Chithandizo cha cholecystitis ndi cholecystitis aakulu. Zoyambitsa, Zizindikiro, Matendawa

Zotsatira Cholecystitis ku kuyabwa ndi kutupa kwa ndulu (limba, limene lili pafupi chiwindi ndi watenga mbali mu chimbudzi). Ya ndulu excreted makamaka kudzera intestine kakang'ono, koma nthawi zina patukani mavuto ake angakhalepo chifukwa umene anapeza mu ndulu ya. Zimenezi zimabweretsa kuwawa ndi pakutchulidwa matenda.

Ntchito ya chikhodzodzo ndulu thupi

ndi ntchito ya ndulu chiyani? thupi ili allocates chinsinsi chimene dilutes madzi chapamimba, kukonzedwa chakudya, kusintha chapamimba chimbudzi mu matumbo. Imayendetsa ndi peristalsis za m'mimba ang'ono ndi kukula kwa ntchofu thupi, amene n'chofunikira zozitetezera. Pa nthawi yomweyo neutralizes ndi mafuta, bilirubin ndi ena zinthu zina, komanso kumapangitsa yopanga michere.

Amene ali pa chiopsezo?

Monga ulamuliro, cholecystitis limapezeka limodzi ndi kutukusira ritsa. Matendawa zofala. Nthawi zambiri mankhwala a cholecystitis ndi cholecystitis aakulu akazi. Pa kugonana fairer, matenda kumachitika mu nthawi 3-8 zambiri kuposa anthu a msinkhu umodzi.

N'chifukwa chiyani akazi amene sachedwa matenda? Nthawi zambiri akufotokozera pa mimba chifukwa cha psinjika aakulu chipatso cha ndulu ya. The chifukwa ndi vutoli ndipo stagnation wa ya ndulu.

Progesterone, lomwe pa mimba ndi pa kusintha amapangidwa lalikulu zedi, pamodzi ndi mahomoni akazi ena zoipa zokhudza ntchito ya chikhodzodzo ndulu. Komanso azimayi mukufuna kukhala pa zakudya, zikubweretsa kuphwanya luso lake galimoto.

Pangozi, kaya akhale a msinkhu ndi kugonana, ine anthu amene anali yapita:

• m'mimba kapena chiwindi matenda;
• parasitosis (helminthic ndi protozoal infestation isanafalikire mu intestine kapena chiwindi);
• cholelithiasis ndi kutsekeka kapena chitukuko cha zilonda kukakamiza mucosa a ndulu ya;
• matenda, akuphwanya kotunga magazi mu ndulu ya.

Zifukwa zimenezi chifukwa kutsekeka kapena matenda (permeability) kapena dysmotility ndulu.

mitundu ya matenda

Pambuyo pake cholecystitis chiwindi matenda kungakhale kovuta kapena aakulu. Maphunziro Akakhalidwe Kazolengedwa ndulu pafupi Kodi chiwindi, ntchito zimene ziri osiyanasiyana ndithu. Amene ndicho kupanga apitirize ya ndulu ndi excretion mu duodenum ndi. An owonjezera ya ndulu mu ndulu ya Akusonkhanitsa n'kunyeketsa pang'onopang'ono.

matenda Cholecystitis akhoza kugawidwa ndi maziko etiological m'magulu 2: calculous (mu Latin kakyulasi limatanthauza "mwala") ndi nekalkulezny (popanda miyala).

Kutupa kungakhale khalidwe losiyana, malingana ndi zomwe cholecystitis lagawidwa catarrhal, purulent, osokonezeka, ndi gangrenous abscess. Mitundu iwiri yomalizira cholecystitis ali mgulu lina - ndi chionongeko cholecystitis. Exacerbation limapereka wodwala kwambiri cha ululu. Choncho n'kofunika kudziwa matenda pa siteji oyambirira ndi nthawi kuyamba chithandizo. mankhwalawa kupewa mavuto zotheka.

