Unyango lwe cholecystitis ahlekise. Iimpawu, ebangela esi sifo. Diet endaweni cholecystitis

Ukuba une kakhulu intlungu kwi ekunene eliphezulu ikota yesangqa, isicaphucaphu nokugabha, engaquki ukunika isiqabu, umlomo va incasa ekrakra, kuyenzeka ukuba une kokuhlaselwa cholecystitis ahlekise.

Cholecystitis - sesinye sezifo kakhulu rhoqo. Ngokutsho kwe International Classification of Diseases (ICD-10) ukuba ulilungu udidi ezimbi yokwetyisa. Esi sifo kunokuba uzimele kwaye kwenzeka kwingxaki zezinye izifo, ezifana pancreatitis, ezinye iintlobo gastritis, hepatitis kunye nabanye. Isifo iphuhlisa ngcembe, unobtrusively ekuqaleni, ngoko kuyimfuneko ukuba tirhisa unyango ahlekise kamsinya kangangoko kunokwenzeka cholecystitis, iimpawu kuzo sele kwavela.

Yintoni cholecystitis

Cholecystitis ngokutsho ICD-10 - kukukrala senyongo. Oyena nobangela ephambili isifo - ngayo ibile ducts, inyongo esinyini apho wahlambuluka ekukhangeleni amatye akwi ugcwale. Le nto ke iye backfired. Enyongweni stagnates emzimbeni ulahlekelwa iimpawu zayo elwa, ngenxa udonga senyongo abosulelekileyo (kuquka iintsholongwane ababevela iphecana zesisu). Ngenxa cholelithiasis kwenzeka ukuya ku-95 ekhulwini cholecystitis.

Ngaphantsi sifo ezifanayo zibangelwe ezinye izizathu: cholecystitis acalculous ukuba sivete vasculitis, ukudla ixesha elide, nokudumba, utyando esiswini, kwentlungu, salmonellosis, kunye nezinye izinto akazalani ukuyilwa enyongweni.

Isifo lwenzeka kwiintlobo oyingozi futhi ezigulo ezondeleyo. Le fom etsolo banesifo olukhula ngokukhawuleza komtshiso oko. Kwi-avareji, 15 ekhulwini lezigulane kunye izifo kwisisu singangena cholecystitis oyingozi. Bona eziphawuleka ziintlungu kakhulu esiswini. Ukuba ukrokrela ukuba une kokuhlaselwa cholecystitis ludlule, bafune iingcebiso unyango ngoko nangoko (ubize inqwelo).

cholecystitis Chronic kubangelwa neendywala ngokuphindaphindiweyo ahlekise. Amaninzi ke calculous (okt enyongweni). Senyongo eludongeni izokhula kwexesha, utshintsho zophendlo lwezifo kwenzeka okanye bile duct lwesinye kunciphisa ukukwazi ukugcina ndimkhulule zezilwanya amatye nenyongo. Ukuze esi sifo zange ibe luhlobo esinganyangekiyo, kufuneka ngexesha uhlawule ingqalelo imeko zophendlo lwezifo lomzimba ukunyanga cholecystitis oyingozi.

zesifo sifo

Uphawu ephawuleka isifo - buhlungu elibukhali kwi hypochondrium ekunene. Ubuhlungu cholecystitis sinobuzaza, ithatha ixesha elide - malunga ezintandathu iiyure, bomi kusinika ngasemva okanye ezantsi igxalaba blade ekunene, yaye uza nokuxutha izinto.

Kunye nophuhliso sifo isigulane bangafumana isicaphucaphu, iinyembezi zakhe, maxa wambi ugalelwe inyongo; kodwa kulula emva uba egabha. Kwakhona, izigulane ezikhala umlomo owomileyo, ulwimi camera. izikhalazo rhoqo of ukuqunjelwa, belching umoya. Zonke ezi mpawu zifuna nangoko cholecystitis siphathane bukhali.

Iimpawu cholecystitis etsolo nazo ziquka:

• fever, umkhuhlane;
• senyongo;
• isitulo ndiyingwevu;
• iyangongoza Intliziyo kunye nezinye iimpawu ukunxila.

Ukongeza koku kufuneka ukuba banikele ingqalelo ezi mpawu zilandelayo:

• Murphy and model: on Ngokucofa enzulu hypochondrium ekunene isigulane nzima ukuphefumla, kubuhlungu nokuphefumla;
• Grekov - Ortner: isigulane lifumana intlungu ngexesha effleurage entendeni arch ekunene costal;
• Shchetkina - Bloomberg: intlungu cholecystitis ziyanyuswa ukuba amsunduze ngokukhawuleza phezu kodonga akudala esiswini niyindulule ihambe.

