Nws yog ib qho tseem ceeb rau kev txiav txim siab txog cov tsos mob ntawm tus kab mob gallstone nyob rau theem pib kom pib kho tus kab mob no sai li sai tau thiab sim daws nws. Cov kab mob no cuam tshuam nrog kev tsim cov pob zeb hauv lub gallbladder thiab cov ducts. Yog tias tsis muaj teeb meem, ces cov txheej txheem kev txuag tau siv rau hauv kev kho mob, tab sis yog tias cov txheej txheem ib txwm tsis tuaj yeem tshem tawm cov pob zeb, ces nws yog qhov yuav tsum tau mus rau kev cuam tshuam kev phais.
Dab tsi ua rau gallstones?
Cov tsos mob ntawm tus kab mob gallstone tau piav qhia meej hauv kab lus no. Tab sis ua ntej, nws tsim nyog txiav txim siab seb nws tuaj yeem ua li cas. Ua rau cholelithiasis feem ntau yog cuam tshuam nrog cov metabolism tsis zoo. Qhov no ua rau tsim cov pob zeb hauv lub gallbladder thiab cov ducts.
txheej txheem yog raws li hauv qab no. Vim impaired metabolism hauvHauv tib neeg lub cev, muaj pes tsawg leeg thiab cov khoom ntawm cov kua tsib tuaj yeem hloov pauv tau. Yog li ntawd, cov kua tsib thickens thiab stagnates, thiab cov acids tam sim no nyob rau hauv nws precipitate. Los ntawm no, ntom formations yog tsim uas tig mus rau hauv pob zeb. Lawv muaj bilirubin, cholesterol, ntsev thiab proteins.
Qhov loj thiab cov pob zeb uas tuaj yeem tsim hauv lub gallbladder sib txawv heev. Los ntawm ib mus rau ob peb lub kaum thiab los ntawm cov nplej ntawm cov xuab zeb loj mus rau cov khoom loj loj qhov loj ntawm walnut.
Ntau zaus cholelithiasis yog nrog los ntawm o ntawm lub gallbladder. Tus kab mob no hu ua cholecystitis. Kuj tseem muaj kev cuam tshuam ntawm cov kua tsib mus rau hauv txoj hnyuv, uas ua rau biliary dyskinesia.
Muaj Teeb Meem
Thaum muaj teeb meem tshwm sim, lub pob zeb tuaj yeem thaiv qhov ntws tawm ntawm cov kua tsib mus rau lub caj dab ntawm lub gallbladder. Raws li qhov tshwm sim, qhov hu ua obstructive jaundice tau tsim sai heev. Nov yog ib yam kab mob uas tuaj yeem ua rau tuag taus yog tias tsis kho raws sijhawm.
Ntawm cov teeb meem tshwm sim, kuj tseem muaj qhov perforation ntawm lub gallbladder lossis peritonitis. Nyob rau hauv rooj plaub tom kawg, cov txheej txheem inflammatory txuas mus rau peritoneum. Ib qho abscess ntawm lub plab kab noj hniav tuaj yeem tshwm sim, thiab qhov no twb fraught nrog kev poob siab thiab txawm tias ntau lub cev tsis ua haujlwm. Feem ntau ntawm cov kab mob no ua rau tuag taus ntau heev.
Nws tsim nyog sau cia tias muaj ntau yam uas cuam tshuam rau kev loj hlob ntawm tus kab mob no,nce qhov kev pheej hmoo ntawm nws cov tsim. Cov poj niam uas muaj hnub nyoog siab tshaj yog feem ntau ua rau cholelithiasis, uas muaj kev ua txhaum ntawm lub suab thiab kev txav, cov kab mob sib xws ntawm daim siab, hnyuv, txiav, thiab muaj cov kab mob sib kis. Thiab tseem cov neeg uas coj ib tug sedentary txoj kev ua neej, tsis saib lawv cov zaub mov, yog nquag rog, noj zaub mov. Feem ntau tus kab mob no tshwm sim rau cov poj niam cev xeeb tub.
Symptoms of disease
Ib qho kev phom sij tseem ceeb ntawm tus kab mob no yog qhov thaum ntxov nws yuav luag asymptomatic. Thiab nws tshwm sim thaum, txawm tias nrog kev loj hlob ntawm tus kab mob, cov tsos ntawm pob zeb hauv lub gallbladder, tsis muaj qhov mob tshwm sim. Qhov no yog qhov hu ua asymptomatic pob zeb nqa. Hauv qhov no, nws tuaj yeem kuaj pom tus mob tsuas yog los ntawm kev kuaj X-ray.
