Kev mob hauv lub cev ntawm lub gallbladder yog ib qho tsis xws luag hauv cov qauv ntawm lub cev, uas nws deformation tshwm sim. Tawm tsam keeb kwm yav dhau los no, muaj kev hloov pauv ntawm qhov tseeb ntawm cov npuas, uas yuav tsum yog pear-puab. Tsis tas li ntawd, nws txoj haujlwm raug cuam tshuam, cov kua tsib stasis tshwm sim, uas tuaj yeem ua rau muaj teeb meem.
Cov tsos mob thiab ntau yam yuav txawv nyob ntawm seb qhov etiological yam ntawm pathology. Lub ntsiab teeb liab yog mob thiab tsis xis nyob nyob rau hauv lub tav ntawm sab xis, ib qho tsis kaj siab aftertaste nyob rau hauv lub qhov ncauj kab noj hniav. Kev kho mob tactics rau khoov hauv lub gallbladder yog ncaj qha txiav txim los ntawm qhov chaw ntawm qhov khoov ntawm lub cev.
Etiology
Cov kab mob ntawm lub gallbladder raws li kev kis mob tsis yog nyob ntawm lub hnub nyoog thiab feem ntau kuaj pom hauv cov menyuam yaus. Nyob rau hauv cov ntaub ntawv no, lawv hais txog ib tug congenital, los yog thawj inflection ntawm lub gallbladder. Cov xwm txheej hauv qab no tuaj yeem ua rau nws tshwm sim hauv menyuam yaus:
- siv tsis tau los ntawm tus poj niam nrognoj tshuaj cev xeeb tub thaum lub sij hawm thawj peb lub hlis twg;
- ua lub neej tsis zoo thaum nqa tus menyuam, suav nrog haus cawv thiab haus luam yeeb;
- ib tug poj niam muaj kab mob ntev ntawm lub plab lossis lub siab;
- kis kab mob lossis kab mob kis thaum cev xeeb tub;
- kev ua haujlwm tsis zoo lossis kev ua neej nyob rau tus poj niam cev xeeb tub.
Tus neeg laus
Nyob rau hauv cov neeg laus, kink nyob rau hauv lub gallbladder tshwm sim vim yog vim li cas:
- khoom noj tsis txaus, uas yog cov khoom noj ntsim thiab rog;
- thawj lub ntsiab lus tseem tuaj yeem suav nrog kev ua raws li kev noj zaub mov nruj dhau, kev yeem tsis kam noj zaub mov ntev, tsis muaj kev tswj hwm. Tias yog vim li cas kev kho mob ntawm pathology yog raws li kev ua raws li cov lus pom zoo ntawm kev noj zaub mov kom raug;
- metabolic disorder;
- tus neeg mob muaj qee theem ntawm kev rog;
- pathologies xws li cholecystitis lossis kab mob plab, nrog rau lwm yam kab mob ntawm daim siab, pancreas thiab duodenum;
- yav dhau los ua zaub mov lom lom zem heev;
- nqa qhov hnyav thaum tus neeg tsis tau npaj lub cev;
- tsis muaj kev tawm dag zog lub cev, uas tuaj yeem tshwm sim los ntawm ib puag ncig ua haujlwm tsis tu ncua lossis kev ua neej nyob uas tus neeg raug yuam kom sawv lossis zaum ntev;
- kev siv tshuaj tsis raug cai;
- nce qhov loj ntawm lub raum sab xis;
- poob ceeb thawj ntawm tus neeg mob;
- mob siab;
- kev phais mob ntawm lub plab zom mov.
Lub sijhawm cev xeeb tub yog lwm qhov laj thawj, vim tias lub sijhawm no yog qhov tshwm sim los ntawm kev nyem thiab hloov pauv ntawm cov kabmob hauv nruab nrog cev, tshwj xeeb, lub gallbladder. Qhov no yog vim qhov loj ntawm lub tsev menyuam thiab kev loj hlob ntawm tus menyuam hauv plab hauv poj niam.
Kev faib tawm
Vim qhov tseeb tias muaj ntau lub chaw haujlwm hauv lub gallbladder, deformation ntawm ib qho ntawm lawv yuav tshwm sim. Piv txwv li, sawv tawm:
- Khoov thaj tsam ntawm caj dab ntawm lub cev no.
- Khoov ntawm lub gallbladder nyob rau hauv lub cev cheeb tsam - qhov no thiab cov saum toj no pathological daim ntawv yog feem ntau.
- bile duct kink.
- Deformation ntawm hauv qab ntawm lub gallbladder.
