Kulaba besifazane abaneminyaka engama-40 ubudala, ukuvuvukala kancane kwe-gallbladder kuvame ukutholakala. Lesi yisifo esiyingozi esingabangela izinkinga eziningi futhi kuholele isidingo sokususa isitho. Ukuvimbela imiphumela emibi, kubalulekile ukuthola izimpawu ze-pathology ngesikhathi esifanele futhi uqale ukuphatha.
Izimbangela ze-cholecystitis engapheli
Inqubo yokuvuvukala iqala ngenxa yokwephulwa kwe-motility ye-gallbladder. Kamuva, i-agent esebenzayo igxilisa, igxilisa inkinga yesifo. Izimbangela ze-cholecystitis, ukuqina nokuqhuma kwe-bile, ukubonakala kwezibonakaliso zezici:
- ukudla okunokulinganisela ne-predominance yokudla okuneziqholo noma ezinamafutha;
- ukuphuza utshwala;
- amatshe e-gallbladder ;
- Ukudla ngokweqile;
- ukukhuluphala;
- ukungabikho kokuzalwa kwangempela kwe-gallbladder;
- ukukhulelwa;
- i- dyskinesia ye- hypokinetic ye-bile ducts ;
- ukuphumula kwesiguli esiswini;
- izinambuzane zamathumbu;
- i-hypodynamia ye-gallbladder;
- ukuhamba okuphansi;
- ukucindezeleka;
- i-dysmenorrhea;
- i-arteriosclerosis yemithwalo yegazi;
- izicubu emgodini wesisu;
- ukuqhutshwa komzimba;
- izinguquko zonyaka emzimbeni.
Izinhlobo ze-cholecystitis ezingapheliyo
Kunezinketho eziningi zokuhlukanisa lesi sifo esibucayi. Kubalulekile ukuthi ngokushesha uhlukanise kahle i-cholecystitis engapheli - izimpawu kanye nokuphathwa kokwelashwa ngokuyinhloko kuxhomeke ekujuleni kwayo. Ukuxilongwa okungalungile kanye nokwelashwa okungafanelekile kungabangela ukuqhuma kwenqubo yokuvuvukala, ukusabalalisa ezithombeni eziseduze neminye imiphumela embi.
Izinhlobo ze-cholecystitis ngokwemvamisa yezimo eziphuthumayo:
- okulindelekile noma okuncane;
- okungajwayelekile okuphindaphindiwe (ukuhlasela okungu-1 ngonyaka noma ngaphansi);
- ngokuvamile kuvutha (amacala amabili noma ngaphezulu ezinyangeni ezingu-12).
Ngokuqina nobukhulu bezimpawu, lesi sifo senzeke:
- ukukhanya;
- isilinganiso;
- inzima;
- nezinkinga.
Indima eyinhloko idlalwe ukutholakala kwezitebhisi ku-gallbladder. Ngalesi sizathu, i-pathology ihlukaniswe ngamaqembu amabili:
- itshe;
- bezkamennaya.
Cholecystitis engapheliyo yokubala
Ngokombono ovunywa ngokujwayelekile, ukwakheka kwezitshalo kubangelwa ukuguquka kwesilinganiso se-acids kanye ne-cholesterol nge-bile. Ingxenye yokugcina igxila ekugxilweni okuphezulu, okuvela kuwo izimbane eziqinile. Ngokuvamile lezi zinqubo zilandelwa yi-cholecystitis engekho ebalwe ematheni enkongozi avela ngasemuva wezinguquko ezingasebenzi kahle zelungu kanye nemisebenzi yayo ngaphandle kwemithi eyanele. Ezinye izizathu zokwakheka kweziphetho:
- i-hepatitis;
- isifo sikashukela mellitus;
- i-duodenitis;
- ukungalungi kokudla okunomsoco;
- ukukhuluphala;
- izimpawu ze-biysary dyskinesia;
- i-pancreatitis;
- I-Helminthiasis;
- Isifo sikaCrohn;
- i-gastritis;
- izifo zokugaya ukudla;
- i-cirrhosis yesibindi.
Cholecystitis engapheli kokubala
I-stasis nokuqina kwe-bile yizici ezikhomba ukuthuthukiswa kwalesi sifo. I-agent causative esheshayo, evuselela i-cholecystitis engapheliyo, ibhekwa njengesifo. Ama agent alandelayo angabangela ukuvuvukala:
- i-staphylococci;
- E. coli;
- i-enterococci;
- i-protey;
- i-microflora ehlanganisiwe.
Kubalulekile ukunquma ngokufanele ukuthi i-cholecystitis engapheli yenze ukuthi lezi zibonakaliso nemithi yokwelapha zixhomeke ngqo emthonjeni wenqubo yokwelapha. Ukutheleleka kungena ngaphakathi kwe-gallbladder ngokuyinhloko ngendlela ekhuphuka emathunjini. Ngaphansi kaningi, amabhaktheriya e-pathogenic ayahamba nge-lymph noma igazi elivela kude elikude lokuvuvukala okuncane.
