Kubasetyhini abaneminyaka engama-40 ubudala, ukuvutha okucothayo kwe-gallbladder kuvame ukufunyanwa. Esi sisifo esiyingozi esinokukhuphaza iingxaki ezininzi kwaye sikhokelela kwisidingo sokususa iqumrhu. Ukuthintela imiphumo emibi, kubalulekile ukufumanisa iimpawu ze-pathology ngexesha elifanelekileyo kwaye uqale ukunyanga.
Izizathu ze-cholecystitis engapheliyo
Inkqubo yokuvuvukala iqala ngenxa yokuphulwa kwe-motility ye gallbladder. Kamva, igosa elithathelwanayo lijoyina, linyusa isiqhelo sesifo. Iimbangela ze-cholecystitis, ukuqina kunye nokugqithisa kwe-bile, ukubonakala kweempawu eziphawulekayo:
- ukutya okunokulinganisela kunye neentlobo zezilwanyana ezinobisi okanye ezinamafutha;
- utywala;
- amatye e-gallbladder ;
- Ukutya ngokutya;
- ukunyanya;
- ukungabikho komntwana osweleyo kwe-gallbladder;
- khulelwa;
- i- dyskinesia ye- hypokinetic ye-bile ducts ;
- ukukhutshwa kwesisu esiswini;
- izibilini zamathumbu;
- i-hypodynamia ye gallbladder;
- ukuhamba okuphantsi;
- uxinzelelo;
- dysmenorrhea;
- i-arteriosclerosis yemithambo yegazi;
- izibilini kwisigxina esiswini;
- ukuxhomekeka kwintsholongwane;
- utshintsho lwamaxesha emzimbeni.
Iintlobo ze-cholecystitis engapheliyo
Kukho iindlela ezininzi zokukhetha isifo esibhekisiwe. Kubalulekile ukukhawuleza ngokucacileyo ukuhlukanisa i-cholecystitis engapheliyo-iimpawu kunye nokonyango lwezilwanyana zixhomekeka kakhulu kwi-shape yayo. Ukuxilonga okungalunganga kunye neyeza ezingafanelekanga kunokukhokelela ekugqibeleni kwenkqubo yokuvuvukala, isasazeka kwizitho eziseduze kunye neminye imiphumo emibi.
Iintlobo ze-cholecystitis ngokubhekiselele kwimizila yokuxhatshazwa:
- okanye i-subclinical;
- ayisoloko ephindaphinda (ukuhlaselwa ku-1 ngonyaka okanye ngaphantsi);
- zivame ukuqhuma (ii-2 okanye ngaphezulu kweenyanga ezili-12).
Ngenxa yobunzima nobukhulu beempawu, lesi sifo senzeke:
- kukhanya;
- umyinge;
- bunzima;
- neengxaki.
Indima ephambili idlalwe ngobungqina bee-concrements kwi-gallbladder. Ngaloo ndlela, ukukhubazeka kwahlula ngamaqela amabini:
- ilitye;
- bezkamennaya.
I-cholecystitis engapheliyo
Ngokomgaqo-nkqubo owamkelekileyo, ukwakheka kwee-concrements kubangelwa utshintsho kwi-acids kunye ne-cholesterol kwi-bile. Icandelo lokugqibela liyakhankanya kwiindawo eziphezulu, ezivela kuyo izilwanyana eziqinileyo. Ngokuqhelekileyo ezi nkqubo zilandelwa ngamatye angabonakaliyo e-cholecystitis - enyongweni yenyongo ibonakala kwimvelaphi yezinto ezinokukhubazeka kwelungu kunye nemisebenzi yalo yemoto ngaphandle kokunyanga okwaneleyo. Ezinye izizathu zokubunjwa kweemviwo:
- i hepatitis;
- isifo sikashukela;
- duodenitis;
- ukungalungi kwisondlo;
- ukunyanya;
- iimpawu ze-biysary dyskinesia;
- pancreatitis;
- I-Helminthiasis;
- Sesifo sikaCrohn;
- gastritis;
- izifo zokugaya;
- i-cirrhosis yesibindi.
Cholecystitis engapheliyo yokubala
I-stasis kunye nokunyuka kwe-bile yizinto ezibangela ukuphuhliswa kwesi sifo. I-agent ekhuselekileyo ekhawulezileyo, eyenza i-cholecystitis engapheliyo, iyabonwa ngokuba yintsholongwane. Ezi zithunywa ezilandelayo zingabangela ukuvuvukala:
- staphylococci;
- E. coli;
- enterococci;
- protey;
- microflora.
Kubalulekile ukuchonga ngokuchanekileyo ukuba i-cholecystitis engapheliyo yabangela ukuba iimpawu kunye neyonyango zixhomekeke ngqo kuxhomekeke kwimvelaphi yenkqubo ye-pathological. Usulelo lwangena kwi-gallbladder ngokukodwa ngokunyukayo ukusuka emathunjini. Ngaphantsi kaninzi, iibhaktheriya ze-pathogenic ziyafuduka kunye ne-lymph okanye igazi elivela kwiindawo ezikude zokuvuvuka.
