I gallbladder futhi Bile imbobo

Lapho kabi ubuhlungu ohlangothini lwesokudla ngaphansi ubambo kubalulekile ukuthola ukuthi kubangelwa yini. Izifo kwesibindi kanye ipheshana biliary bakha usongo isimo sokungapheleli komuntu nokuphila kwaso egcwele. In the ukungabikho ukwelashwa izifo efanele ezithinta biliary uhlelo umzimba uyakwazi impela izinhlobo ezimbi kakhulu, ngisho levela CNS ukungasebenzi.

Indlela azibonakali biliary ipheshana isifo?

Lapho izimpawu zokuqala of pathologies ezichazwe ngezansi kufanele ngokushesha uthintane ochwepheshe. Ukuze uthathe isinyathelo, udokotela udinga ukubona isithombe umgomo zempilo yesiguli, ngakho-ke, kubalulekile ukuba kudlule luhlolo olunzulu. Thola ulwazi olunemininingwane mayelana nendlela isifo izindlela biliary bamangala, kungenzeka kuphela ngemuva eqala ukuxilongwa, ezinye zazo yilezi:

• gastroenterologist ukuhlolwa okuyisisekelo;
• ukudlula ultrasound kwezitho besisu;
• imiphumela izifundo laboratory kwegazi, umchamo kanye endleni.

Uma kwenzeka izinsolo sokuthuthukiswa inqubo sokugembula ohlelweni biliary yomzimba udokotela ngokuvamile elibekelwe iziguli ngidlula ucwaningo olunzulu:

• gastroscopy;
• biliary ipheshana esimweni usebenzisa Ngokuphambene nalasemkhatsini;
• kwamakhemikhali yokwakheka Bile.

Ngokuvamile, biliary ipheshana isifo libhekene izici isici ukugeleza. imithi yabo incike ngobucayi isifo, izimpawu futhi atholakale ngesikhathi yokudlulisela Ochwepheshe ukuxakeka.

Izinqubo sokugembula angakhula ku gallbladder futhi ipheshana biliary, avame yilezi:

• dyskinesia;
• cholelithiasis;
• holingitami;
• nezinhlobo ezahlukene zokuphikiswa cholecystitis.

Izizathu sokuthuthukiswa dyskinesia ohlelweni biliary

Lesi sifo wokuqala akuve kuvamile ukuba iziguli zanoma iyiphi iminyaka, kubhekwa dyskinesia biliary. Izimpawu kanye nokwelashwa zezifo imiqondo oxhumene, njengoba le zokugula ukuphazamiseka ngqo ukusebenza ohlelweni biliary ngenxa operation okungavamile we sphincter ka Oddi, futhi Miritstsi Lyutkensa nokuncipha kwesinye nenyongo.

Ngokuvamile lesi sifo eba abesifazane abaneminyaka engu-20 kuya kwengu-40. Namuhla ngokucacile ngezimbangela zokuziphendukela isifo singalapheki ukuphendula noma imiphi uchwepheshe. I okungenzeka kakhulu izici okwabangela ukugqashuka sifo inchubekelembili, angabhekwa:

1. Kwama-hormone ukwehluleka (ukwephula ukukhiqiza izinto yingozi contractile umsebenzi we gallbladder futhi ipheshana biliary, kuholele ukungasebenzi izindlela kwemisipha).
2. Ukudla okungafanele nokuphila kokuziphatha okungenampilo.
3. anaphylactic Common nokungezwani komzimba ukudla.
4. Pathology yokusetshenziswa pheshana emathunjini, nomthelela ngqo kwi imbobo Bile. Izimpawu, ukwelapha izifo ezifana izinkinga isikhonzi ngesikhathi nokwelashwa kwezifo kungakephuzi ecashile.
5. Ukutheleleka nge-hepatitis Amaqembu B, C (nezilwanyana ezincane pathogenic yalolu hlobo ibe nomphumela ongemuhle ku isakhiwo kwamanyuroni kwazo lezi zitho).

