Iimpawu cholecystitis kwabasetyhini kunye nonyango. cholecystitis yezifo abafazi: iimpawu kunye nonyango, ukutya. Exacerbation of cholecystitis ezingapheliyo

Ngentlungu e-hypochondrium enyanisekileyo , abantu abaninzi banqumla umda weminyaka engama-30. Kule meko, le mpawu iyakwenzeka emva komthendeleko, apho kukutya okuthosiweyo, ukutya okunamafutha, utshwala. Uvakalelwa kukuba ungazi, ungakrokrela i-cholecystitis. Nangona kunjalo, ngokuqhelekileyo ukukhubazeka kubonwa ngengozi, ngexesha loviwo. Kuphawulwe ukuba iimpawu eziqhelekileyo ze-cholecystitis kubafazi. Zininzi izinto ezibangela oku.

Impawu zesifo

Yintoni esi sifo? Yinkqubo yokuvuvukala eyenzekayo kwi-gallbladder. Eli lilungu lendawo kwindawo efanelekileyo ye-hypochondrium. Yingakho, xa ubulili obuhle buvela entlungu, ungakrokra ukuba ezi ziyimpawu ze-cholecystitis kubafazi.

I-gallbladder iqokelela i-bile eyenziwa sisibindi. Imfihlelo enjalo kwiidoksi ezikhethekileyo igxothwa kwi-duodenum kwaye inenxaxheba yokutya. Ukuba i-sphincters kunye nesistim se-parasympathetic sisebenza ngokuqhelekileyo, i-bile ihamba kuphela kwicala elinye.

Kodwa ukuba umsebenzi ongenamsebenzi wee-sphincters uvela ngenxa yephulo elithile, imfihlakalo ayiphume ngokupheleleyo kwi-bubble, ivuselela intlungu kunye noxinzelelo kuyo. Kule meko, kudla ngokuqaphele ukuba iziqulatho ezisuka emathunjini ziphonswa kwiindawo. Ngokuqhelekileyo, iqulethe intsholongwane engena ngokukhululekile kwi-bile, ekhokelela ekuvukeni kwayo.

Inkqubo yokuphuhlisa imfuyo iyaqondakala. Ngoku siza kuqwalasela, kutheni kukho iimpawu ze-cholecystitis kwabasetyhini, yintoni imithombo yokuphuhliswa kwezilwanyana?

Izizathu zokugula

Ngoko, into ephambili ekuphuhlisweni kwesi sifo kukungena kwintsholongwane kwi-bladder.

Iimeko ezinjalo zikarhulumente zichazwe ngezi zizathu zilandelayo:

1. Iintlobo ezahlukeneyo zokuvuvukala kwiphepha lesisu. Ezi zinokuthi zi-pathologies ezenzeka kwinqanaba elibi, elingasigxina. Njengomthetho, i-enterocolitis, i-pancreatitis, i-dysbacteriosis, i-appendicitis ingakhokelela kwi-cholecystitis.
2. Usulelo lweenkqubo zesondo zohlobo oluvuthayo. Ngokuqhelekileyo iimpawu ze-cholecystitis kubasetyhini zikhupha eso sifo njenge-adnexitis.
3. Ukutshatyalaliswa kwesibindi ngeentsholongwane.
4. Ukuhlasela kwePasititic kwiphepha lebhiliyari. Isiseko sesi sifo sinokuthi i-giardiasis, i-ascaridosis.

Inendima ebalulekileyo ekuphuhlisweni kwentsholongwane idlalwa ngezinye izinto:

1. I-Dyskinesia yee-ducts. Ngesi sifo, i- stagnation ye-bile ibonakala , ukuphuma kwayo kuphazamiseka.
2. Reflux pancreatic. Le yintsholongwane apho iziqu zomathumbu ziphinda ziphonswe kwimida. Ngenxa yoko, iindonga zesilwanyana phantsi kwezenzo ze-enzyme kunye nejusi ye-pancreatic zonakaliswe.
3. Ukungabikho komntwana. Kuthi malunga nesakhiwo ngasinye sombhobho. Ukukhubazeka kunokubangela iindidi ezahlukileyo, ubuninzi beli candelo.
4. Ukunikezelwa kwegazi okuphazamisekile kwi-bladder. Ezi klinikhi ziyakwazi ukuphazamisa izifo: uxinzelelo, isifo sikashukela, i-atherosclerosis. Ukuhamba kwezi zifo kubonakala ngokunciphisa umbane weemithwalo yegazi.
5. Dyscholia. Isifo apho ukubunjwa kwe-bile kuphukile kwaye iindonga zebladder zonakaliswe. Iklinikhi engamnandi kakhulu ibangelwa kukungondleki (ukugqithisa okuninzi ngokweqile okanye ukutya okudliwayo).
6. Ukuguqulwa kwamagciwane, ukuphendulwa kwe-immunological.
7. Ukukhubazeka kwe-Endocrine. Ngokuqhelekileyo kukho iimpawu ze-cholecystitis kumfazi othabatha izithintelo zomlomo. Ukongeza, izizathu zokugula zingabangela ukuphazamiseka komjikelezo wesini, ubunzima obukhulu kunye nokukhulelwa.
8. IHereditary factor.

