Zizindikiro za cholecystitis amai ndi mankhwala. Aakulu cholecystitis mu akazi: zizindikiro ndi mankhwala, chakudya. Exacerbation wa cholecystitis aakulu

Ndi ululu ufulu nusu chapamwamba chinayang'ana kwambiri a anthu analowa zaka 30 akukula. Choncho zizindikiro ngati pafupipafupi zimachitika pambuyo phwando, amene anali yokazinga, mafuta chakudya, kumwa. Poona malaise ndi, akhoza amaganiziridwa cholecystitis. Koma nthawi zambiri, kudwala ndi matenda ndi mwayi pa bwino. Iwo anaona kuti ambiri ananena zizindikiro za cholecystitis mu akazi. Zimenezi zifukwa zambiri.

Zochita za matenda

Kodi matenda? Ndi yotupa ndondomeko kuti akupezeka ndulu ya. thupi ili isanafalikire mu lamanja nusu chapamwamba. N'chifukwa chake, pamene kugonana chilungamo pali ululu m'deralo, n'zotheka akuganiza kuti izi ndi zizindikiro za cholecystitis mu akazi.

Ndulu amasonkhana ya ndulu opangidwa ndi chiwindi. Izi mseri ducts wapadera limapezeka duodenum ndi kumatanthauza chimbudzi chakudya. Ngati sphincter ndi mantha dongosolo parasympathetic ali bwino ntchito, ya ndulu amasuntha yekha mu njira imodzi.

Koma ngati chifukwa cha matenda ena uka ntchito asynchronous wa sphincters, ndi chinsinsi akutuluka mu utumiki wa chikhodzodzo, kum'pangitsa ululu ndi mayesero. Nthawi anawona kuponya nkhani za intestine kumbuyo mu ducts lapansi. Nthawi zambiri, muli ndi matenda likulowerera momasuka mu ya ndulu, ndikumutsogolera kutupa ake.

Limagwirira chitukuko cha kudwala momveka bwino. Tsopano tiyeni tione chifukwa chake pali cholecystitis zizindikiro mu akazi, kodi ndiye gwero la kudwala?

The zimayambitsa matenda

Choncho, mfundo yaikulu ya chitukuko cha matenda - ili ndi malowedwe matenda mu chikhodzodzo.

Nthawi zambiri chikhalidwe ichi malinga ndi zifukwa zotsatirazi:

1. A zosiyanasiyana kutupa m'dera m'mimba. Kungakhale kudwala zikuchitika mu pachimake, siteji aakulu. Monga ulamuliro, cholecystitis kungachititse kuti enterocolitis, kapamba, dysbiosis, appendicitis.
2. matenda yotupa cha ziwalo zoberekera. Nthawi zambiri cholecystitis zizindikiro mu akazi amakwiya matenda monga adnexitis.
3. chiwindi matenda mavairasi.
4. Parasitic infestation m'dera la kapepalako biliary. Chifukwa cha matenda angathe kugona giardiasis, ascariasis.

A udindo waukulu mu chitukuko cha kudwala kusewera zinthu zina:

1. Dyskinesia wa ducts biliary. Ndi matenda pali stagnation wa ya ndulu, zimafunika madziwo.
2. Pancreatic Reflux. kudwala izi, zimene zili intestine kachiwiri kuponyedwa ducts lapansi. Chifukwa cha ku chikhodzodzo khoma ndi michere madzi pancreatic ndi losweka.
3. Kobadwa nako anomalies. Tikuyankhula zokhudza kapangidwe ka kuwira payekha. Ndi kudwala zikhoza partitions osiyanasiyana, kumwa wa thupilo.
4. matenda magazi a chikhodzodzo. chipatala Izi kungakhale matenda: oopsa, shuga, atherosclerosis. Patsogolo matenda amenewa amakhala ndi kuchepetsa wa lumen mtima.
5. Diskholiya. Matenda, zomwe zina ndi zikuchokera ya ndulu ndi chikhodzodzo khoma kuwonongeka amapezeka. chipatala chonyansa zimayambitsa zosayenera chakudya (kwambiri mankhwala mafuta kapena zakudya wonyong'onya).
6. Ziwengo, zochita immunological.
7. Endocrine chikhalidwe. Zizindikiro Cholecystitis amayambira ku amai kulera m'kamwa. Komanso, zimayambitsa matenda angakhale osasamba kusamba, kunenepa ndi mimba.
8. Cholowa china.