Ib qho ntawm cov kev xaiv txaus ntshai tshaj plaws rau kev tso ntawm qhov tsis xws luag yog thaj tsam ntawm lub caj dab thiab lub cev ntawm lub gallbladder. Tus kab mob raws li etiological yam yuav ua tau: congenital, uas yog, nws yog tsim thaum lub sij hawm kev loj hlob ntawm fetus nyob rau hauv lub tsev me nyuam; kis tau - txawv ntawm qhov cuam tshuam ntawm ib lossis ntau qhov ua tau qhia saum toj no, tau pom meej meej hauv kev kho mob.
Lwm cov duab
Ntxiv mus, muaj ntau ntau hom kab mob no:
- labile inflection ntawm npuas - txawv ntawm qhov nws muaj peev xwm hloov nws qhov chaw;
- qhov ua paug ntawm npuas yog tsau - nws qhov sib txawv ntawm qhov dhau los yog tias nws tau kho nyob rau hauv ib qho chaw tshwj xeeb thiab tseem tsis muaj zog;
- flexion ntawm lub gallbladder ua haujlwm - tsis ua rau muaj kev hem thawj rau tib neeg lub neej thiab tsis ua rau muaj teeb meem. Nws tshwm sim vim nws ploj musywj siab thaum ib tug neeg hloov txoj hauj lwm.
Cov tsos mob ntawm qhov tsis haum xeeb
Congenital kink nyob rau hauv lub gallbladder nyob rau hauv ib tug me nyuam feem ntau tshwm sim tsis muaj cov tsos mob thiab tsis ua rau tsis xis nyob thaum lawv loj hlob tuaj. Feem ntau nws dhau los ua ib qho kev xav tsis tau pom thaum lub sijhawm kuaj ultrasound, uas yog muab rau cov hom phiaj prophylactic lossis txiav txim siab txog kab mob sib txawv. Tab sis qee qhov xwm txheej, cov tsos mob hauv qab no ntawm lub zais zis deformation hauv cov menyuam mos yuav tshwm sim:
- ntuav thiab tib lub sijhawm muaj zog nce hauv qhov ntim ntawm lub plab;
- nquag regurgitation;
- Tus me nyuam ntxhov siab thaum pub mis.
Cov tsos mob ntawm cov kab mob hauv lub gallbladder kuj tau pom nyob rau hauv cov xwm txheej uas tus me nyuam maj mam qhia cov khoom noj ntxiv. Qee zaum (tsis tshua muaj heev) cov cim qhia ntawm congenital inflection tej zaum yuav tshwm sim nyob rau hauv preschool cov me nyuam. Cov tsos mob no suav nrog:
- xav xeev siab tom qab noj zaub mov tsis zoo lossis thaum sawv ntxov;
- tsis xis nyob hauv txoj cai hypochondrium;
- ntuav uas ua rau tus menyuam mos;
- bloating - tshwm sim tom qab noj;
- me nyuam aversion to fatty foods;
- iab saj hauv qhov ncauj;
- txheej daj uas tshwm ntawm tus nplaig.
Kev kis tus kab mob gallbladder hauv thaj tsam ntawm lub cev yuav muaj qee qhov sib txawv hauv kev kho mob tshwm sim. Thaum deformedCov kua tsib yuav ua li no:
- mob hnyav hauv thaj tsam ntawm lub cev cuam tshuam;
- ntuav tas li xeev siab, feem ntau xaus rau ntuav;
- frequent heartbeats.
Thaum muaj qhov deformation tshwm sim ntawm lub cev thiab hauv qab ntawm lub zais zis, cov tsos mob yuav ua raws li nram no: mob hnyav hauv siab; cov tsos mob dyspeptic; irradiation ntawm qhov mob hauv thaj tsam ntawm txoj cai hypochondrium, pob txha caj dab thiab lub xub pwg hniav.
caj dab khoov
Cov kab mob ntawm lub caj dab ntawm lub gallbladder muaj cov tsos mob zoo ib yam: cov tsos mob tshwm sim ntawm qhov mob hauv qab tav ntawm sab xis thiab hauv lub xub pwg hniav; cov tsos ntawm yellowish tint nyob rau hauv lub mucous daim nyias nyias thiab daim tawv nqaij cover; nce hauv lub cev kub. Cov tsos mob zoo sib xws kuj tseem tuaj yeem qhia tau tias deformation hauv thaj tsam ntawm lub cev ntawm lub gallbladder. Txawm hais tias qhov chaw ntawm qhov inflection, muaj kev ua txhaum ntawm cov quav, nce qhov ntim ntawm lub plab, belching thiab heartburn, ua pa phem, iab hauv qhov ncauj, daj txheej ntawm tus nplaig, thiab tsis qab los noj mov. Yog tias muaj ib lossis ntau cov tsos mob tshwm sim, koj yuav tsum mus ntsib kws kho mob sai li sai tau, leej twg yuav muab kev pab tsim nyog thiab pab tiv thaiv ntau yam teeb meem hauv lub cev.
