Feem ntau ntawm cov phab ntsa gallbladder tshwm sim rau cov poj niam, tshwj xeeb yog tom qab hnub nyoog 40 xyoo. Nws yog ib qho tseem ceeb rau txoj kev kho mob ntawm tus kab mob no nyob rau hauv txoj hauv kev thiab saib xyuas tus mob cholecystitis ntev tas li - kev kho mob, thawj zaug, nyob ntawm tus neeg mob ua raws li kev noj haus tshwj xeeb, nrog rau kev noj tshuaj kom raws sij hawm thiab kev noj qab haus huv. Txwv tsis pub, qhov kev xav pathology yuav vam meej thiab tsuas yog txoj kev tswj hwm nrog nws yuav phais kev cuam tshuam.
Txoj kev kho mob cholecystitis tsis muaj kev sib tw nrog tshuaj thiab kev noj haus
Txoj kev kho mob ntawm cov kab mob hauv cov phab ntsa ntawm lub gallbladder, yog muab tsis muaj pob zeb hauv nws, raws li 3 lub hauv paus:
- Normalization ntawm tsim thiab tso tawm ntawm bile, tswj ntawm nws cov khoom nyob rau hauv qhov kev pom qhov tseem ceeb.
- Tshem tawm ntawm qhov mob.
- Kev tiv thaiv ntawm qhov tshwm sim ntawm solid pob zeb nyob rau hauv lub gallbladder.
Lub luag haujlwm tseem ceeb tshaj plaws nyob rau hauv kev kho mob cholecystitis tom tsev yog noj zaub mov.
Kev noj haus ntawm tus neeg mob yuav tsum tau txhim kho kom cov zaub mov noj tau ntau zaus, 4-5 zaug ib hnub twg, tab sis nyob hauv cov khoom me me. Koj yuav tsum tau tshem tawm cov khoom hauv qab no:
- spices, tshwj xeeb tshaj yog ntsim;
- fatty meat;
- ci pastry;
- tshiab qhob cij;
- cawv;
- khoom qab zib;
- cov khoom haus luam yeeb;
- pickling;
- marinades;
- kib zaub mov.
Cov khoom noj uas pom zoo:
- zaub tshiab, txiv hmab txiv ntoo (non-acidic);
- porridge;
- kev noj haus, ntshiv zaub;
- mov ci thiab pastry los ntawm coarse hmoov;
- zaub roj;
- cov ntses tsawg;
- dawb cov nqaij.
Txoj kev kho mob cholecystitis nyob rau theem ntawm kev sib zog nrog kev pab ntawm kev noj zaub mov zoo ua ntej tshaj qhov noj ntawm cov khoom noj siv nyob rau hauv thawj 2-3 hnub ntawm tus kab mob. Tshuaj yej tso cai, ntxhia dej tseem yog dej los yog cov kua qab qab zib nrog ntau lub kib breadcrumbs. Nyob rau hauv lub neej yav tom ntej, nws yog ib qhov tsim nyog yuav tau soj ntsuam ib qho kev noj haus noj qab nyob zoo # 5a nrog hloov maj mam hloov mus rau lub rooj 5 (raws li Pevzner).
Traditional tshuaj kho cov mob cholecystitis ntev muaj xws li tshuaj:
- Antibiotics - nyob rau hauv cov kab mob ntawm tus kab mob (Ofloxacin, Norfloxacin, Levofloxacin, Ciprofloxacin ).
- Spasmolytics - mob hnyav (Duspatalin, Dicetel, Odeston).
- Antidepressants - yuav txhim khu cov nyhuv ntawm cov tshuaj tiv thaiv (Mianserin, Amitriptyline).
- Prokinetics - nrog hypomotor dyskinesia (Motionium, Cerucal, Motilium).
- Choleretics - mus tsim kho ntawm bile (Allochol, Deholin, Chagolol, Silimar).
- Cholekinetics - los txhim khu lub excretion ntawm bile (Holagum, Rovahol, Olimetin).
Cov txheej txheem kev kho mob ntawm lub cev kuj tau sau:
- diathermy;
- electrophoresis;
- cov ntawv thov ntawm paraffin;
- inductothermy;
- ozocerite compresses;
- laser raug;
- UHF-kev kho;
- qoj ib ce.
Raws li txhawb kev ntsuas, nws yog pom zoo kom noj ntau phytospores, pob zeb hauv av dej.
Kev kho mob ntawm cov tshuaj calculus cholecystitis
Yog hais tias tus kab mob no yog nyob rau theem ntawm cov pob zeb ntawm lub pob zeb, los yog lawv loj me ntsis, ces, raws li txoj cai, muaj kev khiav hauj lwm. Kev phais kev kho mob, cholecystectomy, yuav raug tshem tawm ntawm lub gallbladder raws li ib qho ntawm pob zeb tsim thiab kev loj hlob ntawm cov txheej txheem inflammatory. Nws tau tsim nyob rau hauv 3 txoj kev:
- qhib lag luam;
- laparoscopy;
- cholecystectomy los ntawm daim tawv nqaij.
Hauv qee zaum, nws yog ib qhov ua tau kom siv cov tshuaj calculus cholecystitis tsis phais. Nws yog siv rau ntau txoj hauv kev:
- extracorporeal poob siab yoj lithotripsy;
- kev kho cov kab mob (litholytic therapy) (kev siv cov kua qaub los yog chenodeoxycholic);
- hu rau endoscopic lithotripsy.