Ukwelashwa nokuvikelwa cholecystitis oyingozi. Izimpawu, kubangela lesi sifo. Ukudla ngesikhathi cholecystitis

Uma une ezinzima ubuhlungu phezulu ngakwesokudla quadrant, isicanucanu nokuhlanza, okungadingi kudambise, umlomo uzizwe ukunambitheka ababayo, kungenzeka ukuthi une ngokuhlasela cholecystitis oyingozi.

Cholecystitis - esinye sezifo njalo kakhulu. Ngokwe-International Ukwahlukanisa Diseases (ICD-10) kungokwalabo isigaba pathologies wokugaya ukudla. Lesi sifo kungaba ezimele futhi lesi simo singenzeka njengoba kwetintfo ezinye izifo, ezifana pancreatitis, ezinye izinhlobo kolwelwesi, i-hepatitis kanye nabanye. Lesi sifo eba kancane kancane, unobtrusively ekuqaleni, ngakho-ke kuyadingeka ukuba uchithe ekwelapheni acute ngokushesha ngangokunokwenzeka cholecystitis, izimpawu zazo ziye kwavela kakade.

Kuyini cholecystitis

Cholecystitis ngokuvumelana ICD-10 - yisishiso gallbladder. Imbangela eyinhloko isifo - the Amapayipi Bile, nenyongo sesinye okuyothi ohlanziwe Bile amatshe ivimbekile. Lokhu kuye labhuntsha. I Bile stagnates emzimbeni ilahlekelwa impahla yayo elwa namagciwane, ngenxa odongeni gallbladder itheleleke (kuhlanganise amagciwane babevela pheshana emathunjini). Ngenxa cholelithiasis kwenzeke kuze kube 95 amaphesenti cholecystitis.

Ngaphansi isifo ovamile kubangelwa ezinye izizathu: cholecystitis acalculous kungenzeka ukugqashuka vasculitis, ukuzila zeluliwe, sepsis, ukuhlinzwa kwamathumbu, ukuhlukumezeka, salmonellosis, nezinye izinto angahambisani kumiswa amatshe atholakala enyongweni.

Lesi sifo livela ngezindlela sibi futhi ezingalapheki. Ifomu acute sitholakale ngokushesha ukuthuthukisa ukuvuvukala. Ngokwesilinganiso, amaphesenti angu-15 iziguli izifo ngaphakathi komgodi ongaphakathi kwamathumbu singangena kule cholecystitis oyingozi. Bona zibonakala nobuhlungu obukhulu esiswini. Uma usola ukuthi une ngokuhlasela cholecystitis acute, ukufuna usizo lodokotela ngokushesha (shayela i-ambulense).

cholecystitis Okungalapheki kuwumphumela neziqubu okuphindiwe oyingozi. Ngokuvamile kuba calculous (ie amatshe atholakala enyongweni). Gallbladder odongeni ukushwaqa nge sikhathi, izinguquko sokugembula zenzeka noma Amapayipi Bile kwesinye incipha ikhono ukugcina nokukhululwa akhiwa nenyongo amatshe. Ukuze lesi sifo engazange asungule kwifomu okungamahlalakhona, kumelwe ngesikhathi esifanele sinake isimo sokugembula lomzimba ukwelapha cholecystitis oyingozi.

izimpawu isifo

Uphawu ephawuleka kakhulu lesi sifo - ubuhlungu obuhlabayo ku hypochondrium kwesokudla. Ubuhlungu cholecystitis inzima, ihlala isikhathi eside - mayelana amahora ayisithupha, ngokuvamile linikeza emhlane noma ngezansi kwesokudla isiphanga, ngisho kuziwa nokuquleka.

With ukuthuthukiswa sifo isiguli bangezwa isicanucanu, izinyembezi zakhe, ngezinye izikhathi exutshwe Bile, kodwa-ke kulula emva ukuhlanza kuba. Futhi, iziguli zingase esekhala nomlomo owomile, ulimi camera. izikhalazo evamile ukuvuvukala, belching emoyeni. Zonke zalezi zimpawu zidinga ngokushesha uswidi cholecystitis oyingozi.

