endocrine ndi exocrine insuffence akupezeka.
4. Pa gawo lachinayi, pancreatic atrophy yapezeka, ndipo matenda a shuga amayamba. Kusintha kwa matendawo kukhala machitidwe a oncological sikutsutsidwa.

Ngati mupeza zizindikiritso zoyambirira, muyenera kufunsa dokotala. Matendawa amafunika kuwazindikira bwino komanso kulandira chithandizo chanthawi yake.

Mitundu ya matenda

Mitundu ingapo yamatenda apathengo amadziwika. Mtundu wa parenchymal wamatenda umayendera limodzi ndi vuto la chinsinsi cha kapamba. Zowonongeka m'misewu ya gland sizikuwoneka, miyala palibe. Chofunikira - kupita patsogolo pang'onopang'ono, chipatalachi chimatha kutopa, ndizovuta kudziwa.

Kodi dyskinesia ndi chiyani? Matendawa kulibe, ndi bysary dyskinesia, compression of the ducts bile, omwe minyewa ya chikhodzodzo ndi bile ducts amagwira ntchito molakwika, yomwe imakwiyitsa kapamba.

Rease pancreatitis si matenda odziyimira pawokha. Pathology imachitika chifukwa cha kusagwira bwino kwa ziwalo zapafupi - zotupa zam'mimba, duodenum, cholecystitis.

Palibe chinthu monga cholowa cha chibadwa. Komabe, amagwiritsidwa ntchito ndi akatswiri azachipatala pomwe achibale amodzi apezeka ndi matendawa popanda chifukwa. Pakadali pano, asayansi amagwirizanitsa pathogenis ya pathology ndi chilema china.

Kuvulala kwapancreatic kumatha kubweretsa mavuto ndi thupi, chifukwa cha zomwe zimachitika pambuyo poti zimapweteka pambuyo pazochitikazo. Pa palpation ya kuchuluka kwa chiwalo, chachikulu chimadandaula za ululu, pali zizindikiro za dyspeptic ndi zina zipatala zina zokhudzana ndi kapamba. Matenda owopsa amathandizidwanso chimodzimodzi ndi mtundu wovuta wa matendawa.

Mitundu ina ya kapamba owopsa:

• Alimentary pancreatitis imachitika chifukwa cha kudya kwamafuta ndi zakudya zazonunkhiritsa, mtundu wa zakumwa za matendawa ungatchulidwenso,
• Gastrogenic imayamba chifukwa cha ma pathologies am'mimba,
• Kutsimikizika kwa mtundu wa ischemic kumachitika chifukwa cha kutseka kwa mitsempha yamagazi ndimagazi kapena ma atherosselotic malo,
• Biliary pancreatitis - kuwonongeka kwa ma biliary thirakiti,
• Mtundu wopatsirana. Amayambitsa - tizilombo hepatitis, mamps,
• Maonekedwe olimbitsa thupi kapena oopsa amayamba chifukwa chokhala ndi zitsulo zolemera, utoto, sol sol, ndi mankhwala ena.

Colitis ndi pancreatitis imayamba chifukwa cha kuperewera kwa zakudya m'thupi. Matendawa amayenda limodzi ndi kutukusira kwa mucous nembanemba. Zizindikiro: kupweteka kupweteka, mpweya wowonjezereka, kugundana pamimba. Mu ndowe pali kusakanikirana kwa magazi. Chosangalatsa ndichakuti, kutupa kwa kapamba kumatha kupangitsa colitis, ndipo mosemphanitsa, colitis imayambitsa kapamba.

Zotsatira zamtundu uliwonse wamatendawa: dazi (chifukwa cha kuperewera kwa zakudya m'thupi), chifuwa cha pancreatic necrosis, chifuwa cha pancreatic, magazi mu m'mimba thirakiti.

Chithandizo cha kapamba malinga ndi siteji

Pancreatologist angalimbikitse chithandizo chovomerezeka kapena cha opaleshoni ngati wodwalayo ali ndi vuto la kutupa kwa pancreatic. Pamene chifukwa chachulukidwe ndikutupa kwa ndulu, dokotalayo angakulangizeni cholecystomy - resection ya ndulu.

Kutupa kwa ndulu nthawi zambiri kumabweretsa mavuto ndi kapamba. Chiwalochi chikachotsedwa ndi opaleshoni, zizindikiro za kapamba zimatha.

Chizindikiro chokwanira cha opaleshoni ndi pancreatic necrosis. Kusankhidwa kwa njira ya opaleshoni kumatengera mkhalidwe wa wodwala, mtundu wa zamatenda a matenda. Potengera maziko a aseptic chikhalidwe cha pancreatic necrosis, laparotomy sachitidwa konse, chifukwa pali chiopsezo chachikulu chotenga matenda a ziwalo, kakulidwe ka magazi obisika.

Laparotomy ndi njira yamakono yochizira yomwe imagwiritsidwa ntchito motere:

1. Wopatsirana cysts ndi pseudocysts.
2. Phlegmon retroperitoneal fiber.
3. Peritonitis
4. Muli.

Pambuyo pa kulowererapo, wodwalayo amakhala m'chipinda chothandizira odwala kwakanthawi, ndiye kuti amamuthamangitsa. Wodwalayo amagona m'chipatala pafupifupi mwezi umodzi, komwe amalandila chithandizo choyenera. M'tsogolomu, muyenera kutsatira zakudya.

Chithandizo cha chifuwa chachikulu cha chikhodzodzo chikufuna kukulitsa gawo la chikhululukiro, motero, kupewa kuchulukitsa. Kumwa mankhwala motsutsana ndi matendawa kumatithandizira kuthetsa mavuto osiyanasiyana:

• Chithandizo cha ululu. Kuti muchepetse kupweteka, wodwalayo amapatsidwa mapiritsi a No-shpa, Papaverine. Simungagwiritse ntchito mankhwala a Aspirin, Nise, ndi mankhwala ena othandizira kutupa, chifukwa amathandizira kuonda magazi, kukhumudwitsa mucosa wam'mimba,
• Fotokozerani Polysorb wa kapamba - enterosorbent yomwe imamangiriza zinthu zapoizoni m'thupi ndikuzichotsa.
• Pondani katulutsidwe ka pancreatic. Proton pump zoletsa amagwiritsidwa ntchito - Omez, Contrical,
• Chithandizo cham'malo chimaphatikizapo kuchepetsa katundu pa kapamba. Amagwiritsa ntchito mankhwala okhala ndi michere yokumba - Festal, Mezim, Pancreon, Pancreasim,
• Maantibayotiki amalimbikitsidwa pokhapokha ngati pali kachilombo ka bacteria. Lembani Amoxiclav, Ampiok,
• Pofuna kusokoneza madzi ndi electrolyte bwino, m'malo mankhwalawa saline ndi zokhudza thupi zofunika.

Odwala ndi matenda mawonekedwe a matenda chikhululukiro ayenera kutsatira zakudya. Lipids ndi ochepa mumenyu ndipo amaphatikiza zakudya zomwe zili ndi mapuloteni muzakudya. Zakudya zokometsera komanso zamafuta, zakumwa zoledzeretsa, khofi, ma fiber opaka, koloko, ndi confectionery ndizoletsedwa.

