mob plab yog ib qho mob tshwm sim ntawm ntau yam kab mob ntawm lub plab zom mov. Ib tug ntawm cov pathologies yog gallbladder dyskinesia - ib tug kab mob uas tsis muaj teeb meem, tab sis heev impairs tus neeg mob lub neej zoo.
Quick reference
Dyskinesia ntawm lub gallbladder yog ib yam kab mob uas tshwm sim los ntawm kev ua txhaum ntawm kev thauj mus los thiab lub suab ntawm lub gallbladder, nrog rau nws cov ducts uas tso tawm cov kua tsib. Nyob rau hauv cov ntaub ntawv no, muaj ib tug tsis txaus los yog ntau tshaj ntawm cov kua tsib, nws stagnation. Tus mob no tsis yog neeg tuag, tab sis ua rau tus neeg mob txoj kev noj qab nyob zoo thiab ua rau muaj kev hem thawj rau kev loj hlob ntawm lwm cov kab mob.
Code of gallbladder dyskinesia raws li ICD-10 - K82.8.0.
hom kab mob biliary dyskinesia
Dyskinesia tuaj yeem yog thawj lossis theem nrab, hypertonic lossis hypotonic hauv qhov xwm txheej. Thawj thiab theem ob pathologies txawv nyob ntawm seb qhov ua rau. Hom hypotonic ntawm gallbladder dyskinesia yog tus cwj pwm los ntawm stagnation ntawm cov kua tsib vim qhov txo qis hauv kev ua haujlwm ntawm cov kua tsib ducts. Ntshav siabdyskinesia yog tus cwj pwm los ntawm lub suab nrov ntawm lub gallbladder.
Ua rau thawj dyskinesia
Qhov feem ntau ua rau lub gallbladder dyskinesia (thawj) yog:
- nquag mob lossis mob ntev, ua haujlwm tsis zoo ntawm lub paj hlwb (vegetative);
- cuam tshuam hauv kev noj zaub mov: noj tsis tu ncua, "hnyav", rog, ntsim, lossis haus luam yeeb, noj ntau dhau, noj zaub mov tsis tu ncua, zom zaub mov tsis txaus;
- tsis muaj kev txav mus los ua ke nrog qis dua, cov leeg tsis muaj zog;
- kab mob ua xua ntawm ntau yam uas, los ntawm kev cuam tshuam rau cov kua tsib thiab zais zis, ua rau muaj kev ntxhov siab tas li.
Ua rau tus kab mob thib ob
Secondary dyskinesia, raws li txoj cai, tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov kab mob uas twb muaj lawm lossis cov kab mob pathological. Feem ntau yog vim li cas:
- plab plab, duodenitis, colitis, gastritis, enteritis;
- cholecystitis, cholelithiasis, kab mob siab, kab mob biliary o;
- cov txheej txheem inflammatory hauv peritoneum, uas yog mob ntev;
- txhua yam kab mob ntawm lub plab zom mov uas tshwm sim los ntawm cov kab mob pathogenic;
- congenital malformations ntawm lub hauv nruab nrog cev;
- kab mob endocrine (estrogen deficiency, rog rog, hypothyroidism, thiab lwm yam);
- -parasites nyob hauv cov kua tsib ducts thiab Gallbadder.
Cov tsos mob ntawm hypotonic dyskinesia
Cov tsos mob ntawm gallbladder dyskinesia nyob ntawm hom kab mob,kev ua haujlwm ntawm lub cev thiab nws cov ducts. Cov tsos mob tseem ceeb ntawm tus kab mob raws li hom hypotonic yog mob uas tshwm sim hauv txoj cai hypochondrium. Kev tsis xis nyob yog ntev, muaj tus cwj pwm mob. Mob nrog dyskinesia ntawm lub gallbladder tsis muaj qhov chaw tshwj xeeb, nce tom qab noj mov.
Tsis txhob tso cov pa tawm mus rau hauv qhov ncauj, uas yog, belching, tshwm sim hauv cov neeg mob tom qab noj mov, thiab tuaj yeem tshwm sim ntawm pluas noj. Qhov tshwm sim vim qhov kev tswj hwm ntawm kev ua haujlwm ntawm cov kua tsib los ntawm lub paj hlwb cuam tshuam, vim li ntawd, thaum nqos, tus neeg mob ntes cua.
