Acalculous aakulu cholecystitis: chithandizo sitepe ndi

Acalculous aakulu cholecystitis - kutukusira kwa a chikhodzodzo ndulu popanda mapangidwe gallstones. fomu iyi amayambitsa kupweteka mu hypochondrium chabwino ndi dyspepsia.

M'munda wa gastroenterology pangozi zotupa aakulu chifukwa cha pakati pa 5 ndi 10% ya milandu. Mu akazi, aakulu cholecystitis popanda miyala amapezeka pafupifupi 4 nthawi zambiri. Iwo ndi ziwerengero. Akatswiri ena kuwerengera cholecystitis aakulu popanda miyala mawonekedwe Transitional matenda monga mafuta kalkulez. Koma, monga yochizira matenda, odwala sadzakhalanso amadwala cholelithiasis.

Zimayambitsa matenda

The etiology matenda zachokera matenda osiyanasiyana:

• E. coli;
• enterococcus;
• aureus;
• Proteus;
• zomera za mtundu mitundu yosiyanasiyana.

The malowedwe a mabakiteriya mu ndulu mwa matumbo kumachitika zinthu monga:

• Chotupa chija;
• matenda a m'matumbo;
• enteritis;
• chiwindi;
• kapamba.

Pasanathe ambiri, matenda a kufala kudzera lymph kapena magazi kuchokera foci opatsirana ili kutali.

Mwachitsanzo, matenda kufalikira mu matenda monga:

• periodontal matenda;
• mu zilonda zapakhosi aakulu;
• appendicitis;
• chibayo;
• pyelitis;
• adnexitis.

Ndi kuwaganizira zinthu, zomwe yambitsa njira opatsirana, monga:

• cholestasis;
• biliary dyskinesia;
• nkhondo ya majeremusi monga Giardia, zozungulira, amoebae;
• sphincter kukanika;
• kunenepa;
• dysmenorrhea;
• wongokhala;
• kuperewera kwa zakudya m'thupi;
• amatopa neri Al.

Acalculous aakulu cholecystitis kumafuna thickening ndi mapindikidwe a ndulu ya. Nembanemba mucous amapeza dongosolo mauna chifukwa chakuti taphunzira m'madera atrophic ndi tizilombo ting'onoting'ono kuti apange makutu wandiweyani.

Thickening amapezeka akulu odula. Zikuoneka chilonda fibrous minofu. Pamene kuchuluka kwa yotupa ndondomeko angathe pericholecystitis, kuoneka adhesions ndi ziwalo ili m'deralo, abscesses, pseudodiverticulum.

gulu la matenda

Kugonjetsedwa ndi kuwala, sing'anga ndi katundu. Matendawa kumafuna pamaso pa magawo atatu:

• aggravation;
• subsidence ndi aggravation;
• khola ndi wosakhazikika chikhululukiro.

Acalculous aakulu cholecystitis akhoza chitani ndi musabise. Komanso, matenda popanda kusintha mphamvu likukulira.

Malinga kukula kwa vutolo kusiyanitsa mtundu zovuta ndi wopepuka cha matenda cholecystitis nekalkuleznogo. Komanso kusiyanitsa maonekedwe lililonse ndi atypical. Mawonekedwe yamasika lagawidwa matumbo, ndi kardialgichesky mtundu ezofagalgichesky.

Zizindikiro za aakulu cholecystitis acalculous zimapezeka mosiyanasiyana malingana ndi mlingo wa chotupa cha ndulu ya.

Kodi matendawa wofatsa?

Pakuti cholecystitis ndi wofatsa, yodziwika ndi nthawi yochepa exacerbation, masiku 2-3. Iwo makamaka chikwiyire ndi njala ndiponso mosavuta inathetsedwa phunziro kwa zakudya moyenerera.

kutentha General thupi chikhalidwe Normal thupi yachibadwa. Kupenda chowululidwa palibe chisokonezo zinchito a chiwindi, ndulu ndi kapamba. maphunziro tosaoneka ya ndulu si kusonyeza kuvutika kulikonse.

Kodi mawonekedwe pafupifupi?