Ngaphezu kwalokho, ungakwazi avuse dyskinesia nezinye izifo ipheshana biliary (isib cholecystitis okungamahlalakhona). Izifo kwesibindi, amanyikwe, kombungu biliary futhi ngokuvamile iholela ukwehluleka iningi isimiso sokugaya ukudla bungene.

Indlela ukwelapha dyskinesia?

ukuphathwa Biliary has izici zayo siqu. Kepha dyskinesia, therapy jikelele zingahlukaniswa zibe amabhlogo amabili.
Eyokuqala ngokuvamile zihlanganisa ukwelashwa izinyathelo-izidakamizwa ezingekho kokuqukethwe, njenge:

1. Ukudla (ukuqedwa ephelele okunamafutha, okuthosiwe, ngibhema okusemathinini neminye imikhiqizo eyingozi ekudleni nsuku; kwakhiwa imenyu nsuku zonke esekelwe ukudla okune-fibre, imikhiqizo choleretic).
2. Ukuphuza uketshezi oluningi usuku lonke.
3. yokuphila asebenzayo, zokwelashwa ukuphefumula umzimba.
4. Ukuvimbela ukucindezeleka, ukukhungatheka, imizwa.

imithi - isakhi esiyisibopho ekwelapheni lesi sifo njengoba dyskinesia biliary. Izidakamizwa ukuthi ochwepheshe batusa iziguli ukuthi ziphuze, ngokuyisisekelo ukuthi sikwenze ukuze akhulule imisipha ukungezwani, ukuhlinzeka, sine futhi isenzo antispasmodic. I ezivamile dyskinesias nge papaverine, akukho-spa, Novocaine. Ububanzi zokwelapha likhona r. H., Futhi ukusetshenziswa kwamanzi nosawoti.

Izici ukugeleza dyskinesia ezinganeni

Lesi sifo okushayile Bile imbobo izingane - akukhona okungavamile ukuba likhithike kulezizinsuku. odokotela Dyskinesia atholakala izingane abangaphezu kweminyaka engu-ezintathu. By the way, ochwepheshe ukuhlukanisa lesi sifo phakathi izingane pathologies Biliary kangaki konstatiruemoe. Eqinisweni, izimbangela zezinkumbulo abahluphayo uhlelo hepatobiliary, ingane ashaywe efanayo kwabadala.

Ingozi ukuze umzimba wengane ngokuvamile itholakala imiphumela psoriasis, ezithinta Bile imbobo. Izimpawu zalesi sifo ingane ngokuvamile kwahambisana ukubonakaliswa ezithile isimiso sezinzwa futhi isimo psycho-ngokomzwelo. Njengomthetho, khona izimpawu dyskinesia ezinganeni yilezi:

• tearfulness;
• ukukhathala;
• kwehle okuhlushwa, ukusebenza kahle;
• imisipha hypotonia;
• ukuqubuka;
• ukuphazamiseka isigqi inhliziyo.

Izincomo nokuvimbela Ukuphinda lesi sifo ingane

Njengoba izimpawu futhi izindlela zokuxilonga ncamashi abadala kanye izingane okufanayo, isu abelashwayo angeke futhi esekelwe izimiso umsoco okunengqondo. Kubaluleke kakhulu ukuthi ingane ukudla ukudla okunempilo, ngokuhambisana lwezikhathi ecacile, hhayi kuphela ngesikhathi acute biliary ipheshana isifo, noma ngesikhathi ukudlula Yiqiniso zokwelapha, kodwa futhi ukuze kuvinjelwe. Okungcono kakhulu, isitayela ezifana ukudla kufanele kube sivamile umzimba ezikhulayo unaphakade.

