Chithandizo cha cholecystitis pachimake. Zizindikiro, zimapangitsa matendawa. Zakudya pa cholecystitis ndi

Ngati muli aakulu ululu ufulu chapamwamba nusu, kunyansidwa ndi kusanza, omwe sasamalira mpumulo, pakamwa kumva kulawa zowawa, n'zotheka kuti muli ndi kuukira kwa cholecystitis pachimake.

Cholecystitis - mmodzi wa matenda zambiri. Malinga ndi gulu la International wa Matenda (ICD-10) adzaupereka kwa gulu la pathologies m'mimba. Matenda akhoza kukhala palokha ndipo angayambe kukhala vuto la matenda ena, monga kapamba, mitundu ina ya gastritis, chiwindi ndi ena. Matendawa akufotokozera pang'onopang'ono, unobtrusively poyamba, choncho m'pofunika kucheza mankhwalawa pachimake posachedwapa cholecystitis, zizindikiro zimene kale anatuluka.

cholecystitis Kodi

Cholecystitis malinga ICD-10 - kutukusira kwa ndulu ya. Chifukwa yoyamba ya matenda - ya ndulu ducts, ndulu kudzera amene akudziyeretsayo miyala ya ndulu yatsekera. zodabwitsazi ali chinatembenuka. Ya ndulu stagnates mu thupi limataya katundu antimicrobial, chifukwa cha pakhoma ndulu matenda (monga mabakiteriya anabwera kwa mundawo m'mimba). Chifukwa cholelithiasis zimachitika mpaka 95 peresenti ya cholecystitis.

Pasanathe matenda wamba chifukwa cha zifukwa zina: acalculous cholecystitis akhoza woterowu vasculitis, yaitali osadya, sepsis opaleshoni m'mimba, zoopsa, salmonellosis, ndi zinthu zina zosagwirizana ndi mapangidwe gallstones.

Matendawa amapezeka olembedwa pachimake ndi aakulu. Mawonekedwe pachimake amawapeza mofulumira osauka kutupa. Pafupifupi 15 peresenti ya odwala matenda a zonse m'mimba timakhala cholecystitis pachimake. Iwo amalembedwa ndi kupweteka kwambiri pamimba. Ngati mukuganiza kuti muli ndi kuukira kwa cholecystitis pachimake, pitani kuchipatala mwamsanga (itanani ambulansi).

Aakulu cholecystitis chifukwa cha chifundo cha pachimake mobwerezabwereza. Nthawi zambiri ndi calculous (ie gallstones). Ndulu khoma thicken ndi nthawi, kusintha pathological zimachitika kapena ya ndulu ducts a chikhodzodzo amachepetsa kusunga ndi kumasula miyala ndulu anapanga. Matenda sanali kukhala mu mawonekedwe aakulu, muyenera yake kulabadira chikhalidwe pathological thupi ndi kuchitira pachimake cholecystitis.

zizindikiro matenda

Kwambiri noticeable chizindikiro cha matenda - kupweteka kwambiri mu hypochondrium bwino. Ululu cholecystitis kwambiri, kumatenga nthawi yaitali - pafupifupi maola, limapereka mmbuyo kapena m'munsimu tsamba phewa kumanja, ndipo ngakhale adza kwa khunyu.

Ndi chitukuko cha matenda wodwala akhoza kuona nseru, misozi, mwina wothira ya ndulu, koma mosavuta pambuyo kusanza amakhala. Komanso, odwala angadandaule m'kamwa youma, TACHIMATA lilime. madandaulo kawirikawiri bloating, belching mpweya. Onse zizindikiro izi zimafunikira yomweyo azichitira pachimake cholecystitis.

Zizindikiro za cholecystitis pachimake mulinso:

• malungo, malungo;
• matenda a chikasu ndiyo;
• mpando imvi;
• palpitations mtima ndi zizindikiro zina kuledzera.

Powonjezera m'pofunika kulabadira zizindikiro zotsatirazi:

• Murphy ndi chitsanzo: pa palpation zakuya za hypochondrium lamanja mtima molimba kupuma, zimawawa kupuma;
• Grekov - Ortner: wodwala amakhala ululu effleurage m'manja mwa ufulu costal Chipilala;
• Shchetkina - Bloomberg: ululu wa cholecystitis nakweza ngati msanga kukankha pa zapambuyo khoma m'mimba ndi apite.

