Zovuta cholecystitis - zimayambitsa ndi mankhwala a mankhwala, zakudya, opaleshoni njira

Mwamsanga komanso mofulumira kutupa kwa ndulu imatchedwa chowopsa cholecystitis. Matendawa, omwe afika nthawi yoyamba, amathera ndi kuchira kwathunthu ndi mankhwala okwanira. Pamene kugwidwa kwabwezedwa mobwerezabwereza, matenda aakuluwo amapezeka. Ndili ndi zaka, kuthekera kwa kupeza cholecystitis kumawonjezeka, tizilombo toyambitsa matenda timakhudzidwa ndi amayi kusiyana ndi amuna. Kumalo otetezeka - amayi apakati, kutenga mankhwala osokoneza bongo komanso anthu ochepa kwambiri.

Zovuta cholecystitis - zimayambitsa

Kutupa kwakukulu kwa ndulu kumakhala kosavuta kuyenda mu thupi la bile chifukwa cha kutsekedwa kwa mpweya wake. Nthawi zambiri, kukula kwa matenda kumaphatikizapo kukhalapo kwa miyala (mpaka matenda oposa 95%), ndipo 60 peresenti ya odwala ali ndi matenda a bakiteriya: E. coli, cocci, salmonella mu bile. Zinthu zowopsya zosiyana zingayambitse cholecystitis, zomwe zimayambitsa matenda zimatchedwa izi:

• matenda, bakiteriya flora mu bile;
• mapuloteni a makoma a chikhodzodzo kapena atrophy;
• kink wa chiwalo ndi kutuluka kwa bile;
• kusintha makoma a chikhodzodzo chifukwa cha msinkhu;
• madzi osakanizika mu chikhodzodzo, kuponyedwa kwa michere ya pancreatic;
• kusowa zakudya m'thupi - mafuta, zakudya zonunkhira ndi chakudya chokwanira;
• Kutsekedwa kwa mankhwala a bile kapena kuwonongeka kwa makoma ndi machitidwe olimba.

Zopanda cholecystitis

Malingana ndi kupezeka kwa miyala - biliary calculi - kutupa kwa ndulu yagawanika kukhala yowerengeka (ndi miyala) ndi yosadziŵika. Matendawa ndi osowa kwambiri. Monga lamulo, beskamenny cholecystitis ili ndi mawonekedwe aakulu, ndipo ngati ali pachimake, imakhudzana ndi kulowa kwa tizilombo toyambitsa matenda mwachindunji mu gallbladder pa yotupa njira mu matumbo. Matendawa amayamba ndi zinthu monga:

• matenda a parasitic a chiwalo;
• kukhalapo kwa mabakiteriya;
• matendawa;
• E. coli ;
• staphylococcus, enterococcus;
• Proteus.

Calculous cholecystitis

Chifukwa cha kusalinganikirana kwa mankhwala m'thupi mu chikhodzodzo ndi mazira ake, mawonekedwe olimba amapangidwa-miyala. Amavulaza madontho a bile, amachititsa ululu, kupwetekedwa, kutupa komanso kupweteka kwambiri cholecystitis. Zotsatira za cholelithiasis, zomwe zimayambitsa matenda a chikhodzodzo:

• kunenepa kwambiri;
• zovuta kuchokera ku kulemera kolemera;
• kulandila za kulera kwachinsinsi;
• shuga ;
• ukalamba;
• kugwiritsa ntchito mankhwala osokoneza bongo omwe amachepetsa mlingo wa kolesterolo m'magazi, ndi zina zotero.

