Anatsekera khoma ndulu: Zoyambitsa ndi Chithandizo

Nseru ndi ululu pamimba chapamwamba nthawi anati anthu ambiri. Nthawi zambiri, zizindikiro zimenezi zimasonyeza chitukuko cha kutupa kapepala kakuti m'mimba. zomverera zosasangalatsa mu Zikatero pafupifupi nthawi zonse kugwirizana ndi kumwa mankhwala ena. Ululu ndiponso nseru zingasonyeze ndulu minofu chisindikizo. Ngakhale kuti thupi ili ndi ang'ono, zizindikiro zake kutupa ali anasonyeza mwamphamvu kwambiri. Akazi nthawi zambiri matenda chisindikizo makoma a ndulu ya? Kodi ndi chifukwa Kodi kudzachitika liti? Dziwani zimene zimagwira ntchito zimagwiridwa ndi ulamuliro. Ali ngati cholandirira chifukwa ya ndulu ya. Pa chimbudzi chakudya madzimadzi izi kwachilengedwenso adzamasulidwa ku duodenum ndi. Iwo limodzi ndi kuchepetsa wa chikhodzodzo ndulu. Anatsekera makoma thupi kumabweretsa kusokonezeka kwa ntchito yake yaikulu. Chifukwa cha patsogolo ya ndulu (cholestasis), ndi ndondomeko ya chimbudzi mochedwa pansi. Komanso, thupi achuluke kwambiri mu kukula, imbaenda ku ululu.

Chifukwa chisindikizo khoma kumeneko ndulu?

Nsalu kuti amapanga thupi silingaone condense popanda chifukwa. Ndi chifukwa iyi chokhwima zinthu zosiyanasiyana, zomwe zimakhala exo- ndipo amkati. Anatsekera ndulu khoma tingafunse pa zifukwa zotsatirazi:

1. Aakulu kutupa thupi - cholecystitis. matenda imodzi ya matenda ambiri a dongosolo m'mimba. Monga amadziwika, ndondomeko yotupa ndi edema ndi hyperemia thupi mpandawo, ndipo permeability ziwiya ka magazi ndi kuchuluka. Aakulu cholecystitis amakhala ndi magawo a exacerbations ndi kuchotsedwa. Chifukwa cha kutupa ili m'malo makoma kuchuluka kukula kwa minofu connective, amene nawonso, ndi zinadzala ndi chitukuko cha compaction limba adhesions ndi ndulu ya.
2. Calculous cholecystitis. Kuwonjezera kutupa aakulu kudwala imeneyi limodzi ndi mapangidwe miyala lumen thupi. Miyala kuteteza gulu la ya ndulu.
3. Kobadwa nako thupi mapindikidwe. anthu ambiri kuphunzira matenda Kukweza mawu ndi kusintha zina ndi kasinthidwe a ndulu ya. Kapangidwe pachithunzichi limathandiza kuti chitukuko cha cholestasis. Ndipo nayenso, amachititsa kutupa aakulu ndi kusindikiza makoma.
4. Kugwiritsa ntchito trudnousvaivaemoy chakudya. Amenewa amanena za wambirimbiri mafuta, zowawa, zakudya mchere.
5. Matenda a dongosolo m'mimba. Matenda a chiwindi ndi kapamba amaganizira kutupa ndulu ya.
6. Mtima kulephera. Long panopa mtima matenda zikubweretsa mapangidwe edema pa onse khungu ndi ziwalo.
7. Tizilombo ting'onoting'ono ndi zotupa zina. Kukula kwa minofu thupi nthaŵi zonse kusindikiza makoma ake.

Mfundo zonsezi tiyenera kuti kuchitira cholecystitis aakulu. Mapindikidwe ndi compaction makoma a ndulu chiopsezo kukhala zotsatira zoipa. Pakati pawo - kutukusira zina za kapepala m'mimba, kudzimbidwa.

chisindikizo Zizindikiro minofu

Anatsekera ndulu kunja kuwonetseredwa khoma. Choncho ngati mukukayikira kuti ndondomeko zimenezi ziyenera ndisanabadwe, mu ultrasound makamaka. Kuwonekera kwa matenda si nthawi zonse anasonyeza, koma mu nthawi za kutupa pachimake limba. Pa nthawi yomweyo amalembedwa zizindikiro monga nseru, kumverera mkwiyo pa kamwa, ululu pamimba lamanja, kufooka ambiri. Pa chikhululukiro, zizindikiro izi ndi kwina. Komabe, pambuyo mafuta chakudya ndi trudnousvoyaemoy zosasangalatsa zomverera zisadzachitikenso.

