Tsis ntev los no, cov poj niam cev xeeb tub feem ntau muaj kab mob xws li cholecystitis. Nws yog lub sijhawm no uas kev sib deev ncaj ncees ntsib qhov exacerbation ntawm nws daim ntawv ntev. Qhov no yog vim muaj ntau yam kev hloov pauv hauv kev ua haujlwm ntawm lub cev, uas muaj kev cuam tshuam ncaj qha rau ntawm cov kab mob biliary. Kev hnov mob tuaj yeem tshwm sim, thiab ntau tus poj niam pom tias lawv yog ib qho kev hem thawj rau lub neej ntawm tus menyuam hauv plab. Kwv yees li 30% ntawm cov neeg mob uas mob cholecystitis tig mus rau cov kws kho mob tshwj xeeb. Cov teeb meem zoo li no tau piav qhia los ntawm kev loj hlob ntawm lub tsev menyuam thiab kev sib txuam ntawm cov kabmob uas nyob hauv lub plab kab noj hniav. Yog li ntawd, stagnation ntawm cov kua tsib pib, thiab pob zeb tshwm nyob rau hauv lub ducts. Kwv yees li 95% ntawm cov poj niam muaj qhov ua rau mob o.
Yog vim li cas
Cholecystitis thaum cev xeeb tub tuaj yeem tshwm sim hauv ib lub hlis twg, thiab qee zaum nws tshwm sim ua ntej yug menyuam. Kab mobtsim nyob rau hauv lub xub ntiag ntawm ob peb yam zoo. Piv txwv li:
- diting or overeating;
- kev ua neej nyob;
- lub xeev tsis muaj zog ntawm lub cev tiv thaiv kab mob;
- nkag mus rau hauv lub cev ntawm tus neeg kis tus kabmob (tus kab mob siab thiab lwm yam);
- ntseeg nro lossis ntxhov siab heev.
Tau kawg, ntawm cov poj niam uas xav tias yuav muaj menyuam, cov xwm txheej no tau pom tam sim ntawd hauv qhov sib sau. Yog vim li cas cholecystitis thaum cev xeeb tub tsis tuaj yeem hu ua kab mob tsawg. Feem ntau, thawj cov tsos mob ua rau lawv tus kheej hnov nrog qhov pib ntawm peb lub trimester. Nws yog nyob rau lub sijhawm no uas cov niam muaj kev cia siab tau ntsib nrog xeev siab heev thiab ntuav. Thaum tsawg kawg ib qho kev xav txawv txawv tshwm sim, nws yog qhov zoo dua los qhia koj tus kws kho mob tam sim ntawd thiab txheeb xyuas qhov teeb meem raws sij hawm.
Symptoms
Yog tias peb tham txog cov kab mob cholecystitis nyob rau hauv daim ntawv mob ntev, tom qab qee lub sijhawm muaj tus kab mob hnyav heev. Mob yog suav hais tias yog cov tsos mob tseem ceeb ntawm cholecystitis thaum cev xeeb tub hauv daim ntawv ntev. Yog hais tias tus kab mob yog mob ntev, ces qhov mob tshwm sim nws tus kheej nyob rau hauv ib tug nruab nrab daim ntawv. Feem ntau, tom qab noj mov, cov neeg mob yws yws ntawm qhov hnyav hauv hypochondrium ntawm sab xis. Feem ntau, cov tsos mob no ua rau lawv tus kheej hnov tom qab noj cov zaub mov kib thiab rog.
Pericholecystitis yog tus cwj pwm los ntawm qhov mob tas li, thiab lawv muaj zog nrogqaij lossis hloov txoj haujlwm. Feem ntau, lawv tshwm sim hauv thaj tsam lumbar, lub xub pwg hniav thiab lub xub pwg nyom. Ntau tus neeg mob raug kev txom nyem los ntawm xeev siab, belching, thiab iab saj hauv qhov ncauj. Muaj cov xwm txheej thaum, thaum lub sij hawm exacerbation ntawm tus kab mob, qhov nce hauv lub cev kub mus rau tus nqi subfebrile tau sau tseg. Yog tias daim duab siab dua thiab txias pib, qhov no qhia tau tias muaj empyema ntawm lub gallbladder. Tag nrho cov tsos mob no qhia txog tus mob cholecystitis, tab sis hauv qee cov neeg mob cov tsos mob txawv kiag li.
Yog tias peb tham txog cov poj niam cev xeeb tub, lawv koom nrog qhov tshwm sim ntawm qhov mob nrog kev txav ntawm tus menyuam hauv plab. Qhov no tshwj xeeb tshaj yog nyob rau nruab nrab ntawm lub peb hlis ntuj thib ob.
