Izimpawu cholecystitis kwabesifazane kanye nokwelashwa. cholecystitis okungamahlalakhona kubantu besifazane: izimpawu kanye nokwelashwa, ekudleni. Exacerbation ka cholecystitis okungamahlalakhona

Nge ubuhlungu ngakwesokudla quadrant engenhla ibhekene eziningi abantu baye wangenela engu-30 mlando. Ngakho izimpawu ezinjalo kaningi kwenzeka ngemva idili, okwakubonisa ethosiwe, okunamafutha ukudla, isiphuzo. Yokuhogela umkhuhlane, kungenzeka esolwa cholecystitis. Nokho, ngokuvamile abantu lo zokugula sitholakale ngengozi ngesikhathi luhlolo. It is waphawula ukuthi waphawula kakhulu izimpawu of cholecystitis kwabesifazane. Lokhu kunengxenye ekwenzeni izinto eziningi.

Izimpawu zesifo

Kuyini lokhu sifo? Kuyinto ukuvuvukala ukuthi kwenzeka gallbladder. Lokhu umzimba itholakala ilungelo quadrant engenhla. Yingakho, lapho ucansi fair kukhona ubuhlungu endaweni, kungenzeka ukuba usola ukuthi lezi zimpawu ka cholecystitis kwabesifazane.

Nenyongo sesinye aqoqana Bile ekhiqizwa isibindi. Le mfihlo ngu Amapayipi ekhethekile ivela duodenum futhi ehilelekile ukugaya ukudla. Uma sphincter futhi ethukile uhlelo parasympathetic kuthiwa nokusebenza ngendlela efanele, Bile ihamba kuphela kwelinye direction.

Kodwa uma ngenxa izifo ezithile kuphakama operation indlela ye sphincters, imfihlo uyaphuma egcwele esinyeni noma kumzwise ubuhlungu nokucindezelwa. Kuvame ukubonakala uphonsa okuqukethwe emathunjini bese libuyiselwa mapayipi. Ngokuvamile kuba, ngoba iqukethe ukutheleleka ukuthi lingena ngokukhululekile phakathi Bile, okuholela ukuvuvukala yayo.

Mshini yentuthuko zokugula kucacile. Manje cabanga ukuthi kungani kukhona cholecystitis izimpawu kubantu besifazane, futhi uyini umthombo zokugula?

Izimbangela isifo

Ngakho, isici main yentuthuko isifo - lena Ukungena ukutheleleka ku esinyeni.

Ngokuvamile lesi sifo nje isuke ibangelwa yezizathu ezilandelayo:

1. A ezihlukahlukene ukuvuvukala endaweni emathunjini. Kungaba zokugula okwenzeka acute, isigaba ezingamahlalakhona. Njengomthetho, cholecystitis kungaholela enterocolitis, pancreatitis, dysbiosis, appendicitis.
2. Izifo ukuvuvukala kwesimiso sokuzala. Ngokuvamile cholecystitis izimpawu kwabesifazane kuphakamisa izifo ezifana adnexitis.
3. isifo sesibindi amagciwane.
4. KWAMAGUNDANE ezidlayo endaweni yaleli pheshana biliary. Ngesisekelo isifo amanga giardiasis, ascariasis.

A indima enkulu ekuthuthukiseni zokugula ukudlala izici ezengeziwe:

1. Dyskinesia ka Amapayipi biliary. Nalesi sifo kukhona engalulami of Bile, ahlahlele flow yayo.
2. Reflux pancreatic. Lokhu zokugula, lapho okuqukethwe emathunjini futhi aphonswe mapayipi. Ngenxa yalokho odongeni isinye nge-enzyme juice pancreatic futhi ezilimele.
3. anomalies azalwa naso. Sikhuluma isakhiwo of the bubble ngabanye. Ngu zokugula kungadala ngodonga ahlukahlukene, ukweqisa walo mzimba.
4. iziyaluyalu kwegazi lwesinye. Lokhu umtholampilo kungaba avuse izifo: umfutho wegazi ophakeme, isifo sikashukela, isifo sokuqina kwemithambo yegazi. Ukuqhubeka lezi zifo libhekene omncane mafutha anciphisa isikhala esingaphakathi semithambo.
5. Diskholiya. Nokugula, okuyinto ephazamisa indlela yokwakheka Bile futhi kwesinye odongeni umonakalo kwenzeka. umtholampilo Nasty ngokuvamile kubangela ukudla okungafanele (ukuluthwa ngokweqile emafutheni noma Ukudla okuyisidina).
6. Yokungezwani komzimba, ukusabela immunological.
7. ubunjalo endocrine. izimpawu cholecystitis ngokuvamile zenzeka abesifazane ukuthatha izinto zokuvimbela inzalo ngomlomo. Ngaphezu kwalokho, izimbangela zesifo ingavuthi kokuya esikhathini okungajwayelekile, ukukhuluphala nokukhulelwa.
8. Isici Ukubambezeleka.

