Npaj rau lub gallbladder: lub hom phiaj, cov lus qhia rau kev siv thiab tshuaj xyuas

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Cholelithiasis, mob ntev thiab mob cholecystitis yog ib yam kab mob uas ua rau tib neeg raug mob thiab pw ntawm lub rooj ua haujlwm hauv kev sim tshem tawm qhov tsis xis nyob tas li. Qee zaum, pathologies hauv kev ua haujlwm ntawm lub gallbladder tuaj yeem ua rau muaj kev phom sij rau lub neej. Kev npaj rau lub gallbladder, yog tias lawv tau siv raws sijhawm, tuaj yeem tiv thaiv kev tsim cov pob zeb lossis txawm tias maj mam yaj thiab tshem tawm cov uas twb muaj lawm (cov xwm txheej zoo li no paub thiab sau rau hauv cov tshuaj). Pharmacology tsis nyob twj ywm: cov tshuaj choleretic tau ntev lawm pheej yig thiab tsis muaj kev phiv rau lub xeev ntawm kev noj qab haus huv feem ntau.

Vim li cas thiaj ua rau lub gallbladder pathologies

Cholecystitis yog ib yam kab mob uas muaj ntau tshaj plaws ntawm lub gallbladder. Yuav luag ib txwm, yog tias tsis kho, cholelithiasis pib. Yog tias tus neeg mob pom tias nws tsis saib xyuas nws tus kheej txoj kev noj qab haus huv thiab tsis kho nws, tom qab ntawd koj yuav tsum dhau sijhawm"mus hauv qab riam" - tshem tawm lub cev tag. Yuav ua li cas yog vim li cas rau kev loj hlob ntawm thawj theem ntawm pathologies thiab thaum twg nws yog lub sij hawm los pib noj tshuaj rau lub gallbladder kom paub meej tias tus kab mob no tsis mus?

1. kev noj zaub mov tsis zoo yog qhov laj thawj tseem ceeb rau kev txhim kho cholecystitis thiab tom qab tsim cov pob zeb. Kev nplua nuj ntawm cov rog, cov khoom noj muaj calorie ntau, cov zaub mov nruj thiab kev tshaib kev nqhis ib ntus - tag nrho cov no sai lossis tom qab ntawd ua rau mob hlwb ntawm cov txiav, ua rau cov kua tsib tsis zoo, thiab cov rog degeneration ntawm daim siab hlwb. Yog vim li cas yog vim li cas tsis noj zaub mov, ces nws tsis tas yuav pib noj tshuaj rau lub gallbladder - nws yog txaus los saib xyuas koj cov zaub mov thiab nruj me ntsis raws li kev noj haus kev kho mob "Table No. 5".
2. Kev haus dej cawv yog qhov thib ob uas muaj feem cuam tshuam rau qhov tshwm sim ntawm cholecystitis, cholestasis thiab cholelithiasis. Yuav luag txhua tus neeg uas tsim txom cov dej cawv tsawg kawg ib hlis ib zaug, tom qab ob peb xyoos ntawm kev tswj hwm zoo li no, raug kuaj mob cholecystitis. Tom qab tau txais kev kuaj mob zoo li no, koj yuav tsum tso tseg koj tus cwj pwm tsis zoo yav dhau los thiab ua raws li txoj kev npaj noj tshuaj uas kws kho mob gastroenterologist tau kho rau lub gallbladder.
3. Hereditary thiab tau txais physiological yam tseem ceeb cuam tshuam rau kev muaj kab mob gallstone. Hauv particular, nrog lub cev xeeb tub - qhov ua rau ntawm lub gallbladder - pob zeb tuaj yeem tsim tau txawm tias ib tus neeg noj kom zoo thiab tsis haus cawv txhua. vimcov yam ntxwv ntawm lub cev anatomical ntawm lub cev, cov kua tsib stagnates, mob pib, pob zeb tsim dhau sijhawm. Tus neeg mob, paub txog nws lub cev zoo li no, yuav tsum tau noj tshuaj choleretic tas li thaum lub gallbladder khoov.

