Cholecystitis enamandla - izimbangela kanye nokwelashwa kwemithi, ukudla, indlela yokuhlinzwa

Ngokushesha futhi ngokushesha ukukhula ukuvuvukala kwe-gallbladder kubizwa ngokuthi i-cholecystitis enamandla. Lesi sifo, esiye saqala okokuqala, siphelela ngokulondoloza okuphelele nokuphathwa okwanele. Lapho kuqubuka ukugubha, isifo esingapheli sesifo siyatholakala. Njengoba uneminyaka yobudala, kungenzeka ukuthi ukwanda kwe-cholecystitis kuyanda, izinambuzane eziningi zithinteka abesifazane kunamadoda. Endaweni engcupheni - abesifazane abakhulelwe, ukuthatha izidakamizwa ze-hormonal nabantu abathobekile.

Cholecystitis enamandla - izimbangela

Ukuvuvukala okunamandla kwe-gallbladder kubonakala ukunyakaza okungenakukhubazeka emzimbeni we-bile ngenxa yokuvinjelwa kokuphuma kwawo. Ezimweni eziningi, ukuthuthukiswa kwe-pathology kuhlangene nokutholakala kwamatshe (izifo ezingafika kuma-95%), futhi ku-60% weziguli kukhona ukutheleleka kwe-bacterial: E. coli, cocci, salmonella nge-bile. Izici ezivusa amadlingozi zingabangela i-cholecystitis, izimbangela zesifo zibizwa ngokuthi okulandelayo:

• ukutheleleka, izitshalo zebhaktheriya nge-bile;
• ukuphefumula kwezindonga zesisu noma i-atrophy;
• i-kink yelungu kanye nokuphuma kwe-bile;
• ukuguqula izindonga zesisindo ngenxa yobudala;
• ijusi eliphazamisayo esifubeni, ukukhipha ama-enzyme e-pancreatic;
• ukungondleki - okunamafutha, ukudla okwesiphuzo kanye nokudla ngokweqile;
• ukuvinjelwa kwe-bile duct noma ukulimala ezindongeni ngokubunjwa okuqinile.

Cholecystitis engenamkhawulo

Kuncike ekukhoneni kwamatshe - ukuguqulwa kwe-calculi ye-biliary-inflammation ye-gallbladder ihlukaniswe yabalalayo (ngamatshe) futhi engekho-calculous. I-pathology yokugcina ingavamile kakhulu. Njengomthetho, i-beskamenny cholecystitis inesimo esingapheli, futhi uma ilukhuni, ihlotshaniswa nokungena kwe-pathogen ngqo kwi-gallbladder ngezikhathi zokuvuvukala emathunjini. Ukukhubazeka kubangelwa yizinto ezifana nalezi:

• ukutheleleka kwegciwane lesigungu;
• ukutholakala kwamabhaktheriya;
• isifo segciwane;
• E. coli ;
• staphylococcus, enterococcus;
• I-Proteus.

I-cholecystitis ebalalayo

Ngenxa yokungalingani kwamakhemikhali emzimbeni kulesi sambatho kanye namathanga ayo, ama-solid formation akhiwa ngamatshe. Balamaza ama-bile amadala, okwenza ubuhlungu, ubuhlungu, ukuvuvukala nokukhubaza i-cholecystitis ebalalayo. Izimbangela ze-cholelithiasis, okuholela ekuguleni kwesisu:

• ukukhuluphala;
• izinkinga ezivela ekulahlekeni kwesisindo esisheshayo;
• ukwamukela izitho zomzimba zomlomo;
• isifo sikashukela mellitus ;
• ukuguga;
• ukusetshenziswa kwezidakamizwa ezinciphisa izinga le-cholesterol egazini, njll.

Cholecystitis enamandla - izimpawu

Njengomthetho, i-cholecystitis ephawulekayo ibonakala ngemuva kokuthatha ukudla okulimazayo, ukubhekana nokucindezeleka noma ukuthatha utshwala. Umzimba uphenduka ngokuqinile ezintweni ezimbi. Ukucindezela okunciphise, colic, ukuhlanza, ukubhuqa nezinye izimpawu, ubika ukuthi ukuvuvukala kwe-gallbladder sekuqalile, izimpawu zazo kunzima ukuzibheka. Ubukhulu bezimpawu buxhomeke esigabeni sesifo. Izimpawu ezicacile ze-cholecystitis ephawulekayo, ukuhlukanisa nezinye izifo nokusiza ukuhlolisisa izifo:

1. Uma ucindezela endaweni ephakathi kwemilenze ye-sternocleidomastoid muscle, ubuhlungu bubonakala.
2. Nge-palpation ejulile, isiguli asikwazi ukungena.
3. Ngenkathi ye-palpation ye-subcostal endaweni efanele, ubuhlungu bokuphuza.
4. Kukhona ukungezwani okuvikelwayo kwamasipha omzimba.
5. Ukukhathazeka ngesikhathi sokuthelela emaphethelweni emigqa yesundu yesigqoko sezindleko kusukela ohlangothini lwesokudla (indawo yesigqila).

