Cholecystitis ndi kapamba amadziwika kwambiri masiku ano. Amalumikizidwa onse limodzi ndi zomwe zimayambitsa ndi zomwe zimayambitsa.
Iwonekere nthawi zambiri motsutsana ndi maziko a vuto la kuperewera kwa zakudya m'thupi.
Popeza zovuta izi zimachitika nthawi yomweyo, mankhwalawo amayang'ana kwambiri kupewa matenda awiri nthawi imodzi. Chifukwa chake, timaganizira zomwe zimayambitsa, njira zoyeserera komanso momwe tiyenera kuchitira moyenera matenda a cholecystitis kapamba.
Zimayambitsa cholecystitis ndi kapamba
Mbiri ndi chizindikiro cha kutukuka kwa matenda ndikofanana. Chifukwa chake, zovuta zambiri zimapangitsa wina kukulira. Mwachitsanzo, kulowa kwa kapamba wamadzi am'mimba kuchokera pancreic yodwala kupita mu bereary kumayambitsa kutupa kovuta kwambiri kwa ndulu ndi chimbulu. Ndipo ndimatenda a ndulu, kutupa kwak pachimake nthawi zambiri kumawonekera, komwe pakapita nthawi kumakhala ngati matenda osachiritsika.
Momwe mungachiritsire matenda ophatikizika amapezeka pokhapokha mutamufufuza kwathunthu ndikutsimikiziridwa kuti mwazindikira. Ganizirani zomwe zachititsa:
- kukhalapo kwa matenda amphuno, pakhosi;
- kagayidwe kachakudya matenda;
- matenda ashuga
- kusowa zolimbitsa thupi;
- kudzimbidwa ndi kutsekula m'mimba;
- mavuto onenepa kwambiri;
- kuchuluka kwa mafuta, mchere, zakudya zazonunkhira;
- uchidakwa;
- pafupipafupi chakudya cham'mimba matenda kapena kuledzera ndi zinthu zina zoyipa.
Zizindikiro
Ndi thanzi labwinobwino, kapamba ndi ndulu zimagwira ntchito pafupipafupi, kulola kuti matumbo agwire zakudya zosiyanasiyana.
Komabe, pamene chiwalo chimodzi sichili bwino, nthawi zambiri izi zimayambitsa matenda wachiwiri. Mwachitsanzo, pancreatitis, msuzi wa kapamba uli mu ndulu ndikuwononga makhoma ake.
Chifukwa chakuti matendawa ali ndi zizindikiro zofanana, othandizira azaumoyo amatchulanso cholecystopancreatitis kuphatikiza kwa cholecystitis ndi kapamba.
Zizindikiro ndi mankhwala a pancreatitis ndi cholecystitis ali ndizofanana zambiri.
Zizindikiro zodziwika pancreatitis ndi cholecystitis:
- kumva mseru ndi kusanza;
- kupweteka kumachulukirachulukira;
- kutentha kwambiri;
- thukuta lamphamvu.
Chizindikiro chachikulu chomwe matendawa amasiyana amadziwika chifukwa chakuti ndi kapamba amkakhala ndi ululu kumanzere pamimba, ndipo ndi cholecystitis, ululu umagwera mbali yakumanja, popeza chikhodzodzo chimakhala pomwepo.
Matenda amatha kusiyanasiyana pakamwa pouma, omwe amadziwika kuti ndi kapamba. Koma kuwawa ndi chizindikiro cha cholecystitis.
Kafukufuku
Kuzindikira kumatengera mbiri yakale yazachipatala. Onetsetsani kuti mwapereka njira zophunzirira, monga kuphunzira magazi ndi ndowe. Mothandizidwa ndi diagnostics, njira yokhazikika kapena yowopsa yatsimikizidwe. Kutengera ndi izi, dokotala amakupatsani mankhwala.
Chithandizo chopanda mankhwala choyambirira sichimachitika, chifukwa kuoneka kwa zovuta ndizotheka. Kusiyanitsa kosiyanasiyana kwa kapamba mu nthawi ya pachimake kumachitika ndi mayeso ena: ndi chironda cham'mimba, kutsekeka kwamatumbo, pachimake cholecystitis, appendicitis.
Chofunika cha mayeso: phunzirani kuchuluka kwa alpha 2 macroglobulin mu seramu yamagazi. Nthawi yomweyo, alpha 2 macroglobulin ofanana ndi 200 mg / l amatengedwa ngati 1 point.
Chifukwa chake, mulingo wofika 800 mg / l ndi mfundo 4, zomwe zikufanana ndi kukhalapo kwa kapamba, komanso pamlingo woposa 800 mg / l - cholecystitis yacute.
Kuti mupeze kuzindikira koyenera, kufufuza kwina, kuphatikiza ndi ultrasound, kudzafunika.
Njira zochizira
Ndikofunikira kuchitira kutupa kwa pancreatic ndi bile duct mothandizidwa ndi mankhwala moyang'aniridwa ndi katswiri. Nthawi zambiri, madokotala amalangiza njira yolumikizirana yothandizirana ndi wowerengeka, chinthu chomwe chimapangitsa kuti njira yachiberekero ichitike mwachangu kwambiri. Chifukwa chake, ndikuyenera kuthana ndi kukokomeza. Ndikofunika kuphatikiza chithandizo ndi zakudya ndi kusintha kwa njira ya moyo. Kuphatikiza koteroko kumawonetsa zotsatira zabwino zamankhwala.
