A na - akpọ ụfụ nke gallbladder ngwa ngwa na ngwa ngwa ngwa ngwa na - akpọ nnukwu cholecystitis. Ọrịa ahụ, bụ nke bilitere maka oge mbụ, ga-ejedebe na mgbake zuru oke na ọgwụgwọ zuru oke. Mgbe a na-emeghachi ihe ọghọm ahụ, a chọpụtara na ọrịa ahụ na-adịghị ala ala. N'ịbụ agadi, ohere nke ịmalite ịṅụ cholecystitis na-arịwanye elu, ụmụ nwanyị na-emetụta ọrịa ndị ọzọ karịa ụmụ nwoke. Na mpaghara ihe ize ndụ - ndị inyom dị ime, na-aṅụ ọgwụ ndị na-agwọ hormonal na ndị buru ibu.
Nnukwu cholecystitis - akpata
Nnukwu mmetụ nke gallbladder na-eji arụ ọrụ rụrụ arụ na ahu bile n'ihi na igbochi ya outflow. N'ọtụtụ ọnọdụ, a na-ejikọta ọrịa ahụ na ọnụnọ nke nkume (ruo pasent 95 nke ọrịa), na pasent 60 nke ndị ọrịa enwere ọrịa bacteria: E. coli, cocci, salmonella na bile. Ihe ndị na - akpali agụụ mmekọahụ nwere ike ịkpata cholecystitis, a na - akpọ ihe ndị na - akpata ọrịa ahụ:
- ọrịa, nje nje na bile;
- sclerosis nke mgbidi nke eriri afo ma obu atrophy;
- kink nke ngwa na mbubata nke bile;
- agbanwe mgbidi nke eriri afo n'ihi afọ;
- mmiri pancreatic n'ime eriri afo, nkedo enzymes pancreatic;
- erighị ihe na-edozi ahụ - abụba, nri na-edozi ahụ na nri dị oke oke;
- nchịkọta nke ọgbụgba bile ma ọ bụ mebie mgbidi ahụ site na nhazi siri ike.
Enweghị cholecystitis
Dabere na ọnụnọ nke nkume - biliary calculi - inflammation of the gallbladder na-ekewa n'ime ọrụ ebube (na nkume) na ndị na-abụghị ndị ọrụ ebube. Ụdị ihe omimi ndị a na-adịkarị ụkọ. Dị ka ọ na-achị, cholecystitis na-ebute ụbụrụ nwere ụdị nke na-adịghị ala ala, ọ bụrụ na nnukwu, ọ na-ejikọta ya na ntinye nke pathogen ozugbo n'ime gallbladder n'oge mmebi ahụ n'ime eriri afọ. Ihe omuma a bu ihe di ka:
- parasitic ọrịa nke ngwa;
- ọnụ bacteria;
- ọrịa ịrịa ọrịa;
- E. coli ;
- staphylococcus, enterococcus;
- Proteus.
Ọrụ cholecystitis nke ndị ọrụ ebube
N'ihi ụbụrụ na-adịghị ahụkebe na ahụ na eriri afo na ya, a na-emepụta ihe siri ike. Ha na-emerụ ahụ mmiri bile, na-akpata ihe mgbu, nhụjuanya, mbufụ ma na-akpalite cholecystitis nke ọrụ ebube. Ihe kpatara cholelithiasis, na-eduga n'ọrịa nke eriri afo:
- oke ibu;
- nsogbu site na ngwa ngwa ọnwụ;
- nnyefe nke ọgwụ mgbochi;
- ọrịa shuga ;
- agadi;
- eji ọgwụ ọjọọ eme ihe nke belata cholesterol n'ọbara, wdg.
Nnukwu cholecystitis - mgbaàmà
Dị ka a na-achị, nnukwu cholecystitis na-egosipụta onwe ya mgbe ọ nwụsịrị nri na-emerụ ahụ, na-enwe nrụgide ma ọ bụ na-aṅụ mmanya. Ngwunye ahụ na-emeghachi omume n'ụzọ na-ezighị ezi. Mbelata nrụgide, colic, vomiting, bloating na ihe ịrịba ama ndị ọzọ, ọ na-akọ na mbufụt nke gallbladder amalite, ihe mgbaàmà nke siri ike ileghara anya. Mgbaàmà nke mgbaàmà ahụ dabeere na ogbo nke oria a. Ihe ịrịba ama doro anya nke nnukwu cholecystitis, ịmata ya site na ọrịa ndị ọzọ na-enyere aka ịchọpụta ụdị ọrịa:
- Ọ bụrụ na ị pịa ebe dị n'agbata ụkwụ nke ahụ ike sternocleidomastoid, mgbu na-egosi.