Iintlobo zesifo

I-Pathology, ngokuxhomekeke kwikhosi, ingaba:

1. Sharp. Esi sifo sikhula iintsuku eziliqela okanye iiyure. Ibonakala ngeempawu ezibonakalisiweyo. Olu hlobo lokukhubazeka kwimeko yesicelo esifike ngexesha lokunyamekela unyango luyathandeka.
2. Ezingapheliyo. Ukuba ifomu elibi le sifo alinikwe ingqwalasela okanye ukugula kungaphathwa kakubi, kwaye le nqanaba ikhula kwisigulane. Esi sifo sinokuthi singabonakali. Ikhula, ngokusemthethweni, ngokuthe ngcembe. Ingqwalasela ngokukodwa kufuneka i-cholecystitis engapheliyo (iimpawu kunye nonyango). Ukutya ekulolweni kwezilwanyana kukudlala enye yeendima ezibalulekileyo.

Cholecystitis engapheliyo yahlula:

• Epholileyo (latent);
• U kuphinda;
• I-Purulent-ulcerative.

Ngokutsho kobukho bemida, ezimbini iifom ziyahluka:

• Ngaphandle kwamatye (ngaphandle kwe-cholelithiasis);
• Calculous.

Ngenxa yesifo esingasigxina, izigaba zi:

• Ukuxolelwa;
• Ukuxhalabisa.

Ngoko, makhe siqwalasele iimpawu zale pathology njenge-cholecystitis engapheliyo. Iimpawu kunye nonyango, ukutya kunye nokukhuselwa kwesi sifo kuboniswe ngezantsi.

Ukubonakaliswa kwezonyango zesifo

Ubonakaliso obunzima kakhulu we-cholecystitis. Iimpawu eziqhelekileyo kule fomu:

• Intlungu ebuhlungu, eyanda kakhulu emva kokutya;
• Ukuvutha;
• I-diarrhea ingenzeka;
• Umnatha okanye unomvandalo emlonyeni;
• Hyperthermia.

Nangona kunjalo, ngesimo esibuhlungu sesi sifo, kuphela ukuvuvukala komlenze we-mucous kubonwa. Umfanekiso ogqithisileyo uyagcinwa ukuba isigulane sitholakale sine-cholecystitis engapheliyo. Izibonakaliso zesifo kunye nale fomu azichazwanga. Nangona kunjalo, iindonga ze-bile zibonakalisa utshintsho lwe-atrophic and sclerotic. Iimpawu zeekhemikhali kunye neempawu ze-bile nazo zitshintsha.

Ezi zilandelayo zibonakaliso ze-cholecystitis kubasetyhini ziyabonwa (iifoto zibonisa imeko engathandekiyo):

• Ubunzima beentlungu eziqhubekayo kwingingqi ye-hypochondrium;
• Ukukhathazeka kakhulu kwandiswe emva kokutya ukutya okunamafutha;
• Ukukrakra nokuma emlonyeni womlomo ekuseni;
• Ukuvela kwenkqubela kwesoxesha;
• Ukuqhawula;
• Isilwanyana esincinci esinqabileyo.

I-syndrome yesifo kwi-pathology engapheliyo ayifani njengoko ichazwe ngolu hlobo. Ngokuqhelekileyo ibonakala njengento engathandekiyo, igqoke isicatshuko esichukumisayo, esincinci. Ezinye izigulane zihlala zihlala zibuhlungu. Ezinye izigulane zijongene nezibonakaliso ezinzima zesifo, esinolawulo, emva kokusetyenziswa kakubi kokutya okungafanelekanga. Kule meko, kunokubonakala kubakho bhiliary colic.

Iimpawu zokuxhatshazwa kwezifo

Ngenxa yengxaki engapheliyo yokugula, isigulane ngokukhawuleza sinokuhlaselwa kwe-cholecystitis. Iimpawu kwili nqanaba zifana nesimo esibi sesifo. Le meko ibonakaliswa yimpawu eziqhelekileyo kunye nemibonakalo yendawo ebonisa ukutshitshiswa kwebladder.