Izinto ezibangela cholecystitis ahlekise

Eyona eziphambili ezibangela cholecystitis - enyongweni:

• cholesterol amatye (kwimeko ixhaphakileyo);
• amatye yibilirubin okanye ulwehlo (bawa ukwaphuka iiseli ezibomvu zegazi).

Nezinye izinto ezibangela sifo:

• inyongo stasis kwi sakhiwo;
• ukuqina kwesibindi kunye iphecana biliary;
• ngokukhawuleza ubunzima ukulahleka (nokuba ngenxa yokutya okanye uqhaqho bariatric kwenzeka);
• ukukhulelwa (kwi senyongo echaphazela indawo ndingekazalwa, kwakunye kwamadlala utshintsho emzimbeni).

Indima ebalulekileyo kuqala cholecystitis etsolo kudlala ngesondo kunye nobudala. Abafazi ekucaca ukuba esi sifo kwi-avareji izihlandlo 2-3 rhoqo kunamadoda. Bekukwakho kuphawulwe ukuba esi sifo kungenzeka ngakumbi ukuphuhlisa ukuba umfazi ke wazala umntwana ubuncinane omnye ekhuselwe zokucwangcisa enesiqulatho estrogen phezulu, ukuba utyebile. Noko ke, amavila kunokubangela isifo, kungakhathaliseki ukuba yindoda: ukuphila umzimba kunye ngokunciphisa sempilweni ezininzi zokutya enzima olunamafutha kunokubangela 4 amaxesha ukuba bafune uncedo koogqirha ukuze cholecystitis yondele kakhulu. Nangona kunjalo, umsebenzi olukhulu emzimbeni nayo inegalelo kuphuhliso cholecystitis njengoko ukwanda imithwalo esilimaza senyongo kunye inyongo imibhobho.

Ingozi yokusuleleka kabukhali yokuba liphuma emva kweminyaka 40-50, kodwa isizathu ngqo kutheni kusenzeka oku awukacaci. amadoda amadala zidla ngakumbi waphawula cholecystitis oyingozi calculous.

Cholecystitis abadala kuxhaphake kakhulu kunokuba ebantwaneni, kodwa ke kwiimeko ezininzi, esi sifo kwenzeka ebuntwaneni iqhubeke mdala.

Kwakhona, izinto ingqondo cholecystitis etsolo ziquka izifo ezifana neswekile, isifo Crohn kaThixo, immunodeficiency.

Pathology kunokwenzeka ngenxa ezithatha ichiza ngenxa ukwehlisa amazinga cholesterol, ukudla ixesha elide, ukonzakala esiswini.

lokufunyaniswa kwesifo

ukuqhuba uphando ukuqinisekisa uxilongo esi sifo kuba uthwala isoyikiso kubomi kwi urhano incinane ahlekise cholecystitis izigulane kufuneka balaliswe esibhedlele kwiimeko ezininzi yaye kwisithuba seeyure ezingama-24.

Xa ikhondo obabuthandwa cholecystitis etsolo ukuqinisekisa lokufunyaniswa i ugqirha onamava kulula.

Ukongeza uviwo ebonakalayo esiswini kuyimfuneko ukuba baqhube uphando ezifana ultrasound kunye Itomography ayifum ye esiswini. Xa lokufunyaniswa ugqirha kufuneka aqinisekise ukuba sithetha cholecystitis etsolo, pancreatitis kunokuba iimpawu zazo ezifanayo, okanye appendicitis okanye ezinye iimeko zonyango. Kwi ultrasound ugqirha uya kubona ukuba ubungakanani senyongo, nokuba eqinileyo eludongeni banda, kukho ezinye utshintsho, ubomvu, namatye nezinye. Ukusebenza kwesi sifundo ukuya ku-90 ekhulwini.

Kwezinye iimeko, linokufuna X-ray, endoscopic, laparoscopy kunye nezinye iintlobo zophando. Qiniseka ukuba iisampulu umchamo negazi iyenziwa - jikelele, yibilirubin, amylase kunye lipase, enzayim pancreatic, kwakunye benenjongo ukuvavanya umsebenzi esibindini.

unyango Conservative of cholecystitis ahlekise

Ukuba cholecystitis etsolo akukho ingozi peritonitis, uphando lubonisa, kunye nonyango elondoloza. Isigulane emiselweyo becala analgesics kunye antibiotics. Xa ufakwe antispasmodics cholecystitis for ntlungu (umz, "Papaverine", "No-Spa" kunye nabanye). amalungiselelo kudityaniswe cholecystitis (antispasmodics, kunye iintlungu, umzekelo) kufuneka intshukumo kakhulu ngempumelelo.

Antibiotics cholecystitis zisetyenziswa ukucinezela usulelo lwesinye inyongo kwaye athintele ukuba siphuhlisa ntoni.

