Zizindikiro za kuukira kwa matenda gallstone. Kodi kupereka thandizo?

Anthu kuyambira nthawi akale odziŵika za matenda gallstone (GSD). A nambala yaikulu mabuku ndi nkhani zoyenera matendawa. Ngakhale, anthu ambiri sakudziwa chimene thandizo lotani pofuna odwala pa gallstone kuukira. ndi zizindikiro za khalidwe la iye amene angachite kuti munthu chimene, kodi mankhwala angandithandize? Awa ndi mafunso amene ayenera kuthetsa.

CL ndi chiyani?

Zigawenga za matenda gallstone (zizindikiro thandizo mafunso ati m'nkhani) - ndithu mutu otentha, chifukwa GSD ndi matenda wamba. Pamene wotchedwa matenda ducts ya ndulu ndi ndulu kudziunjikira miyala. Iwo cholesteric ndi pigment. Choyamba mwa zinthuzi ndi ambiri. Zikuchokera mafuta miyala zikuphatikizapo mafuta m'thupi, mucin, bilirubinate, mankwala, carbonate, ndi calcium palmitate, ndi zinthu zina.

miyala Inki anawagawa wakuda ndi zofiirira. Kapangidwe Black makamaka anapeza mu ndulu ya. Iwo anapanga ku kashiamu bilirubinate ndi mankhwala ena bilirubin, calcium carbonate ndi mchere mankwala, mucin, zinthu zina. miyala Brown zambiri wapezeka mu ducts ya ndulu. nyumba izi wapangidwa salt kashiamu wa unconjugated bilirubin ndi kulolerana wa mafuta m'thupi, mapuloteni.

Zina mwa zifukwa

Matenda amene zizindikiro angasonyeze kuukira kwa matenda gallstone, limapezeka pa zifukwa zosiyanasiyana. Chimodzi mwa zinthu chiopsezo - wamkazi. Kafukufuku amasonyeza kuti oimira theka wokongola wa anthu amatchedwa matenda kumachitika kwambiri kambirimbiri kuposa amuna. Wina n'kofunika chiopsezo chinthu - zaka. Gallstones amapezeka anthu ambiri pambuyo pa zaka 60.

Wotchuka mbali kuwonjezeka pafupipafupi cholelithiasis masewero kunenepa. Pali anthu kwambiri akunenepa opangidwa ya ndulu supersaturated ndi mafuta. Wina n'kofunika kwambiri - mimba. Akazi amene ali ndi udindo, kumawonjezera mlingo timafunika. Chifukwa cha ichi, kumaonjezera katulutsidwe wa mafuta mu ya ndulu ya.

Zifukwa zina, chifukwa muli ndi matenda gallstone (kuukira) ndi:

• mofulumira ndi chidwi kuchepa thupi;
• shuga;
• parenteral zakudya ;
• matenda matumbo;
• ntchito za kulera m'kamwa.

Asymptomatic ndi otsegula m'mimba mawonekedwe matenda

Anthu ena miyala ndulu, koma odwala nthawi yomweyo sizipanga madandaulo iliyonse. mawonekedwe nthendayo imatchedwa asymptomatic (zobisika). Akatswiri amaliona kuti nthawi panopa GSD Ndipotu, malinga ndi ziwerengero za 10 kapena 15 zakubadwa, 30-50% ya anthu kuona zizindikiro za matenda ndi mavuto.

mtundu wina wa matenda gallstone - m'mimba. anthu odwala amadandaula matenda zinchito za m'mimba ntchito thirakiti. Inu zizindikiro zotsatirazi (zidzachitika, kawirikawiri pambuyo chakudya, makamaka ngati mwakhala kudya yokazinga, mafuta, chakudya zokometsera, mowa):

• Ndikumva chisoni mu epigastric ndi ufulu nusu chapamwamba;
• kulawa zowawa mkamwa;
• kutentha;
• owonjezera mpweya kudzikundikira mu intestine ya;
• wosakhazikika mpando.

