Mu gulu la matenda am'mimba dongosolo pali matenda monga cholecystopancreatitis. Ndi kuphwanya kumeneku, njira yotupa imafalikira nthawi yomweyo kwa zikondamoyo ndi chikhodzodzo. Matendawa amafanana kwambiri ndi akulu.
Monga lamulo, kapamba amayamba kusokonezedwa, pambuyo pake padzayamba kuperewera. Matendawa amalowa ndulu ndipo amayambitsa kutupa. Kuphatikiza apo, ndikusunthika ndikusintha kapangidwe ka miyala ya bile imatha kupanga. Ngati cholecystitis yowerengeka imayamba motsutsana ndi maziko a kapamba, kuchitidwa opaleshoni nthawi zambiri kumafunika.
Cholecystopancreatitis nthawi zambiri imakhudza amuna azaka 40-50. Amayi nthawi zambiri amadwala cholecystitis yowerengeka. Matendawa amakhala ndi mawonekedwe owopsa kapena osachiritsika, omwe amatha kufalikira, mkhalidwe wa wodwalayo ungakulire.
Zolemba za matendawa
Cholecystitis ndimatenda am'mimba kapena otupa chifukwa cha kuchuluka kwa ndulu, kutulutsa kwa bile kumachepetsedwa ndipo thirakiti la m'mimba limasokonekera. Ndulu yofananira ndikuwoneka ndi dzira la nkhuku, chiwalo chamkati ichi ndi chiwindi. Imagwira kudziunjikira ndi kuthetsa bile, yomwe imathandizira kuyamwa mafuta ndikuyenda bwino m'matumbo a chakudya.
Chiwindi ndi chomwe chimayambitsa bile. Masana, thupi lathanzi limatha kupanga malita 0,5 mpaka 2 amadzi. Asanalowe m'matumbo, bile limadutsa ndulu za bile. Ngati khoma la njira siligwirizana, cholecystitis imayamba.
Biliary pancreatitis amatanthauza kutupa kwa kapamba. Popeza ma enzyme a mkati sangathe kulowa m'matumbo, amayamba kuzungulira ndikuwonongeka. Ngati zinthu zakupha zizilowa m'mitsempha yamagazi, zowonongekazo zitha kufalikira ku machitidwe ena.
Pathology imatha kukhazikitsidwa chifukwa cha zifukwa zingapo.
- Ndi zakudya zosayenera komanso moyo wosiyanasiyana, kumwa mowa mwauchidakwa, koloko, khofi, komanso zonunkhira, mafuta, zokometsera komanso zakudya zokazinga.
- Pankhani yakubadwa kwa matenda.
- Ngati munthu amamwa mankhwala amphamvu nthawi yayitali, monga mankhwala a antipatitis, mankhwala okhala ndi estrogen ndi corticosteroids.
- Ndi zosintha zokhudzana ndi zaka, chifukwa chake ndikuphwanya kwa magazi ku ziwalo.
- Ngati pali matenda enaake apamwamba a matenda am'mimba.
Makamaka, zinthu zotsatirazi zimatha kuyambitsa kutupa mu ndulu:
- Kuperewera;
- Kuchuluka kwa cholesterol ndi mapangidwe a zolengeza;
- Sinthani mu kapangidwe kazinthu zina za bile;
- Kusokonezeka kwa kulumikizidwa kwa ndulu ndi khunyu yapakati yamanjenje;
- Kukhalapo kwa mawonekedwe achilendo a ndulu;
- Kusokonezeka kwa maselo a cell kumalowedwe amkati a ziwalo zamkati.
Njira yofananira imeneyi nthawi zambiri imapezeka mwa azimayi achikulire kuposa zaka 40. Izi zimachitika chifukwa cha kuchuluka kapena kuchepa kwa thupi, zosokoneza bongo. Komanso, odwala ali pachiwopsezo cha kutenga pakati kapena atatu.