Zovuta cholecystitis - zizindikiro

Monga lamulo, pachimake cholecystitis amadziwonetsera okha atatenga chakudya chovulaza, akuvutika maganizo kapena kumwa mowa. Zamoyo zimakhudza kwambiri zinthu zoipa. Kuchepetsa kupanikizika, colic, kusanza, kuphulika ndi zizindikiro zina, iye akufotokoza kuti kutupa kwa ndulu kwayamba, zizindikiro zake n'zovuta kuziiwala. Kuopsa kwake kwa zizindikiro kumadalira pa siteji ya matendawa. Zizindikiro zapadera za cholecystitis, kuzisiyanitsa ndi matenda ena ndi kuthandizira kupeza matenda:

1. Ngati mutayika pamtunda pakati pa miyendo ya sternocleidomastoid muscle, ululu umawonekera.
2. Ndi matenda otsika kwambiri, wodwala sangathe kuwombera.
3. Pakati pa phokoso la malo abwino, malo ovutika kwambiri.
4. Pali vuto lotetezera la minofu ya m'mimba.
5. Kukhumudwa panthawi yogwira pamphepete mwa mgwalangwa wa mtengo wamtengo wapatali kuchokera kumanja (malo a chikhodzodzo).

Zolingalira za cholecystitis yovuta

Pamene matendawa amapezeka, wodwalayo amamva bwino. Zina mwazidzidzidzi zimadandaula za: kupsya mtima m'kamwa, kunyoza, kusanza ndi kusakaniza kwa bile, pambuyo pake palibe mpumulo. Zowonjezeka zamadzimadzi omwe ali ndi cholecystitis, maonekedwe a jaundice ndi kuwonjezeka kwa ndulu, kuwonjezeka kwa kutentha kwa thupi (mpaka madigiri 40). Koma kudandaula kofunika kwambiri ndi zizindikiro zazikulu za cholecystitis sikumapweteka.

Khalidwe ndi kumidzi komweko kwa ululu wa cholecystitis

Matendawa amayamba ndi kuukira kwakukulu. Ululu woopsa wa cholecystitis umachitika, monga lamulo, mu bwino hypochondrium dera, ukhoza kuwoneka mu epigastrium. Zosangalatsa zokhumudwitsa kwa nthawi yaitali sizidutsa, zitsitsimutsa mmwamba mu scapula ndi phewa lakumanja, khosi, malo opondaponda, kumbuyo. Ululu umapwetekedwa ndi matope:

• Muka usiku kapena m'mawa;
• khalani amphamvu, koma khalani patapita kanthawi (kuyambira 30 mpaka 60 mphindi);
• Kuvutako kuli kovuta kwa munthu, iye amakakamizika kutenga malo osasangalatsa, kukoka miyendo yake m'mimba ndikuyesa kutentha malo otentha.

Kodi choopsa cha cholecystitis ndi chiyani?

Kuwopsa kwa cholecystitis nthawi zambiri kumatenga masiku angapo, koma matenda ndi sepsis zingachititse mavuto. Nthawi zina panthawi ya chitukuko cha matendawa, chimbudzi chimapezeka. Zotsatira zake, pali kutupa kapena kutentha kwa fistula. Kupezeka kwa matenda, kumachitika panthawi yolakwika, kusowa kwa mankhwala abwino kumapangitsa kuti pakhale vuto lovuta la cholecystitis. Ambiri mwa iwo ndi awa:

• kupweteka kwa chiwindi - kutupa kwa kapangidwe;
• Cholangitis - matenda a bile duct;
• chosowa cha caulinian;
• empyema (suppuration), chifuwa kapena kupopera kwa ndulu;
• biliary fistula;
• purulent amafalitsa peritonitis;
• jaundice.

Cholecystitis yovuta - matenda

Odwala amamva kupweteka kwambiri kwa dokotala pambuyo pa zizindikiro zomveka za cholecystitis, monga lamulo, ali kuchipatala, kuikidwa kuchipatala. Izi zimachokera kuchipatala chofanana ndi zizindikiro ndi appendicitis. Chipatala chimapanga kusiyana kwa matenda a cholecystitis. Zotsatirazi zimapezeka pambuyo pa kafukufuku, zomwe zimaphatikizapo ma laboratory ndi njira zothandizira. Kuzindikira sikovuta ndipo kumaphatikizapo:

• kusanthula magazi (kawirikawiri), kuwulula kupezeka kwa kutupa;
• kuyesa magazi;
• Ultrasound ya mimba yamimba, kulola kuyesa ndulu, voliyumu yake;
• kukonza;
• Zojambula za mafilimu - ndi kukayikira za peritonitis.

