Kodi cholecystitis ndi njira yochizira: madokotala ndi mankhwala

Pali zifukwa zingapo zochitira izi:

• moyo wongokhala;
• kudya kwambiri mafuta zamafuta a nyama (mafuta, nyama yamafuta, mazira);
• chitukuko cha matenda a endocrine (matenda a shuga, kunenepa kwambiri);
• kumwa mankhwala apakamwa chifukwa cha mimba yosafunikira (mwa akazi).

Pali matenda ambiri amtundu wambiri:

1. zovuta zamagulu (dyskinesia);
2. yotupa njira (cholecystitis);
3. zolephera za metabolic (matenda a gallstone).

Amawonetsedwa kuti ndi magawo a zomwezo. Kumayambiriro kwenikweni, mavuto amayamba ndi kuthekera kwa ndulu, kenako, kuphatikiza kwa chotupa kumayambira, komwe kumayamba kukhala matenda opatsirana.

Zoyambitsa zazikulu za cholecystitis

Matenda monga cholecystitis makamaka amayambitsa matenda opatsirana. Matendawa amalowa mthupi kudzera m'magazi, kudutsa m'mitsempha ndi njira zomwe zikukwera m'matumbo.

Zomwe zimayambira matendawa ndi:

• yotupa njira mu m'mimba thirakiti ya magawo angapo Inde (matenda enterocolitis, kapamba, dysbiosis, appendicitis, matumbo kutupa);
• mavuto a kupuma thirakiti (tonsillitis, sinusitis), ndi m`kamwa patsekeke (periodontal matenda);
• kutupa kwamikodzo thirakiti (cystitis, pyelonephritis);
• kusokonezeka kwa njira yobereka (prostatitis mwa amuna ndi adnexitis mwa akazi);
• zotupa za chiwindi cha tizilombo;
• majeremusi mu biliary thirakiti (roundworm, giardia).

Zizindikiro zazikulu za cholecystitis

Matenda otupa awa ndi mitundu yonse ya maphunzirowa.

Pachimake cholecystitis. Kwa pachimake matenda, pakakhala kupangidwa kwamwala, kuchira msanga popanda chitukuko pamavuto. Nthawi zina, matendawa amatha kudwala. Mikhalidwe yofananira ndiyosowa kwambiri.

Monga lamulo, cholecystitis imakhazikika pamaso pamiyala mu ndulu, yomwe imakulitsa nthawi ya matenda a ndulu.

Kumayambiriro kwenikweni kwa njirayi, kupweteka kwambiri pamimba pamimba kumachitika. Kumva kupweteka kumachitika mu kukomoka ndipo kumatha kutsagana ndi kusanza, nseru ndi kutentha thupi mpaka madigiri 38-39. Kuphatikiza apo, kuzizira, kuzengereza kwapang'onopang'ono, kupanga mpweya wambiri, chikasu cha pakhungu ndi sclera zitha kuchitika.

Acute kuwerengetsa cholecystitis amathanso kudziwonetsa pofalikira chifukwa cha kutukusira kwa ziwalo ndi minyewa yozungulira ndulu. Kuphatikizika kwake kungafotokozedwe ngati chithupsa, kutupa kwa ma ducts a bile (a kwawo kapena kupatula peritonitis), kapamba. Zikatero, dokotala wa opaleshoniyo amafunikira chisamaliro chambiri kapena wodwala amatumizidwa ku dipatimenti yochita opaleshoni kuti agonekere kuchipatala.

Matenda a cholecystitis amatha kuyamba pang'onopang'ono, kuyambira unyamata. Madandaulo amayamba kuwoneka chifukwa chophwanya chikhalidwe, komanso kupsinjika kwa mumtima.

Matendawa amadziwonetsa ululu pansi pa nthiti yakumanja ndipo amatha kusunthira kumanzere kapena kumtunda kwam'mimba. Cholecystitis yosawerengeka imatha kuphatikizidwa ndi mtundu uliwonse wa dyskinesia yachiwiri, yomwe imayambitsa kukula kwa ululu.

