Iningi lokuvuvukala kwendonga ye-gallbladder kwenzeka kubesifazane, ikakhulukazi ngemva kweminyaka engama-40. Kubalulekile ukwelashwa kwalesi sifo ngendlela eyinkimbinkimbi futhi uqaphele njalo ukwelashwa okungapheli - ukwelashwa, okokuqala, kuxhomeke ekuthobeleni kwesiguli ngokudla okhethekile, kanye nokudla okuphuthumayo okujwayelekile ngesikhathi esifanayo. Uma kungenjalo, i-pathology izoqhubeka futhi indlela kuphela yokubhekana nalo kuyoba ukungenelela kokuhlinzwa.
Ukwelashwa kwe-cholecystitis engapheli ngaphandle kokunciphisa izidakamizwa nokudla
Ukwelashwa kwezinqubo zokuvuvukala ezindongeni ze-gallbladder, ngaphandle uma kungekho amatshe kuwo, kusekelwe ezimisweni ezintathu:
- Ukumiswa kokubunjwa nokuvinjelwa kwe-bile, ukulawula ukukhiqizwa kwayo ngaphakathi kwamanani aphezulu.
- Ukususwa kokuvuvukala.
- Ukuvimbela okwenzeka ngamatshe aqinile ku-gallbladder.
Indima ebaluleke kakhulu ekwelapheni i-cholecystitis engapheli ekhaya iwukudla.
Ukondla kwesiguli kufanele kuhlelwe ukuze ukudla kutholakale kaningi, izikhathi ezingu-4 ngosuku, kodwa ezinxenyeni ezincane. Udinga ukukhipha imikhiqizo elandelayo:
- izinongo, ikakhulukazi ezibabayo;
- inyama enamafutha;
- i-baked baked;
- isinkwa esisha;
- utshwala;
- amaswidi;
- imikhiqizo yokubhema;
- ukukhethwa;
- izimoto zemikhumbi;
- ukudla okuthosiwe.
Ukuphakanyiswa okuphakanyisiwe:
- imifino emisha, izithelo (ezingekho-acidic);
- iphalenda;
- ukudla okudlayo, isobho;
- isinkwa kanye ne-pastry kusuka kufulawa obunzima;
- amafutha yemifino;
- izinhlanzi ezinamafutha aphansi;
- inyama emhlophe.
Ukwelashwa kwe-cholecystitis engapheli esigabeni sokukhushulwa ngosizo lwesondlo esifanele kuncike ekunciphiseni okulinganiselwe kokudla okudliwe ezinsukwini ezingu-2-3 zokuqala zesifo. I-tea ivunyelwe, amaminerali namanje amanzi noma i-sweet compote nama-breadcrumbs amaningana. Esikhathini esizayo, kubalulekile ukugcina ukudla okungenakuqhathaniswa № 5а ngokushintsha kancane kancane kwinombolo yetafula 5 (ngokusho kwePevzner).
Imithi yokwelapha yendabuko ye-cholecystitis engapheli ihlanganisa izidakamizwa ezinjalo:
- Ama-antibiotics - esimweni se-bacterial of inflammation (Ofloxacin, Norfloxacin, Levofloxacin, Ciprofloxacin ).
- I-Spasmolytics - ngobuhlungu obunzima (i-Duspatalin, i-Dicetel, i-Odeston).
- Izidakamizwa - ukuthuthukisa umphumela we-antispasmodics (i-Mianserin, i-Amitriptyline).
- Prokinetics - nge-hypomotor dyskinesia (i-Motionium, i-Cerucal, i-Motilium).
- Choleretics - ukugqugquzela ukwakheka kwe-bile (Allochol, Deholin, Chagolol, Silimar).
- I-Cholekinetics - ukuthuthukisa i-excretion ye-bile (Holagum, Rovahol, Olimetin).
Izinqubo zePhysiotherapeutic nazo zinqunywe:
- i-diathermy;
- i-electrophoresis;
- izicelo zeparafini;
- inductothermy;
- ukucindezeleka kwe-ozocerite;
- ukuvezwa kwe-laser;
- UHF-therapy;
- sebenzisa imithi yokwelapha.
Njengezinyathelo ezisekelayo, kunconywa ukuba uthathe ama-phytospores ahlukahlukene, amanzi amaminerali.
Ukwelashwa kwe-cholecystitis engavamile
Uma lesi sifo sisesiteji sokwakhiwa kwamatshe aqinile, noma usayizi wabo ukwandisa, inani, ngakho-ke, njengoba umthetho, ukuhlinzekwa kunqunywe. Ukungenelela kokuhlinzwa, i-cholecystectomy, kuhilela ukususwa kwe-gallbladder njengomthombo wamatshe okwakhiwa kanye nokuthuthukiswa kwezinqubo zokuvuvukala. Ikhiqizwa ngezindlela ezintathu:
- ukusebenza okuvulekile;
- i-laparoscopy;
- cholecystectomy ngesikhumba.
Ezimweni ezingavamile, kungenzeka ukwelapha i-cholecystitis engapheli ngaphandle kokuhlinzwa. Iqaliswa ngezindlela eziningana:
- ukushaqeka okwenziwe nge-extracorporeal wave lithotripsy;
- ukwelashwa kwe-litholytic (ukusetshenziswa kwe-ursodeoxycholic noma i-chenodeoxycholic acid);
- uxhumane nokutholwa kwe-endoscopic lithotripsy.