Zovuta cholecystitis - mankhwala

Ngati mankhwala ovuta kwambiri a cholecystitis amapezeka, mankhwalawa amaphatikizapo kuchipatala mwadzidzidzi komanso mwamsanga (m'maola 24-48 oyambirira) kuchoka m'mimba. Pachifukwachi, kugwiritsira ntchito chubu kumagwiritsidwa ntchito. Wodwala akuwonetsa mpumulo wolimba. Kwa masiku angapo amakana chakudya, madzi amathira mu thupi mwathunthu. Pamodzi ndi izi, mankhwala amaperekedwa. Pambuyo pake, wodwalayo amasamutsidwa ku zakudya monga imodzi mwa njira zazikulu zothandizira. Zakudya zoyenera zimayambitsa ubwino wabwino wa bile.

Cholecystitis yovuta ndidzidzidzi

Zovuta cholecystitis, zizindikiro ndi chithandizo chomwe chimatsimikiziridwa mothandizidwa ndi dokotala, ziyenera kuwonedwa mu chipatala. Koma sikuti aliyense amagwiritsa ntchito chithandizo chamankhwala pa chizindikiro choyamba cha matenda, posankha kukhala kunyumba kwa masiku ochepa oyambirira. Izi zikudzaza ndi mavuto. Kusamalidwa kwachipatala kwa cholecystitis yovuta n'kofunika kuti mukhale osamala. Wodwala sayenera kutenthetsa malo otentha, kusambira, kusamwa painkillers yekha. Thandizo lachangu liyenera kukhazikitsidwa kuti likhale ndi mtendere wamumtima musanafike madokotala. Ndikofunika:

• kumupatsa iye malo osakanikirana;
• chitetezeni ku nkhawa (maganizo ndi thupi);
• kuti achepetse chiwopsezo cha mseru, perekani mankhwala osakaniza;
• ikani kuzizira mu hypochondrium yolondola, koma osati patali kuposa mphindi 15.

Zovuta cholecystitis - malingaliro othandizira

Cholecystitis yovuta ndi matenda aakulu, koma ngati imawoneka m'kupita kwanthawi, mankhwala ochiritsira amatha. Pamene kutupa kwa ndulu kumapezeka mwa ana, mankhwala osagwiritsa ntchito mankhwala nthawi zambiri amagwiritsidwa ntchito. Zimaphatikizapo zakudya, zozizwitsa zapadera, kukhala mu malo osungirako thupi. Zothandiza kwenikweni kukhala pa malo ogulitsa madzi amchere. Muzovuta zovuta, mankhwalawa amatenga kumwa mankhwala, mwinamwake opaleshoni. Chithandizo chimaperekedwa pa msinkhu wamatenda.

Zovuta cholecystitis - mankhwala

Kugwiritsa ntchito mankhwala pochiza matenda kumawonetsedwa mosiyana - ngati matendawa ali pachiyambi, mwachitsanzo, miyala ilipo mu chikhodzodzo, koma sizimapweteka kwambiri, ndipo ngati mavuto akuchitika. Njira yowonjezereka imadalira kukula kwa kutupa ndi chikhalidwe cha wodwalayo. Mothandizidwa ndi mankhwala, madokotala amayesa kuchotsa kutupa, kuonetsetsa kuti mankhwalawa amawoneka bwino komanso kuonetsetsa kuti akutha. Mankhwalawa amatanthauza:

1. Mankhwala osokoneza bongo tsiku loyamba la chiwembu kuti athetse ululu (Papaverin, No-Shpa, Dimedrol).
2. Maantibayotiki a pachilonda cholecystitis (Ampicillin, Tetracycline, Cephzoline). Zikhoza kutsatiridwa ndi sulfanilamide ngati choyamba sichiloledwa ndi wodwalayo (Sulfazin, Ftalazol, Sulgin). Ali ndi mphamvu yogwiritsira ntchito mankhwala.
3. Kuchetsedwa kwa thupi ndi mankhwala. Pa nthawi yoyamba m'chipatala, njira zotsekemera zimayambitsidwa (plasma, Dextran, Ringer's solution, Reopoliglyukin).
4. Cholagogue, chomera ndi zokonza (Ursoliv, Ursosan, Febihol, masamba a nettle, burdock mizu, tinthu tating'onoting'ono).
5. Kupirovanie zizindikiro za matenda. Mapuloteni akapeza miyala mu chikhodzodzo (kutaya iwo).