Katswiri mu kanema mu nkhaniyi adzalankhula za kapamba.

Njira zochizira matenda ndi matenda a biliary dyskinesia

Kuzindikira kwa biliary dyskinesia kumatanthauza kusokonezeka kwazinthu zina zamagetsi am'mimba zomwe zimachitika chifukwa chakuwonongeka kwa ntchito ya mota pa ndulu ndi ma ducts ake. Pankhaniyi, kusintha kwa mtundu wa organic kulibe. Ndi matenda amtunduwu, kuphatikizika kwakanthawi kapena kosakwanira kwa ndulu kumadziwika.

Kufotokozera kwa matendawa

Gawo la akazi limakonda kukhala ndi dyskinesia, pomwe matendawa amapezeka kawiri konse. Matendawa amadziwika ndi kusapezeka kwa bile mu duodenum mu kuchuluka kofunikira, chifukwa komwe kumamveka kupweteka mu hypochondrium yoyenera.

Pali zifukwa zingapo zomwe zingayambitse dyskinesia ya biliary. Zina mwazo zimatha kukhala zopanda ntchito pakhungu ndi njira zomwe zimachotsa bile. Chifukwa cha kuperewera kwa zakudya m'thupi, kutupa kwa kayendetsedwe kazinthu komwe kumayamba, komwe kumapangidwa ndi chiwindi ndi ndulu, komwe kumayambitsa kuphwanya kwamphamvu kwa thirakiti la biliary.

Kugwiritsa ntchito mankhwala osokoneza bongo moledzera, zakudya zamafuta ndi zonunkhira zimakhudza njira zoyenera zama metabolic. Chifukwa chake, katundu pa chiwindi umachuluka, zomwe zimawononga ntchito ya chiwindi ndi ziwalo zina zam'mimba.

Ntchito yachindunji pakukula kwa biliary dyskinesia imaseweredwa ndi nkhawa. Matenda amtundu wam'mimba amatsogolera kupanikizana kwa ndulu ndi milomo yake, zomwe zimapangitsa kuphatikizika kwa ndulu ya bile mpaka 12 zilonda zam'mimba.

Mafuta owonjezera amalowa kapamba, potero amatseka kayendedwe ka kapamba, kamene kamakhala ndi vuto loyipa mthupi, kamene kamayambitsa kupezeka kwa kapamba ndimatenda a shuga.

Zomwe zimapangitsa kuti bysary dyskinesia ikhalepo, ndi:

• chibadwire
• matenda apakale, omwe amaphatikizapo hepatitis ya chiyambi cha ma virus,
• neurosis
• matumbo dysbiosis,
• zotupa zoyipa za kupuma,
• chakudya
• matenda am'mimba otupa omwe amatupa mwachilengedwe,
• matenda amtundu wa endocrine,
• tizilombo toyambitsa matenda.

Dyskinesia imawonetsedwa m'mitundu iwiri:

1. Malinga ndi mtundu wa hypokinetic. Pankhaniyi, ndulu ili m'malo omasuka, zomwe zimapangitsa kuti pakhale kusakhazikika kwake, kutalikitsa ndikuwonjezeka, chifukwa chomwe mumakhala ma gall stasis, komanso kusintha kwazomwe zimapangidwa, zomwe zimakhala zowopsa pakupanga calculi mu ndulu. Mtundu uwu wa dyskinesia umachulukira.
2. Ndi mtundu wa hyperkinetic. Chiberekero cha bile chimakhala chosagwirizana, chikuyankha mokhazikika kulowa kolowera mu lumen ya duodenum 12 ndi mphamvu zakuthwa, pomwe chikuyang'aniridwa mwamphamvu chimatulutsa bile.

Kuti mukulitse chithunzi, dinani ndi mbewa.

Malinga ndi mtundu womwe wapezeka, zizindikiro za biliary dyskinesia zimadziwika:

• kupweteka ndi kulemera kumbali yakumanja,
• kusokonezeka kwa chopondapo, pamene kudzimbidwa kumasinthana ndi chopondapo,
• chilala
• kupweteka
• kusakhazikika kwa thupi
• burping, kusiya kukoma kwa milomo yamkamwa,
• general malaise.

2. Fomu ya Hypokinetic:

• kupweteka kwa chikhalidwe chopwetekacho, chopezeka mu hypochondrium yoyenera,
• kumverera kolemetsa m'mimba
• mumangokhalira kulankhula zopanda pake,
• gag limatha.

3. Fomu la Hyperkinetic:

• kupweteka kwapweteka, kudzipangitsa kumverera mu zigawo zomwe zili m'chigawo cholondola cha hypochondrium ndikupereka m'malo a dorsal ndi kusoka. Kwenikweni, nthawi ya ululu woterewu ndi pafupifupi theka la ola, ndipo zimachitika chifukwa cha zakudya,
• kulimbikira
• gall emetic Reflex,
• kusadya bwino
• kufooka wamba, limodzi ndi ululu m'mutu.

Ndi bysary dyskinesia, zizindikiro zimachepetsa kwambiri moyo, zikukula bwino. Nthawi zambiri odwala omwe ali ndi dyskinesia wa biliary amafunsira dermatologist wodziwika ndi matenda a dermatitis. Komabe, zotupa za pakhungu zimasonyezanso mavuto ndi kugaya kwam'mimba. Zizindikiro zosadziwika zitha kupezeka mu:

• kuyang'ana pakhungu
• kuyuma ndi kusenda kwa khungu.

Maonekedwe a bubble totupa okhala ndi maziko amadzi ndikotheka.

Kuti mukulitse chithunzi, dinani ndi mbewa.

Zizindikiro

Kuti muwone dyskinesia wa biliary, maphunziro a labotale ndi othandizira amalembedwa. Komabe, njira zaposachedwa kwambiri zakufufuzira ndizothandiza kwambiri:

1. Ultrasound

Kuyesedwa kwa ultrasound kwa ndulu ya munthu wamkulu ndi mwana kumachitika ndi kadzutsa wa choleretic. Choyamba, kumapeto kwa chakudya cha masiku atatu, ndimayendedwe apamtunda oyambira omwe amapezeka, omwe amachititsa kuti masinthidwe otsatira:

Kuunikiridwa kumachitidwanso pakuchitika kwamaso amiyala. Pambuyo pake, zakudya zimatengedwa zomwe zimayambitsa kutulutsidwa kwa bile mu duodenum 12. Itha kukhala zinthu zamkaka, chokoleti kapena nthochi. Chifukwa chake, zimadziwika bwino komanso momwe kayendedwe ka bile kamachitikira.

2. Cholecystography

Poterepa, njira ziwiri zosiyanitsira radiograph zagwiritsidwa ntchito:

• cholecystography, momwe amawonjezera ma ducts a bile. Njirayi imaphatikizapo kukonzekera pakamwa kwa wothandizira, yemwe pambuyo pake amakupatsani mwayi kuzindikira momwe kusiyanako kumafikira ndulu, kumusiya,
• cholangiography, pamene ma bile amapezeka mkati mwa chiwindi amawunika. Poterepa, wothandizira wosiyanayo amaperekedwa jekeseni pamene chinthucho chikufikira mwachindunji kukamwa kwa bile. Pambuyo pake, kupita patsogolo kosiyanitsa pamilambo ya bile kumayang'aniridwa.