Kufanele kuphawulwe ukuthi ukukhishwa kwe-dyskinesia inquma isidingo isitatimende sakhe ku-akhawunti emitholampilo ngoba ukudlula a wokuhlola ngezikhathi. Okuwukuphela kwendlela ukuvimbela ukuthuthukiswa isifo. Ukubhekwa kokuvinjelwa best of dyskinesias e ingane nodokotela bezingane enempilo sikubiza izimiso:

1. Sakusihlwa njalo emahoreni 2.5 emini ihlukaniswe izingxenyana ezincane.
2. Ukugwema ukudla.
3. Ukungabi ukucindezeleka okungokomzwelo nokucindezeleka.

I esiyingozi cholelithiasis?

Lesi sifo elilandelayo esithinta imbobo Bile hhayi kancane kaningi, kuka dyskinesia, cholelithiasis kubhekwe. Lokhu zokugula kwenzeka ngenxa ukwakheka amatshe esinyeni nenyongo futhi esibonakala ngokuqina ukuvuvukala e izindonga zakhe. Ubungozi odokotela isifo ukuyibiza isibonisi ezifihliwe futhi ukungabi pheze ephelele izimpawu kusaqalwa lesi sifo. Ngesikhathi lapho umuntu ebhekene isifo elula, kanti isiguli ngeke ithathe ngokuthi Bile yakhe imbobo, le gallbladder kungadinga usizo.

Nge ukuqhubeka kancane kancane lesi sifo, ngesilinganiso okuyinto kubangelwe indlela yokuphila lesiguli, ekubeni izimpawu zokuqala obucacile bokuthi lesi sifo. Okuvame kakhulu kulezi zicelo yilesi colic biliary, okuyinto iziguli cishe njalo bathathwa ubuhlungu kwesibindi, echaza ukuthi ukubamba iqhaza bangaphambi ngesidlo ezanelisayo noma utshwala. Naphezu kweqiniso lokuthi lezi zici bayakwazi ukuyithukuthelisa exacerbation of cholelithiasis ngempela, thatha izimpawu zokugula okungathí sina kungaba yingozi kakhulu ukuba impilo isiguli. Phakathi nezinkinga, okuyinto okusongelayo hhayi belashwa ngesikhathi gallstone isifo ezigulini kutholakala ukuthi uphethwe yini:

• cholecystitis;
• pancreatitis;
• izimila abulalayo ezihilela isibindi Bile imbobo.

isifo iqembu ingozi

Njengoba isizathu esiyinhloko kanye kuphela ukuze kwakhiwe zamatshe esinyeni nenyongo futhi Amapayipi kungukuphula izinqubo umzimba emzimbeni (isib, i-cholesterol, bilirubin futhi Bile acid) Yiqiniso, ukuthi kokubili imisebenzi yezokwelapha kanye nokuvuselelwa uzobe okuhloswe ngalo ukubhekana zokwakheka.

Amatshe, ekuvimbeleni outflow ka Bile, kwenzeka abesifazane izikhathi eziningana kanengi ukudlula amadoda. Ngaphezu kwalokho, ogulayo cholelithiasis abantu abaningi engozini:

• okhuluphele;
• Oholela ukuphila umzimba;
• uhlobo umsebenzi okuyinto ikakhulu kunqunywa awulutho ngamahora okusebenza;
• lokungalandeli umthetho umbuso ukudla.

Izindlela nokwelashwa cholelithiasis

Ukubona ngokuqinisekile uma kukhona amatshe esinyeni nenyongo esiguli, ngokwanele luhlolo ultrasound komgodi ongaphakathi kwamathumbu. Kuze kube manje, lo isiqinisekiso uphethwe, odokotela bavame anqume cholecystectomy.

Nokho, i-radical kuhlinzwa belashwe odokotela azinakumthonya isiguli, uma imfundo kuyinto cishe akusho ibakhathaze. Kulokhu, ochwepheshe batusa Inkambo yokwelashwa okuhloswe ngqo uvule imbobo Bile. Izimpawu zesifo akusho ukuzibonakalisa, avumele ukusetshenziswa indlela nethonya Amapayipi of acid ursodeoxycholic futhi chenodeoxycholic.

