Acalculous cholecystitis ezigulo ezondeleyo: step unyango kunye

Acalculous cholecystitis ezingapheliyo - kukukrala esinyini inyongo ngaphandle ukuyilwa enyongweni. Le fom kubangela intlungu hypochondrium okulungileyo ukuqunjelwa.

Entsimini Gastroenterology sengozini izilonda chronic akhawunti kuba phakathi-5 ukuya kwi-10% amatyala. Kwabasetyhini, cholecystitis ezinganyangekiyo ngaphandle amatye kwenzeka ngamaxesha 4 rhoqo. Abo ke manani. Abanye abaphandi ibalele cholecystitis ezingapheliyo ngaphandle ngamatye nje ifomu exeshana izifo ezifana cholesterol kalkulez. Kodwa ke, njengokuba yezonyango, izigulana kuya ningabi samvumela ukusuka cholelithiasis.

Ezibangela isifo

Le umyalezo kwesifo isekelwe zifo eyahlukeneyo:

• coli E.;
• enterococcus;
• aureus;
• Proteus;
• flora yohlobo exutyiweyo.

Ukungena iintsholongwane zibe senyongo nge kwamathumbu yenzeka kwiimeko ezifana:

• goiter;
• besisu;
• enteritis;
• hepatitis;
• pancreatitis.

Ngokuqhelekileyo, usulelo ze sisasazeke ngokusebenzisa nkovu okanye igazi nakujoliso olutsha esosulelayo ibekwe kude.

Umzekelo, usulelo kwaqhenqetha izifo ezifana:

• isifo periodontal;
• e tonsils ezingapheliyo;
• appendicitis;
• pneumonia;
• pyelitis;
• adnexitis.

Zimeko, nto leyo yenza iinkqubo ezosulelayo ingqondo, ziquka:

• cholestasis;
• zeDyskinesia biliary;
• Ukuhlaselwa yezinambuzane ezifana Giardia, amile, amoebae;
• sphincter kwekhono;
• ukutyeba;
• seTrojan;
• lutho ngokomzimba;
• ukungondleki;
• baphelelwe et al.

cholecystitis Acalculous ezingapheliyo lubandakanya ukuqina kunye deformation le senyongo. Le inwebu yangaphakathi unenxaxheba isakhiwo enemingxuma ngenxa yokuba kwiindawo enye atrophic kunye polyp eyenza nezibaya zemihlambi zamafu.

Ukuqina kwenzeka ingubo dystrophy. Kubonakala siva inyama ezinezikhondo. Xa ukwanda kwenkqubo yokukrala bangeza pericholecystitis, kuvela azikhuli kunye amalungu ebekwe kwindawo ohlala kuyo, amathumba, pseudodiverticulum.

nokubekwa kwezifo

Hlula kuba kukukhanya, eliphakathi kunye enzima. Isifo iquka ubukho izigaba ezithathu:

• okubi;
• ukunqamka okunokwenzeka kunye okubi;
• oluzinzileyo nguZuma noxolelo.

cholecystitis Acalculous esinganyangekiyo ukuqhubeka kunye likakade. Kwakhona, sifo monotone kunye ngakanye.

Ngokuxhomekeke kubungakanani umonakalo ukwahlula phakathi ifomu enzima lula bezifo cholecystitis nekalkuleznogo. Kwakhona ukwahlula phakathi imbonakalo ekuso ne Nedlac. Le fom yokugqibela yahlulwe isisu, kunye nohlobo ezofagalgichesky kardialgichesky.

Iimpawu bezifo cholecystitis acalculous azibonakalisa ngeendlela ezahlukileyo ngokuxhomekeke iqondo sisilonda esidumbileyoesingaphakathi le senyongo.

wenza njani sifo wobulali?

Kuba cholecystitis unomoya, esibonakala ixesha elifutshane exacerbation, kangangeentsuku 2-3. ubukhulu becala Bona ekucaphukisayo yi ukungondleki kunye ngokulula nya, ngokuxhomekeke ukutya efanelekileyo.

lobushushu imeko umzimba jikelele umzimba oqhelekileyo yinto eqhelekileyo. Iimviwo lubonise akukho ukuphazamiseka komsebenzi kwesibindi, senyongo kunye pancreas. izifundo ngemikroskopu enyongweni alubonisi nantoni na engaqhelekanga.

