Muaj pob zeb hauv lub gallbladder hauv cov kab mob tom kawg. Cov kua tsib yog tsim nyog rau kev ua haujlwm ntawm lub plab zom mov. Feem ntau, thaum pob zeb tsim hauv lub cev no, nws raug tshem tawm tam sim. Kab lus no tham txog cov teeb meem ntawm lawv txoj kev kho mob yam tsis muaj kev phais, kev noj haus, kev siv cov tshuaj pej xeem rau kev tshem tawm pob zeb.
Kev faib tawm
Yeej, hom kab mob gallstones raug cais raws li lawv cov tshuaj muaj pes tsawg leeg. Raws li qhov tshwj xeeb no, lawv tau muab faib ua:
- calcareous;
- bilirubin (xim);
- mixed.
cov cholesterol
Tsis tas li ntawd, gallstones raug cais raws li lawv tus lej rau hauv:
- single;
- ntau,
Tseem muaj lawv qhov loj me:
- small;
- medium;
- loj.
Thawj yog cov uas muaj ntu hla tsawg dua 1 cm. Yog tias qhov ntsuas no dhau, lawv raug cais raws linruab nrab (1-2 cm) thiab loj (ntawm 2 cm).
Yog vim li cas thiaj tsim
Gallstones tuaj yeem tsim los ntawm cov hauv qab no:
- muaj duodenal diverticulum;
- Crohn's disease;
- hemolytic anemia;
- kab mob ua xua;
- mob ntshav qab zib;
- caj ces predisposition rau daim siab pathologies;
- siv sijhawm ntev ntawm cov tshuaj tiv thaiv estrogen;
- overweight;
- kab mob siab, uas txo qis cov kua qaub nrog cov roj cholesterol siab hauv cov kua tsib yog tsim tawm (toxicosis, daim siab hlwv, kab mob siab, cirrhosis);
- tas li lossis tsis tu ncua hypothermia ntawm lub cev;
- kev ua neej nyob;
- kev noj zaub mov tsis zoo.
yim
Yog tias koj txhawj xeeb txog lub gallstones, koj yuav tsum txiav txim siab txog txoj kev kho mob. Nws tuaj yeem ua haujlwm, kho mob lossis koom nrog kev siv tshuaj ib txwm siv.
Lawv muaj npe vim li cas hauv lawv cov khoom sib xyaw lawv muaj los ntawm 80% ntawm cov khoom siv hauv lawv lub npe. Cov roj (cholesterol) tuaj yeem crystallize yog tias qhov concentration ntawm lecithin thiab acids hauv cov kua tsib txo qis. Cov xwm txheej zoo li no tuaj yeem pom thaum muaj cov kab mob hauv qab no:
- Cov thyroid pathologies.
- mob ntshav qab zib.
- kab mob siab ntev.
Tsis tas li, qhov xwm txheej zoo sib xws tuaj yeem pom nrog kev noj zaub mov tsis txaus (kev tshaib plab lossis kev noj ntau ntawm carbohydrates thiab rog) thiab noj tshuaj tiv thaiv kab mob hormonal.
Kev tsim ntawm cov pob zeb no tshwm sim hauv plaub theem:
- nce hauv qhov concentration ntawm cov cholesterol hauv cov kua tsib nrog txo qis hauv qhov cuam tshuam rau cov kua qaub.
- Stagnation ntawm secretions los ntawm daim siab daim ntawv nyob rau hauv lub zais zis.
- Cholesterol microcrystals daim ntawv.
- Lawv lo ua pob zeb.
Cov tom kawg muaj xim daj-ntsuab, oval lossis puag ncig, tuaj yeem ua tau ntau yam thiab ib leeg nrog qhov ntau thiab tsawg ntawm 1 txog 3.4 cm.
Bilirubin hom pob zeb
Nyob rau hauv lub gallbladder, lawv tsim los ntawm cov khoom tawg ntawm hemoglobin. Cov no suav nrog feem ntau bilirubin. Nws txoj kev kawm qib siab tau sau tseg rau lub sijhawm hauv qab no:
- noj tshuaj;
- hemolytic anemia;
- kev npam ntawm lub cev;
- kab mob autoimmune;
- kab mob sib kis.
Lawv feem ntau me me (txog 10 hli), grey, dub lossis ntsuab tsaus. Tsim nyob rau hauv ob peb daim.
txiv qaub thiab pob zeb sib xyaw
Thawj yog tsim los ntawm kev tso cov calcium ntsev nyob ib ncig ntawm cov kab mob, cov roj cholesterol me me, cov hlwb desquamated epithelial. Lawv raug tsim thaum lub sij hawm inflammatory txheej txheem nyob rau hauv lub phab ntsa ntawm lub gallbladder.