Inzuzo yayo yikhono ukuqeda amatshe indlela non-koda. Phakathi bokwenza - amathuba eliphezulu kokushelela. Lihlala cishe unyaka owodwa nge Yiqiniso yokwelapha ezimweni eziningi kunikeza ngengqondo, imiphumela yesikhashana, ngoba iziguli kaningi uqaphele okuvela kabusha ukuvuvukala nje eminyakeni embalwa emva kokwelashwa eside. Kufanele kuphawulwe ukuthi le ndlela yokwelapha itholakala kuphela khona cholesterol amatshe esingeqile-2 intshi ubukhulu.

Kuyini "cholangitis": izimpawu zayo kanye nezinkinga

Ukuvuvukala Amapayipi Bile Uphinde abhekwe isimo isifo, okuthiwa cholangitis. Isici esikhethekile yilesi sifo, odokotela bathi ilapho lapho ibonakala ngaphakathi ngendlela ezimele noma cholecystitis concomitant. Ukugula has ngamazinga ahlukene umfutho kanye ingozi empilweni ukuphila isiguli. Hlunga 3 izigaba eziyinhloko, esekelwe ukuziyisa phambili izimpawu:

• subacute;
• acute;
• ubovu.

Izimpawu kwanoma iyiphi ukungasebenzi ipheshana biliary kuthinte isimo jikelele isiguli cishe okufanayo, okubangela kuzo zonke izimo:

• Ukugodola;
• isicanucanu nokuhlanza;
• ukujuluka owandiswayo;
• imfiva;
• ukulunywa kwesikhumba;
• ubuhlungu ngakwesokudla quadrant engenhla.

On luhlolo isiguli e isiguli kungenzeka ukutholwa ukwanda isibindi ubende. uphawu Esingawethemba cholangitis nokuthi yellowness kwesikhumba, kodwa ubukhona balo akudingekile. Lokhu zokugula we ipheshana biliary, egqoke uhlamvu ubovu, inezimpawu evelele. Temperature isiguli ongafinyelela ezingaphezu kuka-40 degrees. Ngaphezu kwalokho, kule ndaba ingozi sepsis futhi ithumba endaweni subphrenic kwandisa izikhathi eziningana. Ngokuvamile amafomu ethuthukile odokotela isifo ukuxilonga iziguli kwesibindi noma ikhoma hepatic.

Ukuxilongwa kanye nokwelashwa of cholangitis

Ukuze ngokuqondile uqinisekise cholangitis e isiguli, ukuhlolwa kwegazi okwengeziwe okufanele iqhutshwe ngayo. Inani eliphakeme leucocytes, erythrocyte sedimentation ngesivinini ngokuyisisekelo njalo ukukhonza njengephayona ngubufakazi ukudlula uchungechunge elilandelayo vo:

• cholangiography;
• gastroduodenoscopy;
• laparoscopy.

Ukwelashwa Biliary nge cholangitis kudinga ukusetshenziswa eziningi izidakamizwa ezinamandla. Gwema kokuhlinzwa, isiguli kungaba ngokusebenzisa indlela eqotho zokwelapha okusekelwe ukusetshenziswa kwezidakamizwa spectrum ezahlukene isinyathelo. Okokuqala kudingeka izidakamizwa esinjalo ipheshana biliary, okuyinto ingase ibe nomphumela choleretic ku isitho onesifo. Ukuze wehlise ukuvuvukala nokucindezela pathogenic microflora imithi elwa namagciwane kubalulekile nezidakamizwa iqembu nitrofuran. Uma kukhona syndrome ubuhlungu phezulu ngakwesokudla udokotela quadrant angabeka antispasmodics.

Uma kunesidingo, ukuphathwa engalethi imiphumela emihle, isb. E. ukuphucula olubonakalayo Dynamics isimo lesiguli is hhayi waphawula, udokotela angase esikhundleni yokwelapha olandelanayo ngezenzo ezinqala more kuhlinzwa.

