Madzimai ari nemakore makumi mana, kuputika kunonoka kwegungwa kunowanzoonekwa. Ichi chirwere chinotyisa chinogona kukonzera matambudziko akawanda uye chinotungamirira kudiwa yekubvisa chiremera. Kuti udzivirire migumisiro yakaipa, zvinokosha kuziva zviratidzo zvechirwere nenzira yakakodzera panguva uye utange kuchibata.
Zvinokonzera kusingaperi cholecystitis
Kuvhiringidza kunotanga nekuda kwekuputsika kwemotility ye gallbladder. Gare gare, mujeri anopindirana anowedzera, achiwedzera mararamiro echirwere. Zvimwe zvinokonzera cholecystitis, thickening uye kuparara kweva, kuonekwa kwezviratidzo zviratidzo:
- chikafu chisina kuenzana nechinotyisa chezvokudya kana mafuta;
- kudhakwa;
- mabwe muhuta ;
- Kunyanya kudya;
- kuneta;
- congenital anomalies ye gallbladder;
- pamuviri;
- hypokinetic dyskinesia of bile ducts ;
- kubviswa kwemuviri wemimba;
- matumbo emukaka;
- kudyidzana ye gallbladder;
- low mobility;
- kushungurudzika;
- dysmenorrhea;
- arteriosclerosis yemidziyo yeropa;
- matumbo mumakumbo emimba;
- propensity to allergy;
- makore anochinja mumuviri.
Mitauro yekusingaperi cholecystitis
Kune dzimwe nzira dzakasiyana-siyana dzokugadzirisa chirwere chiri mubvunzo. Zvakakosha kuti pakarepo kujekesa nguva yakareba cholecystitis - zviratidzo uye kurapwa kwehutano zvinowanzoenderana nemamiriro ayo. Kusarudzwa kusina kururama nekurapa kusina kukodzera kunogona kutungamirira kukura kwemaitiro ekuvhiringidza, kupararira kune nhengo dziri pedyo nezvimwe zvinokonzera kukanganisa.
Mhando dze cholecystitis maererano nehuwandu hwehuwandu hwekuwedzera:
- latent or subclinical;
- kazhinji kasingaperi (kusvika kushanho 1 pagore kana zvishoma);
- kazhinji kuwedzerwa (2 kana kupfuura maitiro mumwedzi 12).
Nokunyanyisa uye kuoma kwezviratidzo, chirwere chinoitika:
- chiedza;
- average;
- nzara;
- ine zvinetso.
Basa guru rinoitwa nekuvapo kwezvipfeko mu gallbladder. Pachikonzero ichi, hutachiona hwakakamurwa kuva mapoka maviri:
- dombo;
- bezkamennaya.
Chronic calculation cholecystitis
Maererano nenheyo yakawanda inogamuchirwa, kuumbwa kwezvipfeko kunokonzerwa nekuchinja kwehuwandu hweacids uye cholesterol mu bile. Chikamu chechipiri chinopinda panzvimbo dzakakwirira, kubva mairi masimbi akaoma anogadzirwa. Kazhinji izvi zvinotungamirirwa nechosecystitis isingaverengwi - matombo muhuro yejuru inoratidzirana nechekusava nesimba kwemagetsi emuviri uye motokari yayo mabasa pasina kukodzera kwakakwana. Zvimwe zvikonzero zvekuumbwa kwezvibvumirano:
- hepatitis;
- chirwere cheshuga mellitus;
- duodenitis;
- inaccuracies muzvokudya;
- kuneta;
- zviratidzo zvebhaariary dyskinesia;
- pancreatitis;
- Helminthiasis;
- Chirwere cheCrohn;
- gastritis;
- zvirwere zvekudya;
- chirwere chechiropa.
Chisingararamiki cholecystitis
Stasis uye thickening ye bile ndizvo zvinokonzera kukura kwechirwere ichi. Iyo yakangoita causative agent, iyo inokonzera kusingaperi acalculous cholecystitis, inoonekwa sehosha. Izvi zvinotevera zvinogona kukonzera kuvhunika:
- staphylococci;
- E. coli;
- enterococci;
- protey;
- kusanganiswa microflora.
Zvinotarisirwa kugadzirisa zvakananga kuti chirwere chisingaperi chinonzi cholecystitis chakakonzera pamusoro apa-zviratidzo uye kurapwa zvakananga zvichibva pane zvinoitika zvehutachiona. Utachiona hunopinda mukati mehutara kunyanya mukukwira kubva mumatumbo. Pashoma kakawanda, bhakitiriya yepathogenic inotama neine lymph kana ropa rinobva kure nechekudzivirira kwekurumidza kuputika.
