Ntau tus neeg mob txaus siab rau lo lus nug ntawm seb JVP txhais li cas hauv kev kuaj mob thiab seb lub ntsiab lus no puas raug txiav txim. Dyskinesia yog ib yam kab mob ntawm lub plab zom mov, vim tias cov kua tsib tsis nkag mus rau hauv duodenum kom raug, vim tias cov txheej txheem zom zaub mov cuam tshuam. Cov neeg mob xav tias muaj dyskinesia yws ntawm xeev siab, saj tsis zoo hauv lub qhov ncauj, ntuav, thiab mob sab xis.
Yog vim li cas vim li cas thiaj li muaj kab mob tshwm sim tuaj yeem yog cov organic thiab ua haujlwm. Rau kev kho mob, nws yog ib qho tseem ceeb kom raug txiav txim siab qhov tshwm sim, vim qhov no yuav zam tsis muaj teeb meem.
hom kab mob tseem ceeb
Nws yog ib qho tseem ceeb kom nkag siab meej tias qhov kev txiav txim siab ntawm qhov kev kuaj mob ntawm JVP txhais li cas thiab yuav ua li cas raws nraim li cov kab mob tshwm sim nws tus kheej. Biliary dyskinesia yog biliary dyskinesia. Raws li kev faib tawm, nws tuaj yeem ua thawj thiab theem nrab thiab faib ua ntu zus raws li qhov ua rau muaj kev sib cav thiab lub sijhawm ntawm kev txhim kho.
Hom thawj ntawm JVP tshwm sim rautawm tsam keeb kwm yav dhau los ntawm kev tsis sib haum xeeb uas twb muaj lawm hauv kev txhim kho cov kua tsib. Tus kab mob tuaj yeem txhim kho ntawm nws tus kheej lossis nyob rau hauv kev cuam tshuam ntawm lwm yam. Nrog kev ywj pheej tshwm sim ntawm ib tug congenital daim ntawv ntawm pathology, nws manifestations tau pom los ntawm thaum yau. Txawm li cas los xij, qee zaum, tej zaum yuav muaj cov tsos mob asymptomatic rau qee lub sijhawm, thiab cov tsos mob tshwm sim tsuas yog thaum raug rau qee yam ua rau muaj kev cuam tshuam.
Secondary dyskinesia tshwm sim vim muaj cov kab mob ntawm lub plab zom mov. Noj mus rau hauv tus account lub peculiarities ntawm cov leeg nqaij contraction ntawm lub cev cuam tshuam, tus kab mob yuav ua tau:
- hyperkinetic;
- hypokinetic;
- mixed.
Hyperkinetic dyskinesia yog tus cwj pwm los ntawm ntau cov kua tsib uas tso tawm rau hauv duodenum. Yog vim li cas rau nws tshwm sim yog heev active contraction ntawm phab ntsa ntawm lub cev cuam tshuam. Feem ntau qhov teeb meem no tshwm sim hauv cov neeg mob hluas.
Hypotonic JVP yog tus cwj pwm los ntawm qhov tseeb tias lub zais zis tsis ua haujlwm zoo txaus, thaum cov kua tsib me me nkag mus rau hauv lub plab zom mov. Qhov tseeb, qhov kev ua txhaum cai no tau pom hauv cov neeg muaj hnub nyoog tshaj 40 xyoo. Tsis tas li ntawd, feem ntau xws li pathology tshwm sim hauv cov neeg uas nquag mus rau neurosis.
Cov kab mob sib xyaw muaj cov yam ntxwv ntawm ob hom kab mob no. Ib qho ntawm cov kabmob ntawm cov kab mob biliary ua haujlwm zoo heev, thaum lwm tus yog sluggish. Kev ua haujlwm tsis zoo ntawm cov kabmob ua rau muaj ntau yam kabmob.
Tus yam ntxwv ntawm tus kabmob hauv menyuam yaus
Cov niam txiv txaus siab, thaum ntsib qhov kev kuaj mob ntawm JVP thawj zaug hauv tus menyuam, nws yog dab tsi thiab seb tus kab mob no tshwm sim nws tus kheej li cas. Dyskinesia feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos. Lawv yog cov yam ntxwv ntawm chav kawm ntawm hypermotor thiab sib xyaw hom. Qee zaum, muaj hypomotor.
