Cholecystopancreatitis amatanthauza matenda am'mimba thirakiti.
Malinga ndi gulu la ICD-10, imayimilira pansi pa code K87.0 ndikuwonetsa kukula kwa nthawi yomweyo yotupa ya gallbladder (cholecystitis) ndi kapamba (kapamba).
Maonekedwe ake amagwirizanitsidwa ndimayendedwe achilengedwe, kuchepa kwa zakudya, komanso kupsinjika mobwerezabwereza. Izi ndizofala makamaka pakati pa akazi.
Ndi cholecystopancreatitis (dzina lachiwiri ndi pancreocholicystitis), kuwonongeka kwa mafuta ndi chakudya, kupanga michere yaying'ono yamatumbo ndi mayendedwe a bile amataika.
Kukhazikika kwa matendawa kumawonetsedwa ndi ubale wapakati pa bile duct komanso kukodwa kwakukulu kwa kapamba, kotero matendawa omwe amakhudza chiwalo chimodzi pang'onopang'ono amasintha kupita ku ena. Mu pachimake cholecystopancreatitis, matenda amapatsira chiwindi, kuchititsa osafunikira kusintha kwa minofu dongosolo.
Zomwe zimayambitsa ndi zizindikiro za matendawa
Zomwe zimapangitsa kuti pakhale cholecystopancreatitis imatha kukhala mtundu wina wa matenda, mphutsi, mafangasi, ma virus.
Kuchulukitsa kwake kumathandizanso:
- kusayenda kwa bile, kukwiya ndi mimba, kusowa kwamkati;
- ma gallstones
- biliary thirakiti chilema;
- kutupa kwamkati;
- zovuta za endocrine.
Nthawi zambiri zomwe zimayambitsa matenda am'mimba ndizakudya zam'mimba, kuzunza zonunkhira, mchere, kusuta, zakudya zamafuta, mowa.
Zizindikiro zambiri za cholecystitis ndi kapamba ndizofanana. Chimodzi mwazinthu zosasangalatsa zomwe anthu ambiri amakhala nazo ndi kumva kuwawa. Imawoneka pansi pa dzanja lamanzere kapena lamanja, imaperekedwa kumbuyo, tsamba lamanja.
Ndizotheka kuganiza kuti kukula kwa cholecystopancreatitis mwa munthu ndi zizindikiro zina:
- kuwoneka m'dera la hypochondrium yoyenera ya kumva kulemera;
- kusanza pambuyo kudya, nthawi zina kenako kusanza, belching, kutentha kwa kutentha, kutentha thupi;
- chitukuko cha mavuto a dyspeptic.
Zizindikiro zina zimawonedwa patatha maola atatu mutadya: kumatulutsa, kumva kupweteka, kulawa pambuyo pake, kudzimbidwa kapena kutsekula m'mimba, komanso kusokonezeka kwa kugona.
Pakufufuza, wodwalayo amamva kusasangalala pafupi ndi ndulu, kuwonjezeka kwa kukula kwa chiwindi, kupweteka palpation.
Zomwe zimayambitsa matenda:
- matenda opatsirana;
- kubereka kwachilendo kwam'mimba ziwalo;
- zilonda zam'mimba;
- matenda a shuga;
- matenda a ndulu;
- kufinya kwa duodenal duct chifukwa cha kusintha kwamatsenga;
- kuchuluka acidity wa chapamimba madzi;
- oncology.
Kanema kochokera kwa Dr. Malysheva okhudza chifuwa chachikulu:
Diagnostic diagnostic
Mitundu iwiri ya matenda amtunduyi imadziwika: pachimake komanso kubwereranso m'mbuyo.
Zizindikiro zamankhwala zokhala ndi pachimake pamayendetsedwe ndi kupweteka kwa m'chiuno, kutulutsa kwamkati kwa khungu la mucous nembanemba, kutulutsa pafupipafupi, kusanza kosasimbika. Panthawi yovuta, kusinthika kupita kumalire a boma ndikotheka.
Fomu yodwalayo ili pafupifupi yopanda zizindikiro ndipo imatha kuchitika osazindikira. Koma kuchuluka kwa cholecystitopancreatitis aakulu kumatha kudzetsa zovuta zambiri. Kuti mupewe izi, chithandizo choyenera komanso chapanthawi yake cha matendawa chimafunika, chomwe chimalola kukwaniritsa zotsatira zabwino munthawi yochepa.
