Nyob rau hauv tsab xov xwm peb yuav nkag siab tias yog vim li cas cov tshuaj choleretic tau sau rau choleretic raws plab.
Mob plab, tsis hais qhov ua rau ua rau nws ua rau muaj kev cuam tshuam ntau, thiab tseem yog qhov tseem ceeb hauv kev txhim kho cov xwm txheej txaus ntshai xws li lub cev qhuav dej. Cov as-ham tseem ceeb tsis tau nqus lawm, ntxuav tawm nrog cov quav los ntawm txoj hnyuv. Vim li ntawd, lub cev raug kev txom nyem heev.
Chologenic raws plab tshwm sim vim noj cov kua tsib ntau dhau rau hauv cov hnyuv. Qhov no yog nrog los ntawm qhov mob hnyav nyob rau hauv txoj cai hypochondrium.
Symptoms
Differentiation ntawm hom kab mob raws plab yog ua raws li qee qhov kev kuaj mob sab nraud, uas suav nrog:
- Ntawm cov quav uas muaj kua ntau dhau, muaj xim ntsuab lossis daj. Cov kua nplaum tuab los yog xim grey tuaj yeem pom ntawm qhov quav.
- Mob nyob rau hauv txoj cai hypochondrium - tus neeg mob yws ntawm stabbing thiab mob ntse nyob rau hauv txoj cai iliac cheeb tsam ntawm lub plab mog, uas yuav ua rau aggravated los ntawm ua pa thiab tam sim ntawd txav.
- Nyob rau hauv tus txheej txheem ntawm defecation, qhov mob yuav hnyav heev, yuav luag unbearable, uas yuav provoke kev loj hlob ntawm lub xeev ntawm poob siab.
- xeev siab thiab poob phaus.
- nce hauv lub cev kub, uas qhia txog qhov sib ntxiv ntawm cov kab mob hauv cov hnyuv, uas yog provoked los ntawm ntau dhau ntawm cov kua tsib ntawm nws cov mucosa.
- Qhov muaj cov kua tsib nyob hauv cov quav yog qhov txhim khu kev qha tshaj plaws uas tso cai rau koj los txiav txim siab hologenic raws plab, nrog rau tsim kom muaj qhov tseem ceeb ntawm nws txoj kev loj hlob.
Qhov no thiab lwm yam mob raws plab uas muaj cov tsos mob zoo sib xws yuav tsum tau saib xyuas kev kho mob ze. Txwv tsis pub, qhov tshwm sim ntawm lub cev qhuav dej yog qhov siab heev, uas tuaj yeem ua rau tuag taus.
Ua rau kab mob
Chologenic raws plab tshwm sim, raws li txoj cai, vim muaj cov kua tsib ntau ntau rau hauv cov hnyuv lumen. Cov txheej txheem zoo li no cuam tshuam ncaj qha rau cov hauv qab no:
- Kev kho lub gallbladder. Yog hais tias lub cev tsis tuaj, tag nrho cov ducts uas tuaj ntawm lub siab yog tawm mus rau hauv cov hnyuv. Nyob rau hauv cov ntaub ntawv no, lub pathological phenomenon yog ntev, vim hais tias nws yog tsis yooj yim sua kom tsis txhob tsim cov kua tsib. Dab tsi ua rau mob plab zawv plab yog paub?
- Ntau dhau malabsorption syndrome yog ib tus kab mob polysymptomatic sib sau ua ke los ntawm kev tsis txaus siab ntawm cov as-ham hauv cov hnyuv, uas yog tshwm sim los ntawm kev nrawm peristalsis.
- Kev phais mob hauv thaj tsam ntawm txoj hnyuv me, uas nws cov innervation thiab microflora cuam tshuam, uas tom qab ntawd ua rau kev nrawm ntawm kev thauj cov quav.
Feem ntau muaj hologenous raws plab tom qab cholecystectomy, vim tias tsis muaj cov kua tsib hauv lub zais zis tsis tuaj yeem sau, nws nkag mus rau hauv cov hnyuv tas li. Qhov no pathology yog suav hais tias yog ib qho mob uas tshwm sim nws tus kheej tom qab tshem tawm ntawm lub cev.