Nomonde ngexesha unyango kufuneka ukumelana ukutya engqongqo, i yendlala ngosuku lokuqala kunokwenzeka. Kwi ikota yesangqa eliphezulu ekunene uyasetyenziswa kubanda.

Ukunyibilika amatye ukusebenzisa amalungiselelo acid chenodeoxycholic okanye ursodeoxycholic. Ukugcina nemisebenzi yamalungu amisiweyo Bile kunye gepatoprotektory. unyango olunjalo ungatsala ngaphezu kweminyaka emibini, kodwa kungenzeka zingabuyi kuhlala.

unyango ngotyando

Xa zimpawu peritonitis kwisigulana yenziwa uqhaqho olungxamisekileyo - cholecystectomy (ukususwa lwesinye inyongo). Xa peritonitis, ukufa iphezulu kakhulu, nokuba imisebenzi likaxakeka, ngoko ke ulibaziseko esibhedlele kuyingozi kakhulu xa iimpawu cholecystitis ahlekise.

Ukuba luvo ifumanise cholecystitis calculary (ngamanye amazwi, kunye amatye), zingedlulanga iintsuku ezingama ezintathu emva kokuqala kwesi sifo kungekho Izimo ekucetyiswa uqhaqho yokuqala ukuthintela iingxaki ilandelayo cholecystitis oyingozi. intsingiselo yawo - ukususwa senyongo, imeko ezonakeleyo.

iintlobo Okwangoku phantsi ezimbini zokusebenza: laparotomy kunye cholecystectomy laparoscopy. Kwimeko yokuqala loo nto utyando eliqhelekileyo evulekileyo kunye liqatywe esiswini ukuba yenzelwa ngoku ngaphantsi yaye ngaphantsi. Laparoscopy lwenziwa ngaphandle ukusikwa zotyando usebenzisa izixhobo ezizodwa. Ngexesha ukusikwa ezincinane laparoscopy utyando apho i camera nezixhobo ziyafundiswa. Olu hlobo cholecystectomy ngaphantsi kubuhlungu, ixesha kwimo encinane emva kokuba amalungu ekhohlo ifana akukho azikhuli. Kwakhona ukuba zingasetyenziswa njenge ndlela diagnostic.

Emva kotyando, isigulane wachacha ngokukhawuleza, uye iinyanga ezimbini ukubuyela ebomini njengesiqhelo, kodwa imfuno uhlala iinyanga ezintandathu ukuthobela ukutya engqongqo kwaye kwixesha elizayo ukulawula ekudleni kwakho.

A uhlobo entsha zotyando non-invasive - Remote yokothuka-wave lithotripsy. Senyongo lithotripsy kusetyenziswa xa kukho Izimo ukuba utyando intracavitary. Oku kwenziwa ngokusebenzisa isixhobo ukuthi uthumela okubulala phezu kwelitye, uwaphule logama nje akathanga babuyele eluthulini.

I-ALS of cholecystitis etsolo kuthandeka. Emva kotyando cholecystitis ngenxa calculous phantse zonke izigulane musa nazo iimpawu ngaphezulu.

iingxaki sifo

cholecystitis Acute badla nezinye izifo ezikhokelela peritonitis. Peritonitis esizibonakalisa someleza ebalulekileyo yeentlungu ngemini 3-4th ukugula, izihlunu ukuqina kodonga esiswini, iintlungu esiswini.

Kwakhona cholecystitis etsolo kunokukhokelela perforation le senyongo. Kulo mzekelo, intlungu kuba inxenye iya kuncitshiswa, kodwa zonke iimpawu, kuquka intlungu, babe namandla.

Iingxaki sifo zibandakanya cholangitis, pancreatitis, senyongo ekuboleni, suppuration esinyini. ingxaki ekhethekileyo - umonakalo biliary ngexesha utyando ukususa senyongo.

ekuhlaseleni ngokuphindaphindiweyo cholecystitis etsolo kungakhokelela isifo esinganyangekiyo.

amanyathelo othintelo

Xa susceptibility ekwakhiweni gallstone ukuthintela ngokupheleleyo kukuvela cholecystitis etsolo kunzima. Noko ke, amathuba enyongweni asakhasayo kungancitshiswa ngama- amanyathelo othintelo, oku kunciphisa amathuba ukuhlaselwa cholecystitis acute kunye nophuhliso ezigulo ezondeleyo.

Mihla le nangenxa yokudodobala we bile kuthintela yokuphila esebenzayo. Mobility kuthintela ukuyilwa ilitye, kwakunye ligcina ubunzima bomzimba eqhelekileyo.

Ukuba kukho utyebile, awukwazi kakhulu ukunciphisa kuyo.

Kwakhona, intsalela amanzi kufuneka babonwe (umhla kufuneka ukusela iilitha ezi-2 zamanzi).