Izikhalazo ze-cholecystitis enzima

Lapho isimo se-pathological occurs, isiguli sizizwa singavumelani. Phakathi kwalezi zimpawu ezingenakukhathazeka zikhalazo: ukufutheka emlonyeni, isicashu, ukuhlanza nge-mix mix of bile, emva kwalokho akukho ukuphumula. Izitshalo ezingenakwenzeka zamanzi ezine-cholecystitis ephawulekayo, ukubonakala kwe-jaundice nokunyuka okulandelayo ku-gallbladder, ukwanda kokushisa komzimba (kufika ku-40 degrees). Kodwa isikhalazo esibaluleke kunazo zonke kanye nezibonakaliso eziyinhloko ze-cholecystitis ayinayo ukudlula ubuhlungu.

Isici kanye nokwehla kwendawo yobuhlungu ku-cholecystitis enzima

Lesi sifo siqala ngokuhlaselwa okubukhali. Izinhlungu ezine-cholecystitis ezinzima zenzeka, njengombuso, esifundeni se-hypochondrium esifanele, zingavela ku-epigastrium. Izinzwa ezingathandeki isikhathi eside azidluli, zikhishwa phezulu ku-scapula nasehlombe elungile, entanyeni, endaweni engaphezu kwesigcawu, emuva. Ubuhlungu buphefumululwe nge-bouts:

• vuka ebusuku noma ekuseni;
• qiniseka, kodwa ugcine ngemva kwesikhathi (kusukela kumaminithi angu-30 kuya kwangu-60);
• ukuhlaselwa kunzima kumuntu, uphoqeleka ukuba athathe indawo engakhululekile, adonse imilenze yakhe esiswini futhi azame ukufudumala indawo evuthayo.

Iyini ingozi ye-cholecystitis?

Ukuhlaselwa kwe-cholecystitis ekhulayo kuvame ukuhlala izinsuku ezimbalwa, kodwa ukutheleleka nesifo se-sophisti kungabangela izinkinga. Ngezinye izikhathi phakathi nokuthuthukiswa kwalesi sifo, ukuqhuma kwendonga yesibindi kwenzeka. Ngenxa yalokho, kukhona ukuvuvukala noma i-fistula esondayo. Ukuxilongwa kwe-pathology, kwenziwa ngesikhathi esingalungile, ukungabi khona kokwelapha okufanele kwandisa amathuba okuba izinkinga ze-cholecystitis zizokhula. Okuvamile kunazo zonke:

• ukushisa - ukuvuvukala kwama-pancreas;
• I-Cholangitis - i-pathology ye-bile duct;
• i-abscess ye-caulinian;
• i-empyema (i-suppuration), i-gangrene noma i-perforation ye-gallbladder;
• i-fistula ye-biliary;
• i-peritonitis ye-purulent;
• i-jaundice.

Cholecystitis enamandla - ukuxilongwa

Iziguli eziphathwe ubuhlungu obukhulu kudokotela ngemva kokubonakaliswa okuphawulekayo kwe-cholecystitis, njengombuso, zibhedlela, zifakwa esibhedlela. Lokhu kubangelwa ukufana kwemitholampilo yezimpawu nge-appendicitis. Isibhedlela senza ukuhlonza ukuhlukana kwe-cholecystitis. Umphumela utholakala ngemuva kochungechunge lwezinhlolovo, okubandakanya izindlela zokwenziwa kwelabhutri kanye nezinsimbi. Ukuxilonga akulula futhi kuhlanganisa:

• ukuhlaziywa kwegazi (jikelele), ukuveza ukuthi kukhona ukuvuvukala;
• ukuhlola igazi kwegazi;
• I-Ultrasound yesigxobo sesisu, okuvumela ukuhlola i-gallbladder, ivolumu yayo;
• ukuguqulwa kwamanzi;
• Ukubukwa kombukiso wemifanekiso - ngokusola kwe-peritonitis.