Chronicle cholecystitis - zviratidzo
Chirwere chemakiriniki chinorondedzwa chirwere chinokonzerwa nekuumbwa kwayo uye kuoma. Zviratidzo zvekusingaperi cholecystitis pasina makanda mu gallbladder:
- nguva dzinokwevera kana kutonhora kurwadziwa kunorwadza pasi pechibvumirano chakanaka;
- kuwedzera kana kusagadzikana mu epigastrium mushure mekudya kwemafuta, zvinonaka, zvekudya zvakagadzirwa;
- kutsamwa;
- kushushikana kwehope;
- flatulence;
- kugara uchinzwa kusuruvara mumuromo;
- kubata nemhepo;
- dzimwe nguva - nausea;
- arrhythmia.
Izvo zvisingaperi zvinokonzerwa necholecystitis zvakare zvinowedzera zvakajeka - zviratidzo zvacho zvakapindirana nemhando isina-yehutima yehutachiona, naizvozvo kuvapo kwezvipfeko zvinowanikwa chete panguva yekubatsira kwezvinhu kana hardware panguva yekurapa. Mhando mbiri dzehutachiona dzinogona kufambira mberi pasina hutano hunoratidzirwa, nemhaka iyo chirwere ichi chinowanikwa kare pane dambudziko rakaoma rekuvandudza nematambudziko akaoma.
Kuwedzera kwekusingaperi cholecystitis
Kudzoka kwekuvhiringidza kwekuita mubvunzo kunowanzokonzerwa nezvikanganiso mukudya uye kunofambidzana nemhinduro yekurumidza kubva ku gallbladder nezvimwe zviratidzo. Kwete-kuverenga kwenguva yakareba cholecystitis mumutsara wekuwedzera kunoratidza zviratidzo zvakadaro:
- kurwadziwa kwakanyanya kune rutivi rworudyi, kupa kumapfudzi nepfudzi;
- kushandiswa kwekudzivirirwa uye chirwere;
- fever;
- itching;
- jaundice;
- kuchema;
- kurwadziwa kana kusuruvara munzvimbo yechifuva;
- kunetseka mumatumbo.
Kuwedzera kwechigarire cholecystitis - zviratidzo muhupo hwematombo mu gallbladder:
- kurutsa kukuru;
- kurima kwemuti;
- kutsanangurwa kwemarara;
- kuvapo kwemafuta mumidziyo;
- kurwadziwa kwakanyanya epigastrium uye kurudyi, iyo inowedzera mumutsipa, pasi, shure uye pasi pe scapula (biliary colic);
- hypotension;
- intoxication;
- kuwedzera kwekushisa kwemuviri;
- tachycardia.
Chronicle cholecystitis - kuongororwa
Kuti uwedzere kururamiswa kwakanaka kwehutano, hazvirevi kungosimbisa kuvepo kwekuputika. Zvakakosha kuziva kuti chikonzero chei chronic cholecystitis chakatanga - zviratidzo uye kurapwa kwechirwere zvinoenderana ne causative agent wehutano. Kutanga, chiremba anounganidza an anamnesis, anotungamirira kuongorora uye palpation (palpation) yemudumbu. Munguva yekuongorora, zvikonzero zvinogadzira kutanga kwekuputika: hypodynamia, kudya, zvinokuvadza predilections, nezvimwe. Ikupedzisira kuongororwa kwe "chronic cholecystitis" inogadziriswa kuburikidza nekuongorora:
- biochemical uye kuongorora ropa rose;
- Ultrasound ye mimba cavity;
- cholecystography;
- duodenal sounding;
- scintigraphy;
- analysis of bile;
- choleography;
- arteriography.
Chronicle cholecystitis - kurapa
Nzira yekurapa inosarudzwa pane mumwe nomumwe maererano nemamiriro ezvinhu emuviri wemurwere uye maitiro ehutachiona. Chiremba anokwanisa chete anokwanisa kusarudza nzira yekurapa chisingaperi chelecystitis. Kuedza kuzvimiririra kurwisana nechirwere ichi kunowanzokonzera kukura kwezviratidzo uye kuitika kwematambudziko asingagoneki.
Kurapa kwecholecystitis nemishonga - zvinodhaka
Conservative therapy inokodzera kuvarwere vasina ganda. Iyi nzira haina kushanda kana chisingararamiki chekudya cholecystitis ichiongororwa - kurapwa munyaya iyi kunosanganisira kubviswa kwechikamu pamwe chete ne calculi. Pashoma kakawanda, kuputika kwemakemikari kana kushungurudza-wave kugumburwa inorayirwa, asi kunyange nekubudirira kwezvinhu izvi, mabwe anogona kugadzira zvakare uye zviratidzo zvicharamba zvakare.