Ndi mawonekedwe pafupifupi matenda monga aakulu cholecystitis acalculous, chikhululukiro ndi aggravation m'malo mzake. Kutalika kwa exacerbations masabata 2-3. Odwala zambiri Musiyeni ululu ndipo anasonyeza matenda dyspeptic. Childs, makhalidwe amenewa amayamba ndi mafuta chakudya kapena kudya. Nthawi zina, udindo wa provocateur pachimake zochita kupuma matenda.

Monga amapezeka mu nkhani ya cholecystitis aakulu popanda miyala? Zizindikiro zosiyanasiyana. Pa exacerbation odwala kudya, yafupika kulemera kwa thupi, kuledzera aonekera m'kukoma kutopa ndi migraine. Lusoli kusokoneza molumikizana mafupa.

Odwala ena kuwonjezera pa ululu ufulu nusu chapamwamba angadandaule za ululu ogontha ku nusu kumanzere chapamwamba ndi chapamwamba pamimba. Ululu inakwaniritsidwa mtima. Odwala nkhawa nseru, kudzimbidwa kapena m'mimba.

Kuphunzira labotale ya ndulu amalembedwa kuwonjezeka mu kuchuluka kwa ntchofu, leucocytes, mafuta m'thupi, bilirubinate Ca, salt ya ndulu zina microlites. Ndi zotheka kudziwa tizilombo.

Mu chikhalidwe pachimake mu mtima kudziwa kusintha mu mayesero ntchito chiwindi. Nthawi zambiri anasonyeza hypoalbuminemia zolimbitsa, kuwonjezereka pang'ono ntchito transaminase, makamaka AJIT, zolimbitsa kuchuluka thymol ntchito ya phosphatase zamchere.

Zolozera a zasayansi Kupenda chiwindi ndi zabwinobwino ku chikhululukiro. Wodwala akhoza kusokoneza maganizo kulemera pamimba chapamwamba ndipo bloating pambuyo ingestion. Nthawi zambiri, munthu nkhawa kudzimbidwa kapena m'mimba.

Zizindikiro Dyspeptic kuonjezera chakudya mafuta kapena CHIKWANGWANI coarse. chakudya kungakhale ndi aggravation matendawa.

Kodi aakulu mawonekedwe limapezeka?

Acalculous aakulu cholecystitis mu mawonekedwe aakulu yodziwika ndi loyenda musabise zonse popanda chikhululukiro. Matendawa kufalikira kunja ndulu ya. Pitani ku matenda kugwirizana waukulu chiwindi mu mawonekedwe aakulu, ndi kapamba.

Odwala amadandaula kusafuna kudya, kupitirirabe nseru, kulemera pamimba chapamwamba. Nthawi zina zomverera opweteka matailosi khalidwe. Odwala analimbikitsa zakudya okhwima, imbaenda kulemera imfa ndi kutopa. Nthawi zina, pali sepsis mu mawonekedwe aakulu.

The magwiridwe a ndulu ya kwambiri makutu. Mpanda wa thupi thickens. Ngati digiri avareji magwiridwe kwa chiwindi ndi pang'ono wosweka, pamene matenda aakulu zambiri kumaonekera chiwindi aakulu kapena cholangitis.

Pankhaniyi, njira zotsatirazi zichitike:

• ukuwonjezeka chiwindi kukula;
• Amowabu kuchepa albumin seramu;
• kuchuluka globulin kachigawo ndi anthu ambiri okwana bilirubin.

Pochititsa ultrasound wa pamimba anasonyeza kutambasuka ritsa wa chikhodzodzo ndulu, kuululidwa "patsogolo" ndulu, aakulu kapamba pansi magwiridwe kapamba.

Odwala Kawirikawiri cha dyspepsia, nseru, kuwonda. Iwo ankaona kuchuluka fecal buku, steatorrhea, ndi kreatoreya amylorrhea.

Mu aakulu ziwiya matenda akusokoneza ndi mtima, zikuoneka dystonia, inatsekeratu insufficiency ndi kusintha yoyenera pa ECG.

Monga mtundu atypical wa utuluke?

