Mabatirwo chenjera cholecystitis. Zviratidzo, zvinokonzera chirwere chacho. Diet panguva cholecystitis

Kana uine yakanyanya marwadzo zvakarurama yokumusoro quadrant, kuda kurutsa uye kurutsa, izvo haripi zororo, muromo vanonzwa shungu kuravira, zvinokwanisika kuti une kurwisa rikwanise cholecystitis.

Cholecystitis - ndeimwe kakawanda zvirwere. Maererano neInternational kupatsanura kwezvirwere (ICD-10) ndeye boka zvomudumbu pathologies. chirwere ichi chinogona kuva akazvimirira uye zvinogona kuitika sezvo pakava nezvimwe zvirwere, zvakadai pfungwa nomuviri zvemwana asati, dzimwe mhando gastritis, hepatitis uye nevamwe. The chirwere hwapedyo zvishoma, unobtrusively pakutanga, saka zvinokosha kupedza Mabatirwo chenjera nekukurumidza cholecystitis, zviratidzo izvo kare ranyuka.

Chii cholecystitis

Cholecystitis maererano ICD-10 - ane kuzvimba gallbladder. Kukonzera chirwere - the bile ducts, nduru dundira kuburikidza iyo akanatswa bile mabwe tsinga. Fani iyi vacho zvaivadzokera. The bile stagnates mumuviri anorasikirwa wayo inorwisa utachiona ehupfumi, somugumisiro wacho gallbladder rusvingo utachiona (kusanganisira kwemabhakitiriya wakabva nemudumbu). Nokuda cholelithiasis kuitika kusvika 95 muzana cholecystitis.

Kuderera chirwere zvakafanana kunokonzerwa zvimwe zvikonzero: acalculous cholecystitis anogona kunokurumidziswa vasculitis, mazhinji nokutsanya, sepsis, abdominal kuvhiyiwa, kunotevera, salmonellosis, uye zvimwe zvinhu asina chokuita kuti paumbwe matombo omunduru.

Hosha rinowanikwa mune chakasimba uye chirwere siyana. The chenjera chimiro iri panoonekwa kukurumidza kukura kuzvimba. Paavhareji, 15 muzana varwere nezvirwere ari abdominal mhango vari kubatwa rikwanise cholecystitis. Ivo anozivikanwa kurwadziwa mudumbu. Kana uchifungidzira kuti une kurwisa rikwanise cholecystitis, tsvaka zano zvokurapa pakarepo (kudaidza amburenzi).

Chirwere cholecystitis ndiwo mugumisiro akadzokorora tichibatwa chenjera. Kakawanda zviri calculous (kureva matombo omunduru). Gallbladder rusvingo thicken pamwe nguva, Kumwe kuchinja kunotanga kuitika kana bile ducts ari dundira zvinoderedza kukwanisa kuchengeta uye kusunungura nenduru Mabwe aumba. Kuti chirwere haana kuva chirwere chimiro, unofanira yakakodzera kuteerera pathological mamiriro ezvinhu muviri uye kubata rikwanise cholecystitis.

chirwere zviratidzo

The kupfuura kuoneka chiratidzo hosha - rakapinza marwadzo zvakarurama hypochondrium. Marwadzo cholecystitis kwakakomba, chinogara nguva refu - maawa anenge matanhatu, anowanzopa ari shure kana pazasi rorudyi chipande, uye kunyange anouya pfari.

With kukura chirwere murwere tinganetseka kuda kurutsa, misodzi yake, dzimwe nguva hwakakanyiwa bile, asi zviri nyore pashure kurutsa anova. Uyewo, varwere anganyunyuta mumuromo yakaoma, zvemapuranga rurimi. Kakawanda Zvichemo bloating, belching mhepo. All zvezviratidzo izvi zvinoda pakarepo vaitire rikwanise cholecystitis.

Zviratidzo chenjera cholecystitis zvinosanganisirawo:

• fivhiri, fivhiri;
• jaundice;
• cheya pfumbu;
• mwoyo palpitations uye zvimwe zviratidzo kudhaka.

Kuwedzera ichi zvakakodzera kuteerera zvinotevera zviratidzo:

• Murphy uye muenzaniso: pamusoro zvakadzama palpation rwerudyi hypochondrium murwere zvakaoma kufema, zvinorwadza kufema;
• Grekov - Ortner: murwere anosangana marwadzo panguva effleurage emichindwe kurudyi costal chematenga;
• Shchetkina - Bloomberg: marwadzo cholecystitis yakakura kana nokukurumidza kuzvisimudza pamusoro Anterior abdominal rusvingo uye regai kuenda.