Zimayambitsa kutupa

Chithandizo cha cholecystitis ndi cholecystitis aakulu ayenera kuyamba ndi Kupenda ndi katswiri. Koma choyamba ayenera kudziwa chifukwa matenda anatuluka. The zimayambitsa matenda zingakhale zosiyana kwambiri. Komabe nthawi zambiri ndi zotsatira za kudzikundikira miyala ndulu, amene kwambiri kungafoole excretion wa ya ndulu. chifukwa chinanso cha matenda - matenda kapena kuvulala. Komanso ndulu cholecystitis angayambe kukhala vuto la matenda aakulu, monga matenda a shuga. Pankhaniyi, njira zochepetsera mtima Kwalamulidwa payekha.

Chifukwa cha zinthu izi angathe pachimake cholecystitis, mmene muli kutupa ndulu ya. Chr. cholecystitis, kawirikawiri akufotokozera mu zonsezi pamene kutupa amalimbikira kwa nthawi yaitali ndipo protracted. Zimenezi zimabweretsa chakuti ndulu khoma anayamba thicken.

Zizindikiro ndi matenda a cholecystitis

Mu magawo oyambirira ndi chizindikiro chachikulu cha cholecystitis ndi zambiri kupweteka kwambiri mu mbali yake komwe munthu amene akumverera basi pansipa nthiti. ululu nthawi zonse amapezeka mosayembekezeka. Chifukwa chachikulu zizindikiro chowawa ndi mwala obstructing otaya mu chikhodzodzo. Zimenezi zimabweretsa kuyabwa ndi kutupa.

zomverera chowawa pochitika nthawi zina paokha kapena pambuyo analgesics. Komabe, patapita pali kuwonjezeka pang'onopang'ono ululu, choyenera mwadongosolo ndi nthawi. Development cholecystitis limodzi ndi malungo, kunyansidwa ndi kusanza, mmene munthu aliri pang'onopang'ono worsens.

Posakhalitsa mtima akufotokozera matenda a chikasu ndiyo, chifukwa cha zimene khungu ndi sclera kukhala chikasu. Ichi ndi chifukwa kuphwanya ya ndulu kulowa intestine. Chinthu chachikulu ichi ndi pamaso pa miyala obstructing ndi ducts mu chikhodzodzo. Kugunda anthu kudziwa mmene kachilombo ndi matenda chitukuko. Kuyeza chiyani aliyense wodwala matenda ndi cholecystitis. Akuchuluka cha matenda kungachititse kuti zosokonezeka. Choncho, ngati wodwalayo kugunda kwa mtima kwa kumenyedwa 80 130 pa mphindi imodzi kapena wapamwamba ayenera kukhala osamala. Popeza umenewu ndi umboni wamphamvu zimene zikusonyeza kuti thupi kusintha oopsa.

Patapita aakulu zizindikiro matenda mwina kusonyeza kwambiri, koma matenda tsogolo akhoza zokha adazindikira siteji patsogolo kwambiri, kapena kupita ku chilumba. Pankhaniyi, mankhwala ayenera kuperekedwa mu chikhazikitso mankhwala - ichi tidzapewa mavuto.

Zizindikiro wapezeka pa kuyenderako, komanso zasayansi ndi Kupenda malangizo. Yachokera anatsimikiza mtima madandaulo chiwindi matenda, kapepala m'mimba ndi ziwalo zina, munthu zowawa kale. Ngati matenda zikutsimikiziridwa mankhwala mankhwala ena. Chithandizo cha cholecystitis ndi cholecystitis aakulu kuyamba yekha atakambirana ndi dokotala.

Nthawi zambiri, odwala amadandaula ululu m'dera pansipa nthiti, kudzimbidwa, nseru, kusanza, kutsekula m'mimba, kudzimbidwa kapena bloating. Mwa zizindikiro zina ayenera allocated TACHIMATA lilime, komwe ndi chizindikiro cha stagnation wa ya ndulu mu chikhodzodzo. The chizindikiro chachikulu cha cholecystitis ndi ululu, sipangakhalenso anatsimikiza mtima palpation. Kawirikawiri kumachitika kaya udindo wa thupi.

A chizindikiro zofala za matenda ndi nseru, zomwe nthawi zambiri kumayambitsa kusanza. Nthawi zina, zizindikiro ndi thupi kumbuyo anachita kuledzera ndi. Cholecystitis nthawi zonse gawo la matenda. nseru kumverera zingaoneke osati cholecystitis, koma appendicitis, poizoni, aimpso colic, zilonda, kapamba, kapena mimba ectopic.