I-cholecystitis engapheliyo-iimpawu
Umfanekiso wekliniki wesifo esichazwayo sifana nesimo sakhe kunye nobuqili. Iimpawu ze-cholecystitis ezingapheliyo ngaphandle kwee-gallbladder:
- ukudonsa ngokukhawuleza okanye ubuhlungu obuhlungu buhlungu phantsi kombhobho olungileyo;
- ukwanda okanye ukuphazamiseka kwi-epigastrium emva kokusetyenziswa kwamanqatha, ukucola, ukutya okunamandla;
- ukucaphuka;
- izifo zokulala;
- ukuguquka;
- ukuvakalelwa rhoqo emlonyeni;
- ukubethelwa ngomoya;
- ngamanye amaxesha - isicupunu;
- i-arrhythmia.
I-cholecystitis engapheliyo ihamba ngokungaqhelekanga-iimpawu zihambelana ngokupheleleyo ne-non-cardiovascular type yesifo, ngoko ke ukubonakala kwezikhonkwane kufunyenwe kuphela ngexesha lokuxilongwa kweehadi okanye kwi-hardware kwixesha lokunyanga. Zombini iintlobo zentsholongwane zingaphuthuka ngaphandle kwembonakaliso ezibonakalayo, ngenxa yokuba isifo sifumaneka kwisigaba esinzima sophuhliso kunye nempawu ezinzima.
Ukunyanzeliswa kwe-cholecystitis engapheliyo
Ukuphindaphinda kwenkqubo yokuvuvukala kumbuzo kudla ukucaphukisa iimpazamo ekudleni kwaye kuhambelana nokusabela ngokukhawuleza kwi-gallbladder kunye nemiqondiso ethile. I-cholecystitis engapheliyo yokubala emgangathweni wokuxhatshazwa ibonakaliswe yimpawu:
- intlungu enzulu ngakwesokunene, enikela ehlombe nasemagxeni;
- ukutshintshwa kokuqhawulwa kunye nokuhanjiswa;
- umkhuhlane;
- ukubetha;
- i-jaundice;
- ukuguquka;
- intlungu okanye ubunzima kwindawo yesifuba;
- kuphazamiseka emathunjini.
Ukwanda kwe-cholecystitis engapheliyo-iimpawu phambi kwamatye kwi-gallbladder:
- ukuhlanza okukhulu;
- kumnyama komchamo;
- ukucaciswa kwamathambo;
- ubukho bamanqatha emanzini;
- ubuhlungu obukhulu kwi-epigastrium kunye nekhohlo elifanelekileyo, eliguqulela entanyeni, ngaphantsi, ngapha nangaphantsi kwe-scapula (i-biliary colic);
- hypotension;
- utywala;
- ukwanda kweqondo lomzimba;
- tachycardia.
Cholecystitis engapheliyo - ukuxilongwa
Ukuphuhlisa imirhumo echanekileyo yonyango, ayifuni kuphela ukuqinisekisa ubungqina bokuvuvukala. Kubalulekile ukwazi ukuba sisiphi isizathu sokuba isifo esingapheliyo se-cholecystitis siqalile - iimpawu kunye nokunyangwa kwesi sifo zihambelana ne-agent engumgudu wenkqubo ye-pathological. Okokuqala, ugqirha uqokelela i-anamnesis, uqhuba uviwo kunye ne-palpation (palpation) yesisu. Ngexesha lophando, iziganeko ezibeka ukuqala kokuvuvukala: i-hypodynamia, iindlela zokutya, iziganeko eziyingozi kunye nabanye. Ukugqatswa kokugqibela kwe "cholecystitis engapheliyo" kusekwe ngokusekelwe kwizifundo:
- iimvavanyo zegazi kunye negazi jikelele;
- I-Ultrasound yesigxina sesisu;
- cholecystography;
- ukuvakala komculo;
- ukukhawuleza;
- uhlalutyo lwe-bile;
- ikhetho;
- arteriography.
I-cholecystitis engapheliyo-unyango
Indlela yokwelapha ikhethwe ngabanye ngokuhambelana neempawu zomzimba zesigulane kunye nendlela yokugula. Kuphela ugqirha ofanelekileyo unokugqiba indlela yokuphatha i-cholecystitis engapheliyo. Imizamo yokuzimela ngokubhekisana nesi sifo ihlala iqhubela phambili ekugqibeleni kweempawu kunye nokuvela kweengxaki ezingenakunyuswa.
Unyango lwe-cholecystitis kunye namayeza - iziyobisi
Ulwaphulo olulondolozo lwentliziyo lufanelekile kwizigulane ezingenazo i-gallstones. Le ndlela ayisebenzi ukuba i-cholecystitis engapheliyo ifunyenwe-unyango kulo mzekelo lubandakanya ukususwa kwelungu kunye ne-calculi. Ngaphantsi kokuqhelekileyo, ukuchithwa kweekhemikhali okanye ukutshitshiswa kwamagqabantshintshi kumiselwe, kodwa kwanokusebenza kwezi nkqubo, amatye angaphinda enze kwakhona kwaye iimpawu ziya kuqhubeka kwakhona.