Cholecystitis yovuta ndi opaleshoni

Malingana ndi zizindikiro zina, kutupa kwa ndulu kumachitidwa opaleshoni. Kukula kwa zovuta kumaphatikizapo kuthandizira mwadzidzidzi, ndipo opaleshoniyi imachitika ngati mankhwalawa sakugwira ntchito. Dulani kwambiri zovuta cholecystitis ndi kuiwala kwathunthu za izo kungathe kuchotsa ndulu. Ntchitoyi imagwiritsidwa ntchito ndi njira yachikhalidwe yotseguka komanso ya laparoscopic. Monga lamulo, ngati phokoso la pulogmonous cholecystitis likupezeka, imodzi mwa mitundu yosiyanasiyana ya matenda yomwe imayambitsa matenda obisala, wodwalayo nthawi yomweyo amaika tebulo kwa dokotalayo.

Mu pachimake cholecystitis

Pa chithandizo komanso m'tsogolomu, wodwala ndi cholecystitis ayenera kutsatira chakudya chapadera. Chakudya pa nkhaniyi sikuti kungopewera chitukuko cha matendawa, komanso njira yothandizira. Matenda oopsa, zakudya zomwe zimakhala ndi chifuwa chachikulu cha ndulu zimatanthauza njala yeniyeni (m'masiku oyambirira pambuyo pa chiwonongeko). Amaloledwa kumwa zakumwa zokha, msuzi wa mbuto, tiyi popanda shuga. Pambuyo pake, wodwalayo amapita ku zakudya nambala 5 - chakudya chotsutsa-kutupa. Malingaliro awa ndi awa:

1. Zakudya zimakhala zokwanira 200 g patsiku. Zimatanthauza kutenga chakudya chophweka: jams, shuga, uchi, kupanikizana.
2. Kuchuluka kwa mapuloteni kwafupika kufika 80 g. Mafuta ndi ofanana.
3. Zamakhalidwe a caloric za tsiku ndi tsiku ndi pafupifupi 1600 kcal. Zamadzimadzi zimagwiritsidwa ntchito mpaka 2.5 malita.
4. Mfundo ya zakudya zochepa zimayang'anitsitsa.
5. Chakudya chiyenera kukonzedwa popanda mchere.
6. Zonsezi zimatumiziridwa mu mawonekedwe a grated: mwa mawonekedwe a purees, soups, soufflé.

Mndandanda wa zosakaniza zosaloledwa:

• nyemba;
• kabichi;
• mchere wamchere;
• bowa, kuphatikizapo broths;
• zipatso zowawa ndi zipatso;
• sausages;
• mphodza;
• tchizi;
• kakala.

Maziko a zakudya ndi:

• wodyetsa ng'ombe ndi nkhuku;
• nsomba kwa banja;
• soups zamasamba;
• osokoneza;
• mankhwala opangira mkaka;
• oatmeal, mpunga, phala tirigu;
• masamba;
• kisels;
• zipatso zouma.

Kuyambira zokoma ndizotheka kugwiritsa ntchito:

• wokondedwa;
• shuga;
• chithunzi;
• chithunzi;
• onjezerani zakumwa zabwino.

Kuti musasokoneze cholecystitis yovuta, muyenera kutsatira ndondomeko ya zakudya komanso mankhwala. Kawirikawiri, ndi kusunga zakudya ndi mankhwala ochiritsira, n'zotheka kukwaniritsa kukhululukidwa. Kutenga mankhwala aliwonse (painkillers, choleretic) ndi kutupa kwa ndulu ayenera kuyang'aniridwa ndi dokotala.