matenda mitundu

Kudwala malingana otaya angakhale:

1. Pachimake. matenda zimatenga masiku angapo kapena maola. Iwo amakhala ndi zizindikiro kutchulidwa. kudwala ili likhoza kupeza nthawi yake kwa chithandizo amatenga yabwino ndithu.
2. Aakulu. Ngati mtundu pachimake matenda si anafuna chidwi kapena matenda bwino ankachitira, wodwalayo kusiyana gawo lino. Disease kungakhale asymptomatic. Mpatuko ndi zambiri pang'onopang'ono. mwapadera ayenera kukhala aakulu cholecystitis (Zizindikiro ndi Chithandizo). Zakudya chimachititsa kwambiri polimbana ndi matenda.

Aakulu cholecystitis lagawidwa:

• chifukwa aulesi (zobisika);
• kobwereza;
• purulent anam'peza.

Ndi kukhalapo kwa concrements olekanitsidwa mawonekedwe 2:

• acalculous (popanda cholelithiasis);
• calculous.

Matenda aakulu yodziwika ndi masitepe a:

• chikhululukiro;
• exacerbation.

Choncho lingalirani mbali ya matenda monga cholecystitis aakulu. Zizindikiro ndi mankhwala, chakudya ndi kupewa matenda omwe anapereka m'munsimu.

Chipatala kuwonekera kwa matenda

kutchulidwa kwambiri pachimake kuukira kwa cholecystitis. Zizindikiro lililonse kwa mtundu uwu:

• kupweteka kwambiri poipa kwambiri atatha kudya chakudya;
• kusanza;
• m'mimba kumachitika;
• zowawa kapena zachitsulo kukoma pakamwa;
• hyperthermia.

Komabe, mawonekedwe pachimake cha matenda imapezeka kutupa chikhodzodzo. A chithunzi yosiyana zimawonedwa ngati wodwalayo ali anapezeka ndi cholecystitis aakulu. Zizindikiro za matendawa fomu iyi sakhala kutchulidwa. Komabe, pa makoma a ndulu kudziwa kusintha atrophic ndi sclerotic. Kusintha mankhwala ndi thupi makhalidwe ya ndulu.

Cholecystitis zizindikiro zotsatirazi akazi (chithunzi chionetsero chotere zimachitika zosasangalatsa):

• pamaso pa ululu aakulu m'dera la hypochondrium bwino;
• kusapeza ali kwambiri kumatheka atatha kudya zakudya mafuta;
• kuwawa ndi dryness mu M'mimbamo m'kamwa m'mawa;
• nthawi yatsoka wa nseru;
• bloating;
• yosowa madzi chopondapo.

Ululu matenda aakulu si monga kutchulidwa monga mwa mawonekedwe pachimake. Nthawi amafotokozedwa kuti azunzike kuvala kupweteka, khalidwe wosasamala. Odwala ena, pali nthawi zonse, yotopetsa ululu. Odwala ena akukumana ndi mawonetseredwe pachimake cha matenda, kunachitika zambiri pambuyo kuledzera zakudya cholakwika. Pankhaniyi, mwina ngakhale amaoneka biliary colic.

Zizindikiro za exacerbations matenda

Otaya mu aakulu wodwala matenda nthawi pali kuukira kwa cholecystitis. Zizindikiro panthawi imeneyi ofanana kwambiri mawonekedwe pachimake cha matenda. Pakuti boma amakhala ndi zinthu wamba ndi mawonetseredwe m'dera la kuti kutupa chizindikiro cha chikhodzodzo.

