Kodi biliary kapamba? Zizindikiro ndi Kuteteza

Kwa anthu ambiri, kapamba akuyamba ndithu, chimachitika kutupa kuti kumachitika chifukwa kuphwanya ya ndulu linanena bungwe. Akutukuka biliary kapamba, zomwe nthawi zambiri zimakhudza akulu. matenda ndi n'ngochiritsika, koma phunziro kwa chithandizo yake kwa dokotala, komanso kutsatira malangizo onse oyenera. Chifukwa zothandiza mankhwala a pancreatic odwala msanga kubwerera ku moyo wabwinobwino.

Features matendawa

Biliary kapamba amapezeka cholelithiasis. Akufotokozera chifukwa cha kuponya madzi mu ducts a kapamba, kuchititsa dermatitis. ndondomeko amenewa amasonyeza wonongeka a ndulu ya.

Munthu akakhala wathanzi kuthamanga mu ducts za thupi kwambiri m'munsi kuposa mlingo kuthamanga mu ducts a kapamba. Kuchulukitsa kwake zikusonyeza kuti chopinga kuti kumathandiza ya ndulu bwino kuchita panopa ake. Izi zikhoza kukhala chifukwa cha blockage wa ducts nthawi zambiri ndi miyala. Zonsezi kumabweretsa madzi kuponyedwa kapamba.

Zimayambitsa matenda

kudwala zimenezi zingachitikire zifukwa zosiyanasiyana. Taganizirani zofunika kwambiri.

Ngati munthu amadwala matenda gallstone, nthawi zambiri pamene matenda ayamba stagnate madzi m'mimba ya kusindikiza ritsa miyala. Zonsezi kumabweretsa kuthamanga mu njira izi zimathandiza kuti popeza anaponyedwa madzimadzi mu kapamba.

Cholecystitis ndulu padziko pali yotupa ndondomeko, osati kupereka madzi kuyenda bwinobwino.

Kumathandiza cholangitis ndi biliary kapamba, amene ali uncharacteristic ducts kutupa akuwuka chifukwa patency wa kapepalako biliary ndi katulutsidwe matenda.

The matenda tatchulazi osakaniza ndi kapamba biliary chifukwa kusintha potsatira kapamba:

• kutupa ndi alibe;
• kuchuluka kwa maselo connective minofu;
• kuyan'anila mu ntchito yake.

Koma osati zinthu izi zimathandiza kuti zikamera wa matenda. Khunyu zimachitika kawirikawiri kwambiri pakati okonda chakudya chabwino. chakudya atumikire monga provocateur spasms ndulu ndi pancreatic edema kumathandiza. Komanso, kapamba akufotokozera chifukwa kudya kudya stale kapena owonongedwa chakudya.

Kodi matenda?

Biliary kapamba angakhale aakulu pachimake mawonekedwe. Yotsirizira ukapezeka kugwiritsa ntchito chakudya, zomwe zimachititsa kuti munthu njira zonse m'mimba. Iwo akhoza yokazinga mapayi nyama, zakumwa zoziziritsa kukhosi, savory zokhwasula-khwasula, kukazinga nyama.

chakudya sizinachitikepo ankaona wathanzi, monga imapititsa kayendedwe ka miyala, zimene kutseka ritsa mu ndulu ya. Odwala Inde matenda aakulu kuona chomwa zakudya chingamuletse pakutchulidwa a kapamba biliary.

Nthawi ya kudwala biliary zimadalira zochita za miyala imene ili ya ndulu ritsa. Ngati ali wamfupi ndi bwino mu duodenum ndi alili chikusintha kwambiri. Ngati kayendedwe ka miyala ya ngalande ndi zovuta, ndi kumuopa moyo wa wodwalayo mu nkhani iyi.

Zizindikiro za kapamba biliary

Zizindikiro za matenda, makamaka motsutsa stagnation wa ya ndulu, osiyanasiyana ndithu, kotero kudwala izi kovuta matenda.

Choncho, ngati wodwalayo biliary kapamba, matendawo akhoza zotsatirazi:

• Zikamera wa kupweteka ululu onse pa kumtunda kwa m'mimba, amene angaperekedwe mmbuyo kapena m'dera la hypochondria. Nthawi zambiri pali ululu atamwa mowa mafuta, zakudya yokazinga kapena kusuta. amveke ake zikuchitika usiku, kapena maora awiri chakudya.
• Kugonjetsedwa owawa kukoma pakamwa.
• Nseru, kusanza.
• M'mimba, kudzimbidwa kapena bloating.
• Mwina pang'ono adzauka mu thupi kutentha.

Pachimake biliary kapamba amakhala ndi ululu lakuthwa mu hypochondria ndi, akuwuka chifukwa spasms minofu yosalala kuti amakwiya mwala, ndi aakulu - kupweteka ululu kuti zimatha nthawi yaitali.