Thaum txheejcalcifications ntawm bilirubin los yog cholesterol pob zeb tsim cov pob zeb sib xyaw uas muaj cov txheej txheem txheej. Lawv tsim yog txuam nrog kev loj hlob ntawm inflammatory dab nyob rau hauv lub phab ntsa ntawm lub gallbladder. Raws li txoj cai, nws yog lawv feem ntau hauv nws kab noj hniav. Lawv yog daj-xim av thiab ntau ntau.
Hom kab mob gallstones txiav txim siab thaum xaiv kho lawv yam tsis tau phais.
Nrhiav pob zeb hauv ducts
Lawv tuaj yeem tsim tsis yog hauv lub zais zis xwb. Lub pob zeb nyob rau hauv lub ducts ntawm lub cev yog tsim los ua lwm yam. Qee zaum lawv tuaj yeem tsim tsuas yog hauv lawv (raws li thawj). Cov tom kawg yog xim av. Qhov thib ob tuaj yeem yog cov roj cholesterol lossis sib xyaw.
Cov kab mob zoo li no feem ntau pom hauv cov neeg Esxias, thiab tseem tuaj yeem pom hauv cov neeg uas tau mob cholecystectomy (kev phais kom tshem tawm lub cev).
Feem ntau cov pob zeb hauv lub zais zis yog kho nrog thim rov qab endoscopic retrograde cholangiopancreatography. Nrog cov deposits loj dua 15 hli, lithotripsy yog siv. Nyob rau hauv tus txheej txheem ntawm nws cov kev siv, kev puas tsuaj thiab crushing ntawm pob zeb yog nqa tawm, ua raws li los ntawm lawv tshem tawm siv ib tug endoscopic pob tawb los yog lub zais pa. Yog tias cov hau kev no tsis muaj txiaj ntsig, kev phais raug qhia.
Kev kho mob thiab kev phais kom tshem tau tus kab mob
Kev kho cov pob zeb hauv lub gallstones yam tsis muaj kev phais yuav tsum noj cov khoom uas muaj cov kua qaub uas tuaj yeem yaj cov pob zeb: "Chenofalk","Ursofalk", "Ursosan". Yog tias kuaj pom tus kab mob ntawm tus kab mob, cov tshuaj tua kab mob tau muab tshuaj. Pain Syndromes tau daws nrog kev pab los ntawm cov tshuaj hauv qab no:
- Spazmalgon.
- Analgin.
- "Papaverine".
- No-shpa.
Txoj kev cuam tshuam tsawg kawg kuj tau siv, tom qab uas lawv txiav txim siab yuav tshem tawm cov pob zeb me ntawm lub gallbladder, txij li thaum lawv siv cov txheej txheem lawv raug crushed.
Yog tias muaj kev pheej hmoo ntawm kev tawg ntawm lub cev lossis nws cov ducts, suppuration, kev puas tsuaj cholecystitis, pob zeb loj, qhia txog kev ua haujlwm. Nws tuaj yeem ua laparoscopically lossis laparotomically.
tshuaj ntsuab
Cov pob zeb loj thiab rab koob tsis tuaj yeem raug tshem tawm hauv txoj kev no, vim tias lawv tuaj yeem thaiv cov channel thiab ua rau lawv puas tsuaj. Yog li ntawd, ua ntej kev kho mob, nws yog ib qho tsim nyog yuav tau ua ultrasound ntawm lub gallbladder.
Thaum siv lwm txoj hauv kev, koj yuav tsum nco ntsoov tias kev tso cov pob zeb cuam tshuam nrog kev mob mob.
Cov txiaj ntsig zoo tshaj yog cov hauv qab no:
- Cov kua txiv hmab txiv ntoo los ntawm grated radish yog tov nrog zib mu hauv qhov sib piv 1: 1. Kev kho mob pib noj raws li ib qho kev pom zoo los ntawm 1/3 khob, maj mam coj mus rau tag nrho, raws li lwm tus - 1 tbsp. l. ib nrab teev ua ntej noj mov.
- txiv roj roj siv 1 tsp. 30 feeb ua ntej noj mov. Maj mam nce qhov ntim rau 0.5 khob.
- Freshly squeezed kua txiv (dib, beetroot, zaub ntug hauv paus) - 100 ml ib hnub (txhua), pob zeb tawm tom qab ob pebweek.