3. Cholescintigraphy

Njira yodziwikirayi ikugwirizana ndi kafukufuku wama radiology, pomwe kukonzekera kwa radioisotope kumalowetsedwa m'thupi, pambuyo pake, powunikira radiation yapadera, kudutsa kwake mu chiwindi ndi chimbudzi cha ndulu ya bile.

4. Phokoso la Duodenal

Imachitika ndikuwunika magawo azomwe zili mu duodenum 12. Kuti izi zitheke, kafukufuku akuchitika momwe amafunikira kumeza kafukufuku wochepa thupi. Atafika pachilonda cha mmatumbo, zomwe zimatengedwa zimatengedwa, zomwe zimakhala ndi bile, madzi ndi madzi.

Kuti mukulitse chithunzi, dinani ndi mbewa.

Pambuyo pake, mankhwala a choleretic amalowetsedwa mu probe nthawi ya bysary dyskinesia mu mawonekedwe a sulfate magnesia. Chifukwa chake, makonda a ndulu amatulutsa, ndipo ndulu yomwe ili m'golosimo imalowetsa matumbo, omwe amatengedwanso kuti apange kafukufuku.

Pakapita kanthawi, bile limayambira apa, lomwe kale limapezeka mu bile ducts mkati mwa chiwindi. Zitsanzo zoterezi zimatengedwanso kuti ziunikidwe. Pofuna kudziwa kuti muli ndi matenda, nthawi yayitali pakati pa kayendetsedwe ka mankhwala a choleretic ndikulandila magawo a zitsanzo ndizofunikira.

Zomwe zili ndi ma lipids osiyanasiyana m'magawo omalizidwa ndizofunikanso.

Ndi chitsimikiziro cha dyskinesia wa biliary, chithandizo chovuta chimayikidwa, chomwe chili ndi:

• kusintha kwa boma ndi chikhalidwe cha zakudya,
• ukhondo wa matenda oyambukira,
• kuthetsa matumbo dysbiosis ndi hypovitaminosis,
• kusiya zizolowezi zosagwira ntchito.

Mankhwala

Munjira zambiri, momwe mungathandizire dyskinesia yofanana ndi mawonekedwe a matenda:

Njira yotere ya matendawa imafunikira kuletsa kwa makina komanso zakudya zamakina ndi mafuta. Gome # 5 ikuyamba kukhala yofunika, yomwe imalemekezeka ndi zinthu zomwe zimakhala ndi mchere wamagalimoto. Pofuna kuchepetsa kuphipha kwamisempha yosalala, chotsani:

• nitrate
• antispasmodics of myotropic zochita,
• mankhwala anticholinergic
• nifedipine, omwe amathandiza kuchepetsa kamvekedwe ka sphincter.

Zikugwiranso ntchito # 5. Zakudyazo ziyenera kukhala zambiri zamasamba ndi zipatso, komanso zinthu zomwe zimakhala ndi masamba a masamba ndi mchere wa magnesium.

Chofunikanso kwambiri pakuchiritsa ndikutulutsa kwamtumbo kwa nthawi yake, komwe mafuta ndi masamba azitsamba azigwiritsidwa ntchito.

Pofuna kusintha magwiridwe amtumbo, omwe amachititsa kuti galbladder ichite, amachepetsa cholekinetics.

Physiotherapy

Nthawi zambiri, chithandizo cha dyskinesia wa biliary imachitika kudzera mu njira zolimbitsa thupi:

• mafunde ochepa
• otsika mwamphamvu akupanga walitsa,
• kusamba kwa ngale ndi kaboni.

Zakudya zamagulu

Maziko a bwino achire a bysary dyskinesia ndi chakudya, pakadapanda njira zina zamankhwala kukhala zopanda ntchito. Zakudya zoyenera zimapangitsa kuti pakhale njira yodalirika yogaya chakudya, komanso kubweretsanso michere ya bile:

• Zoletsedwa ndizakudya zowawa, zonunkhira komanso zokazinga,
• mowa wochepa wa zokometsera zosiyanasiyana ndi zonunkhira,
• kugwiritsa ntchito mafuta ndizoletsedwa. Itha m'malo ndi mafuta a masamba,
• ndizoletsedwa kutenga zinthu zomwe zingakhale zoyipa zomwe zingakwiyitse dongosolo la chimbudzi,
• kumayambiriro kwenikweni kwa chithandizo, chakudya chimagwiritsidwa ntchito ngati mawonekedwe amadzimadzi otentha komanso kutentha kwazotentha, zomwe ndizofunikira kwambiri pakulimbana ndi ululu,
• musanagwiritse ntchito, zakudya zimaphikidwa, kuwotchera, kuphika ndi kuphika ndi zojambulazo.

Njira zopewera

Pofuna kupewa chitukuko cha matenda a m'matumbo, malamulo otsatira ayenera kusungidwa:

• gwiritsitsani kugona kwathunthu kugona kwa maola 8,
• kunyamuka kukagona osachepera pa 11 a.m.
• Kusintha kwamalingaliro amtundu ndi thupi,
• ndimayenda pafupipafupi mumlengalenga watsopano ndi nthawi yayitali,
• zakudya zabwino pogwiritsa ntchito zakudya zopangidwa ndi mbewu, chimanga,
• kuletsa zakudya zamafuta okazinga,
• Kupatula kwa zochitika zomwe zimayambitsa zowopsa m'maganizo.

Njira zachiwiri zodzitetezera ndi kudziwitsani koyambirira kwa dyskinesia, zomwe zimatheka ngati pakuchitika mayeso a pafupipafupi. JVP silingayendetse chidwi chokhala ndi moyo, koma imakhudza kwambiri mtundu wake.

Pancreatitis ndi bysary dyskinesia: magawo a matendawa

Kutupa kwa pancreatic kumakhala kovuta komanso kosatha. Iliyonse mwaiwo imaphatikizidwa ndi kusintha kwatsatanetsatane komwe kumachitika mu minyewa yomwe yakhudzidwa.

Matenda osachiritsika amadwala matenda atayamba kudwala matenda. Amakhala panjira yotupa, yomwe imayambitsa kuphwanya chiwalo. Komanso, ngakhale gwero lavuto litachotsedwa, njira zowonongeka sizimayima.

Muzochita zachipatala, mitundu yosiyanasiyana ya matendawa imasiyanitsidwa, chifukwa cha ukadaulo, Zizindikiro zakutsatsa, kuwonekera kwamankhwala, ndi zina mwanjira yomwe kuzindikiritsa kwake kwachitika.

Tiyeni tiwone mitundu ndi magawo a kapamba, tipeze zoyenera kuchita ngati zikondazo zikupindika, ndipo ndi chithandizo chiti chikufunika?

Momwe gallbladder dyskinesia imakhudzira kapamba: chiopsezo cham'tsogolo cha matenda

Dyskinesia of the gallbladder is a functional aility of herility, yomwe imayambitsa zosagwirizana ndi ziwalo za m'mimba.