Zizindikiro za nthenda ya kapamba ndi chikhodzodzo
Zizindikiro za kutupa kwa ndulu ndi kapamba ndizofanana. Kuphatikiza apo, cholecystitis ndi kapamba nthawi zambiri zimachitika nthawi imodzi, pomwe matendawa amathandizana komanso amakhumudwitsa wina.
Pakadali pano, onse ma pathologies ndi oopsa kwambiri paumoyo wa anthu ndipo amayambitsa zovuta ngati sanalandiridwe panthawi. Matenda oyamba akangowonekera, muyenera kufunafuna chithandizo chachipatala kuti mumveke bwino za matendawo komanso kuti mupeze mankhwala.
Ngakhale kuti ziwalo zonse zamkati ndizomwe zimayendetsa ntchito zosiyanasiyana, zimathandizirana. Zikondazo zimatulutsa madzi a kapamba, omwe ali ndi ma enzymes ofunikira komanso mahomoni. Kutupa pakakula, michere yochulukirapo imawonekera mu lumen ya ndulu, yomwe imayambitsa kukula kwa cholecystitis.
Ndi kutupa kwa ndulu, zizindikiro zotsatirazi zimawonedwa:
- M'dera lamanja lamanja pansi pa nthiti, wodwalayo amamva kupweteka kwakanthawi komanso kuwawa.
- Kutentha kwa thupi kumakwera.
- Kusungunuka kwa ndulu kumawonekera, kumva kuwawa mkamwa, m'mimba kumatupa, chilakole chimachepa, matupi a chakudya amatha kuwoneka.
Pancreatitis imayendera limodzi ndi zofananira:
- Kuchokera mbali yakumanzere yam'mimba kapena pakati, wodwalayo amamva kupweteka kwambiri kwa lamba.
- Nthawi ndi nthawi mumakhala ndi vuto la mseru komanso kusanza.
- Madzimbudzi mumapezeka zotsalira za chakudya chofunikira kugaya.
- Mimba imatupa, kutentha kwa thupi kumakwera, kusintha kwa magazi, ndi tachycardia kumawonedwa.
- Khungu pankhope limakhala laudongo.
Ngati chimodzi mwazizindikiro zomwe zili pamwambapa chikuwonekera, muyenera kufunsa dokotala wa gastroenterologist ndikuyezetsa.
Kupeza matenda a pathologies
Njira yapamwamba yodziwira cholecystitis ndi kuyesa kwa ultrasound, komwe mutha kudziwa komwe kutupa kumachitika.
Dotolo motero amawulula kusintha kulikonse mu mawonekedwe a ndulu, kupezeka kwa miyala komanso zovuta zina. Phunziroli silopanda ululu, lofunikira kwambiri kwa wodwala.
Ngati mukufuna kuchita opareshoni kuti muchotse gallbladder, onetsetsani kuti mukuchita cholecystography pogwiritsa ntchito makina a x-ray. Njira zamakono zodziwitsira matenda zimaphatikizapo endoscopy.
- Laparoscopy ya kapamba imakhala ikulowetsa kudzera pamatumba kudzera pamimba yam'mimba tating'ono tating'ono, tomwe timayikidwa pa chubu la telescopic. Chifukwa chake, ndizotheka kuyerekeza momwe ziwalo zamkati zimakhalira.
- Komanso, kupenda mucous nembanemba kwam'mimba thirakiti kumachitika pogwiritsa ntchito esophagogastroduodenoscopy. Phunziroli limachitika pobweretsa mtundu wina wa endoscope yaing'ono kudzera m'mero.
- Kuphatikiza apo, kusanthula kwa bile kumachitika, chifukwa chaichi, mawu opaka duodenal amagwiritsidwa ntchito. Thumba la mphira limayikidwira m'matumbo, pambuyo pake zinthu zoyenera zimapezeka. Magawo atatu a bile amatenga mawonedwe, kuwunika kwa Microbiology ndi kuzindikira njira yotupa.
