Izimpawu ngokuhlasela isifo gallstone. Kanjani ukunikeza usizo lokuqala?

Isintu kusukela ezikhathini zasendulo ezaziwa mayelana isifo gallstone (GSD). Inani elikhulu zezincwadi nezihloko enikelwe nalesi sifo. Naphezu kwalokhu, abantu abaningi abazi ukuthi yini kumele inikezwe sizo iziguli ngesikhathi gallstone kuhlasela. Ziyini izimpawu sobuntu bakhe ukuthi kungenziwa umuntu, yini imithi engase isize? Lena yimibuzo kufanele siyixazulule.

Kuyini CL?

Ukuhlaselwa yesifo gallstone (izimpawu, usizo lokuqala esihlokweni) - ngempela esematheni, ngoba GSD kuyinto isifo ezivamile. Lapho lesi sifo okuthiwa ku Amapayipi Bile futhi gallbladder buthelela amatshe. Ziyakwazi cholesteric futhi sombala. Eyokuqala yalezi kuyizinto ezivamile. Ukwakheka cholesterol amatshe kuhlanganisa cholesterol, mucin, bilirubinate, phosphate, carbonate, ne-calcium palmitate, kanye nezinye izinto.

Pigment amatshe zihlukaniswe omnyama ensundu. Black isakhiwo ikakhulu atholakala gallbladder. Bona akhiwa calcium bilirubinate nezinye izingxube zamakhemikhali bilirubin, calcium carbonate ne nosawoti phosphate, mucin, nezinye izinto. amatshe Brown avame zitholiwe Amapayipi Bile. Letakhi yakhiwa calcium nosawoti of bilirubin unconjugated ne iinthombe cholesterol, amaprotheni.

engcupheni

Ukugula lapho izimpawu engaveza ngokuhlasela isifo gallstone, kwenzeka ngenxa yezizathu ezihlukahlukene. Enye yezinto ingozi - wentombazane. Izibalo zibonisa ukuthi abantu abamele isigamu enhle lwesintu ngokuthi lesi sifo kwenzeka kakhulu njalo okwengeziwe kunamadoda. Enye ingozi kubaluleke isici - yobudala. Amatshe atholakala enyongweni atholakala abantu abaningi ngemva kweminyaka engu-60.

indima ebalulekile ukwanda ukuvama cholelithiasis udlala ukukhuluphala. Kukhona abantu okhuluphele kakhulu Bile ekhiqizwa supersaturated ne-cholesterol. Esinye isici esibalulekile kakhulu - sokukhulelwa. Abantu besifazane abane-esimweni, kwandisa izinga estrogen. Ngenxa yalokhu, it kwandisa uketshezi cholesterol Bile.

Ezinye izici ingozi, ngenxa okuyinto kukhona isifo gallstone (ukuhlasela) yilezi:

• ukwehla ngokushesha futhi okuphawulekayo esisindo;
• sikashukela;
• umsoco parenteral ;
• izifo emathunjini;
• ukusebenzisa izinto zokuvimbela inzalo ngomlomo.

Asymptomatic futhi sohudo ifomu isifo

Abanye abantu bakule amatshe nenyongo sesinye, kodwa abagulayo ngesikhathi esifanayo ungazenzi noma yiziphi izikhalazo. Leli fomu sifo okuthiwa asymptomatic (esicashile). Ochwepheshe akubheka ngayo ibe inkathi GSD zamanje, eqinisweni, ngokusho izibalo, eminyakeni engaba ngu-10 noma 15, 30-50% wabantu ukuzwa izimpawu zesifo kanye nezinkinga.

Olunye uhlobo isifo gallstone - sohudo. Abantu abagulayo esekhala iziyaluyalu nemisebenzi yokusetshenziswa emathunjini ipheshana umsebenzi. Uhlangabezana zimpawu ezilandelayo (zenzeka, ngokuvamile emva kokudla, ikakhulukazi uma ziye ukudla okuthosiwe, okunamafutha, ukudla okubabayo, utshwala):

• umuzwa wobukhulu ku epigastric nesokudla quadrant engenhla;
• ukunambitheka ababayo emlonyeni;
• isilungulela;
• ngokweqile igesi ekuqongeleleni emathunjini;
• esihlalweni engazinzile.