Ndi chitukuko cha dyskinesia ya Homopomotor, pamatha kupweteka kwakokhazikika komwe kumakhala kosadziwika bwino. Nthawi zambiri, muyezo wazowawa umatha kulemera kapena kuyaka pansi pa nthiti. Ndi mtundu wa hyperkinetic mtundu wa kutupa kwa ndulu, ululu umayamba kwambiri ndipo umakhala paroxysmal. Itha kuperekedwa mu supraclavicular fossa, mtima, kapena pansi pa phewa.

Cholecystocardial syndrome imaphatikizapo zowawa pafupi ndi mtima, kupweteka kwamtima kwakanthawi kwa ziwalo izi, komanso kusokonezeka kwa mtundu wake. Izi zimachitika chifukwa cha poizoni komanso matenda obwera pakhungu la mtima.

Muzochitika ngati matendawa ayambika kapena apita nthawi yayitali, ma solar solar amatha kulumikizidwa ku pathological process ndipo polar syndrome imayamba kukula. Chizindikiro chake chachikulu ndichopweteka kwambiri ndikuwotcha mu navel, chomwe chimatha kubweza kumbuyo. Njira yofananira, makamaka, kukulira ndi kupweteka, imatha kuchitika chifukwa cha kuchepa kwa zakudya, zolimbitsa thupi, kugwedezeka, kumwa mowa kwambiri, Hypothermia ndi kupsinjika kwa thupi.

Kodi mankhwala a cholecystitis amathandizidwa bwanji?

Ngati pali zovuta zamatenda zamatenda, ndipo zidatsimikiziridwa ndi mayeso a labotale, ndiye kuti mphamvu zabwino zitha kupezeka ndi maantibayotiki. Dokotala amayenera kuthana ndi kusankha kwawo, kuwunika mphamvu ya bile yokumbira.

Kuchepetsa zizindikiro ndi kuchepetsa matenda a bile, dokotala yemwe akupezekapo angakulembeni:

1. "Riabal" 2 mg intramuscularly kapena mapiritsi 1-2 katatu patsiku (anticholinergic agent);
2. "No-shpu" mapiritsi 2 katatu patsiku, "Papaverine" 2 ml ya 2 peresenti yankho mosalephera katatu patsiku, "Mebeverin" mapiritsi 1-2 katatu patsiku (myotropic antispasmodics);
3. "Plifillin" (anticholinergics);
4. "Analgin", "Baralgin" (analgesics).

Ngati pali zizindikiro za kuchepa kwa magazi gallbladder, popanda calculi, kukonzekera kwa kutuluka kwa ndulu kungalembedwe, mwachitsanzo, "mapiritsi a Allohol" katatu patsiku, "Cholenzym" 2 vipande katatu patsiku, komanso mankhwala azitsamba.

Chithandizo cha zitsamba

Njira zamakono zamankhwala zimagwiritsa ntchito maphikidwe a mankhwala azikhalidwe komanso kugwiritsa ntchito mankhwala azitsamba. Zothandiza kwambiri zingakhale:

• wort ndi wort wa St. M`pofunika kumwa 15 g ndi 10 g zomera, motero, ndi kutsanulira theka la lita imodzi ya madzi. Pambuyo pake, wiritsani osakaniza kwa mphindi 5 ndikuvutika. Zotsatira zomwe zimapangidwira zimatengedwa mu kapu imodzi katatu patsiku kwa mphindi 15 musanadye;
• kusalidwa kwa chimanga. Ayenera kutenga 10 g ndikuthira kapu yamadzi otentha. The osakaniza kuwiritsa kwa mphindi 5 ndi kudya kotala chikho 3 pa tsiku musanadye;
• wamisala. 5 g ya mbewu imapanikizidwa mu kapu yamadzi otentha kwa theka la ola. Pambuyo pa nthawi iyi, imwani mankhwalawa supuni katatu patsiku;
• chipukutira. Kutengera ndi ichi, kukonzekera "Holosas" (kufupika kwa rosehip ndi shuga) kumakonzedwa. Njira zimatengera supuni ziwiri musanadye. Mutha kuyikapo kulowetsedwa kwa m'chiuno. Kuti muchite izi, kutsanulira magalamu 10 a 400 ml ya madzi otentha, mutayimirira m'madzi osamba kwa mphindi 15.