YCrohn's disease
Tsis tas li ntawd, xws li cov quav tsis sib xyaw nrog cov kua tsib tuaj yeem ua rau mob hnyav heev - Crohn tus kab mob. Qhov no yog tus kab mob polysymptomatic, uas yog txiav txim los ntawm qhov muaj cov txheej txheem inflammatory hauv cov plab hnyuv siab raum, yog ib qho xwm txheej autoimmune.
Vim li cas pathology txaus ntshai?
Qhov kev phom sij tseem ceeb ntawm hologenic zawv plab yog tias feem ntau ntawm txhua tus neeg mob muaj qhov tsis zoo heev, uas yog, cov tsos mob tsis tuaj yeem tshem tawm. Qhov no provokes kev hloov pauv ntawm tus kab mob mus rau lub sijhawm ntev, uas ua rau tus neeg mob tau txais tshuaj yeeb tshuaj.
Txoj Cai Pab Ua Ntej
Yog tias muaj cov tsos mob ntawm tus txheej txheem pathological, yuav tsum hu lub tsheb thauj neeg mob, txwv tsis pub tus mob yuav hnyav zuj zus, thiab daim duab kho mobtau cov tsos mob tshiab. Kev pab thawj zaug suav nrog haus dej kom ntau, uas tau noj hauv cov sips me me. Tsis tas li ntawd, yuav muaj kev siv cov tshuaj ntsev uas tsis tso cai rau kev loj hlob ntawm lub cev qhuav dej, muaj kev rov ua dua ntawm qhov tsis txaus ntawm cov tshuaj lytic hauv lub cev. Kev kho ntxiv yog ua raws li kev saib xyuas ntawm tus kws tshaj lij.
Nws yog txwv tsis pub noj tshuaj antispasmodic thiab analgesic uas cuam tshuam cov duab kho mob ntawm cov kab mob, uas, dhau los, ua rau nyuaj rau kev kuaj mob thiab ua rau muaj kev xav txog kev xav, tom qab ntawd, raws li txoj cai, cov txheej txheem irreversible ua raws..
Cia peb saib kev kho mob plab hologenic, tab sis tam sim no cia peb tham txog kev kuaj mob.
Kev kuaj mob rau cov kab mob no
Nws tsis tuaj yeem txiav txim siab ntawm tus kheej vim li cas ntawm pathology. Lub xub ntiag ntawm xws li kev ua txhaum cai yog qhia los ntawm lub xub ntiag ntawm cov kua tsib nyob rau hauv fecal masses. Hauv qhov no, cov quav tuaj yeem muaj cov kua dej tshwj xeeb. Tus neeg mob, raws li txoj cai, tau txais kev xa mus rau kev kuaj thawj zaug thiab lub ntsiab - kev kuaj ntshav colonoscopy. Nrog rau txoj kev kuaj mob no, pom muaj cov kua tsib nyob rau ntawm phab ntsa ntawm cov hnyuv. Nws tuaj yeem pom nyob rau hauv qhov tseem ceeb heev. Ncaj nraim hauv cov quav, nws cov ntsuas qee zaum tshaj 100 mg / g. Txhawm rau txiav txim siab qhov kev kuaj mob, tus neeg mob yuav raug xa mus rau cov kev kuaj hauv qab no:
- kuaj ntshav thiab zis;
- endoscopy;
- coprogram;
- YUltrasound.
Coprogram thiab zoo stercobilin
Cov qauv raug suav tias yog qhov ntom ntom ntom ntomfaeces, lawv cov duab cylindrical, xim av, tsis muaj pungent tsw. Ntawm kev tshuaj xyuas microscopic, cov quav yuav tsum tsis muaj cov qe ntshav, cov ntaub so ntswg sib txuas, cov hmoov txhuv nplej siab, rog, cov qe cab cab, protozoa, thiab cov poov xab.
Stercobilin thiab hologenic raws plab cuam tshuam li cas?