Iwo amakhala ndi maonekedwe atypical cha matenda cholecystitis acalculous? Nkhawa odwala zonse kutentha, kulemera, ululu kumbuyo breastbone ndi kufupika dysphagia. Pamene mtundu matumbo Amaonetsa ululu mu matumbo dera, bloating, kudzimbidwa.

Pa wamng'ono wa cholecystitis aakulu popanda miyala ofanana la misempha mu mawonekedwe zobisika. Odwala amadandaula asthenia, kupweteka malo. Auscultation anaulula utachepa mtima zikumveka.

Ndi atypical njira ya matenda monga lumbar ndi mtundu piloroudenedalny wa cholecystitis aakulu. Pamene lumbar mawonekedwe, odwala kubva mu msana. Zikatero, izo zikusonyeza ndi X-ray la ndime msana.

mawonekedwe Symptomatology kardialgicheskoy

Izi mawonekedwe a matenda arrhythmias chibadidwe (extrasystoles) kapena kupweteka m'chifuwa. Komanso ECG kusintha.

Mu zaka pakati ndipo ali ndi zaka ngati mawonekedwe a angina mtima kapena inatsekeratu insufficiency, ukuyenda mwa mawonekedwe aakulu. Odwala amadandaula kuwawa mtima, tachycardia.

mawonekedwe gastroduodenal

Clinic aakulu cholecystitis Pankhaniyi akufanana matenda anam'peza kapena gastroduodenitis ndi milingo okwera mapangidwe chapamimba acid. Odwala amadandaula kupweteka m'mimba usiku.

njira matenda

Pa palpation wa pamimba m'dera la chikhodzodzo ndulu pali soreness uyu ayipa pamene kupuma kapena effleurage bwino costal Chipilala.

Kuphunzira choyezera, kuchuluka mlingo kunaikidwiratu;

• transaminases;
• zamchere phosphatase;
• γ-glutamyl.

Njira ina yofunika kwambiri matenda monga:

• ultrasound;
• cholecystography;
• tseliakografiyu;
• holestsintigrafiyu;
• mmatumbo intubation.

Kutengera pa kufufuza kwatsopano, inu mukhoza kulankhula za mphamvu ya ndondomeko yotupa.

kusintha Chitsanzo kuwonetseredwa pa mlingo macroscopic mu ya ndulu turbidity ndi kukhalapo kwa ntchofu ndi flakes.

Tosaoneka Kupenda anasonyeza kochulukira leukocyte chizengerezo; bilirubin mapulotini, mafuta, ndi zina zotero D..

Bacteriological kufesa ya ndulu ankafufuza zomera ake tating'onoting'ono.

Mothandizidwa ndi holetsistografii mu odwala matenda aakulu cholecystitis acalculous Akuti galimoto ndi ndende magwiridwe a ndulu, ndi contours ake ndi udindo.

Sonography detects mapindikidwe a ndulu, ndi njira atrophic mu makoma ake, m'goli mkati epithelium, pamaso pa zili sanali homogeneous ndi inclusions wa ya ndulu si yunifolomu kugwirizana.

Matenda masiyanidwe ikuchitika ndi dyskinesia biliary, cholangitis aakulu, anam'peza matenda a m'matumbo nonspecific chirengedwe, ndi matenda amene amatupitsa.

njira mankhwala

Iwo kumatha cholecystitis aakulu popanda miyala? Chithandizo nthawi imachitika ndiwofatsa. Madokotala amalangiza zakudya. Iwo m'pofunika kuti achotse ku zakudya za mafuta ndi chakudya yokazinga, chakudya zokometsera, zofewa ndi mowa.

Pamene ululu m'mimba akulimbikitsidwa kudya a MANKHWALA OLETSA VUTOLI monga "Platifillin" "Drotaverine" "Papaverine" neri Al.

Pa exacerbation la matenda kapena osakaniza ake ndi cholangitis applicable antibacterial mankhwala "cefazolin" "amoxicillin", "erythromycins", "ampicillin" "furazolidone" neri Al.