Diagnosis
Thaum cev xeeb tub, txhua tus poj niam raug kuaj xyuas kom tsim nyog txhawm rau txheeb xyuas cov kab mob tshwm sim thaum ntxov. Cov kws kho mob yuav tsum kuaj xyuas qhov teeb meem xws li cholecystitis kom sai li sai tau. Yog tias cov kab mob tshwj xeeb no tau raug txheeb xyuas, cov kws kho mob tshwj xeeb tsis tuaj yeem sau tshuaj tua kab mob lossis phais kom txog thaum tus menyuam yug los. Feem ntau, cov kev kho mob no yog siv los ua qhov kawg. Yog vim li cas cov poj niam yuav tsum muaj lub luag haujlwm rau lawv txoj kev noj qab haus huv thiab tau txais tag nrho cov kev kuaj mob.
Nrog cholecystitis, cov poj niam cev xeeb tub tsis muaj qhov mob tshwm sim. Muaj tseeb, qhov teeb meem tshwm sim nws tus kheej txhua zaus koj noj cov zaub mov txwv. Peb tab tom tham txog ntsim, kib thiab ntsim. Cov txheej txheem kuaj mob muaj ntau yamCov ntsiab lus tseem ceeb:
- Ua ntej tshaj plaws, tus kws kho mob pom qhov muag tshuaj xyuas tus neeg mob thiab palpates lub plab.
- Tom qab ntawv xa mus rau kev tso zis, quav thiab kuaj ntshav.
- Rau qhov kev lees paub zaum kawg lossis tsis lees paub, tus kws tshaj lij xa tus poj niam mus kuaj ultrasound.
Tsuas yog nyob rau hauv tag nrho, tag nrho cov lus teb tau txais yuav pab kom pom tag nrho cov duab ntawm tus kab mob.
Kev kho mob
Yog peb tham txog lub hauv paus ntsiab lus ntawm kev kho cholecystitis thaum cev xeeb tub, ces nws tsis txawv ntawm txoj kev rau cov neeg mob zoo tib yam. Yuav pib nrog, cov lus qhia noj zaub mov naj npawb 5 yog sau tseg, tab sis cov niam uas muaj kev cia siab tsis tuaj yeem txwv tshwj xeeb. Qhov tseem ceeb tshaj plaws yog tias kev noj zaub mov yuav tsum muaj qhov tseeb ntawm cov protein, carbohydrates thiab cov rog. Nws yog ib qho tsim nyog yuav tsum tso tseg cov txuj lom, ntsev thiab kib zaub mov. Qhov no siv rau cov roj refractory thiab smoked nqaij. Nws raug nquahu kom noj zaub mov me me, tab sis 5-6 zaug hauv ib hnub.
Yog tus poj niam cev xeeb tub muaj hypomotor dyskinesia ntawm lub gallbladder, ces nws yuav tsum tau noj cov zaub mov uas yuav provoke contractions ntawm lub cev. Peb tab tom tham txog cov ntses ntses los yog cov nqaij tsis rog heev, nrog rau qaub cream, qaub cream thiab qe mos-boiled. Tsis txhob muab cov tsev cheese thiab cod, vim lawv muaj cov lipotropic nplua nuj.
kev kho mob
Nrog rau qhov ua kom pom tseeb ntawm cholecystitis thaum cev xeeb tub lossis cov tsos mob ntawm edema, kev siv cov dej ntxhia Essentuki thiab Slavyanovskaya tau tso cai. Ib teev ua ntej noj mov, koj yuav tsum haus 200 ml, tab sis tsuas yog nyob rau hauv ib tug sov sodaim ntawv. Koj tuaj yeem txuas ntxiv chav kawm no mus txog 3 lub lis piam. Nrog rau qhov pib ntawm peb lub hlis thib peb, nws yog qhov zoo dua kom tsis txhob haus dej ntxhia, vim nws ua rau cov tsos ntawm puffiness. Txhua tus poj niam cev xeeb tub uas muaj tus mob cholecystitis tau muab tshuaj rau cov tshuaj choleretic. Feem ntau, xylitol lossis sorbitol yog qhov nyiam, thiab 10% kev daws yog thawj zaug los ntawm lawv. Nws yuav tsum haus ib nrab ib teev ua ntej txhua pluas noj. Lawv cov khoom tseem ceeb yog txuam nrog kev so, yog li cov poj niam cev xeeb tub yuav tau txais txiaj ntsig hauv qhov no thiab.
kev kho neeg zoo
Nws yog qhov zoo tshaj plaws los muab kev nyiam rau cov tshuaj uas tuaj yeem ua hauv tsev. Rau qhov no, zaub raw cov ntaub ntawv feem ntau yog siv. Piv txwv li, stigmas ntawm pob kws, peppermint, sawv hips, dill thiab xuab zeb immortelle. Cov khoom xyaw no yog nchuav nrog ib khob ntawm boiled dej thiab ua tib zoo lim. Koj yuav tsum noj ib feem peb ntawm ib khob ib nrab ib teev ua ntej noj mov.