- Site na nkwonkwo miri emi, onye ọrịa ahụ enweghị ike ikpo ọkụ.
- N'oge palpation nke mpaghara subcostal kwesịrị ekwesị, ahụhụ nsị.
- Enwere nchekasị nke nchekasị abdominal.
- Ọdịdị ahụ mgbe ọ na-atụtụ ọnụ ọnụ ala n'ọbụ aka nke ọnyà dị egwu site n'akụkụ aka nri (ọnọdụ nke eriri afo).
Mkpesa maka nnukwu cholecystitis
Mgbe ọnọdụ ọrịa na-apụta, onye ọrịa ahụ na-eche na adịghị ahụ. N'ime ihe mgbaàmà na-enweghị nchekasị na-eme mkpesa banyere: obi ilu na ọnụ, ọgbụgbọ, vomiting na admixture nke bile, emesị enweghị enyemaka. Mmiri nwere ike ịchọta mmiri nwere nnukwu cholecystitis, ọdịdị nke jaundice na mmụba na-esote na gallbladder, mmụba nke okpomọkụ ahụ (ruo ogo ogo 40). Mana mkpesa kachasị mkpa na ihe ndị bụ isi nke nnukwu cholecystitis abụghị ihe mgbu.
Ọdịdị na ọnọdụ nke mgbu na nnukwu cholecystitis
Ọrịa ahụ na-amalite site na mwakpo siri ike. Ogbugbu nke cholecystitis dị ukwuu, dịka usoro, na mpaghara hypochondrium kwesịrị ekwesị, nwere ike ịpụta na epigastrium. Mmetụta ndị na-adịghị mma ruo ogologo oge adịghị agabiga, na-agbada elu na scapula na aka aka nri, olu, akụkụ nke supraclavicular, azụ. Ogbugbu a na-agbanye n'ọgba:
- bilie n'abalị ma ọ bụ n'ụtụtụ;
- gbasie ike, ma kwụsị mgbe obere oge (site na 30 ruo 60 nkeji);
- agha ahụ siri ike nye mmadụ, a manyere ya ka ọ ghara iru ala, dọpụ ụkwụ ya n'ụbụrụ ya ma gbalịa ikpo ọkụ ahụ.
Kedu ihe ize ndụ nke cholecystitis?
Mwakpo nke cholecystitis dị ukwuu na-adịgide ruo ọtụtụ ụbọchị, ma ọrịa na ọnyá nwere ike ịkpata nsogbu. Mgbe ụfọdụ, mgbe ọrịa ahụ na-etolite, ọ na-eme ka mgbidi nke eriri afo ahụ pụta. N'ihi ya, enwere nsị ma ọ bụ fistula vesicourous. Ihe nchoputa nke oria ojoo, nke a na - eme n'oge na - ezighi ezi, enweghi nkwekorita kwesiri ime ka o di mfe na nsogbu nke nnukwu cholecystitis ga - etolite. Ihe kachasịsị n'ime ha bụ:
- pancreatitis - mbufụt nke pancreas;
- Cholangitis - ihe omumu nke bile;
- a carchinian abscess;
- suppuration, gangrene ma ọ bụ perforation nke gallbladder;
- biliary fistula;
- purulent diffuse peritonitis;
- jaundice.
Nnukwu cholecystitis - nyocha
Ndị ọrịa na-emeso onye dọkịta ahụ nnukwu ihe mgbu mgbe akara nke cholecystitis, dị ka usoro iwu, na-etinye n'ụlọ ọgwụ, etinye ya na ụlọ ọgwụ. Nke a bụ n'ihi nrịkota nke ihe mgbaàmà ahụ na appendicitis. Ụlọ ọgwụ na-eme nchọpụta dị iche iche nke nnukwu cholecystitis. Enwetara ihe a mgbe e mesịrị nyocha, nke gụnyere ụlọ nyocha na ụzọ mgbapụta. Nchoputa abụghị ihe siri ike na-agụnye:
- nyocha nke ọbara (n'ozuzu), na-ekpughe ọnụnọ nke mbufụt;
- nyocha ọbara;
- Ntugharị nke oghere afọ, ikwe ka inyocha ụyọkọ ahụ, ụda ya;
- nkwekọrịta;
- Ihe ndekọ redio - na-enyo enyo nke peritonitis.
