Tshuaj rau lub gallbladder: npe, npe, muaj pes tsawg leeg, indications thiab contraindications

Cov txheej txheem:

Tshuaj rau lub gallbladder: npe, npe, muaj pes tsawg leeg, indications thiab contraindications
Tshuaj rau lub gallbladder: npe, npe, muaj pes tsawg leeg, indications thiab contraindications

Video: Tshuaj rau lub gallbladder: npe, npe, muaj pes tsawg leeg, indications thiab contraindications

Video: Tshuaj rau lub gallbladder: npe, npe, muaj pes tsawg leeg, indications thiab contraindications
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Anonim

Ib tug neeg coob coob raug kev txom nyem los ntawm ntau yam kab mob ntawm lub gallbladder, uas ua rau lawv tsis xis nyob thiab tsis xis nyob heev. Qee tus ntawm lawv tsuas yog tshem tawm kev phais xwb, tab sis feem ntau cov mob tau kho nrog kev pab ntawm qee yam tshuaj. Rau lub gallbladder, lub khw muag tshuaj muaj ntau yam tshuaj loj heev uas tau rov ua pov thawj lawv cov txiaj ntsig.

Cov tsos mob ntawm tus kab mob gallbladder

Ua ntej tshaj plaws, cia peb txheeb xyuas qhov xwm txheej twg koj yuav tsum xav txog qhov tseeb tias koj muaj teeb meem nrog lub gallbladder. Thiab pov thawj ntawm lawv lub xub ntiag tej zaum yuav muaj cov tsos mob xws li:

  • daj tawv nqaij xim;
  • mob hauv txoj cai hypochondrium, uas tuaj yeem ua rau mob hnyav thiab mob;
  • tsis xis nyob hauv txoj cai hypochondrium tom qab kev tawm dag zog, co thaum tsav tsheb lossis noj zaub mov ntsim;
  • txo qisqab los noj mov, xeev siab thiab ntuav ntawm cov kua tsib;
  • pw tsaug zog thiab qaug zog;
  • pom kab laug sab leeg ntawm daim tawv nqaij.
cov tsos mob ntawm tus kab mob gallbladder
cov tsos mob ntawm tus kab mob gallbladder

Yog tias koj pom yam tsawg kawg ntawm ob peb cov tsos mob saum toj no, koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd kom nws thiaj li muab tau cov tshuaj zoo rau lub gallbladder thiab daim siab. Qhov tseem ceeb tshaj plaws yog tsis txhob ncua sijhawm mus ntsib tus kws kho mob tshwj xeeb, vim tias qhov nrawm ntawm kev rov ua tiav yog nyob ntawm lub sijhawm ntawm kev pib kho.

Kev xaiv tshuaj

Piv txwv li, koj pom tias koj muaj teeb meem me lossis txawm tias muaj kab mob hnyav ntawm lub gallbladder. Cov tshuaj dab tsi los haus rau qhov no?

  1. Ua ntej tshaj plaws, koj yuav tsum tsis txhob noj tshuaj rau tus kheej thiab yuav cov tshuaj lossis tshuaj uas tau pab koj cov phooj ywg lossis cov neeg koj hlub, vim txhua kis yog tus kheej.
  2. Koj yuav tsum tau soj ntsuam cov kua tsib thiab muab rau tus kws kho mob, thiab qhia txog txhua yam kab mob sib kis. Yog li nws yuav muaj peev xwm sau tau cov kev kho mob kom raug, raws li cov lus qhia muaj thiab contraindications rau txhua yam tshuaj.
  3. Tus kws kho mob xaiv cov tshuaj uas muaj kev nkag mus rau hauv cov kua tsib, uas yuav ua rau lawv ua tau sai thiab zoo dua.
  4. Cov tshuaj pharmacodynamics ntawm cov tshuaj xaiv yuav tsum tau qhia tsis yog rau lub gallbladder, tab sis kuj mus rau lwm yam plab hnyuv siab raum, uas yuav ua rau kom ib tug tag nrho rov qab.
  5. Cov tshuaj yuav tsum tau sau rau hauv tus account tias nws tsis rhuav tshem daim siab thiab tsis ua rau muaj kev fab tshuajintolerance rau tej yam Cheebtsam.