Tab sis muaj cov tsos mob pom tseeb ntawm tus kab mob gallstone. Cov no suav nrog kev mob hnyav hauv txoj cai hypochondrium, ntuav, tsis kaj siab iab hauv qhov ncauj, xeev siab. Feem ntau tus kab mob no yog nrog los ntawm inflammatory kev hloov nyob rau hauv lub gallbladder nws tus kheej thiab cov ducts ua rau nws.
Kev txav ntawm pob zeb raws lawv tuaj yeem ua rau muaj kev tawm tsam hnyav ntawm biliary colic, uas tseem hu ua hepatic. Nrog colic, mob kuj tshwm sim nyob rau hauv txoj cai hypochondrium, los ntawm qhov ntawd qhov mob radiates mus rau lub xub pwg nyom los yog lub xub pwg hniav. Vivid cov tsos mob ntawm cholelithiasis kuj yog qhov tseeb tias qhov mob tshwm sim tom qab noj mov. Nws yog lub sijhawm no uas lawv tuaj yeem nrog xeev siab thiab ntuav heev.
Txoj kev kuaj mob
Kev kuaj mob cholelithiasis tsuas yog ua los ntawm cov kws tshaj lij uas tsim nyog. Ua ntej tshaj plaws, cov no yog kws kho mob gastroenterologist, thiab cov kws phais yuav pab tiv thaiv tus kab mob.
Nyob hauv tsev kho mob nrog cov cuab yeej zoo thiab cov cuab yeej kuaj mob, koj tau lees tias yuav tau txais kev kuaj mob kom raug. Txhawm rau txiav txim siab koj tus kab mob kom raug, koj yuav tsum tau kuaj xyuas ultrasound. Txoj kev no yog qhov tseem ceeb hauv kev kuaj mob gallstone. Thaum lub sij hawm ultrasound ntawm lub plab hnyuv siab raum, nws yuav ua tau kom raug txiav txim seb lub pob zeb muaj nyob rau hauv lub gallbladder, raws li zoo raws li txiav txim siab lawv loj thiab tus naj npawb, ntsuam xyuas lawv cov duab, txiav txim seb qhov luaj li cas ntawm lub gallbladder nws tus kheej, deformation ntawm nws cov phab ntsa., thiab lub xeev uas cov ducts nyob.
Lwm txoj kev ua tau zoo yog suav tomography nrog qhov sib txawv. Qhov no yuav tso cai rau koj tus kws kho mob txheeb xyuas cov cim tseem ceeb ntawm kev mob gallbladder, ntsuas nws txoj haujlwm, thiab ceeb toom yog tias muaj qhov txhaws hauv cov ducts.
Tsis tas li, cov kws tshaj lij qhia kom kuaj ntshav dav dav thiab biochemical. Qhov no yuav ua rau nws muaj peev xwm txheeb xyuas lwm cov tsos mob ntawm qhov mob, yog tias muaj. Kev tshawb nrhiav tob thiab ua tiav kev tshawb nrhiav pab tsim cov kab mob sib kis, txiav txim siab tus yam ntxwv ntawm cov neeg mob. Tsuas yog nyob rau hauv cov ntaub ntawv no, tus kws kho mob thiaj li yuav sau tau cov kev kho kom zoo thiab zoo.
Kev sib ntaus sib tua
Kev kho tsis yog phais rau lub gallstones yog suav tias yog kev kho mob uas nyiam tshaj plaws. Muaj tseeb, nws tsis yog ib txwm ua tausiv. Piv txwv li, yog tias tus kab mob txuas ntxiv mus ntev, cov txheej txheem inflammatory hauv lub cev tau pib.
Tib lub sijhawm, muaj kev xav tias kev saib xyuas kev noj qab haus huv nrog txoj kev no tseem tsis muaj txiaj ntsig. Vim lub fact tias cov pob zeb nyob rau hauv lub gallbladder ntev heev, thiab feem ntau tsis muaj cov tsos mob ntawm tus kab mob. Yog li ntawd, qhov no tuaj yeem ua rau muaj teeb meem, kev loj hlob ntawm cov txheej txheem inflammatory. Yog li ntawd, sai li sai tau qhov kev kuaj mob tau lees paub, nws yog ib qho tsim nyog yuav tsum tau kho tam sim ntawd yam tsis muaj kev phais rau cholelithiasis txhawm rau sim tiv thaiv tus kab mob yam tsis tau phais.
Txoj kev cuam tshuam nrog kev tshem cov pob zeb, qhov phem tshaj plaws, tus kab mob tuaj yeem ua rau tshem tawm tag nrho lub gallbladder.