Cov tsos mob ntawm tus kab mob gallbladder: thaum mus ntsib kws kho mob

Nyob ntawm cov tsos mob, tus kws kho mob yuav xa koj mus rau cov kev tshawb fawb tsim nyog thiab ua qhov tseeb.

1. Dyskinesia, lossis kev ua haujlwm tsis zoo tshwm sim los ntawm kev ua haujlwm ntawm lub cev thiab, vim li ntawd, kev ua txhaum ntawm kev cog lus ntawm nws cov phab ntsa, vim tias cov kua tsib tso rau hauv duodenum 12 lub sijhawm lossis tsis txaus. qhov ntau. Teeb meem kev zom zaub mov pib, daim siab ua haujlwm tsis zoo, thiab tus neeg raug mob los ntawm rub qhov mob hauv cheeb tsam epigastric.
2. Cholecystitis yog ib qho txheej txheem ntawm lub cev. Tus kab mob tuaj yeem tshwm sim vim raug rau cov kab mob pathogenic, kab mob. Feem ntau qhov pib ntawm cholecystitis tuaj yeem ua rau muaj kev noj zaub mov tsis zoo. Tus neeg mob xav tias tsis muaj zog, rub qhov mob ntawm lub hnub ci plexus thiab sab xis, nws yog tus yam ntxwv ntawm asthenia thiab kev ua haujlwm tsis zoo.
3. Cholelithiasis yog tus cwj pwm los ntawm kev tsim cov pob zeb vim kev ua txhaum ntawm cov tshuaj lom neeg muaj pes tsawg leeg ntawm cov khoom hauv lub gallbladder, qee zaum vim muaj kev cuam tshuam ntawm cov kua tsib los yog cov yam ntxwv ntawm lub cev. Tus neeg mob raug kev txom nyem los ntawm kev nqhis dej thiab xeev siab, tsam plab - kev ua haujlwm ntawm txhua lub cev yog deformed, dhau sijhawm,mob hnyav.
4. Lub gallbladder tuaj yeem ua rau cov kab mob nkag mus - cov no yog Giardia, Echinococcus, thiab kuj loj helminths. Tus neeg mob mob xeev siab, poob phaus, yuav ua rau ntuav tom qab txhua pluas noj - cov tsos mob ntawm cov kab mob parasites hauv lub gallbladder yog ib txwm txawv nyob ntawm tus neeg.
5. Thaum qhov mob tshwm sim hauv txoj cai hypochondrium, nrog xeev siab thiab ntuav tom qab noj mov, uas yog nrog los ntawm kev qaug zog, koj yuav tsum tau kuaj tag nrho, thiab tsis yog tshuaj rau tus kheej. Cov no tuaj yeem yog cov tsos mob ntawm cov kab mob qog ntawm lub gallbladder - los ntawm benign mus rau malignant polyps.

Cov ntsiab lus rau kev siv tshuaj kho mob hauv kab mob gallstone

Nyob ntawm qhov chaw thiab qhov mob ntawm qhov mob, nrog rau cov kev tshawb fawb tau txais (ultrasound, MRI, biochemical blood test), tus kws kho mob yuav kuaj mob thiab sau ntawv kho mob. Nws yog txwv tsis pub kuaj tus kheej thiab xaiv cov tshuaj rau lub gallbladder: qhov no tuaj yeem ua rau muaj cov kua tsib tawm thiab tshem tawm cov pob zeb los ntawm cov phab ntsa, vim tias qhov mob hnyav tuaj yeem pib thiab mob hnyav, txawm tias tuag.

Yog tias tus kab mob tau mus deb thiab kev tshem tawm ntawm lub cev yog qhov tsim nyog - tsis txhob ntshai. Tib neeg nyob tau ntau xyoo tsis muaj lub gallbladder. Tau kawg, koj yuav tsum tau ua raws li kev noj zaub mov nruj thiab noj tshuaj thaum lub zais zis raug tshem tawm (cov no feem ntau yog cov tshuaj hepatoprotectors, nrog rau cov tshuaj uas ua rau lub zais zis.replenish lub luag haujlwm ntawm cov kua tsib hauv kev zom zaub mov). Tab sis feem ntau, tus neeg mob tom qab kev phais ua rau tag nrho lub neej.

