Cholecystitis mwana: maonekedwe, zomwe zingayambitse ndi mbali chithandizo

Makolo Opusa kuwawa kulikonse m'mimba mwa mwana wake amagwirizana ndi kuchuluka ndi khalidwe la chakudya. Iwo amakhulupirira kuti anapatsidwa sorbents mlingo zokwanira kapena michere, ndi zonse zikuchitika. Koma izi sizichitika nthawi zonse. Chifukwa cha ululu kukhala kutupa dongosolo thirakiti biliary, mwachitsanzo cholecystitis ana. Oddly okwanira, koma kutupa kwa ndulu ndi ducts zimachitika nthawi zambiri. Disease ingakhale yopweteka kwambiri kapena yokhalitsa. Mu ambiri milandu amapezeka mu mawonekedwe aakulu a nthawi ya exacerbation kapena kumwa.

provokers matenda

Cholecystitis mwana lingachititse E. coli, Proteus, kapena cocci, kukanirira mu chilengedwe yabwino. zinthu zimenezi ndi monga matenda ndi protozoan, mwachitsanzo giardiasis, infestation mphutsi, matenda a dongosolo biliary. Main amachititsa cholecystitis m'magulu 2:

• parasitic;
• tating'onoting'ono.

Aakulu cholecystitis ana amaganizira pamaso pa foci ena a kutupa, zingakhale, mwachitsanzo, angina kapena zilonda zapakhosi. Nthawi zambiri, matenda amakwiya kale anasamutsa matenda monga gastritis, kollibatsillez, duodenitis, appendicitis, fuluwenza, fever ndi kamwazi.

Kutupa kwa ndulu kapena ya ndulu ducts akhoza zidzayambike ndi mwadongosolo kuphwanya chakudya, mafuta mayamwidwe yambiri chakudya ndi zimam'patsa munali mankhwala, sangathe yosiyanasiyana ya zipatso ndi masamba chakudya.

Limagwirira maonekedwe matenda. cholecystitis aakulu

Cholecystitis mu mwana mu mawonekedwe aakulu akhoza purulent kapena khalidwe catarrhal. mawonekedwe Catarrhal amagwirizana ndi kutupa nembanemba wa mucous. Mu nkhani iyi, ndulu khoma amakhala thicker ndi lolemererapo, ndipo mkati akalowa m'thupi mucosa manja.

Pakuti purulent cholecystitis okhudzidwa khalidwe la onse khoma minofu. Thupi mtundu abscesses, amene ndi gwero la exacerbations zonse cholecystitis aakulu. Mu matenda kobwereza amapezeka kutupa ndulu ya. Mbali khalidwe ndi thickening wa mucosa, ndi maonekedwe tizilombo ting'onoting'ono ndi zilonda.

Pamene chilonda machiritso m'malo ndi minofu connective, pali amamuyambitsa timabala. Nthawi zina adhesions anapanga ndi matupi kwambiri spaced. Zimenezi amatchedwa pereholetsistita.

Chilondacho kungachititse kuti mapangidwe fistula ndi chitukuko cha ya ndulu peritonitis. Ngati cholecystitis mwana kumabweretsa blockage wa ya ndulu ritsa, angathe hydrops a ndulu ya. Aakulu cholecystitis zingakhudze chikhalidwe cha chiwindi, zakulera, ndi pamimba. Exacerbation kwa ndondomekoyi amakwiya ndi abscess pa ziwalo zimenezi. Zikavuta, kunja biliary fistula angayambe.

pachimake cholecystitis

Pachimake cholecystitis ana kungafune alowererepo pa opaleshoni. Komabe, izi sizichitika kawirikawiri. Kawirikawiri chitukuko cha matenda amagwirizana ndi inafikira m'magazi kapena lymph matenda panopa. Ndili wamng'ono chinthu ambiri mu citukuko ndi matenda pachimake m'mimba ndi ya ndulu stasis chifukwa kudzimbidwa kapena bloating.

Chifukwa cha cholecystitis pachimake ndi mkulu wa ndende lysolecithin. salt ya ndulu kuwononga chikhodzodzo mucosa, kusokoneza permeability wa nembanemba selo. Chifukwa chitetezo cha mthupi mwa ana si kwathunthu utakhazikitsidwa, edema ndi matenda oopsa sekondale ya ndulu.

Isanayambike zizindikiro

Kodi cholecystitis kumaonekera ana? Zizindikiro akhale owala kapena kudwala chimatanthauza. Kawirikawiri izi dandaulo owawa kukoma pa kamwa, imfa kwambiri chilakolako chakudya, kunyansidwa ndi kusanza, kudzimbidwa kapena m'mimba. Komabe, chizindikiro chachikulu cha cholecystitis akuti ndi ululu ufulu nusu chapamwamba. Ululu kukhala paroxysmal, ndiponso kukhalapo mpaka ku mphindi zochepa maola angapo kapena okhazikika.