Tsuas yog koj tus kws kho mob tuaj yeem txiav txim siab koj qhov kev kho mob. Nws yuav soj ntsuam koj lub cev tag nrho, nrog rau qib ntawm kev pheej hmoo ua haujlwm. Muaj ob peb txoj hauv kev zoo hnub no.
Piv txwv li, kev kho litholytic feem ntau siv. Nws muaj nyob rau hauv dissolving cov pob zeb uas nyob rau hauv lub gallbladder nrog txhua yam tshuaj. Nws tuaj yeem yog ursodeoxycholic acid lossis chenodeoxycholic acid. Txoj kev no qhia tau hais tias muaj txiaj ntsig zoo hauv kev kho mob ntawm cov neeg mob uas lub pob zeb feem ntau muaj cov roj cholesterol.
Tab sis qhov ntawd tsis tshwm sim ntau zaus. Raws li txoj cai, pob zeb muaj cov sib xyaw ua ke, uas ib lossis lwm lub ntsiab tsis tshua muaj nyob. Nyob rau hauv ntau los yog tsawg sib npaug proportions, nws muaj cov proteins, txhua yam ntsev thiab bilirubin. Litholysis, uastshwm sim yam tsis muaj kev phais, muaj peev xwm kho tau tsuas yog ib feem tsib ntawm cov neeg mob uas raug kev txom nyem los ntawm cholelithiasis.
Hauv qhov xwm txheej hnyav, thaum qhov mob tau pib tsim, ib tus yuav tsum tau siv txoj kev phais. Nws yog ib txwm siv thaum cov txheej txheem kev saib xyuas pom tias lawv tsis muaj peev xwm. Tus kws phais nyob rau hauv cov ntaub ntawv no ua ib qho kev khiav hauj lwm kom tshem tawm lub gallbladder. Niaj hnub no, tsev kho mob siv ob txoj kev - kev phais tus qauv thiab laparoscopic.
Cov paib ntshiab
Qhov pom tseeb tshaj plaws ntawm tus kab mob no yog kev tawm tsam ntawm tus kab mob gallstone. Nws yog tsim nyog sau cia tias thaum pib tsuas yog pob zeb me me tau tsim, yog li cov txheej txheem inflammatory, raws li txoj cai, tsis tshwm sim. Qhov tshwm sim ntawm kev tawm tsam thaum ntxov muaj xws li hepatic colic, thaum muaj kev tsis txaus siab thiab mob siab rau hauv cheeb tsam ntawm txoj cai hypochondrium. Qee zaum, qhov mob yuav npog tag nrho sab xis.
Kuj, qee tus neeg mob tau ua daus no, ua npaws me me, thiab khaus khaus.
Qhov kev tawm tsam no kav ntev li ib nrab teev, tom qab ntawd qhov mob hnyav zuj zus, tab sis tseem mob. Tsuas yog tom qab ob lossis peb teev qhov mob yuav dhau mus tag nrho. Cov yam ntxwv qaug dab peg tej zaum yuav tshwm sim ntawm lub quarter-teev ib ntus.
Qhov mob no thaum muaj kab mob gallstone tshwm sim vim yog pob zeb tsim hauv lub gallbladder. Lub pob zeb loj dua, qhov mob ntau dua.
Nyob rau theem tom qab, muaj teeb meem los ntawm tus kab mob no nrog cov tsos mob xws limob ntev thiab mob hnyav, pallor, ua pa nrawm, nce tawm hws. Hauv qhov no, nws yog ib qho tsim nyog yuav tsum tau kuaj mob cholelithiasis.
ntsuas kev tiv thaiv
Kev tiv thaiv kab mob gallstone zoo tshaj plaws yog kev noj haus. Nws yog ib qho tsim nyog yuav tsum noj zaub mov kom tsis txhob muaj qhov mob no, tab sis nws tsim nyog lees paub tias feem ntau tib neeg tsis xav txog qhov xwm txheej zoo li no, tsis txhob saib xyuas lawv tus kheej lub gallbladder. Tom qab tag nrho, nws yog nyob rau hauv nws cov kua tsib tau sau thiab khaws cia rau lub sijhawm ntev - cov kua uas pab peb lub cev nqus thiab zom cov rog.
Tib lub sijhawm, lub gallbladder, tsis zoo li lub siab, lub plawv lossis lub raum, tsis yog cov khoom tseem ceeb thiab tsim nyog, tab sis thaum muaj teeb meem tshwm sim, qhov no tuaj yeem ua rau koj lub neej tsis zoo.