Kev faib cov tshuaj zoo rau lub gallbladder

Raws li lub hauv paus ntsiab lus ntawm kev ua, tag nrho ntau yam ntawm cov tshuaj muaj peev xwm muab faib ua ob peb pawg.

• Anspasmodics - txo qhov spasms thiab mob, tso cai rau koj ua kom lub cev ntws tawm ntawm cov kua tsib (tshwj xeeb tshaj yog tias noj nyob rau hauv parallel nrog cholagogues - tus kws kho mob gastroenterologist muaj peev xwm sau tau ib pawg, txwv tsis pub sau cov tshuaj no ntawm koj tus kheej).
• Hepatoprotectors yuav pab tsis tau tsuas yog kho cov kua tsib, tab sis kuj tiv thaiv kev txhim kho ntawm daim siab pathologies (lub luag haujlwm ntawm lub siab thiab cov kua tsib nyob ze sib txuas, thiab yog tias "neeg nyob ze" mob, pathology ntawm qhov thib ob. lub cev yuav inevitably pib).
• Tshuaj tua kab mob thiab tshuaj tua kab mob.
• choleretic teas, capsules, syrups, thiab lwm yam.

Tshuaj los ntawm pab pawg ntawm antispasmodics rau mob cholecystitis

Tus neeg mob yuav muaj kev tsis xis nyob heev uas lawv yuav tsis muaj peev xwm taug kev mus rau lub tsev muag tshuaj. Yog li ntawd, antispasmodics yuav tsum nco ntsoov muaj nyob rau hauv cov khoom pab thawj zaug. Lawv kuj tuaj yeem siv los ua kev npaj tom qab tshem tawm cov gallbladder - tab sis tsuas yog tom qab kev sab laj nrog koj tus kws kho mob. Koj yuav tsum tsis txhob muab tshuaj tua kab mob rau koj tus kheej. Cov tshuaj hauv qab no feem ntau yog siv rau stagnation ntawm cov kua tsib nyob rau hauv lub gallbladder, uas yog nrog los ntawmmob:

1. "Drotaverine" lossis nws tus nqi kim dua "No-shpa" - muaj vasodilating, so cov leeg ntawm cov kabmob hauv nruab nrog cev thiab kev ua haujlwm siab.
2. "Spazmalgon" - ib qho tshuaj ua ke, nrog pob zeb hauv lub gallbladder yuav pab txo qhov mob ua ntej tuaj txog ntawm lub tsheb thauj neeg mob.
3. "Noshpalgin" yog ib qho kev sib xyaw ua ke uas muaj zog, ua ntej siv uas koj yuav tsum sab laj nrog koj tus kws kho mob.

Yuav siv tshuaj dab tsi rau tus kab mob gallstone

Cholelithiasis yog ib yam mob txaus ntshai, thiab txwv tsis pub xaiv cov tshuaj los txo qhov tsis xis nyob. Txhua lub sijhawm, nyob rau hauv tus neeg sawv cev ntawm tus neeg sawv cev choleretic, lub pob zeb tuaj yeem txav mus deb, uas yuav ua rau muaj kev tsis zoo ntawm tus mob thiab ua rau mob ntxiv. Yog tias ua tau, koj yuav tsum mus ntsib kws kho mob plab txhua lub hlis twg thiab xa mus rau ultrasound (thiab, yog tias tsim nyog, MRI) txhawm rau saib xyuas cov pob zeb, lawv qhov ceev, qhov loj me thiab qhov chaw nyob hauv lub cev.