Pozindikira pancreatitis, njira zofufuzira zogwiritsidwa ntchito zimagwiritsidwa ntchito.
- An ultrasound imayang'ana m'mimba.
- Gastroscopy imagwiritsidwa ntchito poyesa mkhalidwe wa mucosa wam'mimba. Ndikofunikira kumeza kafukufuku wocheperako pomwe kamera imamangiriridwa. Zotsatira zake, adokotala amatha kupenda zam'mimba, zipsera, matumbo.
- Kuti mupeze mawonekedwe a pancreatic ndi miyala, radiography imagwiritsidwa ntchito.
- Kuti mupeze chithunzi cha mawonekedwe atatu a kapamba, kafukufukuyu amachitika pogwiritsa ntchito tomography.
- Kuphatikizira dokotala angakufotokozereni momwe mungayambire laparoscopy.
Kuti mudziwe zambiri zamatenda amkati, gwiritsani ntchito magazi, ma cell ndi ma electrolyte. Komanso, wodwalayo ayenera kudutsa mkodzo kuti uwunikidwe.
Chithandizo cha kutukusira kwa ndulu ndi kapamba
Ngati zizindikiro zakayikitsa za matendawa zikuwoneka, palibe chifukwa choti musinene kuti mwayeserera. Dokotala wofufuza m'mimba azichita mayeso athunthu, kuti adziwe matenda ake enieni ndikusankha mankhwala ofunikira otupa a ndulu ndi kapamba.
Therapy a matendawa ndi ovuta ndipo amakhala ndi magawo angapo. Choyamba, wodwalayo ayenera kuwunika zakudya zake ndikusintha zakudya zina zapadera.
Ndikofunika kuchiza matendawa kwathunthu kuti mupewe kukula kwa matendawo. Pathology imathandizidwa mwadongosolo, popanda kusokonezedwa, ngakhale mkhalidwe wa wodwalayo ukupita bwino.
Pophwanya chikhodzodzo ndi chikhodzodzo, dokotala amafotokozera mitundu iyi ya mankhwalawa:
- Kupanga kwa enzyme kumathandizira ndikugwiritsa ntchito Cantrical ndi Gordox inhibitors.
- Pentoxyl ndi Methyluracil amagwiritsidwa ntchito kukonza kagayidwe.
- Ululu pakuukiridwa umachotsedwa ndi ma pinkiller.
- Kuletsa kupanga kwa timadzi ta m'mimba ta Cimetin ndi Omeprazole.
- Kukonzekera kwa enzyme kumaphatikizapo Festal, Hermitage ndi Pancreatin.
Kuphatikiza pa kugwiritsa ntchito mankhwala osokoneza bongo komanso zakudya, tikulimbikitsidwa kuti chithandizo cha spa chizikhala chothandiza kwambiri popewa kufalikira kwa matenda am'mimba.
Pamaso pa matenda a ndulu, omwe amadziwika chifukwa cha matenda, miyala mu chikhodzodzo chimachotsedwa ndipo ndulu za ndulu zimatsukidwa.
Njira yodwalayo yamatendawa imathandizidwa mothandizidwa ndi njira zina. Mwa izi, zitsamba zamankhwala zokhala ndi anti-yotupa zimagwiritsidwa ntchito, zomwe zimaphatikizapo chamomile, calendula, stigmas chimanga. Ndi miyala mu ndulu ya ndulu, amamwa mankhwala apadera azomera zamankhwala zomwe zimasintha kapangidwe ka bile.
Pankhani ya gastritis, tikulimbikitsidwa kumwa madzi otentha ndi mandimu kuti muchepetse kupanga juwisi. Mwinanso, mwatsopano wokhathamiritsa madzi kuchokera ku kaloti, nkhaka ndi beets amagwiritsidwa ntchito.