Zvinokonzera chenjera cholecystitis

The kukonzera cholecystitis - matombo omunduru:

• kubva remafuta akawandisa matombo (vakawanda nyaya);
• bilirubin matombo kana pigmented (kuitika pakakuvara masero matsvuku eropa).

Zvimwe zvinokonzera chirwere:

• bile stasis ari nhengo;
• cirrhosis chiropa uye biliary turakiti;
• nokukurumidza uremu (kana somugumisiro kudya kana bariatric Kuvhiya zvaitika);
• pamuviri (ari gallbladder kunokanganisa nzvimbo mudumbu, uyewo hormone anochinja muviri).

Basa rinokosha kutanga rikwanise cholecystitis kutamba pabonde uye zera. Vakadzi pachena kuti chirwere avhareji 2-3 nguva kakawanda kupfuura vanhu. Zvakanga yakataurawo kuti chirwere kazhinji kutanga kana mukadzi abereka mwana mumwechete kunodzivirirwa nhumbu dzakakwirira inonzi estrogen kugutsikana, ndizvo kufuta. Zvisinei, kufuta anogona kukonzera chirwere, zvisinei kuti murume kana mukadzi, munhu ndakagara mararamiro uye kunaka kudya pamwe yakawanda inorema jikichira zvokudya kukonzera 4 nguva kazhinji kutsvaka rubatsiro kubva vanachiremba kuti rikwanise cholecystitis. Zvisinei, zvikuru wenyama basa kunoitawo kuti kukura cholecystitis sezvo yakawedzera mitoro kukanganisa yacho gallbladder uye bile ducts.

Pedambudziko roku- zvikuru parinobuda pashure pemakore 40-50, asi chikonzero chaiwo sei zvadai ichiripo kujeka. Varume vakuru vari kakawanda kuchengetwa chakasimba calculous cholecystitis.

Cholecystitis nedzevakuru zvikuru akakurumbira kupfuura vana, asi kakawanda kacho, hosha kunoitika pauduku uye anoramba kupinda mukuru.

Uyewo, zvinhu afunge rikwanise cholecystitis anosanganisira zvirwere zvakadai sechirwere cheshuga, chirwere Crohn vake, immunodeficiency.

Zvokurwara zvingaitika somugumisiro kutora zvinodhaka nokuda richikwidibira remafuta akawandisa yomuropa, kwenguva refu nokutsanya, abdominal makuvaro.

chirwere chirwere

kuitisa tsvakurudza kuzosimbisa chirwere nokuti chirwere anotakura upenyu kuchangotanga nokufungirana kuti rikwanise cholecystitis varwere vanofanira muchipatara kakawanda uye mumaawa 24.

In randinenge nzira rikwanise cholecystitis asimbise nechirwere nachiremba ane ruzivo zviri nyore.

Kuwedzera pakuongorora mudumbu muviri zvakakodzera kuita ongororo dzakadai Ultrasound uye computed tomography pakati mudumbu. In nechirwere ari chiremba anofanira kuva nechokwadi chokuti tiri kutaura pamusoro rikwanise cholecystitis, pfungwa nomuviri zvemwana asati pane zviratidzo izvo zvakafanana, kana appendicitis kana zvimwe zvirwere. On Ultrasound chiremba achaona kana gallbladder saizi, kana thickened rusvingo hwakawedzera, pane dzimwe kuchinja, pus, uye mamwe matombo. Kubudirira pakudzidza uyu kusvika 90 muzana.

Mune zvimwe zviitiko, zvingada kuti X-ray, endoscopic, laparoscopic uye dzimwe mhando tsvakurudzo. Iva nechokwadi kuti weti uye ropa ivhu yaitwa - mukuru, bilirubin, amylase uye lipase, pancreatic makemikari, uyewo aiming kuongorora chiropa ushande.

Kuchinja kurapa kuti rikwanise cholecystitis

Kana kusachengeteka kukuru cholecystitis hapana ngozi peritonitis, kuti ongororo inoratidza, uye kuchinja kurapwa. The murwere ushandiswe zvikurukuru analgesics uye mishonga inorwisa mabhakitiriya. Kana achiita cholecystitis antispasmodics nokurwadziwa kuzorodzwa (semuenzaniso, "Papaverine", "No-Spa" uye vamwe). Aibatanidza gadziriro vane cholecystitis (antispasmodics, uye dzokutindivadza, somuenzaniso) vane inonyatsobudirira chiito.

Mishonga cholecystitis zvinoshandiswa kudzvinyirira hweHIV nduru dundira uye kudzivirira Inotanga.