Ngati kawirikawiri katulutsidwe ka bile mu duodenum kumachitika chifukwa cha chakudya, ndiye kuti ndi makulidwe a matenda amtunduwu amachitika zokha.

Kuchepetsa kwa bile mu matumbo kumayambitsa kutsika kwa ntchito yake ya bactericidal, zomwe zimapangitsa kuti pakhale kusintha kwamphamvu kwambiri pakupanga microflora.

Kulowera kwa ndulu m'matumbo lumen kumatchedwa dyskinesia

Kusagwirizana kumeneku kumakwiyitsa kugaya chakudya ndipo kumayambitsa kuphwanya ntchito ya kapamba, komwe kumayambitsa kupweteka kwapamba.

Kodi chiwopsezo cha dyskinesia ndi chiani?

Kupukusa chakudya, kuwonongeka kwa michere ndi kusinthika kwawo kukhala mawonekedwe omwe amazilowetsa m'matumbo, kumachitika pogwiritsa ntchito madzi a bile, gastric ndi pancreatic juice. Bile limaphwanya mamolekyulu amafuta kukhala magawo osavuta, kenako ma enzymus apancreatic amasintha kukhala mafuta acids omwe amagwiritsidwa ntchito ndi minofu ya thupi.

Kuthamanga kwabwino kwambiri kwa kayendedwe ka bile kudzera mu ducts ya bile kumatsimikiziridwa ndikuwongolera ndi kupumula kwa ma sphincters, omwe amalamulidwa ndi mahomoni am'mimba ndi kapamba.

Kuthamanga kwa kayendedwe ka bile kumabweretsa kuchepa kwa ndende, ndikuchepa kwa chiwonetserochi kumawonjezera ndikulepheretsa kulowa kwake m'matumbo. M'magawo onse awiri, kusowa kwa mahomoni kumachitika, komwe kumakhudza kukula kwa matumbo, chikhodzodzo ndulu ndi kapamba.

Hypokinetic dyskinesia

Kuchepa kwa Hypomotor kumalumikizidwa ndi kuchepa kwa mphamvu yakulephera ya minofu yosalala ya bile, komwe kumapangitsa kuti magazi asakhale okwanira mu bile.

Izi matenda ambiri amapezeka mwa akazi patatha zaka makumi anayi chifukwa cha kusintha kwa mahomoni asanakweretse kusintha kwa thupi. Komanso hypokinetic dyskinesia imakonda kukhala ndi anthu omwe ali ndi psyche yosakhazikika omwe amamva bwino akakhala ndi nkhawa.

Izi ndichifukwa choti pakapanikizika, zochitika za mtima wamanjenje, zomwe zimakhala ndi kamvekedwe ka minofu yosalala ya m'mimba, zimachepa.

Zizindikiro za matendawa ndi:

• kupweteka kwa nthawi yayitali mu hypochondrium yolondola, kuchuluka kwake komwe kumatha pambuyo podya kapena mankhwala osokoneza bongo okhala ndi choleretic.
• maonekedwe a kuwawa ndi fungo losasangalatsa pamkamwa,
• nseru, kupangitsa kuchepa kapena kusowa kwa chakudya,
• kutsegula m'mimba, kusinthana ndi kudzimbidwa,
• kuchuluka kukodza.

Ndikupitiliza kukula kwa mtundu uwu wa dyskinesia, mkodzo umapeza mthunzi wakuda, ndipo ndowezo zimakhala zowala. Khungu loyera ndi chikasu cha zimagwira mucous, ziphuphu za maso ndi zigawo zikuluzikulu za khungu zimawonekera.

Woopsa milandu dyskinesia, chikasu cha pakhungu ndi mucous nembanemba zimachitika

Nthawi zambiri, kuyambika kwa chizindikiro cha hypokinetic mawonekedwe kumayambitsidwa ndi kupsinjika kwakukulu, kupsinjika kwa nthawi yayitali, kugona ndi njala kapena kudya chakudya chochuluka ndi predominance yamafuta.

Kuperewera kwa chithandizo ndikuchotsa zomwe zimayambitsa matendawa kumabweretsa:

• kuchepa kwa magwiridwe
• kusowa tulo
• kuphwanya kwamtima ndi phokoso la kupuma,
• kupweteka mutu pafupipafupi
• thukuta
• Kulephera kwa azimayi,
• kupezeka kwa mavuto ndi potency mwa amuna.

Kasitomala amakumana ndi hypotonic DZHVP pochepetsa mphamvu ya ma enzymes ndi mahomoni, omwe angayambitse kukula kwa matenda a shuga.

Kodi mungathe kukhala giardia mu ndulu?

Thupi la trophozoites (mtundu wa giardia) limakhala ndi magulu angapo a flagella. Mothandizidwa ndi iwo, lamblia amasuntha mothandizidwa ndi matumbo. Akatsikira m'matumbo, mothandizidwa ndi bile, trophozoites amasintha kukhala cysts. Monga tikuonera pachithunzichi, ali ngati zipatso zambiri kuposa mazira. Ma Cysts ndi ochepa kwambiri kuposa trophozoites, mosiyana ndi iwo ali ndi mawonekedwe ozungulira. Alibe flagella, motero ma cysts ndi osayenda. Pamwamba pa spores pamakhala chipolopolo champhamvu choteteza, chomwe chimathandiza mwanawankhosa kupulumuka kumalo akunja. Ma Cysts amatha kukhalabe ndi mphamvu yawo kutentha kwa madigiri +4 mpaka +20 kwa miyezi itatu. Koma njira yowira komanso kukhudzana ndi kuwala kwa ultraviolet, kozizira ndi kutentha kwa -13 madigiri lamblia amapha. Bile imawawononganso. Koma chifukwa chiyani posachedwapa zizindikiro zambiri zikuwonekera zomwe zikusonyeza kukhalapo kwa giardia mu ndulu? Kodi zimatheka bwanji? Chifukwa chiyani giardia ikhoza kuyambitsa cholecystitis?

Amadziwika kuti kuphwanya kwa bactericidal katundu a bile kungapangitse oyandikana nawo. Izi zimachitika ndi matenda a chiwindi ndi ziwalo za biliary system. Tizilombo tosavutikira kwambiri titha kulowa mu buluni pakokha. Koma kukhazikika m'makola, kuti akafike kumeneko kudzera pa Vater papillae - amatha kuchita. Kuphatikiza apo, pakukhazikika kwa nthawi yayitali, lamblia amapanga okha malo oyenera. Ndi njirayi yomwe imakwiyitsa dyskinesia wa biliary ndi giardiasis. Zotsatira zake, kuphatikizika kowopsa mwa mawonekedwe a cholecystitis, kumakulitsa kwambiri moyo wa wodwalayo.

Hyperkinetic dyskinesia

Hypertensive biliary dyskinesia imayamba chifukwa cha kuwonjezeka kwa kamvekedwe ka mphamvu ya parasympathetic system ndipo imadziwika ndi kuphwanya kwamtundu wa kayendedwe ka bile kulowa m'matumbo. Izi zimachitika pafupipafupi pomwe ma sphincters a bile ducts komanso makhoma a bile duct.

