Kwa amayi ali ndi zaka 40, kutupa kwapang'onopang'ono kwa ndulu nthawi zambiri kumapezeka. Ichi ndi matenda owopsa omwe angayambitse mavuto ambiri ndikusowa kufunikira kuchotsa limba. Pofuna kupewa zotsatira zoipa, nkofunika kupeza zizindikiro za matenda m'thupi mwamsanga ndikuyamba kuchiza.
Zimayambitsa matenda aakulu a cholecystitis
Njira yotupa imayamba chifukwa cha kuphwanya motility wa gallbladder. Pambuyo pake, wothandizira wodwalayo amalowa, kukulitsa njira ya matendawa. Zotsatira za cholecystitis, kuphulika ndi kuphulika kwa bile, maonekedwe a zizindikilo zizindikiro:
- kudya zakudya zopanda zakudya komanso zakudya zamakono kapena mafuta;
- chidakwa;
- miyala mu gallbladder ;
- Kudya;
- kunenepa kwambiri;
- congenital anomalies wa gallbladder;
- mimba;
- dokotala wa dyskinesia wa bile ducts ;
- kupuma kwa m'mimba;
- matumbo a m'mimba;
- malingaliro a gallbladder;
- kutsika;
- chisokonezo;
- dysmenorrhea;
- mitsempha ya m'magazi;
- ziphuphu m'mimba mwa m'mimba;
- chiwonongeko;
- zaka zimasintha thupi.
Mitundu yambiri ya cholecystitis
Pali njira zingapo zomwe mungasankhire matendawa. Ndikofunika kuti nthawi yomweyo mulekanitse bwino cholecystitis - zizindikiro ndi chithandizo cha matenda makamaka zimadalira mawonekedwe ake. Matenda osadziwika bwino komanso mankhwala osayenera angayambitse kupweteka kwa thupi, kufalikira kwa ziwalo zoyandikana ndi zotsatira zina zoipa.
Mitundu ya cholecystitis molingana ndi kuchuluka kwa zovuta:
- zovuta;
- kawirikawiri (mobwerezabwereza kufika pa 1 chaka kapena zosachepera);
- kawirikawiri kuwonjezeka (milandu 2 kapena yambiri mu miyezi 12).
Mwa kuuma ndi kuuma kwa zizindikiro, matendawa akuchitika:
- kuwala;
- chiwerengero;
- cholemera;
- ndi mavuto.
Udindo waukulu umasewera ndi kukhalapo kwa concrements mu gallbladder. Pachifukwa ichi, matendawa amagawidwa m'magulu awiri:
- mwala;
- bezkamennaya.
Matenda osakanikirana a cholecystitis
Malingana ndi chiphunzitsochi chovomerezeka, kupanga mapangidwe ndi kusintha kwa chiŵerengero cha acids ndi cholesterol mu bile. Chigawo chotsatira chimapangitsa kuti pakhale mitsempha yambiri, yomwe imapangidwanso. Kawirikawiri njirazi zimayendetsedwa ndi cholecystitis yopanda kuwerengera - miyala mu chikhodzodzo cha ndulu ikuwonekera pambali ya zovuta za thupi ndi magalimoto ake popanda ntchito yokwanira. Zifukwa zina za kupanga mapangidwe:
- chiwindi;
- shuga;
- duodenitis;
- zopanda chilungamo;
- kunenepa kwambiri;
- zizindikiro za biliary dyskinesia;
- kupweteka;
- Helminthiasis;
- Matenda a Crohn;
- gastritis;
- matenda opatsirana;
- chiwindi cha chiwindi.
Cholecystitis yopanda malire
Stasis ndi thickening ya bile ndizimene zimayambitsa chitukuko cha matendawa. Wothandizira, omwe amachititsa kuti acalculous cholecystitis, ayambe kukhala ndi matenda. Otsatira otsatirawa akhoza kuyambitsa kutupa:
- staphylococci;
- E. coli;
- enterococci;
- chithandizo;
- kuphatikizapo microflora.
Ndikofunika kudziwa bwino kuti matenda odwala cholecystitis omwe amachititsa pamwambapa-zizindikiro ndi chithandizochi zimadalira mwachindunji komwe amachokera. Kutenga kumalowa mkati mwa ndulu makamaka mwa kukwera kuchokera m'mimba. Nthawi zambiri, tizilombo toyambitsa matenda timasunthira ndi mitsempha kapena magazi kuchokera kutalika kwa kutupa kwapang'onopang'ono.