izinhlobo isifo

Pathology kuye ukugeleza kungaba:

1. Olunamandla. Ukugula eba phezu izinsuku noma amahora ambalwa. It libhekene izimpawu evelele. Lokhu zokugula uma kwenzeka ukufinyelela esifike ukunakekelwa ngezokwelashwa kuthatha ngempela evumayo.
2. Okungalapheki. Uma ifomu acute lesi sifo alinikwa ngenxa ukunakwa noma ukugula aphathwe ngendlela efanele, isiguli ekuthuthukiseni kulesi sigaba. Izifo kungaba asymptomatic. Utfutfukisa kuvamise kancane kancane. ngokukhethekile kufanele kube ezingamahlalakhona cholecystitis (Izimpawu kanye Ukwelashwa). Ukudla inendima enkulu ekulweni nezifo.

cholecystitis Okungalapheki lihlukaniswe:

• I-evilaphayo (esicashile);
• yansukuzonke;
• ubovu esidalwa yizilonda emathunjini sibe.

Ngu khona concrements ifomu 2 ahlukanisa

• acalculous (ngaphandle cholelithiasis);
• calculous.

Ukuze ukugula okungalapheki libhekene izinyathelo:

• ukuthethelelwa;
• exacerbation.

Ngakho, cabangela izici zalesi sifo njengoba cholecystitis okungamahlalakhona. Izimpawu kanye Ukwelashwa, ekudleni nokugwema izifo ethulwa ngezansi.

ukubonakaliswa Clinical lesi sifo

liphinyiselwe kakhulu ukuhlaselwa okukhulu cholecystitis. Izimpawu ejwayelekile yaleli fomu:

• ubuhlungu obuhlabayo kakhulu sibi emva kokudla ukudla;
• ukuhlanza;
• uhudo kungenzeka;
• ukunambitheka ababayo noma metallic emlonyeni;
• komzimba okukhulu.

Nokho, ifomu acute lesi sifo sitholakala kuphela ukuvuvukala kwesinye. Isithombe kuyiwa siyenzeka uma isiguli sekutholakele ukuthi sine- cholecystitis okungamahlalakhona. Izimpawu zesifo kuleli fomu mancane evelele. Nokho, ezindongeni inyongo ukubona ushintsho olwenzeka atrophic futhi sclerotic. Ukushintsha izici amakhemikhali nezingokwenyama Bile.

Cholecystitis ukuzwa lezi zimpawu ezilandelayo kwabesifazane (isithombe umbukiso esimweni ezingemnandi enjalo):

• khona ubuhlungu chronic endaweni ye hypochondrium kwesokudla;
• ukungakhululeki is kakhulu sithuthukiswe emva kokudla ukudla okunamafutha;
• ukufutheka koma ku ngalo ingaphakathi ngomlomo ekuseni;
• nesenzakalo ngezikhathi isicanucanu;
• ukuvuvukala;
• ezingavamile sezinyawo ketshezi.

Ubuhlungu izifo akuyona njengoba liphinyiselwe njengoba ifomu oyingozi. Kuvame echazwe njengo ukungakhululeki egqoke bezwe izinhlungu, uhlamvu buthuntu. Kwezinye iziguli, kukhona njalo, ubuhlungu uyakhathaza. Ezinye iziguli zibhekene ukubonakaliswa okukhulu lesi sifo, okwenzeka ngokuvamile ngemva esindayo ukuphuza ukudla okungalungile. Kulokhu, kungase kuvele ngisho colic biliary.

Izimpawu exacerbations isifo

Flow e isifo nesineke njalo kukhona ngokuhlasela cholecystitis. Izimpawu kulesigaba zifana kakhulu ifomu acute lesi sifo. Ngenxa yalesi isimo libhekene izici ezivamile futhi ukubonakaliswa endawo ukuthi ukuvuvukala isignali lwesinye.