Ngati matendawa sanalandiridwe, vuto lina lathanzi lingayambike, kuphatikizapo matenda a shuga a mtundu wachiwiri. Njira yothandizira matendawa onse idzafotokozedwera ndi gastroenterologists, omwe angadziwe mosavuta kuti chifukwa chani chinali chizindikiro choyamba chotukula matendawa.
Mankhwala
Chithandizo cha cholecystitis ndi pancreatitis yotalikirapo ndi yayitali ndipo imafuna kugwiritsa ntchito maantibayotiki. Choyamba, mankhwalawa amatengedwa, mwachitsanzo, biseptol, omwe amayenera kutengedwa kupewa matenda. Chotsatira, muyenera kuchotsa pazomwe mabakiteriya adayamba kuchulukana mwachangu. Dokotala atha kukulemberani mankhwala othandizira kufinya. Chifukwa chake, lipatseni mapiritsi nosh-pa kapena papaverine.
Nthawi zambiri, zikondamoyo zowonongeka zimapangika pang'ono kapena madzi ammimba ambiri, chifukwa chake, wodwalayo amapatsidwa pantoprazole, lansac.
Kuti muchepetse kuphipha, muyenera kumamwa mankhwala omwe angayambitse bwino.
Mankhwala azitsamba
Mukachiritsa, ndikofunikira kudziwa zomwe zitsamba zomwe zimakhala ndi kapamba ndi cholecystitis zimathandizira kuchiritsa ziwalo zamkati. Mankhwala nthawi zonse amakhala osakonzeka kupereka zotsatira zomwe akufuna, chifukwa kugwiritsa ntchito nthawi yayitali nthawi zambiri kumabweretsa toxicosis. Zogulitsa zopangidwa ndi mbewu sizovulaza konse, ndipo mutha kumamwa kwa nthawi yayitali. Zothandiza kwambiri zimaphatikizapo dandelion muzu, stigmas chimanga, calendula ndi chamomile.
Mukakhala ndi miyala mu duct ya bile kapena ducts zake, pamenepa, mutha kugwiritsa ntchito udzu kuti uziwasungunula komanso ngati mankhwala opweteka.
Zosankha zamasana tsiku
Ndikulimbikitsidwa kuti muzitsatira zakudya zoyenera, amuna. Odwala zotchulidwa zakudya nambala 5, lomwe limayang'ana pa kuyambiranso kwa ntchito ya chiwindi, matumbo ndimimba. Nthawi zina njira yothandizira kuchokera ku zitsamba imabweretsa zotsatira zambiri.
Zakudya zoyenera ziyenera kuphatikiza mapuloteni, mafuta ndi chakudya, komanso magawo tsiku lonse sayenera kukhala akuluakulu, koma amagawidwa nthawi 5-6.
Zakudya zofananira za tsiku ndi tsiku zimawoneka motere:
- 8.30 - kadzutsa. Steeled cutlets ku nkhuku - 60 gr. Oatmeal mkaka, madzi -100 gr. Tiyi (wokhala ndi mkaka) - 200 gr.
- 11.00 - chakudya cham'mawa chachiwiri. Kanyumba tchizi casserole - 100 gr. Tiyi ya zitsamba - 200 g
- 14,00 - nkhomaliro. Msuzi wamasamba ndi phala la buckwheat - 150 gr. Nsomba yophika kuphatikiza ndi saladi wa beetroot - 60 g iliyonse. Mmodzi wophika mkate.
- 16,00 - tiyi wamasana. Maqanda awiri a dzira - 100 gr. Karoti wa karoti - 150 gr.
- 19.00 - chakudya chamadzulo. Nyama yophika nyama - 30 gr. Steamed kabichi mphodza - 60 gr. Uzvar -100 gr.
- 21.00 - chakudya chamadzulo chachiwiri. Kefir si mafuta - 150 g.
Chakudya chokhwima chimawonedwa kwa miyezi iwiri kuyambira nthawi yamatendawa, koma odwala omwe ali ndi kapamba amayenera kuwona zoletsa pazakudya kwa miyezi osachepera 8-9.
Mukamamatira malangizo popewa kuchulukitsa kwa matenda, ndiye kuti kuphwanya kungachiritsidwe mosavuta, pomwe matendawa amangopereka zotsatirapo zabwino. Pokhala ndi kusadya bwino komanso kugwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso, zovuta za mavuto zimawonjezeka.
Nthawi zambiri, kuchitapo kanthu opaleshoni kumafunika, komwe nthawi zina kumatha kufa. Ndi chiyambi cha zizindikiro zoyambirira, ndibwino kukaonana ndi dokotala nthawi yomweyo ndikuyamba kulandira chithandizo cha kapamba. Ntchito yofunikira mu izi imachitidwa ndi chithandizo cha mankhwala limodzi ndi zakudya, komanso mankhwala azitsamba.
About cholecystitis ndi kapamba amafotokozedwa mu kanema munkhaniyi.