Kutulutsa kosalamulirika kwa ma asidi a bile nthawi ya kusowa kwa tinthu tating'onoting'ono m'matumbo lumen kumayambitsa kukwiya kosalekeza kwa makhoma ake. Koma mbali inayi, bile yomwe ilowa ilibe kuchuluka kwa ma asidi, omwe amapereka kuthana kwathunthu kwamafuta.

Chifukwa chophatikiza zinthu ziwiri izi zimachitika:

• kukula kwa microflora ya pathogenic m'matumbo chifukwa kuchepa kwa antibacterial katundu wa bile,
• mapangidwe a zotupa m'mimba ndi matumbo aang'ono,
• kusangalatsa chifukwa cha kuchuluka kwa mphamvu yakuchuluka kwa chakudya
• kuponya bile m'mimba,
• mapangidwe miyala mu bile duct chifukwa kusayenda kwa bile.

Zizindikiro zakukusintha uku ndi:

• paroxysmal ululu wamfupi mutatha kudya kapena masewera olimbitsa thupi, otchulidwa mu hypochondrium yoyenera,
• kutentha kwa mtima
• ukufalikira
• kusanza pamodzi ndi kusanza
• ulesi
• kutsegula m'mimba
• kuwoneka m'chinenedwe cha zolembedwa, zomwe zatchulidwa chikasu.

Kuchepetsa mseru pafupipafupi komanso kusanza pafupipafupi kungasonyeze kukula kwa dyskinesia wa m'mimba thirakiti ndi kapamba

Ngati kutupa kwa kapamba kumayambira kumbuyo kwa mawonekedwe a dyskinesia, ndiye kuti kutentha kwa thupi kumachitika, kugunda kwam'mimba kumakhala lalitali, kumapereka pansi pa scapula kapena msomali.

Zofunika! Chizindikiro chomwe chikuwonetsa kukula kwa kapamba ndiko kusapeza mpumulo utatha kusanza. Izi zikuyenera kuuzidwa kwa adotolo pakufotokozera za matenda a matenda am'mimba, chifukwa izi zithandizira kufotokozera mwachangu ndikuyamba chithandizo.

Mavuto a Dyskinesia

Mavuto a m'matumbo dyskinesia ndi kapamba limodzi ndi colic

Popanda chithandizo komanso momwe masinthidwe amadya, kuukira kwa DZhVP kumachitika pafupipafupi. Pomaliza, izi zidzapangitsa kuti pakhale gawo lalikulu kwambiri la ululu wammbuyo - colic, momwe ululu suchotsedwanso ndi ma analgesics omwe si a steroidal, ndikuti kuchipatala kwa wodwala ndikofunikira.

Zotsatira zina zoyipa zomwe zimachitika chifukwa cha mtundu wa dyskinesia ndi monga kupangika kwa miyala mu ndulu ndi kukula kwa kapangidwe kake ka kapamba.

Malinga ndi ziwerengero, kapamba, chomwe chimayambitsa kukanika kwa bile ducts, ndizovuta kuposa kutupa komwe kumachitika chifukwa cha zina.

Zofunika! Chithandizo cha matenda amkati popanda kuchotsa kuphwanya kwa bile duct sikukutulutsa.

Kuletsa kukula kwa zovuta kumathandizira kuzindikira matendawa koyambirira, kutsatira malamulo a zakudya zopatsa thanzi ndikusamala njira zopumulira zomwe zimaloleza kuyankha kwakutaya mtima mukakhala ndi nkhawa.

Zizindikiro zamatenda a ndulu ndi kapamba

Zizindikiro za gallbladder ndi matenda kapamba ndizofanana. Komanso, nthawi zambiri matenda a ziwalozi amakhala limodzi, akumathandizirana ndi kupatsirana wina ndi mnzake.

Mwambiri, matenda ophatikizika komanso matenda a chiwalo chilichonse payokhapayokha ndi njira zowopsa zomwe zimakhala ndi zotsatirapo zoopsa.

Pakuwonetsedwa kwa zizindikiro za biliary, muyenera kufunsa katswiri posachedwa, chifukwa ndi iye yekha omwe angadziwe zamomwe zimakhalira ndi kufotokozera momwe zimakhalira.

Maonekedwe apadera a ziwalo

Ngakhale chikhodzodzo cha ndulu ndi kapamba zimagwira ntchito zosiyanasiyana m'mimba, zimatha kukhudzana kwambiri.

Zikondazo zimatulutsa madzi a kapamba, okhala ndi michere yambiri (ma insulin ndi glucagon), amene amapangidwa m'magazi. Ndi kukula kwa njira yotupa m'matimuwa, kutuluka kwa ma enzymes ophatikizika kumasokonezeka.

Kuchulukitsa kwawo kumalowa mu ndulu ya ndulu, zomwe zimayambitsa kufalikira kwa zomwe zimachitika mu chiwalochi (cholecystitis).

Matenda a gallbladder

Matenda a gallbladder amayamba chifukwa cha njira zazikulu zotsatirazi: mapangidwe amiyala mu chiwalo, chotupa pa stenotic minofu, dyskinesia ya ma excretory canals, chotupa kapangidwe, ma polyp.

Matenda a Gallstone amadziwika ndi mawonekedwe a miyala yamadzala mu chikhodzodzo kapena ma ducts.

Miyala ndi miyala yamakristali yolimba yomwe imapangidwa kuchokera ku cholesterol ndi mchere wamchere womwe umamangidwa ndi gawo la bile - bilirubin.

• kunenepa kwambiri
• zosokoneza kagayidwe,
• kuperewera kwa zakudya m'thupi
• matenda ena.

Zizindikiro za matenda zimawonekera kutengera chiwerengero ndi kukula kwa miyala. Kwa nthawi yayitali, sangathe kudzipangitsa kumva.Kumayambiriro kwa mayendedwe awo, hepatic colic imachitika - kupweteka kwambiri, kowopsa mu hypochondrium kumanja ndikubwerera kumanja kumanja ndi mkono. Zowawa zakumaso zimayendetsedwa ndi nseru, kusanza, kamwa yowuma, kufoka.

Chithandizo cha matendawa nthawi zambiri chimachitika pochita opaleshoni. Koma ndi miyala yocheperako, miyala ikuluikulu imagwiritsidwa ntchito. Potsirizira pake, mankhwalawa amagwiritsidwa ntchito: Henochol, Henosan, Urosan, Ursodiol, etc. Cholecystitis ndikutupa kwa makoma a gallbladder, ndikupangitsa kuphwanya kutuluka kwa bile ndikuwoneka kwa microflora mu lumen ya duct.

Zomwe zimayambitsa matendawa:

• kukula kwa matenda a ndulu,
• kutaya madzi a kapamba kuchokera kapamba,
• kuphwanya kayendedwe ka magazi m'makoma a chikhodzodzo.

Pali mitundu iwiri: cholecystitis pachimake komanso matenda. Fomu yovuta yamatendawa imadziwoneka yokha mwa mawonekedwe otsatirawa:

• kupweteketsa ululu ndi kufalikira mkati theka lam'mimba, kufikira kumanzere ndi phewa lamanja,
• kusanza ndi mseru
• kuzizira
• malungo
• Khungu
• Zizindikiro za jaundice.