Patient panguva mushonga unofanira kukunda munhu wakaoma kudya, zuva rokutanga zvichibvira nzara. Kurudyi yokumusoro quadrant rikashandiswa chando.

Wokuparadza matombo kushandisa gadziriro chenodeoxycholic kana ursodeoxycholic acid. Kuti tirambe mashandiro ari nhengo vakagadzwa Bile uye gepatoprotektory. kurapwa kwakadaro agare makore anopfuura maviri, asi mukana kuitazve anoramba.

kuvhiya kurapwa

Kana zviratidzo peritonitis murwere rinoitwa Kuvhiya chimbichimbi - cholecystectomy (nduru dundira rokubvisa). In peritonitis, kufa chaizvo, kunyange Emergency Operations, saka nokunonoka muchipatara zvikuru ngozi kana zviratidzo rikwanise cholecystitis.

Kana ongororo yakaitwa calculary cholecystitis (i.e., namabwe), kwete pava paya pane matatu mazuva pashure pakatanga chirwere pasina contraindications varumbidzwa mangwanani kuvhiyiwa kudzivirira matambudziko anotevera rikwanise cholecystitis. Zvarinoreva - kubviswa gallbladder, munhu akakanganisa ezvinhu.

mhando pari pasi maviri remapazi: laparotomy uye laparoscopic cholecystectomy. Muchiitiko chokutanga chiri chakajairika rakazaruka avhiyiwa pamwe abdominal incision kuti rinoitwa zvino zvishoma uye zvishoma. Laparoscopy rinoitwa pasina zvomusejari cheka vachishandisa chinokosha michina. Munguva laparoscopic Kuvhiya duku cheka kuburikidza iyo kamera uye zvokuridzira nezvevanakomana. Izvi mhando cholecystectomy zvishoma dzechimwe, iri diki vapore nguva pashure zviri kuruboshwe majoini vari kushanda hapana adhesions. Uyewo unogona kushandiswa sezvo yokuongororwa nzira.

Pashure pokuvhiyiwa, murwere kupora, ane mwedzi miviri aigona kudzokera dzose upenyu, asi kudiwa anoramba kwemwedzi mitanhatu tatevedzera vaitofanira kudya uye mune ramangwana kudzora zvaunodya.

A mhando yerudzi rutsva vasiri invasive kuvhiya - Remote kuvhunduka-wave lithotripsy. Gallbladder lithotripsy rinoshandiswa kana paine contraindications kuti intracavitary kuvhiyiwa. It rinoitwa vachishandisa zano unoendesa ndisingafungiri chinozunguzirwa padombo uye neguyo chero akasatendeuka kuguruva.

The fungidziro kuti rikwanise cholecystitis kacho zvakanaka. Pashure pokuvhiyiwa yakafanira calculous cholecystitis inenge varwere vose hatiitirwi zviratidzo zvakawanda.

yematambudziko chirwere

Chenjera cholecystitis kazhinji dzimwe zvirwere zvichiita kuti peritonitis. Peritonitis anoratidza pacharo mu inokosha nokusimbaradza kurwadziwa ari 3-4th nezuva chirwere, tsandanyama Makakatanwa ari abdominal rusvingo, abdominal marwadzo.

Uyewo chenjera cholecystitis kungaita kuti perforation yacho gallbladder. Panyaya iyi, kurwadziwa kwenguva yakati kunoderedza asi ipapo zvose zviratidzo, kusanganisira kurwadziwa, kuva vakasimba.

Matambudziko hosha zvinosanganisira cholangitis, pfungwa nomuviri zvemwana asati, gallbladder neronda rinonyenga, suppuration ari dundira. Kunyanya kuomesa - biliary kukuvara panguva kuvhiyiwa kubvisa gallbladder.

Kudzokororwa yokurwiswa rikwanise cholecystitis kungaita kuti chirwere.

matanho

Kana susceptibility kune gallstone inotungamirwa kudzivisa zvachose panowanikwa rikwanise cholecystitis kwakaoma. Zvisinei, mukana wokuti dzichiri matombo omunduru kunogona kuderedzwa matanho, nokudaro kuderedza ngozi yokurwiswa rikwanise cholecystitis uye chisingaperi kukura.

Kurega kunotanga kubva bile kunodzivisa kushingaira mararamiro. Mufambo chinonditadzisa ibwe inotungamirwa, uyewo anoramba hwandaiva muviri uremu.

Kana pane kufuta, haugoni zvikuru kuderedza nayo.

Uyewo, mvura nechiyero inofanira kuchengetwa (zuva unofanira kunwa kupfuura 2 litres mvura).

