Kutupa kwa gallbladder (cholecystitis) ndi matenda a kapamba (pancreatitis) nthawi zambiri kumayamba nthawi imodzi, chifukwa chake, ndizosatheka kuchiza chimodzi osakhudza enawo. Nthawi zambiri, zizindikiro za matendawa zimagwirizana ndi zazing'onoting'ono zazing'ono, zovuta zomwe zimayambitsa iwonso. Chifukwa chake, chithandizo cha kapamba ndi cholecystitis chimafanana kwambiri.
Zoyambitsa matenda
Zomwe zimayambitsa matendawa zitha kugawidwa m'mitundu itatu:
- poyizoni wa chakudya, kuphatikizapo mowa;
- Zotsatira za moyo - masewera olimbitsa thupi, kuperewera kwa zakudya m'thupi, kunenepa kwambiri;
- kugwiritsa ntchito mankhwala osokoneza bongo, makamaka furosemide, estrogens, maantibayotiki, sulfonamides, etc.
Makanda, nthawi zambiri matendawa amakula chifukwa chobadwa nako chimbudzi kapena kusokonezeka kwa chimbudzi.
Mavuto omwe amabwera chifukwa cha kapamba ndi zovuta za m'mimba, kugwira ntchito pamimba kapena chikhodzodzo, ascariasis. Mwa milandu itatu mwa anthu 10, sizotheka kudziwa zomwe zimayambitsa matendawa.
Nthawi zambiri, ma pancreas ndi ma ndulu am'mimba am'mimba am'mimba am'mimba omwe amathandizira kuti azitha kulandira chakudya. Kusiyana kwawo ndikuti ndulu simatulutsa bile, koma imangokhala madzi osungika chifukwa cha kudzikundikira kwake, ndipo kapamba payokha payokha amatulutsa madzi a pancreatic.
Ngati m'modzi mwa awiriwa adwala, wina adzadwala, matendawa ayamba kupita patsogolo. Nthawi zina n`zosatheka kuti mudziwe - cholecystitis anakwiya kapamba kapena mosemphanitsa. Kuphatikiza kwa matenda awiriwa nthawi zambiri kumatchedwa cholecystopancreatitis, ngakhale zimapweteka komwe kapamba amapezeka.
Mavuto
Yang'anani! Onetsetsani kuti mwayang'ana ndi gastroenterologist yemwe amamuganizira kuti ndi kapamba kapena cholecystitis. Katswiri mu mbiri iyi amadziwa bwino zomwe zimapangitsa kuti matenda a biliary ndi pancreatic apatsane.
Mavuto omwe amayamba chifukwa cha kapamba kapena cholecystitis nthawi zambiri amagwiritsidwa ntchito ndi kuperewera kwa michere yolowa m'mimba.
Izi zimayambitsa zovuta m'matumbo mwathupi - zovuta zosavuta za kutupa kwa kapamba kapena chikhodzodzo. Mu milandu yayikulu kwambiri, pali kuphwanya chiwindi ndi m'mimba, mwinanso kukula kwa matenda ashuga a mtundu 2.
Chithandizo
Matenda ali m'gulu la omwe amafunikira kuthandizidwa kwakanthawi. Chithandizo chachikulu ndi mankhwala. Physiotherapy imayikidwa ngati njira yothandizira, koma kokha panthawi yomwe sipangakhale kufalikira kwa matendawa.
Mutha kuthira infusions wa mankhwala azitsamba kapena mankhwala awo. Ndi zowonjezera, lamulo loyamba la chithandizo ndi njala, kuzizira ndi mtendere. Ndi kapamba, tikulimbikitsidwa kuyika ayezi wofunda m'dera la chiwindi.
Zofunika! Pachimake cholecystitis kapena kapamba kumafunika opaleshoni. Chifukwa chake, simungachedwe kupita kwa dokotala kapena kuyitanira ambulansi!
Mankhwala
Pofuna kuthana ndi matenda omwe amayambitsa kutupa, maantibayotiki ngati Biseptolum ndi omwe amapatsidwa mankhwala. Kuti athetse zofunikira pakubala mabakiteriya, ndikofunikira kukhazikitsa kutuluka kwa michere kuchokera ku ziwalo zopunduka ndikuyimitsidwa, maantibayotiki amatha kuthana ndi izi.
Ndi cholecystitis, kuphwanya kayendedwe ka bile kungagwirizanitsidwe ndi:
ndi kuphipha kwa bile duct, kenako mankhwala antispasmodics - No-shpa, motilium, papaverine;
ndi kupuma kwambiri kwa ndulu, chifukwa chomwe chiwalocho sichingagwire ndi kutulutsa bile. Zikatero, mankhwalawa omwe ali ndi choleretic zochita amadziwika - holagol, holosas, eglonil, cisapride.
Ndi kapamba, zovuta ziwiri ndizothekanso - kupanga kapamba wa pancreatic kumakhala kotsika kwambiri, ndiye kuti antispasmodics kapena hypersecretion ya kapamba amapatsidwa, kenako ndi mankhwala otsatirawa:
- omeprazole
- pantoprozole,
- lansoprozole.