Nrog rau lub sijhawm noj tshuaj rau cov pob zeb sib cais (Ursosan tau ua pov thawj nws tus kheej zoo hauv qhov no), tseem tuaj yeem tshem tau lawv yam tsis muaj kev phais. Kev tshem tawm ntawm lub gallbladder tuaj yeem zam tau. Yog lawm, qee zaum cov kws kho mob siv cov kev ntsuas hnyav li no thaum muaj xwm txheej ceev thaum lub sij hawm exacerbation. Cov tshuaj dab tsi los noj tom qab tshem tawm cov gallbladder vim yog pob zeb? Ntawm no peb xav tau ntau yam tshuaj siv tshuaj: tshuaj tua kab mob, hapatoprotectors, tshuaj tua kab mob, thiab ntau yam tshuaj.

Cov tshuaj zoo nrog cov nyhuv choleretic thiab tshuaj xyuas txog lawv

Yog tias koj kho tus kab mob thaum ntxov thiab tsis tu ncua haus cov tshuaj choleretic, ces nws muaj peev xwm zam kom tsis txhob muaj pob zeb los yog ua rau lawv crushing thiab tsis mob tawm.

Feem ntau, cov kws kho mob gastroenterologist tau sau cov tshuaj hauv qab no kom yaj lub gallstones nrog cov nyhuv choleretic:

1. "Ursoliv", "Ursosan", "Exhol", "Ursodez" - tshuaj nrog ursodeoxycholic acid ua ib qho khoom xyaw. Kev tshuaj xyuas tus neeg mob qhia tias nws ua tsaug rau cov tshuaj no uas tuaj yeem ua tiav cov pob zeb maj mam pov tseg.
2. "Heptor", "Heptral" muaj cov khoom xyaw tseem ceeb ademetionine, uas tseem muaj cov nyhuv hepatoprotective.
3. "Holenzim" ua vim cov kua tsib acids nyob rau hauv muaj pes tsawg leeg, yog ib tug txhais tau tias ntawm kev ua ke ntawm lub gallbladder. Cov tshuaj twg muaj txiaj ntsig zoo ib yam? "Essentiale" tuaj yeem muab piv rau hauv kev nqis tes ua, txawm hais tias nws muaj qhov sib txawv me ntsis thiab lub ntsiab lus tseem ceeb ntawm kev ua - hepatoprotective.
4. "Allohol" yog lwm yam tshuaj choleretic raws li cov khoom xyaw tshuaj ntsuab. Ntxiv nrog rau choleretic, nws kuj muaj cov nyhuv hepatoprotective me me. Kev tshuaj xyuas tus neeg mob txog cov tshuaj no yog qhov zoo: kev kho mob tuaj tom qab ib lub lim tiam ntawm kev noj, nyob ntawm qhov hnyav ntawm cov tsos mob, qee zaum nws tuaj yeem tshwm sim sai dua.
5. "Holosas" yog ib qho tshuaj ntsuab choleretic me me, uas feem ntau yog muab rau cov menyuam yaus thiab cov tub ntxhais hluas, nrog rau cov poj niam cev xeeb tub (kev tswj hwm tus kheej ntawm cov tshuaj yog txwv tsis pub, vim tias yog pob zeb, lawv tuaj yeem pib sai sai. mus dhau).

Hepatoprotectors: npaj rau daim siab thiab gallbladder

Cov no yog cov tshuaj thiab cov khoom noj khoom haus, uas yog lub hom phiaj tseem ceeb ntawm kev ua kom lub siab rov qab los. Vim li cas lawv thiaj li feem ntau sau los ntawm tus kws kho mob gastroenterologist ua tshuaj kom yaj lub gallstones? Qhov tseeb yog tias daim siab thiab lub gallbladder nyob ze, thiab kev ua haujlwm ntawm txhua lub hauv nruab nrog cev yog nyob sib ze nrog lub xeev ntawm lwm tus.

Yog li ntawd, feem ntau ua txhaum txoj kev tawm ntawm cov kua tsib, cholecystitis, nws raug nquahu kom ua cov txheej txheem hepatoprotector. Yog tias tsim nyog, cov tshuaj tua kab mob lossis tshuaj tua kab mob kuj tau sau tseg (nyob ntawm daim duab kho mob tag nrho).