Nyob rau lub quarter thib ob, tus poj niam cev xeeb tub yuav tsum khaws cov ntaub ntawv tshwj xeeb ntawm tag nrho cov kua uas tau qaug dej qaug cawv. Tias yog vim li cas nyob rau lub hlis no nws pom zoo kom xaiv Flamin ntsiav tshuaj, muaj cov xuab zeb immortelle extract. Noj 1-2 daim, nyiam dua ua ntej noj mov. Yog hais tias ib tug decoction ntawm tshuaj ntsuab tau sau tseg kom tshem tawm cov kua tsib, ces qhov no yuav zoo rau diuresis. Tom qab tag nrho, cov khoom no suav hais tias yog diuretic.
Yog tias koj xav tau thiab tsis muaj contraindications, koj tuaj yeem ua kev soj ntsuam lossis tubage nrog 40 ml ntawm cov roj zaub. Zoo meej rau pob kws thiab txiv roj roj. Cov txheej txheem no kuj tau ua nrogsiv Barbara ntsev, thiab tsuas yog 1 khob qab zib yuav tsum muab tso rau hauv ib khob dej. Tsis txhob hnov qab txog cov dej ntxhia, tab sis nws yuav tsum nyob hauv chav sov. Qhov kev xaiv tom kawg tsuas yog haum rau cov poj niam uas tsis muaj edema. Tubage yog ua thaum sawv ntxov, ua ntej noj mov. Ua ntej, qhov kev npaj kho mob yog qaug dej qaug cawv, ces tus expectant niam pw ntawm nws sab xis thiab tseem nyob rau hauv txoj hauj lwm no rau ob peb teev. Yog tias muaj qhov mob hnyav ntawm sab xis, ces nws raug tso cai haus ib ntsiav tshuaj "No-Shpy" lossis "Baralgin".
Khoom noj
Yog hais tias ib tug poj niam muaj cholecystitis thaum lub sij hawm yug me nyuam los yog ib tug exacerbation ntawm tus kab mob no tshwm sim, nws yog ib qho tseem ceeb rau nws ua raws li kev noj zaub mov kom zoo rau cholecystitis (thaum cev xeeb tub, kab mob feem ntau zuj zus). Ua tsaug rau qhov no, lub cev yuav tuaj yeem tau txais cov khoom tsim nyog. Feem ntau, cov kws kho mob tshwj xeeb tau ntsib nrog cov xwm txheej uas tus neeg mob noj qee yam zaub mov thiab qhov no ua rau muaj tus kab mob exacerbation. Hauv qhov no, koj yuav tsum tshem tawm tag nrho lawv los ntawm kev noj zaub mov, lossis hloov nrog lwm tus.
Thaum kos cov khoom noj kom raug, tus kws kho mob yuav tsum ua tib zoo saib xyuas cov khoom noj siv mis. Nws tseem yog ib qho tseem ceeb rau tus poj niam tsis txhob hnov qab txog nqaij, ntses thiab ntau yam cereals. Qhov tseem ceeb tshwj xeeb yog cov txheej txheem ntawm kev ua cov khoom. Nws yog qhov zoo tshaj rau noj boiled los yog steamed tais diav. Cov neeg mob cholecystitis yuav muaj txiaj ntsig tshwj xeeb.
zaub thiab txiv hmab txiv ntoo
Ntau zaus, cov poj niam ntawm pawg no muaj ntau qhov kev xav tsis zoo tam sim tom qab noj zaub thiab txiv hmab txiv ntoo. Hauv qhov no, nws raug nquahu kom tso tseg cov khoom noj uas muaj coarse fiber. Piv txwv li, beets thiab qee cov txiv hmab txiv ntoo yog qhov zoo tshaj plaws siv rau cov kua txiv tshiab.
Txhua tus poj niam cev xeeb tub raug qhia kom suav nrog ntau cov zaub, txiv hmab txiv ntoo thiab khoom noj siv mis hauv nws cov zaub mov noj txhua hnub. Muaj tseeb tiag, tam sim no cov kws tshaj lij qhia kom ua raws li cov ciam teb tsim nyog thiab txwv qhov kev siv. Nws twb tau tsim los lawm tias thaum tos menyuam, koj yuav tsum tsis txhob tsom rau zaub lossis txiv hmab txiv ntoo xwb.
Yog tias peb tham txog tag nrho cov calorie kom tsawg thaum nruab hnub rau cov poj niam uas muaj tus mob cholecystitis, tus lej no yuav tsum tsis pub tsawg dua 2500 kcal. Qhov no siv rau thawj peb lub hlis ntawm cev xeeb tub. Lub sijhawm so, txog calories, koj yuav tsum sab laj nrog cov kws kho mob tshwj xeeb uas saib xyuas tus poj niam tus mob.
Feem ntau, kev tshuaj xyuas ntawm cholecystitis thaum cev xeeb tub hais tias tus kab mob no tau kho tau ntev. Muab nws tso rau hauv kev zam txim nrog kev pab ntawm cov tshuaj thiab kev noj haus, tus niam uas muaj kev cia siab yuav tsis muaj qhov tsis xis nyob.