Qee tus neeg mob yws ntawm xeev siab thiab ntuav. Kev ntuav tuaj yeem sib xyaw nrog cov kua tsib, uas qhia tau hais tias cov kua tsib nyob rau hauv lub plab. Muaj cov tsos mob tom qab noj mov thiab tom qab kev noj zaub mov tsis zoo, uas yog, noj zaub mov rog dhau, noj ntau dhau, thiab lwm yam.
Gallbladder dyskinesia ntawm hom hypotonic feem ntau nrog iab hauv qhov ncauj. Yeej, iab tshwm sim thaum sawv ntxov, tom qab kev tawm dag zog (lub cev) tom qab noj mov. Nws tshwm sim vim kev so ntawm lub sphincters ntawm lub plab zom mov thiab lub cev muaj zog ua haujlwm tsis zoo, vim tias cov zaub mov txav rov qab.
Flatulence, lossis tsam plab, qhov kev xav ntawm qhov puv yog feem ntau nrog los ntawm qhov mob, uas txo qis tom qab tso pa tawm. Cov neeg mob kuj yws txog qhov txo qis qab los noj mov. Cov kua tsib yog ib qho stimulant rau plab hnyuv cov tshuaj hormones, plab hnyuv motility thiab qab los noj mov, yog li qhov tsis muaj nws tuaj yeem nrog nws qhov tsis tuaj.
Tsis tshua muaj cov tsos mob ntawm gallbladder dyskinesia hu uaindigestion, manifested nyob rau hauv raws plab. Muaj qee lub sijhawm tom qab noj mov. Feem ntau, cem quav tshwm sim nrog ib tus kab mob. Cov tsos mob ntawm lub gallbladder dyskinesia yog tus cwj pwm los ntawm lub plab zom mov tsis txaus lossis tsis muaj quav rau 48 teev lossis ntau dua.
Nrog rau lub sijhawm ntev dyskinesia yam tsis tau kho (ib hom kab mob ntev), ntau tus neeg mob rog. Vim yog stagnation ntawm cov kua tsib, cov txheej txheem kev zom zaub mov tau cuam tshuam tag nrho, cov roj ntau ntxiv, sib cais qeeb, vim li ntawd, cov rog hauv cov rog subcutaneous.
Cov npe ntawm cov tsos mob suav nrog kev mob ntawm lub paj hlwb. Tus cwj pwm los ntawm kev txo qis hauv cov ntshav siab, tawm hws, txo qis hauv cov hlab plawv, salivation, redness ntawm daim tawv nqaij (hyperthermia yog pom ntawm lub ntsej muag).
Cov tsos mob ntawm hypertensive dyskinesia
Nrog dyskinesia ntawm lub gallbladder ntawm hypertensive hom mob, muaj ntau khaus, cramping nyob rau hauv cov xwm. Muaj qhov tsis xis nyob thiab mob, raws li txoj cai, tawm tsam keeb kwm ntawm lub cev tsis xis nyob, kev ntxhov siab, thiab kev noj zaub mov tsis zoo. Qhov kev tawm tsam yuav kav ntev li 20 mus rau 30 feeb, nws tuaj yeem rov ua dua ob peb zaug thaum nruab hnub. Feem ntau qhov mob kis mus rau sab caj npab lossis lub xub pwg hniav ntawm sab xis. Qee zaum, qhov mob rov ua dua qhov kev tawm tsam ntawm angina pectoris, muab rau sab laug. Nruab nrab ntawm kev tawm tsam, tus neeg mob tau hnov qhov hnyav hauv qab tav (txoj cai).
Tsis tas li ntawd ua rau txo qis qab los noj mov thiab poob phaus. Kev xeev siab thiab ntuav feem ntau nrog kev tawm tsam; sab nraum qhov kev tawm tsam, xws li cov cim qhia, raws li txoj cai, tsis muaj kiag li. NtawmHypertensive dyskinesia ntawm lub gallbladder feem ntau tshwm sim raws plab, ib qho teeb meem tshwm sim sai tom qab noj mov, los yog nrog kev tawm tsam.