Nrog rau tus kab mob no, nws yog qhov yuav tsum tau ua cov txheej txheem coprogram - kev tshawb fawb ntawm cov quav, uas txiav txim siab qhov muaj lossis tsis muaj stercobilin hauv pawg - cov xim xim uas ua rau cov quav muaj xim xim av. Nrog rau qhov mob raws plab, qhov enzyme no feem ntau tsis nyob hauv cov quav.
Kev kho mob raws plab nrog tshuaj yuav tau piav qhia hauv qab no.
Drug therapy
Lub luag haujlwm tseem ceeb ntawm kev kho mob yog tshem tawm cov teeb meem ntawm cov kua tsib acids ntawm cov hnyuv mucosa, uas ua rau khaus. Nws yuav tsum tau muab sau tseg tias txoj kev kho nyob rau hauv xws li ib tug teeb meem yuav tsum muaj kev qhia thiab tsom rau neutralizing lub ntsiab pathogenic yam uas provoke raws plab.
Feem ntau, cov neeg mob tau sau cov tshuaj adsorbents - cov tshuaj no ua ke ua ke ntawm cov kua tsib acids, txo lawv cov concentration. Tsis tas li ntawd, cov tshuaj no neutralize lawv, uas txo cov teebmeem ntawm cov hnyuv mucosa.
Tshuaj
Ntawm cov no, feem ntau yog:
- Ua kom muaj hluav taws xob, tab sis tsis siv rau cov kab mob peptic. Kev siv cov tshuaj no txhawb kev ntes cov as-ham, txwv tsis pub lawv nqus. Applied kho mobchav kawm tsis pub tshaj xya hnub.
- "Polysorb" - kev daws teeb meem rau kev npaj cov kua uas muaj cov nyhuv adsorbing.
- "Carbolen" - tshem tawm cov co toxins los ntawm lub cev, ntes cov molecules ntawm cov kua tsib acids. Cov tshuaj no muaj activated charcoal. Ua ntej noj, koj yuav tsum xyuas kom meej tias tsis muaj qhov txhab ntawm lub plab.
- Enterosorbents - hom tshuaj no tso cai rau koj kom txo qis cov piam thaj hauv cov hnyuv, tshem tawm thiab khi lawv. Cov nyiaj no muaj qhov dav dav ntawm kev ua, tso cai rau koj kom normalize cov txheej txheem metabolic thiab txo cov qib ntawm cov kab mob pathogenic microbes. Cov tshuaj nrov tshaj plaws nyob rau hauv pawg no yog Enterosgel, uas muaj viscous gel zoo li sib xws. Cov tshuaj yog qhov tsis txaus siab rau kev siv, tab sis nws muaj qhov ua tau zoo tshaj plaws ntawm txhua qhov tam sim no paub enterosorbents.
- Tshuaj tua kab mob, uas tau sau tseg txawm tias tus neeg mob puas muaj kab mob microflora hauv cov quav los yog tsis. Qhov no yog vim lub fact tias nrog rau lub sij hawm irritation ntawm txoj hnyuv, lub zos kev tiv thaiv nyob rau hauv lub zos txo, uas yog, cov theem ntawm cov kab mob zoo poob. Qhov nrov tshaj plaws ntawm cov tshuaj no yog Cefazolin, uas yog siv los ua intramuscular txhaj rau ib chav kawm ntawm tsib hnub. Cov tshuaj tau txais txiaj ntsig zoo, xyaum tsis ua rau muaj kev mob tshwm sim.
- Cov tshuaj cholagogue uas pab txo qis cov kua tsib tso tawm, uas ua kom muaj kev tshem tawm ntawm nws cov teebmeem ntawm cov hnyuv. Feem ntau ntawm cov choleretics yog:"Allohol" yog ib qho kev kho mob raws li ntuj tsim uas neutralizes kua tsib acid, "Oxaphenamide" yog ib tug muaj zog choleretic uas muaj ib tug spastic nyhuv thiab txo qhov mob.
- Probiotics - pawg tshuaj no normalize plab hnyuv microflora, uas yog tsim nyog rau nquag raws plab. Cov cuab yeej siv feem ntau los ntawm pab pawg no yog Lineks, Laktiale, Bifiform.