Chiwindi (ya ndulu) colic

Asymptomatic ndi despepticheskaya mawonekedwe a matenda gallstone si okhawo. Akatswiri komanso olekanitsidwa chiwindi (ya ndulu) colic. Ichi ndi ambiri matenda mawonekedwe a matenda. Iwo amawapeza mu 75% ya milandu anthu odwala matenda gallstone.

Chiwindi (ya ndulu) colic Yodziwika mwadzidzidzi anaonetsa zizindikiro kobwereza ndi kuukira cholelithiasis. Odwala ena zidzachitika chifukwa cha zakudya zosayenera ndi masewera olimbitsa thupi. Onse a anthu akulephera kudziwa akapsa. Khunyu kuyamba usiku, akagona.

Zizindikiro za gallstone kuukira

Nkhondo ya matenda akuwonetseredwa mwa ululu. Nthawi zambiri isanafalikire mu epigastrium, nthawizina anamva m'dera la ndondomeko xiphoid. N'zotheka walitsa wa ululu phewa kumanja kapena tsamba phewa kumanja. Kusapeza mu mwamphamvu ndi khalidwe angakhale osiyana: kuboola, kukanikiza, cramping.

Kuwonjezera ululu, pakhoza kukhala zizindikiro Muzisamala monga nseru, kusanza wa ya ndulu, zomwe si mpumulo. Komabe, tisaiwale kuti zizindikiro za kuwonongedwa kwa matenda gallstone n'zochepa zokwanira. Iwo zimachitika ochepa anthu odwala.

Kuzionetsetsa, akatswiri onani zizindikiro cholinga odwala awo:

• nkhawa, m'chikaiko chowakaikitsa (anthu odwala mkokomo mozungulira ndi kuyesera kutenga malo amene ululu akanati anabwerera);
• chinawonjezeka kugunda kwa mtima ndi kumenyedwa 100 pa mphindi imodzi;
• lilime lonyowa TACHIMATA ❖ kuyanika yochitidwa hue;
• Bloating, theka yake kumbuyo kupuma;
• percussion ndi palpation wa anthu pamimba amadandaula kupweteka kwambiri mu hypochondrium bwino.

Kutalika ndi pafupipafupi kuukira

Kupweteka anthu odwala matenda gallstone, umafika mwadzidzidzi. khunyu nthawi zingakhale za Mphindi 15 maola 8. Nthawi zina ululu ndipo adzazunzidwa kwa maola 12. Izi zimachitika chitukuko cha cholecystitis pachimake. Pamene tikadwala matenda chitadutsa, ululu kusiyiratu. Tikhonza zosasangalatsa m'ziwalo pamimba.

kuukira Periodicity pa matenda payekha. Mu anthu ena zizindikiro za odwala colic biliary angayambe tsiku lililonse, wachiwiri - kamodzi pa sabata, pa wachitatu - kamodzi pamwezi. kawirikawiri amakhala yekha ululu kuukira.

thandizo

Ngati muli zizindikiro zilizonse za kuwonongedwa kwa matenda gallstone, m'pofunika pitani kuchipatala mwamsanga. Pamaso pa mtima ayenera kukaona katswiri kupereka thandizo:

• kupereka mpumulo (analimbikitsa bedi);
• kupereka botolo madzi (chiyenera kuvala hypochondrium kumanja);
• kupereka kwa amasamba ofunda.

Pa nthawi ya nkhondo ya matenda gallstone amaloledwa kupereka mankhwala: MANKHWALA OLETSA VUTOLI ( "Drotaverinum" "No-spa") osakaniza analgesics ( "Spazmalgon", "Baralgin"). Ndipo akhoza kudikira dokotala posachedwa. The katswiri angakuuzeni mmene kuchotsa kumuukira, ndipo muwuzeni mankhwala zofunika pa mlingo motere:

• "Nospanum" (2 ml intramuscularly);
• "Papaverine", 2% (2 ml intramuscularly);
• "Baralgin" (m'nsinga 5 ml);
• "Atropine", 0.1% (1 ml subcutaneously).