Dyskinesia yog cov kab mob feem ntau ntawm cov kab mob hepatobiliary hauv cov menyuam yaus. Qhov ua rau thiab cov txheej txheem tseem ceeb ntawm nws qhov tshwm sim hauv tus menyuam yaus yog qhov tsis txawv ntawm cov neeg laus. Qee zaum, cov tsos mob ntawm pathology yog vim muaj kev loj hlob ntawm cov pob txha thiab cov leeg nqaij thiab yog ib ntus. Txawm li cas los xij, kev ua txhaum loj ntawm lub plab zom mov tuaj yeem dhau los ua qhov tshwm sim.
Cov kws kho mob paub qhov txawv ntawm cov organic thiab kev ua haujlwm dyskinesia. Organic qhia tias muaj ntau yam kev txawv txav hauv lub cev hauv txoj kev loj hlob ntawm cov ducts, kev ua xua ntev, kev noj zaub mov tsis zoo, thiab kev ntxhov siab ntau dhau. Tus kab mob ntawm cov etiology no tshwm sim nyob rau hauv kwv yees li 10-15% ntawm tag nrho cov mob.
Functional dyskinesia yog tshwm sim los ntawm cov kab mob comorbidities thiab tshwm sim ntau zaus. Nyob rau hauv cov ntaub ntawv no, tus me nyuam muaj keeb kwm ntawm kab mob plab, kab mob thiab kab mob, kab mob ntawm lub paj hlwb, thiab helminthic invasions. Kev saib xyuas tshwj xeeb yuav tsum tau them rau qhov kev hloov pauv, nrog rau muaj cov kab mob endocrine.
Dyskinesia hauv cov menyuam yaus feem ntau tshwm sim nws tus kheej hauv daim ntawv ntawm atopic dermatitis thiab cov tsos mob ntawm dysbacteriosis, uas yuav tsum tau muab tshem tawm.cov txheej txheem ib txwm ua tsis tau. Nrog rau kev loj hlob ntawm JVP hauv cov menyuam yaus, cov tsos mob ntawm lub paj hlwb feem ntau tshwm sim. Tus me nyuam nyob rau tib lub sij hawm ua capricious, whiny, tau nkees sai heev. Cov menyuam kawm ntawv muaj kev poob qis hauv kev ua haujlwm. Tsis tas li, nrog JVP, cov menyuam yaus tuaj yeem tawm hws ntau ntxiv, plawv dhia thiab lwm yam tsos mob.
Thaum kho, kev noj zaub mov kom zoo ntawm tus menyuam yog qhov tseem ceeb thaum lub sijhawm exacerbation thiab thaum lub sijhawm tshem tawm. Kev soj ntsuam ntawm cov menyuam yaus nrog dyskinesia yog nqa tawm hauv 3 xyoos txij li lub sijhawm exacerbation kawg. Txhawm rau tiv thaiv qhov tshwm sim ntawm xws li pathology, nws yog ib qho tsim nyog yuav tsum tau saib xyuas tus menyuam txoj kev noj zaub mov, tiv thaiv overeating. Koj kuj yuav tsum tau tiv thaiv nws los ntawm cov xwm txheej ntxhov siab tsis zoo thiab tshem tawm ntau yam kev ua txhaum cai hauv lub sijhawm.
Kev tshwm sim
Thaum kuaj mob JVP, nws yog dab tsi thiab qhov ua rau tus kab mob no, txhua tus neeg mob yuav tsum paub, vim qhov no yuav tso cai rau koj kom tshem tau tus kab mob sai dua thiab ua tau zoo dua. Primary dyskinesia tshwm nyob rau hauv kev cuam tshuam ntawm ntau yam tsis zoo nyob rau hauv kev hloov pauv biliary ib ntsuj av. Ntawm cov laj thawj tseem ceeb ntawm tus kab mob no, cov hauv qab no yuav tsum tau qhia:
- mob hnyav lossis mob ntev;
- kev tsim txom cov khoom noj muaj roj;
- ua xua;
- noj qee yam tshuaj;
- tsis hnyav.
