Cholecystitis: mitundu, zizindikiro, chithandizo

Cholecystitis ndi njira yotupa mu ndulu, yomwe nthawi zambiri imayambitsidwa ndi matenda a chiwalo ndi matumbo a microflora motsutsana ndi maziko a kuphwanya kutuluka kwa bile kudzera munjira yotsekeka ya cystic. Cholecystitis nthawi zambiri ndi vuto la cholelithiasis. ndulu ili pafupi ndi chiwindi ndipo imagwira nawo ntchito pogaya chakudya. Bile amatuluka kudzera m'matumbo aang'ono, koma nthawi zina pamakhala zovuta zotuluka ndipo ndulu imasonkhanitsidwa mu ndulu, zomwe zimapangitsa kupweteka kwambiri komanso chiopsezo chotenga matenda.

Monga lamulo, matendawa amapezeka limodzi ndi cholangitis - kutupa kwa ma ducts a bile. Cholecystitis ndi njira yodziwika bwino ya opaleshoni, makamaka pakati pa azimayi azaka zapakati ndi achikulire - amadwala katatu mpaka kasanu ndi katatu kuposa anzawo aamuna.

Zomwe zimayambitsa jenda ku cholecystitis:

• Kupanikizika kosalekeza kwa ndulu pa nthawi yomwe ali ndi pakati kumayambitsa zotsatira zanthawi yayitali - kusalinganika kwa cholesterol ndi bile acid, ndipo chifukwa chake, kusayenda kwa bile;

• Mawonekedwe a kagayidwe ka mahomoni a amayi - zatsimikiziridwa kuti progesterone, yomwe imapangidwa mochuluka pa nthawi ya mimba ndi kusintha kwa thupi, ndi mahomoni ena ogonana achikazi amakhudza kwambiri ntchito ya ndulu;

• Azimayi amakonda kwambiri zakudya, ndipo kuletsa zakudya kwambiri kumasokoneza kuyenda kwa ndulu.

Gulu lachiwopsezo, mosasamala kanthu za jenda ndi zaka, likuphatikizapo anthu omwe adakhalapo kale ndi:

• Matenda a m'mimba ndi / kapena chiwindi;

• Matenda a parasitic (kuukira kwa helminthic ndi protozoal, komwe kumakhala kokhazikika kapena pagawo limodzi lakukula kwamatumbo ndi / kapena chiwindi);

• Matenda a Gallstone (GSD) ndi kutsekeka (kutsekeka) kwa khomo lachiberekero ndi / kapena kuwonongeka kwa mucous nembanemba wa ndulu;

• Matenda omwe amasokoneza magazi kumakoma a ndulu.

Kugwirizana kwa reflex pakati pa ma pathologies a ndulu ndi ziwalo za m'mimba zosagwirizana ndi anatomically zatsimikiziridwa - izi ndizomwe zimatchedwa viscero-visceral reflexes. Zonsezi zomwe zimayambitsa cholecystitis ndi chifukwa cha kuphwanya patency (kutsekeka) kwa ndulu, kapena kuphwanya kwake motility (dyskinesia).

Malinga ndi etiological maziko, magulu awiri akuluakulu a nosological a cholecystitis amasiyanitsidwa:

• Zowerengetsera (lat. Calculus - mwala);

• Zosawerengeka (zopanda miyala).

Zizindikiro za cholecystitis

Zizindikiro zoyamba za cholecystitis nthawi zambiri zimakhala kupweteka kumanja kumunsi kwa nthitizomwe zimawonekera mosayembekezereka. Chifukwa cha ichi ndi mwala umene umatsekereza cystic duct. Zotsatira zake, kukwiya komanso kutupa kwa ndulu kumayamba.

Ululu umatha pakapita nthawi paokha kapena mutatha kumwa mankhwala opha ululu, koma m'tsogolomu umawonjezeka pang'onopang'ono, ndiyeno umakhala wokhazikika. Pali chitukuko cha matenda, amene limodzi ndi kutentha thupi, kusanza ndi nseru. Mkhalidwe wa wodwalayo ukupitirirabe kuipa.