Kuti akaone chifukwa cha kunyansidwa ndi kusanza, muyenera kumvetsera mwatcheru zimene nthawi ya tsiku zizindikiro kuoneka, ndipo akapezeka pambuyo chakudya. Nkofunika kulabadira nthawi ya matenda, kaya itha gag reflex. M'pofunika kuphunzira zikuchokera masanzi (chakudya m'mimba kapena ayi, ngati pali magazi kuundana ndi zosafunika), ngati pali thandizo pambuyo kusanza.

M'mimba, kudzimbidwa ndi bloating - ndi zizindikiro za matenda osiyanasiyana m'mimba, kuphatikizapo cholecystitis. Ngati matenda umafika mwadzidzidzi, ndi zimasonyeza vuto la matenda.

M'mimba zambiri kumachitika pamene dysbiosis odwala kulandira mankhwala zochizira cholecystitis. Komanso angayambe pa matenda osiyanasiyana a m'matumbo, kumene ziwalo zina m'mimba olumikiza pathogenesis matendawa.

Kudzimbidwa, ndi bloating zimachitika nthawi zambiri peritonitis, pachimake cholecystitis. Iwo amayambira odwala amangokhala amene ali pa bedrest yaitali.

diagnostics

Pamaso pa zizindikiro munthu ayenera kupita kuchipatala. dokotala wapeza kulira kwa odwala tsiku limene mbiri ya matenda. Cholecystitis oterewa zasayansi zosiyanasiyana ndi njira malangizo. Makamaka kwa mtima wa akatswiri cholecystitis ntchito cholinga duodenum, X-ray ndi ultrasound. Ndi maphunziro awa kukhazikitsa patency motility ndi ndulu mu duodenum, ndipo magawo ena okhudzidwa wa limba.

nekalkulezny cholecystitis

Pa 6-7 mu 1000 pali mtundu wa cholecystitis popanda miyala, nthawi zambiri aakulu. Mu akazi, ndi ambiri kuposa amuna. Madokotala ena amakhulupirira kuti mtundu uwu wa matenda otsekula amatswa calculous. Choncho mankhwalawa cholecystitis ndi cholecystitis aakulu ofunika kuyamba pa nthawi. Odwala ayenera kudziwa kuti nthabwala izi si koyenera.

Chifukwa pali acalculous cholecystitis? The wothandizila chachikulu cha matenda awa: Escherichia coli, Enterococcus, Staphylococcus, Proteus, kapena zomera losanganikirana. Ngati wodwala dysbiosis, matenda a m'matumbo kapena enteritis matenda akhoza kuwoloka kuchokera intestine mu ndulu kapena ku zone gepatopankreaticheskoy ngati wodwalayo anadwala kapamba aakulu. Nthawi zina, pali chitukuko cha matenda m'nyumba akutali, imene aakulu kutupa zinachitika. matenda monga: zilonda zapakhosi aakulu, matenda periodontal, appendicitis, chibayo ndi ena.

Matendawa zambiri ankachitira ndi njira za makolo. Wodwala chofunika kuika zakudya zapadera. Nkofunika kuti wodwalayo anadya fractional ndipo nthawi zambiri. M'pofunika kwathunthu kuthetsa ku zakudya za mafuta, yokazinga, zokometsera zakudya, komanso enaake ndi mowa zakumwa.

Panopa acalculous cholecystitis ankachitira ndi mankhwala monga "Amoxicillin", "Cefazolin", "mankhwalawa" ndi ena. Kuti matenda chimbudzi ndondomeko kutenga wothandizila izi kawirikawiri pamodzi ndi kukonzekera enzyme monga "festalemps", "mezim forte", "pancreatin". Kuti Zimachititsa katulutsidwe wa ya ndulu mtima anaika choleretic ( "Holenzim", "Allohol" ndi ena). Pakuti ndulu chidule kutumikiridwa mankhwala enaake a sulphate kapena sorbitol.