Secondary JVP nyob rau hauv cov neeg laus yog tsim tawm tsam keeb kwm ntawm uas twb muaj lawmpathologies thiab kab mob hauv tib neeg, ua rau lawv nyuaj heev. Ntawm cov kab mob tseem ceeb, cov hauv qab no yuav tsum paub qhov txawv:
- cholecystitis;
- kab mob siab;
- gastritis;
- luag;
- Ypyelonephritis.
Tsis tas li, ntau yam txheej txheem sib kis, muaj kab mob lossis kab mob hauv lub cev, kab mob endocrine tuaj yeem ua rau muaj qhov pib ntawm tus kab mob. Qhov tseem ceeb tshaj plaws yog lub xub ntiag ntawm congenital pathologies ntawm lub gallbladder. Paub txog qhov kev kuaj mob ntawm JVP yog dab tsi, tus kab mob tshwm sim nws tus kheej li cas thiab yuav kho li cas kom raug, koj tuaj yeem kho koj txoj kev noj qab haus huv sai sai thiab tiv thaiv cov teeb meem.
Psychosomatic factor
Qhov kev puas siab puas ntsws tuaj yeem ua rau muaj ntau yam kab mob, suav nrog JVP. Nyob rau hauv cov ntaub ntawv no, thaum lub sij hawm kev kuaj mob, tsis muaj organic los yog lub cev ua rau lub cev uas yuav provoke tus kab mob. Psychosomatics yog ua raws li lub ntsiab lus ntawm kev xav tshwm sim uas cuam tshuam rau txoj kev pathology. Ntawm cov neeg raug kev txom nyem los ntawm JVP, tsim nyob rau hauv kev cuam tshuam ntawm psychosomatic yam, nws yog ib qho tsim nyog los qhia txog:
- touchy;
- tsis sib haum;
- kev phem;
- neeg siab hlob.
Tsis tas li ntawd, cov tib neeg ua rau yus tus kheej muaj kev txi tej zaum yuav raug teeb meem zoo sib xws. Kev kho mob txhais tau hais tias kev siv cov txheej txheem psychotherapeutic, kho dua ntawm ib tus neeg lub neej txoj hauv kev thiab txoj haujlwm. Nws kuj yuav tsum tau hloov txoj kev ua neej. Raws li lub hauv paus ntsiab lus ntawm psychosomatics, feem ntau cov kab mob tau txais txiaj ntsig.
Pib neeg thiabNws raug pom zoo kom kawm zam txim, tswj kev npau taws thiab kev chim siab. Ib tug me nyuam raug kev txom nyem los ntawm psychosomatic disorders yog txawv los ntawm nruj ua raws li tag nrho cov lus cog tseg, sij hawm, conscientiousness. Cov me nyuam zoo li no txawv ntawm qhov tsis zoo thiab kev xav tsis thoob, tshwj xeeb tshaj yog rau txhua yam tshiab thiab txawv txawv. Lawv feem ntau thim rov qab thiab ua rau lawv tus kheej thuam.
Cov tsos mob tseem ceeb
Thaum kuaj pom JVP, nws yog dab tsi thiab qhov xwm txheej no tshwm sim nws tus kheej yog qhov tseem ceeb rau txhua tus neeg mob kom paub. Nrog dyskinesia, cov tsos mob yuav txawv me ntsis, raws li qee tus neeg mob yuav ntsib ntau yam tsos mob, thaum lwm tus tuaj yeem pom tsuas yog ib feem ntawm lawv. Txawm hais tias hom kab mob no zoo li cas, cov tsos mob ntawm tus kab mob no tshwm sim hauv ntau qhov sib txawv.
Qhov sib txawv ntawm hom hypermotor thiab hom hypomotor yuav yog qhov muaj qee yam, zoo li tus cwj pwm zoo. Txawm li cas los xij, tsis hais hom kab mob twg, nws yog tus cwj pwm los ntawm qhov muaj mob, dyspeptic thiab cholestatic syndrome. Aching mob nyob rau sab xis yog tam sim no yuav luag tas li thiab txo qis me ntsis thaum hmo ntuj. Nws tuaj yeem nce ntxiv tom qab noj mov. Nrog rau chav kawm ntawm hom kab mob siab, qhov mob mob hnyav heev.