Kwi-exaceration of symptoms engapheliyo ye-cholecystitis ibonisa oku kulandelayo:

• Ukuvakalisa i-malaise jikelele;
• Hyperthermia;
• Ukuqhawuka rhoqo;
• Intloko;
• Kungenzeka i-pruritus.

Kanye kunye neklinikhi enjalo, kubonakala iimpawu zendawo. Ziyakubonakalisa ukugqithisa kwe-cholecystitis engapheliyo.

Iimpawu zilandelayo:

1. Ubuhlungu. Inokumodareyitha okanye ibukhali. Ukungaxhamli kwendawo kwisisu esisentla, njengomthetho, kwi-hypochondrium efanelekileyo.
2. Umonakalo ongathandekiyo emlonyeni. Isigulana sinokuziva sibuhlungu okanye sikhalazo malunga nentsimbi yesinyithi. Unomlenze womoya, isicupunu. Umntu unesifo esithintekayo. Ngokuqhelekileyo yabona inkqubo ephazamisayo yokuchasana, njengomthetho, isifo sohudo, ukuqhawulwa.
3. Ukuvakalelwa kwintlungu kwiphondo le-hypochondrium.
4. Ukuvela kokulala, ukugqithisa ngokweqile.

Ubungakanani bentlungu yesifo buxhomekeke ekukholeni kwamatye kwi-bladder. I-cholecystitis engahlaziyiyo ibonakaliswa ngumntu okhalilileyo. Kuba ukukhubazeka okungekho nto kubonakaliswe ngokubandezeleka, ukunyamezeleka, ukugulisa isigulane. Ukuphazamiseka kubonakaliswa kungekhona kuphela kwi-hypochondrium. Ngokuqhelekileyo unikela esandleni sokunene, ihlombe.

Ingxaki yokugula engapheliyo iqhubeka ngokukhawuleza. Ngethuba lokuxhatshazwa kweempawu zibonakaliswa ngamandla. Emva kokuhlaselwa, zonke iimpawu zokugula zixhaswe. Isigaba sokuxolelwa siyeza. Ngeli xesha, isigulane sikholelwa ukuba uye waphila kwisifo kwaye iimpawu ezingathandekiyo aziyi kubuya. Nangona kunjalo, ukuphulwa kokungacabangi kokutya, uxinzelelo olunzulu, i-hypothermia, ukusetyenziswa kotywala kunokuphinda kuhlasele.

Iingxaki zesifo

Musa ukuyihoxisa imiqondiso ye-cholecystitis. Iimpawu ezibangela ukungathandeki isigulane sisigxina esisuka kumzimba malunga nesidingo sokwanela unyango.

Ukungahlali ixesha elide kunokukhokelela ekuphuhlisweni kweengxaki ezingathandekiyo:

• Cholangitis;
• Ukubunjwa kwe-Fistula esiswini, i-hepatic flexibility, duodenum;
• I-hepatitis esebenzayo;
• "Ukungavumelani" kwesikhumba (ama-gallstones awakwenzi imisebenzi yawo ngokwanele umthamo);
• I-peri-choledochal lymphadenitis (ukuvuvukala kuvela kwi-bin ducts);
• I-Empyema ye-bladder (ukuvuvukala kwesisu);
• Isithintelo samathumbu;
• I-Gangrene gallstones enokubonakala kwe-peritonitis;
• Ukugqithisa (ukuphuka kwesibhanzana).

Ukuxilongwa kwesi sifo

Kubaluleke kakhulu, ukuba iimpawu ze-cholecystitis engapheliyo kubasetyhini ziyabonwa, qhagamshelana nodokotela.

Ukuxilongwa, le mi sebenzi ilandelayo:

• Iqoqo leAnamnesis;
• Ukuhlolwa kwesigulane;
• Iimviwo zeLebhu
• Uphando lwezoxhobo.

Ekuqaleni, ugqirha uya kucela ngokucacileyo malunga nokubonakaliswa kwesigulane, beza kube nini, kubangelwa ukuba bavelaphi. Ugqirha uya kufunda ukuba izifo zesigulane, ezifana nesifo sikashukela, i-GI tract, i-hepatitis. Uya kucacisa ukuba naziphi na izalamane zineepathologi ezifanayo.

Ngexesha loviwo, ingqalelo ihlawulwa kwiimpawu ezibonisa ukuba ubukho besifo:

1. Uphawu lo khuselo lwemizimba. Isigulane sixinzezela isicindezelo esiswini ukuze sikhuphe isisu esisifo.
2. Ngethuba lokunyuka kwintlungu ephezulu ye-quadrant iyanda.
3. Ukuthabatha i-arch efanelekileyo yeendleko kuhamba kunye neentlungu.

