Cholecystitis yog ib qho kev mob ntawm lub gallbladder. Feem ntau nws yog txuam nrog kev tsim cov pob zeb hauv lub cev no. Pob zeb ua rau muaj kev cuam tshuam ntawm cov ducts. Qhov no tuaj yeem ua rau rupture ntawm phab ntsa ntawm lub gallbladder thiab kev loj hlob ntawm tus mob o ntawm lub plab kab noj hniav. Tus kab mob tshwm sim li cas thiab vim li cas nws tshwm sim? Kab lus no qhia txog qhov ua rau muaj kev tawm tsam ntawm cholecystitis, cov tsos mob, kev kho mob hauv tsev.
Ntau yam ntawm pathology
Muaj ntau hom mob hauv lub gallbladder:
- Spicy. Nws yog characterized by pronounced kos npe. Tus kab mob no tshwm sim ntau hnub.
- Cov txheej txheem mob ntev. Nws pib maj mam, yam tsis muaj kev tshwm sim. Feem ntau tshwm sim los ntawm qhov tsis muaj kev kho mob txaus rau tus mob pathology.
Ntxiv rau, muaj cov kab mob no:
- Cholecystitis calculus. Nws loj hlob nyob rau hauv lub xub ntiag ntawm pob zeb thiab kua paug nyob rau hauv lub gallbladder, thickening ntawm phab ntsa.
- Catarrhal. Nws yog manifested los ntawm me ntsis compaction ntawm cov ntaub so ntswg ntawm lub cev. Nws tsis yog nrog los ntawm kev ua txhaum ntawm cov txheej txheem ntawm cov kua tsib los yog kev hloov pauv hauv nws cov ntsiab lus.
- Phlegmonous. Nws yog manifested los ntawm ib tug pronounced inflammatory txheej txheem, tsub zuj zuj ntawm cov kua paug. Ua rau muaj kev hem thawj rau tus neeg mob lub neej thiab xav tau kev pab tam sim.
- Nkauj hmoob. Nrog rau cov ntaub so ntswg tuag. Ua rau rupture ntawm phab ntsa ntawm lub cev, kev loj hlob ntawm mob mob nyob rau hauv lub plab kab noj hniav.
Yuav ua li cas tshem tawm qhov mob hnyav ntawm cholecystitis, cov tsos mob?
Kev kho mob hauv tsev hauv qee kis yuav pab tshem tawm cov tsos mob ntawm tus kab mob. Tab sis yog tias tus neeg mob mob hnyav, nws xav tau kev kho mob hauv tsev kho mob thiab tej zaum yuav phais.
Yam dab tsi ua rau kev txhim kho ntawm pathology?
Qhov laj thawj tseem ceeb ntawm cholecystitis tuaj yeem teev:
- Nyob laus.
- Zaj caj ces.
- Kev noj haus tsis raug (kev tsim txom cov khoom qab zib, kib, haus luam yeeb, ntsim thiab ntsev). Kev tshem tawm cov tsos mob thiab kho tus mob cholecystitis tom tsev yuav tsum ua raws li kev noj haus thiab tsis txhob noj cov zaub mov no.
- Nyob yoo mov.
- Kev quav cawv, haus luam yeeb.
- tsis ua haujlwm.
- YKev ua txhaum ntawm lipid metabolism.
Kab mob dab tsiua rau mob?
Qee zaum, cholecystitis tshwm sim hauv cov neeg mob uas muaj cov kab mob hauv qab no:
- YDuodenitis.
- mob ntshav qab zib.
- Crohn's disease.
- Kev mob plab hnyuv.
- plab ulcer.
- Parasitic invasions (giardiasis).
- mob plab hnyuv.
- kab mob celiac.
- Gallstones nyob rau hauv lub gallbladder.
- Pathologies ntawm ENT kab mob (sinusitis, o ntawm lub ntsws, bronchi).
- Kev cuam tshuam hauv qhov sib npaug ntawm microflora hauv cov hnyuv.