Tus yam ntxwv rau ntau tus neeg mob yog cov tsos mob ntawm cov kab mob hauv lub paj hlwb. Pw tsaug zog cuam tshuam, irritability thiab qaug zog tshwm sim. Tej zaum yuav muaj mob taub hau, nce ntshav siab, nce zaus ntawm contractions ntawm lub plawv cov leeg, tawm hws. Qee tus neeg mob yws txog qhov mob ntawm lub plawv.
Cov tsos mob rau txhua hom kab mob
Raws li nrog hypertonic thiab hypotonic dyskinesia ntawm lub gallbladder, yellowness ntawm daim tawv nqaij, mucous daim nyias nyias, thiab dawb ntawm ob lub qhov muag yuav tshwm. Cov tsos mob tshwm sim tsis tshua muaj, yog qhov tshwm sim ntawm kev ua txhaum ntawm cov kua tsib. Nyob rau tib lub sijhawm, cov quav yuav tsis muaj xim, thiab cov zis yuav siv rau qhov ntxoov ntxoo tsaus. Plaque ntawm tus nplaig tsis yog ib qho cim tshwj xeeb ntawm dyskinesia, vim nws tuaj yeem tshwm sim nrog qee yam kab mob, xws li gastritis lossis colitis. Cov quav hniav tuaj yeem yog daj lossis dawb.
Diagnosis
Cov hauv qab no yog siv los kuaj lub gallbladder dyskinesia:
- Ultrasound, uas tuaj yeem siv los txiav txim siab qhov muaj qhov tsis sib xws hauv lub cev, qib ntawm lub zais zis, nws cov duab;
- kev kuaj ntshav uas tso cai rau koj los txiav txim siab qhov muaj cov txheej txheem inflammatory hauv theem nrab dyskinesia;
- ntshav biochemistry tuaj yeem kuaj xyuas cov kua tsib stasis, pancreatitis, o, rog metabolism;
- cholecystography los kawm txog kev tso tawm thiab khaws cia ntawm cov kua tsibnpuas, nws cov qauv thiab muaj pob zeb;
- infusion cholecystography los txiav txim siab sphincter tone;
- cholangiography nrog kev qhia txog tus neeg sawv cev sib txawv rau txoj kev tshawb fawb ntawm cov ducts;
- duodenal soj ntsuam los kawm txog kev ua haujlwm ntawm lub gallbladder, bile thiab lwm yam.
Hypotonic hom kev kho mob
Lub luag haujlwm tseem ceeb ntawm kev kho lub gallbladder dyskinesia yog txhawm rau tua cov kab mob thiab kab mob, o, txhim kho kev ua haujlwm ntawm plab hnyuv thiab tawm ntawm cov kua tsib. Txoj hauv kev rau kev kho tshuaj nws txawv nyob ntawm seb hom dyskinesia. Rau cov neeg mob hypotonic, choleretics, tshuaj tonic los txhim kho kev ua haujlwm ntawm lub paj hlwb thiab cov hlab ntsha tsis muaj zog yog siv.
YSiv cov choleretics
Choleretics yog cov tshuaj uas txhawb kev tsim cov kua tsib. "Holenzim", piv txwv li, muaj cov kua qaub, pancreatic enzymes. Noj cov tshuaj yuav tsum yog ib ntsiav tshuaj peb zaug ib hnub twg tom qab noj mov. Cov kev kho mob yuav kav li ob mus rau peb lub lis piam. Cov tshuaj pab txhim kho cov contractile thiab thauj lub zog ntawm lub gallbladder thiab cov kua tsib ducts, normalizes digestion, txhawb nqa lub nqus ntawm qhov siab tshaj plaws ntawm cov as-ham los ntawm cov zaub mov. Cov tshuaj stimulates cov synthesis ntawm cov kua tsib.
