Tshuaj iab hauv qhov ncauj thiab tsis qab los noj mov feem ntau paub. Tsawg tus neeg yuav xav tsis thoob los ntawm qhov mob hauv txoj cai hypochondrium lossis cem quav. Cov tib neeg pom cov kab mob hauv lub cev yog qhov me, yog li lawv tsis maj mus ntsib kws kho mob. Txawm li cas los xij, lawv tuaj yeem taw qhia cov kua tsib stasis hauv cov neeg laus. Cov tsos mob thiab kev kho mob ntawm tus kab mob no yuav piav qhia hauv peb tsab xov xwm.
Yog vim li cas
Yog tus kws kho mob ua qhov kev kuaj mob no rau tus neeg mob, ces qhov ua rau stagnation ntawm cov kua tsib nyob rau hauv lub gallbladder thiab lub siab tuaj yeem sib txawv, lawv cov kev faib loj yog faib ua peb theem:
- Kev ua txhaum ntawm cov kua tsib thiab daim siab.
- Kab mob hauv nruab nrog cev.
- Qhov cuam tshuam rau lub cev ntawm lwm yam tsis zoo.
Kev puas siab puas ntsws ua rau cov kua tsib stasis kuj txawv, lawv cov tsos mob yog tus qauv. Psychosomatics hais tias tus kab mob no tuaj yeem tshwm sim los ntawm kev tsis ntseeg tus kheej, npau taws, hauv pauskev chim siab.
Muaj tag nrho cov npe ua rau stagnation ntawm cov kua tsib nyob rau hauv daim siab thiab lub gallbladder, vim tias tus kab mob no tuaj yeem tsim:
- tus neeg mob tsis ua raws li kev noj zaub mov kom raug, tsis muaj kev tswj hwm, feem tsis txwv, vim li no, nws noj ntau cov zaub mov ntsim lossis rog;
- tsis saib xyuas cov kab mob hauv plab hnyuv, qhov no tshwm sim hauv cov neeg mob uas feem ntau zaum ntawm kev noj zaub mov ntev;
- kev hloov pauv kev noj zaub mov zoo;
- kev nyuaj siab;
- teeb meem nrog lub paj hlwb;
- kab mob cuam tshuam nrog lub plab me me;
- muaj qhov txhab;
- exacerbation ntawm gastritis;
- kab mob plab;
- haus ntau dhau;
- tus cwj pwm phem nyiam haus luam yeeb;
- siv tshuaj tua kab mob mus ntev;
- kev ua neej nyob;
- pathology ntawm lub gallbladder;
- zaub mov lom;
- pancreatitis;
- atopic diathesis;
- teeb meem cuam tshuam nrog ntshav qab zib, xws li hormonal tsis txaus lossis rog;
- hormonal tsis ua haujlwm thaum muaj menyuam.
Hmoov tsis zoo, tus kab mob no tsis tshua muaj tshwm sim hauv cov menyuam yaus. Muaj ntau ntau yam ua rau stagnation ntawm cov kua tsib hauv tus menyuam. Hauv cov tub ntxhais hluas, cov kab mob hauv lub cev tuaj yeem tshwm sim vim raug kis kab mob, tsis ua raws li kev noj haus, lossis siv cov tshuaj pharmacological mus ntev.
Ntau tus neeg yuam kev ntseeg tias yog tias lub zais zis raug tshem tawm, qhov kev pheej hmoo ntawm cov kua dej stagnation yuav ploj mus. Tiag tiagqhov tseeb nws tsis yog. Txawm tias tom qab tshem tawm ntawm lub gallbladder, cov kua tsib stasis tuaj yeem tshwm sim, tab sis tom qab ntawd nws yuav tsim nyob rau hauv daim siab, uas tseem yuav muaj kev cuam tshuam tsis zoo rau kev noj qab haus huv.
Txhawm rau zam qhov tshwm sim loj, nws yuav tsum tau sab laj nrog kws kho mob thaum thawj cov tsos mob ntawm tus kab mob tshwm sim, qhia cov tsos mob, qhia koj cov lus tsis txaus siab, kuaj xyuas thiab txiav txim siab seb puas muaj dab tsi tshwm sim hauv lub cev. Yog tias kuaj pom tus kab mob no, nws yuav tsum tau sab laj nrog kws kho mob txog kev kho mob, nws yuav tsum tau txais kev pom zoo los ntawm cov kws kho mob tshwj xeeb, tsis muaj teeb meem koj yuav tsum tau kho tus kheej.
