Kutentha kwakukulu kwa ndondomeko ya ndulu kumawoneka mwa amayi makamaka makamaka ali ndi zaka 40. Ndikofunika kupita kuchipatala mwanjira yovuta ndikuyang'ana mosalekeza cholecystitis - chithandizo, choyamba, zimadalira kuti wodwalayo azichita zakudya zamadzulo, komanso kuti adzipatsa mankhwala nthawi yake. Apo ayi, matendawa adzapitirira ndipo njira yokhayo yothetsera vutoli idzakhala yopaleshoni.
Kuchiza kwachilendo cholecystitis popanda concrements ndi mankhwala ndi zakudya
Mankhwala opuwala m'makoma a ndulu, operekedwa kuti palibe miyala mmenemo, amachokera pa mfundo zitatu:
- Kusintha kwa mapangidwe ndi kusungunuka kwa bile, kuyendetsa kupanga kwake mwabwino kwambiri.
- Kuchotsa kutupa.
- Kupewa kuchitika kwa miyala yolimba mu ndulu.
Chofunika kwambiri pa chithandizo cha matenda aakulu a cholecystitis kunyumba ndi zakudya.
Chakudya cha wodwala chiyenera kukhazikitsidwa kuti chakudya chikhale chopangidwa kawirikawiri, nthawi 4-5 patsiku, koma pang'onopang'ono. Muyenera kuchotsa zinthu zotsatirazi:
- zonunkhira, makamaka zokometsera;
- nyama yochuluka;
- chophika chophika;
- mkate watsopano;
- mowa;
- maswiti;
- zosuta;
- pickling;
- marinades;
- chakudya chokazinga.
Chakudya chovomerezedwa:
- masamba atsopano, zipatso (osakhala acidic);
- phokoso;
- zakudya, msuzi wotsitsi;
- mkate ndi ufa wochokera ku ufa wonyezimira;
- masamba;
- nsomba zonenepa;
- nyama yoyera.
Kuchiza kwachilendo cholecystitis pa siteji yowonjezera mothandizidwa ndi zakudya zoyenera kumapereka chiyeso chokwanira cha kuchuluka kwa zakudya zomwe amadya masiku awiri oyambirira a matendawa. Teya imaloledwa, mineral imakhalabe madzi kapena okoma kumaphatikizapo ndi zingwe zingapo. M'tsogolomu, m'pofunikira kusunga zakudya zowonjezera № 5а ndi kusintha pang'ono pang'onopang'ono ku tebulo nambala 5 (molingana ndi Pevzner).
Chithandizo chamankhwala cha mankhwala aakulu a cholecystitis chimaphatikizapo mankhwala oterowo:
- Maantibayoti - mu chikhalidwe cha mabakiteriya (kutulira (Ofloxacin, Norfloxacin, Levofloxacin, Ciprofloxacin ).
- Spasmolytics - ndi ululu waukulu (Duspatalin, Dicetel, Odeston).
- Kudetsa nkhaŵa - kupititsa patsogolo zotsatira za antispasmodics (Mianserin, Amitriptyline).
- Prokinetics - ndi hypomotor dyskinesia (Motionium, Cerucal, Motilium).
- Choleretics - kukonzekera mapangidwe a bile (Allochol, Deholin, Chagolol, Silimar).
- Cholekinetics - kupititsa patsogolo excretion ya bile (Holagum, Rovahol, Olimetin).
Njira zothandizira thupi zimaperekedwanso:
- diathermy;
- electrophoresis;
- ntchito ya parafini;
- chithandizo;
- zovuta za ozocerite;
- laser;
- UHF-mankhwala;
- mankhwala othandiza.
Monga zothandizira, ndikulimbikitsidwa kuti mutenge ma phytospores, madzi amchere.
Kuchiza kwa matenda aakulu a cholecystitis
Ngati matendawa ali pa siteji ya miyala yolimba, kapena kukula kwake kukuwonjezeka, ndalamazo, ndiye, monga lamulo, opaleshoni imayikidwa. Njira yothandizira opaleshoni, cholecystectomy, imaphatikizapo kuchotsedwa kwa ndulu monga gwero la miyala yokhazikika ndi chitukuko cha njira zotupa. Zimapangidwa m'njira zitatu:
- opaleshoni yotsegula;
- laparoscopy;
- cholecystectomy kudzera pakhungu.
Nthawi zambiri, n'zotheka kuchiza matenda osaphatikizapo cholecystitis popanda opaleshoni. Zimayendetsedwa m'njira zingapo:
- chowopsya chapachilengedwe chowoneka;
- litholytic therapy (ntchito ursodeoxycholic kapena chenodeoxycholic acid);
- contact contact endoscopic lithotripsy.