Nyob hauv qhov xwm txheej ntxhov siab lossis tom qab kev tawm dag zog me me, qhov mob yuav kav ntev li ib teev. Nyob nruab nrab ntawm kev tawm tsam, ib tus neeg tuaj yeem yws txog qhov kev xav tsis zoo nyob rau sab xis. Nyob rau tib lub sijhawm, lub xeev ntawm kev noj qab haus huv ntawm tus neeg mob yog qhov qub. Qhov mob hnyav txawv me ntsis nyob ntawm daim ntawvdyskinesia.
Cholestatic syndrome feem ntau kuaj pom hauv cov neeg mob uas cov kua tsib nkag mus rau hauv duodenum tsawg kawg nkaus. Tus kab mob exacerbation tuaj yeem paub qhov txawv ntawm cov cim hauv qab no:
- quav thiab tso zis tsaus dua li qub;
- daim tawv nqaij thiab sclera ntawm qhov muag ua daj;
- siab me ntsis;
- khaus khaus tshwm sim.
Cholestatic syndrome tau txiav txim siab hauv yuav luag ib nrab ntawm cov neeg mob uas muaj dyskinesia. Dyspeptic syndrome manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug ua txhaum ntawm digestive txheej txheem vim ib tug ntau dhau los yog tsis txaus cov kua tsib nkag mus rau hauv txoj hnyuv. Hauv qhov no, pom cov cim hauv qab no:
- poob qab los;
- bloating;
- xeev siab thiab ntuav;
- tsis kaj siab belching tom qab noj;
- plaque ntawm tus nplaig;
- cem quav;
- ncauj qhuav.
Kev iab hauv qhov ncauj feem ntau hnov zoo li tam sim tom qab pw tsaug zog lossis qee lub sijhawm tom qab noj mov, thiab tuaj yeem tshwm sim txhua lub sijhawm. Kev xeev siab thiab ntuav yog qhov tsim nyog los ntawm ib yam dab tsi, thiab feem ntau cov tsos mob no tshwm sim tom qab noj cov zaub mov rog, thaum noj ntau dhau. Nrog dyskinesia, ntuav ntawm cov khoom noj uas tsis tau noj nrog cov kua tsib iab feem ntau tshwm sim ntawm qhov mob siab tshaj plaws.
Asthenovegetative syndrome yog ib qho kev hloov pauv tsis tuaj yeem hloov pauv hauv cov hlab ntsha ntawm kev ua haujlwm ntawm lub cev. Hauv qhov no, dyskinesia muaj cov tsos mob hauv qab no:
- kev ua txhaumpw tsaug zog;
- faus;
- chim siab;
- tawm hws ntau dhau;
- mob taub hau;
- siab siab.
Ua ntej kev kho mob, nws yog ib qho tseem ceeb kom paub tias qhov kev kuaj mob ntawm JVP nyob rau hauv ib tug neeg laus thiab vim li cas qhov mob tshwm sim. Nrog hypertensive pathology, mob mob tshwm sim nyob rau hauv txoj cai hypochondrium, radiates rau sab xis ntawm lub nraub qaum, lub xub pwg hniav, caj dab, caj npab. Qee lub sij hawm qhov mob tshwm sim kuj muaj nyob hauv thaj tsam ntawm lub plab, nrog rau lub plawv. Nyob rau hauv cov ntaub ntawv no, ntau confuse nws nrog angina nres. Kev mob hnyav yuav kav ntev li 20 feeb thiab tuaj yeem rov ua dua ob peb zaug hauv ib hnub. Kev noj zaub mov tsis raug, muaj zog psycho-kev xav thiab kev tawm dag zog lub cev tuaj yeem ua rau mob. Tom qab ntawd, qhov kev xav hnyav tshwm sim.
Kev hnov mob kuj tuaj yeem tshwm sim tom qab ntawm xeev siab thiab ntuav, uas tsis tuaj yeem ua rau tib neeg muaj kev ntxhov siab. Thaum ua palpation ntawm lub plab, qhov mob tsuas yog hnyav zuj zus.