Symptoms
Cov tsos mob tseem ceeb, thaum lawv tshwm sim, nws raug nquahu kom sab laj nrog tus kws kho mob tshwj xeeb rau kev kuaj mob kom raug:
- xeev siab, tsis tshua muaj nrog gagging;
- pom kev iab hauv qhov ncauj tom qab sawv;
- pom qhov mob, tsis xis nyob thiab hnyav hauv qab tav ntawm sab xis;
- pw tsis tsaug zog;
- zoo siab kub hnyiab;
- tsim cov xim daj lossis xim dawb ntawm tus nplaig;
- mob plab;
- mob nraub qaum;
- tawm hws ntau;
- lethargy thiab qaug zog.
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Cov tsos mob ntxiv
Cov cim qhia ntxiv ntawm tus kab mob:
- pob liab liab tshwm sim;
- feces hloov xim;
- zis darkens;
- ib tug neeg nqhis dej tas li;
- khaus ntawm qhov sib txawv tshwm sim;
- tawv hloov xim.
Tag nrho cov npe ntawm cov tsos mob siv tsis yog rau cov neeg laus xwb, tab sis kuj rau menyuam yaus. Yog li ntawd, nyob rau hauv cov ntaub ntawv ntawm kev kuaj pom ntawm ib qho kev sib txawv ntawm tus qauv, qhov tsos ntawm qhov tsis xis nyob los yog mob, nws yog tsim nyog los sab laj ib tug kws kho mob kom paub tseeb tseeb.
Kev kho thiab cov tsos mob ntawm cov kua tsib nyob rau hauv cov neeg laus muaj kev sib raug zoo. Xav paub ntau ntxiv tom qab.
Diagnosis
Txhawm rau txheeb xyuas qhov tsis txaus ntawm cov kua tsib, nws yog ib qho tsim nyog yuav tsum ua cov txheej txheem ntsuas thiab ntsuas ntsuas. Tab sis ua ntej ua qhov no, koj yuav tsum ua nws tus kheej ua ntau yam kev ua haujlwm:
- Nws tsim nyog kawm koj tus kheej keeb kwm kev kho mob thiab nco ntsoov dab tsi tuaj yeem ua rau stagnation.
- Sau koj cov zaub mov txhua hnub kom ntxaws.
Cov ntaub ntawv no yuav pab tus kws tshaj lij hauv kev tshawb fawb thiab xaiv kev ntsuas ntsuas.
Lab txoj kev
Thaum lub sijhawm kuaj kuaj, koj yuav tsum:
- kuaj ntshav biochemical;
- ua qhov kev soj ntsuam dav dav ntawm cov zis thiab ntshav;
- execute coprogram.
Instrumental Methods
Instrumental txoj kev tshawb fawb suav nrog:
- MRCP thiab tus tsiaj;
- CT thiab MRI;
- biopsy;
- hepatic cholangiography;
- ultrasound ntawm lub gallbladder thiab siab.
Ua ntej koj pib kho lub gallbladder stasis, koj yuav tsum paub tseeb tias nws yog nws tiag, vim muaj ntau yamCov kab mob viral muaj cov tsos mob zoo sib xws.
Tshuaj kho mob
Yog tus neeg mob muaj cov tsos mob hnyav ntawm tus kab mob, tus kws kho mob ua ntej ua txhua yam kev kuaj mob tsim nyog. Qhov no yuav pab kom kuaj tau qhov tseeb, tom qab ntawd koj tuaj yeem pib xaiv txoj kev kho kom raug.
Thaum xaiv ib yam tshuaj, tus kws kho mob gastroenterologist yuav suav nrog tus neeg mob txoj kev noj qab haus huv. Nws yog ib qho tseem ceeb uas tag nrho cov tsos mob ntawm stagnation yuav raug tshem tawm tag nrho nyob rau hauv ib lub sij hawm luv luv. Koj kuj yuav tsum nkag siab txog cov laj thawj uas ua rau muaj tus kab mob. Txhua qhov kev kho mob tshwm sim hauv tsev, tab sis nyob rau hauv cov ntaub ntawv siab heev, kev kho mob ceev tau raug pom zoo. Nws nyob ntawm tus nqi ntawm txoj kev loj hlob ntawm pathology thiab xav tau kev phais.