Njani na imilo avareji?

Ngenxa imilo avareji izifo ezifana acalculous cholecystitis ezingapheliyo, uxolelo kunye okubi esikhundleni omnye komnye. Ubude exacerbations ziiveki 2-3. Izigulane ngokuqhelekileyo Ungazihluphi intlungu yaye wavakalisa zizigulo dyspeptic. Ngokuqhelekileyo, imeko ibangelwa ukutya okunamafutha okanye ukudla. Kwezinye iimeko, indima izenzo usuleleko yokuphefumla zosulele provocateur.

Njengokuba kwenzeka kwimeko cholecystitis ezinganyangekiyo ngaphandle amatye? Impawu zahlukene. Ngexesha exacerbation izigulane kungekho kutya, kunciphise ubunzima bomzimba, ukunxila elivelayo iveza lidiniwe migraine. Kusenokwenzeka kwakhona aphazamise intlungu ehlangeneyo.

Ezinye izigulane ukongeza intlungu ikota yesangqa eliphezulu lungelo ezikhala buhlungu buthuntu ikota yesangqa yasekhohlo ephezulu nesisu eliphezulu. Iintlungu idla isicelo entliziyweni. Izigulane ofunwa isicaphucaphu, ukuqhina okanye ukurhuda.

Kwisifundo elebhu, inyongo ezinophawu ukwanda kwi mali yencindi, leucocytes, cholesterol, bilirubinate Ca, iityuwa inyongo kwezinye iimeko microlites. Kungenzeka kwakhona ukuba ukubona iintsholongwane.

Xa imeko elibukhali kwi umguli ukuba ukubona utshintsho kwiimvavanyo umsebenzi esibindini. Kudla wabonisa hypoalbuminemia ngcathu, ukunyuka okungephi kumsebenzi transaminase, ikakhulu Ajit, alungise ukwanda thymol kunye umsebenzi phosphatase obrak.

Ekwandiseni Uviwo kwilebhu kwesibindi eziqhelekileyo esweni. Isiguli ukuphazamisa imvakalelo ubunzima esisu ongentla ukuqunjelwa emva kokungenisa. Amaxesha amaninzi, umntu yayindikhathaza kwesisu okanye ukurhuda.

zimpawu Dyspeptic zanda kunye nokutya okunamafutha okanye ifayibha irhabaxa. ukutya okunjalo kungabangela ukuqhubela phambili kwesifo.

Lukhulu ifomu kwenzeka?

cholecystitis ezingapheliyo Acalculous ngendlela kakhulu iphawulwa iqukuqele likakade rhoqo ngaphandle kuxolelwe. Isifo twa ngaphandle senyongo. Yiya izifo ezinxulumene hepatitis ophambili ifomu esinganyangekiyo, kunye pancreatitis.

Izigulane ezikhala ukungabi namdla, isicaphucaphu okoko, ubunzima esisu eliphezulu. Ngamanye amaxesha njengokungathi okubuhlungu tile umlinganiswa. Izigulane livume ukutya engqongqo, nto leyo ekhokelela ukuba umzimba nokudinwa. Kwezinye iimeko, kukho nokudumba ngendlela ezigulo ezondeleyo.

Ukusebenza senyongo wancipha kakuhle. Udonga umzimba sikhula. Ukuba wononophelo of hepatic functionality yaphulwe ngokuyinxenye, xa isifo kakhulu kudla esizibonakalisa kohlobo okanye cholangitis.

Kulo mzekelo, iinkqubo ezilandelayo zenzeke:

• isibindi ukunyuka ngobukhulu;
• ukuncipha ko- albumin serum;
• iqhekeza globulin ukwanda kunye uyazikhomba yibilirubin iyonke.

Xa eqhuba ultrasound esiswini ibonise ukwandiswa umoya esinyini inyongo, yatyhila "ndawonye" inyongo isinyi, pancreatitis ezinganyangekiyo phantsi functionality pancreas.

Izigulane badla ezikhala ukuqunjelwa, isicaphucaphu, ukwehla kobunzima bomzimba. Bathi bakubona yobungakanani ilindle, steatorrhea, kunye kreatoreya amylorrhea.