Isigulane sinikezelwa ngeendlela zelabhoratri:

1. Uvavanyo lwegazi.
2. Isifundo sokuba nobukho besifo se-hepatitis emzimbeni.
3. Biochemistry yegazi. Olu hlalutyo lukwazisa kuphela emva kokutshatyalaliswa kwe-colic.
4. Ukufundwa kwe-fatid lipid metabolism.
5. ICoprogram.

Ukuchonga i-cholecystitis, amanyathelo alandelayo asebenzayo acetyiswayo:

1. I-ultrasound ye-peritoneum.
2. Esophagogastroduodenoscopy. Uhlalutyo lukuvumela ukuba ufunde isimo se-esophagus, duodenum, isisu. Ngethuba lokufunda, i-biopsy ithathwa.
3. I-radiographie ye-Obstetric ye-peritoneum. Ivumela ukufumanisa ubukho bamatye kwi-bladder, kodwa kuphela ezo ziqulethe i-calcium.
4. CT. Uhlalutyo luvumela ukuhlolwa okubanzi kwezitho zangaphakathi. Ngokuncediswa kwesi sifundo, izifo ezixilongole ezifumanekayo ezinobuncwane be-bile ducts zichongiwe.
5. Cholecystoangiography. Oku kukuxilongwa kwe-X-ray, apho imifanekiso embalwa ithathwa phantsi kolawulo lomshini we-ultrasound. Uhlalutyo olunjalo luvela kunye nokusetyenziswa kwe-radiopaque inzalisi.
6. Ukubuyisela kwakhona i-cholangiopancreatographyography. Ukusebenzisa i-device ekhethekileyo-duodenofibroscope, elawulwa isigulane ngomlomo kwi-duodenum, ugqirha uqala i-radiopaque kwi-biliary tract. Oku kukuvumela ukuba ufumane amatye okanye unciphise umzila. Ukuba loo mqobo ufunyenwe, ugqirha wenza umsebenzi wokugqibela owenzela ukuphazamiseka.
7. MRI. Isifundo esichazela ukutshintsha okungabonakali kwiindonga ze-bladder kunye nezitho ezikufutshane ze-X-ray kunye ne-ultrasound.
8. Hepatobiliary scintigraphy. Ukuhlolwa kweengxube ze-bile kunye nesibindi, ezibonisa ukusebenza kwezitho kunye nomsebenzi wemoto yamadada.

Ukunyangwa kwesifo kwisigaba esichukumisayo

Izindlela zonyango zixhomekeke ngokupheleleyo kwiimpawu ze-cholecystitis zivela kubasetyhini. Ukunyanga kwesifo esingapheliyo kwisigaba sokuxoxwa kubaluleke kakhulu ukulwa nesifo ngexesha lokuxhatshazwa.

Ukuba isigulane sinokuhlaselwa, ke unyango lujolise ekupheliseni iimpawu kunye nokubamba ukuphendula kwe-pathogenetic yesifo. Kwisigaba sokuxolelwa, unyango lubandakanya ukuthintela ukuphindaphinda.

Ukusetyenziswa kweziyobisi kwi-cholecystitis engapheliyo ngexesha lokuxhatshazwa kusekelwe kula macebiso alandelayo:

1. I-antibiotics: i-Erythromycin, i-Doxycycline, iProfrofloxacin, iBiseptol, i-Furozolidone, i-Metranidazole, i-Oxacillin.
2. Spasmolytics: "Papaverin", "Pitofenon", "Drotaverin", "Platyphylline".
3. Amalungiselelo e-Cholagogue: "Sorbitol", "Nikodin", "Allochol", "Tsikvalon".
4. I-NSAID: I-Baralgin, i-Spazgan.
5. Abacebisi (iziyobisi ezikhuthaza i-peristalsis), umzekelo, "Domperidone".
6. Iziyobisi ze-Antiemetic: "Cerucal", "Diprazin".
7. Amachiza e-polyfermental: I-Festal, iPancreatin.
8. Amachiza atyhulayo: i-tincture ye-valerian, i-motherwort.

Yithandwa kakhulu ekulweni ne-cholecystitis engapheliyo, isiganeko esinjalo, njenge-tubba tuba. Isitshixo salo siquka ukuhlamba iidolo kwaye sikhuthaze inkqubo yokucocwa kwe-bile.