Cholecystitis engapheli - izimpawu
Isithombe sesitholampilo sesifo esichazwe sifana nesimo saso nesibindi. Izimpawu ze-cholecystitis engapheli ngaphandle kwezingqinamba ku-gallbladder:
- ukudonsa ngezikhathi ezithile noma ubuhlungu obunzima obukhuni ngaphansi kwesibambo sokudla;
- ukwanda noma ukungakhululeki epigastrium emva kokusetshenziswa kwamanoni, okubabayo, ukudla okunomsoco;
- ukucasula;
- ukuphazamiseka kokulala;
- flatulence;
- ukuzwa njalo kokufutheka emlonyeni;
- ukubethelwa ngomoya;
- ngezinye izikhathi - isicasuli;
- i-arrhythmia.
I-cholecystitis engenakulinganiswa nayo iqhubeka ngendlela efanayo - izimpawu zihambisana ngokuphelele nesifo esingeyona senhliziyo yesifo, ngakho-ke ukutholakala kwezitshalo kutholakala kuphela ngesikhathi kuhlolwa izinsimbi noma i-hardware ngesikhathi sokulashwa. Zombili izinhlobo ze-pathology zingathuthuka ngaphandle kwemibonakaliso ebalulekile emitholampilo, ngenxa yesifo esitholakalayo kakade esigabeni esinzima sokuthuthukiswa ngezimpawu eziyinkimbinkimbi.
Ukweqisa kwe-cholecystitis engapheli
Ukuphindaphindiwe kwenqubo yokuvuvukala embuzweni ngokuvamile kuvuswa ngamaphutha ekudleni futhi kuhambisane nokusabela okusheshayo ku-gallbladder ngezibonakaliso ezithile. I-cholecystitis engapheliyo yokubala esiteji sokuqhathaniswa ibonakala izimpawu ezinjalo:
- ubuhlungu obukhulu ohlangothini lwesokudla, enikela ehlombe nehlombe;
- ukushintshwa kokuqotshwa nokuhuda;
- umkhuhlane;
- itching;
- i-jaundice;
- i-heartburn;
- ubuhlungu noma ubunzima esifundeni sesifuba;
- ukungakhululeki emathunjini.
Ukweqisa kwe-cholecystitis engapheli - izimpawu phambi kwamatshe ku-gallbladder:
- ukuhlanza okukhulu;
- ukumnyama komchamo;
- ukucaciswa kocingo;
- ukutholakala kwamafutha emanzini;
- ubuhlungu obukhulu e-epigastrium nangakwesokudla, owenza entanyeni, ephansi, emuva nangaphansi kwe-scapula (i-biliary colic);
- i-hypotension;
- ukudakwa;
- ukushisa komzimba okwandisiwe;
- tachycardia.
Cholecystitis engapheli - ukuxilongwa
Ukwakha uhlelo olufanele lwezokwelapha, akudingeki nje kuphela ukuqinisekisa ukuthi kukhona ukuvuvukala. Kubalulekile ukwazi ukuthi yisiphi isizathu sokuthi i-cholecystitis engapheli isuqalile - izimpawu kanye nokwelashwa kwesifo kufana ne-causative agent yenqubo yokwelapha. Okokuqala, udokotela uqoqa i-anamnesis, uqhuba ukuhlolwa nokulunywa (palpation) kwesisu. Ngesikhathi sokuhlola, izici ezithinta ukuqala kokuvuvukala: i-hypodynamia, imikhuba yokudla, izibikezelo eziyingozi, nabanye. Ukutholakala kokugcina kwe "cholecystitis engapheli" kusungulwa ngesisekelo sezifundo:
- ukuhlolwa kwegazi kanye nokuhlolwa kwegazi jikelele;
- I-Ultrasound yesigxobo sesisu;
- i-cholecystography;
- ukuzwakala kwe-duodenal;
- ukucacisa;
- ukuhlaziywa kwe-bile;
- i-choleography;
- i-arteriography.
Cholecystitis engapheli - ukwelashwa
Indlela yokwelapha ikhethwe ngabanye ngokuhambisana nezici zomzimba zesiguli kanye nesimo se-pathology. Udokotela oqeqeshiwe kuphela onganquma indlela yokuphatha i-cholecystitis engapheli. Imizamo yokuzimela yokubhekana nalesi sifo ngokuvamile iholela ekuhlaselweni kwezimpawu kanye nokutholakala kwezinkinga ezingenakuguquka.
Ukwelashwa kwe-cholecystitis nemithi - izidakamizwa
Ukwelashwa kokuzimela kufanelekile iziguli ngaphandle kwe-gallstones. Le ndlela ayisebenzi uma i-cholecystitis engapheli isatholakala - ukwelashwa kulokhu kuhilela ukususwa kwesigungu kanye ne-calculi. Ngokuvamile, ukuchithwa kwamakhemikhali noma ukushaqeka-ukuguqulwa kwamagagasi kunqunywe, kepha ngisho nangempumelelo yalezi zinqubo, amatshe angaphinda akha futhi izimpawu zizoqala kabusha.