Type of drug

Tom ntej no, cia peb saib cov tshuaj muaj ntau yam ntawm cov tshuaj gallbladder kom paub meej tias tus kws kho mob tuaj yeem sau ntawv li cas. Yog li, muaj plaub hom tshuaj uas cov kws kho mob tshwj xeeb sau rau cov neeg mob uas tuaj rau lawv nrog kev tsis txaus siab.

hom tshuaj rau lub gallbladder
hom tshuaj rau lub gallbladder
  1. Hepatoprotectors yog cov nroj tsuag, tshwj xeeb, nrog rau muaj cov silymarin muaj nyob rau hauv cov mis nyuj thistle (siv rau daim siab puas thiab kab mob gallstone), thiab tsiaj keeb kwm, tsim los ntawm ib tug hydrolyzed siab ntawm npua los yog nyuj (kwv yees kom tau. tshem tawm cov co toxins thiab rov ua kom zoo li qub microflora hauv lub cev).
  2. Cov tshuaj muaj nyob rau hauv daim ntawv ntawm choleretics raws li cov kua tsib thiab giocholic acids (siv los txhim kho cov dej ntws tawm ntawm cov kua tsib, tiv thaiv kev tsim cov pob zeb thiab txo qis cov roj cholesterol). Pab pawg cholekinetics yog npaj los ua kom lub suab ntawm lub cev ("Sorbitol", "Magnesium Sulfate")
  3. Cov tshuaj tiv thaiv kab mob tau muab tshuaj los tua kab mob siab (tib neeg lymphoblastoid thiab recombinant interferons).
  4. Antimicrobials yog cov tshuaj tua kab mob siv los kho cov kab mob ntawm lub gallbladder thiab nws cov ducts.

painkillers

Ntau zaus, ntau yam kab mob muaj nrog kev mob hnyav, uas qee zaum muaj zog heev uas ua rau muaj kev poob siab endogenous thiab ua rau muaj kev phom sij rau tib neeg lub neej. Nws yog rau cov xwm txheej zoo li no uas koj yuav tsum nco ntsoov cov tshuaj twg rau lub gallbladder tuaj yeem txo cov tsos mob hnyav kom txo tau koj tus mob ua ntej mus ntsib kws kho mob. Thiab analgesics, lub ntsiab active ingredient ntawm uas yog paracetamol, yuav pab tau nrog qhov no. Cov tshuaj zoo tshaj plaws ntawm lawv yog Cefekon, Acetaminophen thiab Efferalgan. Qhov tsuas yog cov tshuaj no yuav tsum tsis txhob muab rau cov poj niam cev xeeb tub thiab cov neeg muaj lub siab lossis lub raum tsis ua haujlwm, uas yog qhov txwv tsis pub noj.

Anspasmodics

tshuaj kho mob rau lub gallbladder
tshuaj kho mob rau lub gallbladder

Yog tias tus neeg mob muaj qhov spasm uas ua rau muaj mob nyob rau hauv txoj cai hypochondrium thiab nrog rau qhov kev xav ntawm iab hauv qhov ncauj, qhov no qhia tau hais tias muaj teeb meem pib nrog cov kua tsib tawm thiab nce siab ntawm lub qhov ncauj. lub cev. Hauv qhov no, nce salivation yog pom. Hauv qhov no, koj yuav tsum tau ceev cov tshuaj rau lub gallbladder, uas yuav txo tau cov tsos mob tsis zoo. Cov tshuaj no yog antispasmodics, uas tau muab faib ua ob hom:

  • Selective - "Aprofen", "Spazmolitin" thiab "Mebeverine hydrochloride", uas tshem tawm spasm thiab mob hauv plab hnyuv thiab plab kab mob.
  • Dav spectrum - "No-shpa", "Galidor" thiab "Bendazol". Tshuaj kho mob txhua yam hauv lub cev.

Qhov tsuas yog tias cov tshuaj no muaj contraindications nyob rau hauv daim ntawv ntawm kev nce intraocular siab los yog ua hauj lwm uas yuav tsum tau ceev lub cev los yogkev puas siab puas ntsws. Kev noj cov tshuaj no yuav ua rau tus neeg mob qaug zog.

Tshuaj tua kab mob

Nws tshwm sim tias cov kws kho mob pom qhov mob tshwm sim los ntawm cov kab mob lossis kab mob, uas tuaj yeem ua rau muaj kab mob los yog ua rau cov mucous ntawm lub gallbladder. Cov tshuaj dab tsi los noj hauv qhov no? Cov kws kho mob tshwj xeeb kho cov tsos mob tshwj xeeb nrog rau cov tshuaj tua kab mob, uas yog tsim los ntawm cov kab mob muaj sia thiab cais tawm siv biosynthesis, vim tias lawv tuaj yeem cuam tshuam cov kev ua ntawm cov kab mob. Kev kho mob nrog cov tshuaj no feem ntau yog li kaum hnub, tom qab ntawd qhov mob yuav tsum nres.