Chologenic raws plab tom qab cholecystectomy
Tom qab tshem lub gallbladder, tus neeg mob lub neej hloov pauv loj heev. Nws yuav tsum tau ua raws li kev noj zaub mov tas li, tsis suav cov khoom noj kib thiab rog los ntawm kev noj zaub mov. Nqaij tsuas yog siv rau hauv stewed los yog boiled daim ntawv: luav, qaib, qaib ntxhw, nqaij nyug. Tsis tas li ntawd, txhawm rau zam kev txhim kho pathology tom qab cholecystectomy, koj tsis tuaj yeem siv cov dej qab zib carbonated, muaj zog kas fes thiab cocoa. Cawv yog txwv tsis pub haus cawv, vim nws ua rau lub cev nce siab thiab ua rau cov kua tsib ntau dhau.
Ib tug neeg mob tau muab tshuaj rau chologenoic raws plab tom qab cholecystectomy. Hauv thawj lub lis piam ntawm kev kho mob, cov tshuaj tua kab mob muaj zog, hepatoprotectors thiab holistics tau siv. Nyob rau hauv lub neej yav tom ntej, kev saib xyuas kev kho mob tau raug sau tseg, uas yog tsom rau kev tswj lub cev thiab tshem tawm qhov tsis zoo tshwm sim ntawm qhov tsis muaj lub zais zis.
kev kho neeg zoo
Tseem muaj cov zaub mov txawv tshuaj uas pab tshem tawm raws plab ntawm qhov tshwm sim hologenous, uas yog, provoked los ntawm tus nqi siabkua tsib nyob rau hauv cov hnyuv. Qhov zoo tshaj plaws thiab nyab xeeb ntawm lawv yog:
- Decoction ntawm sage thiab chamomile - tshuaj ntsuab yog noj nyob rau hauv tib proportions thiab ncuav nrog ob khob ntawm boiling dej. Tom qab ntawd, lub broth yuav tsum tau insisted kom txog thaum nws txias tag thiab noj 3 tablespoons ua ntej noj mov. Cov tshuaj ntsuab no normalize microflora hauv cov hnyuv thiab muaj cov tshuaj tiv thaiv kab mob.
- Decoction ntawm chamomile thiab ntoo qhib tawv - 3 tablespoons ntawm ntoo qhib ntoo ncuav 250 ml dej, coj mus rau ib tug boil, ces ntxiv 1 tablespoon ntawm chamomile paj rau hauv nws. Lub broth yuav tsum txias, tom qab ntawd nws yog lim thiab haus ib nrab ib khob ob zaug ib hnub twg.
- Decoction ntawm St. John's wort - 100 g ntawm tws nyom yog poured rau hauv 1 liter dej txias thiab rhuab nyob rau hauv ib da dej. Tom qab boiling, lub broth yuav tsum boil rau lwm 15 feeb. Tom qab txias, nws yog lim thiab 3 tablespoons noj txhua 2-3 teev.
Reviews
Cov kab mob chologenic feem ntau tshwm sim hauv cov neeg uas muaj qee yam kab mob ntawm lub gallbladder, lossis tom qab nws tshem tawm. Hauv cov xwm txheej zoo li no, cov neeg mob nco ntsoov tias qhov tshwm sim no tshwj xeeb thiab mob heev. Lawv raug mob hnyav nyob rau sab xis ntawm lub plab, xeev siab thiab quav quav. Kev daws rau qhov teeb meem no, txiav txim siab los ntawm cov ntaub ntawv los ntawm kev tshuaj xyuas, yog kev ua raws li kev noj haus kom raug. Cov neeg mob nco ntsoov tias ntawm qhov ua txhaum me ntsis ntawm kev noj zaub mov, thawj cov tsos mob ntawm hologenic raws plab tshwm, uas yog tom qab ntawd nyuaj heev. Tsuas yogTsis tas li ntawd, cov tib neeg no niaj hnub noj qee yam tshuaj los ua kom lub cev ua haujlwm ntawm daim siab, plab thiab hnyuv.