Kunokucetyiswa ngamachiza asebenzayo xa kukho ukunyanzeliswa kwe-cholecystitis engapheliyo, unyango lubandakanya ukusetyenziswa kwamaqela amaninzi eziyobisi:
- i antibiotics - Cefixime, iCeftibuten;
- i-antispasmodics - i-Papaverin, i-No-Shpa;
- i-enzymes - iCreon, i-Panzinorm;
- i-choleretics - Allochol, Holosas;
- iindlovu - i-Enterosgel, i-Atoxil;
- ukuxhatshazwa kwezidakamizwa - isisombululo se-chloride, i-glucose;
- iziyobisi ezingekho-steroidal ezichasayo - uNimesil, Ketanov.
I-cholecystitis engapheliyo-unyango lwabantu
I-Phytotherapy kunye nezinye iziyobisi zixazululwe ngexesha lokuxolelwa kwezilwanyana kunye emva kokuphumla ngokupheleleyo kweempawu zenkqubo yokuvuvukala. Unyango lwe-cholecystitis kunye nezilwanyana zengqondo ngexesha lokuphindaphinda kwesifo kuyingozi kakhulu. Amalungiselelo omhlaza angabangela ukukhutshwa ngokweqile kwe-bile kunye nokwanda kwe-stasis, isibindi esingasebenziyo kunye ne-pancreatic function. Naliphi na iipesibhile ezisetyenzisiweyo kubalulekile ukujonga ngugqirha. Ugqirha kuphela unokuvuma indlela yokumisa i-cholecystitis engapheliyo-iimpawu kunye neyeza zengqondo azihlali zihambisana.
Ukuqokelela imfuyo
Izithako:
- iingcambu ze-valerian - 20 g;
- Imbewu yedill - 10 g;
- ihlaba i-wort yase-St. John i-20 g;
- ukuhluma kunye neengcambu ze-parsley - 10 g;
- immortelle - 20 g;
- plantain - 10 g;
- i-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 :
- Izityalo ezomileyo ukugalela nokuxuba.
- Dlulisa i-1-1.5 iifuni zamathisipuni zeqokelela efunyenwe ngamanzi abilayo.
- Ukugxininisa kuthetha imizuzu engama-90.
- Nciphisa isisombululo.
- Isiqingatha seyure ngaphambi kwesidlo ngasinye, siphuze i-15-20 ml yeyeza.
- Qhubeka unyango kwiiveki ezi-3.
Ukutya kwi-cholecystitis engapheliyo
Ukutya okukhethekileyo kunikwa zonke izigulane ezinexilongo. Isondlo se-cholecystitis esingunaphakade lihlelwe ngokuhambelana netafile ye-5 (ukuxolelwa) kunye ne-"5a" (kwakhona) ngokutsho kwePevzner. Ukutya kokutya kwenziwa rhoqo emva kweeyure ezingama-3-3.5 kwiincinci ezincinci, kuphela kwifom efudumele.
Bobabini kunye nangemva kwonyango bayavunyelwe ukuba basebenzise:
- izikhupha zeqanda;
- utywala;
- ukutya okunamafutha kunye okuthosiweyo;
- ukutya okuneziqholo, ezinomsila, okumanzi;
- iziphuzo ze-carbonate;
- i-pastry;
- iimveliso ngebhotela kunye nekhilimu;
- amantonga;
- ice cream;
- izithelo eziluhlaza, imifuno kunye namajikijolo;
- izityalo ezikhanyayo;
- ukutya okusemgangathweni;
- tshokoleji kunye necocoa;
- isonka esitsha;
- ijusi yetamatato;
- inyama ngemveliso;
- i-anyanisi, i-sorrel, isipinashi, israyi, igalikhi.
Imveliso ekhuthaziweyo:
- zokutya;
- isobho;
- inyama yokutya kunye neentlanzi (i-steamed, ibilisiwe, i-stewed);
- isonka sezolo;
- i-pastille, marmalade;
- jam, ubusi;
- ivelwe imifuno, iziqhamo;
- i-berries edibeneyo kunye neziqhamo ziselo;
- iimveliso zobisi ezincinci;
- casseroles.
I-cholecystitis engapheliyo-iingxaki
Ukuba awuhambanga iziphakamiso zonyango kunye nesondlo, isifo siya kuqhuba. Ngenxa yoko, ingakumbi isibindi kunye ne-gallbladder zonakaliswe - i-cholecystitis engapheliyo ibangela iziphumo ezinobungozi:
- ukuvuvukala okuxhasayo;
- cholangitis ;
- ukuguqulwa kweendonga ze-gallbladder;
- i-hepatitis esebenzayo;
- peritonitis;
- i-gallbladder;
- ukucinywa kwe-duct;
- i-pancreatitis engapheliyo .