Chimodzi mwa zizindikiro zazikulu za matenda ndi ululu ndi kukulitsa chiwindi. Nthawi zina pali mavuto pa palpation a linga m'mimba pamwamba ndulu ya. ana ambiri akhala anapitiriza malungo otsika kalasi. Ngati inu kuphatikiza zotsatira mu mndandanda amodzi, lidzaonekera izi:

1. Ululu paroxysmal kapena chikhalidwe okhazikika, isanafalikire kumanja pansi pa nthiti. Nakweza maola ochepa pambuyo chakudya, limodzi ndi kumverera kwa kulemera ndi kusefukira.
2. Dyspepsia, mwachitsanzo, matenda a dongosolo m'mimba. Zowawa kapena zachitsulo kulawa, kawirikawiri regurgitation, nseru, kuchuluka flatulence, wosakhazikika mpando.
3. Kutentha otsika kwa nthawi yaitali, chiwerengero irritability, kusowa tulo.

Makolo ayenera kumvetsa kuti ngakhale zizindikiro zoonekeratu matenda, staging matenda kudzikonda sikuloledwa. Dokotala wanu yekha angathe kutsimikiza cholecystitis ana. Zizindikiro ndi mankhwala a matenda kumadalira azikhala alili. Katswiri polingalira za chithunzi matenda ndipo pa maziko a zotsatira amasankha mtundu yoyenera mankhwala.

mathandizidwe ndi

Makamaka dokotala amangolankhula wodwala kapena makolo ake ndipo amatenga mbiri. Komanso kafukufuku matenda ndi zasayansi. Ichi ndi chofunika zonse magazi ndi sayansi.

Kutsimikiza matenda anaika sonography. Kuyeza kumeneku ndi kudziwa kusintha kukula ndi khoma makulidwe a ndulu ya. Komanso, kuphwanya ndi wapezeka limba chidule. Komanso, ndi wolakalakika intubation mmatumbo ndi SPL.

Komanso kafukufuku imachitika ya ndulu. kusanthula limasonyeza kuchepa yokoka yeniyeni ndi kuwonjezeka acidity.

mfundo zina za mawonekedwe a matenda

Nthawi zambiri zimachitika kuti ndife dokotala akatswiri si nthawi zonse Poyera munthu wosadziwa. Mwachitsanzo, ngati dotolo imatiuza makolo wodwalayo kuti nekalkuleznogo mtundu wa cholecystitis, zikutanthauza kuti matenda si kugwirizana ndi mapangidwe gallstones. Mwachidule anaitana mtundu mwana acalculous.

chithandizo

cholecystitis chithandizo ana ikuchitika chitsanzo chindunji:

1. Compliance ndi bedi zina kunyumba.
2. Mankhwala zotchulidwa dokotala.
3. Kulandira mankhwala choleretic.
4. Ngati ndi kotheka - phwando wothandizila antiparasitic.
5. mavitamini zovuta ndi okhutira mkulu wa B ndi C.
6. Chikuonetseratu MANKHWALA OLETSA VUTOLI kuti muchepetse ululu.
7. Kukonzekera cholinga kutukula ntchito chiwindi.

Matenda mtundu wa cholecystitis zambiri ankachitira kunyumba, koma exacerbation kwa ndondomekoyi, ndi zofunika ku chipatala mwana. Tsiku loyamba pamene exacerbation wa mwana Kwalamulidwa njala ndi makolo kenako liyang'anire kugwilizana ndi zakudya okhwima. Ana ndi cholecystitis kuvala kulembetsa dispensary.

kudya pang'ono

Mankhwala mwana popanda kusunga malamulo ena a mphamvu ndi zosatheka. Zakudya pa cholecystitis ana zikutanthauza yophika kapena nthunzi chakudya mu mawonekedwe a ufa. dokotala n'kukulemberani zakudya tebulo nambala 5 kapena 5a.

The zakudya sayenera zokometsera lakuthwa ndi zina, zakudya kusuta ndi wochuluka zakudya yokazinga. Zina ayenera kukhala laling'ono, chifukwa mwana sangathe asamadye kwambiri.

The zakudya ochepa mtima zakudya kwenikweni anayambitsa mafuta mpendadzuwa, kanyumba tchizi, nsomba ndi nyama mu nthunzi kapena yophika, zipatso, masamba kapena saladi kuwala kwa iwo.

zodzitetezera

makolo onse akufuna kuona ana awo athanzi. Kuti mwana sizinayambe cholecystitis, ndikofunika kutsatira zakudya wake, musalole kuti asamadye ndi gorge pa usiku. Simungathe kupereka mwana zokhwasula-khwasula otchuka mu mawonekedwe a zokhwasula-khwasula, crackers ndi tchipisi. Iwo m'pofunika kuti asasiye nthawi zonse feedings fractional pafupipafupi.

Ana ayenera nthawi zonse kutsogolera moyo yogwira. Izi kuteteza osati cholecystitis, komanso mavuto ena ambiri. Morning thupi, magulu masewera, ntchito zokopa alendo, panja kusewera - yachibadwa chibwana kwa mwana wathanzi.

Kupewa kapena nthawi kudziwa m'mimba matenda ndi matenda ena chifukwa thupi liri inakula.

Kuchita mankhwala otetezera a helminthiasis, ngati mukuganiza kuti mwana akhoza kukatenga majeremusi ku sukulu ya mkaka, kusukulu, kunyumba kapena sandbox nawo pabwalo.

Zotchulidwa dokotala kutenga kukonzekera cholagogue ndi madzi mchere. Ndipo pamwamba pa zonse - Chongani mkhalidwe wa mwana wanu, monga kuphonya chiyambi cha matenda kapena aggravation wake chabe, koma kuchitira - m'malo ovuta. Kenako, mwana akhoza analimbikitsa ngakhale opaleshoni.