Matenda a matendawa amakula pang'onopang'ono, koma amayenda limodzi ndi nthawi yowonjezera. Nthawi zambiri, kachilombo ka bakiteriya kamene kamayambitsa chitukuko cha mawonekedwe.

Biliary dyskinesia ndikuphwanya kwa ntchito yamagalimoto ndi chikhodzodzo. Matendawa amadziwika ndi kukhumudwa kwachilendo kwa ndulu komanso kusagwirizana pakayendetsedwe ka kayendedwe ka bile mu ducts.

Zoyambitsa zazikulu zoyambitsa matenda ndi psycho-zoopsa, kupsinjika, matupi awo sagwirizana.

Matendawa amayambitsa kupweteka kwa hypochondrium kumanja, ndipo ululuwo ukupweteka m'chilengedwe ndipo amatha masiku angapo. Nthawi yomweyo, milandu idadziwika pomwe ululu udali mukulumikizana kwakanthawi kochepa. Zizindikiro zina ndizodziwika: kutopa, kusapeza bwino, kusowa tulo, kusowa kudya.

Zotupa mu ndulu zimatha kukhala zovulaza ndi zoyipa. Mitundu yayikulu yamapangidwe opanga ndi ma polyp.

Amakhala pafupifupi asymptomatically, koma ali ndi chiwopsezo chachikulu - kuthekera kokula mu mawonekedwe owopsa mukadzala. Chizindikiro chachikulu cha chotupa chowopsa ndi jaundice ndi chizolowezi chowonjezera chiwonetsero.

M'magawo omwe akukulidwa, ululu, kuwonda kwambiri, kuwonekera pakhungu kumadziwika. Chithandizo chokha ndikuchita opareshoni.

Chikhodzodzo ndulu ndi chosungira ndi kupatsira bile. Ndiye amene amapatsa matumbo ake. Matenda a chiwalo ichi, monga kufinya kwa ma ducts a bile, amachititsa kuti bile iziyamba kulowa m'miyendo ya kapamba, yomwe imayambitsa bancary pancreatitis.

Matenda otupa ndi omwe amachitika chifukwa cha kuwonekera kwa bile pa minyewa ya glandular. Chifukwa chake, ziwalo zonsezi zimakhudzana kwambiri malinga ndi kukula kwa ma pathologies.

Ndizosadabwitsa kuti nthawi zambiri matenda awo amapezeka nthawi imodzi, ndipo zizindikiro za matendawa ndi zofanana kwambiri.

Matenda a kapamba

Matenda a pancreatic nthawi zambiri amagwirizanitsidwa ndi kutupa, njira ya chotupa, kukula kwa cysts (pseudocysts) ndi mawonekedwe a miyala mu parenchyma.

Matenda akuluakulu a kapamba am'mimba yotupa ndi kapamba, omwe ndi chifukwa cha kutseguka kwa ma enzymes a protein. Pali mitundu iwiri ya matendawa: owopsa komanso osachiritsika. Loyamba limakhazikitsidwa ndi kukula kwa necrosis ndi dystophy ya tezi ndi kuphatikizira kwachiwiri kwa matenda opatsirana.

Chizindikiro chofunikira ndikumapweteka kwambiri pamimba yam'mbuyo ndikubwerera kumbali, kumbuyo, hypochondrium, kutsikira kumbuyo, koma nthawi zambiri mawonekedwe a kuboola ululu kuyambira epigastric zone mpaka kumbuyo ndikusunthira kumanzere. Ma pinkiller ochiritsira samachotsa kupweteka. Chizindikiro chotsatira chofunikira kwambiri ndikusanza kwachangu ndikamasulidwa kwa bile, ntchofu, ndi madzi amtundu wobiriwira.

• ndala zomwe zimachedwa
• thukuta lozizira
• khungu lamtambo,
• Zofooka koma zofulumira
• kutentha kwambiri (mpaka + 38.5 ° C),
• kupuma movutikira, kupumira kwapawiri pafupipafupi.

Vuto la pancreatic limatha kuchitika mosayembekezereka nthawi iliyonse masana, nthawi zambiri pambuyo podya zakudya zamafuta kapena kumwa zakumwa zoledzeretsa.

Pankhani ya kukula kwa mawonekedwe osakhazikika, zizindikirazo sizimatchulidwa kwambiri kuposa momwe zimachitikira. Iron sichitulutsa ma enzymes omwe amafunikira, omwe amachititsa kugaya kwamphamvu ngakhale pakukhululuka.

Ululu ndi zizindikiro za kuledzera zimathandizira zizindikiro za kudzimbidwa panthawi yowonjezera.

Pakukula kwa matenda amisempha, maselo a Langerhans omwe amapanga insulin ndi glucagon amasinthidwa ndi minyewa yongoyerekeza, chifukwa chotsatira zomwe zimadziwika ndi matenda a matenda a shuga 1.

Mapangidwe a cyst

The chotupa mu kapamba kumawoneka ngati kapisozi wodzazidwa ndi madzi. Kupanga koteroko kumatha kuwoneka paliponse mu gland ndipo, monga lamulo, ndizomwe zimachitika chifukwa cha kupweteka kwa kapamba.

Poyamba, sadziwonetsa, koma akamakula, amayamba kulipira mphamvu ziwalo zapafupi. Njirayi imakwiyitsa zizindikiro zotsatirazi: kupweteka pamimba, kutaya chimbudzi, kuwonda.

Chithandizo chachikulu ndikuchita opareshoni.

Miyala mu kapamba samapezeka kawirikawiri ndipo amachitika m'mutu. Chizindikiro cha mawonekedwe awo parenchyma ndikumva kupweteka pamimba, mpaka kumbuyo. Matenda a ululu amatha kukhala ndi vuto lodana ndi kuwonjezereka mutatha kudya. Ngati mwala utalowa mumkono wa ndulu, zizindikiritso za jaundice wovuta zimadziwika.

Mwambiri, ngati mukufanizira zizindikiro zazikulu zamatenda a kapamba ndi ndulu, mutha kuwona zambiri zofanana. Zizindikiro za pathologies zimatha kudwala wodwala nthawi yomweyo. Katswiri yekha ndiamene angakhazikitse chithunzi chenicheni chachipatala atapanga mayeso oyenera. Kudzipatsa nokha mankhwala kumatha kuyambitsa mavuto.

Pancreatic dyskinesia mwa mwana

Dyskinesia ndikuphwanya magwiridwe antchito a biliary, momwe minofu ya ndulu ndi ndulu za ndulu sizigwira ntchito molondola. Izi zimabweretsa kuphwanya kulowa kwa nthawi ya bile mu duodenum.

Palibe lingaliro la dyskinesia wa pancreatic, ngakhale kuti matenda ake angayambitse kusokonekera kwa biliary. Koma pali matenda ogwira ntchito ngati kapamba ngati dyskinesia wa mpope wa Vater. Uku ndikusokonekera kwa mota wa sphincter wa pancreatic duct.