- Wothandiza pakuchiritsa amawona ngati kulowetsedwa azitsamba. Pokonzekera, amatenga maluwa a sandichort ya Helichrysum, mamawort, calendula. Supuni ya chopereka imathiridwa ndi lita imodzi yamadzi otentha, amaumirizidwa ndikusefa. Imwani mankhwala a 100 ml osachepera kasanu ndi tsiku.
- Mankhwala tincture wa Eleutherococcus kuchuluka kwa theka kapena supuni yonse amatengedwa mphindi 30 asanadye kwa masiku 30. Koma ndi kusowa tulo kapena matenda oopsa, njira yofananira yamankhwala imasemphana.
- Ndikofunika kwambiri kutenga supuni 0,5 ya ufa kuchokera pansi masamba ofunda tsiku lililonse. Kuti muchepetse kupwetekako, amamwa theka la ola musanadye tincture wa calendula womwe ndi supuni imodzi kapena ziwiri.
- Supuni imodzi yambewu zonyamula zimathiridwa ndi madzi otentha ndikuthiriridwa kwa maola awiri. Amamwa mankhwala wowerengeka a 100 ml katatu kugogoda mphindi 30 asanadye.
Ngati matenda akudwala, yankho limatengedwa kuchokera kwa amayi omwe amamwa kwa masiku 10, 250 ml aliyense. Kuti akonzekere, 2 g ya mummy imasungunuka m'malita atatu a madzi owiritsa, yankho lake limasakanizidwa bwino musanalandire.
Pambuyo pa nthawi yomwe mukufuna, kupumula kwa sabata limodzi kumachitika, pambuyo pake mankhwalawa amabwerezedwa katatu kapena kanayi.
Zakudya malamulo a matenda
Kuphatikiza pa chithandizo chamankhwala, muyenera kuphunzira momwe mungapangire bwino chakudya chanu. Chakudya chiyenera kutentha nthawi zonse, koma osati chotentha kwambiri, mbale zozizira siziphatikizanso.
Muyenera kudya pafupipafupi, koma m'magawo ang'onoang'ono, kasanu mpaka kasanu ndi kamodzi patsiku lopumula kwa maola anayi. Zosankha ziyenera kuphatikizapo zinthu zofatsa kwambiri zomwe zimaloledwa kugwiritsidwa ntchito kuphwanya m'mimba.
Zakudyazo ziyenera kukhala ndi mavitamini ndi michere yambiri chifukwa amadya masamba ndi zipatso. Ndikofunikira kusiyiratu mafuta okazinga, osuta, amchere, amchere. Ndikofunika kupatsa chidwi ndi chakudya chophika.
- Masiku oyambilira atayamba kuchulukitsa matendawa, chakudya chimakonzedwa popanda mchere, kotero kuti kupanga kwa hydrochloric acid m'mimba kumachepa komanso kutuluka kwa ndulu kuchokera m'zinthu zopangidwira mkati kumachepa.
- Madokotala gastroenterologists amalimbikitsa kudya zosaposa 60 g zamafuta, 90 g ya mapuloteni, 210 g wama chakudya tsiku lililonse.
- Pofuna kuti mucosa wam'mimba usakwiyitsidwe, chakudya chake ndi nthaka. Amagwiritsanso ntchito zakudya zamadzimadzi ndi zochepa.
Pakatha sabata, chakudyacho chimatha kuphatikiza mafuta, msuzi wowonda, msuzi, phala, phala, nkhuku kapena nyama yodula ndi mafuta ochepa, nsomba zophika, mbatata yosenda, msuzi wothira, mphamvu ya tiyi wopanda mphamvu.
Ngati wodwalayo wasintha, ndiye kuti amaloledwa kudya ma puloteni opangira mapuloteni, puddings zotsekemera, maapulo osenda ndi ophika, karoti puree.
Momwe mungachitire pancreatitis afotokozedwa ndi akatswiri mu kanema munkhaniyi.