Izimpawu cholecystitis acute futhi zihlanganisa:

• imfiva, umkhuhlane;
• jaundice;
• esihlalweni grey;
• palpitations inhliziyo nezinye izimpawu zokudakwa.

Ngaphezu lokhu kuyadingeka ukuze banake zimpawu ezilandelayo:

• Murphy futhi imodeli: ku palpation ezijulile hypochondrium kwesokudla nesineke kanzima ukuba sikwazi ukuphefumula, kubuhlungu manje;
• Grekov - Ortner: isiguli sibe ubuhlungu ngesikhathi effleurage entendeni ilungelo lwaleli costal;
• Shchetkina - Bloomberg: yobuhlungu cholecystitis iyakhula uma ngokushesha lizokhuphuka phezu anterior udonga besisu futhi let go.

Izimbangela cholecystitis acute

Ziyini izimbangela eziyinhloko zalokhu of cholecystitis - amatshe atholakala enyongweni:

• cholesterol amatshe (kunjalo ezivamile);
• bilirubin amatshe noma esikhunjeni (kwenzeke ukwa kwamangqamuzana egazi abomvu).

Okunye izimbangela zesifo:

• Bile stasis e isitho;
• kwesibindi kanye ipheshana biliary;
• okusheshayo kwesisindo (ukuthi ngenxa yokudla noma ukuhlinzwa bariatric Kwakuthi);
• sokukhulelwa (ku gallbladder kuthinta isikhundla umbungu, kanye hormone kushintsha umzimba).

Indima ebalulekile ukuqala cholecystitis acute ukudlala ubulili nobudala. Abesifazane obala isifo ngokwesilinganiso izikhathi 2-3 izikhathi ezingaphezu amadoda. Kwathiwa kuqashelwe ukuthi lesi sifo maningi amathuba okuthi ukuthuthukisa uma owesifazane izele ukuba okungenani unengane eyodwa ivikelwe zokuvimbela inzalo nge-estrogen okusezingeni eliphezulu okuqukethwe, kuyinto ngokweqile. Nokho, ukhuluphele angabangela isifo, kungakhethelekile ukuthi ungowesifazane: ukuphila umzimba kanye nokudla okungenamsoco kunothile ukudla esindayo oily kubangele Cishe ukudinga odokotela cholecystitis acute izikhathi 4 ngaphezulu. Nokho, umsebenzi okukhulu ngokomzimba nakho kunomthelela ekuthuthukiseni cholecystitis njengoba imithwalo anda nomthelela gallbladder futhi Bile mapayipi.

I esengozini yokungenwa yigciwane le ngokucijile liphuma emva kweminyaka 40-50, kodwa isizathu ngqo kungani lokhu kwenzeka ibingakazeki. Amadoda amadala kakhulu njalo waphawula acute cholecystitis calculous.

Cholecystitis e abadala kwande ngaphezu ezinganeni, kodwa ezimweni eziningi, lesi sifo kwenzeka ebuntwaneni futhi uyaqhubeka waze waba mdala.

Futhi, izinto ingqondo cholecystitis acute zihlanganisa izifo ezifana noshukela, isifo Crohn, immunodeficiency.

Pathology kungenzeka ngenxa ngokuthatha kwezidakamizwa ukwehlisa amazinga cholesterol, ukuzila isikhathi eside, ukulimala besisu.

sitholakele isifo

ucwaningo ukuze uqinisekise uphethwe ngoba isifo athwala usongo ekuphileni ngesikhathi izinsolo kancane acute cholecystitis iziguli badinga ukulaliswa esibhedlela ezimweni eziningi futhi emahoreni angu-24.

Ngo inkambo ejwayelekile ka cholecystitis acute uqinisekise uphethwe i udokotela abanolwazi kulula.