On exacerbation of ezingamahlalakhona izimpawu cholecystitis ukhombise lokhu okulandelayo:

• liphinyiselwe umkhuhlane;
• komzimba;
• ukuqunjelwa njalo;
• ikhanda;
• kungase silume.

Kanye umtholampilo zikhona izimpawu zendawo. Babuye libhekene exacerbation of cholecystitis okungamahlalakhona.

izimpawu ezinjalo kuyagcinwa:

1. Ubuhlungu. Kungaba emaphakathi noma sasivumela abukhali. Kuhunyushelwe kabi esiswini engenhla, ngokuvamile ilungelo quadrant engenhla.
2. ukunambitheka ezingemnandi emlonyeni. Isiguli okungenzeka uhlangabezana ukunambitheka ababayo noma metallic akhononde. Anakho bhodla emoyeni, isicanucanu. Indoda bahlushwe ukubuyisa. Ngokuvamile kukhona okungavamile wamathumbu ukunyakaza ngokuvamile enye sohudo, ukuqunjelwa.
3. Siba nomuzwa ukusinda esifundeni hypochondrium kwesokudla.
4. Okuvela ukuqwasha, ukucasuka ngokweqile.

Amandla ubuhlungu kuncike khona amatshe esinyeni. Lapho calculous cholecystitis ukungakhululeki elinesimo abukhali, uhlamvu lokuqala nolokugcina. Ukuze isifo acalculous libhekene bezwe izinhlungu, ubuhlungu zomile, ngokweqile amandla isiguli. Ukuqaleka yinto esekwazi ukubonisa hhayi kuphela ilungelo quadrant engenhla. Isikhathi esining impela, ubapha e isandla sakhe sangakwesokudla, isiphanga.

Okungalapheki angahlangani paroxysmal kwenzeka. liphinyiselwe izimpawu ngesikhathi exacerbation. Emva ukuhlaselwa, zonke izimpawu zesifo abohle. Kufika ukuthethelelwa. Ngalesi sikhathi, isiguli ukholelwa ukuthi ekungaphelelini isifo kanye nezimpawu ezingemnandi akayikungilandela. Nokho, ukwephulwa sokungacabangi Ukudla, umthwalo ngokweqile, hypothermia, utshwala kungase futhi kuholele ukuhlaselwa.

yezinkinga lesi sifo

Akufanele ukushaye indiva izimpawu cholecystitis. Izimpawu ukuthi alethe ukungakhululeki isiguli, - isiginali umzimba udinga ukwelashwa okufanele.

sokungasebenzi isikhathi eside kungaholela ukuthuthukiswa yezinkinga ngokwanele sina:

• cholangitis;
• kumiswa fistula zingene esiswini, flexure hepatic, duodenum;
• ukusha kwesibindi kohlobo esisheshayo;
• "Cima" isinye (nenyongo ayisekho wenza umsebenzi walo ngendlela elizwakalayo);
• periholedohealnomu lymphadenitis (ukuvuvukala ikhulela imbobo Bile);
• esinyeni empyema (ubovu ukuvuvukala);
• wamathumbu isimiso;
• esibhibhayo ka inyongo kanye nomhlaba obhekwe peritonitis;
• perforations (bubble ukuphulwa).

sitholakele isifo

Kubalulekile kakhulu, uma ezingamahlalakhona izimpawu cholecystitis kuyagcinwa kwabesifazane, xhumana nodokotela.

Lemisebenti lelandzelako abazenzi ukuze kuhlonzwe:

• nemlandvo wetekwelashwa kwakhe;
• Ukuhlola esigulini;
• ukuhlolwa laboratory;
• izifundo wezinsimbi.

Ekuqaleni, lo dokotela uzokubuza ngokuningiliziwe mayelana, ukuthi izimpawu isiguli ibhekene, edlule zenzeka kanjani isikhathi esingakanani, futhi umphumela waba ukuthi livela. Doctor ukuhlola ubukhona nesineke izifo ezinjengesifo sikashukela, izifo emathunjini, kwesibindi. Wathi uma kwakukhona isifo enjalo kunoma yiziphi izihlobo.

Phakathi ukuhlolwa abayinakanga izimpawu eveza khona lesi sifo:

1. kwemisipha zokuphepha sici. Isiguli kuqinisa imisipha besisu ukuvikela usuthi ogulayo.
2. Phakathi palpation ubuhlungu ukwenyuka ilungelo quadrant engenhla.
3. Ukuthepha ilungelo lwaleli costal ephelezelwa ukungakhululeki.

