Ntau tus neeg xav paub seb lub pob zeb nyob hauv lub gallbladder. Tus kab mob no, uas yav dhau los tus yam ntxwv ntawm cov neeg laus feem ntau, tau rov zoo dua nyob rau xyoo tas los no. Qhov no yog yooj yim los ntawm ntau yam tsis zoo. Ze li ntawm ib tug ntawm tsib tus neeg mob gallstones qis dua 30.
Kev xam tsim tuaj yeem sib txawv ntawm qhov chaw, qhov loj me, tshuaj muaj pes tsawg leeg, thiab ntau.
Nrhiav pob zeb hauv lub gallbladder yog qhov tsis txaus siab rau txhua tus neeg. Vim lawv lub xub ntiag, ib tug neeg tuaj yeem tsim kab mob gallstone, uas ua rau muaj lus nug txog kev sab laj nrog kws kho mob.
Vim pob zeb
Tom qab koj paub tias pob zeb hauv lub gallbladder yog dab tsi, koj yuav tsum paub koj tus kheej txog qhov laj thawj. Raws li cov kws tshawb fawb, cov txheej txheem ntawm kev tsim ntawm txawv teb chaws inclusions nyob rau hauv lub gallbladder pib nrog ib tug ua ke.tej yam kev mob:
- kev ua neej nyob;
- poob phaus sai;
- muaj cov xim hauv cov kua tsib thiab ntau cov roj cholesterol;
- predominantly poj niam;
- muaj cov txheej txheem inflammatory;
- nce yuag nrawm;
- lub gallbladder poob nws contractility, uas yog feem ntau nrog los ntawm stagnation ntawm cov kua tsib;
- noj tshuaj estrogen;
- kev nyab xeeb txias;
- ntau-calorie, low-fiber noj;
- kho nrog qee yam tshuaj - octreotide, cyclosporine, clofibrate;
- yav dhau los pauv pauv;
- qee cov kab mob tib neeg: ntshav qab zib mellitus, Caroli syndrome, hemolytic anemia thiab Crohn tus kab mob.
Xim txog kev txhim kho pob zeb
Nws yog ib qho tseem ceeb tias txawm tias cov calculi loj hauv qee qhov xwm txheej tsis tshwm sim, tig mus ua qhov tsis pom kev thaum ua ultrasound lossis x-ray kuaj.
Tab sis txawm lub pob zeb me tshaj plaws tuaj yeem ua rau tus neeg mob lub neej nyuaj, ua rau tsis xis nyob hauv qab no:
- mob ntawm qhov mob hauv thaj tsam epigastric lossis hypochondrium ntawm sab xis, uas qee zaum kis tau mus rau pob txha caj dab sab xis thiab muaj qhov sib txawv hnyav;
- saj iab;
- poob siab.
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Qee zaum, cholelithiasis tuaj yeem ua tiav tag nrho: muaj qhov mob atypical tom qab lub sternum thiab hauv plab, nrog rau sab laug ntawm lub hauv siab. Cov cim no tuaj yeemtsis meej pem nrog kev tshwm sim ntawm cov kab mob plawv thiab vascular. Feem ntau ib tus neeg tuaj yeem sau nws tus kheej ntawm kev sib txuas ntawm cov tsos mob ntawm tus kab mob no nrog lub cev ua haujlwm dhau, co thaum tsav tsheb, noj zaub mov tsis zoo, kib, dhau lub caij nyoog thiab cov khoom noj rog.
Vim nyob ntev ntawm calculi nyob rau hauv cov kua tsib lub zais zis, kev raug mob rau lub mucous daim nyias nyias ntawm lub nruab nrog cev no yuav raug muab sau tseg, uas yuav ua rau muaj tshwm sim ntawm calculous cholecystitis. Tus mob no yog nrog los ntawm tus neeg mob qaug zog, kub siab thiab tsis qab los noj mov.
Yuav tsum nco ntsoov tias qhov no tsis yog kab mob sib kis thiab cov neeg mob tsis txaus ntshai rau cov neeg nyob ib puag ncig lawv.
Psychosomatics of disease
Tsis ntseeg, txhua tus neeg paub cov lus xws li: "Bile yog rushing los ntawm tus neeg no!", "Biliary neeg", thiab lwm yam. Thiab qhov no yog qhov tseeb - cov nqe lus no piav qhia txog cov kev puas siab puas ntsws uas twb muaj lawm ntawm tus neeg uas muaj tus kab mob no: Nws yooj yim khaus, npau taws heev thiab txhoj puab heev, nyiam txaus siab rau nws qhov kev ua txhaum.