Cholecystitis enamandla - ukwelashwa

Uma kutholakala ukuthi i-cholecystitis ebalalayo iyatholakala, ukwelashwa kuhilela ukuphuthumelwa kwezifo eziphuthumayo futhi ngokushesha (ngamahora angu-24-48 okuqala) ukuphuma kokuqukethwe kwesisu. Kulokhu, ithubhu ye-nasogastric isetshenziswa. Isiguli siboniswa ukuphumula kombhede oqinile. Ezinsukwini ezimbalwa wenqatshwa ukudla, amanzi ajojowe emzimbeni ngaphakathi. Kanye nalokhu, imithi imisiwe. Ngemva kwalokho, isiguli sidluliselwa ekudleni njengenye yezindlela eziyinhloko zokwelapha. Indlela efanele yokudla ikhuthaza ukuphuma okuhle kwe-bile.

Cholecystitis ephuthumayo yisimo esiphuthumayo

I-cholecystitis ephawulekayo, izimpawu kanye nokuphathwa okwenziwe ngosizo lodokotela, kufanele kubonwe esibhedlela. Kodwa akuwona wonke umuntu osebenza ngokunakekelwa kwezokwelapha ngesikhathi sokuqala kwe-pathology, ekhetha ukuhlala ekhaya izinsuku ezimbalwa zokuqala. Lokhu kubhekene nezinkinga. Ukunakekelwa kwangaphambi kokunakekelwa kwe-cholecystitis kubalulekile ukuhlinzeka ngokuqapha. Isiguli akufanele sishise indawo evuvukile, uthathe ukugeza okushisayo, uphuze abaphuzi bezinhlungu. Usizo oluphuthumayo kufanele luhloswe ekunikezeni umuntu ukuthula kwengqondo ngaphambi kokuba kufika odokotela. Kuyadingeka:

• ukumnikeza isikhundla esiphambene;
• ukuvikela ekucindezelekeni (ngokomzwelo nangokomzimba);
• ukunciphisa isifo sezinyosi, unikeze i-decoction ye-mint;
• ukubeka umkhuhlane ku-hypochondrium olungile, kodwa hhayi isikhathi esingaphezu kwemizuzu engu-15.

Cholecystitis enamandla - izincomo zomtholampilo

I-cholecystitis ephawulekayo yisifo esingathí sina, kodwa uma sitholwa ngokuhamba kwesikhathi, ukwelashwa okulondolozayo kungenzeka. Lapho ukuvuvukala kwe-gallbladder kutholakala ezinganeni, ukwelashwa okungewona umuthi kuvame ukusetshenziswa. Kuhlanganisa ukudla, ukuvivinya umzimba okhethekile, uhlale endaweni yokuhlenga ukubuyiswa komzimba. Ukuhlala ikakhulukazi ewusizo ezindaweni zokubhuka kwamanzi amaminerali. Ezimweni ezinzima, ukwelashwa kuhilela ukuphuza imithi, ukungenela okungenzeka ukuhlinzwa. Ukwelashwa kwenziwa ezingeni lokuphulukisa.

Cholecystitis enamandla - izidakamizwa

Ukusetshenziswa kwezidakamizwa ekwelapheni kwe-pathology kuboniswa emahlathini ahlukene - uma isifo sisencane ekuqaleni, isibonelo, amatshe abekhona esikhwameni, kodwa angabangeli ukukhathazeka okukhulu, futhi uma kwenzeka izinkinga. Ukwelashwa okuqhubekayo kuxhomeke ekutheni ukuvuvukala nesimo esijwayelekile sesiguli. Ngesizo semithi, odokotela bazama ukususa ukuvuvukala, ukuvuselela ukubunjwa kwe-bile nokuqinisekisa ukuphuma kwayo okujwayelekile. Ukuphathwa kwezidakamizwa kusho:

1. Izidakamizwa ze-spasmolytic ngosuku lokuqala lokuhlaselwa ukukhulula ubuhlungu (Papaverin, No-Shpa, Dimedrol).
2. Ama-antibiotic we-cholecystitis (i-Ampicillin, i-Tetracycline, i-Cephzoline). Bangashintshwa yi- sulfanilamide uma owokuqala engavunyelwe yisiguli (uSulfazin, Ftalazol, Sulgin). Unomphumela we-antimicrobial.
3. Ukuxoshwa komzimba ngezidakamizwa. Ngesikhathi sokuhlala okokuqala esibhedlela, izindlela zokungenisa ukuxhuma (i-plasma, i-Dextran, i-Ringer's solution, i-Reopoliglyukin).
4. I-cholagogue, isitshalo kanye nokwenziwa (Ursoliv, i-Ursosan, i-Febihol, amaqabunga enambuzane, izimpande ze-burdock, ukukhishwa kwe-artichoke).
5. Izifo ze-Kupirovanie ze-pathology. I-lithotripsy lapho ithola amatshe esithombeni (ukuwachitha).