Amayimitsa kutuluka kwa bile m'matumbo, chizindikiro chake ndi mtundu wa icteric wa khungu ndi diso la sclera. Zofunikira pa jaundice ndi kukhalapo kwa miyala yomwe imatsekereza njira za bile. Kuopsa kwa pathogenesis kumadziwika ndi kugunda kwa wodwalayo: nthawi zambiri kugunda kwa mtima kumakhala kuyambira makumi asanu ndi atatu mpaka zana limodzi ndi makumi awiri - zana limodzi ndi makumi atatu pa mphindi (kapena kupitilira apo), chomwe ndi chizindikiro chachikulu, kutanthauza kuti kusintha kowopsa kwachitika. m'thupi.

Ponena za mawonekedwe osatha a cholecystitis, zizindikiro sizingawonekere, m'tsogolomu matendawa amadzipangitsa kukhala apamwamba kwambiri kapena kutenga mawonekedwe owopsa. Pankhaniyi, kokha chithandizo chapadera chachipatala chidzapewa kuwonongeka kwa chikhalidwecho.

Mseru ndi cholecystitis - chizindikiro chofala. Nausea ndi chikhalidwe chomwe nthawi zambiri chimatsogolera gag reflex. Nthawi zina, nseru ndi kusanza zimateteza thupi ku kuledzera. Ndi cholecystitis, nseru ndi kusanza nthawi zonse zimakhala gawo la matendawa.

Nausea mu cholecystitis ayenera kusiyanitsidwa ndi zizindikiro zofanana ndi matenda ena ndi pathologies:

Kutsekula m'mimba (kutsekula m'mimba) ndi cholecystitis kuwonedwa nthawi zambiri. Kutsekula m'mimba, kudzimbidwa, kutupa ndi zizindikiro zosasinthika za matenda a m'mimba, kuphatikizapo cholecystitis. Mwadzidzidzi maonekedwe a chopondapo matenda pa mankhwala a cholecystitis limasonyeza zovuta njira ya matenda.

Zifukwa za cholecystitis

Zomwe zimayambitsa matendawa zimakhala zosiyana kwambiri, koma nthawi zambiri cholecystitis imapezeka chifukwa cha kudzikundikira kwa miyala mu cystic duct, thupi ndi khosi la ndulu, zomwe zimapangitsa kuti zikhale zovuta kuti bile kutuluka. Choyambitsacho chingakhalenso mtundu wina wa kuvulala kapena matenda, komanso kukhalapo kwa matenda aakulu monga shuga mellitus, komabe, cholecystitis idzadziwonetsera yokha ngati vuto la matenda omwe alipo, osati ngati matenda odziimira okha.

Zotsatira za zonsezi zitha kukhala cholecystitis pachimake chokhala ndi ndulu yotupa. Matenda amtundu wa matenda nthawi zambiri amawonedwa ngati kupsa mtima sikutha kwa nthawi yayitali ndipo kumakhala kotalika, chifukwa chake makoma a chiwalo amakhala olimba.

Kuukira kwa cholecystitis

Kuukira ndi khalidwe la onse chachikulu cholecystitis ndi exacerbations aakulu mawonekedwe a matenda. Harbingers khunyu ndi kusapeza m`mimba pambuyo kumwa mafuta, zokometsera zakudya kapena mowa.

Zizindikiro za cholecystitis pachimake:

• Kupweteka kwapang'onopang'ono mu hypochondrium yoyenera, epigastrium kapena navel;

• Mseru ndi kusanza, mpweya belching, kulawa zowawa mkamwa;

• Subfebrile kapena kutentha thupi kutentha (37-38 ⁰ C kapena 38-39 ⁰ KUCHOKERA).

Kodi mungachotse bwanji cholecystitis?