Cov tshuaj tua kab mob zoo tshaj plaws yog Cefazolin, Erythromycin, Azithromycin. Cais, nws yog ib qho tsim nyog hais txog "Furazolidone", uas rhuav tshem cov kab mob. Qhov tsuas yog tias tom qab siv cov tshuaj tua kab mob, qee cov neeg mob tuaj yeem tsim kev tsis haum tshuaj lossis tsim dysbacteriosis. Tom qab tag nrho, nrog rau cov kab mob, cov tshuaj tua cov kab mob uas muaj txiaj ntsig, uas muaj kev cuam tshuam tsis zoo rau cov hnyuv microflora. Txhawm rau tiv thaiv qhov tshwm sim tsis zoo, cov kws kho mob tau sau tshuaj probiotics tib lub sijhawm.

Tshuaj uas ua kom lub plab zom mov

tshuaj kho mob gallstone
tshuaj kho mob gallstone

Yog tias tus neeg mob muaj pob zeb hauv lub gallbladder, txoj kab uas hla tsis tshaj 15 hli, thiab lawv cov lej nyob tsis pub ntau tshaj 50% ntawm lub cev, tiv thaiv nws los ntawm kev cog lus ib txwm, ces kev kho tshwj xeeb yog qhia rau nws. Nws aims kom yajyam tsis xav tau. Lub sijhawm ntawm kev kho mob li no yog txog rau lub hlis, tab sis nws yuav luag tsis mob. Thiab ntawm cov tshuaj nyob rau hauv cov ntaub ntawv no, cov tshuaj "Ursofalk", "Ursochol" thiab "Ursosan" raug pom zoo, uas yog raws li nyob rau hauv cov kua tsib ursodeoxycholic acid. Tus kws kho mob yuav sau lwm yam tshuaj, piv txwv li, Henosan, Henosol, Henofalk. Lawv ua raws cov kua tsib chenodeoxycholic acid.

Tseeb tiag, noj lawv, koj yuav tsum tsis txhob noj tshuaj hormonal, tshuaj uas tshem tawm cov roj cholesterol, thiab cov uas txo cov acidity ntawm lub plab. Contraindications rau noj cov tshuaj no yog cov hauv qab no: cev xeeb tub, pub niam mis, plab hnyuv thiab duodenal rwj, kab mob siab thiab mob nyob rau hauv lub gallbladder thiab nws ducts.

Secretion stimulation tshuaj

bile tsim tawm hauv lub siab. Yog tias cov kua tsib stagnates hauv lub cev, qhov no tuaj yeem ua rau muaj kev puas tsuaj loj heev. Nws yog ib qho tsim nyog yuav tau txais kev kho mob. Lub gallbladder thiab daim siab tshuaj yuav tsum ua kom cov kua dej iab. Lawv zwm rau pawg choleretics.

  1. Cov tshuaj "Allohol" yuav tsum tau noj rau ib hlis, ib ntsiav tshuaj peb zaug hauv ib hnub. Nws suav nrog cov khoom xws li qej thiab nettle, yog li cov tshuaj tsis muaj contraindications, tsuas yog rau tus neeg intolerance.
  2. Cov tshuaj "Holenzim" feem ntau muaj cov khoom ntawm tsiaj keeb kwm,Nws muaj cov enzymes digestive, ua tsaug uas nws tsis tsuas yog ua tiav nws lub luag haujlwm tseem ceeb, tab sis kuj txhim kho kev zom zaub mov.
  3. Tanacechol ntsiav tshuaj txhawb lub zais zis thiab normalize nws biochemical muaj pes tsawg leeg. Txij li nws yog tshuaj ntsuab, nws muaj ob peb phiv.
tshuaj kho mob gallbladder
tshuaj kho mob gallbladder

Tshuaj txhawm rau txhim kho cov kua tsib

Yog tias qhov iab kuab paug tawm tsis zoo los ntawm lub cev, qhov no tuaj yeem ua rau tsim pob zeb, yog li, nrog cov tsos mob zoo li no, cov kws kho mob tau sau tshuaj rau lub gallbladder, uas txhim kho kev tshem tawm cov kua hauv cov ducts. Qhov zoo tshaj plaws ntawm lawv yog:

  • Cov tshuaj "Duspatalin", cov khoom tseem ceeb ntawm cov tshuaj yog mebeverine (contraindicated rau cov menyuam yaus hnub nyoog qis dua 12 xyoos, cev xeeb tub thiab lactating niam).
  • Drug "Odeston" (cov khoom nquag - hymecron). Txawm li cas los xij, kev kho mob muaj ntau yam contraindications: ulcerative colitis, biliary tract obstruction, Crohn tus kab mob, hemophilia thiab peptic ulcer.
  • Flamin tshuaj ntsuab, uas yog tsim los ntawm immortelle tshuaj ntsuab.