Cholecystitis ngesikhathi exacerbation

Against ngemuva okungenhla amatshe atholakala enyongweni ngokuvamile ube nesifo njengoba cholecystitis. Kungaba lungachazwa ukuvuvukala ezindongeni Amapayipi kanye nenyongo sesinye, kanye kokukhululwa yayo kuya Amagciwane ingaphakathi. Nakuba ngokungabi bikho cholecystitis amatshe futhi uyakwazi zenzeka abesifazane abaneminyaka engama-30.

Izimpawu eyinhloko cholecystitis acute

Njengoba umthetho, okubi kakhulu of cholecystitis, kanye nezinye izifo ezithinta uvule imbobo Bile, kwenzeka emva ubuhlungu a esiqinile wezokudla umbuso nesineke. Ukukhokhela ngisho nje into encane eziyingozi, uyozisola ke esikhathini esizayo esiseduze. izimpawu Ebuhlungu cholecystitis ngaphansi elesokudla okukhulunywa esifundeni subscapular futhi endaweni supraclavicular, ungavumeli ukuba bayakhohlwa ukugula ngisho isikhathi esifushane. Kufanele kuqashelwe ukuthi njalo engumngane pancreatitis cholecystitis ukholwa, ukubonakaliswa kanyekanye okuyinto ibakhathaze ezithandekayo ubuhlungu esigulini.

Ngo abadala, isilethikusebenza, ngenxa cholecystitis angase abe buhlungu esikhaleni retrosternal. Angina uhlobo incazelo reflex kuhambisana isicanucanu nokuhlanza. Ebuhlanzweni ekuqaleni amelela okuqukethwe isisu, t. E. Lokho isiguli badla ngayizolo, bese azonikezwa Bile kuphela.

Ukwandiswa lokushisa komzimba ayikwazi kubhekwa uphawu oyisibopho cholecystitis. Ukungabikho imfiva akubonisi ukungabi khona ukuvuvukala. Palpating esiswini, udokotela, ezimweni eziningi, kukhona ukungezwani kwemisipha besisu, ubuhlungu kwesinye inyongo okufanelekile nakulokho njenge-ibhola elincane ilungelo quadrant engenhla. Isibindi nayo ekuqaleni ukukhula ngosayizi. Isici nobuntu cholecystitis acute kukhona kuzuba wegazi. Ngemva kwezinsuku ezimbalwa emva ukuthola lesi sifo kungase ujike isikhumba ophuzi.

ngamazinga ahlukene cholecystitis kobukhulu

cholecystitis olunamandla has main ukugeleza zinyathelo:

1. isigaba Catarrhal ukuthuthukiswa isifo singakabi eziyizici umkhuhlane emzimbeni. Uma kukhona ubuhlungu, kuyinto ehluke ngokuphelele kulokho esikulindelayo. wonke Isikhathi Akuthathi isikhathi esingaphezu kwesonto, futhi ngokuvamile ukuthola isifo kulesigaba ayikwazanga ithuba. Ukuze umise i-ukuqhubeka kwesifo kulesigaba kungenzeka, uma, ngokushesha saqala ukwelashwa, ukuvimbela ukuqala ithumba cholecystitis.
2. I nesigaba lesi sifo yesibili ebonakala ubuhlungu olusobala, ukuhlanza njalo, imfiva, ukuba buthakathaka komzimba. Iphango e isiguli kakhulu ziyancipha ngenxa zokugula isizinda vozniknuvshey leukocytosis.
3. I esiyingozi kakhulu isifo lesiguli isigaba gangrenosum. Ukuze ngalokhu kugula uvame peritonitis, zokwelapha okuyiwona akukho ngaphandle esiphuthumayo kokungenela kuhlinzwa. Izibalo kubonisa awokuthi ukufa ngaphandle kokuhlinzwa esiphuthumayo.