Ndalamazi zimachulukitsa kupanga bile, zimachepetsa mamasukidwe ake ndipo zimadziwika ndi kuthekera kochotsa kutupa. Atha kusankhidwa pakukhululuka kuyambira masiku 14 mpaka 28.

Mankhwala ena

Madzi amchere azitha kugwiranso ntchito bwino, omwe amayankha momwe angachitire cholecystitis mwa njira yawo. Kutengera ndi kapangidwe kake, madzi amatha kulimbikitsa kupwetekedwa. Madzi opanda mpweya amagwiritsidwa ntchito povomerezedwa ndi dokotala katatu patsiku mugalasi. Ndikofunikira kupanga izi kwa nthawi kuchokera kwa mphindi 30 mpaka 1.5 maola musanadye mumkwiyo.

Ngati microliths ilipo mu bile, gallbladder hypotension, cholestatic syndrome imawonedwa, ndiye kuti mikhalidwe imeneyi imaphatikizapo mankhwala osokoneza bongo a ursodeoxycholic acid kwa miyezi 1-3, koma malinga ndi kuyang'aniridwa ndi dokotala.

Kuonetsetsa kuti chiwindi chizigwira bwino ntchito, mankhwala a choleretic amagwiritsidwa ntchito posokoneza bile. Mwachitsanzo, atha kukhala "Hofitol" - woteteza chiwindi cha chilengedwe chomera. Ili ndi masamba am'munda wa artichoke. Chida chimagwiritsidwa ntchito mapiritsi 2 katatu patsiku mphindi 20 chakudya chisanafike. "Gepabene" ingathenso kutsimikiziridwa - ndi njira yokonzekera yazitsamba yopangidwa chifukwa cha zipatso za mkaka nthula ndi mankhwala osuta. Mankhwalawa amagwiritsidwa ntchito 1 kapisozi katatu patsiku.

Ndi chitukuko cha vegetovascular dystonia, sedative imagwiritsidwa ntchito, mwachitsanzo, Mamawort kapena Valerian. Adaptol 500 mg katatu patsiku kwa miyezi iwiri ingalimbikitsidwe.

Regimen ya tsiku ndi tsiku komanso zamankhwala

Panthawi yomwe cholecystitis imayamba kudutsa gawo lakuchulukirachulukira, dokotala amalimbikitsa kuti mukhale kuchipatala chothandizira kapena gastroenterological. M'pofunikanso kupumula pogona mozama ndi kupumula mwamtundu. Zizindikiro zake zikachotsedwa, kupuma pabedi kumakulitsidwa pang'ono.

M'masiku oyambira atatha pachimake cholecystitis, ndikofunikira kudya madzi ofunda okha:

• tiyi wopanda mphamvu wakuda;
• misuzi ya zipatso, yothiriridwa bwino ndi madzi owiritsa kapena oyeretsedwa;
• zamasamba zamasamba ochepa otsika;
• madzi amchere opanda gasi.

Zonsezi zitha kuledzera mu kuchuluka kwa tsiku lililonse kwa malita ndi theka. Ululu utayamba kuchepa, madokotala amalimbikitsa:

1. supu zochokera ku masamba;
2. chimanga chophika pamadzi (mpunga, semolina, buckwheat, oatmeal);
3. odzola, mousse kapena kanyumba tchizi cha mafuta ochepa;
4. nsomba zophika kapena zouma;
5. oyera obera;
6. nyama yophika kapena yothira (nkhuku, kalulu, nkhuku).

Zakudya zotere ziyenera kumwedwa m'magawo ang'onoang'ono kasanu patsiku.