Komanso, mu mawonekedwe aakulu matenda angayambe zizindikiro matenda a chikasu ndiyo, kuyambira biliary thirakiti kutsekeka ndi madzi m'mimba akulowa mitsempha ya magazi. Choncho chikasu azungu cha maso ndi khungu. Pankhaniyi, mankhwala ayenera anayamba nthawi yomweyo, chifukwa izo zikhoza kukathera wachisoni kwambiri.

matenda a matenda

Wodwala ayenera mayesero matenda ndi amuzolengedwa magazi. Mu kapamba aakulu, biliary amalembedwa kuwonjezeka kuchuluka kwa bilirubin, phosphatase zamchere, mafuta m'thupi, ndi chiŵerengero cha mapuloteni lalikulu M'malo mwake, yafupika. Mu mkodzo ndi magazi nthawi 3-6 kuchuluka misinkhu ya amylase.

Onetsetsani kuchita ultrasound a kapamba, ndi ultrasound a dongosolo hepatobiliary, kulola kudziwa pamaso pa miyala ducts, komanso ngati chikhalidwe ambiri a kapamba.

Kudziwa miyala anaika njira wogwira mtima, monga intraductal kapena endoscopic ultrasound.

The njira kwambiri nkhani ankaona CT thirakiti biliary, makamaka ngati ndi kutumikiridwa kusiyana wothandizira. MRPHG ndi ERCP amagwiritsidwanso ntchito pa matenda a ducts pancreatic ndi biliary.

chithandizo matenda

Chithandizo cha kapamba biliary wochititsidwa kuyang'aniridwa ndi gastroenterologist ndi, endoscopist ndi dokotala. Kuti matenda patsogolo zina, komanso kupewa exacerbations, sonyezani chithandizo cha matenda chachikulu.

Ngati aakulu kudwala wadutsa mu pachimake biliary kapamba, mankhwala ayenera kuchitidwa kokha m'chipatala. Ankachitira mtundu pachimake cha zovuta, ndi kugwiritsa ntchito mankhwala ndi zakudya.

Biliary kapamba mu gawo pachimake amapezeka ndi amphamvu ululu syndrome, amene anachotsa kudzera mwa analgesics ndi spasmolytics. Kuwongolera anagwiritsanso mkati ndi kunja secretory ntchito ya kapamba, detoxification, ndi mankhwala amachitidwa kupewa mavuto opatsirana.

Pa exacerbation mu masiku atatu oyambirira a kusala, ndipo m'pofunika kugwiritsa ntchito madzi sanali enaake zamchere mchere. Kamodzi mphamvu adapitiriza, onetsetsani kuti achepetse mu zakudya mafuta, chakudya ayenera kukhala odziletsa.

Kuchepetsa kanthu zowononga wa adamulowetsa michere pancreatic kutumikiridwa somatostatin, zoletsa protease, zoletsa purotoni mpope. dokotala anu amathanso mankhwala michere microspherical kuti kuthandiza kubwezeretsa kukanika enzymatic a kapamba. Kuti shuga zinayambanso kuyenda bwino, Kwalamulidwa wothandizila hypoglycemic.

Mwamsanga pamene kuukira pachimake atachotsedwa, dokotala angawauze opaleshoni kuti achotse miyala. Iwo ikuchitika m'njira ziwiri: kudula chapamwamba m'mimba khoma (laparotomy) kapena awiri puncture yaing'ono khoma m'mimba (laparoscopy).

zosokonezeka zotheka

Ngati biliary kapamba ankachita bwino, wodwalayo mwamsanga kubwerera ku moyo wabwinobwino. Ngati matenda ananyalanyaza angachititse miyala ducts biliary. Ngati matenda tiyeni zinthu Wopanda ndi kuchita kanthu, izo zidzapangitsa kuti ndi kuwonongeka kwa mundawo m'mimba. Nthawi iliyonse, kupweteka kokha kuonjezera, makamaka kutenga chakudya chosamanga.

Komanso, matenda patsogolo angakhoze kupita parenchymal kapamba. Izi zikhoza kusokoneza mtima motere:

• chithandizo yaitali pokhazikitsa kuchipatala;
• opaleshoni;
• nthawi ya mankhwala konzanso;
• okhwima zakudya pafupifupi onse moyo wake.

Pofuna kupewa biliary kapamba ndi zofunika kusunga moyo wathanzi, kudya bwino komanso kwathunthu kusiya mowa.

zakudya

Ngati panali biliary kapamba, zakudya kukhala zomveka. Masana, wodwala ayenera kudyetsedwa nthawi 4-5 voliyumu ya gawo limodzi akhale osapitirira 250 ml. Izo kutiletsa, kusuta yokazinga ndi chakudya mafuta.

Pa zakudya zomanga thupi ayenera chinawonjezeka ndi 25%. Choncho wodwala patsiku kudya 120 malonda ga mapuloteni. Koma kuchuluka kwa mafuta M'malo mwake, ayenera kuchepetsedwa ndi 20%, ndipo pa tsiku la kudya sayenera upambana '80 zimam'patsa wambiri ayenera kuchepetsedwa, ndipo izo ziyenera kukhala magalamu 350 pa tsiku. Kuchuluka kwa shuga tikulimbikitsidwa kuchepetsa ndi zina 2 mfundo chofunika.

Pomaliza

Matenda biliary kapamba (makamaka pachimake mawonekedwe) - matenda oopsa kwambiri. Nkofunika molondola oterewa kudwala ichi ndi mankhwala oyambirira, popeza kuukira apitiriza kukhala pafupipafupi, kubweretsa mavuto ambiri. Kosatha opaleshoni limangotithandiza kuchotsa kapamba biliary.