Isibindi (Bile) colic

ifomu Asymptomatic futhi despepticheskaya yesifo gallstone Akuwona kuphela. Ochwepheshe futhi isehlane isibindi (Bile) colic. Lona Uhlobo oluvame kakhulu emitholampilo ye isifo. It sitholakale 75% amacala kubantu abaphethwe isifo gallstone.

Ukuze isibindi (Bile) colic libhekene ngokuzumayo owabonakaliswa izimpawu yansukuzonke kanye kuhlasela cholelithiasis. Kwezinye iziguli, zivele ngenxa yokudla engafanele kanye nemsebenti lotsintsa umtimba. Ezinye izindaba zika-abantu abakwazi ukuhlonza ashaywe. Ukuquleka uqale ebusuku, ngesikhathi sokulala.

Izimpawu gallstone kuhlasela

Ukuhlaselwa lesi sifo livezwa ubuhlungu. Ezimweni eziningi, it is zendawo epigastrium, ngezinye izikhathi wazizwa endaweni yenqubo xiphoid. ngemisebe olungenzeka ubuhlungu ehlombe langakwesokudla noma ilungelo isiphanga. Kabi umfutho kanye uhlamvu zingahluka: Ukubhoboza, ngokucindezela, cramping.

Ngaphezu ubuhlungu, futhi kungase kube izimpawu asolisayo ezifana isicanucanu, ukuhlanza of Bile, okungadingi abalethele impumuzo. Nokho, kufanele kuphawulwe ukuthi lezi zimpawu ka ngokuhlasela isifo gallstone ezingajwayelekile ngokwanele. Bona kwenzeke inamba encane yabantu abagulayo.

On luhlolo, ochwepheshe uqaphele izimpawu ezilandelayo mgomo iziguli zabo:

• ukukhathazeka, ukungahlaliseki (abagulayo begijima futhi uzama ukuthatha isikhundla lapho nobuhlungu kwakuyoba aye ancipha);
• anda kwenhliziyo amabhithi 100 ngomzuzu;
• ulimi usemanzi, enamathela camera luhlaza olumhlophe;
• Ukuvuvukala, isigamu salo esifanele ngemuva kwesenzo sokuphefumula;
• eshaywayo kanye palpation abantu esiswini esekhala ubuhlungu obuhlabayo ku hypochondrium kwesokudla.

Isikhathi kanye nokuvama ukuhlaselwa

Ubuhlungu kubantu abaphethwe isifo gallstone, kwenzeka ngokuzumayo. kokuquleka isikhathi kungenzeka kusuka imizuzu engu-15 kuya kwezingu-8 amahora. Ngezinye izikhathi ubuhlungu ihlushwe amahora 12. Lokhu kwenzeka kakhulu ekuthuthukeni cholecystitis oyingozi. Lapho iziqubu zokugula sihamba, ubuhlungu iphele. Singakwazi umuzwa ongamuhle esiswini kuphela.

ukuhlaselwa PERIODICITY at isifo ngabanye. Kwezinye abantu izimpawu kweziguli colic biliary singenzeka nsuku zonke, kwesibili - kanye ngesonto, ngehora lesithathu - kanye ngenyanga. Kakhulu akuvamile ingenye kuphela ubuhlungu kuhlasela.

usizo lokuqala

Uma uneminye izimpawu of ngokuhlasela isifo gallstone, kubalulekile ukufuna usizo lodokotela ngokushesha. Ngaphambi isiguli kufanele uvakashele onguchwepheshe ukunikeza usizo lokuqala:

• ukuhlinzekela ukuphumula (kunconyiwe embhedeni);
• ukunikeza lamanzi (kufanele agqoke hypochondrium kwesokudla);
• nikeza ukugeza ngamanzi afudumele.

Ngesikhathi ekuhlaseleni isifo gallstone livumelekile ukulinikeza nemithi: antispasmodics ( "Drotaverinum" "Cha-spa") lihambisana analgesics ( "Spazmalgon", "Baralgin"). Futhi ungakwazi ukulinda udokotela ngokushesha. Lo chwepheshe uzokutshela ukuthi ukususa lesi senzo futhi ukwethula imithi edingekayo umthamo kuchazwe:

• "Nospanum" (2 ml intramuscularly);
• "Papaverine", 2% (2 ml intramuscularly);
• "Baralgin" (ngemithambo yegazi 5 ml);
• "Atropine", 0.1% (1 ml phansi kwesikhumba).