"Aplohol" muaj cov nplooj nettle, kua tsib thiab qej. Nws raug nquahu kom noj cov tshuaj ib mus rau ob ntsiav tshuaj tom qab noj mov peb lossis plaub zaug hauv ib hnub. Cov chav kawm ntawm kev kho mob yog ib mus rau ob lub hlis. Cov tshuaj kuj txhawb kev tsim cov kua tsib, tshem tawm lossis txo cov txheej txheem ntawm kev lwj hauv cov hnyuv,txhim kho txoj kev thauj mus los ntawm lub plab zom mov.
"Holiver", uas muaj turmeric, artichoke noob thiab kua tsib, yog pom zoo kom noj ob mus rau plaub ntsiav tshuaj tom qab los yog thaum noj mov. Lub sijhawm pom zoo ntawm kev kho yog kaum mus rau nees nkaum hnub. Cov tshuaj tiv thaiv lub siab los ntawm co toxins, tshem tawm cov roj cholesterol los ntawm cov ntshav, txhim kho kev txav ntawm cov zaub mov los ntawm txoj hnyuv thiab plab zom mov feem ntau, txhawb kev tsim tawm thiab tso tawm cov kua tsib.
Tonic tshuaj
Txhawm rau ua kom cov haujlwm ntawm lub paj hlwb, cov tshuaj tonic yog siv, xws li eleutherococcus, ginseng. Thawj cov tshuaj yuav tsum tau noj nees nkaum rau peb caug tee peb caug feeb ua ntej noj mov txog kaum ob teev nyob rau lub hli. Qhov thib ob yuav tsum tau haus 15-25 tee peb zaug ib hnub twg peb caug feeb ua ntej noj mov, 30-40 hnub yog chav kawm. Cov tshuaj no ua rau kom ntshav siab, ua haujlwm ntawm lub cev thiab lub hlwb, txo qhov qaug zog thiab qaug zog, txhim kho lub cev muaj peev xwm hloov mus rau ib puag ncig, thiab txhawb cov qog adrenal.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Tubeless tube (tsuas yog tsuas yog ntawm exacerbations ntawm gallbladder dyskinesia) yog cov dej ntxhia (tseem), Xylitol, magnesium sulfate, Sorbitol. Dissolve cov tshuaj nyob rau hauv 0.5 khob dej thiab haus cov tshuaj rau kaum feeb nyob rau hauv ob peb me me sips. Tom qab ntawd nws raug nquahu kom pw ntawm sab xis ntawm lub tshuab cua sov rau ib nrab teev. Cov txheej txheem yuav tsum rov ua dua kwv yees li ib zaug txhua xya mus rau kaum hnub. Cov chav kawm ntawm kev kho mob muajntawm rau rau yim kev kho mob.
Kho rau hypertensive dyskinesia
YNyob rau hauv cov ntshav siab dyskinesia, cholekinetics yog siv - tshuaj uas txo cov suab nrov ntawm lub biliary ib ntsuj av. Kuj pom tau tias yog antispasmodics uas so lub suab ntawm sphincters. Cov tshuaj no txo qhov mob hnyav. Sedatives yog siv los normalize lub paj hlwb.
kev kho mob cholekinetic
Cov neeg mob rau kev kho mob gallbladder dyskinesia (hypertonic type) feem ntau yog "Oxaphenamide". Koj yuav tsum noj cov tshuaj 1-2 ntsiav tshuaj peb caug feeb ua ntej noj mov. Cov chav kawm yog 15-20 hnub. Cov tshuaj no txhim kho cov synthesis ntawm cov kua tsib thiab ua kom nws cov zis tawm, txo cov ntsiab lus ntawm leukocytes hauv cov kua tsib, txo cov roj cholesterol hauv cov ntshav, thiab txo qhov tsis xis nyob thaum tawm tsam.
Gepabene kuj tseem siv. Cov tshuaj muaj ib tug qhuav extract ntawm fumes officinalis. Haus ib ntsiav tshuaj peb zaug ib hnub twg rau yam tsawg kawg ntawm ob lub lis piam. Rau qhov mob thaum hmo ntuj, koj tuaj yeem noj ib qho tshuaj ntsiav thaum hmo ntuj. Cov tshuaj txo cov synthesis ntawm cov kua tsib, txhawb nws tawm, tiv thaiv daim siab hlwb los ntawm toxins.