Cov cim qhia ntawm JVP ntawm hom hypotonic yog vim qhov tseeb tias qhov kev hnov mob txaus ntshai yog lubricated txaus. Yeej lawv yog localized nyob rau sab xis. Nws yog tsis yooj yim sua los txheeb xyuas qhov tseeb ntawm thaj chaw uas muaj kev tawm tsam, txij li qhov tsis xis nyob kis mus rau tag nrho sab xis. Qhov mob kuj radiates rau lub xub pwg hniav thiab nraub qaum. Nws yog npub, tawg hauv qhov xwm txheej thiab kav ntev. Nrog JVP ntawm hom hypotonic, qhov mob hnyav tshwm sim tom qab noj cov khoom noj rog.
Cov kab mob sib xyaw ua ke yog tus cwj pwm los ntawm kev mob ntev. Qhov mob ua ke nrog kev xav hnyav. Tsis tas li ntawd,Tej zaum yuav muaj cov cim qhia tsis ncaj ntawm JVP, uas tshwm sim lawv tus kheej hauv daim ntawv ntawm lub qhov ncauj qhuav, thiab cem quav kuj tuaj yeem ua tau. Cov tsos mob ntawm tus yam ntxwv yuav muaj xws li mus ob peb vas swings, tas li chim siab, thiab muaj zog qaug zog.
Cov cim qhia tsis ncaj ntawm ib hom sib xyaw ntawm JVP tej zaum yuav tshwm sim los ntawm qhov tseeb tias tus nplaig loj tuaj thiab koj tuaj yeem pom qhov pom tseeb ntawm cov hniav ntawm nws.
Tus kws kho mob hu rau
Tus kws kho mob tuaj koom yuav tuaj yeem piav qhia qhov kev kuaj mob zoo li cas - JVP. Yog tias muaj cov cim qhia ntawm pathology, koj yuav tsum hu rau tus kws kho mob gastroenterologist. Tsis tas li ntawd, koj yuav tsum tau sab laj nrog kws kho mob, kws kho mob hlwb, tus kws kho mob tshwj xeeb, kws kho mob noj zaub mov. Lawv sau ntawv qhia txog kev kawm uas yuav txiav txim siab cov yam ntxwv ntawm chav kawm ntawm pathology.
Diagnostics
Ntau tus neeg mob txaus siab rau lo lus nug ntawm dab tsi yog lub sijhawm kho mob thiab kev kuaj mob ntawm JVP. Accounting rau tus kab mob no yog ua nyob rau hauv kev sib raug zoo rau tag nrho cov neeg uas raug kev txom nyem los ntawm lub pathology ntawm lub gallbladder thiab nws ducts. Txhawm rau kuaj mob, koj yuav xav tau:
- sib sau anamnesis;
- kuaj lub cev;
- laboratory;
- instrumental diagnostics.
Thawj zaug, tus kws kho mob sau cov lus tsis txaus siab los qhia meej meej thaum qhov mob thiab hnyav hauv plab tshwm sim thiab vim li cas lawv tshwm sim. Kev kawm txog tus neeg mob keeb kwm kuj yuav tsum tau ua. Nws yog ib qho tsim nyog paub yog tias muaj cov kab mob ntev los yog keeb kwm, nrog rau cov cwj pwm tsis zoo ntawm tus neeg. Tom qab ntawd tus kws kho mob ua ib qho kev ntsuam xyuas lub cev, uas txiav txim siab cov xim ntawm daim tawv nqaijnpog los yog lawv yellowness. Mob yog ntsuas ntawm palpation. Tapping txiav txim qhov loj ntawm tus po thiab daim siab.
Lab xeem suav nrog:
- kuaj ntshav;
- tso zis;
- lipidogram;
- kev kuaj mob;
- markers of viral hepatitis.
Kev suav ntshav tag yuav tsis pom muaj qhov txawv txav. Nyob rau hauv lub xub ntiag ntawm o, leukocytosis tshwm. Kev kuaj ntshav biochemical yuav pab txiav txim siab qib ntawm creatinine, uric acid, thiab electrolytes.
Lipidogram tso cai rau koj txheeb xyuas qhov ua txhaum ntawm lipid tsis. Kev tshawb fawb ntawm quav yog ua los txheeb xyuas cov helminths. Tom qab ntawd, tus kws kho mob muab tshuaj ntsuam xyuas. Thaum ua ultrasound diagnostics, nws muaj peev xwm ua rau ib tug kev kuaj mob ntawm JVP thiab hepatoriamia, los txiav txim qhov luaj li cas thiab cov duab ntawm lub cev cuam tshuam. Kev kuaj mob duodenal pab txheeb xyuas cov tsos mob ntawm qhov mob thiab muaj pob zeb.