Pa exacerbation zizindikiro aakulu cholecystitis amasonyeza zotsatirazi:

• kutchulidwa malaise;
• hyperthermia;
• pafupipafupi kudzimbidwa;
• mutu;
• kungakhale kuyabwa.

Pamodzi ndi chipatala pali zizindikiro m'deralo. Iwo yodziwika ndi exacerbation wa cholecystitis aakulu.

Zizindikiro oterowo anati:

1. Ululu. Zimakhala zolimbitsa kapena mwachilungamo lakuthwa. Isanafalikire kusapeza pamimba chapamwamba, kawirikawiri mu lamanja nusu chapamwamba.
2. Zosasangalatsa kukoma pakamwa. Wodwala kukumana ndi zowawa kapena zachitsulo kukoma kwa kudandaula. Iye ali belch mpweya, nseru. Munthu adzazunzidwa ndi flatulence. Nthawi zambiri pali nthenda kayendedwe matumbo zambiri taphunzira ndi kutsekula m'mimba, kudzimbidwa.
3. Kuona chisoni m'dera la hypochondrium bwino.
4. Nthawi wa tulo, amaika irritability.

Mphamvu ya ululu zimadalira pamaso pa miyala chikhodzodzo. Pamene calculous cholecystitis kusapeza yodziwika ndi lakuthwa, khalidwe kwambiri. Matenda acalculous yodziwika ndi kupweteka, ululu kuzimiririka, zotopetsa mopambanitsa wodwalayo. Kusapeza ndi anatha kuonetsa osati lamanja nusu chapamwamba. Nthawi zambiri, anapereka dzanja lake lamanja, phewa tsamba.

Matenda paroxysmal chosayenerera amapezeka. kutchulidwa zizindikiro pa exacerbation ndi. Pambuyo kumuukira, zizindikiro matenda onse a kuchepa. Kunadza chikhululukiro. Panthawi imeneyi, wodwala amakhulupirira kuti wachiritsidwa matenda ndi zizindikiro zosasangalatsa sadzabwera kumbuyo. Komabe, mosaganizira kuphwanya zakudya katundu kwambiri, hypothermia, mowa mwina kachiwiri kuyambitsa nkhondo.

mavuto a matenda

Sitiyenera kunyalanyaza zizindikiro za cholecystitis. Zizindikiro zimene kusapeza kwa wodwalayo, - mbendera thupi chithandizo chokwanira.

Yaitali wongokhala kungachititse kuti chitukuko cha mavuto mokwanira lalikulu:

• cholangitis;
• mapangidwe fistula mu m'mimba, kwa chiwindi flexure, duodenum;
• zotakasika chiwindi;
• "Shutdown" chikhodzodzo (ndulu salinso imagwira ntchito zake buku okwanira);
• periholedohealnomu lymphadenitis (kutupa akufotokozera mu ya ndulu ritsa);
• chikhodzodzo empyema (purulent kutupa);
• matumbo kutsekeka;
• chilonda cha ndulu mkubwela kwa peritonitis;
• perforations (kuwira kumatula).

matenda a matenda

Nkofunika, ngati zizindikiro aakulu cholecystitis ndi anamuona pa akazi, dokotala.

zinthu zotsatirazi akutsatiridwa kwa matenda:

• mbiri zachipatala
• Kuphunzira wodwalayo;
• mayesero zasayansi;
• zoimbidwa maphunziro.

Poyamba, adokotala kufunsa mwatsatanetsatane za momwe, chimene zizindikiro wodwala chinayang'ana, utali zapitazo inachitikira, ndi chifukwa limapezeka. Doctor kufufuza mtima pamaso pa matenda monga matenda a shuga, matenda a m'mimba, chiwindi. Iye anati ngati panali matenda amenewa chilichonse cha abale.

Pa anayendera chidwi linaperekedwa kwa zizindikiro zikusonyeza kuti kuli matenda:

1. akulu chitetezo Mbali. Wodwala othandiza minofu m'mimba kuteteza mimba odwala.
2. Pa ululu palpation ukuwonjezeka mwa ufulu nusu chapamwamba.
3. Pogogoda lamanja costal Chipilala limodzi ndi nkhawa.