Ngaphezu behlolwa esiswini kuyadingeka ukwenza lolu cwaningo lokungena ezifana ultrasound futhi computed tomography esiswini. Esikhathini sitholakele udokotela kufanele siqiniseke ukuthi sikhuluma cholecystitis acute, pancreatitis kunokuba izimpawu zazo zifana noma appendicitis noma ezinye izimo zezokwelapha. On ultrasound udokotela uzobona uma usayizi gallbladder, noma uqweqwe odongeni yanda, kunezinye izinguquko, ubomvu, namanye amatshe. Ukuphumelela yalolu cwaningo isesikhathini amaphesenti angu-90.

Kwezinye izimo, kungadinga-X-ray, endoscopic, laparoscopic nezinye izinhlobo zocwaningo. Qiniseka ukuthi umchamo futhi igazi amasampula eyenziwa - jikelele, bilirubin, Amylase futhi lipase, ama-enzyme pancreatic, kanye kuhloswe ukuhlola umsebenzi sesibindi.

ukwelashwa okulondoloza ka cholecystitis acute

Uma cholecystitis acute akukho ingozi ka peritonitis, inhlolovo libonisa, kanye nokwelashwa olandelanayo. Isiguli ezinqunyiwe ngokuyinhloko analgesics nemithi elwa namagciwane. Lapho iqondiswa cholecystitis antispasmodics ngicele impumuzo ubuhlungu (isb, "Papaverine", "Cha-spa" kanye nabanye). amalungiselelo Kuhlanganiswe ne cholecystitis (antispasmodics, futhi imithi yokubulala izinzwa, isibonelo) kufanele isenzo ephumelela kunazo.

Imithi elwa namagciwane cholecystitis zisetshenziselwa yokuvimbela ukutheleleka ngegciwane esinyeni nenyongo futhi ngikuvimbele ukuthuthukisa.

Isiguli ngesikhathi yokwelapha kumele ukumelana ukudla okuqinile, ngosuku lokuqala kungenzeka indlala. Ngakwesokudla quadrant engenhla sisetshenziswa abandayo.

Ukuncibilikisa amatshe ukusebenzisa amalungiselelo chenodeoxycholic noma ursodeoxycholic acid. Ukuze silondoloze imisebenzi kwezitho esimisiwe Bile futhi gepatoprotektory. Ukuphathwa kanjalo kungase kuhlale iminyaka engaphezu kwemibili, kodwa kungenzeka umuntu abuyele kulo mkhuba. uhlala.

ukwelashwa kuhlinzwa

Lapho izimpawu peritonitis isiguli wenziwa ukuhlinzwa eziphuthumayo - cholecystectomy (nenyongo sesinye ukususwa). Ngo peritonitis, ukufa kuyinto ephakeme kakhulu, ngisho imisebenzi ephuthumayo, ngakho ukubambezeleka esibhedlela kuyingozi kakhulu lapho izimpawu cholecystitis oyingozi.

Uma Ucwaningo luthole cholecystitis calculary (ngamanye amazwi, ngamatshe), zingakapheli izinsuku eziyi ezintathu lapho kuqala lesi sifo ngenxa yokuntuleka kwezinhlelo ezibanzi Izimo Kunconywa ukuhlinzwa ekuseni ukuvimbela yezinkinga elandelayo cholecystitis oyingozi. nencazelo yalo - kokususwa gallbladder, isimo lilimele.

Okwamanje ngaphansi ezimbili izinhlobo imisebenzi: laparotomy futhi cholecystectomy laparoscopic. Esimweni sokuqala kuba ukuhlinzwa evamile okukhululekile imbobo besisu ukuthi wenziwa manje sincipha isibalo sawo. Laparoscopy wenziwa ngaphandle sebeziqhumbuza kuhlinzwa usebenzisa imishini ekhethekile. Phakathi laparoscopic ukuhlinzwa sebeziqhumbuza ezincane lapho ikhamera netikhali kwethulwa. Lolu hlobo cholecystectomy kancane esibuhlungu, liyinkathi encane nokuvuselelwa emva kuba amalunga omzimba kwesokunxele cishe akukho ukuvuvukala. Futhi ingasetshenziswa njengendlela indlela yokuhlola.

