Cholangitis
Zomwe zili m'nkhaniyi
  1. kufotokozera kwathunthu
    1. Zoyambitsa
    2. Mitundu ndi zizindikilo
    3. Mavuto
    4. Prevention
    5. Chithandizo cha mankhwala wamba
  2. Zakudya zopatsa thanzi za cholangitis
    1. chikhalidwe
  3. Zowopsa komanso zovulaza
  4. Magwero azidziwitso

Kufotokozera kwathunthu kwa matendawa

Cholangitis ndi njira yotupa m'mitsempha ya intrahepatic kapena extrahepatic bile. Cholangitis imayambitsidwa ndi matenda omwe amalowa mmatumbo kuchokera m'matumbo, ndulu, kapena mitsempha yamagazi.

Matendawa amatha kukhudza azimayi azaka zopitilira 60. Cholangitis nthawi zambiri imatsagana ndi cholelithiasis, gastritis, cholecystitis ndi kapamba.

Zifukwa zakukula kwa cholangitis

Monga lamulo, chifukwa cha chitukuko cha cholangitis ndikuphwanya patency ya bile ducts, yomwe ingayambitse:

  • kuwukira helminthic;
  • matenda a chiwindi;
  • biliary thirakiti dyskenesia;
  • enteritis, kapamba;
  • biliary thirakiti khansa;
  • chotupa chofala cha bile;
  • zochitika za endoscopic mu ndulu;
  • anam`peza matenda am`matumbo;
  • tizilombo toyambitsa matenda monga Escherichia coli, mabakiteriya a chifuwa chachikulu, staphylococci.

Mitundu ndi zizindikilo za cholangitis

Njira ya kudwala kwamatope amtundu wa bile itha kukhala yayikulu kapena yayikulu:

  • pachimake cholangitisamayamba kupita patsogolo mwachangu. Wodwala ali ndi nkhawa zowawa zazikulu mu hypochondrium yoyenera, yomwe imatulukira ku scapula yoyenera, kutsegula m'mimba, jaundice, nseru, mpaka kusanza. Fomuyi nthawi zambiri imatsagana ndi kupweteka kwa mutu chifukwa cha kutentha kwa thupi, kusowa kwa njala komanso kufooka kwakukulu. Kuyabwa pakhungu n`zotheka usiku;
  • matenda a cholangitis limodzi ndi kumverera kwa kuphulika, malungo ndi kupweteka kwakanthawi m'chiwindi. Nthawi ndi nthawi, wodwalayo amatha kutentha thupi, jaundice imayamba pambuyo pake.

Zovuta za cholangitis

Ndi chithandizo cholakwika komanso chosachedwa, cholangitis imatha kukhala mawonekedwe a purulent, kenako zovuta zotsatirazi zitha kukhala:

  1. 1 sepsis;
  2. 2 zipata mtsempha thrombosis;
  3. 3 endotoxic mantha;
  4. Khansa ya ndulu ya 4 ndulu[3];
  5. 5 cholangiogenic abscess ndi matenda a chiwindi;
  6. 6 kukanika kwa ziwalo zosiyanasiyana;
  7. 7 chitetezo chokwanira matenda;
  8. Kulephera kwaimpso.

Kupewa cholangitis

Kupewa chitukuko cha cholangitis ndi:

  • chithandizo chakanthawi cha matenda am'mimba;
  • kufufuza kawirikawiri ndi gastroenterologist pambuyo pa opaleshoni ya ndulu;
  • kukana zizolowezi zoipa, moyo wathanzi;
  • kusunga magwiridwe antchito ndi kupumula;
  • zolimbitsa thupi;
  • kudya zakudya zabwino;
  • kusuntha kwa matumbo pafupipafupi;
  • Kutaya nthawi kwa majeremusi.

Chithandizo cha Cholangitis mu mankhwala wamba

Kuti mudziwe zenizeni, matenda a cholangitis amapezeka, omwe akuphatikizapo:

  1. 1 Kupenda ndowe za majeremusi;
  2. 2 duodenal intubation;
  3. 3 zamagetsi amwazi;
  4. 4 Ultrasound cha ndulu ndi chiwindi;
  5. 5 bakiteriya chikhalidwe cha ya ndulu;
  6. Kusanthula kwamkodzo kwa 6 kwa mitundu ya ndulu;
  7. 7 kusanthula magazi kwathunthu;
  8. 8 MRI ya ziwalo zam'mimba.

Mankhwala a Cholangitis akuyenera kukulitsa kutuluka kwa ndulu ndikuchotsa zomwe zimayambitsa matendawa. Monga lamulo, chithandizo chimayamba ndi mankhwala amadzimadzi amadzimadzi am'magazi amtundu wa biliary. Komanso, wodwalayo amapatsidwa ma antibacterial agents, antiparasitic and anti-inflammatory drug, hepatoprotectors. Mukamalandira chithandizo, wodwalayo amawonetsedwa njala ndi kupumula pabedi. Ndi kuledzera kwambiri, plasmaphoresis imaperekedwa.