Kev kho cov kab mob biliary stagnation yog ua los ntawm kev siv tshuaj, tab sis tib lub sijhawm tus kws kho mob yuav tsum tsim cov khoom noj rau tus neeg mob. Tau kawg, cov kws tshaj lij niaj hnub tsis yog ib txwm tawm tsam cov tshuaj niaj hnub. Nws raug tso cai noj tshuaj thiab tshuaj ntsuab tib lub sijhawm, uas yuav pab tshem tawm cov kua tsib. Xws li cov txheej txheem yooj yim tshem tawm cov pathology uas tau tshwm sim. Ua tsaug rau kev xaiv cov tshuaj kom raug, tus kws tshaj lij yuav tsum daws ob peb lub luag haujlwm tseem ceeb ib zaug:
- tshem tawm cov tawv nqaij khaus thiab tshem tawm tag nrho cov pob khaus;
- xyuas kom lub cev tawm ntawm cov kua tsib kom tsis muaj stagnation;
- tuav lub siab ua haujlwm, thiab yog tias tsim nyog, txhim kho nws txoj haujlwm.
Cov neeg mob Cholestasisraug kev txom nyem los ntawm khaus khaus, uas yog tshem tawm nrog kev pab los ntawm cream thiab tshuaj pleev. Antihistamines los yog corticosteroids kuj zoo heev. Tsis tas li ntawd, tus neeg mob yuav tsum noj tshuaj kom normalize cov kua tsib thiab txo acidity.
Yog tias peb tham txog cov tshuaj kho mob stagnation ntawm cov kua tsib nrog cov nyhuv choleretic, ntawm no peb tuaj yeem paub qhov txawv "Cholacid" thiab "Ursosan". Lawv tsis tsuas yog ua lawv lub luag haujlwm tseem ceeb, tab sis kuj tshem tawm qhov muaj qhov ntom ntom ntom ntom. Lawv kev noj tsis tu ncua ua rau lub pob zeb tawg tag.
Los ntawm stagnation ntawm cov kua tsib hauv tus menyuam yaus thiab cov neeg laus, cov kws kho mob pom zoo kom yuav cov tshuaj uas yuav pab tshem tawm ntawm lub cev. Feem ntau lawv muaj cov khoom cog uas muaj txiaj ntsig zoo rau lub xeev ntawm daim siab. Qhov nrov tshaj plaws yog "Hofitol", "Allohol" thiab "Hepatosan". Qee zaum, tus neeg mob raug caw mus rau qhov muag tsis pom kev, tab sis ua ntej nws yog ib qho tseem ceeb kom paub tseeb tias tsis muaj contraindications.
Yog tias muaj cov txheej txheem inflammatory tshwm sim thaum kuaj hauv lub gallbladder, ces koj yuav tau haus cov tshuaj tua kab mob. Vim lawv qhov kev ua, cov kab mob yuav tsum tsis txhob sib faib thiab tuag. Nrog rau stagnation ntawm cov kua tsib, cov mucous daim nyias nyias yuav nyias, yog li cov kab mob pathogenic pib ua haujlwm. Feem ntau ib chav kawm ntawm 7 mus rau 10 hnub pab.
Txoj kev xaiv tsis yog ib txwm muab cov txiaj ntsig xav tau, yog li tus kws kho mob yuav sau ntau hom tshuaj tua kab mob. Lawv tau tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj lossis tshuaj ntsiav, thiab qee zaum nws raug pom zoo kom uatxhaj tshuaj, raws li lawv ua tau zoo dua thiab pab koj rov qab sai dua.
Tau kawg, koj yuav tsum tsis txhob sau ntau yam tshuaj rau koj tus kheej, tshwj xeeb tshaj yog tsis muaj qhov ntsuas ntawm tes. Txhua yam tshuaj yuav tsum tau noj nyob rau hauv kev saib xyuas nruj ntawm tus kws kho mob. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem xaiv ib lossis lwm txoj kev kho mob uas yuav tsis ua mob rau tus neeg mob noj qab haus huv, tab sis, ntawm qhov tsis sib xws, yuav ua rau muaj txiaj ntsig zoo.
Txoj kev ua neeg
Hmoov tsis zoo, tsis yog txhua tus neeg tswj hwm kev noj zaub mov kom raug. Yog li ntawd koj yuav tsum tau nrog stagnation ntawm cov kua tsib. Thawj qhov cim qhia tias lub gallbladder ua haujlwm qeeb yog qhov tsos ntawm iab hauv qhov ncauj tam sim ntawd tom qab sawv. Tom qab ntawd muaj kev xav hnyav thiab txawm tias mob tshwm sim. Txhawm rau tshem tawm cov kev xav tsis zoo no, koj tuaj yeem siv cov tshuaj pej xeem. Txhawm rau npaj cov tshuaj, koj tsis tas yuav siv sijhawm ntau thiab siv zog, txhua yam khoom siv raw yuav yooj yim nrhiav tau hauv tsev.