Tus no yog ib tug neeg khav theeb heev, tsis txaus ntseeg, uas feem ntau ua ntau yam xwm txheej rau nws tus kheej. Nws tsis paub yuav daws kev tsis sib haum xeeb li cas. Txhawm rau tiv thaiv kev tsim cov pob zeb, koj yuav tsum tau tshem ntawm koj qhov kev chim siab, thiab tseem sim tswj kev npau taws thiab kev npau taws.
Kev kuaj pob zeb
Kev tawm tsam ntawm biliary colic yuav tsum yog cov tsos mob rau kev kho mob tam simkev ntsuam xyuas, thiab txawm tias thaum kawg ntawm kev kho, hauv 70% ntawm cov neeg mob, pob zeb tuaj yeem rov qab los dua.
Kev kho pob zeb tsis raug tuaj yeem ua rau muaj teeb meem loj thiab txaus ntshai, xws li suppuration hauv lub gallbladder, o tuaj yeem kis mus rau cov kab mob nyob ib puag ncig, txhaws ntawm lub gallbladder ducts, caws pliav hauv ducts, thiab mob qog noj ntshav! Undoubtedly, cov xwm txheej no yuav tsum tau phais xwm txheej ceev.
Cov txheej txheem kuaj mob tau zoo thiab cov kev sim uas tsim nyog rau kev kuaj mob gallstones suav nrog:
- Kev kuaj mob kom zoo uas tus kws kho mob tshwj xeeb soj ntsuam cov ntsiab lus ntawm lub zais zis thiab lub plab hauv qee qhov chaw. Thaum kuaj, tus neeg mob yuav mob.
- Siv ultrasound ntawm lub gallbladder, pob zeb raug kuaj pom los ntawm yuav luag 95%, lawv qhov loj, qhov chaw, qhov loj me yog kwv yees.
- dav hlau x-ray qhia calcified pob zeb nrog ntau limescale.
- Cholecystography, uas kuaj pom cov pob zeb sib txawv, thiab kev ua haujlwm ntawm lub zais zis thiab tus mob raug ntsuas.
- MRI siv rau qhov xwm txheej nyuaj.
- ERCP kom tsis suav nrog muaj kev tsim tawm hauv lub zais zis ducts.
- Endoultrasound siv cov cuab yeej endoscopic los txiav txim siab kev ua haujlwm ntawm lub ductal system, lub zais zis nws tus kheej, duodenal papilla, nrog rau cov txiav txiav nyob ze.
- Hemogram - hauv lub zais zis nce cov leukocytes thiab neutrophils - lawv cov feem, thiab kuj nce ntxivESR, tshwj xeeb tshaj yog thaum muaj mob.
Kuv yuav tsum hu rau leej twg? Thaum ib tug neeg pib pom qhov mob hauv hypochondrium ntawm sab xis lossis thaum pom cov calculi thaum lub sij hawm tshawb fawb kho mob, ib tug yuav tsum hu rau tus kws kho mob gastroenterologist.
Kev kho pob zeb tawm
Tsis yog nyob rau hauv txhua rooj plaub, kev kuaj pom pob zeb yuav tsum tau phais sai. Tab sis nws tsim nyog sau cia tias kev tswj tsis tau thiab kev kho tsis raug tuaj yeem ua rau muaj kev cuam tshuam ntawm cov ducts, nrog rau kev nkag mus rau tus kws kho mob tam sim.
Nws yog qhov tsis xav tau haus cov roj zaub thiab ntau yam tshuaj choleretic txaus ntshai pom zoo los ntawm qee tus "kho kho mob". Koj qhov thawj koom ruam zoo tshaj yog teem caij nrog kws kho mob plab.
Kev kho tshuaj muaj cov haujlwm hauv qab no:
- Tshuaj kom tshem tawm biliary colic: ntau yam tshuaj tua kab mob, tshuaj tua kab mob, nrog rau cov tshuaj uas tsis yog tshuaj narcotic.
- txhais tau tias yuav zom pob zeb sai sai, tab sis txhawm rau kom tus kws kho mob sau ntawv, yuav tsum muaj cov lus qhia nyuaj.
- Tshuaj tua kab mob, tshwj xeeb tshaj yog tias tus neeg mob tsim cholecystitis.
- Extracorporeal lithotripsy.
- Kev noj tshuaj litholytic.
Kev phais yuav tsum tau kho rau qhov tshwm sim ntawm biliary colic; pob zeb loj; ib lub npuas "neeg xiam" uas tau poob nws lub peev xwm los cog lus; nquag cholecystitis thiab lwm yam teeb meem.
Ua tsaug rau kev siv cov cuab yeej siv niaj hnub no, nws tuaj yeem tshem tawm cov kua tsib sai sai yam tsis muajcov pa laparotomy. Cov txheej txheem no yog kev tshawb fawb hu ua laparoscopic cholecystectomy.