Kunconywa imishanguzo esebenzayo uma kunesimo esiphuthumayo se-cholecystitis esingapheli, ukwelashwa kuqukethe ukusetshenziswa kwamaqembu amaningana wezidakamizwa:
- ama-antibiotics - Cefixime, i-Ceftibuten;
- Antispasmodics - Papaverin, No-Shpa;
- ama-enzyme - i-Creon, i-Panzinorm;
- choleretics - Allochol, Holosas;
- ama-sorbents - i-Enterosgel, i-Atoxil;
- ukuxoshwa kwezidakamizwa - ikhambi le-sodium chloride, i-glucose;
- izidakamizwa ezingekho-steroidal anti-inflammatory - Nimesil, Ketanov.
Cholecystitis engapheli - ukwelashwa kwabantu
I-Phytotherapy kanye nezinye izidakamizwa zixazululwa ngesikhathi sokuxoxwa kokugula futhi emva kokukhululeka okuphelele kwezimpawu zenqubo yokuvuvukala. Ukwelashwa kwe-cholecystitis ngamakhambi abantu ngesikhathi sokubuyela kwesifo kuyingozi kakhulu. Ukulungiselela amakhemikhali kungabangela ukucindezeleka ngokweqile kwebhala nokwanda kwe-stasis, isibindi esingasebenzi kahle kanye nomsebenzi we-pancreatic. Noma yikuphi ukupheka okusetshenzisiwe kubalulekile ukuhlola nodokotela. Udokotela kuphela ongavumela indlela yokumisa i-cholecystitis engapheli - izimpawu kanye nemithi yomuthi akuzona njalo ezihambisanayo.
Iqoqo lemithi eliphumelelayo
Izithako:
- izimpande ze-valerian - 20 g;
- imbewu yedill - 10 g;
- ehlatshwa nguSt John's wort - 20 g;
- amafutha kanye nezimpande ze-parsley - 10 g;
- immortelle - 20 g;
- plantain - 10 g;
- chamomile izimbali - 20 g;
- i-yarrow - 10 g;
- i-peppermint - 10 g;
- i-oregano - 20 g;
- umama - 20 g;
- amanzi angama-200-210 ml.
Ukulungiselela, sebenzisa :
- Izitshalo ezimile ukuze ugaye uhlanganise.
- Thela amathisipuni angu-1-1.5 weqoqo elitholiwe ngamanzi abilayo.
- Ukuphikelela kusho imizuzu engu-90.
- Nciphisa isisombululo.
- Half ihora ngaphambi kokudla ngamunye, uphuze umuthi we-15-20 ml wemithi.
- Qhubeka ukwelashwa amaviki amathathu.
Ukudla ku-cholecystitis engapheli
Ukudla okhethekile kunqunyelwe bonke abagulayo abane-diagnosis. Ukudla okunomsoco we-cholecystitis okungapheli kuhlelwe ngokuhambisana nenombolo yetafula 5 (ukukhululwa) kanye № 5a (ukuphindaphinda) ngokusho kwePevzner. Ukudla okudlayo kwenziwa njalo amahora angu-3-3.5 ezinxenyeni ezincane, kuphela kwifomu elifudumele.
Kokubili ukwelashwa ngesikhathi nangemva kokuvunyelwa ukuba kusetshenziswe:
- izikhupha zeqanda;
- utshwala;
- ukudla okunamafutha okuthosiwe;
- okubabayo, okubabayo, ukudla okumuncu;
- iziphuzo ze-carbonated;
- i-baked baked;
- imikhiqizo nebhotela nekhilimu;
- amantongomane;
- i-ayisikhilimu;
- izithelo eluhlaza, imifino kanye namajikijolo;
- izitshalo ezimnandi;
- ukudla okusemathinini;
- ushokoledi ne-cocoa;
- isinkwa esisha;
- i-tomato juice;
- inyama nge-imikhiqizo;
- anyanisi, sorrel, isipinashi, isithombo, i-garlic.
Imikhiqizo enconyiwe:
- okusanhlamvu;
- isobho semifino;
- inyama yokudla kanye nenhlanzi (i-steamed, abilisiwe, i-stewed);
- isinkwa sezolo;
- i-pastille, i-marmalade;
- ujamu, uju;
- imifino esetshenzisiwe, izithelo;
- iberry compotes sweet kanye izithelo iziphuzo;
- Imikhiqizo yobisi ephansi kakhulu;
- casseroles.
Cholecystitis engapheli - izinkinga
Uma ungalandeli izincomo zokwelapha nokudla, lesi sifo sizoqhubeka. Ngenxa yalokho, ikakhulukazi isibindi ne-gallbladder zonakalisiwe - i-cholecystitis engapheli ibangela imiphumela enjalo engozini:
- ukuvuvukala okuphazamisayo;
- i-cholangitis ;
- ukuguqulwa kwezindonga ze-gallbladder;
- i-hepatitis esebenzayo;
- i-peritonitis;
- ukuphazamiseka kwe-gallbladder;
- ukuvinjelwa komgwaqo;
- i-pancreatitis engapheliyo .