Kwimikhumbi sifo miseka kakhulu nentliziyo, kubonakala DYSTONIA, insufficiency nemithambo kunye neenguqu ezifanelekileyo kwi ECG.

Njengoko uhlobo Nedlac lokumpompoza?

Lubonakala yi ifom Nedlac bezifo cholecystitis acalculous? Wayekhathazekile heartburn lokugula rhoqo, ubunzima, iintlungu emva breastbone, dysphagia idlule. Xa uhlobo wamathumbu kwindawo yokuqala intlungu kwi wamathumbu ndawo, ukuqumba, ukuqhina kwesisu.

Xa ndandineminyaka ulutsha cholecystitis ezingapheliyo ngaphandle amatye efana rheumatism ngendlela afihlakeleyo. Izigulane ezikhala asthenia, iintlungu kwamalunga. Auscultation luveze zehle izandi intliziyo.

Ngekhondo belungafani sifo zibandakanya empontshwa kunye nohlobo piloroudenedalny lwe cholecystitis ezigulo ezondeleyo. Xa ifomu empontshwa, izigulane iintlungu apha emqolo. Kwiimeko ezinjalo, libonisa i X-ray wentsika spinal.

ifomu Symptomatology kardialgicheskoy

Olu hlobo sifo arrhythmias ikhona (extrasystoles) okanye iintlungu esifubeni. Kwakhona ECG utshintsho.

Ebudaleni eliphakathi nabadala ufana uhlobo angina senhliziyo okanye insufficiency coronary, elibaleka kwifomu ezigulo ezondeleyo. Izigulane ezikhala intlungu entliziyweni, tachycardia.

ifomu gastroduodenal

Clinic cholecystitis ezingapheliyo kule meko kufana sifo sisilonda okanye gastroduodenitis kumanqanaba ephakamileyo esiswini acid Ukwakheka. Izigulane ezikhala iintlungu esiswini ebusuku.

iindlela isifo

Kwi Ngokucofa esiswini kummandla lwesinye inyongo kukho ukuqaqamba oko kukuthi kubi xa ukuphefumla okanye effleurage arch ekunene costal.

Kwisifundo elebhu, Linyuke kumisiweyo;

• transaminases;
• phosphatase awana;
• γ-glutamyl.

Kuba iindlela ebaluleke kakhulu diagnostic ziquka:

• ultrasound;
• cholecystography;
• tseliakografiyu;
• holestsintigrafiyu;
• ekumfakeni duodenal.

Ngokusekelwe kwiziphumo zophando zamva, uyakwazi zikwathetha ngobunzulu kwenkqubo arhabaxa.

utshintsho gumbini ibonakale kwinqanaba kokukhulu kwi duct turbidity kunye nobukho yencindi kukubola.

iimviwo engabonakali ukhombise okwandileyo leukocyte count, yibilirubin, iiproteins, cholesterol, njalo-njalo. D.

Bacteriological ekulimeni bile kuphandwa izihluma ayo abe nenkani.

Ngoncedo holetsistografii kwizigulane abanengxaki ezondeleyo cholecystitis acalculous kuqikelelwa ngeemoto ingqalelo ukusebenza senyongo, imisele zayo nesikhundla.

Sonography ibhaqa lo deformation le senyongo, iinkqubo atrophic kweendonga zayo, epithelium lwangaphakathi obungalinganiyo, ubukho umxholo non-yohlobo olunye kunye inclusions we bile duct wenziwamkhulu guquki non-uniform.

Uxilongo umahluko lwenziwa zeDyskinesia biliary, cholangitis esinganyangekiyo, okwenziwa sisilonda sikabhobhosi indalo nonspecific, nesifo Crohn kaThixo.

iindlela zonyango

Akubikho cholecystitis ezinganyangekiyo ngaphandle amatye? Unyango idla kuqhutywa endilisekileyo. Oogqirha bacebisa ukutya. Uyacetyiswa ukuba zingabandakanywa ukusuka ukutya okunamafutha kunye nokutya eqhotsiweyo, ukutya okuneziqholo, ezithambileyo kunye neziselo ezinxilisayo.

Xa iintlungu esiswini ekucetyiswa lokuthathwa antispasmodics ezifana "Platifillin" "Drotaverine" "Papaverine" et al.

Ngexesha exacerbation kwesifo okanye indibanisela yalo cholangitis esebenzayo antibacterial unyango "cefazolin" "amoxicillin", "erythromycins", "ampicillin" "furazolidone" et al.