Kev noj haus
Txhawm rau tshem tawm cov calculi ntawm lub gallbladder, tus neeg mob yuav tsum noj kom raug, ua raws li kev noj haus. Cov kws kho mob tau ua pov thawj tias kev noj zaub mov tsis zoo yog qhov tseem ceeb uas ua rau lub pob zeb zoo li.
Kev noj zaub mov yuav tsum ua kom lub cev tsis ua haujlwm ntawm lub gallbladder, nrog rau lub siab. Ua ntej tshaj plaws, cov khoom noj uas muaj oxalic acid, purines, extractives, thiab cov roj cholesterol yuav tsum raug cais tawm ntawm kev noj haus. Cov ntawv qhia zaub mov qhia ntau cov kua thiab coarse fiber. Ua noj kuj tseem ceeb. Yeej, cov khoom raug pom zoo kom ci los yog steamed, lawv tuaj yeem maj mam boiled ua ntej. Koj kuj yuav tsum tau kho koj cov zaub mov. Yog li, koj yuav tsum noj tsawg kawg yog 6 zaug hauv ib hnub. Khoom noj yuav tsum tsis txhob txias los yog kub.
Vitamin complexes
Cov tshuaj no yog tsim los txhim kho tag nrho cov txheej txheem biochemical. Vitamins C thiab E muaj txiaj ntsig tshwj xeeb hauv kev tsim cov pob zeb.
Yog li, ascorbic acid yog cov dej-soluble vitamin, uas tau tawm sai sai ntawm lub cev, yog li koj yuav tsum suav nrog nws qhov chaw hauv kev noj haus txhua hnub - kua txob qab zib, citrus txiv hmab txiv ntoo, dub currants, sawv hips, sauerkraut, thiab lwm yam. Vitamin E yuav txo cov roj cholesterol hauv cov kua tsib. Feem ntau ntawm cov vitamin no muaj nyob rau hauv txiv ntseej, daim siab thiab zaub roj.
Tsuas yog saum toj nocov vitamins nyob rau hauv kev noj haus rau cholelithiasis (calculi ntawm lub gallbladder), koj yuav tsum muaj lwm yam sib npaug zos pab tau thiab tseem ceeb kab thiab cov vitamins, tshwj xeeb tshaj yog nyob rau hauv tshiab, ntuj daim ntawv. Yog tias nws tsis tuaj yeem haus cov txiv hmab txiv ntoo tshiab thiab cov txiv hmab txiv ntoo, cov neeg mob yuav tsum noj cov vitamins thiab microelements hauv cov chav kawm. Tau kawg, cov vitamins yuav tsis tuaj yeem tshem tawm cov calculi hauv lub zais zis, tab sis kev kho cov tshuaj vitamin zoo yuav pab tau cov tshuaj kho mob.
kev ua si nawv
Kev tawm dag zog tsis tu ncua yog qhov yooj yim tshaj plaws thiab cov lus pom zoo tshaj plaws ntawm cov kws kho mob hauv kev kho pob zeb hauv lumen ntawm lub gallbladder. Koj qhov thawj koom ruam zoo tshaj plaws yog taug kev ntau dua txhua hnub - txog 10,000 kauj ruam. Nws yuav zoo li ntau, tab sis nws yog nyob rau hauv lub hwj chim ntawm txhua tus neeg! Raws li lwm txoj hauv kev, cov kws kho mob pom zoo kom dej aerobics, ua luam dej thiab dhia.
kho mob cholelithiasis nrog tshuaj ntsuab
Tshuaj ntsuab yog siv los kho cov pob zeb thaum ntxov. Qhov tseem ceeb tshaj plaws yog tias cov txhais tau tias siv muaj kev sib xyaw ua ke ntawm lub cev: soothing, bile-forming thiab choleretic. Nws raug nquahu kom siv cov tshuaj ntsuab tsis tu ncua, ntev heev (tsawg kawg 3 lub hlis).
Acorus, pob kws stigmas, xuab zeb immortelle, tansy, peppermint thiab sawv hips muaj choleretic zog.
sanatorium thiab spa kev kho mob
Lub sijhawm kho mob no feem ntau yog ib hlis. Qhov kev pab cuam siv yuav tsum muaj xws li kev siv txhua hnubcov dej ntxhia uas tsis tshua muaj lossis nruab nrab mineralization.
Kev phais inevitable?
Cov neeg feem coob uas ntsib cov pob zeb hauv lub caj dab ntawm lub gallbladder xav tsis thoob tias kev phais yuav tsum tau ua tiag tiag thiab nws puas tuaj yeem txwv lawv tus kheej rau kev kho tshuaj kom raug?