Yuav ua li cas thiaj li pom cov kab mob hauv lub cev ntawm lub gallbladder?
Diagnosis
Kev txiav txim siab qhov kev kuaj mob kom raug thiab qhov chaw ntawm qhov deformity ntawm lub cev yog nyob ntawm kev ntsuas ntsuas ntawm tus neeg. Txawm li cas los xij, ua ntej siv lawv, nws yuav tsim nyog los siv lwm yamDiagnostic method.
Kev kuaj pom thawj zaug yog ua los ntawm tus kws kho mob nkaus xwb thiab tsom rau:
- kev sib tham ntxaws ntawm tus neeg mob lossis nws niam nws txiv, uas yuav tsum tau tsim lub sijhawm ntawm thawj qhov tsos mob thiab lawv qhov hnyav;
- paub nrog tus neeg mob lub neej keeb kwm thiab keeb kwm kev kho mob, uas yog qhov tsim nyog los txiav txim seb qhov ua rau kis tau;
- Kev kuaj lub cev, uas yuav tsum muaj xws li palpation ntawm lub plab anterior phab ntsa, tshwj xeeb tshaj yog nrog kev tsom mus rau thaj tsam ntawm txoj cai hypochondrium, kev kuaj mob ntawm sclera thiab tawv nqaij, ntsuas kub.
Hais txog kev kuaj cov quav, zis thiab ntshav, nws yuav tsum tau hais tias lawv qhov kev kuaj mob tsis muaj qhov tseem ceeb hauv qhov no. Txawm li cas los xij, lawv raug coj los refute los yog paub meej tias muaj teeb meem. Ntawm cov kev kuaj ntsuas ntsuas, ultrasound yog qhov txawv, uas muaj ob peb theem: thawj - cov txheej txheem yog nqa tawm ntawm lub plab khoob; Qhov thib ob - ultrasound ua ib nrab ib teev tom qab noj tshais choleretic. Ntxiv rau cov khoom noj uas ua rau cov kua tsib ntau ntxiv, cov tshuaj uas muaj cov nyhuv tib yam tuaj yeem siv tau. Congenital pathologies yuav tsis pom muaj kev hloov pauv, tab sis yog tias kis tau tus kab mob, nws yuav txo qis qhov loj ntawm lub cev o.
Kev kho mob
Rau kev kho cov menyuam yaus uas muaj lub zais zis deformation nrog kev nkag mus rau hauv lub cev, cov tshuaj hauv qab no feem ntau tau sau tseg:
- sedatives, uas yog, sedatives (motherwort, valerian);
- bile-forming -txhawb kev tsim cov kua tsib ("Allohol", "Tsikvalon");
- choleretic - pab txhawb kom yooj yim tso kua tsib ("Mannitol", "Hofitol");
- antispasmodic - tshem tawm qhov mob thiab mob plab ("Papaverine", "No-Shpa").
Tshuaj tua kab mob
Nrog rau txoj kev loj hlob ntawm cov txheej txheem inflammatory nyob rau hauv cov ntaub ntawv ntawm inflection, tshuaj tua kab mob. Lawv siv rau hauv chav kawm. Nws tsis tuaj yeem nce lossis cuam tshuam nws tus kheej. Cov tshuaj tua kab mob yog qaug cawv nrog rau cov tshuaj uas pab normalize plab hnyuv microflora, vim hais tias cov tshuaj tua kab mob muaj qhov tsis zoo rau lub plab zom mov.
Thaum xaiv cov tshuaj rau qhov ua rau muaj kev cuam tshuam hauv lub cev ntawm lub gallbladder, koj yuav tsum coj mus rau hauv tus account lub hnub nyoog ntawm tus neeg mob. Nws yog txwv tsis pub kho cov menyuam yaus yam tsis tau sab laj nrog kws kho mob.
Cov tshuaj nrov rau cov neeg laus:
- "Gepabene" - muaj cov nyhuv maj mam choleretic thiab analgesic.
- "Ursofalk" - pab kho cov kua tsib kom raug, tawg pob zeb, txhawb kev ua haujlwm ntawm lub gallbladder.