Mawonekedwe aakulu a matenda

Chr. cholecystitis yodziwika ndi pamaso pa miyala ndulu, kutupa oti amanenedwa pa chilichonse ndi nthawi mawonetseredwe a zizindikiro. matenda angayambe pafupifupi asymptomatic kapena ganizirani za colic biliary. Ngati matenda ndi mu maonekedwe zobisika, wodwalayo mwina amamva za kulemera kumanja mu hypochondria ndi. Pamodzi ndi uwu, zimawawa flatulence, kutsekula m'mimba, kutentha, belching. zizindikiro izi limodzi ndi kulawa zowawa mkamwa. Mu hyperalimentation kapena patapita mafuta chakudya ntchito zotengeka izi zosasangalatsa kukula.

Mwadzidzidzi kwa chiwindi colic zambiri amapezeka matenda monga cholecystitis, kapamba, matenda a amene ayenera kuyang'aniridwa ndi dokotala. Monga ulamuliro, yoyamba colic, kulephera kutsatira zakudya thupi katundu, kapena ena chopwetekedwa mtima. Kuukira imfayo chidule cha ndulu ndi ducts kuti chichokera miyala mucosal mkwiyo. Pankhaniyi, munthuyo amakhala lakuthwa lobaya ululu isanafalikire mu lamanja nusu chapamwamba, ukuyenda mwa khosi, mapewa chabwino ndi scapula. khunyu nthawi zimasiyanasiyana mphindi zochepa kwa masiku 2.

Colic limodzi ndi kutentha kusanza, zomwe si mpumulo. Wodwala akumva kukondoweza kwa, zimachitika wake ndiye chimakhala arrhythmic. matenda a kuthamanga magazi amakhudza pang'ono. Odwala pansi m'badwo zambiri amayamba reflex angina.

Lilime pa kulanda chinyowe kwambiri, kawirikawiri zikuoneka zolengeza. Komanso, kuleza mtima nacho bloating ndi kupweteka kwa nusu chapamwamba kumanja. N'zochititsa chidwi kuti mu nkhani iyi magazi sakusonyeza kuyan'anila, ndi ndulu ndi chiwindi si kukula pali zizindikiro za kukhumudwa, nayenso. Akulimbana ndi colic anasiya modzidzimutsa monga iwo ukuyamba, ndi wodwala akumva mpumulo ndi kufooka.

Kupewa cholecystitis

Kodi kuchenjeza okha osauka matenda? Kuti tichite zimenezi, muyenera kukhala thupi mulingo woyenera ndi mlingo wa zolimbitsa thupi, chifukwa chifukwa moyo wongokhala ndipo pali stagnation wa ya ndulu lomenyera miyala chikhodzodzo. Wodwala ayenera kutsatira zakudya zapadera. Ku zakumwa analola kumwa zakumwa zipatso ndi tiyi zinachitika mwachisawawa. Mndandanda wa zakudya analola ndi mankhwala zikuphatikizapo: mikate yoyera, otsika-mafuta kanyumba tchizi, masamba soups, ng'ombe (kutsamira), nkhuku, khirisipi monga chimanga ndi ndiwo zamasamba wowawasa ndi zipatso.

Ndi zoletsedwa kudya: mitanda atsopano, nyama yankhumba, sipinachi, sorelo, nyama yokazinga, wochuluka nsomba ndi nyama, mpiru, tsabola, khofi, ayisikilimu, mowa, theka-yomalizidwa mankhwala.

Pofuna kupewa akatswiri Kwalamulidwa kwa odwala ursodezokiskholevuyu asidi amene kumathandiza miyala ndi lakuthwa kuwonda (oposa 2 makilogalamu pasabata).

Pamene matenda alipo zodzitetezera ukunenedwa kuteteza zosayembekezereka kutupa ndiponso musabise zokhudzana zosokonezeka. Tikumbukenso kuti iwo angayambe ngakhale mankhwala. Zikatere ntchito mtima chofunika. Cholecystitis sitingakane, ayenera ndisanabadwe poyamba chizindikiro cha matenda.

Maphikidwe a mankhwala pa matenda a cholecystitis

Cholecystitis chithandizo zochokera ntchito zitsamba zosiyanasiyana ndi infusions, onetsetsani kugwirizana ndi dokotala. Izi pofuna kupewa ndi kuwonongeka zotheka wa thanzi ndi moyo wabwino. Mwa mankhwala odziwika wowerengeka zotsatira zabwino kusonyeza milandu mankhwala pamaziko a zitsamba immortelle, kumakhudza choleretic.