- qaib plab. Lawv ntxuav ntawm zaj duab xis, ntxuav, qhuav thiab hauv av, lawv tau noj nyob rau hauv 1 tsp. ib teev ua ntej noj tshais. Koj tuaj yeem sau lawv nrog dej lossis mis nyuj tshiab los ntawm nyuj. Tom qab kawm 21 hnub, so rau 20 hnub. Lawv tus lej raug txiav txim los ntawm lub sijhawm lub pob zeb tawm.
- 1 tsp av pob kws stigmas yog nchuav nrog 100 ml ntawm dej kub thiab hnub nyoog rau ib nrab ib teev nyob rau hauv ib da dej. Tom qab ntawd, infusion yog lim. Tom qab ntawd boiled dej yog ntxiv rau nws mus rau lub ntim uas yog Ameslikas. Noj peb zaug ib hnub twg, 35 ml.
- Tev, txiav thiab boil 3 nruab nrab beets. Cov txheej txheem no txuas ntxiv mus txog thaum cov dej hauv lub thawv ua zoo li syrup. Noj peb zaug ib hnub twg, 50 ml ua ntej noj mov.
Ntxiv rau, ntau yam tshuaj ntsuab infusions thiab decoctions yog siv los ua ib qho kev kho mob gallstones yam tsis tau phais:
- Los ntawm cov hauv paus paj noob hlis. 250 g yog crushed, ncuav 3 liv dej txias, muab tso rau ntawm hluav taws. Nqa mus rau boil. Tom qab ntawd, tawm hauv hluav taws rau lwm 3 feeb, txias thiab lim. Ces haus ib khob plaub zaug ib hnub twg rau 2 lub hlis.
- Hauv 2 tbsp. l. immortelle, ntxiv 2 khob dej boils, insist kom txog thaum nws txias, noj txhua hnub, noj ib nrab ntim ib zaug.
- K 2 tbsp. l. fennel, ncuav rau hauv ib lub thermos, ntxiv dej kub thiab infuse rau 5 hnub, noj ib khob ib hnub rau ib hlis.
- YCrushed juniper bark yog nchuav rau hauv 100 ml dej,lub thawv kaw lawm. Insist rau 15 hnub, noj 30 ml peb zaug ib hnub ua ntej noj mov.
- Cov nplooj qhuav horseradish yog crushed los sau ib liter hub mus rau ib nrab, ncuav 0.5 liv ntawm vodka, tso rau hauv ib qho chaw tsaus rau infuse rau 2 lub lis piam. Noj ntawm plab khoob thaum sawv ntxov, 20 ml.
Khoom noj
Thaum pob zeb tsim, koj yuav tsum noj kom raug, yog li cov lus nug ntawm yuav noj dab tsi nrog pob zeb hauv lub gallbladder yog qhov cuam tshuam.
Nyob rau hauv kev noj haus, koj yuav tsum tau nce cov khoom noj uas muaj cov ntsiab lus siab ntawm ntau yam kab thiab cov vitamins, fiber ntau thiab pectin.
Khoom noj khoom haus yuav tsum tsis muaj tshuaj ntxiv, tshuaj tua kab thiab xim.
Nws yog qhov zoo siv buckwheat, oatmeal, apricots ua qhov chaw ntawm magnesium.
Los ntawm cov khoom siv mis nyuj nws yog qhov zoo dua los siv cov tsev cheese uas tsis muaj rog. Nqaij thiab nqaij qaib yuav tsum tau noj. Cov qeb no suav nrog: luav, lean yaj lossis nqaij npuas, nqaij qaib mis tsis muaj nqaij.
Cov nqaij thiab ntses hauv qab no yuav tsum tsis txhob noj:
- caviar;
- smoked nqaij;
- khoom noj kaus poom;
- pates;
- duck;
- herring;
- mackerel;
- fat;
- hlwb;
- siab.
Nws txwv tsis pub noj cov zucchini, dib, txiv lws suav, nrog rau legumes, spinach, sorrel, nceb. Compotes, jellies thiab mousses tuaj yeem npaj los ntawm cov txiv hmab txiv ntoo thiab txiv hmab txiv ntoo, tshwj tsis yog txiv apples, citrus txiv hmab txiv ntoo, cranberries, txiv hmab txiv ntoo, plums.
Tsis txhob haus cawv. Yuav tsis muaj zog tshuaj yej thiab kas fes, tshiabCov kua txiv hmab txiv ntoo, rosehip decoction, oatmeal jelly.
In xaus
Hom kab mob gallstones yog txiav txim los ntawm pathologies hauv lub cev thiab ntau hom kev tso nyiaj. Lawv tuaj yeem kho mob lossis phais. Kev siv cov tshuaj pej xeem tuaj yeem nrog kev kho mob. Kev Noj Qab Haus Huv No. 5 pab txhawb kev tawm ntawm pob zeb zoo dua.