Imadziwoneka ngati ululu wammbuyo yofanana ndi kutupa kwa kapamba - chofiyira, chikhodzodzo, kupweteka kwa m'chiuno kumamveka pamimba. Vutoli limatha kubadwa chifukwa chakudya zakudya zina, kulimbitsa thupi, komanso kutenga kachilomboka.

Kuukira kumatha osaposa maola atatu, pomwe nthawi zowawa kuchokera pamimba zimatha kufalikira mpaka kumbuyo ndi chifuwa.

Kuphatikiza pa kupweteka kwapancreatic, izi zimadziwika ndi kuwonjezeka kwa kuchuluka kwa amylase ndi lipase ya magazi ndi 1.5-2 nthawi. Kuunika kwa Ultrasound kumawonetsa kukulira kwa pancreatic duct mpaka 3-5 mm.

Pancreatitis ndi bysary dyskinesia (DZHVP)

Dyskinesia ya biliary imawerengedwa kuti ndi imodzi mwazomwe zimapangitsa kuti pakhale mitundu yoopsa ya kapamba. Kuphwanya kukhazikika kwa magwiridwe antchito a biliary kumabweretsa chiwopsezo chachikulu chamafuta m'thupi ndi kuwonongeka kwakuthwa m'magazi. Kuphatikiza apo, kumayambitsa kukhwimika kwa zovuta zovuta zomwe zimakhudzana ndi kukulira kwa pancreatic duct.

Pancreatitis, chimodzi mwazomwe zimapangitsa kuti pakhale matenda a bysary dyskinesia, imadutsa m'njira zovuta kwambiri kuposa kutupa komwe kumachitika chifukwa cha zovuta zina za pathological. Chomwe chimapangitsa izi ndi kusakwanira kwa ndulu mu duodenum, chifukwa chomwe wodwalayo amamva kupweteka kwambiri mu hypochondrium yoyenera komanso kupumira mseru nthawi zonse.

Pazithandizo zapamwamba za pancreatitis yapamwamba kwambiri, ndikofunikira, choyamba, kuti muchepetse kusokonezeka kwam'mimba, ndipo pokhapokha pitirizani chithandizo cha matenda oyambitsidwa. Kupanda kutero, chithandizo sichingabweretse zotsatirapo zabwino.

Kodi mukuwonekerabe kwa inu kuti kuchiritsa pancreatitis kumakhala kovuta?

Poona kuti mukuwerenga izi tsopano, kupambana pakulimbana ndi kapamba kulibe kumbali yanu.

Ndipo mudaganizapo kale za opaleshoni? Ndizomveka, chifukwa kapamba ndi gawo lofunikira kwambiri, ndipo magwiridwe ake oyenera ndi chinsinsi cha thanzi komanso thanzi. Kupweteka kwapafupipafupi m'mimba, kufooka, chizungulire, kutulutsa, mseru, kusokonezeka kwa chopondapo. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani ya Irina Kravtsova. momwe adachotsera kapamba mpaka muyaya.

Biliary dyskinesia mu ana

Nthawi ndi nthawi, ana ena amakhala ndi vuto logaya chakudya m'mimba. Nthawi zambiri matendawa amachoka mwachangu, koma pokumbukira kwanga pakhala nthawi yomwe mwana adagonekedwa kuchipatala ndipo amayenera kuti amuchiritse kwa nthawi yayitali.

Poyamba, ndifotokoza za moyo womwe unachitikira ine posachedwapa. Chitsanzochi chikuwulula kwambiri, ndipo ndikuganiza ambiri adzachita chidwi. Posachedwa, mayi wina wabweretsa mwana wawo wamkazi wazaka zisanu kudzandilandira phwando.

Zizindikiro zotsatirazi zidawonedwa mwa mwana:

• madandaulo a m'mimba kupweteka masiku angapo,
• kusanza ndi kusanza kawiri
• kamodzi opepuka kwambiri, osasanja mpando.

Zomwe zimachitikiranso mwana zimachitika kangapo pachaka. Ndichite chiyani tsopano? Mwambiri, izi zimagwirizanitsidwa ndi kusokonezeka kwa gallbladder - biliary dyskinesia.

Kuzindikira chomwe chimayambitsa

Dokotala nthawi yomweyo amafunsa funso: Kodi mwana adadya chiyani tsiku lomaliza la kuukiridwa? Zapweteka? Nthawi zambiri makolo amangokhala osagwirizana. Komabe, ngati muyamba kufunsa mwatsatanetsatane, ndiye, monga lamulo, zinthu zosangalatsa zimafotokozedwa.

Keke, zikondamoyo, kebabu ndi zakudya zina zambiri "zolemetsa", zamafuta, zopanda mafuta zitha kuwoneka pamndandanda wazakudya zomwe zadyedwa dzulo.

Zoti ife nthawi zambiri, mwatsoka, ndiye zakudya zomwe mwana amakonda, zimatha kukhala tsoka.

Mimba yotsekemera ya mwana, nthawi zina, singathe kuthana ndi zakudya zofanana - mwanayo alibe michere yokwanira kugaya chakudya.

Ndi ma enzyme omwe alipo, sikuti nthawi zonse amatha kutafuna chinthu chotere.

Zochitika zina zimachitika mophweka: choyambirira, chikhodzodzo, ndulu sichitha kuthana ndi vutolo, ndipo kumbuyo kwawo kugaya chakudya. Chifukwa chake madandaulo ofanana.

Ultrasound ya chiwindi, ndulu ya ndulu, kapamba

Pankhani yoyeserera, ndikofunikira kuyambitsa ndi ultrasound ya chiwindi, ndulu ya ndulu, kapamba. Mukamayesa ma ultrasound, monga lamulo, kupatuka kwina kwa ndulu kumaululidwa:

• kapangidwe ka khoma,
• Nthawi zina - matalala m'mphepete mwa ndulu,
• pakhoza kukhala zochulukirapo kapena zopunduka. Zosintha zomwe zimachitika nthawi zambiri zimadziwika.
• kapamba.

Malinga ndi zotsatira za kafukufukuyu, matendawa adapangidwa: dyskinesia wa biliary, kusintha kosinthika kwa kapamba.

Mu lingaliro langa, sikofunikira kuti muphatikize kufunikira kwakukulu pakupezeka kwa gallbladder. Yokha, kukhudzika, kusinthika kwa ndulu sikutsimikizira 100% yakukula kwa matenda a chiwalo ichi.

Nthawi zambiri, akamachita kafukufuku wa ultrasound pazifukwa zina, amapezanso zopatuka, koma munthu alibe mavuto.

Nthawi zina kusintha kwa ndulu kumapangitsa kuti kutuluka kwa ndulu, komatu izi ndi zochuluka - muyenera kumvetsetsa zonse.

Kutsimikiza kwa gallbladder contractility

Nthawi zambiri, dokotala amalimbikira kuti azichita za ultrasound kutsimikiza kwa contractility ya ndulu. Ichi ndi chiyani Voliyumu ya gallbladder imayezedwa mosamala pamimba yopanda kanthu, ndiye kuti, simuyenera kudya kokha, komanso kumwa ndikutsuka mano musanatero. Ndiye omwe amatchedwa "katundu" amapatsidwa.