Nthawi zina matendawa amakhala oletsa, pomwe, chifukwa cha kufinya kwa ma pancreatic, amakhala otsekeka. Zotsatira zake, zimayambitsa kusokonezeka kwa dongosolo logaya chakudya.
Nthawi zina, cholecystitopancreatitis imabweretsa venous thrombosis, kupezeka kwa matenda a endocrine dongosolo, kuphwanya kwamanjenje, ndipo mwapadera, peritonitis.
Chithandizo cha pancreatic cholecystitis zimatengera zotsatira za mayeso ndi kafukufuku wochitidwa kuti adziwe matendawa. Kukutumizirani ku matenda kuyenera kuperekedwa ndi a gastroenterologist.
Pali njira zazikulu zofufuzira matenda:
- kuyesa kwakunja, mbiriyakale;
- palpation pamimba;
- kuyezetsa kwatsatanetsatane magazi, mkodzo, ndowe;
- kukhazikitsa kwa kafukufuku wamakina - ECG, MRI, CT, ultrasound.
Njira ya Cholangiography
Kuti muwone molondola, njira zowunikira zowonjezereka zitha kutsimikizika: cholangiography (kuwerenga kwa biliary thirakiti), cholecystography (radiology ya ndulu ndi wothandizira wosiyana) ndikuwunikira zomwe zili mu duodenum.
Cholecystopancreatitis imadziwika kuti ndi yotupa ya autoimmune yamunthu wankhanza.
M'malo mwake, izi zikutanthauza kuti nthawi zambiri zomwe zimayambitsa kutupa ndi matenda kapena chikhazikitso chokhazikika cha chotupa cha bakiteriya mthupi, mwachitsanzo, macaries.
Njira zochizira
Popanda kuthetsa zomwe zimayambitsa matendawa, sizotheka kutinso wodwalayo azikhala mwamphamvu.
Mankhwala
Cholecystopancreatitis tikulimbikitsidwa kuti tichiritsidwe ndikuchotsa kupweteka. Mankhwala othandiza kwambiri ndi monga: Atropine, Metacin. Amathetseratu kupindika ndi kupweteka, kutsitsa minyewa ya m'mimba, izi ndizofunikira kuti kutupa kwa kapamba. Choyamba, amapatsidwa mawonekedwe a jakisoni, koma mtsogolomo amatha kutchulidwa mu mawonekedwe a madontho, mu Mlingo wolembedwa ndi adokotala.
Ma antispasmodics odziwika monga No-Shpa, Duspatalin, Papaverine sakhala othandiza, koma amalimbikitsidwanso munthawi zina.
Ma analgesics ali ndi ma analgesics ndi zinthu zosakanikira: jakisoni wa Analgin, Tramadol. Kuphatikiza apo, wodwalayo akulimbikitsidwa: mankhwala a metabolic, mwachitsanzo, Methyluracil; mankhwala okhala ndi ma enzymes opangidwa mwaluso (Festal, Creon, Pancreatin); mankhwala omwe amachepetsa kubisala kwa gland (Omeprazole, Pantoprazole, Cimetidine); kubwezeretsa matumbo microflora amalimbikitsa Bifiform, Hiraki.
Chithandizo cha mankhwala osokoneza bongo chikhoza kukhala ndi njira zingapo:
- Odwala ayenera kumwa mankhwala a metabolic munthawi yake (Methyluracil, Pentoxyl), yomwe imachepetsa mphamvu ya trypsin pazinthu zamafuta am'mimba, koma adokotala okha ndi omwe angamwetse.
- Kuti mumve kupweteka, muyenera kutenga mankhwala oletsa kupweteka kapena antispasmodic omwe adokotala adatengera ndi wodwala.
- Pofuna kuchepetsa ntchito ya enzyme, mankhwala monga Cantrical, Gordox amalimbikitsidwa.
- Kuchepetsa kupanga enzyme ya chapamimba, mankhwala amaikidwa kuti athetse asidi: cimetadine, omeprazole.
- Njira zochitira masewera olimbitsa thupi zimakondweretsanso matenda a mawonekedwe a zotumphukira, zimathandizira kusinthika kwa maselo ndikusintha magazi.
Popeza gawo la matenda pancreatic cholecystitis, immunomodulators ndi mavitamini ndi mankhwala. Kukonzekera kwa Cholagogue kumapangidwanso, kogwira mtima kwambiri komwe ndi Allochol.
Kuchiza kuyenera kuchitidwa osati ndi mankhwala, komanso kudya moyenera odwala.