Zimayambitsa cholecystitis pachimake

Zimayambitsa waukulu wa cholecystitis - gallstones:

• wa mafuta m'thupi miyala (choncho akufalikira kwambiri);
• bilirubin miyala kapena inki (zimachitika pa fupa lothyoka maselo a magazi).

Zina za matendawa:

• ya ndulu stasis mu limba;
• matenda a chiwindi ndi kapepala biliary;
• mofulumira kuwonda (kaya chifukwa cha zakudya kapena opaleshoni bariatric zinachitika);
• mimba (mu ndulu amakhudza malo a mwana wosabadwayo, komanso m'thupi amasintha thupi).

Yofunika kwambiri isanayambike cholecystitis pachimake kusewera kugonana ndi zaka. Akazi timakumana ndi matenda pafupifupi 2-3 zambiri kuposa abambo. Komanso ananena kuti matenda ndi kosavuta kukhala ngati mkazi wabereka mwana osachepera otetezeka kulera ndi okhutira mkulu esitirojeni, ndi onenepa. Komabe, onenepa akhoza kudwala matenda, mosasamala kanthu za jenda: moyo wongokhala ndi zakudya zamagulu ndi zambiri zakudya katundu wochuluka chifukwa maulendo 4 mwina pofuna thandizo kwa madokotala kwa cholecystitis pachimake kwambiri. Komabe, kwambiri ntchito thupi kumathandiza kuti chitukuko cha cholecystitis monga kuchuluka katundu zoipa bwanji ndulu ndi ya ndulu ducts.

Angathe kutenga zikuchepa limatuluka patapita zaka 40-50, koma chifukwa enieni chifukwa izi zimachitika adakali bwinobwino. amuna okalamba pafupipafupi anati pachimake calculous cholecystitis.

Cholecystitis akuluakulu ndi ambiri kuposa ana, koma nthawi zambiri matendawa amapezeka ana ndipo akupitiriza mukadzakula.

Komanso, zinthu n'zothandiza pachimake cholecystitis monga matenda monga matenda a shuga, matenda amene amatupitsa, immunodeficiency.

Kudwala kumachitika chifukwa cha kutenga mankhwala kwa kutsitsa mafuta misinkhu, kusala kudya nthawi yaitali, kuvulala m'mimba.

matenda a matenda

kafukufuku kutsimikiza matenda chifukwa matenda ukugwira kuopseza moyo pa kukayikirana pang'ono pachimake cholecystitis odwala amafunika kugonekedwa m'chipatala nthawi zambiri ndi pasanathe maola 24.

Mu njira ankaikira cholecystitis pachimake kutsimikizira matenda a dotolo wodziwa n'kosavuta.

Kuwonjezera Kupenda thupi la pamimba n'kofunika kuchita kafukufuku monga ultrasound ndi yopangidwa tomography wa pamimba. Mu matenda a dokotala ayenera kuonetsetsa kuti tikulankhula cholecystitis pachimake, kapamba osati zizindikiro za amene ali ofanana, kapena appendicitis kapena zinthu zina mankhwala. Pa ultrasound adokotala kuona ngati kukula ndulu, kaya unakhuthala khoma kuchuluka, pali zinthu zina, mafinya, ndi miyala ina. Mphamvu ya phunziroli ndi peresenti 90.

Nthawi zina, kungafune X-ray, endoscopic, laparoscopic ndi zina za kafukufuku. Onetsetsani kuti mkodzo ndi magazi zitsanzo akutsatiridwa - ambiri, bilirubin, amylase ndi lipase, michere pancreatic, komanso aiming kuwunika ntchito chiwindi.

mankhwala ndiwofatsa wa cholecystitis pachimake

Ngati cholecystitis pachimake palibe ngozi peritonitis, ndi apeza, ndi chithandizo ndiwofatsa. Wodwala Kwalamulidwa makamaka analgesics ndi mankhwala. Pamene kutumikiridwa cholecystitis MANKHWALA OLETSA VUTOLI mpumulo ululu (mwachitsanzo, "Papaverine", "No-spa" ndi ena). Kukonzekera pamodzi cholecystitis (MANKHWALA OLETSA VUTOLI, ndi dzanzi, mwachitsanzo) ndi zochita zambiri.

Maantibayotiki cholecystitis ntchito kupondereza matenda a m'chikhodzodzo ndulu ndi kuteteza amayamba.

Wodwala pa mankhwala ayenera kupirira zakudya okhwima, tsiku loyamba zotheka njala. Kumanja nusu chapamwamba umagwiritsidwa ozizira.