Cholecystitis wambiri - zizindikiro
Chithunzi cha kachipatala cha matenda omwe akufotokozedwa chikugwirizana ndi mawonekedwe ake ndi kuuma kwake. Zizindikiro za nthawi yaitali cholecystitis popanda concrements mu ndulu:
- kukoka nthawi kapena kupweteka kupweteka pansi pa nthiti yolondola;
- kuwonjezeka kapena kusokonezeka mu epigastrium mutatha kudya mafuta, zokometsera, zakudya zowonongeka;
- kukwiya;
- zovuta za kugona;
- kukondwa;
- kukhumudwa nthawi zonse pakamwa;
- kumangirira ndi mpweya;
- nthawi zina - chisokonezo;
- arrhythmia.
Nthenda yotchedwa cholecystitis yomwe imakhalapo nthawi zambiri imapitirizabe chimodzimodzi - zizindikiro zonse zimagwirizana ndi matenda osagwirizana ndi matendawa, choncho kupezeka kwa ngodya kumawoneka pokhapokha panthawi ya kuchipatala. Mitundu yonse iwiriyo imatha kupitirira popanda mawonetseredwe ofunika kwambiri, chifukwa cha matenda omwe amapezeka kale panthawi yovuta ya chitukuko ndi zizindikiro zovuta.
Kukula kwachilendo cholecystitis
Kuwonjezereka kwa ndondomeko yotupa yomwe imayankhidwa kawirikawiri imakhumudwitsidwa ndi zakudya ndipo imayendetsedwa ndi ndondomeko yomweyo kuchokera ku gallbladder ndi zizindikiro zinazake. Zosawerengeka zosakwanira cholecystitis m'katikati mwa kuchulukitsa zimakhala ndi zizindikiro:
- kupweteka kwakukulu kumbali yoyenera, kumapereka pamapewa ndi mapewa;
- kusinthana kwa kudzimbidwa ndi kutsekula m'mimba;
- malungo;
- kuyabwa;
- mliri;
- kupweteka;
- ululu kapena kulemera mu chifuwa;
- kusokonezeka m'matumbo.
Kuchulukitsa kwachilendo cholecystitis - zizindikiro pamaso pa miyala mu gallbladder:
- kusanza kwakukulu;
- mdima wa mkodzo;
- kuwunikira kwa zinyansi;
- kukhalapo kwa mafuta mu nyansi;
- kupweteka kwakukulu mu epigastrium ndi kumanja, komwe kumapangitsa m'khosi, kumbuyo, kutsogolo ndi pansi pa scapula (biliary colic);
- hypotension;
- kuledzera;
- kutentha kwa thupi;
- tachycardia.
Cholecystitis chosatha - matenda
Pofuna kukhazikitsa dongosolo loyenera lachirepa, sikuti limangotsimikizira kukhalapo kwa kutupa. Ndikofunika kudziwa chifukwa chake matenda aakulu a cholecystitis ayamba - zizindikiro ndi chithandizo cha matendawa zimagwirizana ndi zomwe zimayambitsa matendawa. Choyamba, dokotala amasonkhanitsa an anamnesis, amachititsa kuyeza ndi kupweteka kwa pamimba. Pa kafukufuku, zifukwa zomwe zimayambira kuyambira kwa kutukuka: hypodynamia, kudya zakudya, maulamuliro ovulaza, ndi ena. Chodziwika chotsiriza cha "cholecystitis" chimakhazikika pamaziko a maphunziro:
- mayesero a zachilengedwe ndi a magazi ambiri;
- Ultrasound ya ziwalo za m'mimba;
- cholingalira;
- choyimira;
- zojambula;
- kusanthula bile;
- cholingalira;
- arteriography.
Cholecystitis wambiri - mankhwala
Njira yothetsera imasankhidwa payekha malinga ndi zikhalidwe za thupi la wodwalayo ndi mawonekedwe a matenda. Dokotala yekha woyenera angathe kusankha momwe angachiritse matenda aakulu a cholecystitis. Kuyesera kuyesetsa kulimbana ndi matenda nthawi zambiri kumangowonjezera kuwonjezereka kwa zizindikiro ndi kuchitika kwa mavuto osasinthika.
Kuchiza kwa cholecystitis ndi mankhwala - mankhwala
Thandizo lodziletsa ndi loyenera kwa odwala popanda gallstones. Njirayi siigwira ntchito ngati matenda aakulu a cholecystitis amapezeka - mankhwalawa pambaliyi amachotsa chiwalo pamodzi ndi calculi. Kawirikawiri, kusungunuka kwa mankhwala kapena kusokonezeka-kugwedezeka kumawunikiridwa, koma ngakhale ndi njira zothandizazi, miyala imatha kupanga kachiwiri ndipo zizindikirozo zidzayambiranso.