Wodwala Kwalamulidwa njira zasayansi:

1. magazi.
2. Kafukufuku pa kwake mu thupi la chiwindi mavairasi.
3. Magazi sayansi. kusanthula izi ndi nkhani pokhapokha akudwala tikadwala colic.
4. Kufufuza kagayidwe mafuta zamadzimadzi.
5. Coprogram.

Kudziwa cholecystitis analimbikitsa zipangizo zinthu zimenezi:

1. Ultrasonography wa peritoneum lapansi.
2. Upper endoscopy. kuwunika amatilola kuphunzira chikhalidwe cha kholingo, duodenum, m'mimba. Pa phunzirolo, a biopsy amatengedwa.
3. Plain radiography wa peritoneum lapansi. Limavumbula pamaso pa miyala chikhodzodzo, koma iwo amene ali kashiamu yekha.
4. CT. kusanthula walola kuti ziyenera tsatanetsatane wa boma la ziwalo. Mothandizidwa ndi kuphunzira kudziwa bwino wapezeka chotupa compressing ndi ya ndulu ducts.
5. Holetsistoangiografiya. Izi diagnostics X-ray, amene pansi wagawo ultrasound ulamuliro anaombera zipolopolo angapo. Chotero kusanthula ndi kumachitika ntchito radiopaque mankhwala kudzazidwa ducts.
6. Retrograde cholangiopancreatography. Ntchito yapadera chipangizo - duodenofibroskopa amene kutumikiridwa ndi mtima kudzera ku duodenum, adokotala wayamba ya ndulu njira radiopaque mankhwala. Zimenezi zimathandiza kudziwa miyala kapena ritsa constriction. Kudziwa mavuto amenewa dokotala amachita endoscopic opaleshoni, amachotsa zopinga.
7. MR. phunziro Mzimuyo kosaoneka ndi X-ray ndi ultrasound kusintha chikhodzodzo makoma ndi ziwalo ozungulira.
8. Hepatobiliary scintigraphy. Kuphunzira chiwindi ndi kapepala biliary, omwe amadziwika ndi ntchito kwa ziwalo ndi ducts locomotor ntchito.

Muzilemekeza matenda mu gawo pachimake

chithandizo njira zimadalira kwathunthu zomwe ndi zizindikiro za cholecystitis mu akazi. Chithandizo cha matenda aakulu mu chikhululukiro zimasiyana kwambiri kulimbana ndi matenda pa exacerbation.

Ngati wodwalayo nkhondo, mankhwala ndi kuthetsa zizindikiro ndi chithandizo cha zochita matenda tizilombo. Chikhululukiro chithandizo zikuphatikizapo kupewa zisadzachitikenso.

Mankhwala anachititsa aakulu cholecystitis pa mankhwala pachimake zachokera formulations zotsatirazi mankhwala:

1. Maantibayotiki: "mankhwalawa", "Doxycycline", "Ciprofloxacin", "Biseptol", "Furozolidon", "metranidazol", "Oxacillin".
2. MANKHWALA OLETSA VUTOLI "papaverine", "Pitofenone", "Drotaverinum", "Platifillin".
3. Ya ndulu mankhwala: "Sorbitol" "Nicodin", "Allohol", "Tsikvalon".
4. NSAIDs: "Baralgin", "spazgan".
5. Propulsanty (mankhwala omwe yotithandiza motility), monga "domperidone".
6. Antiemetics, "Reglan", "Promethazine".
7. Polyenzyme mankhwala, "zoikidwa", "Pancreatin".
8. mankhwala Sedative: valerian tincture, motherwort.

wotchuka kwambiri polimbana ndi cholecystitis aakulu amakonda chochitika monga tubeless tyubazh. Kwenikweni ake tichipeza mu kutsuka ducts, kenako kukondoweza mwa ndondomeko ya ndulu katulutsidwe.

mankhwala cholecystitis

Pa chikhululukiro chithandizo tichipeza:

• a zakudya mankhwala;
• choleretic mankhwala ntchito, "Holenzim", "Lioba", "Allohol", "Flamen", "holosas", "Holagol", "Olimetin", "Rozanol";
• physiotherapy (aluso mankhwala: balneotherapy, inductothermy, electrophoresis "novocaine").