- Tshuaj mob plab hnyuv plab.
- Kab mob ntawm cov menyuam yaus thiab cov zis (cystitis, pyelonephritis, kab mob ntawm zes qe menyuam, prostate).
- Kev tsis haum tshuaj.
- Congenital malformations ntawm lub gallbladder qauv.
- Hormonal imbalance uas tshwm sim ua ntej hnub tseem ceeb, thaum lub sij hawm xeeb tub.
- Kev rog.
Thaum muaj qhov tshwm sim, kev noj zaub mov tsis zoo feem ntau ua rau cov tsos mob ntawm tus mob cholecystitis. Kev kho mob hauv tsev, ua ntej ntawm tag nrho cov, yuav tsum yog lub hom phiaj ntawm kev tshem tawm qhov tsis xis nyob thiab tshem tawm cov yam ntxwv uas ua rau muaj qhov tsis zoo ntawm tus mob. Txhua yam tsis raug hauv kev noj haus tuaj yeem ua rau muaj teeb meem txaus ntshai.
Vim li cas qaug dab peg?
Cov neeg mob uas muaj tus kab mob no feem ntau pom tias lawv qhov kev noj qab haus huv tsis zoo tom qab hnub so, noj mov. Qhov no yog vim muaj cov hauv qab no:
- Siv lojCov khoom muaj cawv.
- Passion rau cov rog, ntsev, haus luam yeeb thiab ntsim zaub mov, dej qab zib, khoom qab zib, khoom noj ceev.
- Nyob.
- Ib qho hnyav hnyav vim noj tsis raug.
Vim cov txiaj ntsig no, cov kua tsib ua tuab dhau, cov txheej txheem inflammatory tshwm sim hauv cov ntaub so ntswg ntawm lub cev, thiab calculi tsim. Tus neeg mob tsim ib qho mob hnyav ntawm cholecystitis. Cov tsos mob ntawm kev kho mob hauv tsev qhia siv cov tshuaj uas pab ua kom cov txheej txheem tawm ntawm cov kua tsib.
Cov cim qhia qhia txog kab mob
Yuav ua li cas thiaj paub tus kab mob? Thaum muaj kev tawm tsam ntawm tus mob cholecystitis, cov tsos mob hauv qab no tshwm sim:
- Tsis xis nyob ntawm kev txiav lossis ncig qhov xwm txheej sab xis, uas feem ntau tawm mus rau lub xub pwg nyom thiab lub xub pwg hniav.
- xav mob.
- iab saj hauv qhov ncauj.
- Nyob zoo ib tsoom phooj ywg.
- Zoo siab kawg.
- ntuav kua tsib.
- Ntshai burping.
- Kub kub.
- Qub qhov ncauj.
- High heart rate.
- Npaj roj tsim.
Rau qhov kev tawm tsam ntawm tus mob cholecystitis, cov tsos mob yog yam ntxwv, uas muaj qhov mob ntxiv rau sab xis, hauv qab tav, nrog lub siab.
Nyob rau hauv qee tus neeg mob, daim tawv nqaij thiab cov tawv nqaij dawb ntawm lub qhov muag tig daj. Cov zis yuav tsaus, thiab quav yuav kaj. Cov paib no qhia txog kev ua txhaum caicov txheej txheem tawm ntawm cov kua tsib.
YKev tshwm sim ntawm pathology
Thaum cov tsos mob ntawm tus mob cholecystitis tshwm sim, kev kho tus kab mob yuav tsum pib sai li sai tau. Tus kab mob no tuaj yeem ua rau muaj kev phom sij txaus ntshai uas tuaj yeem ua rau tuag taus. Raws li cov txiaj ntsig tseem ceeb ntawm pathology, cov kws tshaj lij sau npe:
- Cov kua paug tawm, rupture ntawm phab ntsa ntawm lub cev, mob plab kab noj hniav.
