Ininzi yokuvuvukala kwodonga lwe-gallbladder kwenzeka kubasetyhini, ngakumbi emva kweminyaka engama-40. Kubalulekile ukuya kunyango kwesi sifo ngendlela eyinkimbinkimbi kwaye uhlale ubeka i-cholecystitis engapheliyo-unyango, okokuqala, kuxhomekeke kwisigulana sokuthobela ukutya okhethekileyo, kunye nokudla okufanelekileyo ngexesha elifanelekileyo. Ngaphandle koko, i-pathology iya kuqhuba kwaye indlela yodwa yokujongana nayo iya kuncediswa ngoncedo.
Unyango lwe-cholecystitis engapheliyo ngaphandle kwemigca kunye nezidlo
Unyango lweenkqubo ezivuthayo kwiindonga ze-gallbladder, ngaphandle kokuba kungekho namatshe kuwo, kusekelwe kwimigaqo emithathu:
- Ukuqulunqwa komgangatho kunye nokugcinwa kwe-bile, ukulawula umveliso walo ngaphakathi kwexabiso elifanelekileyo.
- Ukususwa kwesibindi.
- Ukuthintela ukuvela kwamatye aqinileyo kwi-gallbladder.
Inendima ebaluleke kakhulu kunyango lwe-cholecystitis ehlala ekhaya kukutya.
Ukutya kwesigulane kufuneka kulungiswe ukwenzela ukuba ukutya kudla ngokuphindaphindiweyo, amaxesha angama 4-5 ngosuku, kodwa kwiindawo ezincinci. Kufuneka ukhuphe ngaphandle kweemveliso ezilandelayo:
- iziqholo, ngakumbi eziqholo;
- inyama enamafutha;
- i-pastry;
- isonka esitsha;
- utywala;
- iilekese;
- iimveliso zokutshaya;
- ukukhethwa;
- marinades;
- ukutya okuthosiweyo.
Ukutya okuphakanyisiweyo:
- imifuno emitsha, iziqhamo (ezingezi-acidic);
- ipayipi;
- ukutya, isobho;
- isonka kunye ne-pastry evela kumgubo ococekileyo;
- iifuno zemifuno;
- iintlanzi ezityebileyo;
- inyama emhlophe.
Unyango lwe-cholecystitis engapheliyo kwinqanaba lokuxhatshazwa ngoncedo lwesondlo esifanelekileyo lubonisa ukunciphisa umlinganiselo wokutya okudliwayo kwiintsuku zokuqala ezingu-2-3 zesifo. I-tea ivunyelwe, i-mineral isesemanzini okanye i-sweet compote i-breadcrumbs. Kwixesha elizayo, kuyimfuneko ukugcina ukutya okuncinci № 5BA ngokuguquka ngokuthe ngqo kwitheyibhile inombolo 5 (ngokwePevzner).
Unyango lwamayeza oluntu lwe-cholecystitis olungapheli luquka ezi ziyobisi:
- I-Antibiotics - kwimeko yebhakteria yokuvuvukala (i-Ofloxacin, i-Norfloxacin, iLevofloxacin, i- Ciprofloxacin ).
- Spasmolytics - ngentlungu ebuhlungu (Duspatalin, Dicetel, Odeston).
- Izidandlululo - ukuphucula umphumo we-antispasmodics (i-Mianserin, i-Amitriptyline).
- Prokinetics - nge-hypomotor dyskinesia (Motionium, Cerucal, Motilium).
- I-Choleretics - ukukhuthaza ukubunjwa kwe-bile (Allochol, Deholin, Chagolol, Silimar).
- I-Cholekinetics - ukuphucula i-excretion ye-bile (Holagum, Rovahol, Olimetin).
Inkqubo ye-Physiotherapeutic ikwasekwa:
- diathermy;
- electrophoresis;
- izicelo zeparafini;
- inductothermy;
- i-ozocerite compresses;
- ukuvezwa kwelaser;
- UHF-unyango;
- ukusebenzisa unyango.
Njengamanyathelo axhasayo, kucetyiswa ukuba kuthathe iiprotospores, amanzi amaminerali.
Unyango lwe-cholecystitis engapheliyo
Ukuba eso sifo sisesiteji sokwakhiwa kwamatye aqinile, okanye ubungakanani babo bunyuke, inani, ngoko-mthetho, umyalelo unqunywe. Ingenelelo yokuphanda, i-cholecystectomy, ibandakanya ukususwa kwe-gallbladder njengomthombo wamatye kunye nokuphuhliswa kweenkqubo ezivuthayo. Iveliswa ngeendlela ezintathu:
- kuvula;
- laparoscopy;
- cholecystectomy ngesikhumba.
Kwiimeko ezinqabileyo, kunokwenzeka ukunyanga i-cholecystitis engapheliyo ngaphandle kokuhlinzwa. Kuphunyezwe ngeendlela eziliqela:
- ukutshatyalaliswa kwamanzi okutshatyalaliswa kwamanzi;
- unyango lwe-litholytic (ukusetyenziswa kwe-ursodeoxycholic okanye i-chenodeoxycholic acid);
- qhagamshelana ne-endoscopic lithotripsy.