Kunyansidwa ndi kuwawa pakamwa pa exacerbations kuti si nthawi zonse kugwirizana ndi chakudya. Nthawi zambiri odwala amadandaula kusapeza m'mawa, asanagone. Atatha kudya zizindikiro kuvutika. Nthawi zina pali kusanza ya ndulu.

Kupenda thupi ndi cholecystitis

Powona mapeto ultrasound, odwala ayamba chidwi funso: tanthauzo kusindikiza makoma a ndulu ya? Dziwani kuti mawu awa zinatanthauza kusintha morphological mu thupi. Chisindikizo khoma - si matenda palokha. Chizindikiro chimenechi ndi wapezeka pa chida anayendera. Mbali imeneyi ndi nthawi zikutanthauza kuti wodwalayo ali ndi kutupa ndulu ya aakulu.

Komabe, dokotala ayenera kuonetsetsa. Kuti izi mapeto, kufufuza thupi. wonena za cholecystitis monga:

1. Mwachikondi pa kukakamiza dera chikhodzodzo (Kera chizindikiro).
2. Kulimbikitsa kusapeza pa palpation pa inhalation.
3. Ululu effleurage kumanja costal Chipilala (chizindikiro Murphy a).

Zizindikiro zonsezi wapezeka onse cholecystitis pachimake ndi aakulu. Choncho, kuti tipeze ngati chidindo thupi khoma, kuchita ultrasound.

Matenda a matenda a ndulu ya

Zizindikiro za zisindikizo ndulu khoma zikuoneka kuti njira yodziwira. Laboratory mbali cholecystitis aakulu monga: kuchuluka Ast ndi alt. Mlingo wa michere izi chinawonjezeka ndi stagnation wa ya ndulu mu ducts lapansi. Pa exacerbation ndi inati leukocytosis ndipo inapita ESR mu magazi.

The makulidwe a linga thupi sayenera upambana 5 mm. Kuenjezera chizindikiro amasonyeza pamaso pa aakulu yotupa ndondomeko. Komanso, pamene khoma chisindikizo amalembedwa kusintha Echo contours kachulukidwe thupi.

Kuwonjezera ultrasound anachita yopangidwa tomography m'mimba radiography. Nthawi zina zimafuna maphunziro apadera olanda. Pakati pawo - ndi cholangiopancreatography retrograde.

Anatsekera makoma ndulu: chithandizo cha pathologies

cholecystitis mankhwala zachokera zakudya mankhwala ntchito mankhwala. Pamene calculous kutupa opangidwa opaleshoni - ectomy ndulu. Pakuti mankhwala kuti kusintha otaya ya ndulu, ndi mankhwala "Allohol", "holosas", "Ursosan". Pa exacerbation mankhwala mankhwala. Kuchepetsa kuphipha minofu thupi ndi kupweteka, ntchito mankhwala "No-spa."

kudya zakudya zopatsa nthanzi ndi cholecystitis

Pamene akusindikiza limba makoma amafuna zakudya zonse. Pofuna kuyambitsa exacerbation wa zakudya ayenera zichotsedwa ndiponso kusuta zakudya kwambiri amchere, mafuta mbale. Ndi osafunika kudya masamba, kukhumudwitsa Kakhungu mucous la chipolopolo thupi (radish, radish). Odwala akulangizidwa kukonza chakudya kuchokera Taphunzira nyama ndi nsomba. Odwala zothandiza mkaka, dzinthu, zipatso purees masamba soups.

Zotsatira kusindikiza makoma thupi

N'chiyani chingachititse chisindikizo cha khoma ndulu? Ngati sanalandire chithandizo, zosokonezeka uka. exacerbations pafupipafupi patsogolo zimakhala ndi chidindo thupi. Chifukwa cha adhesions aumbike mwa ndulu ya. Aakulu cholecystitis oopsa kufala kwa ndondomeko yotupa. Zimenezi zimabweretsa zikamera wa pathologies zina - chiwindi, gastroduodenitis, kapamba. Miyala lumen wa thupi zikhoza perforation, peritonitis.

Kuteteza wosindikiza makoma thupi

Pofuna kupewa ndulu khoma kusindikiza n'kofunika kupewa chitukuko cha matenda aakulu. Ndi bwino kudya bwino (musati molakwika aliwonse, zakudya zokometsera). Pamaso pa helminthic kuwukira ayenera kuchotsa majeremusi, monga kawirikawiri padziko ya ndulu ndi ducts kwa chiwindi. Odwala amene amadziŵika limba anomalies chofunika kuti kafukufuku osachepera 1 nthawi pachaka.