Fibroesophagogastroduodenoscopy suav nrog kev kawm txog lub xeev ntawm lub plab, txoj hlab pas thiab duodenum 12 siv lub endoscope. Yuav tsum muaj kev tshawb fawb zoo sib xws yog tias koj xav tias muaj cov kab mob ntawm cov kabmob no thiab dyskinesia. Cholecystography pab txiav txim seb cov duab thiab qhov loj ntawm lub cev cuam tshuam, nrog rau qhov muaj qhov tsis xws luag hauv nws txoj kev loj hlob. Tag nrho cov txheej txheem no yuav tso cai rau koj los kuaj xyuas lub gallbladder GAD thiab sau cov kev kho mob tom ntej.
Kev kho mob
Yog tias koj tau kuaj pom JVP, nws yog dab tsi thiab nws ua li cas kom raugKev kho mob ntawm cov kab mob pathology no, tus kws kho mob tuaj koom yuav tsum piav qhia yuav ua li cas sau tshuaj kho mob tom qab kuaj mob. Cov kev kho mob yog complex thiab nws yog aimed ntawm kev txhim kho lub ntuj outflow ntawm cov kua tsib nyob rau hauv thiaj li yuav tiv thaiv nws stagnation. Therapy txhais tau tias:
- ua raws li tsoomfwv txoj haujlwm thiab so;
- siv dej ntxhia;
- khoom noj;
- noj tshuaj choleretic;
- massage and acupuncture;
- noj tshuaj sedative;
- kho lub cev kho mob;
- kev kho mob sanatorium.
Tom qab kuaj pom JVP, kev kho mob yuav tsum pib tam sim ntawd, vim qhov no yuav tiv thaiv kev txhim kho ntawm cov teeb meem. Nws yuav siv li ntawm 4 lub lis piam rau cov cim tseem ceeb ntawm cov kab mob kom ploj mus.
Ua ib txoj kev kho ntxiv, koj tuaj yeem siv tshuaj kho pej xeem. Lawv tuaj yeem siv tau ntev, rov ua cov kev kho mob yog tias tsim nyog. Cov tshuaj raug xaiv nyob ntawm hom kab mob.
Nyob rau hauv cov ntaub ntawv ntawm hypertonic pathology, koj yuav tsum haus dej ntxhia. Raws li tshuaj ntsuab, infusions ntawm chamomile, valerian, mint yog siv. Nrog rau hom hypotonic, tus kws kho mob tau sau cov tshuaj, cov dej ntxhia uas muaj cov dej ntxhia hauv siab. Koj tseem tuaj yeem siv cov tshuaj tua kab mob thiab tshuaj sedative.
Drug therapy
Thaum JVP raug kuaj pom, nws yog dab tsi thiab yuav kho tus kab mob li cas, tus kws tshaj lij tuaj yeem qhia tau. Xaiv kev kho mobtsuas yog kws kho mob xwb. Yog tias kev noj zaub mov rau txhua hom kab mob tsis txawv tshwj xeeb, ces kev kho mob muaj nws tus kheej qhov sib txawv.
Anspasmodics yog siv rau hauv kev kho mob tsuas yog hypermotor daim ntawv ntawm dyskinesia. Lawv pab txo cov suab nrov ntawm cov kab mob biliary, so cov sphincters, thiab tseem tiv thaiv cov kua tsib tawm. Feem ntau, cov tshuaj tau sau tseg, cov khoom tseem ceeb uas yuav yog drotaverine. Rau kev tawm tsam me me, "Papaverine" tuaj yeem raug tshuaj.
Cholagogues yog siv rau dyskinesia, tab sis yog tias muaj concomitant cholelithiasis, lawv yog contraindicated. Cov tshuaj no ob peb zaug nce lub suab ntawm lub gallbladder thiab txo nws ntawm cov ducts. Cov tshuaj yuav tsum tau muab los ntawm tus kws kho mob nkaus xwb, vim hais tias pawg tshuaj no loj heev, thiab lawv muaj ntau yam khoom xyaw.
