Nyongolotsi ndi chiwalo chimene chimagwira ntchito ya depot ya bile, yopangidwa ndi maselo a chiwindi. Kutupa kwa ndulu kumatchedwa mankhwala cholecystitis, omwe amatha kuchitika mwakuya komanso kwachilendo ndipo amapezeka nthawi zambiri mwa amayi oposa makumi anayi. Ndi matendawa, bile imatulutsidwa zosakwana zomwe zimafunika kuti chimbudzi chikhale ndi chakudya, chomwe chimayambitsa mavuto ambiri.
Zimayambitsa matenda
Matendawa akhoza kugwirizana ndi zinthu zosiyanasiyana. Nthawi zambiri, kukula kwa kutupa kwa thupili kumathandizidwa ndi mapangidwe a miyala (nthawi zambiri), yomwe nthawi zambiri imakhala limodzi ndi njira zowonjezera chifukwa cha kuchulukitsa kwa tizilombo toyambitsa matenda omwe adatuluka m'mimba.
Cholecystitis ndi matenda owopsa, monga momwe zimakhalira, chiopsezo cha kutuluka kwa ndulu ndi chitukuko cha peritonitis (kutupa kwa peritoneum) kumawonjezeka. Choncho, kwa aliyense, sikungakhale zodabwitsa kudziwa zomwe zimapezeka mu kutupa kwa ndulu kwa amayi, komanso ndi zizindikiro ziti zomwe zikufunika mwamsanga kuchipatala.
Zizindikiro za kutupa kwakukulu kwa ndulu mwa akazi
Monga lamulo, kutupa kwakukulu kwa chiwalo ichi kumadziwonetsera ngati kusokonekera kwadzidzidzi kumbuyo kwa moyo wathunthu. Choyamba, pamakhala zowawa zomwe zingakhale zovuta, zokhumudwitsa, zowonongeka, zowonjezereka ndi kudzoza kwakukulu. Kupweteka kumakhala kumtunda kwa kumtunda kwa mimba, nthawi zina kumadutsa kumtunda, ndipo kumaperekanso ku phewa labwino, phawa, pakhosi. Chizindikiro china ndi kuwonjezeka kwa kutentha kwa thupi, komwe kumafika 38 ° C, ndipo nthawi zina - 40 ° C.
Kupweteka ndi malungo mu cholecystitis yovuta, zizindikiro zotsatirazi zimagwirizananso:
- chisokonezo;
- kusanza;
- kupweteka;
- kupsya mtima, kukoma kwazitsulo m'kamwa;
- mtima;
- mpweya wochepa;
- ululu pamutu;
- thukuta;
- mtima;
- kukhetsa;
- phokoso;
- kupweteka kwa minofu ya khomo pamimba kumanja;
- matenda osungira.
Zizindikiro za matenda aakulu a chifuwa chachikulu m'mimba mwa amayi
Matenda aakulu omwe amapezeka nthawi zambiri amatha kudziimira okha, mobwerezabwereza - motsutsana ndi chiyambi cha zochitika zakale za cholecystitis, osasamalidwa, osakonzekera kapena osayenera. Kutupa kosatha kungakhale kwa zaka zingapo, pamene chiwalo chokhudzidwacho chitayika pang'onopang'ono ntchito zake ndipo chimayambitsa chitukuko cha matenda ena (gastroduodenitis, pancreatitis, etc.).
Panthawi ya kukhululukidwa kwa matenda aakulu a cholecystitis, odwala amamva bwino, mawonetseredwe opatsirana amakhala osapezeka. Odwala ena akhoza kudandaula kokha chifukwa cha kuvutika m'mimba mutatha kudya, kupotoza, flatulence.
Panthawi ya matendawa, odwala amazindikira zizindikiro zomwe zimachitika nthawi zambiri atadya zakudya zopanda thanzi (mafuta, zokazinga, kusuta, etc.), zakumwa zoledzeretsa kapena zakumwa za carbonat, kupirira mwamphamvu, hypothermia, nkhawa, etc. Zisonyezerozo zikufanana ndi zizindikiro zovuta Mafomu:
- ululu;
- chisokonezo;
- kusanza;
- malungo, ndi zina zotero.
Ndipo ngati kuwonjezerekaku kumayambitsidwa ndi kayendetsedwe ka miyala mu ndulu, ndiye kuti ikhoza kuyamba ngati hepatic colic ndi zizindikiro zotsatirazi:
- ululu waukulu wamimba;
- kusanza mobwerezabwereza, osati kubweretsa mpumulo (kusanza kungakhale bile);
- ululu wa khungu ndi khungu;
- mdima wa mkodzo;
- thukuta;
- kupuma pang'ono.
Kuukira kotereku, komwe kumachitika nthawi zambiri usiku, kumafuna chithandizo chamankhwala mwamsanga, nthawi zina kuchipatala.