Anspasmodics txo qhov mob
Anspasmodics so sphincter tone thiab txo qhov tsis xis nyob. Cov chav kawm (rau kev txhim kho qaug dab peg tsawg) raug muab "Gimekromon". Koj yuav tsum haus ib los yog ob ntsiav tshuaj peb caug feeb ua ntej noj mov peb zaug ib hnub twg. Hoob kawm yuav siv li ob mus rau peb lub lis piam. Cov tshuaj txhim kho cov kua tsib tso tawm, ua kom cov leeg nqaij ntawm lub plab zom mov thiab txo qis hauv cov ducts.
"Papaverine", "Drotaverine","No-shpa" muaj cov tshuaj sib txawv, tab sis muaj cov txheej txheem zoo sib xws. Nrog mob hnyav, txhaj tshuaj intramuscular ntawm 2 ml yog muab ob zaug ib hnub. Tom qab mob nyem, nws raug nquahu kom noj cov ntsiav tshuaj ntawm qhov ncauj. Noj ob ntsiav tshuaj ob mus rau peb zaug ib hnub.
Yog hais tias mob hnyav, tus neeg mob yuav raug muab tshuaj narcotic rau gallbladder dyskinesia. Piv txwv li, "Promedol", yog muab los ntawm intramuscular txhaj ntawm ib milliliter ob zaug los yog peb zaug ib hnub twg. Cov tshuaj no cuam tshuam kev sib kis ntawm cov hlab ntsha impulses los ntawm lub hauv paus paj hlwb.
Sedatives
Sedatives yog siv los kho lub paj hlwb. Hauv cov hmoov, ntsiav tshuaj lossis sib tov, tshuaj potassium lossis sodium bromide. Cov hmoov yuav tsum tau siv ib zaug ib hnub (ob lub hnab), ntsiav tshuaj - peb mus rau plaub zaug hauv ib hnub (ib lossis ob ntsiav tshuaj ib zaug). Lub sijhawm kho yog ob mus rau peb lub lis piam. Cov tshuaj muaj cov nyhuv calming, restore lub ntuj sib npaug ntawm cov txheej txheem ntawm excitation thiab inhibition. Valerian los yog motherwort tinctures kuj txo cov excitability ntawm lub paj hlwb, normalize lub plawv dhia, txhim kho kev ua hauj lwm ntawm lub plawv thiab cov hlab ntsha, muaj ib tug me me hypnotic nyhuv, thiab rov qab ntshav siab mus rau ib txwm txwv.
Lwm Txoj Kev Kho Mob
Rau ob hom dyskinesia, cov txheej txheem physiotherapeutic raug pom zoo: kev kho laser, kev siv paraffin, electrophoresis. Nco ntsoov ua kev kho mob rau cov kab mob uas ua rau dyskinesia. Sab nraum exacerbations, uas yog, thaum lub sij hawm tshem tawm, cov ntxhia dej yog siv, thiabKev kho mob hauv sanatoriums raug pom zoo.
khoom noj khoom haus
Qhia rau dyskinesia ntawm lub gallbladder khoom noj khoom haus, kev noj haus. Kev noj zaub mov tau raug sau tseg rau lub sijhawm ntev, nws lub sijhawm yog tsawg kawg peb mus rau plaub lub hlis. Lub hom phiaj tseem ceeb ntawm cov khoom noj khoom haus zoo li no yog normalization ntawm kev ua haujlwm ntawm plab hnyuv thiab biliary ib ntsuj av. Kev noj haus rau lub gallbladder dyskinesia qhia tias thaum lub sij hawm exacerbation lawv raug cais tag nrho:
- dej cawv, dej qab zib, kas fes dub, cocoa.
- Cov zaub mov uas ua rau kom muaj roj ntau ntxiv, uas yog, taum pauv, zaub qhwv, taum.
- nqaij nyuj thiab ntses.
- Marinades thiab khaws cia.
- Txhua yam rog, ntsev, kib, haus luam yeeb, ntsim lossis qaub.