- Nyob zoo ib yam.
- Kev tshwm sim ntawm biliary fistulas.
- mob hnyav ntawm tus txiav.
- Mechanical jaundice.
Kev tawm tsam ntawm pathology txhim kho sai, hnyav thiab kav ntev. Koj yuav tsum tsis txhob cia siab tias cov cim qhia ntawm tus kab mob yuav ploj mus ntawm lawv tus kheej. Koj yuav tsum hu rau lub tsheb thauj neeg mob. Ua ntej tuaj txog ntawm cov neeg ua haujlwm kho mob, yuav tsum tau ntsuas los txo tus neeg mob tus mob.
Txoj Kev Pab Ib Ntus
Hais txog cov yam ntxwv ntawm tus mob cholecystitis, cov tsos mob thiab kev kho mob ntawm pathology, nws yuav tsum raug sau tseg tias tus neeg mob raug txwv tsis pub noj tshuaj. Analgesics tuaj yeem tshem tawm qhov tsis xis nyob, txawm li cas los xij, lawv tuaj yeem tiv thaiv tus kws kho mob los ntawm kev kuaj mob kom raug thiab sau ntawv kho kom txaus. Txoj kev pab thawj zaug yuav tsum nruj me ntsis txwv. Ua ntej tshaj plaws, koj yuav tsum pab tus neeg mob kom ua haujlwm zoo. Nws yog qhov zoo dua yog tias tus neeg mob pw ntawm sab xis. Koj tuaj yeem muab ib qho me me ntawm cov dej ntxhia uas tsis yog carbonated lossis dej hau lossis dej tshuaj yej sov. Txhawm rau kom yooj yim qhov tsis xis nyob me ntsis, nws raug nquahu kom tso rau hauv qabrib cellophane ice bag.
Yuav tsum tsis txhob siv txoj kev twg?
Thaum muaj kev tawm tsam ntawm cholecystitis, cov tsos mob, kev pab thawj zaug yuav tsum tau ua tib zoo saib xyuas, tsis txhob ntsuas qhov hnyav. Cov dej haus uas kub dhau lossis txias dhau yuav tsum tsis txhob muab rau tus neeg mob. Nws yog txwv tsis pub ua kom sov compresses, muab cov cua sov rau ntawm qhov chaw mob.
Koj ua tsis tau ib tug neeg plab hnyuv, enemas, muab laxatives. Yog tias tus neeg mob paub tias muaj mob ntev ntawm lub gallbladder thiab tau ntsib qhov exacerbation, kev txhaj tshuaj intramuscular ntawm spasm-relieving tshuaj tuaj yeem muab tau thiab cov tsos mob ntawm pathology yuav txo qis. Txawm li cas los xij, txoj kev no tsuas yog siv tau rau hauv qhov xwm txheej uas qhov kev kuaj mob tau tsim los ntawm kws kho mob thiab tus kws kho mob pom zoo cov tshuaj. Txawm hais tias tus mob zoo lawm, tus neeg mob yuav tsum hu rau lub chaw kho mob.
Txoj kev daws teeb meem nrog pathology
Yuav ua li cas yog tias cov tsos mob ntawm tus mob cholecystitis tshwm sim? Kev kho mob hauv tsev yog, ua ntej ntawm tag nrho cov, noj zaub mov, pw so. Kev noj zaub mov kom zoo yuav pab kom tsis txhob rov qab tawm tsam thiab muaj teeb meem txaus ntshai. Thawj ob hnub koj yuav tsum tsis txhob noj mov. Kev siv cov dej sov uas tsis yog carbonated yog siv tau. Tsis tas li ntawd, cov tsos mob tuaj yeem txo nrog kev pab ntawm decoctions thiab infusions ntawm cov nroj tsuag tshuaj. Hauv cov tshuaj pej xeem, pob kws stigmas, immortelle, oregano, calendula, chamomile yog siv.