Ukwelashwa kwe-Cholecystitis

Ngexesha lokuxolelwa, unyango lubandakanya:

• Ukususela kwiyeza lokutya;
• Ukusetyenziswa kwamachiza e-cholagogue: "Cholenzim", "Liobil", "Allochol", "Flamin", "Holosas", "Cholagol", "Olimetin", "Rosanol";
• I-Physiotherapy (iinkqubo ziyasebenza: i-balneotherapy, i-inductothermy, i-electrophoresis neNovokain).

Ukongezelela, isigulane sisoloko sinconywa ukuba kukho i-pathologies enjalo njenge-cholecystitis engapheliyo, iimpawu, ukutya.

Xa utyhila i-calculation pathology, isigulane sinikwe i-cholecystectomy ehleliweyo. Oku kuqhutywe, okwakususwa kuyo isilonda.

Ukutya kokutya

Kungakhathaliseki uhlobo lokuvuza, oku kubaluleke kakhulu kwiinkampu zonyango. Ngako oko, zonke izigulane zicetyiswa (kukuvumela ukuba uqede intlungu enjalo, uphawu lwesifo esibizwa ngokuba yimpawu ze-cholecystitis) ukutya.

Ngesi sifo, inombolo yetafile yesi-5 isabelwe. Ingqalelo ngokukodwa kukunyuka kwe-cholecystitis.

Iimpawu, ukhathala isigulane, akufuneki kuphela unyango lweziyobisi, kodwa ulungelelaniso lokutya:

1. Ngethuba lokuhlaselwa, kuyimfuneko ukudala iimeko ezinobumnandi kunokwenzeka kwindlela yokugaya. Ngenxa yoko, ngeentsuku ezimbini zokuqala, oogqirha bavumela isigulane ukuba siphuze kuphela umbane. Kule njongo, amaminerali afanelekileyo ayenamanzi, i-berry engekho-acidic kunye nejusi zethamo, aphulwa ngamanzi abilayo. Umhluzi ulungile kumguli.
2. Njengoko intlungu ebuhlungu ixhaswa, isigulane sivumelekile ukuba sitshintshele ekusebenziseni ukutya okugcobayo. Umntu unconywa ama-porridges angamaqabunga, isobho (ilayisi, i-oats, i-semolina), i-berberry, isiqhamo (esithandekayo) i-mousse, i-jelly, i-jelly. Nangona kunjalo, kudla ukutya kufuneka kube ncinane, ukwenzela ukuba ungaqhubeki umthwalo ophezulu wenkqubo yokutya. Kubaluleke kakhulu ukutya. Ukutya kufuneka kuthathwe kuphela ngexesha elithile.
3. Emva koko ukutya kwesigulane kubandakanya i-low fat fat cottage cheese, intlanzi ephekiweyo, inyama enomthi. Kunconywa ukuba badle iinqabunga zesonka.
4. Emva kweentsuku ezingama-5-10 emva kokuhlaselwa, isiguli sigqithiselwa ngokufanelekileyo kwitafile yokutya No. 5a.

Izigulane kufuneka bazi ngokucacileyo ukuba cholecystitis - oku sisifo esibi kakhulu. Ukugcina lwesondlo olufanelekileyo kuvumela kakhulu oluikhawuleza ukohlukana naye. Ukutya ijolise ekunciphiseni asidi inyongo.

Iingcali, ukunika nokutya okusempilweni kwizigulane bacebisa oku kulandelayo:

1. Kubalahla amafutha, ukutya ngokugqithiseleyo okunamafutha.
2. Yakha otya ngayo kwi womoji-zonka, kuphekwa, ukutya yathamba.
3. Musa ukuthatha ukutya kushushu kakhulu okanye kubanda.
4. Nciphisa ukuselwa emnandi kunye khekhe.
5. Yitya rhoqo, kodwa izabelo ezincinane.
6. Ngokungqongqo bagcine yokudla - nidle isidlo omnye ngexesha elinye.
7. Nika bakhethe imifuno kunye zobisi zokutya. Ifayibha mkhulu normalizes inkqubo defecation kunye nokukhuthaza motility. Ubisi ikuvumela ukuba ubuyisele ukulingana acid-ialakalin yomzimba.
8. tea Strong, ikofu ayikhuthazwa ukuyisebenzisa.
9. Yitya amaqanda akufuneki ukuba amaxesha ngaphezulu kwe 2-3 ngeveki. Le sac kungcono ukuba ayiyeke.

Ukongeza, izigulane kufuneka usele iziselo. Ezi mveliso aphezulu amafutha cholesterol, oko akufuneki ukuba ususe ngokupheleleyo otya ngayo.