Kupasuka miyala ntchito yokonzekera chenodeoxycholic kapena ursodeoxycholic acid. Kukhalabe ntchito ziwalo yoikidwiratu ya ndulu ndi gepatoprotektory. Zinthu zimenezi zikhoza kuposa zaka ziwiri, koma n'zotheka khalidweli chikhalire.

chithandizo opaleshoni

Pamene zizindikiro za peritonitis ndi wodwala ikuchitika opaleshoni mwadzidzidzi - cholecystectomy (ndulu kuchotsa). Mu peritonitis, kumapha kwambiri, ngakhale ntchito mwadzidzidzi, kotero akuchedwa m'chipatala ndi woopsa kwambiri pamene zizindikiro za cholecystitis pachimake.

Ngati kafukufuku anapeza calculary cholecystitis (i.e., ndi miyala), pasanafike masiku atatu pambuyo isanayambike matenda, pakalibe contraindications analimbikitsa opaleshoni oyambirira kupewa mavuto otsatirawa cholecystitis pachimake. Tanthauzo - kuchotsa ndulu, ndi kuonongeka chikhalidwe.

Mitundu pano awiri ntchito: laparotomy ndi laparoscopic cholecystectomy. Mbali yoyamba ndi wamba lotseguka opaleshoni ndi ang'ambe thupilo m'mimba kuti imagwiridwa ndi tsopano kuchepa. Laparoscopy imagwiridwa popanda amacheka opaleshoni ntchito zipangizo zina zapadera. Pa laparoscopic opaleshoni amacheka yaing'ono kudzera amene kamera ndi zida tikuuzidwa. Mtundu wa cholecystectomy zochepa zoopsa, ndi ang'ono konzanso nthawi pambuyo ndi zimfundo kumanzere ali pafupifupi palibe adhesions. Komanso zikhoza kugwiritsidwa ntchito ngati njira yodziwira.

Pambuyo pa opaleshoni, wodwalayo anachira msanga, ali miyezi iwiri akanatha kubwerera kwa moyo mwachizolowezi, koma kufunika chopereka miyezi isanu ndi kutsatira zakudya kwambiri ndiponso m'tsogolo kulamulira zakudya zanu.

A mtundu watsopano wa opaleshoni si olanda - Akutali mantha-yoweyula lithotripsy. Ndulu lithotripsy ntchito pamene pali contraindications kwa opaleshoni intracavitary. Iwo anachita ntchito chipangizo kuti akutumiza yoweyula mantha pa thanthwe ndi kuzipera bola ngati iye sakutembenuka fumbi.

Kuti madokotala ananena zawo za cholecystitis pachimake zambiri zabwino. Pambuyo pa opaleshoni chifukwa calculous cholecystitis pafupifupi odwala onse Samva zizindikiro zambiri.

mavuto a matenda

Pachimake cholecystitis zambiri matenda ena zikubweretsa peritonitis. Peritonitis kumaonekera lolimbikitsa kwambiri ululu mu tsiku 3-4th matenda, minofu mavuto a linga m'mimba, kupweteka m'mimba.

Komanso pachimake cholecystitis kungachititse kuti perforation a ndulu ya. Pankhaniyi, kupweteka kwa nthawi yaitali adzakhala yafupika, koma ndiye zizindikiro zonse, kuphatikizapo kupweteka m'thupi, umalimba.

Zovuta za matenda monga cholangitis, kapamba, ndulu chilonda, suppuration mu chikhodzodzo. Makamaka Vuto - biliary kuwonongeka pa opaleshoni kuti achotse ndulu.

Mobwerezabwereza matenda cholecystitis pachimake kungachititse matenda aakulu.

zodzitetezera

Pamene chiwopsezo kuti mapangidwe gallstone kwathunthu kuteteza zosayembekezereka wa cholecystitis pachimake zovuta. Komabe, mosavuta osauka gallstones zikhoza kuchepetsedwa ndi zodzitetezera, potero kuchepetsa chiopsezo cha matenda cholecystitis pachimake ndi chitukuko aakulu.

Stagnation wa ya ndulu chindiletsa moyo yogwira. Sayenda chindiletsa mwala mapangidwe, komanso kupitiriza kulemera yachibadwa thupi.

Ngati pali onenepa, simungathe kwambiri kuchepetsa izo.

Komanso, muyezo madzi ziyenela kuyan'anidwa (tsiku muyenera kumwa malita osachepera 2 madzi).

Mosamala kuwunika thanzi, kusiya mowa ndi kusuta fodya, chifukwa kuchepetsa chitetezo cha m'thupi ndipo kungasokoneze pa ndondomeko ya chimbudzi.