Muaj ntau yam kev kho mob pej xeem los tiv thaiv cov kab mob stasis:
- zaub roj. Txhawm rau npaj cov tshuaj no, koj yuav xav tau ib nrab ib khob ntawm cov roj zaub uas tsis tau hloov pauv, cov kua dej no yuav tsum tau ua kom sov me ntsis thiab qaug cawv ntawm lub plab khoob. Tom qab koj haus cov roj, koj yuav tsum tau pw ntawm koj sab xis thiab siv lub ntsuas kub kub. Nws yog ib qho tsim nyog yuav tsum tau pw kom txog thaum lub tshuab cua sov ua kom txias. Tom qab ua cov txheej txheem txawv txawv, nws raug pom zoo rau cov hauv qab nopeb hnub rau haus unsweetened decoction los yog tincture ntawm qus sawv. Txhawm rau npaj ib lub decoction, nws yog qhov zoo dua los siv cov rosehips qhuav, koj tuaj yeem yuav lawv hauv khw lossis ziab lawv koj tus kheej. Cov txiv hmab txiv ntoo qhuav yog poured rau hauv ib lub thermos thiab ncuav nrog boiling dej, xws li ib tug decoction yog infused rau 3 teev.
- Pob rog. Tsis yog txhua tus tuaj yeem haus cov roj zaub, yog li muaj lwm txoj hauv kev zoo, qhov kev xaiv no yog ntau qab ntxiag, noj qab nyob zoo thiab noj qab nyob zoo. Cov tshuaj niaj hnub pom zoo kom noj ib daim ntawm lard, uas yav tas los s alted, koj yuav tsum tau siv ib lub brine nrog qej los yog kua txob dub. Tsis tas yuav noj mov thaum noj lard. Tom qab xws li cov khoom noj txom ncauj me me, nws tseem yuav tsum tau pw ntawm koj sab xis, siv lub tshuab cua sov thiab tos kom txog thaum nws txias. Tom qab cov txheej txheem no, koj yuav tsum haus rosehip decoction thaum lub sij hawm thaum muaj kev nqhis dej tshwm. Txoj kev kho no saturates lub cev nrog vitamin C, yog li, ua kom lub plab ua haujlwm tag nrho.
- Beet kua txiv. Beets yog siav kom txog thaum ib nrab siav, ces rubbed on ib grater. Lub resulting pulp yog squeezed. Dej haus ib khob 30 feeb ua ntej noj mov.
- noob taub dag. Nrog kev pab los ntawm cov noob taub dag, koj tuaj yeem tshem tawm tsis yog tsuas yog kab mob xwb, tab sis kuj txhim kho lub gallbladder. Cov noob tuaj yeem yuav ob qho tib si hauv khw thiab hauv khw muag tshuaj, lossis koj tuaj yeem nqa koj tus kheej los ntawm taub taub. Cov noob taub dag tau noj txhua qhov ntau thiab txhua lub sijhawm ntawm hnub.
- pob kws stigmas. Txhawm rau npaj ib lub tincture ntawm pob kws stigmas, koj yuav tsum ncuav 3 teaspoons ntawm qhuav raw cov ntaub ntawv rau hauv ib khob dej sov. Muab lub resulting sib tov rauqeeb hluav taws thiab coj mus rau ib tug boil. Tom qab ntawd tawm mus rau boil rau ib nrab ib teev. Lub decoction yog diluted ib mus rau ib tug nrog dej thiab haus dej haus 10 sips ib teev ua ntej noj mov.
- Dandelions. Txhawm rau npaj cov tshuaj los ntawm dandelions, koj yuav tsum khawb lawv cov hauv paus hniav ua ntej cov nroj tsuag ploj. Ntxuav cov hauv paus hniav zoo, chop lawv, ntxiv dej thiab muab tso rau hauv boil. Nqa lub broth mus rau ib tug boil, tawm rau ob peb feeb, ces lim. Cov khoom tuaj yeem noj ib nrab khob ua ntej noj mov.
Kev noj haus
Yuav noj kom raug thiab tsis raug kev txom nyem los ntawm cov kua tsib, koj yuav tsum paub tias cov zaub mov twg ua rau muaj feem kis tus kab mob. Rau cov neeg uas raug kev txom nyem los ntawm kab mob siab lossis mob gallbladder, nws raug nquahu kom ua raws li kev noj zaub mov kom raug:
- Nws yog qhov tsim nyog kom tsis suav cov rog, kib ntawm cov zaub mov tas li. Xwb, koj tuaj yeem ci lossis ua rau koj cov zaub mov.
- Koj yuav tsum sim zam dej txias thiab zaub mov.