Mishonga yakashanda inokurudzirwa kana pane kuwedzera kwechigarire cholecystitis, kurapwa kunosanganisira kushandiswa kwemapoka akawanda emishonga:
- antibiotics - Cefixime, Ceftibuten;
- antispasmodics - Papaverin, No-Shpa;
- enzymes - Creon, Panzinorm;
- choleretics - Allochol, Holosas;
- tsvina - Enterosgel, Atoxil;
- detoxication zvinodhaka - sodium chloride solution, glucose;
- kwete-steroidal anti-inflammatory drugs - Nimesil, Ketanov.
Chronicle cholecystitis - vanhu vanorapwa
Phytotherapy uye zvimwe zvinodhaka zvinogadziriswa panguva yekuregererwa kwechirwere uye mushure mokuzorodzwa kwakakwana kwezviratidzo zvekuvhiringidza. Kurapa kwecholecystitis nemishonga yevanhu munguva yekudzoka kwechirwere kune ngozi zvikuru. Kugadzirwa kwemishonga kunogona kukuvadza zvakanyanya secretion ye bile uye kuwedzera stasis, kushaya simba kwechiropa uye pancreatic basa. Chero mapeji anoshandiswa anoshandiswa kutarisana nachiremba. Chero chiremba anokwanisa kubvumidza nzira yekumira asingagumi cholecystitis - zviratidzo uye mishonga yemunhu haisi nguva dzose inobatana.
Kubudirira zvemishonga yekuunganidza
Zvisungo:
- midzi ye valerian - 20 g;
- Mbeu yeDill - 10 g;
- kurohwa naSt John's wort - 20 g;
- maritime uye midzi yeparsley - 10 g;
- immortelle - 20 g;
- plantain - 10 g;
- chamomile maruva - 20 g;
- yarrow - 10 g;
- peppermint - 10 g;
- oregano - 20 g;
- motherwort - 20 g;
- mvura iri 200-210 ml.
Kugadzirira, shandisa :
- Dry zvinomera kugaya nekusanganisa.
- Dururirai 1-1.5 masupuniki eiyo yakagadziriswa nemvura yakanwa.
- Kuomerera zvinoreva maminitsi 90.
- Shingairira mhinduro.
- Halfu awa imwe chete mushure mekudya kwega, inwa 15-20 ml yemishonga.
- Ramba uchirapa kwemavhiki matatu.
Kudya muzvisingagumi cholecystitis
Chikafu chakakosha chinorayirwa kuvarwere vose vane chirwere chinorwara chinorwara. Zvokudya zvinovaka muviri zvechigarire cholecystitis zvakarongeka maererano nematafura nhamba 5 (kuregererwa) uye № 5a (kudzokazve) maererano naPevzner. Zvokudya zvinowanikwa maawa matatu kusvika maawa matatu muzvikamu zviduku, chete mune fomu inotonhora.
Zvose panguva yekurapa uye mushure mokurapa zvinorambidzwa kupedzerwa:
- egg yolks;
- doro;
- mafuta namafuta akaomeswa;
- zvinonhuwira, zvinonaka, zvokudya zvakaoma;
- carbonated drinks;
- baked pastry;
- zvigadzirwa ne butter and cream;
- nuts;
- ice cream;
- michero yakajeka, miriwo nemabriji;
- zvirimwa zvakanaka;
- zvokudya zvekunamatira;
- chocolate and cocoa;
- chingwa chitsva;
- tomato juice;
- nyama nenyama-michina;
- onion, sorrel, sipinashi, radish, garlic.
Recommended Products:
- zviyo;
- vegetarian soups;
- kudya nyama uye hove (yakabikwa, yakabikwa, yakabikwa);
- chingwa chezuro;
- pastille, marmalade;
- jam, uchi;
- miriwo yakagadzirwa, michero;
- bheri bhiza rakanaka uye zviyo zvinwiwa;
- midziyo yekaka yakaderera;
- casseroles.
Chronicle cholecystitis - zvinetso
Kana iwe usingatevedzeri mazano ekurapwa uye kudya kunovaka muviri, chirwere chichabudirira. Somugumisiro, kunyanya chiropa uye gallbladder zvakakanganiswa - chisingagumi cholecystitis chinokonzera migumisiro yakaipa yakadaro:
- kuvhiringidza kunopisa;
- cholangitis ;
- kuputika kwemasvingo;
- reactive hepatitis;
- peritonitis;
- empyema ye gallbladder;
- kuvhara kwechikwata;
- chisinganzwisisiki pancreatitis .