Tib lub sijhawm, nws yuav tsum tau hais tias kev noj zaub mov tsis yog qhov ua rau muaj tus kabmob tseem ceeb. Nws yog tsis yooj yim sua kom rov qab los ntawm nws, tsuas yog los ntawm kev pib noj txoj cai. Muaj ntau ntau yam ntxiv, peb twb tau hais txog lawv feem ntau hauv kab lus no.
Kev noj haus thiab tswj qhov hnyav txaus tsuas yog kev tiv thaiv uas yuav pab txo qis kev pheej hmoo ntawm kab mob gallstone.
noj qab nyob zoo
Yog li, cov lus qhia tseem ceeb rau tus kab mob gallstone yog cuam tshuam nrog kev xav tau kev noj zaub mov kom zoo thiab sib npaug. Kev noj zaub mov raws li cov rog tsawg thiab cov roj cholesterol, nrog rau cov calories nruab nrab nrog qhov siabfiber ntau. Nws yuav cia koj tswj tau qhov hnyav uas yuav tsum tau ua.
Cholelithiasis nyob rau hauv ICD (International Classification of Diseases) muaj tus lej K80. Nws tau lees paub officially thoob plaws ntiaj teb. Txhua qhov chaw nws tau txais kev saib xyuas ntxiv, vim hais tias nyob rau hauv rooj plaub ntawm nws txoj kev loj hlob, ib tug neeg raug kev txom nyem lub cev hnyav, thaum muaj xwm txheej, kev tuag yog ua tau.
Cov hauv qab no yog lub hauv paus ntawm kev noj haus rau cholelithiasis, dab tsi tuaj yeem noj tsis tau. Kev noj haus yuav tsum muaj xws li:
- ntau cov txiv hmab txiv ntoo tshiab thiab zaub;
- zoo tshaj plaws rau cov nqaij qaib, ntses thiab nqaij ntshiv;
- Nyuaj ntau cov khoom noj muaj roj tsawg;
- Muab kev nyiam rau cov nplej tag nrho xws li mov nplej xim av, qhob cij tag nrho, bran lossis oats.
Muaj ntau qhov kev tshawb fawb kho mob uas tau pab txiav txim siab seb cov zaub mov twg tuaj yeem tiv thaiv kab mob gallstone tag nrho, lossis txo qis qhov tshwm sim ntawm qhov tshwm sim. Nws tau pom tias qhov kev pheej hmoo ntawm kev tsim cov pob zeb hauv cov kua tsib ducts txo qis kev noj caffeinated kas fes li niaj zaus. Qhov no siv tau rau txiv neej thiab poj niam.
Qhov no kuj ua rau muaj kev haus cawv tsawg. Kuj tseem muaj kev tshawb fawb qhia tias cov poj niam uas noj txiv laum huab xeeb ib hnub tuaj yeem txo qhov kev pheej hmoo ntawm kev tshem tawm cov gallbladder los ntawm 20% piv rau cov poj niam uas tsis tshua muaj lossis tsis tau noj txiv laum huab xeeb lossis txiv laum huab xeeb.
ThaumNyob rau tib lub sijhawm, cov kws tshawb fawb tau hais tias cov khoom lag luam niaj hnub tsim cov khoom noj uas muaj cov rog thiab carbohydrates feem ntau ua rau muaj tus kab mob no. Thaum muaj kev tawm tsam hnyav ntawm qhov mob gallstone, lub cev yuav sim tshem tawm cov kua tsib thaum lub pob zeb thaiv nws cov dej tawm. Thaum koj pib noj cov zaub mov muaj roj, koj lub gallbladder yuav txo qis dua.
Nws yuav tsum nco ntsoov tias kev hloov cov zaub mov yuav tsis cawm koj ntawm tus kab mob no, tab sis nws tuaj yeem txo cov tsos mob, thiab kuj dhau los ua kev tiv thaiv zoo.
Yuav ua li cas nrog cholelithiasis tau piav qhia ntxaws hauv kab lus no. Nws yog ib qho tseem ceeb uas yuav tau sim kom tshem tawm cov khoom noj ceev ceev, cov khoom noj kib, cov mis nyuj thiab cov khoom siv mis nyuj feem ntau (ice cream, cheese, butter), cov nqaij rog liab, cov khoom lag luam ua cov khoom qab zib (donuts, ncuav qab zib, pies, waffles) los ntawm cov khoom noj..
Tsis tas li ntawd, kev noj zaub mov uas tsis muaj calorie ntau txaus ntshai. Yog tias koj rog dhau, sim txo nws maj mam. Tsis pub ntau tshaj ib kilogram ib lub lis piam. Tom qab tag nrho, tsuas yog kev noj zaub mov kom zoo thiab cov khoom sib xws pab daws cov pob zeb hauv lub gallbladder thiab ducts. Yog tias kev noj haus tsis ua haujlwm, mus ntsib koj tus kws kho mob tam sim.