- khoom qab zib, yob, txhua yam muffin.
Noj yuav tsum yog me me, tab sis feem ntau. Cov khoom yuav tsum tau boiled, steamed. Nyob rau hauv thaum ntxov hnub ntawm exacerbation, nws yog zoo dua mus noj cov tais diav nyob rau hauv kua los yog grated daim ntawv. Qhov no yuav tsis tsim nyog ntxiv lawm thaum cov tsos mob tshwm sim.
Txoj kev ua neeg
Lwm cov tshuaj kuj tseem siv los kho dyskinesia ntawm lub gallbladder thiab biliary ib ntsuj av. Txhawm rau txo qhov mob thaum tawm tsam, ntxiv rau cov kev kho tseem ceeb, decoctions ntawm cov tshuaj ntsuab siv. Nrog hypotonic dyskinesia, nws raug tso cai noj:
- Decoction of immortelle. Ib khob ntawm boiling dej yuav tsum tau peb tablespoons paj. Infuse lub decoction nyob rau hauv ib da dej rau peb caug feeb. Nco ntsoov do tas li. Tom qabtshem tawm cov decoction los ntawm lub qhov cub thiab txias, thiab ces lim los ntawm ib tug strainer. Nws raug nquahu kom noj ib nrab khob peb caug feeb ua ntej noj mov. Lub sijhawm kho yog 14-21 hnub.
- Infusion ntawm pob kws stigmas. Ncuav ib teaspoon ntawm crushed stigmas nrog ib khob ntawm boiling dej thiab tawm rau peb caug feeb. Lim los ntawm ib lub sieve los yog cheesecloth thiab noj peb tablespoons peb zaug ib hnub twg peb caug feeb ua ntej noj mov. Hoob kawm yog peb lub lis piam.
Rau cov neeg mob uas raug kev txom nyem los ntawm hypotonic dyskinesia, pej xeem zaub mov muaj raws li hauv qab no:
- Decoction ntawm licorice cag. Ob teaspoons ntawm qhuav raw cov ntaub ntawv yuav tsum tau nchuav nrog ib khob ntawm boiled dej (kub) thiab muab tso rau ntawm hluav taws rau nees nkaum feeb. Thaum lub broth tau txias, lim nws. Koj yuav tsum noj ib feem peb ntawm ib khob 30 feeb ua ntej noj mov peb zaug ib hnub twg rau 14-21 hnub.
- Txoj kev lis ntshav ntawm pepperminint. Ncuav ob tablespoons ntawm raw cov ntaub ntawv nyob rau hauv ib daim ntawv qhuav nrog ib khob dej thiab cia sawv ntsug li peb caug feeb, thiab ces dhau los ntawm gauze. Noj ib feem peb ntawm ib khob nees nkaum feeb ua ntej noj mov ob zaug ib hnub twg. Hoob kawm yog ob mus rau peb lub lis piam.
Nrog rau ob hom kab mob biliary dyskinesia, nws yog qhov zoo rau haus ib decoction lossis tshuaj yej los ntawm chamomile officinalis. Koj tuaj yeem haus nws hauv qhov txwv tsis pub muaj, tab sis, tau kawg, hauv qhov laj thawj.
Lwm cov lus pom zoo suav nrog kev ua kom lub cev ua tau (tab sis tsis yog thaum lub sijhawm exacerbations), txo qis cov xwm txheej ntxhov siab, ua raws li cov hauv paus ntsiab lus ntawm kev noj qab haus huv. Tus neeg mob yuav tsum tau ua raws li kev tswj hwm ntawm lub hnub, tsis txhob ua haujlwm dhau, lub cev hnyav dhau los kuj yog contraindicated, vimlawv tuaj yeem yog lub hauv paus ua rau muaj kev tawm tsam tom ntej. Nws kuj tseem pom zoo kom tso tseg cov cwj pwm phem, xws li haus luam yeeb thiab haus cawv.
Kev ntsuas rau dyskinesia yog kev nplij siab. Yog tias koj ua raws li cov lus pom zoo ntawm tus kws kho mob, ces qhov zaus ntawm kev tawm tsam tuaj yeem txo qis.