Kuba kuqheleke iphecana zesisu bayacetyiswa ukuba athathe i "umbingelelo womthendeleko", "Mezim-Forte", "Pancreatin".

Ukuphucula secretion ngayo ibile ngokuqhelekileyo kubhenela ukufumana choleretic ( "Allohol" "Holenzim" "Oksafenamid").

Ukuze sikhuthaze ukusikwa inyongo senyongo isicelo wemagniziyam sulfate kunye sorbitol.

Ngexesha i exacerbation okanye noxolelo kuyacetyiswa ukuba baqhube izifundo unyango kunye imifuno. Thatha decoction of chamomile, calendula, rose, licorice, Mint.

Ngoxolelo kuthwalelwa tyubazh, usele amanzi izimbiwa, umthambo uthomalaliso kwenziwa.

ukungenelela kuhlinzwa

Xa ahlinzwe kuthathelwa kwimbali ingqalelo esi sifo. Chronic acalculous cholecystitis ichazwe deformation kweendonga senyongo kunye cholangitis ukulungiswa amalahle kunye pancreatitis kufuna uqhaqho.

Kulo mzekelo, ikhutshwa phandle ngokusebenzisa i cholecystectomy ungenelelo laparascopy evulekileyo okanye ukufikelela mini.

Ukusebenzisa iindlela intsomi

iyapheliswa njani enye acalculous ezingapheliyo cholecystitis? amayeza Folk Unyango une nemiphumo emihle.

iingcambu Used imbewu nekalamo valerian, Wort namaqhina omileyo eSt kaYohane, calendula, umba, umbona, neflakisi. Kuyacetyiswa ukuba ukusebenzisa eHeidelberg, inxina, Leonurus, chamomile, fennel, horsetail, rosehip.

Xa usebenzisa iindlela ezithandwayo yezifo ezingapheliyo seentyatyambo immortelle elderberry phytotherapy longeziwe.

phytotherapy

namakhambi kubandakanya ukusetyenziswa cocktail imifuno zilandelayo:

• Pion - 20 ml;
• valerian - 20 ml;
• boyaryshnik- 20 ml;
• zetyeleba - 20 ml;
• Belladonna - 10 ml;
• motherwort - 20 ml;
• Calendula - 30 ml;
• umhlonyane - 20 ml.

Phambi ukunyanga iglaucoma agalelwa Belladonna lifakiwe.

isixhobo ethululwayo kufuneka sibe 1-8 lehla kathathu ngosuku imizuzu emihlanu phambi kokuba nokubandakanywa womfuno 1 tbsp. iilitha zamanzi iiveki 4-6. Lo mxube tinctures Ikalamo inula esithathwe kulingane. Kwakhona phuza 1-8 lehla kathathu ngosuku imizuzu emibini phambi kokufumana infusions womfuno 1 tbsp. l. amanzi kwiiveki 4-6.

Kufuneka kukhunjulwe ukuba kuqokelelwe Phytotherapy edityaniswe kwi umthamo we 0,00325, t. E. ukuxutywa 14, kwaye yandisa ngalunye 1-2 ukuzalela ukufikelela amachiza.

A ithamo omnye umntu ebangela ukugula segazi, yaye kwelinye icala, kunciphisa iqondo iimpawu ezikhoyo. Le ithamo kuthathwa ngethuba lekhosi, kodwa xa kukho ukungaphatheki, oko kuncitshiswa ziiyunithi 1-2.

Outlook

Yintoni na ALS kwezifo ezifana cholecystitis ezinganyangekiyo ngaphandle amatye? Exacerbation nomoya lwenzeka manqaphanqapha kuphela. Esi sifo ikhondo elihle. Ukonakala kwenzeka ukuqikelela ukuba exacerbation kwenzeka qho xa ubuzaza isifo avareji.

ukuvimbela

amanyathelo othintelo afakwe kwi unyango ngexesha izifo, kulungiswe nakujoliso olutsha losulelo, yokunqanda yokuphazamiseka luvo, ngokunjalo nokubuyiselwa ukutya obuqhelekileyo. Kufuneka bagcine ukutya echanekileyo, ukulwa nezifo helminth namathumbu kunye izilonda.