Mukachulukitsa cholecystitis, tikulimbikitsidwa kuti muzisala kudya masiku osachepera kamodzi pa sabata. Kwa tsiku lotere, zinthu zotsatirazi ndizoyenera:

• tsiku pa kanyumba tchizi ndi kefir. Ntchito 900 g ya kefir ndiyomwe idapangidwa, yomwe iyenera kugawidwa m'magulu 6 ofanana. Kuphatikiza apo, tchizi chopanda mafuta cha kanyumba chimadyedwa mu kuchuluka kwa 300 g, chogawidwa zakudya zitatu;
• tsiku pa mpunga ndi compote. Patsiku loterolo, ndizotheka kudya malita 1.5 a compote yochokera pa 1.5 kilogalamu a zipatso kapena 240 g a zipatso zouma. Imwani zakumwa katatu. Mpunga (50 g) uyenera kuwiritsa m'madzi ndikudya m'mitundu itatu.

Pambuyo poletsa yogwira maphunziro a cholecystitis, dokotala adzalembera zakudya zapadera nambala 5, zolimbikitsidwa ndi matenda. Wodwala adzaloledwa:

1. wonani zamasamba, mkaka, msuzi wazipatso;
2. nyama yophika, nthunzi;
3. nsomba za nsomba zam'nyanja kapena zamtsinje zopanda khungu;
4. mazira 2 owiritsa kwambiri;
5. zinthu zopanda mkaka zamafuta;
6. masamba ophika kapena ophika;
7. zipatso ndi zipatso;
8. mbewu zamphesa;
9. zopangidwa ndi ufa mu mawonekedwe a mkate wowuma.

Musaiwale kuti zakudya zilizonse ziyenera kumwedwa m'magawo ang'onoang'ono. Izi zikuyenera kuchitika pang'onopang'ono kasanu kapena kasanu ndi kamodzi pa tsiku. Kusala kapena kudya nthawi yayitali pakati pa chakudya sikulimbikitsidwa. Tsiku lililonse ndikofunikira kukhala ndi chakudya cham'mawa chambiri, komanso chakudya chamadzulo pasanadutse maola atatu isanafike nthawi yoyesedwa yogona, ndipo osati zochuluka.

Madzi akumwa sangakhale ochepa, komabe, chakudya chochuluka kwambiri chomwe chimatengedwa panthawi chingasokoneze mayendedwe a bile secretion, komanso amathanso kupweteka m'mimba ndi kuwawa.

Ngati wodwala cholecystitis, ndiye kuti mutha kuwonjezera kugwiritsa ntchito zinthu zomwe zingakuthandizeni kutulutsa bile, komanso zinthu zomwe zimachotsa cholesterol m'thupi:

• chinangwa, zipatso, zipatso, masamba (mitundu ina iliyonse yolemera mu fiber). Nthambi iyenera kukhala yoyendetsedwa koyamba, kenako kuphatikizidwa kale m'mbale zophikira 1 supuni katatu patsiku;
• buckwheat ndi oatmeal, zipatso zouma (zakudya zonsezo zomwe zili ndi magnesium);
• Mafuta a mpendadzuwa: chimanga, maolivi, mafuta a mpendadzuwa (ali ndi mafuta achilengedwe a polyunsaturated);
• zopangidwa mkaka (zimasinthasintha mkhalidwe waumoyo chifukwa cha lactic acid bacteria).

Ndi cholecystitis, osavomerezeka:

• kugwiritsa ntchito zakudya ndi mbale zomwe zimakhala ndi mafuta azinyama (nsomba zamafuta, nyama, nyama zosuta, makeke, mafuta, zakudya zokazika);
• anyezi, adyo, sipinachi, bowa, nyemba (nyemba, nandolo), sorelo, radish;
• zakumwa zamafakitale, mwachitsanzo, timadziti tambiri, khofi, cocoa, sopo wozizira, mowa wamphamvu zilizonse.