Nrog hypertensive hom dyskinesia, Gepabene feem ntau yog tshuaj, uas muaj mis thistle extract. Nyob rau hauv cov ntaub ntawv ntawm ib tug hypotonic daim ntawv ntawm tus kab mob, "Hofitol" yog tshuaj. Nws muaj artichoke extract. Ob qho tshuaj no yog choleretic, tab sis lawv cuam tshuam rau lub cev sib txawv.
Lub paj hlwb muaj kev cuam tshuam tshwj xeeb rau kev tswj lub zais zis motility. Yog li ntawd, muaj pes tsawg leeg ntawm txoj kev kho complex yuav tsum muaj xws li tonic los yog relaxing neeg sawv cev. Nrog rau cov txheej txheem ntawm hypertensive dyskinesia, sedative npaj ntawm cov nroj tsuag keeb kwm raug sau, nrog rau cov tshuaj uas inhibit cov txheej txheem ntawm overexcitation ntawm lub paj hlwb.tshuab. Hom kab mob hypotonic yuav tsum tau siv cov tonics.
Kev noj zaub mov nrog JVP txhais tau tias noj mov ntau zaus thiab feem ntau. Hauv kev noj zaub mov ib txwm, yuav tsum muaj cov khoom noj uas pab tshem tawm cov rog ntawm daim siab - txiv hmab txiv ntoo thiab zaub. Nws yog ib qho tsim nyog los txwv kev noj cov ntses rog, nqaij, qe, tsiaj rog. Tshem tawm ntawm cov khoom noj xws li:
- fried thiab ntsim tais diav;
- dej qab zib thiab dej txias;
- legumes;
- cawv;
- dos thiab qej.
Cov zaub mov zoo li no tuaj yeem ua rau muaj qhov ua kom muaj zog ntawm cov kab mob biliary. Nws yog ib qho tseem ceeb kom noj zaub mov ib txwm sov thiab tshiab. Cov khoom yuav tsum tau ci los yog boiled. Ntsev yog ua tau, tab sis thaum lub sij hawm flare-up, ntsev yog txwv.
Noj hmo yuav tsum yog lub teeb heev thiab tsis pub dhau 2-3 teev ua ntej yuav mus pw. Nrog exacerbation ntawm cov kab mob ntawm daim siab thiab gall, uas yog nrog los ntawm gastritis, tag nrho cov tais diav yuav tsum tau noj grated, thiab tshiab zaub thiab txiv hmab txiv ntoo, dub khob cij kuj raug tshem tawm.
Thaum kev zam txim, kev noj zaub mov tsis nruj, tab sis txawm li cas los xij, nws tsis pom zoo kom siv cov khoom noj rog thiab kib. Nrog dyskinesia, koj yuav tsum tau ua raws li kev noj haus thoob plaws koj lub neej.
Kev kho ntawm JVP nrog cov dej ntxhia yog ua tiav tsuas yog nyob rau lub sijhawm zam txim. Nyob rau hauv lub xub ntiag ntawm cov kab mob ntawm lub siab thiab biliary ib ntsuj av, hydrocarbonate thiab sulfate dej yog siv. Ua ntej pib kho, koj yuav tsum ua tib zoo kawm cov muaj pes tsawg leeg thiab cov khoom ntawm cov dej ntxhia, yog liYuav ua li cas txhua tus ntawm lawv cuam tshuam rau lub plab zom mov, yog li tej zaum yuav muaj qee qhov kev mob tshwm sim.
Physiotherapy
Kev kho lub cev kho mob kuj muaj txiaj ntsig zoo, uas yuav tsum tau siv ua ke nrog lwm txoj hauv kev. Hauv particular, diadynometry yog siv, uas qhia txog kev kho mob ntawm thaj tsam ntawm txoj cai hypochondrium nrog cov hluav taws xob tam sim no ntawm ntau zaus. Electrophoresis kuj tseem siv tau, uas txhais tau hais tias muaj kev cuam tshuam rau lub cev ntawm cov hluav taws xob ncaj qha thiab cov tshuaj qhia nrog nws mus rau hauv daim siab.