Esinye sezizathu ezijwayeleke kakhulu ukuqaphela belated ka cholecystitis zenzo ziwukubonakaliswa yayo, ezimweni eziningi, nezinye izifo ejwayelekile esiswini. Ngokwesibonelo, ingase futhi ukumemezela ngokwawo:

• appendicitis acute;
• exacerbation of pancreatitis;
• isilonda esiswini kanye 12 isilonda duodenal;
• ukwehluleka kwezinso, colic, pyelonephritis.

ukwelashwa cholecystitis

Njengoba sekushiwo, e sitholakele nendima eyadlalwa ngokuphelele zonke amamethrikhi ucwaningo. Uma amatshe Bile imbobo zigcwele, nakanjani ukusho ultrasound. Iqiniso lokuthi inqubo somzimba ukuvuvukala kwenzeka, uqinisekise inombolo amahlombe leukocyte e chemistry igazi.

izifo Phatha ezithinta uvule imbobo Bile noma gallbladder, kubalulekile kuphela inpatient esibhedlela. zokwelapha okulondoloza kungadambisa isimo lesiguli. Wagunyaza esiqinile embhedeni ukuphumula, kungekho ukudla. Ukuze izinzwa unikeze lamanzi ashisayo ne ice ngaphansi kwesokudla quadrant engenhla.

Ngaphambi kokuqala ukwelashwa uqhutshwa ngokukhishwa kobuthi egazini ephelele emzimbeni wesiguli, okwathi ngemva kwalokho waba ebekiwe antibiotic. Ngenxa yokungabi bikho kwemiphumela emini edinga esiphuthumayo nodokotela.

Ukuthi ushintsho ekudleni kwabo biliary ipheshana izifo?

Ukudla biliary izifo ipheshana udlala indima kokuqagela obalulekile. Njengoba wazi, ezikhathini eziningi zokuhlaselwa ukusebenzisa noma yini kungavunyelwe, njengoba zemvelo Bile ejection njengendlela yokusabela kuya ukudla ezingenayo uyakwazi yokuqinisa izimpawu zesifo. Phakathi ukuthethelelwa kubaluleke kakhulu balandele yokudla kwesokudla futhi, ngokusho lwezikhathi ecacile. Ukudla ngokwayo - kungcono cholagogue, ngakho-ke ukudla kudingeka okungenani izikhathi 4-5 wena emini. Into esemqoka - ukuze aqede ngisho isidlo ukukhanya kakhulu ebusuku.

Ukunamathela ngala macebiso alandelayo olunikezwa zokudla kanye gastroenterologists ingafinyelela esiphezulu eside ukuthethelelwa:

1. Kuyinto engathandeki ukuba kakolweni fresh isinkwa, ikakhulukazi nje-kubhakwa, kushisa. Okungcono kakhulu, uma womile noma izolo.
2. ukudla Zezıhlabane omuhle kuthinte isimo jikelele isimiso sokugaya ukudla bungene. Phakathi ukupheka, sauté anyanisi, izaqathe kanye nokunye. D. Kufanele kungabi.
3. Inyama nenhlanzi ukukhetha izinhlobo kuphela ephansi fat. I enhle ukulungiselela Indlela eqeda, ukupheka kanye baking.
4. Noma yimuphi uwoyela yemifino noma okuvela ezilwaneni, ukusebenzisa imali ezincane kungukuthi kungavunyelwe, kodwa ngenxa yokuntuleka kwezinhlelo ezibanzi ukwelashwa ukushisa.
5. Ngo yezifo ipheshana biliary imikhiqizo kangcono wokudla kukhona nokunye okufana nokolweni kanye oat wokudla.
6. Ubisi nobisi iziphuzo noshizi ukusebenzisa ngangokunokwenzeka.

Kunoma ikuphi, ukubonakaliswa lokuqala isifo kufanele ukuya kudokotela, isiguli ugijima ingozi self-babhebhethekise isimo sakhe.