Mankhwala othandiza amalimbikitsidwa ngati pali vuto lalikulu la cholecystitis, mankhwalawa amagwiritsa ntchito magulu angapo a mankhwala:
- maantibayotiki - Cefixime, Ceftibuten;
- Antispasmodics - Papaverin, No-Shpa;
- mapuloteni - Creon, Panzinorm;
- choleretics - Allochol, Holosas;
- matsenga - Enterosgel, Atoxil;
- detoxication mankhwala - sodium kloridi yankho, shuga;
- mankhwala osagwiritsa ntchito mankhwala othandiza kutupa mankhwala - Nimesil, Ketanov.
Chronicle cholecystitis - mankhwala ochiritsira
Phytotherapy ndi mankhwala ena osokoneza bongo amathetsedwa panthawi ya kukhululukidwa kwa matenda komanso pambuyo poti athetsa zizindikiro za kutupa. Chithandizo cha cholecystitis ndi mankhwala ochiritsira pakadwalanso matendawa ndi owopsa kwambiri. Kukonzekera zitsamba kungayambitse kuchulukitsa kwambiri kwa bile ndi kuwonjezeka kwa stasis, kufooka kwa chiwindi ndi pancreatic ntchito. Maphikidwe aliwonse ogwiritsidwa ntchito ndi ofunika kuyang'ana ndi dokotala. Dokotala yekha angavomereze njira yothetsera cholecystitis osachiritsika - zizindikiro ndi mankhwala owerengeka sizimagwirizana nthawi zonse.
Zokwanira zokhudzana ndi zitsamba
Zosakaniza:
- mizu ya valerian - 20 g;
- mbewu za katsabola - 10 g;
- wopyozedwa ndi Wort John's wort - 20 g;
- greenery ndi mizu ya parsley - 10 g;
- immortelle - 20 g;
- plantain - 10 g;
- chamomile maluwa - 20 g;
- yarrow - 10 g;
- peppermint - 10 g;
- oregano - 20 g;
- mayiwort - 20 g;
- madzi ndi 200-210 ml.
Kukonzekera, gwiritsani ntchito :
- Zouma zoumba ndi kusakaniza.
- Thirani supuni 1-1.5 za zomwe zinagulidwa ndi madzi otentha.
- Kuumirira njira zopita mphindi 90.
- Sungani yankho.
- Gawo la ora pasanapite nthawi iliyonse, imwani mankhwala okwanira 15-20ml.
- Pitirizani mankhwala kwa milungu itatu.
Kudya mu chronic cholecystitis
Chakudya chapadera chimaperekedwa kwa odwala onse omwe ali ndi matenda opatsirana. Zakudya zopatsa thanzi cholecystitis zimapangidwa mogwirizana ndi tebulo nambala 5 (kukhululukidwa) ndi № 5a (kubwereranso) malinga ndi Pevzner. Kudyetsa chakudya kumachitika maola 3-3.5 aliwonse m'magawo ang'onoang'ono, mwa mawonekedwe ofunda.
Kuchiza ndi potsatira mankhwala sikuletsedwa kuti ziwonongeke:
- mazira a dzira;
- mowa;
- zakudya zonenepa ndi zokazinga;
- zokometsera, zokometsera, chakudya chowawa;
- mowa;
- chophika chophika;
- mankhwala ndi mafuta ndi kirimu;
- mtedza;
- ayisikilimu;
- Zipatso, masamba ndi zipatso;
- mbewu zowala;
- chakudya chamzitini;
- chokoleti ndi kaka;
- mkate watsopano;
- mchere wa phwetekere;
- nyama zogulitsa;
- anyezi, sorelo, sipinachi, radish, adyo.
Zotchulidwa:
- tirigu;
- soups zamasamba;
- chakudya ndi nsomba (steamed, yophika, stewed);
- mkate wa dzulo;
- mtedza, marmalade;
- kupanikizana, wokondedwa;
- zamasamba, zipatso;
- mabulosi okoma okoma ndi zakumwa zakumwa;
- Zakudya za mkaka zochepa;
- casseroles.
Cholecystitis yambiri - mavuto
Ngati simukutsatira ndondomeko za mankhwala ndi zakudya, matendawa adzapitirira. Zotsatira zake, makamaka chiwindi ndi ndulu zowonongeka - cholecystitis chosaneneka chimayambitsa zotsatira zoopsa ngati izi:
- kutukumula kosasangalatsa;
- cholangitis ;
- kumanga makoma a ndulu;
- hepatitis;
- peritonitis;
- mpyema wa gallbladder;
- blockage ya duct;
- matenda opatsirana .