Nyatsoongorora kuongorora utano, regedza doro uye kuputa, sezvo kuderedza zvirwere uye vane inokanganisa nedanho kugaya.

Chenjera cholecystitis kazhinji concomitant chirwere pamwe gastrointestinal pathologies, saka hosha dzose nemudumbu inofanira kubatwa nenguva nenzira.

The chikuru ushe - kudya zvinovaka muviri. Unofanira kudya nguva, panguva imwe chete, nguva dzinenge nhatu mashanu rimwe zuva muna migove zviduku. Izvi zvinobatsira kudzivirira kurega kunotanga kubva bile ari gallbladder.

Power nokuti chenjera cholecystitis

Diet kukonzera pakurapa chirwere. Saka, kutanga murwere unofanira kurangarira kuti kudya pamwe cholecystitis, uye zvakasimba zvinoenderana mitemo zvose kudzivisa dzokororo nokurwisa.

Diet akasiyana pane ose pavaipfuura chirwere:

• Sezvo murwere muchipatara vakaratidza achitsanya kusvikira kusvikira hapana marwadzo (asi mazuva anopfuura 4). Panguva iyi chete vakabvumira mvura (chicherwa mvura pasina gasi uyewo zvinogamuchirika simba tii, zvinwiwa muchero, teas chamomil, peppermint, akasimuka). Unofanira kunwa kakawanda sips diki.
• Mushure nokubvisa marwadzo ari kudya kunogona kusumwa grated mvura chikafu - asi simba muto, soups, mupunga, semolina, oats, mukaka soups, mondo, yakaderera-mafuta yogati. Pane kudiwa mu migove diki. Panguva iyi, unofanira kunwa zvinopfuura 2 litres emvura rimwe zuva.
• Pedyo apore ari kudya inowedzerwa yakaderera-mafuta hove uye nyama. Achiri kubvumira chete mashed zvokudya, yakabikwa kana steamed, asi zvikamu zvinogona akawedzera. Panguva iyi, zvokudya anobvumira michero uye miriwo, chingwa yakaoma, mabhisikiti, marshmallows, kofi nomukaka.

In chenjera uye chisingaperi cholecystitis hapana nyaya anogona kudya zvakakanyiwa namafuta, aisvuta, Spicy, Marinated, Spicy. Wairambidza zvinogadzirwa cholecystitis - chocolate, kutapira zvinwiwa, zvinozipa pastries, howa. Zvokudya ichi rinorema isakarurama kunokanganisa zvomudumbu maitiro uye kungaita kuti kurwiswa itsva.

Pashure kupora zvokudya kurambidzwa kuramba, murwere basa Kudya № 5a (dzisina kushandiswa kwemafuta uye zvokudya vakapfuma zvinonyadzisa faibha, oxalic acid, remafuta akawandisa, nitrogenous extractives).

Mabatirwo zvavo mishonga

Folk mishonga ndaizoitwa yokuwedzera. Zvachose kutsiva kwavo kwakajairika kurapa, kunyanya mune rikwanise chimiro, kune ngozi. Kana uchifungidzira chirwere pakutanga zvakafanira kuti chiremba. Zvinofanira kutanga kuitwa Mabatirwo rikwanise cholecystitis, izvo kuva zviratidzo uye zvinoda kukurumidzirwa wezvokurapa kuzvidzora, uye chete ipapo unogona kushandisa makwenzi uye mari yechikoro.

Treatment echirwere cholecystitis acho mishonga dziri kushandiswa kuwedzera huru kurapwa nzira. Yaiwanzoshandiswa chirimwa pamwe choleretic, Anti-anogumbura, inorwisa utachiona ehupfumi, uyewo nouchi namafuta. Morning tii inokurudzirwa kutsiva mumwe decoction yechibage stigmas kana akamuka muhudyu. Imwe nzira inobudirira sezvinoitwa cholecystitis nezvimwe zvirwere nemudumbu - a decoction pakati mbishi remakungwa oats.

Chero pevairwara mushonga zvinofanira kubvumirwa nachiremba wako.

Kana kudhayeta, mararamiro mukana matombo omunduru uye cholecystitis kukura hwakanaka chaizvo duku. Zvisinei, kana munhu hunhu rikwanise cholecystitis zviratidzo hakufaniri kuzvidzora medicate uye bvunza chiremba pakarepo kuti kuongororwa zvakarurama uye zvakafanana, pasina kukonzera chitarisiko yematambudziko uye kutanga kuva chirwere chimiro chirwere chinogona kurapwa nokukurumidza.