Pachimake cholecystitis zambiri matenda concomitant ndi pathologies m'mimba, kotero matenda onse pa mundawo m'mimba ayenera kulandira chithandizo m'njira yake.

Ulamuliro zofunika - zakudya zoyenerera. Muyenera kudya nthawi zonse, pa nthawi yomweyo, nthawi osachepera atatu kapena asanu tsiku chakudya chochepa. Izi zimathandiza kupewa stagnation wa ya ndulu mu ndulu ya.

Mphamvu cholecystitis pachimake

Zakudya chimachititsa kwambiri pa matenda a matenda. Choncho, wodwala ayenera choyamba kumbukirani kuti kudya ndi cholecystitis, ndi kutsatira kukaniza onse kupewa zisadzachitikenso ya nkhondo.

Zakudya losiyana iliyonse siteji ya matenda:

• Popeza hospitalization mtima asonyeza kusala mpaka mpaka kupweteka (koma osapitirira 4 masiku). Pa nthawi imeneyi yekha analola zakumwa (madzi mchere popanda mafuta komanso zovomerezeka ofooka tiyi, zakumwa zipatso, teas chamomile, peppermint, ananyamuka). Muyenera kumwa kawirikawiri sips yaing'ono.
• Pambuyo kuchotsa ululu mu zakudya akhoza anayamba grated chakudya madzi - msuzi m'malo ofooka, soups, mpunga, semolina, Mapila, mkaka soups, odzola, otsika-mafuta yogurt. Pakufunika mu chakudya chochepa. Pa nthawi imeneyi, muyenera kumwa malita oposa 2 madzi tsiku.
• Pafupi kuchira mu chakudya anawonjezera kuti nsomba otsika-mafuta ndi nyama. Komabe ankaloledwa yosenda chakudya, yophika kapena steamed, koma magawo akhoza zochuluka. Pa nthawi imeneyi, zakudya amalola zipatso ndi masamba, chakudya youma, masikono, marshmallows, khofi ndi mkaka.

Mu cholecystitis pachimake ndi aakulu mu nkhani palibe sangathe kudya yokazinga, kusuta, zokometsera, marinated, zokometsera. Ndikoletsedwa mankhwala cholecystitis - chocolate, zakumwa zotsekemera, mitanda lokoma, bowa. Izi chakudya katundu zoipa zokhudza dongosolo m'mimba ndipo kungayambitse matenda atsopano.

Pambuyo kuchira zakudya zoletsa kukhala, wodwalayo akapatsidwa zakudya № 5a (tingagwire mafuta ndi zakudya zokhala coarse CHIKWANGWANI, asidi oxalic, mafuta m'thupi, nitrogenous extractives).

Chithandizo cha mankhwala wowerengeka

Folk azitsamba analimbikitsa monga owonjezera. Kwathunthu m'malo mankhwala awo ochiritsira, makamaka mtundu pachimake, ndi ngozi. Ngati mukukayikira matenda mu malo oyamba m'pofunika dokotala. Iwo uyenera uyambe ikuchitika chithandizo cha cholecystitis pachimake, omwe kukhala ndi zizindikiro ndi amafunika mwamsanga ulamuliro mankhwala, kenako okha mukhoza amachita zitsamba ndi mitengo.

Chithandizo cha mankhwala wowerengeka aakulu cholecystitis amagwiritsidwa ntchito kuwonjezera pa chithandizo njira yaikulu. Amagwiritsidwa ntchito zomera ndi choleretic, odana ndi yotupa, katundu antimicrobial, komanso uchi ndi mafuta. Morning tiyi tikulimbikitsidwa m'malo ndi decoction wa stigmas chimanga kapena anauka m'chiuno. Imodzi mwa njira zothandiza monga cholecystitis ndi matenda ena wa kapepalako m'mimba - ndi decoction wa mbewu yaiwisi wa Mapila.

mankhwala aliwonse wowerengeka ziyenela kuvomelezedwa ndi dokotala.

Pamene kudya pang'ono, wathanzi moyo chiopsezo gallstones ndi chitukuko cholecystitis ndi laling'ono kwambiri. Komabe, pamene khalidwe zizindikiro pachimake cholecystitis sayenera kudziona medicate ndi dokotala nthawi yomweyo kupanga matenda zolondola ndi monga, popanda kuchititsa maonekedwe a mavuto ndi kukhala mu mawonekedwe aakulu a matenda kudzachiritsidwa msanga.