Hepatoprotectors uas pom zoo kom noj nrog ntau yam kev ua haujlwm ntawm lub gallbladder:

• "Kasil";
• "Essential";
• "Heptral" lossis nws qhov sib npaug "Heptor";
• "Essliver";
• "Phosphogliv".

Tshuaj tua kab mob thiab tshuaj tua kab mob thiab tshuaj xyuas txog lawv

Ntau zaus ua rau cov txheej txheem inflammatory hauv lub gallbladder yog cov kab mob thiab helminthicntxeem tau. Raws li qhov tshwm sim ntawm cov txheej txheem no, ib tus neeg tas li xav tias tsis muaj zog, tsis xis nyob, xeev siab tom qab noj mov, thiab qhov kub ntawm subfebrile tuaj yeem nyob ntev. Hauv cov xwm txheej zoo li no, kev kho mob nrog tshuaj tua kab mob lossis tshuaj tiv thaiv kab mob yog tsim nyog. Tsis muaj teeb meem koj yuav tsum tau sau ntawv rau koj tus kheej: tsuas yog tom qab tus kws kho mob gastroenterologist tau kuaj pom hauv nws txhais tes thiab nws tuaj yeem pom cov kab mob twg los yog kab mob cab ua rau qhov pib mob, nws muaj peev xwm sau cov tshuaj hauv qhov ntau npaum li cas. Cov neeg mob cov lus pov thawj qhia tau hais tias nrog kev kho kom raug, cov tsos mob rov zoo dua nyob rau hnub thib ob lossis thib peb txij thaum pib kho.

Feem ntau, ua ib feem ntawm txoj kev kho mob rau cov kab mob ntawm lub gallbladder ntawm tus kab mob, cov tshuaj hauv qab no yog siv:

• "Cefozalin";
• "Cefotaxime";
• Y "Ciprofloxacin";
• "Metronidazole".

Yog tias qhov kev ntsuam xyuas pom tias muaj cov kab mob parasitic ntxeem tau, koj yuav tsum xaiv cov tshuaj rau kev kho mob ntawm ib hom - xws li helminths, roundworms, thiab lwm yam.

Tus kws kho mob cov lus qhia: yuav ua li cas tiv thaiv kev tsim cov pob zeb hauv lub gallbladder

Kab mob yeej ib txwm yooj yim los tiv thaiv dua li kho. Cov lus qhia no kuj muaj tseeb nyob rau hauv kev cuam tshuam nrog pathologies ntawm lub gallbladder. Cov lus qhia yooj yim los ntawm tus kws kho mob gastroenterologist yuav ua li cas txo qis kev pheej hmoo ntawm kev tsim kab mob hauv qab no.

1. Noj kom raug - txo qis kom tsawg ntawm kev noj cov zaub mov rog, uas xav tau ntau cov enzymes rau kev zom zaub mov, thiab,raws li, kua tsib ntau.
2. Tsis suav nrog koj cov zaub mov muaj dej cawv, xws li npias, cocktails, cawv lossis cawv. Kev siv tsis tu ncua, txawm tias me me, yuav luag lav tias yuav ua rau kev txhim kho cholecystitis thiab pancreatitis.
3. Tsis tu ncua, tsawg kawg ib xyoos ib zaug, ua ultrasound ntawm lub plab hnyuv. Yog tias qhov khoov ntawm lub gallbladder pom ntawm lub monitor, ces cov tshuaj choleretic yuav tsum tau qaug dej qaug cawv ib ntus txhawm rau txhawm rau tshem tawm qhov tshwm sim ntawm stagnation ntawm cov kua tsib thiab cov pob zeb cuam tshuam rau yav tom ntej.
4. Tsis txhob noj nqaij nyoos. Ntxuav tag nrho cov txiv hmab txiv ntoo thiab zaub kom huv si ua ntej noj mov. Tsis txhob hnov qab ntxuav tes ua ntej noj mov lossis npaj pluas noj.