Komanso, onetsetsani wodwalayo bwino ngati pali matenda monga cholecystitis aakulu, zizindikiro, zakudya.

Pozindikiritsa matenda calculous mtima ulipo ndi cholecystectomy anakonza. opaleshoni iyi, imene kuwira kuchotsedwa.

chakudya yosagwira

Kaya mawonekedwe a otaya, ndi chinthu chofunika mankhwala bwino. Choncho, odwala onse tikulimbikitsidwa (kuti amapewa ngati chowawa khalidwe la matenda anacemerwa zizindikiro cholecystitis) zakudya.

Pamene matenda ulipo tebulo chiwerengero 5. makamaka cholembedwa ndi aggravation wa cholecystitis.

Zizindikiro yotopetsa wodwala, amafuna osati mankhwala, komanso kusintha zakudya:

1. Pa nkhondo, muyenera kulenga zinthu maximally yosalekerera thirakiti m'mimba. Kuti zimenezi zitheke, pa masiku awiri oyambirira madokotala kulola kuti wodwala amwe madzi okha. Chifukwa chaichi, oyenera omwe si enaake madzi mchere, si acidic mabulosi ndi zipatso timadziti kuchepetsedwa ndi madzi owiritsa mu theka. Zothandiza mtima msuzi m'chiuno.
2. Pamene ululu ataphwera kusapeza mtima amaloledwa kupita kudya pureed zakudya. Munthu analimbikitsa dzinthu mucous, soups (mpunga, oat, semolina), mabulosi zipatso (wokoma kwenikweni) mafuta opopera, odzola, jellies. Komabe, chakudya ayenera kudyedwa zochepa kuti imfayo ndi zimamuchulukira a dongosolo m'mimba. Nkofunika zakudya. Food ayenera kumwedwa pa nthawi inayake.
3. Ndiye, mu zakudya wodwala ndi otsika-mafuta kanyumba tchizi ali nawo, nsomba yophika, nyama nthunzi. Akulimbikitsidwa kugwiritsa ntchito croutons za mikate yoyera.
4. Patapita masiku 5-10 kuukira, wodwalayo mosamala anasamutsidwa ndi zakudya 5a tebulo chiwerengero.

Odwala ayenera kukhala bwino kudziwa kuti cholecystitis - ichi ndi nthenda yoopsa kwambiri. Mwambo wa kudya zakudya zopatsa nthanzi zimathandiza mofulumira kwambiri kuti amuchotsepo Iye. Zakudya umalimbana kuchepetsa acidity ndi ya ndulu.

Akatswiri, kugawa zakudya zoyenerera odwala malangizo otsatirawa:

1. Asachite yokazinga zakudya chopambanitsa mafuta.
2. Kumanga zakudya zanu pa yakeyi, yophika, zakudya stewed.
3. Musamalandire kotentha kapena ozizira chakudya.
4. Kuchepetsa kumwa lokoma ndi pastry.
5. Kudya kawiri kawiri, koma chakudya chochepa.
6. Mosamalitsa kusunga chakudya - kudya chakudya pa wina ndi nthawi yomweyo.
7. Perekani mmalo masamba ndi mkaka zakudya. CHIKWANGWANI ali wamkulu normalizes ndondomeko defecation ndi yotithandiza motility. Mkaka zimathandiza kuti abwezeretse thupi asidi-zamchere bwino.
8. Amphamvu tiyi, khofi ali osavomerezeka ntchito.
9. Kudya mazira sayenera kuposa 2-3 nthawi sabata. The yolk ndi bwino kuti achotse.

Komanso, odwala ayenera kumamwa kowirikiza madzi. mankhwala ndi mkulu mu mafuta ndi mafuta m'thupi, ndi zofunika kwathunthu kuthetsa zakudya zanu.