Kusintha chimbudzi, kukonzekera enzyme zotchulidwa - mezim, kapamba, potazim, chimbudzi, chikhodzodzo ndi zina zotero. Ndi cholecystitis, popanda conancitant pancreatitis, kukonzekera kwa bile kungapangike. Chachikulu ndichakuti maantibayotiki samayambitsa zovuta.
Zakudya
Mu nthawi yayikulu ya matenda, adokotala amatha kukupatsani mankhwala osala kudya masiku oyambira. Pakadali pano, ndikulimbikitsidwa kumwa madzi ambiri, bwino kuposa madzi oyera, ndikuyenda pang'ono momwe mungathere.
Kupuma kumachepetsa kutuluka kwa magazi ziwalo, zomwe zingalole ziphuphu kapena ndulu kuti ibwerere mwachizolowezi, mutha kuchitira zinthu zonyansa m'njira yachilendo. Koma ngakhale ndi matenda osachiritsika, mfundo zina mu zakudya ziyenera kuonedwa. Malamulowa ndi osavuta:
- - zakudya zowonjezera, nthawi 5-6 patsiku, chakudya chotsiriza pasanathe maola atatu asanagone;
- - tchizi tchizi ndi mkaka wowawasa-wowawasa, masamba ndi masamba soups, chimanga ndizothandiza;
- - nyama ndi nsomba ndizoyenda bwino;
- - zoletsedwa: mowa, chokoleti, koko;
- - ndikofunikira kuchepetsa kugwiritsa ntchito nyama yosuta, mafuta, zonunkhira, yokazinga.
Chakudya chizikhala chotentha, osati kutentha. Sitikulimbikitsidwa kuti mupumule mukatha kudya - izi zimafooketsa kutuluka kwa ndulu. Kuyenda kwabwino mphindi 30.
Pancreatitis ndi cholecystitis amachititsa kupweteka kwambiri mutatha kudya. Potsatira kudya, simungangochepetsa ululu, koma letsa njira ya matendawa.
Kuphatikiza apo, uku ndikumadzula bwino kwamthupi, zomwe zimakhudza kugwira ntchito kwa ziwalo zonse ndi machitidwe omwe angathandizidwe mogwirizana.
Physiotherapy
Ndi kuphatikiza kwa matenda a ndulu ndi kapamba, monga cholecystitis, UHF, electrophoresis pa chiwindi, ndi ma ultrasound. Zochita za njirazi zimapangidwira kuti muchepetse ululu, kuchepetsa kutupa, komanso mankhwala a choleretic omwe amayamba kuzimiririka ndi bile. Ndi cholecystitis yopanda miyala, physiotherapy imatha kuchepetsa chiopsezo chopanga miyala.
Kuphatikiza pa njirazi, mutha kutenga mchere wam'madzi wopanda mpweya - "Essentuki" kapena "Borjomi".
Ngati ndi kotheka, tikulimbikitsidwa kukalandira chithandizo chamatope - koma pokhapokha nthawi yovuta kwambiri ya matendawa itatha. Ntchito ndi malo osambira amatope ali ndi katundu wofanana ndi physiotherapy.
Mankhwala azitsamba
Kuphatikiza pa mankhwala, mankhwala othandizira azitsamba amathanso kugwiritsidwa ntchito. Monga cholagogue, muzu wa magazus, maluwa akuda ndi zipatso ndi zipatso, timbewu tambiri, ndi muzu wa rhubarb atsimikizira bwino. Monga lamulo, iwo amagwiritsa ntchito ndalama zambiri, zomwe mungadzipange nokha kapena kugula tiyi wopangidwa ndi choleretic wopanga ku pharmacy.
Malangizo: musanayambe kutenga mankhwala osokoneza bongo monga mankhwala azitsamba, muyenera kuonetsetsa kuti samadwala ndipo thupi limalekerera kudya kwawo (palibe kufooka kwa m'mimba kapena kudzimbidwa, kuponderezana sikukula kapena kuchepa).
Maphikidwe otchuka kwambiri a chindapusa cha cholecystitis:
- 15 g wa dieelle, 10 g yarrow, chowawa, zipatso za fennel, timbewu, kutsanulira 600 ml ya madzi ozizira ndikuumirira maola 8. Tengani 400 ml masana ndi sips;
- 5 g a zipatso za koriander ndi maluwa osatha, 15 g ya masamba a trifol ndi masamba 10 g a timbewu timawonjezeredwa ndi 600 ml ya madzi otentha ndipo owiritsa kwa mphindi 10. Tengani 100 ml musanadye katatu patsiku;
- 15 g wa masamba a trifol, 10 g a koriander ndi timbewu, 20 g maluwa osatha. Thirani 600 ml ya madzi otentha ndikuumirira kwa theka la ola. Tengani 100 ml katatu patsiku musanadye.
Ndizabwino kwambiri kugwiritsa ntchito mankhwala azitsamba kwa miyezi 1 - 1.5, kenako yopuma milungu iwiri.
Tcherani khutu! Pa nthawi yoyembekezera, mankhwala azitsamba amatsutsana.