Isiguli ezinqunyiwe izindlela laboratory:

1. Igazi test.
2. Ucwaningo khona emzimbeni kwesibindi amagciwane.
3. Igazi-biochemistry. Lokhu kuhlaziya okuzuzisayo kuphela ngemuva kokuxinwa iziqubu zokuba colic.
4. Ukuphenywa okunamafutha lipid umzimba.
5. Coprogram.

Ukukhomba cholecystitis amathuluzi Kunconywa izenzakalo ezifana:

1. Ultrasonography we peritoneum.
2. Endoscopy Upper. Uhlaziyo kusivumela ukufunda isimo emphinjeni, duodenum, isisu. Phakathi nesifundo, lona biopsy esithathwayo.
3. esimweni Plain we peritoneum. Libonisa ukuthi kwakunezingxabano khona amatshe esinyeni, kodwa lezo i-calcium kuphela.
4. CT. Uhlaziyo ivumela ukuhlolwa eningiliziwe isimo izitho zangaphakathi. Ngosizo yalolu cwaningo zembula kabi Kutholwe isimila ukugxisha le Amapayipi Bile.
5. Holetsistoangiografiya. Lokhu ukuhlola-X-ray, lapho ngaphansi kolawulo ultrasound iyunithi wadubula eziningana. azihlole senzeka nokusetshenziswa radiopaque izidakamizwa ukugcwaliswa mapayipi.
6. cholangiopancreatography retrograde. Usebenzisa idivayisi ekhethekile - duodenofibroskopa elawulwa isiguli ngomlomo kuya duodenum, udokotela iqala ukuba Bile indlela izidakamizwa radiopaque. Lokhu kukuvumela ukuthola amatshe noma imbobo constriction. Ekukhombeni izithiyo ezinjalo udokotela ukuhlinza iziguli endoscopic, kususa izithiyo.
7. MR. Lolu cwaningo inquma engabonakali-X-ray kanye ultrasound izinguquko esinyeni izindonga kanye nezinhlaka ezizungezile.
8. scintigraphy Hepatobiliary. Ukuhlola isibindi ipheshana biliary, okuyinto ephawula ukusebenza kwezitho Amapayipi locomotor umsebenzi.

Ekwelapheni lesi sifo esigabeni oyingozi

Izindlela zokwelapha ngaphandle athembele ngokuphelele kulokho unezimpawu cholecystitis kwabesifazane. Ukwelashwa izifo e ukuthethelelwa ngokuphongoza emzabalazweni nalesi sifo ngesikhathi exacerbation.

Uma isiguli ine ukuhlasela, ukwelashwa kuhloswe ekhuluma izimpawu nempumuzo yesifo ukusabela pathogenic. Ukwelapha ukuthethelelwa kuhlanganisa zokuvimbela ukuphinda.

Izidakamizwa-eyenga cholecystitis okungamahlalakhona ngesikhathi yokwelapha acute kusekelwe ukwakhiwa ezilandelayo ezenza imithi:

1. Imithi elwa namagciwane: "Erythromycin", "Doxycycline", "Ciprofloxacin", "Biseptol", "Furozolidon", "metranidazol", "Oxacillin".
2. Antispasmodics "papaverine", "Pitofenone", "Drotaverinum", "Platifillin".
3. imikhiqizo Bile: "Sorbitol" "Nicodin", "Allohol", "Tsikvalon".
4. Ama-NSAID: "Baralgin", "spazgan".
5. Propulsanty (izidakamizwa okuyinto zishukumisa motility), ezifana "domperidone".
6. Antiemetics, "Reglan", "Promethazine".
7. Polyenzyme nemithi, "zemikhosi" "Pancreatin".
8. izidakamizwa sine: tincture valerian, motherwort.

ethandwa kakhulu ekulweni cholecystitis okungamahlalakhona uyawuthanda enjalo umcimbi njengoba tubeless tyubazh. essence yayo liqukethe ukugeza Amapayipi, kulandele ukukhuthazwa inqubo Bile uketshezi.

ukwelashwa cholecystitis

Phakathi ukuthethelelwa ukwelashwa liqukethe:

• yokwelapha yokudla;
• ukusetshenziswa choleretic imithi, "Holenzim", "Lioba", "Allohol", "Flamen", "holosas", "Holagol", "Olimetin", "Rozanol";
• Physiotherapy (ukwelashwa ngempumelelo: balneotherapy, inductothermy, electrophoresis "novocaine").