Ngemva kokuhlinzwa, isiguli walulama ngokushesha, anakho izinyanga ezimbili bakwazi ukubuyela ekuphileni evamile, kodwa isidingo uhlala izinyanga eziyisithupha ukuze ihambisane ukudla okuqinile futhi esikhathini esizayo ukulawula ekudleni kwakho.

A uhlobo kuqhathaniswa entsha ye ukuhlinzwa non-koda - Remote ukushaqeka-wave lithotripsy. Gallbladder lithotripsy isetshenziswa uma kukhona Izimo ukuhlinzwa intracavitary. It is kusetshenziswa umshini ithumela wave shock edwaleni, ukukugaya inqobo nje akusho phansi kanye naye othulini.

Onalesi sifo ka cholecystitis acute ngokuvamile evumayo. Ngemva kokuhlinzwa ngenxa cholecystitis calculous cishe zonke iziguli asibi izimpawu ngaphezulu.

yezinkinga lesi sifo

cholecystitis olunamandla ngokuvamile ezinye izifo okuholela peritonitis. Peritonitis kuzibonakalisa umphumela ube ukuqina abalulekile izinhlungu ngosuku 3-4th lokugula, imisipha ukungezwani odongeni kwamathumbu, ubuhlungu besisu.

Futhi cholecystitis acute kungaholela perforation we gallbladder. Kulokhu, ubuhlungu isikhathi esithile kuzoncishiswa, kodwa ke zonke izimpawu, kuhlanganise ubuhlungu, waqina ngokwengeziwe.

Izinkinga lesi sifo zihlanganisa cholangitis, pancreatitis, gallbladder esibhibhayo, suppuration esinyeni. inkinga ethile - umonakalo biliary ngesikhathi ukuhlinzwa ukhishwe gallbladder.

ukuhlaselwa okuphindiwe cholecystitis acute kungaholela isifo esingelapheki.

izinyathelo

Lapho ezifweni ekwakhiweni gallstone ukuvimbela ngokuphelele okuvela cholecystitis acute kunzima. Nokho, amathuba amatshe atholakala enyongweni ekuthuthukiseni zingancishiswa ngu izinyathelo zokuvimbela, ngaleyo ndlela kuncishiswe ingozi yokuhlaselwa ka cholecystitis acute nokuthuthukiswa ezingamahlalakhona.

Yokujama tsi of Bile kuvimbela yokuphila asebenzayo. Mobility evimbela kumiswa itshe, kanye igcina esisindo evamile.

Uma kukhona ukhuluphele, awukwazi kakhulu ukunciphisa ke.

Futhi, kufanele ibhalansi amanzi waphawula (usuku udinga ukuphuza okungenani 2 amalitha amanzi).

ukuqapha ngokucophelela impilo, uyeke utshwala nokubhema ngoba ukunciphisa namasosha omzimba futhi sibe nomthelela ongemuhle inqubo ukugaya.

ngokuvamile cholecystitis olunamandla iyisifo concomitant pathologies emathunjini, ngakho zonke izifo pheshana emathunjini kufanele aphathwe ngendlela esifike ngesikhathi.

I oyisisekelo - umsoco ofanele. Udinga ukudla njalo, ngesikhathi esifanayo, okungenani izikhathi ezintathu kuya kwezinhlanu ngosuku in izingxenye ezincane. Lokhu kusiza ukuvimbela yokujama tsi of Bile ku gallbladder.

Yamandla cholecystitis acute

Ukudla inendima enkulu ekwelapheni isifo. Ngakho-ke, isiguli kumele sikhumbule yokuqala ukudla nge cholecystitis, futhi ngokuqinile ukuhambisana nayo yonke imikhawulo ukuvimbela yokuphindela kuhlasela.