Pamaso mankhwala n'kofunika molondola kudziwa mtundu wa matenda, chifukwa chiphaso cha mankhwala aliwonse choleretic sikuloledwa pa cholecystitis calculous. chithandizo anthu a cholecystitis zitha kugwiritsidwa ntchito ngati wodwala akudwala sanali calculosis cholecystitis. Pamaso pa mitundu calculous matendawa yotithandiza ya ndulu linanena bungwe ntchito zitsamba ndi mankhwala akhoza kukhala chotengera mankhwala payekha.

Wodwala amwe infusions mankhwala, amene bwino m'mimba motility ndi magazi. kwambiri mu nkhani iyi, osiyanasiyana ululu teas ndi teas mankhwala ndi karoti mwatsopano ndi madzi dzungu.

Ambiri amanyalanyaza nekalkulezny cholecystitis ndi Kuchiritsa kwamtundu, zomwe zina, bwino thanzi akukhudzidwira. Kuvomereza mankhwala ena mwanjira zitha perekani dokotala.

• Cholecystitis ndi zothandiza kumwa madzi rowan. Iwo ayenera kutenga 50 ml ya 3 pa tsiku mphindi 30 pamaso chakudya.
• matenda azichitira monga cholecystitis aakulu, kapamba, mungathe decoction wa Hypericum. Iye ali ndi zotsatira choleretic, komanso odana ndi yotupa. Kuti akonze izo, muyenera 1 supuni liziwawa St. John, ndipo 1 chikho madzi otentha. msuzi anali refluxed kwa mphindi 15 ndi osasankhidwa. Tengani nthawi 50 ml ya atatu patsiku.
• Decoction masamba birch Zimathandizanso kwambiri kulimbana ndi matendawa. Kwa iye, kutenga 1 supuni ya masamba ndi kutsanulira 200 ml ya madzi otentha. msuzi ayenera owiritsa kwa mphindi 30, kenako anali kuti utakhazikika kwa firiji. Pa kuphika, kuchuluka kwa msuzi yafupika, choncho adzafunika aposa ndi madzi chikho chimodzi. Imwani msuzi akutsatiridwa ndi 3 zina tsiku 50 ml ya musanadye. Chinsinsi ichi amagwiritsidwa ntchito pofuna kuchiza cholecystitis lyamblioznoy.
• Mukhoza kupanga decoction wina wa liziwawa St. John, koma ndi Kuwonjezera Helichrysum ndi stigmas chimanga. zosakaniza onse ali osokonezeka mu kuchuluka ofanana kupereka 1 supuni zosonkhanitsira therere. Ndiye osakaniza unatsanuliridwa kuti mL 200 madzi otentha ndipo owiritsa kwa mphindi 30. Ndiye decoction ayenera utakhazikika kwa firiji ndi kuchepetsedwa ndi madzi pang'ono yophika. Tengani izo zikutanthauza kuti muyenera 1/3 chikho theka la ola pamaso chakudya katatu patsiku.
• Kuchitira nekalkulezny cholecystitis amathandiza decoction wa chamomile. Pakuti muyenera magalamu 15 chamomile mu 1 chikho cha madzi otentha. Decoction ayenera kukhala woledzera mu mawonekedwe a kutentha. Komabe angagwiritsidwe ntchito enemas, zimene ziyenera kumachitidwa zosaposa 2-3 nthawi sabata.

Nkofunika kukumbukira kuti thupi la munthu zinthu zonse, chiwalo chilichonse chofunika kwambiri njira yake kusintha nthawi ndi moyo wonse. njira Traditional ndi mbali ya mankhwala yokonza. Monga maphikidwe otchuka singagwire mankhwala odana ndi bakiteriya ndi ena, wodwala ayenera kutsatira malangizo onse a dokotala ndi musataye kumwa mankhwala. zitsamba yekha ali osavomerezeka kuchiza matenda cholecystitis. Nkofunika kuti aziona za umoyo osati kunyalanyaza zizindikiro za cholecystitis, ngakhale ali aang'ono.