Futhi, qiniseka ukuthi isiguli Kunconywa uma kukhona izifo ezifana cholecystitis okungamahlalakhona, izimpawu, ekudleni.

Lapho eveza isifo calculous isiguli inikezwe cholecystectomy okuhleliwe. Lokhu kuhlinza, phakathi kwesikhathi lapho bubble iyasuswa.

ukudla engavumelekile

Kungakhathaliseki indlela ukugeleza, liyisici esibalulekile yokwelashwa okuphumelelayo. Ngakho-ke, zonke iziguli Kunconywa (it ugwema enjalo isici buhlungu kakhulu lesi sifo, okuthiwa izimpawu cholecystitis) Ukudla.

Lapho lesi sifo inikezwa inamba ithebula 5. inothi ethile kuba okubi kakhulu of cholecystitis.

Izimpawu, kokuzama isiguli, zidinga ukwelashwa yezokwelapha nje kuphela, kodwa futhi ulungise Ukudla:

1. Ngesikhathi kuhlaselwa, kufanele ukudala izimo Ubuningi bamahora engashiyi ipheshana wokugaya ukudla. Kuze kube yimanje, phakathi nezinsuku zokuqala ezimbili odokotela ukuvumela nesineke ukuphuza uketshezi kuphela. Ngenxa yale njongo, efanelekayo non-carbonated lamanzi esiphethu, non-esidi berry futhi zezithelo buhlanjululwe ngamanzi ubiliselwe nengxenye. Ngilusizo nesineke umhluzi okhalweni.
2. Njengoba ubuhlungu kwadamba ukungakhululeki isiguli yayekwa yaqhubeka ukudla pureed ukudla. Umuntu Kunconywa okusanhlamvu lwamafinyila, amasobho (irayisi, oat, semolina), berry izithelo (amnandi ngempela) mousse, jelly, jellies. Nokho, ukudla kufanele kudliwe nengcosana ukuze singathwesi kuvuse sindisa wokugaya ukudla. Kuyinto Ukudla kubaluleke kakhulu. Ukudla kumele kuthathwe ngesikhathi esithile.
3. Khona-ke, ekudleni lesiguli kuyinto ephansi fat cottage shizi ifakiwe, inhlanzi abilisiwe, inyama umusi. Kunconywe ukusetshenziswa croutons bezinkwa ezimhlophe.
4. Ngemva 5-10 izinsuku emuva kwalokhu kuhlaselwa, isiguli idluliselwe ngokucophelela a wezokudla inombolo etafuleni 5a.

Iziguli kufanele uqaphele ngokucacile ukuthi cholecystitis - lokhu kuyisifo esingathí sina esingase kakhulu. Ukugcina umsoco ofanele ivumela isheshe bamsuse. Ukudla kuhloswe ukunciphisa asidi Bile.

Ongoti, nabelane umsoco ofanele iziguli batusa okulandelayo:

1. Olulahliwe okuthosiwe, ukudla ngokweqile okunamafutha.
2. Yakha ekudleni kwakho kwi, abilisiwe, ukudla nezitini iyisitshulu.
3. Ungathathi ukudla kushisa noma kubanda kakhulu.
4. Nciphisa ukusetshenziswa sweet and khekhe.
5. Yidla kaningi, kodwa izingxenye ezincane.
6. Strictly bagcine Ukudla - yidla ukudla ngesikhathi esisodwa futhi ngesikhathi esifanayo.
7. Makudle yemifino kanye yobisi ukudla. Fibre mkhulu normalizes inqubo sokuzikhulula futhi ashukumise motility. Ubisi ikuvumela ukubuyisela acid-ane-alikhali ibhalansi omzimba.
8. itiye eqinile, ikhofi is hhayi Kunconywa ukuba ayisebenzise.
9. Yidla amaqanda akufanele kube izikhathi ezingaphezu kuka-2-3 ngesonto. Isikhuphasha kungcono ukuyikhipha.

Ngaphezu kwalokho, iziguli kufanele siphuza neziphuzo kakhudlwana. Imikhiqizo ophezulu amafutha ne-cholesterol, kuyinto efiselekayo aluqede ngokuphelele kusukela ekudleni kwakho.