YContraindications
Peb twb tau xav txog lub hauv paus ntawm kev noj zaub mov rau cholelithiasis, uas tuaj yeem ua rau tus kab mob no. Tam sim no cia peb saib ze dua ntawm cov zaub mov kom zam.
- Ua ntej tshaj plaws, cov no yog qe. Nws yog qhov zoo tshaj kom tshem tawm tag nrho lawv los ntawm kev noj haus. Hauv lawvcov roj (cholesterol) siab heev. Tsis tas li ntawd, qe muaj nyob rau hauv cov pab pawg neeg muaj zog allergens. Qhov no kuj ua rau cov khoom ua rau lub gallbladder irritation.
- Tsis txhob noj cov nqaij kib, nqaij npuas, nqaij liab, hnyuv ntxwm. Nws yuav tsum tau hloov nrog nqaij qaib. Nws yog ib qho tsim nyog tso tseg cov ntses rog, hloov nws nrog cov rog tsawg. Tsuas yog nco ntsoov tshem cov tawv nqaij thiab rog ntawm nqaij qaib los yog qaib ntxhw kom tiv thaiv kab mob gallbladder.
- Zam txhua yam khoom noj kib. Qhov no tsis yog tsuas yog nqaij, qos yaj ywm thiab pies, tab sis kuj yog khoom noj ceev. Tsis txhob noj zaub mov nrog margarine, zaub roj thiab tsiaj rog. Tag nrho cov no tsuas tuaj yeem ua rau tus kab mob hnyav dua. Xwb, siv ghee los yog roj xibtes liab.
- Tsis txhob noj zaub mov zoo. Qhov no yog qhob cij dawb, nplej dawb, refined qab zib. Tag nrho cov no nce feem pua ntawm cov cholesterol hauv cov kua tsib.
- Zam cov khoom siv mis nyuj. Qhov txaus ntshai yog mis nyuj nws tus kheej, nrog rau yogurt, cheeses, qaub cream, cream, ice cream. Lawv muaj ntau cov tsiaj rog, uas provokes teeb meem ntawm cholelithiasis. Raws li qhov chaw kawg, yuav cov khoom noj muaj roj tsawg. Tag nrho cov nyuj cov mis nyuj tuaj yeem hloov nrog almond mis nyuj. Qhov no yuav muab koj lub cev nrog calcium uas nws xav tau los tswj cov pob txha thiab cov hniav.
- Tsis txhob noj cov zaub mov uas tau ua tiav hauv lub hoobkas. Lawv feem ntau muaj cov rog trans. Nyob rau hauv lub khw, ntawm chav kawm, koj muaj peev xwm nrhiav tau manufacturers uas tsis sivxws li additives, tab sis rau qhov no koj yuav tsum tau ua tib zoo kawm cov muaj pes tsawg leeg ntawm lub pob. Yog tias muaj kev tsis ntseeg, tsuas yog muab cov khoom no pov tseg. Ua ntej tshaj plaws, qhov no siv rau qos yaj ywm chips, donuts, ncuav qab zib, ntau yam khoom qab zib.
Daim ntawv qhia rau cholelithiasis
Ntxiv rau cov tshuaj thiab cov tshuaj siv tau zoo, muaj ntau cov zaub mov pej xeem uas yuav pab tau, yog tias tsis tiv, ces txo qis qhov tshwm sim ntawm tus kab mob gallstone, thiab yuav pab tau zoo rau kev tiv thaiv.
Vim tias tag nrho cov no yog cov tshuaj pej xeem, ua ntej koj pib noj lawv, nco ntsoov nrog koj tus kws kho mob tham. Ntau tus neeg qhia ob zaug ib hnub, thaum sawv ntxov thiab yav tsaus ntuj, haus dej haus ib decoction ntawm cov tshuaj ntsuab, uas yuav tsum muaj xws li wormwood thiab horsetail. Ib teaspoon ntawm qhov sib tov no yuav txaus rau ib khob dej.
Ib qho lus qhia ntxiv - kua txiv rau cholelithiasis. Kua txiv radish yog suav hais tias yog qhov zoo tshaj plaws. Ib khob ntawm cov dej haus no ib hnub rau ob mus rau peb lub hlis yuav pab koj tsis nco qab txog teeb meem nrog lub gallbladder. Los ntawm txoj kev, koj tuaj yeem sib tov nrog kua txiv hmab txiv ntoo liab.
Thiab thaum ub, kab mob gallstone feem ntau tawm tsam nrog kua txiv qaub thiab roj txiv roj.