Yuav noj tshuaj dab tsi tom qab tshem lub gallbladder?

Nws tshwm sim tias tus neeg mob mus ntsib kws kho mob lig dhau lawm thiab nws lub gallbladder raug tshem tawm. Nyob rau hauv cov ntaub ntawv no, nws yuav tsum tau ceev nrooj tsim cov txheej txheem ntawm digestion, kiag li tso tseg cov zaub mov tsis zoo thiab normalize zus tau tej cov secretions los ntawm lub cev. Thiab tsuas yog rau qhov no, cov neeg mob yuav tsum taunoj cov tshuaj tom qab tshem tawm cov gallbladder uas txhawb kev tsim cov kua dej lom lom. Cov no suav nrog "Oxafenamide" thiab "Ursosan". Cov tshuaj yuav tsum tau noj peb zaug ib hnub twg, ib ntsiav tshuaj. Muaj tseeb, lawv muaj qee qhov kev txwv: gastric thiab duodenal ulcers, cirrhosis ntawm daim siab, jaundice thiab hepatosis.

tshuaj tom qab tshem tawm cov gallbladder
tshuaj tom qab tshem tawm cov gallbladder

Lwm tshuaj rau cov teeb meem gallbladder

Qee zaum cholecystitis tuaj yeem tshwm sim tsis yog los ntawm cov teeb meem digestive xwb, tab sis kuj los ntawm kev ua haujlwm ntawm lub cev, uas tuaj yeem ua rau muaj kev loj hlob ntawm colitis, pancretitis thiab ntau yam kab mob gastritis. Yog li ntawd, nyob rau hauv xws li mob, nws yog tsis yooj yim sua kom ncua kev noj tshuaj. Nrog cholecystitis ntawm lub gallbladder, cov tshuaj tau sau tseg uas muaj cov enzymes ntawm cov tsiaj thiab cov nroj tsuag keeb kwm. Trypsin, Pancreatin lossis Pepsin yog qhov zoo tshaj plaws rau cov xwm txheej zoo li no.

Yog tias tus neeg mob muaj cov kab mob biliary dyskinesia, uas ua rau muaj teeb meem ntawm cov kua dej tawm, tom qab ntawd cov kws kho mob pom zoo kom noj Mezim Forte ntsiav tshuaj, uas tsis yog tsuas yog ua kom lub plab zom mov zoo xwb, tab sis kuj ua rau kom cov kua dej hauv plab, uas ua rau cov kua tsib. Tsis tas li ntawd, nyob rau hauv cov xwm txheej zoo li no, koj tuaj yeem noj cov tshuaj Gepabene, Ursosan lossis Cynarix.

kev kho mob gallbladder
kev kho mob gallbladder

Tam sim no koj paub yuav ua li cas lub gallbladder kho. Cov tshuaj yuav ua tiavtsis muaj zog yog tias lawv qhov kev txais tos tsis tswj tau. Ua ntej tshaj plaws, koj yuav tsum pib noj zaub mov kom raug, sim noj tsawg kawg peb zaug hauv ib hnub thiab tsis suav nrog txhua yam rog thiab ntsim hauv koj cov zaub mov, nrog rau tso cawv thiab zaub mov ceev. Thiab nws yog qhov zoo tshaj kom paub los ntawm tus kws kho mob seb cov zaub mov twg yuav tsum tau ua raws thiab noj raws li cov zaub mov pom zoo. Nws kuj tseem ceeb heev uas yuav tau pib ua lub neej noj qab nyob zoo, ua si ntau dua thiab taug kev ntau zaus hauv huab cua ntshiab.

Nws kuj tseem yuav pab tau los kho cov kab mob sib kis thiab mob ntev, vim lawv feem ntau ua rau muaj teeb meem nrog lub gallbladder, yog li kev kho mob tsuas yog tus yuam sij rau kev noj qab haus huv.

Pom zoo: