Hauv cov poj niam thaum muaj hnub nyoog 40 xyoo, qeeb mob ntawm lub gallbladder feem ntau kuaj pom. Qhov no yog ib qho kab mob txaus ntshai uas tuaj yeem ua rau muaj teeb meem ntau thiab ua rau kom tshem tawm cov khoom. Yuav kom tsis txhob muaj qhov tsis zoo, nws yog qhov tseem ceeb kom paub txog cov tsos mob ntawm tus mob pathology hauv lub sijhawm thiab pib kho nws.
Ua rau mob cholecystitis
Cov txheej txheem kev mob yog pib vim yog kev ua txhaum ntawm kev tuaj yeem ntawm lub gallbladder. Tom qab ntawd, tus kab mob kis tus kabmob ua ke tuaj yeem ua rau mob hnyav dua. Qhov ua rau ntawm cholecystitis, thickening thiab stagnation ntawm bile, qhov tsos ntawm cov yam ntxwv mob:
- ib qho kev noj haus uas tsis muaj kev noj haus nrog cov nqaij ntses los sis rog rog;
- kev quav dej caw;
- pob zeb hauv lub gallbladder ;
- Overeating;
- rog;
- muaj kev sib thooj hauv lub cev ntawm lub gallbladder;
- cev xeeb tub;
- hypokinetic dyskinesia ntawm bile ducts ;
- ablation ntawm plab kab noj hniav;
- plab hnyuv cab;
- hypodynamia ntawm lub gallbladder;
- tsis muaj kev sib haum xeeb;
- kev nyuaj siab;
- dysmenorrhea;
- arteriosclerosis ntawm cov hlab ntsha;
- qog nyob hauv plab kab noj hniav;
- propensity rau kev ua xua;
- hnub nyoog hloov hauv lub cev.
Hom mob cholecystitis
Muaj ntau txoj kev xaiv rau kev cais txog tus kab mob no. Nws yog ib qho tseem ceeb kom sai li sai cholecystitis kev kho mob - cov tsos mob thiab kev kho mob ntawm txoj kev qeeb nrog ntau raws li nws cov duab. Kev kuaj tsis raug thiab kev kho tsis haum yuav ua rau ua rau kev ua kom tsis muaj zog ntxiv, nws kis mus rau cov kabmob ze thiab lwm yam kev txhaum loj.
Hom mob cholecystitis raws li lub sijhawm ntau dua:
- latent lossis subclinical;
- tsis tshua muaj tshwm sim (txog li 1 nres ib xyoo lossis tsawg dua);
- feem ntau mob nyhav (2 los yog ntau dua ntawm 12 lub hlis).
Thaum mob hnyav thiab mob hnyav, qhov mob tshwm sim:
- lub teeb;
- nruab nrab;
- hnyav;
- nrog cov teeb meem.
Lub luag hauj lwm tseem ceeb yog ua los ntawm kev muaj kev sib tw nyob rau hauv lub gallbladder. Hauv no, qhov pathology faib ua 2 pawg:
- pob zeb;
- bezkamennaya.
Mob hnyav cholecystitis
Raws li kev lees paub dav dav, qhov kev tsim ntawm kev sib tw yog vim muaj kev hloov hauv qhov piv txwv ntawm acids thiab cov roj hauv cov kua mis. Cov khoom tom kawg ntawm precipitates nyob rau hauv siab ntau, los ntawm cov khoom nplej yog tsim. Feem ntau cov txheej txheem no yog qhov ua ntej cov tsis sib thooj ntawm cov zom tsis yog - cov pob zeb hauv lub zais zis tuaj tawm tsam cov keeb kwm ntawm kev tsis taus ntawm lub nruab nrog cev thiab nws txoj kev tsav lub cev tsis muaj kev kho txaus. Lwm cov laj thawj rau kev tsim kom muaj kev sib tw:
- kab mob siab;
- ntshav qab zib mellitus;
- duodenitis;
- inaccuracies hauv kev noj haus;
- rog;
- Cov tsos mob ntawm cov biliary dyskinesia;
- pancreatitis;
- Helminthiasis;
- Crohn tus mob;
- gastritis;
- Digestive infections;
- cirrhosis ntawm daim siab.
Chronic lub cev tsis sib thooj
Stasis thiab thickening ntawm bile yog cov yam tseem ceeb uas txiav txim xyuas qhov kev loj hlob ntawm tus kab mob no. Tus neeg sawv cev tam sim ntawd, uas ua rau muaj mob acalculous cholecystitis, yog xav tias yog kis tau tus kab mob. Cov neeg hauv qab no tuaj yeem ua kom mob o:
- staphylococci;
- E. coli;
- enterococci;
- protey;
- tov microflora.
Nws yog ib qho tsim nyog kom paub meej tias qhov mob cholenessstitis no ua rau saum toj no - cov tsos mob thiab kev kho mob ncaj qha nyob ntawm qhov chaw ntawm cov kev mob ntsws. Tus mob kis mus rau lub gallbladder tsuas yog nyob rau hauv ib qho kev tawm ascending los ntawm intestine. Tsawg dua, kab mob pathogenic migrate nrog cov qog los yog ntshav los ntawm cov foci ntawm qhov ncauj qis.
Cholecystitis ntev - cov tsos mob
Daim duab kab mob ntawm cov kab mob tau piav rau nws cov duab thiab qhov hnyav. Cov tsos mob ntawm tus mob cholecystitis tsis muaj kev sib tw nyob rau hauv lub gallbladder:
- periodic rub los yog khaus khaus mob nyob rau hauv txoj kab tav;
- nce los yog tsis xis nyob hauv cov tshuaj tua kab mob tom qab noj cov roj, ntsim, zaub mov acidic;
- txob taus;
- pw tsaug zog mob;
- flatulence;
- qhov kev hnov mob ntawm kev tu siab hauv qhov ncauj;
- kev ua pa nrog cua;
- qee zaus - xeev siab;
- arrhythmia.
Cov kab mob cheem tsis ntev los no tseem ua tau zoo li qub - cov tsos mob yuav ua rau tus kab mob uas tsis mob plawv, vim li ntawd cov kev muaj peev xwm pom tau tias tsuas yog thaum lub sij hawm cuab yeej los yog kho vaj tse nyob rau kev txhawj xeeb ntawm kev kho mob. Ob leeg hom pathology tuaj yeem vam meej yog tias tsis muaj teeb meem loj tshwm sim, vim tias tus kab mob no tau pom los ntawm ib qho nyuaj ntawm kev loj hlob nrog cov kev mob nyuab.
Exacerbation ntawm mob cholecystitis
Txoj kev rov qab ua rau cov txheej txheem ntawm cov lus nug feem ntau cuam tshuam los ntawm cov teeb meem hauv kev noj haus thiab yog nrog los ntawm qhov tam sim ntawd cov tshuaj tiv thaiv los ntawm cov tshuaj tua kab mob uas muaj cov cim tshwj xeeb. Cov mob tsis ntev los ntawm cholecystitis ntev li ntawm qhov kev sib kis tau yog cov tsos mob xws li:
- mob siab heev ntawm sab xis, muab rau lub xub pwg hniav thiab lub xub pwg;
- hloov cem quav thiab mob raws plab;
- kub cev;
- khaus;
- jaundice;
- heartburn;
- mob los yog hnyav hauv cheeb tsam hauv siab;
- tsis xis nyob hauv cov hnyuv.
Exacerbation ntawm mob cholecystitis - cov tsos mob nyob rau hauv muaj lub pob zeb nyob hauv lub gallbladder:
- ntuav heev;
- darkening ntawm zis;
- kev paub txog cov quav;
- muaj roj hauv quav;
- mob mob hnyav nyob rau hauv epigastrium thiab sab xis, uas ua rau hauv lub caj dab, sab nraub qaum, forearm thiab hauv qab ntawm daim nplauv quav (biliary colic);
- hypotension;
- kev qaug;
- ntxiv zog kub cev;
- tachycardia.
Mob cholecystitis - mob nyhav
Los tsim ib txoj kev kho kom yog, nws yuav tsum tsis yog kom paub tseeb tias muaj cov mob o. Nws yog ib qho tseem ceeb kom paub seb vim li cas cholecystitis tau pib - cov kev mob tshwm sim thiab kev kho mob ntawm tus kab mob no sib haum mus rau cov neeg sawv cev ntawm cov neeg mob txoj sia. Ua ntej, tus kws kho mob yuav sau ib qho anamnesis, ua kev kuaj mob thiab palpation (palpation) ntawm lub plab. Thaum lub sij hawm ntawm daim ntawv ntsuam xyuas, qhov tseem ceeb los txiav txim pib qhov pib ntawm qhov mob: hypodynamia, noj haus cwj pwm, kev tsim kev puas tsuaj, thiab lwm tus. Qhov kev kuaj zaum kawg ntawm "mob cholecystitis" yog tsim los ntawm kev tshawb fawb:
- biochemical thiab kev ntsuas ntshav;
- Ultrasound ntawm plab kab noj hniav;
- cholecystography;
- duodenal sounding;
- scintigraphy;
- kev ntsuam xyuas ntawm bile;
- choleography;
- arteriography.
Mob cholecystitis ntev - kho
Txoj kev kho kom haum yog xaiv ib tus zuj zus raws li cov kev mob ntawm tus neeg mob ntawm tus neeg mob thiab daim ntawv ntawm txoj kev ua haujlwm. Tsuas yog ib tus kws kho mob muaj cai xaiv tau seb yuav kho tus mob cholecystitis li cas. Kev sim sab nraud los daws cov kab mob no feem ntau tsuas yog ua rau cov kev mob tshwm sim thiab qhov tshwm sim ntawm cov kev mob tsis tuaj yeem.
Kev kho ntawm cholecystitis nrog cov tshuaj - yeeb tshuaj
Conservative therapy yog tsim rau tus neeg mob tsis muaj gallstones. Txoj kev ua no tsis ua haujlwm yog tias kuaj cov mob cholecystitis ntev - qhov kev kho mob hauv qhov no yuav tshem tawm ntawm lub cev nrog lub laij. Tsawg dua, cov tshuaj dissolution lossis tshuaj tsw-yoj crushing yog sau, tab sis txawm tias muaj cov txheej txheem ntawm cov txheej txheem no, pob zeb yuav rov tsim dua thiab cov tsos mob yuav rov pib.
Cov tshuaj siv pabcuam nquag pom zoo thaum muaj kev mob ntxiv cholessstitis, cov kev khomob muaj nyob rau hauv kev siv ntau pawg ntawm cov yeeb-tshuaj:
- tshuaj tua kab mob - Cefixime, Ceftibuten;
- antispasmodics - Papaverin, Tsis-Shpa;
- enzymes - Creon, Panzinorm;
- choleretics - Allochol, Holosas;
- sorbents - Enterosgel, Atoxil;
- tshuaj yeeb ua tshuaj - sodium chloride kua, qabzib;
- non-steroidal anti-inflammatory tshuaj - Nimesil, Ketanov.
Mob cholecystitis - kev kho neeg mob
Phytotherapy thiab lwm cov yeeb tshuaj tau daws thaum lub sij hawm tshem tawm ntawm pathology thiab tom qab tag nrho cov cim ntawm cov tsos mob ntawm tus txheej txheem inflammatory. Kev kho mob ntawm cholecystitis nrog pej xeem tshuaj thaum lub sij hawm rov qab los ntawm tus kab mob yog heev kawg. Kev npaj tshuaj ntsuab tuaj yeem ua rau ntau txoj kev qaug zog ntawm cov kua mis thiab muaj zog ntawm tus kabmob, qhov muag tsis pom thiab ua haujlwm pancreatic. Kev siv zaub mov txawv yog qhov tseem ceeb uas yuav tau nrog tus kws kho mob tham. Tsuas yog ib tus kws kho mob pom zoo rau txoj kev cheem tsis tau cholecystitis ntev - cov tsos mob thiab cov tshuaj tua pej xeem tsis yog ib txwm sib xws.
Siv tshuaj ntsuab sau
Cov khoom xyaw:
- lub keeb kwm ntawm valerian - 20 g;
- noob ntawm dill - 10 g;
- thawb los ntawm St John lub wort - 20 g;
- greenery thiab keeb kwm ntawm parsley - 10 g;
- immortelle - 20 g;
- plantain - 10 g;
- chamomile paj - 20 g;
- yarrow - 10 g;
- peppermint - 10 g;
- oregano - 20 g;
- motherwort - 20 g;
- dej yog 200-210 ml.
Npaj, siv :
- Qhuav nroj tsuag mus rau grind thiab sib tov.
- Ncuav 1-1.5 teaspoons ntawm cov khoom tau sau nrog dej npau npau.
- Insist txhais tau tias 90 feeb.
- Txiav qhov kev daws teeb meem.
- Ib nrab ib teev ua ntej txhua pluas noj, haus 15-20 ml ntawm cov tshuaj.
- Mus kho rau 3 lub lis piam.
Noj cov zaub mov hauv cholecystitis
Ib qho kev noj haus tshwj xeeb rau txhua tus neeg mob uas muaj tus kab mob kuaj pom. Kev noj haus rau cholecystitis chiv no tau muab tso rau raws li tus naj npawb 5 (remission) thiab nqe 5a (rov qab) raws li Pevzner. Khoom noj khoom haus yog ua tiav txhua txhua 3-3.5 teev hauv feem me, tsuas yog hauv daim ntawv sov.
Ob lub sij hawm thiab tom qab kev kho mob raug txwv tsis pub kom noj:
- qe qe;
- cawv;
- fatty thiab kib zaub mov;
- ntsim, ntsim, qaub zaub mov;
- carbonated dej;
- ci pastry;
- cov khoom siv nrog butter thiab qab zib;
- ceev;
- ice cream;
- txiv hmab txiv ntoo, zaub thiab txiv hmab txiv ntoo;
- leguminous cov qoob loo;
- cov zaub mov kaus poom;
- chocolate thiab cocoa;
- tshiab qhob cij;
- kua txiv lws suav;
- nqaij by-products;
- dos, sorrel, spinach, radish, qej.
Cov Khoom Pom Zoo:
- cereals;
- neeg tsis noj nqaij soups;
- kev noj zaub mov thiab ntses (steamed, boiled, stewed);
- nag hmo tus qhob cij;
- pastille, marmalade;
- jam, zib ntab;
- cov zaub, cov txiv hmab txiv ntoo;
- Berry qab qab zib thiab txiv hmab txiv ntoo haus;
- cov khoom muaj roj tsawg;
- casseroles.
Mob cholecystitis - mob nyhav
Yog tias koj tsis ua raws li cov lus pom zoo rau kev kho mob thiab kev noj zaub mov, tus kab mob yuav vam meej. Raws li ib tug tshwm sim, tsuas yog lub siab thiab gallbladder yog puas - mob cholecystitis ua rau muaj kev phom sij:
- suppurative o
- cholangitis ;
- perforation ntawm gallbladder phab ntsa;
- kab mob siab ntsws rov qab;
- peritonitis;
- kev ntseeg ntawm lub gallbladder;
- blockage ntawm cov ciav;
- mob pancreatitis .