- "Flamin" - tones cov kab mob hauv nruab nrog cev, txo qhov mob thiab tshem tawm cov txheej txheem ntawm o.
- "Nicodin" - muaj cov tshuaj tiv thaiv kab mob thiab txhim kho cov kua tsib.
Yuav ua li cas lwm yam kev kho mob ntawm kink hauv lub gallbladder koom nrog?
kev kho mob ntxiv
Tus kws kho mob tshwj xeeb tuaj yeem sau cov kev kho mob ntxiv rau tus neeg mob. Nws twb tau taw qhia saum toj no tias qhov tseem ceeb hauv kev tshem tawmxws li ib tug pathology muaj ib tug sparing noj. Nrog rau cov kab mob ntawm lub gallbladder, cov zaub mov xav tias tsis muaj cov ntawv qhia zaub mov: ntsev, ntsim thiab rog; offal thiab nplua nuj broths; legumes thiab smoked nqaij; cov kaus poom zaub mov thiab marinades; confectionery thiab pastries; cov khoom noj siv mis uas muaj cov roj ntau dhau; tsiaj rog thiab fungi; kub sauces thiab txuj lom; zib mu, chocolate thiab lwm yam khoom qab zib; txiv hmab txiv ntoo qhuav thiab citrus txiv hmab txiv ntoo; carbonated dej qab zib; tshuaj yej dub thiab kas fes muaj zog.
Tib lub sijhawm, tib neeg lub cev yuav tau txais cov microelements thiab cov vitamins uas nws xav tau los ntawm cov nqaij nruab deg; Noj cov ntses, nqaij qaib thiab nqaij, nplej zom, cov khoom noj muaj roj tsawg, cov zaub mov tsis noj nqaij, cov txiv hmab txiv ntoo thiab zaub siav, compotes thiab jelly, tshuaj yej ntsuab thiab jelly.
Nrog rau lwm yam, rau cov neeg mob uas lub gallbladder deformed los ntawm ib tug kink nyob rau hauv lub cev, nws yog advisable noj cov zaub mov fractionally thiab feem ntau, tswj qhov kub ntawm cov zaub mov, noj zaub mov los ntawm stewing, boiling, ci thiab steaming. Hauv plawv ntawm kev noj haus yog lub rooj ntawm tus naj npawb tsib. Hais txog intricacies ntawm kev noj haus, tag nrho cov lus pom zoo yog muab los ntawm ib tug kws noj zaub mov los yog gastroenterologist. Lwm cov tshuaj tuaj yeem ua tiav cov txiaj ntsig zoo, tab sis nws raug nquahu kom sab laj nrog kws kho mob ua ntej pib kho.
npaum nroj tsuag
Cov khoom siv tau zoo yog: tansy thiab dandelion; immortelle thiab St. John lub wort; avran thiab pob kws stigmas; calendula thiab calendula; gentian thiabbarberry; chamomile thiab rosehip; valerian thiab mint; artichoke thiab rhubarb; centaury thiab coriander. Kev cuam tshuam ntawm kev phais nrog cov tsos mob ntawm lub gallbladder yog nyob rau hauv cov xwm txheej tsis tshua muaj, tsuas yog yog tias cov ntshav muab rau lub cev raug cuam tshuam los yog thaum nws phab ntsa tau perforated. Kev kho mob phais aims kom excise lub gallbladder.
Kev Tiv Thaiv
Txhawm rau tiv thaiv cov kab mob cuam tshuam nrog kev khoov ntawm lub cev, yuav tsum tau ua raws li cov lus pom zoo hauv qab no:
- ua lub neej ua haujlwm nruab nrab thiab noj qab nyob zoo, tshwj xeeb tshaj yog thaum cev xeeb tub;
- noj kom raug thiab tsim koj cov zaub mov kom rov zoo;
- ua kom hnyav rov qab zoo li qub;
- yog tias ua tau, zam kev tawm dag zog lub cev thiab kev ntxhov siab;
- tawm sijhawm tshem tawm cov kab mob uas tuaj yeem ua rau lub zais zis deformation;
- mus kuaj los ntawm tus kws kho mob gastroenterologist ob peb zaug hauv lub xyoo.
Qhov kev mob tshwm sim ntawm lub zais zis feem ntau yog qhov zoo. Nrog rau tus kab mob kis tau, nws tau txo qis, vim tias muaj qhov tshwm sim ntau ntawm kev tsim cov teeb meem hauv lub cev.
Peb tau saib cov tsos mob thiab kho lub gallbladder kink.