Itha kukhala yolks, chokoleti, tchizi, kirimu wowawasa, kapena njira zina zofananira. Kenako, patapita nthawi, voliyumu ya ndulu imatsimikizidwanso ndipo zochita zake zimaweruza kugwedezeka kwa ndulu. Kwachipatala, pamakhala kutsutsana pa kuyesedwa koyenera.

Tiyenera kudziwa kuti zotsatira zake ndizofanana kwambiri ndipo zimatengera nyengo yayifupi. Pano gawo la mwana komanso thanzi la mwana, komanso momwe akumvera, ndipo mwina nyengo, imatenga gawo.

Mulimonsemo, nthawi zambiri zimakhala zotheka kupanga lingaliro pa ntchito ya ndulu pogwiritsa ntchito njira zosadziwika, koma zodalirika zomwe ndi gawo la protocol yofufuza.

Kafukufuku wowonjezera

Kuphatikiza pa ultrasound, dokotala atha kukuwuzani kuti muchite mayeso otsatirawa: kuwunika kwapofotokozera (feces pakuwunika kwa digestibility), kuyesa kwamkodzo kwa diastasis (onani kuchuluka kwa momwe kapamba amakwiya), nthawi zina nkoyenera kuyesa mayeso am'chipatala komanso a biochemical.

Gastroscopy ikhoza kukhala yofunikira, koma kafukufukuyu amachita bwino mosamalitsa malinga ndi zomwe akuwonetsa, osazunza.

Chithandizo cha biliary dyskinesia

Tiyeni tiyambe ndi mphamvu yamagetsi. Mankhwala, chinthu chofunikira kwambiri ndikupanga zakudya, nthawi zina zimakhala zokwanira. Ndi dyskinesia wa biliary, dokotala ayenera choyamba kutsitsa mwana zakudya kuti apatse dongosolo la m'mimba chakudya. Kuti muchite izi, muyenera kutsatira zakudya zina. Mutha kumwa madzi, koma ndi chakudya ndibwino kudikira pang'ono.

Mankhwala omwe amagwiritsidwa ntchito pochiza dyskinesia wa biliary

Mndandanda wamankhwala omwe ali pansipa udzakuthandizani kukhala ndi lingaliro lazokhudza mankhwalawo, makamaka magulu a mankhwalawa omwe amathandizidwa pochiritsa dyskinesia. Koma, poganizira mawonekedwe awachipatala, mitundu ina ya mankhwala ingagwiritsidwe ntchito.

• Ma enzyme (m'malingaliro mwanga, kusankha kwabwino ndi mezim-forte ndi creon,
• antispasmodics (palibe-shpa, duspatalin)
• kanthawi kena mankhwala a choleretic adalembedwa,
• ndi kusanza kosalekeza, Motilium imagwiritsidwa ntchito,
• Mwanjira imodzi kapena zingapo, njira zothetsera zimagwiritsidwa ntchito zomwe zimasokoneza kukula kwamadzi.

Pambuyo poyimitsa kukokoloka, nthawi zambiri ndibwino kugwiritsa ntchito mankhwala a choleretic, kuphatikizapo zitsamba za choleretic (monga dieelle, stigmas, yarrow, etc.).

Ngati ndi kotheka, hepatoprotectors adalembedwa kuti athandize kugwira ntchito kwa maselo a chiwindi (Chofunikira Forte N, Carsil, ndi mkaka wina wokonzekera, hofitol). Nthawi zina, kuikidwa kwa ursodeoxycholic acid kukonzekera (ursofalk) kukuwonetsedwa.

Zomwe zikusonyezedwanso ndi maphunziro amadzi amchere, chithandizo cha spa. M'tsogolomu, kutsata kwa kuwunika koyeserera ndi maphunziro obwereza omwe amathandizira pakubweretsanso chithandizo kukuwonetsedwa.

Dyskinesia mwa ana. Zizindikiro

Dyskinesia amatanthauza matenda am'mimba, makamaka ku chiwalo monga chiwindi. Mawu oti "dyskinesia" amatanthauza kuphwanya kwa matumbo a ndulu ndi ndulu za ndulu.

Zotsatira zomwe zimayambitsa kuphwanya kwa mapangidwe a bile. Matendawa amakhudza aliyense, akulu ndi ana.

Kuphatikiza apo, mwa ana ndizofala, koma matendawa samapezeka kawirikawiri ali aang'ono.

Nthawi zambiri, dyskinesia mu ana ndi vuto lachiwiri.Ndiye kuti, limadziwonekera pambuyo pa matenda otere, mwachitsanzo, ngati zilonda zam'mimba, kutupa kwa kapamba, gastroduodenitis. M'thupi la mwana, matendawa ndiosavuta kuchiritsa kuposa munthu wamkulu.

Dyskinesia mu ana # 8212, zimayambitsa

M'malo mwake, pali zifukwa zambiri za dyskinesia.

Izi zitha kukhala matenda osiyanasiyana am'mimba, matenda opatsirana, kuledzera kwa thupi, chifuwa, chakudya, cholowa, cholecystitis, matenda a helminthic.

Zomwe zimayambitsa zimaphatikizanso kuphwanya kwamanjenje, zochitika zovuta, zomwe poyambirira, sizigwirizana ndi dyskinesia.

Zizindikiro za dyskinesia mwa ana

Sikovuta kuti makolo azindikire dyskinesia mwa ana. Zizindikiro za matendawa ndi izi: mwana yemwe ali ndi vuto la dyskinesia nthawi zambiri amadandaula za kupweteka kwam'mimba. Nthawi zambiri, samatha kufotokoza komwe kumakhala kupweteka komanso chikhalidwe.

Ululu umasokonezeka m'njira zosiyanasiyana, mwina kangapo patsiku, ndipo mwina kangapo pa sabata. Makamaka pachimake, mwana amamva kuwawa poyenda mwachangu kapena kuthamanga. Kugwiritsa ntchito zakudya zotsekemera kapena zamafuta kumapangitsanso kuwonetsa kuwawa.

Kuphatikiza apo, kulawa kowawa mkamwa kapena mseru, kudzimbidwa kapena kutsekula m'mimba kumatha kulumikizana ndi ululuwo, pomwe utoto wake umakhala dongo. Mwanayo amasiya kudya, kupweteka mutu, kutopa, kufoka, kuwonekera.

Ndi kupsinjika pang'ono pa chiwindi, ana amamva kupweteka kosasangalatsa. Mukamafufuza chiwindi, mutha kuzindikira kuti sikukuwonjezera kwenikweni.

Zizindikiro za Gallbladder

Ndi zizindikiro ziti zomwe zingawonetse kukhalapo kwa giardia mu ndulu ndi kukula kwa cholecystitis? Giardiasis yamtundu uliwonse ilibe zizindikiro zachindunji. Chithunzi cha chipatala cha mawonekedwe am'matumbo chimakhala ndi mawonekedwe ofanana ndi matenda ena aliwonse am'mimba. Odwala angadandaule chifukwa cha dyspepsia:

1. Mpando wosakhazikika.
2. Kusanza ndi kusanza.
3. Mphamvu yowoneka bwino.
4. Ululu, womwe umapezeka kumtundu wa navel, kumtunda kwa khoma lakunja kwa peritoneum.