Kev txhaj tshuaj los yog acupuncture yog cov txheej txheem kho mob uas cuam tshuam rau lub cev los ntawm kev qhia cov koob tshwj xeeb rau hauv cov ntsiab lus tshwj xeeb ntawm lub cev. Massage, tshwj xeeb tshaj yog acupressure, muaj kev kho mob zoo. Ntawd yog, los ntawm kev cuam tshuam qee qhov chaw ntawm lub cev, lub gallbladder cuam tshuam. Ntau tus kws tshaj lij pom zoo hirudotherapy, uas yog, kev kho mob nrog cov kab mob leeches nrog cov txiaj ntsig ntawm cov ntsiab lus lom neeg lom zem - kev kwv yees ntawm cov hlab ntsha xaus ntawm cov khoom nruab nrog cev.
Muaj Teeb Meem
Nws yog ib qho tseem ceeb tsis tsuas yog kom nkag siab tias hom kev kuaj mob JVP yog dab tsi, tab sis kuj tseem muaj teeb meem dab tsi ntawm tus kab mob tuaj yeem yog qhov tsis raug lossis kho tsis raws sijhawm. Ntawm cov kev ua txhaum loj, nws yog ib qho tsim nyog yuav tsum tau hais txog xws li:
- chronic cholecystitis;
- cholangitis;
- kab mob gallstone;
- gastritis;
- mob pancreatitis;
- duodenitis.
Atopic dermatitis kuj tshwm sim, uastsim los ntawm kev ua txhaum ntawm kev nqus ntawm cov zaub mov digested thiab tso tawm cov tshuaj lom vim tsis txaus cov kua tsib rau hauv txoj hnyuv. Thaum dyskinesia tshwm sim, ib tus neeg tuaj yeem poob qhov hnyav heev, vim tias kev nqus cov khoom noj tsis zoo.
Huab cua
Kev ua raws li txhua daim ntawv tshuaj ntawm tus kws kho mob tuaj koom thiab kev xav rov qab los yuav ua rau muaj qhov tseeb tias tom qab ob peb lub lis piam ntawm kev kho mob, dyskinesia yuav tsis thab tus neeg ntxiv lawm. Txoj kev vam meej ntawm txoj kev kho mob feem ntau yog nyob ntawm qhov normalization ntawm hom kev ua haujlwm thiab so, kev ntxhov siab, thiab kev noj zaub mov zoo. Cov tswv yim niaj hnub thiab kev siv cov tshuaj tshiab tshaj plaws muab cov txiaj ntsig zoo heev thiab tso cai rau koj rov qab mus rau txoj kev ua neej zoo sai sai.
prophylaxis
Kev tiv thaiv tseem ceeb heev, vim tias lawv pab tiv thaiv kev loj hlob ntawm tus kab mob. Kev tiv thaiv thawj zaug ntawm dyskinesia yog:
- ua raws li txoj cai ntawm kev ua haujlwm thiab so;
- khoom noj zoo;
- exclusion of stressful xwm;
- kho raws sijhawm ntawm neuroses.
Ib hmos pw tag nrho yuav tsum yog tsawg kawg 8 teev thiab tawm mus rau nws - tsis pub dhau 23 teev. Nws yog ib qho tseem ceeb rau kev hloov ntawm lub cev thiab lub hlwb kev ntxhov siab, yog vim li cas thaum ua haujlwm hauv computer, koj yuav tsum tau so ib ntus los ua ob peb lub gymnastic ce, nrog rau taug kev hauv huab cua ntshiab.
Zaub mov yuav tsum ua kom tiav, nws yog ib qho tseem ceeb txwv tsis pub noj cov rog, haus luam yeeb, kib, ntsevzaub mov. Nws raug pom zoo kom noj zaub thiab txiv hmab txiv ntoo tshiab kom ntau li ntau tau.
Kev tiv thaiv theem nrab yog ua tiav thaum muaj dyskinesia. Nws muaj nyob rau hauv kev tshawb pom ntxov tshaj plaws ntawm cov txheej txheem pathological, piv txwv li, nrog kev kuaj xyuas tsis tu ncua. Qhov no yuav tso cai rau kev kho mob raws sij hawm thiab zam qhov tshwm sim tsis zoo.