Ngocoselelo esweni impilo, uyeke utshwala kunye nokutshaya, ekubeni ukunciphisa kwamajoni omzimba kwaye ibe nefuthe elibi kwinkqubo ukwetyisa.

cholecystitis Acute kudla isifo ezihamba kunye ezimbi emathunjini, ngoko zonke izifo iphecana zesisu kufuneka ziphathwe ngendlela efanelekileyo.

Umthetho esisiseko - isondlo esifanelekileyo. Kufuneka ukutya rhoqo, ngexesha elinye, ubuncinane izihlandlo ezithathu ukuya kwezihlanu ngosuku iinxalenye ezincinane. Oku kunceda ukuthintela ngxi of inyongo kwi senyongo.

Amandla for cholecystitis oyingozi

Ukutya idlala indima enkulu unyango lwesifo. Ngako oko, isigulane kufuneka kuqala ukhumbule ukuba ukutya kunye cholecystitis, yaye zilandele ngqo zonke izithintelo ukuthintela ukwenzeka uhlaselo.

Ukutya iyahluka zonke ixesha sifo:

• Ekubeni esibhedlele nomonde ziboniswe ukudla, kwada de ntlungu (iintsuku kodwa hayi ngaphezulu kwe-4). Kweli nqanaba ulwelo kuphela ukuba (amanzi izimbiwa ngaphandle igesi kwakhona iti eyamkelekileyo buthathaka, iziselo iziqhamo, iti chamomile, inxina, wavuka). Kufuneka ndisele rhoqo SIPs ezincinane.
• Emva kokususa uqaqanjelwa ekutyeni angamana ya ukutya engamanzi - umhluzi kunokuba buthathaka, isuphu, irayisi, semolina, ihabile, isuphu ubisi, ijeli, iyogurt ephantsi-fat. Kukho isidingo iinxalenye ezincinane. Kweli nqanaba, kufuneka usele iilitha ezingaphezu kwama-2 zamanzi yonke imihla.
• Kufuphi recovery kwi ekutyeni wongezwa ephantsi-fat intlanzi kunye nenyama. Kunjalo ukuba ukutya kuphela ezicujiweyo, wayipheka okanye iyabiliswa, kodwa izahlulo lungandiswa. Kweli nqanaba, lo ukutya ivumela iziqhamo kunye nemifuno, elomileyo lesonka, iibhiskithi, ezithsayo, zekofu kunye nobisi.

Xa cholecystitis acute kunye ezondeleyo akukho kwimeko makangayidli, nowento ekroqiweyo, etshaya, okuneziqholo, okufakwe, zinongiwe. iimveliso ezingavumelekanga cholecystitis - itshokolethi, okumnandi neziselo, ehla esimnandi, amakhowa. Oku kutya enzima kuchaphazela kakubi inkqubo yokucola kwaye kungakhokelela kuhlaselwa entsha.

Emva kokuba ahlale izithintelo ngesondlo ekuphulukenwe, isigulane eyabelwe ukutya № 5a (ukusebenzisa ngayo amafutha kunye nokutya ifayibha osisityebi erhabaxa, oxalic acid, cholesterol, extractives nitrogen).

Unyango amayeza intsomi

amayeza Folk kucetyiswa kuvuka. Ngokupheleleyo indawo unyango lwabo eqhelekileyo, ingakumbi ngendlela ebukhali, oko kuyingozi. Ukuba urhanela isifo kwindawo yokuqala kuyimfuneko ukuba udibane nogqirha. Kufuneka kuqala kwenziwe unyango lwe cholecystitis ludlule, ephuhlisa iimpawu kunye kudinga unyango ngokungxamisekileyo, uze kuphela uyakwazi ukubhenela imifuno kunye neentlawulo.

Unyango amayeza intsomi cholecystitis ezondeleyo nayo kusetyenziswa ukongeza indlela main unyango. Ngokuqhelekileyo kusetyenziswa isityalo kunye choleretic, anti-ukudumba, iimpawu elwa nawo, kwakunye ubusi kunye namafutha omnquma. tea Morning Kucetyiswa ukuba indawo i decoction of stigmas wombona okanye wavuka esinqeni. Enye indlela ephumelelayo njengoko cholecystitis kunye nezinye izifo iphecana zesisu - a decoction ukutya raw oats.

Naliphi na iyeza abantu kufuneka zamkelwe ngugqirha wakho.

Xa itye, umngcipheko yokuphila esempilweni yokuba enyongweni kunye nophuhliso cholecystitis incinci kakhulu. Noko ke, xa uphawu iimpawu cholecystitis etsolo akufanele self-medicate aze adibane nogqirha ngokukhawuleza ukwenza ukuxilongwa kunye ezifana, ngaphandle ebangela inkangeleko iingxaki kwaye libe uhlobo esinganyangekiyo isifo zinokunyangeka ngokukhawuleza.