Pakuti normalization wa mundawo m'mimba akulangizidwa kuti atenge "zoikidwa", "mezim-forte", "Pancreatin".

Kusintha katulutsidwe wa ya ndulu zambiri amachita kulandira choleretic ( "Allohol" "Holenzim" "Oksafenamid").

Kuti Zimachititsa chidule cha ndulu ndulu ntchito mankhwala enaake a sulphate ndi sorbitol.

Nthawi ya exacerbation kapena chikhululukiro m'pofunika kuchititsa maphunziro a mankhwala ndi zitsamba. Kutenga decoction wa chamomile, calendula, duwa, licorice, timbewu.

Mu chikhululukiro anagwira tyubazh, madzi mchere thupi mankhwala amachitidwa.

alowererepo opaleshoni

Pamene opaleshoni atengedwa mu mbiri chifukwa cha matenda. Aakulu cholecystitis acalculous m'kukoma mapindikidwe a mpanda wa ndulu ndi Osamva kudzudzulidwa cholangitis ndi kapamba amafuna opaleshoni.

Pankhaniyi, ikuchitika kudzera lotseguka cholecystectomy alowererepo laparascopy kapena mwayi mini.

Kugwiritsa ntchito njira wowerengeka

Kodi wina likuchotsedwa acalculous aakulu cholecystitis? Folk azitsamba Chithandizo ali ndi zotsatira zabwino.

Ntchito mizu calamus, valerian, St. John wa liziwawa Zouma masamba, calendula, nettle, chimanga, fulakesi mbewu. Ndi bwino kugwiritsa ntchito limes, peppermint, Leonurus, chamomile, fennel, horsetail, rosehip.

Pamene ntchito njira otchuka matenda aakulu a maluwa ndi immortelle elderberry phytotherapy anawonjezera.

phytotherapy

mankhwala azitsamba zimaphatikizapo kugwiritsa ntchito malo omwera zitsamba zotsatirazi:

• Pion - 20 ml ya;
• valerian - 20 ml ya;
• boyaryshnik- 20 ml ya;
• timbewu - 20 ml ya;
• belladonna - 10 ml;
• motherwort - 20 ml ya;
• Calendula - 30 ml ya;
• chowawa - 20 ml.

Pamaso pa khungu ndi belladonna anawonjezera.

Kumwa chida ayenera 1-8 akutsikira katatu pa tsiku kwa mphindi zisanu isanafike kulowetsedwa zitsamba 1 tbsp. malita a madzi kwa masabata 4-6. The osakaniza tinctures calamus ndi inula anatengedwa ndalama ofanana. Komanso kumwa pa 1-8 akutsikira katatu pa tsiku kwa mphindi ziwiri asanayambe kulandira infusions zitsamba 1 tbsp. L. madzi kwa masabata 4-6.

Tiyenera kukumbukira kuti kutolera Phytotherapy chikugwirizana pa mlingo wa 0,00325, T. E. 14 dilution, ndi kuonjezera tsiku lililonse mwa kuswana 1-2 kukwaniritsa mlingo mulingo woyenera.

A mlingo woyenera ndi amene amachititsa matenda otsegula m'mimba, ndi pa dzanja zina, amachepetsa digiri zizindikiro zilipo. mankhwalawa akutengedwa pa sukuluyi, koma ngati pali kusapeza, izo yafupika ndi mayunitsi 1-2.

kaonedwe

ndi madokotala ananena zawo za matenda monga cholecystitis aakulu popanda miyala chiyani? Exacerbation wa wofatsa kumachitika mwakamodzikamodzi. Matendawa ali ndi njira yabwino. Kuwonongeka amapezeka mu ulosi ngati exacerbation kumachitika kawirikawiri pamene pafupifupi matenda mwamphamvu.

kupewa

miyeso kuteteza ndi unazunguliridwa mu mankhwala yake ya matenda, akonzere foci matenda, kuchotsa chisokonezo wamanjenje dongosolo, komanso kubwezeretsa kagayidwe yachibadwa. Muyenera kusunga zakudya yolondola, kuti kulimbana ndi matenda matumbo helminth ndi zotupa.