Pambuyo pochepetsa kukhathamira, njira zothandiza zolimbitsa thupi: UHF, kugwiritsa ntchito matope ndi ozokerite kumanja kwa hypochondrium, electrophoresis, malo osambira, mankhwala a microwave.

Kwa odwala omwe ali ndi cholangitis choyambirira, michere imaperekedwa kuti ichepetse chimbudzi.

Zakudya zopatsa thanzi za cholangitis

Anthu omwe ali ndi cholangitis ayenera kutsatira zomwe amadya ngakhale atachira. Zakudya nambala 5 ndizovomerezeka, zomwe zimaphatikizapo kudya 5-6 patsiku ndikuphatikizanso zakudya zotsatirazi:

  • maphunziro oyamba kutengera msuzi wa masamba;
  • soseji yophika ya masukulu apamwamba kwambiri ndi masoseji amkaka;
  • mbale zophika nyama zonenepa;
  • nsomba yophika kapena mitundu yambiri yamafuta ochepa;
  • masamba atsopano ndi masamba obiriwira;
  • mazira a nkhuku pokhapokha ngati ma protein omelet;
  • kanyumba kochepa mafuta ndi mkaka wonse;
  • makeke osaphika ndi zouma buledi dzulo;
  • zipatso zopanda acidic ndi zipatso;
  • tiyi wofooka ndi khofi ndi mkaka;
  • pasitala;
  • wokondedwa.

Folk azitsamba zochizira cholangitis

  1. 1 Nthunzi 0,3 kg wa oats ndi madzi okwanira 1 litre, kusiya kwa mphindi 30-40, kumwa chikho ½ katatu patsiku;
  2. 2 dulani beets wosenda ndikuphika mpaka msuzi utenge kusasunthika kwa madzi, ozizira ndikumwa makapu 0.2 3-4 pa tsiku;
  3. 3 pamimba yopanda kanthu, tengani makapu 0,5 a madzi ofunda kabichi watsopano
  4. Imwani mapeyala ambiri osakanikirana popanda shuga masana, idyani mapeyala atsopano pamimba yopanda kanthu[2];
  5. 5 mphamvu yotsutsa-yotupa ndi choleretic imakhala ndi decoction wa masamba a St. John's wort;
  6. 6 2-3 pa sabata amachita mapangidwe amtundu wa maluwa a chamomile;
  7. 7 Finyani msuzi kuchokera ku mandimu awiri, onjezerani 2 g wa uchi ndi 500 g wa maolivi, tengani chisakanizo mu 500 tbsp. musanadye. Sungani mu chidebe chatsekedwa mwamphamvu pamalo ozizira[1];
  8. 8 idyani 200-300 g wa phala la maungu ndi mapira tsiku lililonse;
  9. 9 onjezani supuni 250 pa 1 ml ya mkaka wowira. akanadulidwa mwatsopano horseradish muzu, kubweretsa kwa chithupsa, kunena, ozizira, fyuluta, kutenga 2-3 tbsp. l. Kasanu patsiku;
  10. 10 Thirani 20-30 magalamu a mbewu za karoti ndi 400 ml ya madzi otentha, wiritsani, pita kwa maola 8 ndikumwa ngati tiyi;
  11. 11 Gulani 30 g ya nyemba zouluka mkaka kukhala ufa, kutsanulira 500 g madzi, wiritsani, ozizira, imwani supuni 2 iliyonse. 4 pa tsiku;
  12. 12 kutenga 4 pa tsiku, 50 ml. msuzi wakuda wa mpiru.

Zakudya zowopsa komanso zowopsa za cholangitis

Ndi cholangitis, sikuloledwa kudya zakudya zomwe zimapangitsa kuti mukhale ndi nkhawa zambiri pamatumbo ndikuwonjezera cholesterol:

  • mazira a nkhuku;
  • wakuda ndi wofiira caviar;
  • masoseji osuta ndi tchizi tokometsera;
  • nsomba;
  • mkate watsopano, ma pie ophika ndi mitanda;
  • maphunziro oyamba kutengera bowa, nsomba ndi nyama ya msuzi;
  • zamzitini nsomba ndi nyama;
  • kusuta ndi mchere nsomba ndi nyama;
  • bakha, tsekwe, zinyama;
  • mafuta a mkaka;
  • malo ogulitsira;
  • bowa, adyo, nyemba;
  • ayisikilimu, chokoleti;
  • madzi otentha, koko, khofi wolimba;
  • masukisi otentha;
  • masamba kuzifutsa;
  • zakumwa zoledzeretsa.
Kusindikizanso kwa zinthu

Kugwiritsa ntchito chinthu chilichonse popanda chilolezo cholemba kale sikuletsedwa.

Malamulo achitetezo

Oyang'anira sakhala ndiudindo pakayesedwe kalikonse kogwiritsa ntchito chinsinsi, upangiri kapena zakudya, komanso sikutsimikizira kuti zomwe zanenedwa zikuthandizani kapena kukuvulazani. Khalani anzeru ndipo nthawi zonse muzifunsira kwa dokotala woyenera!

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!

Chakudya cha matenda ena:

Siyani Mumakonda