Pakuti zizindikiro za kuukira kwa matenda gallstone akhoza kubisala mavuto ena oopsa. Kutsimikiza matenda chofunika kuti tipende mwatsatanetsatane magazi, ultrasound kapena fluoroscopy. zinthu zotsatirazi idzachitike mu kukhalapo kwa akatswiri a umboni:

• kukonza ya ndulu ducts;
• opaleshoni kuchotsa miyala alipo, ndulu.

mphamvu Features

Nkhondo ya matenda gallstone, zizindikiro, mankhwala amadziwika iliyonse gastroenterologist, osati nkhambakamwa bwino kwa anthu ambiri. Komabe, si onse akuganiza kupewa. Kupewa pakutchulidwa matenda gallstone akuukira thandizo ndithu adzakhala ndi kusintha anu menyu tsiku.

Choyamba, m'pofunika kusiya mkulu-kusungunuka mafuta. Chifukwa chosowa polandirira msonkho ya ndulu yafupika ntchito yeniyeni enzyme ndi - lipase. Izi, mu zingathandize kuti chimbudzi osauka ndi kuloŵerera kunyama. Anthu kumva ululu, omangana, bloating. Analolera mafuta ndi masamba mafuta.

Chachiwiri, ku menyu wake kuti achotse rye mkate, bowa, nandolo, nyemba, mtedza, tirigu, chokoleti, khofi, koko, pastry. zakudya izi chifukwa aggravation, chifukwa chimbudzi awo amafuna voteji kachitidwe enzyme m'thupi la munthu.

Nsonga ochiritsa

Sand ndi miyala anapanga mu ndulu ya, ya ndulu kusokoneza Mokweza wabwinobwino, kusintha limagwirira cha zochita zake. Zochizira ndi kupewa njira izi ochiritsa amalangiza zoyenera kuchita. kumuukira angathe kupewedwa ndi;

1. Ankachitira ndi mafuta. mankhwala kumathandiza kufulumizitsa kuphwanya miyala thupi wamkati. Folk ochiritsa amalangiza lililonse asanagone, kutenga 1 tbsp. L. mafuta kenako kumwa madzi cholizira kwa theka ndimu. Nthawi wowerengeka mankhwala kungakhale sabata 1. Panthawi imeneyi m'pofunika kutsatira zamasamba, musasute, osamwa mowa, khofi, musadye zakudya zimene zimachititsa flatulence.
2. Imwani mankhwala decoction. Mlandu woyamba kwa timbewu tonunkhira, chamomile ndi immortelle mu chiŵerengero 2: 1: 1. Ndiye zinachitika 1 tbsp. L. osakaniza malita 0.5 a madzi otentha. Analandira mankhwala anali pa moto wochepa kwa mphindi 30. Wokonzeka msuzi fyuluta ndi kumwa makapu 0,5 kanayi pa tsiku, theka la ola pamaso chakudya.
3. Kusala kudya ndimu kwa masiku 3. zipatso Izi katungulume ndipo anadutsa nyama chopukusira. The osakaniza chifukwa Chinawonjezeka maola 0.5. L. koloko.

Kotero, inu kudziwa chakuti kuukira matenda gallstone. Zizindikiro, thandizo - ndi chinthu chimene aliyense ayenera kudziwa anthu onse, chifukwa palibe wina yemwe ali otetezeka ku matenda. Komanso musaiwale kuti pakutchulidwa kuukira gallstone angathe kupewedwa. Kuteteza pazikhalanso kutsatira ndi zomveka zakudya, kuchepetsa kapena Kupha stagnation wa ya ndulu mu ndulu ya (kumenyana adynamia, chakudya pafupipafupi), chithandizo mwamsanga matenda aakulu alipo.