Wodwala sayenera kuphatikizidwa pazinthu zomwe zingagwiritsidwe ntchito m'mimba:
- marinade, pickles, mankhwala osuta;
- zakudya zamafuta ndi yokazinga;
- Confectionery
Ndikulimbikitsidwa kuti muyambe kuthandizira matendawa pachimake ndi kusala kudya, amaloledwa kumwa madzi, tiyi wopanda mphamvu. Patatha masiku awiri, mutha kusintha msuzi wowerengeka komanso zakudya zamafuta. Ndikofunika kuti wodwalayo aphatikizire masamba atsopano, owiritsa, ndi masamba ku menyu; nsomba zanyama ndi nyama.
Pamagawo obwezeretsa, zinthu zamkaka ndizothandiza: tchizi tchizi, tchizi, yogati, komanso mbewu monga chimanga, zakudya komanso zipatso. Zosankha zingaphatikizepo mkate wa dzulo, owononga, ma cookie osawerengeka. Monga gawo la zakudya zamafuta, nyama yokhoma yokha ndiyofunika kugwiritsidwa ntchito.
Zitsamba zothandizira zomwe zimathandizira kukonzanso mwachangu komanso kuchira kwamthupi zimathandizira bwino pakuchiritsa. Ndi chithandizo choyenera, pali mwayi wopewa zovuta zazikulu: shuga mellitus, mapangidwe a cysts ndi khansa.
Kanema kuchokera kwa katswiri:
Zithandizo za anthu
Ntchito yayikulu yogwiritsira ntchito maphikidwe a wowerengeka ndikupititsa patsogolo njira zochizira mankhwalawa. Koma kugwiritsa ntchito mankhwala aliwonse a wowerengeka kuyenera kuvomerezedwa ndi dokotala.
Ma infusions ndi decoctions a mankhwala opangira mankhwala, makamaka decoction a rose m'chiuno, amakhala ndi phindu.
Kukonzekera tincture wamankhwala, mutha kutenga supuni imodzi ya chowawa ndi yarrow, kutsanulira kapu yamadzi otentha ndikuyika m'malo amdima kuti muumirire mphindi makumi atatu. Imwani mankhwala ayenera 0,5 chikho kanayi pa tsiku.
Mutha kukonza kulowetsedwa kwa chowawa ndi magalasi awiri amadzi otentha a chowawa, peppermint ndi wort wa St. John (aliyense supuni iliyonse) ndikulisiya kuti liphulike kwa mphindi 20. Imwani yankho lake m'mimba yopanda kanthu mugalasi kawiri pa tsiku.
Tincture ndiwothandiza kwambiri, wopanga supuni ya soseji, supuni ziwiri zodulidwa, ma buluu, ma knotweed, serrate, supuni zitatu za wort wa St. John, masamba ambiri amtundu wa masamba, nthomba za fulakesi, supuni zinayi za mizu ya mandala, ma dandelion ndi zigawo zisanu zagriga ndi mizu yaying'ono. Kusakaniza kuyenera kusakanikirana bwino, pang'onopang'ono kuthira madzi otentha, kusiya kwa pafupifupi maola awiri. Tengani okonzekera kulowetsedwa ayenera kukhala theka kapu katatu patsiku musanadye. Kuchiza kumatha kupitirira miyezi iwiri mosalekeza.
Poyeretsa ndulu kuchokera ku madipoziti, mafuta ochokera ku mbewu za fulakesi agwiritsidwa ntchito kale. Kugwiritsa ntchito mafuta pafupipafupi kumalepheretsa kuyambiranso. Pa chifukwa chomwechi, amalangizidwa kuti azigwiritsa ntchito mafuta osakaniza ndi msuzi wina watsopano watsopano. Muyenera kumwa osakaniza tsiku lililonse kwa mphindi 30 musanadye.
Kuyeretsa kwa pancreatic ndi ducts ya bile kumalimbikitsidwa ndikuwonjezera mbewu zathanzi, mwachitsanzo, ginseng ndi basil.
Kanema wokhudzana ndi kusayenda kwa ndulu ndi njira zachilengedwe:
Kupewa
Kutengera ndi zomwe mwalandira, zakudya zomwe mwapangidwa komanso upangiri wa adokotala, kukonzanso kumatenga nthawi yayitali koma zotsatira zabwino.
Kupewa cholecystopancreatitis kukhazikitsa malangizo osavuta:
- kusuta fodya, kumwa mowa;
- kutsatira zakudya;
- kupuma kwabwino;
- kupewa mavuto opanikizika, kugwira ntchito mopitirira muyeso;
- masewera, omwe amathandiza kuti bile isasanduke.