Nws tsim nyog sau cia tias kev tshem tawm ntawm lub zais zis los ntawm kev phais tsis tas yuav tsum tau ua, tsis yog rau txhua tus neeg mob. Thaum twg koj tuaj yeem tau txais cov tshuaj, thiab thaum twg tsis muaj sijhawm tos thiab koj xav tau kev phais?
pob zeb gallbladder txhais li cas thiab thaum twg nws pom zoo kom tsis txhob kov lawv? Tau ntau xyoo, gallstones yuav tsis tshwm sim lawv tus kheej. Tab sis tom qab qee lub sij hawm, qhov mob yuav pib hnyav, tshwj xeeb tshaj yog nyob rau hauv hypochondrium ntawm sab xis, nws ua iab hauv qhov ncauj, thiab tom qab noj mov, tej zaum yuav muaj kev xeev siab.
Cov teeb meem ntawm pob zeb me hauv lub gallbladder tuaj yeem tshwm sim thaum lub sijhawm cov pob zeb tsim tuaj yeem txhaws cov ducts ntawm lub gallbladder, tawm hauv nws. Nyob rau hauv tas li ntawd, nyob rau hauv cov ntaub ntawv no, ib tug ua txhaum ntawm lub outflow ntawm cov kua tsib tuaj yeem txhim kho, nrog rau biliary colic - ib qho kev mob thiab tsis kaj siab.
Cov pob zeb hnyav hnyav feem ntau yuav tsum tau phais tshem tawm ntawm lub gallbladder. Yog tias tus neeg mob tsis pom cov tsos mob saum toj no, nws yog qhov zoo dua kom tsis txhob cuam tshuam cov calculi ntxiv, tsis txhob hnov qab txog lawv cov kev kho kom zoo.
Nws yog txwv tsis pub siv cov tshuaj choleretic rau kev kho cov calculi hauv lub gallbladder, uas txhawb nqa kev loj hlob ntawm pob zeb. Lwm yamrooj plaub, tus neeg mob yuav raug txim loj heev.
Cov calculi me me feem ntau yog sim ua kom yaj thiab tom qab ntawd tshem tawm sai sai los ntawm qee yam kev kho mob.
Yog tias muaj ntau lub pob zeb tsim nyob rau hauv lub zais zis, uas loj heev, lossis yog tias tus neeg mob txhawj xeeb txog qhov mob hnyav heev, nyob rau qhov xwm txheej zoo li no nws yuav tsum tau ua kev phais - cholecystectomy.
Feem ntau, cov neeg mob tau txais laparoscopic cholecystectomy siv cov hlab nrog lub koob yees duab tshwj xeeb. Qhov kev ua haujlwm no muaj qhov zoo li no: kev raug mob tsawg heev; txheej txheem rov qab sai dua; ntshav poob me ntsis piv rau kev phais plab plab.
Cov kev kho mob hnyav li no hauv cov kua tsib lub zais zis yuav tsum tau ua raws li kev saib xyuas ntawm cov kws kho mob hauv tsev kho mob uas tuaj yeem saib xyuas tus neeg mob tus mob, muab kev pabcuam sai yog tias tsim nyog. Nco ntsoov muaj cov cuab yeej ua haujlwm hauv tsev kho mob uas yuav tso cai rau koj pom txoj haujlwm ntawm cov pob zeb uas tawm ntawm lub gallbladder.
Kev tiv thaiv pob zeb
Cov kws kho mob hais tias nws tsis tuaj yeem tshem cov pob zeb hauv lub gallbladder ntawm koj tus kheej hauv tsev, koj tuaj yeem tsim kom muaj cov kua tsib li qub, thiab tiv thaiv kev tsim cov pob zeb. Kev tiv thaiv ntawm tus mob no ntawm tus neeg mob yuav tsum tau pab txhawb kom tshem tawm cov xwm txheejpredisposing rau cov tsos ntawm pob zeb: unbalanced thiab tsis noj qab nyob zoo, rog dhau, thiab lwm yam. Kev tshem tawm cov pob zeb gallbladder (dab tsi nws twb paub lawm) yog ib txoj kev tsis zoo. Yog li ntawd, kev tiv thaiv ib txwm tsim nyog.
Txhawm rau tiv thaiv kev txhim kho pob zeb, tom qab ua haujlwm, cov neeg mob feem ntau raug pom zoo kom siv cov tshuaj litholytic.
Result
Tom qab koj tau kawm txog dab tsi calculi nyob rau hauv lub gallbladder (qhov no yog cov tsim ntawm pob zeb nyob rau hauv lub cev kab noj hniav), koj yuav tsum coj tag nrho koj cov dag zog los tshem tawm lawv. Tag nrho cov saum toj no txoj kev ntawm kev kho mob yuav sai sai tua tus kab mob, tab sis rau qhov no nws yog ib qho tseem ceeb heev uas yuav tsum tau coj tag nrho cov kev ntsuas thaum pib ntawm lub tsim ntawm calculi. Kev kho raws sij hawm tuaj yeem tshem tawm cov teeb meem txaus ntshai ntawm tus kab mob.