Ngokuba izimpawu of ngokuhlasela isifo gallstone kungenzeka ukufihla nezinye izimo eziyingozi. Ukuze uqinisekise uphethwe liyadingeka ukwenza analysis eningiliziwe igazi, ultrasound noma fluoroscopy. Lemisebenti lelandzelako oyokwenziwa ebukhoneni ochwepheshe wobufakazi:

• wokuhlanza Bile Amapayipi;
• ukususwa kuhlinzwa kwamatshe ekhona, gallbladder.

amandla Izici

Ukuhlaselwa yesifo gallstone, izimpawu, ukwelashwa zonke gastroenterologist yaziwa, hhayi kuyinzwabethi ajwayelekile kubantu abaningi. Nokho, akubona bonke abangakholwa ecabanga zokuvimbela. Ukubhekwa kokuvinjelwa okuvela isifo gallstone eyohlasela usizo eside kuyodingeka ukushintsha imenyu yakho yansuku zonke.

Okokuqala, kubalulekile ukuba ayiyeke le amafutha ephezulu ukuncibilika. Ngenxa yokuntuleka kokuthola Bile wanciphisa ukuhileleka ezithile enzyme - lipase. Lokhu, kuholela ukugaya ompofu kanye nokwenziwa kwamafutha. Abantu ubuhlungu, amajaqamba, ukuvuvukala. Kuvunyelwe kuphela ibhotela kanye nowoyela zemifino.

Okwesibili, kusuka imenyu yayo ukuze ingafaki rye isinkwa, amakhowe, uphizi, ubhontshisi, amantongomane, ukolo, ushokoledi, ikhofi, ukhokho, khekhe. Lokhu kudla kubangele okubi kakhulu, ngoba ukugaya zabo kudinga voltage ka-enzyme izinhlelo zomzimba womuntu.

amathiphu abelaphi

Sand namatshe akhiwa kule gallbladder, Bile ukugxambukela kokuthuthukisa evamile, ukushintsha lo mshini wezenzo zawo. Ukuze ukwelashwa kanye nokuvinjelwa yalezi zinhlelo abelaphi ukweluleka ukuthi yini okufanele uyenze. Ukuhlaselwa kungagwenywa:

1. Waphatha ngamafutha omnqumo. Lo mkhiqizo kusiza esheshisa ukuchotshozwa amatshe emzimbeni kwangaphakathi. Folk abelaphi batusa kwansuku zonke, ngaphambi kokulala, thatha 1 tbsp. l. uwoyela bese kuphuzwa ijusi isibambo kusuka lukalamula. Isikhathi abantu ikhambi kungenzeka 1 iviki. Ngalesi sikhathi kubalulekile ukuba banamathele ukudla imifino, ungabhemi, ungaphuzi utshwala, ikhofi, ungadli ukudla ezibanga ukubuyisa.
2. Phuza decoction ngezindleko zemithi engamakhambi. Ukukhokha kokuqala up kusuka Mint, chamomile futhi immortelle ku isilinganiso 2: 1: 1. Khona-ke ukwenziwa 1 tbsp. l. ingxube 0.5 amalitha amanzi ashisayo. imithi Tholakele igcinwe kwi ukushisa low imizuzu 30. Ready umhluzi lemifanekiso baphuze 0.5 izinkomishi kane ngosuku, isigamu sehora ngaphambi kokudla.
3. Ukuzila Ukudla ukudla kulamula izinsuku 3. Lokhu izithelo ehlutshiwe badabula grinder inyama. Ingxube wafakwa wanezela amahora 0.5. L. soda.

Ngakho, wena bati yokuthi lokhu kuhlasela yesifo gallstone. Izimpawu, usizo lokuqala - lokho kuyinto okumele uziqaphele bonke abantu, ngoba akekho iphephile ngenxa yalesi sifo. Futhi ungakhohlwa ukuthi okuvela ukuhlaselwa gallstone ingavinjelwa. Prevention kuzomele sifake kokunamathela endleleni yokubhala okunengqondo Ukudla, zincishiswe noma ukuqedwa yokujama tsi of Bile ku gallbladder (yokulwa adynamia, ukudla njalo), ukwelashwa ngokushesha izifo ezingamahlalakhona ekhona.