Ukudla kuyahluka zonke izigaba zesifo:

• Kusukela esibhedlela nesineke kuboniswe kokuzila kuze kuze buhlungu (kodwa kwezinsuku 4). Kulesi sigaba uketshezi uvunyelwe kuphela (lamanzi esiphethu ngaphandle igesi futhi eyamukelekayo itiye ababuthakathaka, izithelo iziphuzo, zezinkambi chamomile, peppermint, rose). Udinga baphuze kaningi e sips amancane.
• Ngemva kokukhipha ubuhlungu ekudleni kungenziwa kwalethela yashizi ukudla uketshezi - umhluzi kunalokho ebuthakathaka, amasobho, irayisi, semolina, i-oats, ubisi isobho, jelly, ephansi fat yogurt. Kunesidingo izingxenyana ezincane. Kulesi sigaba, udinga baphuze ezingaphezu kuka-2 amalitha amanzi ngosuku.
• Eduzane yokutakula ekudleni sengezwe izinhlanzi olunamafutha amancane noma inyama. Namanje bavunyelwe ukudla ecubuziwe kuphela, abilisiwe noma steamed, kodwa izingxenye zingandiswa. Kulesi sigaba, ekudleni ivumela izithelo nemifino, isinkwa esomile, amabhisikidi, marshmallow, ikhofi nobisi.

Ngo cholecystitis oyingozi futhi ezingalapheki akunakusetshenziswa awukwazi udle ethosiwe, ngibhema, okubabayo, kulolo ketshezi, okubabayo. imikhiqizo okunqatshelwe cholecystitis - chocolate, iziphuzo ezinoshukela, ehla sweet, amakhowe. Lokhu ukudla esindayo Uphatha kabi lomgudu wokugaya ukudla bese kungaholela ukuhlaselwa ezintsha.

Ngemva yokutakula umsoco imikhawulo ahlale, isiguli inikezwa Ukudla № 5a (awasetshenziswa okunamafutha ukudla okunothe fibre indawo, oxalic acid, i-cholesterol, extractives nitrogen).

Ukwelashwa nokuvikelwa amakhambi abantu

amakhambi Folk Kunconywa njengoba ethe xaxa. Ngokuphelele esikhundleni yokwelapha zabo ezivamile, ikakhulukazi ngesimo acute, kuyingozi. Uma usola isifo kwasekuqaleni kubalulekile kudokotela. Kumelwe okokuqala kwenziwe ekwelapheni cholecystitis acute, ezikhula izimpawu futhi zidinga ukulawula kokulashwa okusheshayo, futhi kuphela ke ungakwazi iphendukele amakhambi kanye nezimali.

Ukwelashwa nokuvikelwa cholecystitis okungamahlalakhona amakhambi abantu nazo asetshenziswa ngaphezu indlela yokwelapha main. Evame ukusetshenziswa isitshalo nge choleretic, eqeda ukuvuvukala, izindawo elwa namagciwane, kanye noju lwezinyosi namafutha we-oliva. itiye Morning Kunconywa ukushintsha decoction of stigmas ummbila noma wavuka okhalweni. Enye indlela ephumelelayo njengoba e cholecystitis kanye nezinye izifo pheshana emathunjini - a decoction of okusanhlamvu ebomvu oats.

Ukusetshenziswa kwanoma yiliphi ikhambi Folk kumelwe agunyazwe udokotela wakho.

Lapho ukudla, okunempilo yokuphila ingozi amatshe atholakala enyongweni nokuthuthukiswa cholecystitis lincane kakhulu. Nokho, lapho isici acute izimpawu cholecystitis akufanele self-medicate kanye nodokotela ngokushesha ukwenza ukusazi ngokunembile isifo esikuphethe nokunye okunjalo, ngaphandle kokudala ukubukeka yezinkinga nokuthuthukisa kwifomu ezingamahlalakhona lesi sifo ingelapheka ngokushesha.