Kuti muchepetse kuukira kwa cholecystitis, muyenera: +

1. Itanani ambulansi;

2. Gona pabedi ndi kudzoza kuzizira m'mimba;

3. Tengani antispasmodic (no-shpa) ndi analgesic;

4. Kuti muchepetse nseru, imwani tiyi wa timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu tima tima timadzi ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu tima tima timadzi ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu tima tima timadzi ta timbewu ta timbewu ta timbewu ta timbewu tima tima timadzi ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu tima tima timadzi ta timbewu ta timbewu ta timbewu ta timbewu ta tiyi tating’ono, imwani madzi otentha kutentha;

5. Pamaso pa kusanza, onetsetsani kusonkhanitsa masanzi kuti aunike.

Zovuta ndi zotsatira zake

Chimake mawonekedwe a cholecystitis popanda chithandizo chokwanira amakhala aakulu ndi nthawi exacerbation ndi chikhululukiro. Ndipo matenda aakulu ndi ovuta kuchiza, popeza ziwalo zina zimakhudzidwa ndi tizilombo toyambitsa matenda. Mtundu wapamwamba wa cholecystitis umapezeka mu 15% ya odwala. Zitha kupangitsa kuti gangrene, biliary fistulas yomwe imalumikiza matumbo, impso ndi m'mimba ndi ndulu, jaundice yolepheretsa, abscess, kapamba, komanso nthawi zina sepsis.

Zotsatira (zambiri) za cholecystitis chosawerengeka komanso chosawerengeka:

• Kuneneratu za cholecystitis wosavuta calculous ndi yabwino. Pambuyo pa chithandizo chamankhwala, chithunzi chachipatala sichingawonekere kwa nthawi yayitali. Milandu yochira kwathunthu imadziwika. Mu zovuta mitundu ya calculous cholecystitis, matenda ndi kusamala;

• Kuneneratu kwa noncalculous cholecystitis sikudziwika. Ndi matenda otere, munthu ayenera kusamala ndi purulent ndi yowononga mitundu yotupa.

Chithandizo ndi zakudya

Chithandizo cha pachimake cholecystitis ndi matenda aakulu mu pachimake siteji ikuchitika mu opaleshoni chipatala. Njira zothandizira zimasankhidwa payekha malinga ndi zomwe zikuwonetsa.

Conservative chithandizo cha cholecystitis:

• Maantibayotiki, kusankha kumadalira mphamvu ya mankhwalawa;

• Antispasmodics kuti akhazikitse ntchito ya bile mumatumbo aang'ono;

• Cholagogue ndi hypotension ya ndulu ndi yachibadwa patency ya ndulu duct;

• Hepatoprotectors kuti apititse patsogolo ntchito ya chiwindi.

Chithandizo cha opaleshoni cholecystitis:

• Cholecystectomy - kuchotsedwa kwathunthu kwa ndulu, komwe kumachitika nthawi yomweyo ndi zizindikiro za peritonitis ndi kutsekeka kwa ndulu, nthawi zina - mwadongosolo.

Zakudya za cholecystitis

Pa kuukira kwachimake, wodwalayo amapatsidwa chakumwa chofunda chokha m'magawo ang'onoang'ono. Kuchuluka kwamadzimadzi kumatha kufika lita imodzi ndi theka patsiku.

Pambuyo pochotsa ululu waukulu, zakudyazo zimaphatikizapo chimanga, kissels, cutlets za nthunzi kuchokera ku nyama yowonda kapena nsomba, dzira la nkhuku mu mawonekedwe a omelet, ndi mkate woyera.

Zakudya za cholecystitis:

• Muyenera kudya m'magawo ang'onoang'ono (ka 5-6 patsiku) kuti musunge kuchuluka kwa bile;

• Chakudya chamadzulo tikulimbikitsidwa pasanathe maola 4-6 musanagone.

Zakudya za odwala cholecystitis ziyenera kuphatikizapo:

• Zanyama zokhala ndi mafuta ochepa, odulidwa bwino komanso otenthedwa;

• Zamasamba zomwe zilibe fiber coarse, mavitamini ochuluka komanso kufufuza zinthu.

Ndi cholecystitis, ndizoletsedwa kudya zinthu zotsatirazi:

• Zazitini, kuzifutsa, kusuta, mchere, kuzifutsa, mafuta, astringent;

• Kuyambitsa kudzimbidwa ndi kupanga mpweya (mkaka, nyemba, zakumwa za carbonated);

• Kusintha pH ya chilengedwe cha m'mimba (mowa, sorelo, sipinachi, zipatso za citrus).