Txawm li cas los xij, ua ntej noj cov tshuaj no, nws yog qhov tsim nyogsab laj nrog tus kws kho mob tshwj xeeb. Cov tshuaj ntsuab tau tso cai siv tsuas yog thaum tsis muaj gallstones.
Diagnosis
txhawm rau kuaj pom kab mob, kev kuaj hauv qab no tau ua:
- Kev tshuaj xyuas cov khoom siv roj ntsha (ntshav, zis).
- Coprogram.
- Kev tshawb nrhiav quav rau cov tshuaj tiv thaiv kab mob cab.
- Ultrasound ntawm lub plab hnyuv plab.
- X-ray.
- FGDS.
- Magnetic resonance thiab xam tomography.
- Endoultrasound.
Tshuaj
Kev kho mob rau lub gallbladder yog siv tshuaj. Hauv qhov xwm txheej hnyav, kev phais yog ua tiav (tshem tawm ntawm lub cev cuam tshuam).
Thaum muaj mob cholecystitis tshwm sim, cov tsos mob dab tsi tuaj yeem txo qhov tsis xis nyob? Cov kws tshaj lij pom zoo cov tshuaj hauv qab no:
- Tshuaj kho mob spasm.
- Tshuaj uas txo qhov mob.
- Tshuaj tua kab mob.
- Tshuaj uas ua kom lub cev ua haujlwm ntawm lub plab zom mov.
- YEnzymes.
- Tshuaj uas txhim kho cov kua tsib.
- Cov khoom muaj lactobacilli.
Thaum muaj kev tawm tsam ntawm cholecystitis, kev kho mob yuav tsum tau muab los ntawm tus kws kho mob tshwj xeeb.
Cov lus qhia kev noj zaub mov yooj yim rau cov neeg mob
Ib feem tseem ceeb ntawm kev kho yog kev noj haus.
Tus neeg mob kuaj pom tias muaj lub zais zis yog tso cai noj cov zaub mov hauv qab no:
- Cov chav kawm thawj zaug raws li mis nyuj lossis zaubkua zaub.
- -cov nqaij ntshiv, ntses thiab nqaij qaib, ci lossis steamed.
- qe dawb omelettes.
- Cov khoom noj muaj roj tsawg.
- Non-acid txiv hmab txiv ntoo thiab berries.
- zaub mos.
- YBiscuits, crackers, croutons.
- Jam los ntawm cov txiv hmab txiv ntoo qab zib thiab berries.
- Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
- Cinnamon thiab vanilla.
- txiv hmab txiv ntoo qhuav, marmalade, khoom qab zib yam tsis muaj cocoa thiab chocolate.
Tus neeg mob yuav tsum tsis txhob haus:
- Fried, ntsim, s alty, pickled, qaub thiab fatty zaub mov.
- Y Sauces (mayonnaise, adjika, ketchup, mustard).
- cov khoom noj muaj lipid siab.
- Mushrooms.
- qe qe.
- kas fes, chocolate, cocoa, dej ci.
- khoom muaj cawv.
- khoom qab zib, qab zib pastries.
- zaub, tshuaj ntsuab, txiv hmab txiv ntoo thiab txiv hmab txiv ntoo nrog ntsim thiab qaub saj.
Yuav ua li cas tiv thaiv kev tawm tsam?
ntsuas kev tiv thaiv suav nrog:
- Ua raws li cov lus pom zoo ntawm tus kws tshaj lij.
- noj zaub mov kom raug, noj tshuaj raws cai.
- Kev kho mob raws sij hawm ntawm pathologies ntawm cov kab mob ua pa, kab mob plab, kab mob parasitic, kev tsis haum tshuaj.
- kev ua kom lub cev muaj zog.
- Kev tsis kam lees siv cov khoom muaj cawv, haus luam yeeb.
Peb vam tias tsab xov xwm no yuav pab koj paub txog tus kab mob hauv lub sijhawm thiabnrhiav kev pab los ntawm tus kws tshaj lij.