I-cholecystitis enamandla iyindlela yokusebenza

Ngokwezinye izinkomba, ukuvuvukala kwe-gallbladder kwenziwa ngokuhlinzwa. Ukuthuthukiswa kwezinkinga kubonisa ukungenelela okuphuthumayo, kanti ukusebenza kwenziwa uma ukwelashwa okuhlongozwayo kungasebenzi. Vimba i-cholecystitis eyinkimbinkimbi eqondile futhi ukhohlwe ngokuphelele ngakho kungasusa kuphela i-gallbladder. Ukusebenza kwenziwa yindlela yendabuko evulekile nelaparoscopic. Njengomthetho, uma i-cholecystitis ehlose i-phlegmonous isitholakala, enye yezinhlobo ze-pathology eziholela ekuguleni, isiguli ngokushesha sibeka itafula kudokotela ohlinzayo.

Nge-cholecystitis enzima

Ngenkathi yokwelapha nangesikhathi esizayo, isiguli esinama-cholecystitis kufanele silandele ukudla okukhethekile. Ukudla kulokhu akuyona kuphela ukuvimbela ukuthuthukiswa kwesifo, kodwa futhi indlela yokwelashwa ephumelelayo. Ezifo ezinzima, ukudla nokuvuvukala okukhulu kwesikhumba sesilonda kusho ukulamba okuphelele (ezinsukwini zokuqala emva kokuhlaselwa). Kuvunyelwe ukuphuza ama-juice kuphela, umhluzi we-dogrose, itiye ngaphandle noshukela. Emva kwalokhu, isiguli sidlulela ekudleni inombolo 5 - ukudla okulwa nokuvuvukala. Izincomo zimi kanje:

1. Ama-carbohydrate anqunyelwe ku-200 g ngosuku. Kusho ukuthatha ama-carbohydrate alula: amajamu, ushukela, uju, ujamu.
2. Inani lamaprotheni linciphisa libe ngu-80 g. I-fat is efanayo.
3. Okuqukethwe kwe-caloric yesilinganiso sezinsuku nsuku zonke cishe ngo-1600 kcal. Amakhemikhali asetshenziswa kuze kube ngu-2.5 amalitha.
4. Isimiso sokudla okunomsoco siyabonakala.
5. Ukudla kufanele kulungiswe ngaphandle kosawoti.
6. Yonke imikhiqizo ifakwe efomini elivulekile: ngendlela yama-pures, isobho, i-soufflé.

Kuhlu lwezithako ezingavunyelwe:

• ubhontshisi;
• iklabishi;
• imikhiqizo enosawoti;
• amakhowe, kufaka phakathi ama-broths;
• izithelo ezimuncu namajikijolo;
• ama-sausages;
• i-stew;
• i-cottage shizi;
• i-cocoa.

Isisekelo sokudla okungukuthi:

• inyama yenkomo nenkukhu ephilile;
• inhlanzi yombhangqwana;
• isobho semifino;
• abaqaphi;
• imikhiqizo yobisi evutshiwe;
• i-oatmeal, ilayisi, iphalishi yengqolowa;
• imifino;
• i-kissels;
• izithelo omisiwe.

Kusukela kumnandi kungenzeka ukuba usebenzise:

• uju;
• ushukela;
• i-marshmallow;
• i-marmalade;
• engeza ama-sweeteners ukuphuza.

Ukuze uqhubeke ungaphazanyisi i-cholecystitis enzima, kufanele uhambisane nokudla okunengqondo futhi emva kokwelashwa. Ezimweni eziningi, ngokugcizelela kokudla kanye nokwelashwa okulindelekile, kungenzeka ukufezekisa ukukhululwa. Ukuthatha noma yimiphi imithi (ukuphuza, i-choleretic) nokuvuvukala kwe-gallbladder kufanele ilawulwe udokotela.