- Nws yog ib qho tsim nyog yuav tsum tshem tawm ntawm cov khoom noj uas muaj cov roj cholesterol ntau. Cov khoom zoo li no pab tsim cov pob zeb hauv lub gallstone, ua rau cov roj cholesterol ntau dhau hauv lub cev. Txhawm rau zam qhov no, nws yog ib qho tsim nyog yuav tsum txo qis kev noj cov nqaij rog, nqaij rog thiab ntses, qe qe, txwv cov hmoov nplej.
- Txo lossis tso tseg haus cawv, kas fes, dej qab zib, tshuaj yej muaj zog, cocoa.
- Tsis suav cov legumes los ntawm kev noj zaub mov, vim lawv ua rau muaj roj thiabnce load ntawm lub plab.
- Txo ntsev kom tsawg vim nws khaws cov kua thiab ua rau cov kua tsib.
Cov zaub mov uas pab txo cov kua tsib stasis
Txhawm rau txhim kho kev zom zaub mov, koj yuav tsum muaj cov khoom noj zoo hauv koj cov zaub mov uas yuav muaj txiaj ntsig zoo rau lub gallbladder:
- zaub rog. Cov roj zaub tsis zoo yog suav tias yog tus nqi pheej yig tshaj plaws ntawm cov txhais tau tias ua rau kev tso tawm cov kua tsib. Cov khoom no pab tsim cov cholecystokinin, uas nyob rau hauv lem yog ib qho tseem ceeb cov tshuaj hormones rau cov txheej txheem digestive. Nws raug nquahu kom haus ib teaspoon ntawm roj ua ntej noj mov. Koj tuaj yeem xaiv ib qho: pob kws, paj noob hlis, txiv ntseej, avocado.
- Txhua yam txiv hmab txiv ntoo muaj txiaj ntsig zoo rau lub gallbladder, tshwj xeeb tshaj yog txiv qaub, txiv kab ntxwv, txiv kab ntxwv, txiv apples, melons.
- zaub thiab tshuaj ntsuab. Zaub pab txhawb rau normalization ntawm lub suab ntawm lub biliary ib ntsuj av, tiv thaiv stagnation thiab rhuav tshem gallstones. Cov zaub tseem ceeb tshaj plaws yog broccoli, beets, rhubarb, txiv lws suav, carrots, taub dag, celery, dill thiab artichokes.
- Cov khoom noj mis nyuj thiab qaub-mis nyuj. Nws raug nquahu kom xaiv cov khoom noj mis nyuj uas muaj cov vitamin D ntau hauv lawv cov ntsiab lus, yog li ntawd, yogurt, qaub cream, kefir, mis nyuj thiab tsev cheese yuav tsum tau nkag mus rau hauv kev noj haus. Nws yog ib qho tseem ceeb kom nco ntsoov tias tag nrho cov khoom siv mis nyuj yuav tsum muaj roj tsawg
Kev Tiv Thaiv
Hmoov tam sim no, byRaws li kev txheeb cais, txhua tus neeg thib tsib ntawm lub ntiaj teb raug kev txom nyem los ntawm stagnation nyob rau hauv cov kua tsib ducts. Yog vim li cas:
- craze rau zaub mov,
- tsis khoom noj khoom haus,
- kev ua neej nyob.
Txhua yam no muaj kev cuam tshuam loj heev rau kev noj qab haus huv thiab pab txhawb kev txhim kho cov kua tsib. Tias yog vim li cas cov kws tshaj lij pom zoo kom koom nrog kev tiv thaiv kab mob. Txhawm rau tiv thaiv nws, koj yuav tsum:
- Txiv. Khiav, taug kev, seev cev thiab lwm yam kev ua ub no yuav pab cov kua tsib kom tsis txhob stagnate.
- Ua tib zoo ua raws li kev noj haus, tsis muaj teeb meem koj yuav tsum tsis nco qab txog pluas tshais, pluas su thiab noj hmo.
- Txo cov khoom qab zib, rog, ntsim, ntsev hauv koj cov zaub mov noj txhua hnub, thiab tsis txhob haus dej cawv.
- Nyob me me kom tsis txhob noj ntau dhau.
- Sim tsis txhob ua rau muaj kev ntxhov siab, npau taws thiab npau taws heev. Qhov no tuaj yeem ua rau lub gallbladder spasms.
Nws tsim nyog tuav koj tus kheej. Kev ua raws li cov lus pom zoo hauv theem pib yuav zam qhov tshwm sim loj. Thiab nco ntsoov, tsuas yog ib tus kws kho mob tuaj yeem txiav txim siab txog cov tsos mob, ua rau, thiab kho cov kua tsib stasis.