Nnukwu cholecystitis - ọgwụgwọ
Ọ bụrụ na a chọpụtara ọrịa cholecystitis dị ebube, ọgwụgwọ ahụ gụnyere ọgwụ mgbochi mberede na ozugbo (n'ime awa 24-48 nke mbụ) ịpụpụ nke ọdịnaya ọdịnaya. Maka nke a, a na-eji tube na-enye nasogastric. A na-egosiputa onye ọrịa ahụ ụra zuru ike. Ruo ọtụtụ ụbọchị, a jụrụ ya nri, a na-agbanye mmiri ọkụ n'ime ahụ ahụ. Tinyere nke a, a na-edozi ọgwụ. N'ikpeazụ, a na-ebute onye ọrịa ahụ na nri dịka otu n'ime ụzọ ndị isi nke ọgwụgwọ. Usoro nri nri ziri ezi na-akwalite ihe dị mma na bile.
Nnukwu cholecystitis bụ ihe mberede
A cholecystitis ukwu, mgbaàmà na ọgwụgwọ nke a ga-eji aka ya kwadoro ya na enyemaka nke dọkịta, kwesịrị ịhụ na ụlọ ọgwụ. Mana ọ bụghị onye ọ bụla na-achọ maka nlekọta ahụike na nrịbama mbụ nke ọrịa, na-ahọrọ ịnọ n'ụlọ maka ụbọchị ole na ole mbụ. Nke a na-enwe nsogbu. Nlekọta nlekọta ahụike maka nnukwu cholecystitis dị mkpa iji kpachara anya. Onye ọrịa ahụ ekwesịghị ikpo ọkụ ọkụ ahụ, were bat na-ekpo ọkụ, na-aṅụ mmanya na-aṅụ ihe ọṅụṅụ naanị ya. Enyemaka enyemaka mberede bụ iji mee ka mmadụ nwee udo nke uche tupu ọbịbịa nke ndị dọkịta. Ọ dị mkpa:
- iji nye ya uzo kwadoro;
- chebe nchegbu (mmetụta uche na anụ ahụ);
- iji belata nhụjuanya nke ọgbụgbọ, nye ihe nkedo nke mint;
- tinye oyi na nri dị mma, ma ọ bụghị ihe karịrị minit 15.
Nnukwu cholecystitis - nlebara anya
Nnukwu cholecystitis bụ ọgwụgwọ siri ike, mana ọ bụrụ na a chọpụta ya n'oge na-aga, ọgwụgwọ na-agbanwe agbanwe ga-ekwe omume. Mgbe a na-achọpụta nsị nke gallbladder n'ime ụmụ, a na-ejikarị ọgwụgwọ na-abụghị ọgwụ. Ọ na-agụnye nri, ihe omume ahụ pụrụ iche, nọrọ na ebe nchekwa maka mweghachi ahụ. Ebe bara uru bara uru na ebe nlere mmiri nke ịnweta mmiri. N'ọnọdụ ndị tara akpụ, ọgwụgwọ gụnyere ịṅụ ọgwụ, ikekwe ị ga-ahụ aka. A na-enye ọgwụgwọ na ọkwa nfe.
Nnukwu cholecystitis - ọgwụ ọjọọ
A na-eji ọgwụ eme ihe n'ịgwọ ọrịa dị iche iche - mgbe ọrịa ahụ dị na mbụ, dịka ọmụmaatụ, nkume dị na eriri afo ahụ, mana anaghị eme ka nsogbu dị ukwuu, na mgbe nsogbu dị. Ọgwụgwọ ọzọ na-adabere na oke nmịsa na ọnọdụ zuru ezu nke onye ọrịa ahụ. Site n'enyemaka nke ọgwụ, ndị dọkịta na-agbalị iwepu nsị, normalize na bile mejupụtara ma hụ na ọ na-arụpụta ya. Ngwọrọgwu ọgwụ na-apụta:
- Ngwọrọgwu na-akpata spasmolytic n'ụbọchị mbụ nke ọgụ ịlụ ọgụ iji kwụsị ihe mgbu (Papaverin, No-Shpa, Dimedrol).
- Ọgwụ nje maka nnukwu cholecystitis (Ampicillin, Tetracycline, Cephzoline). Ha ga-eji sulfanilamide dochie ha ma ọ bụrụ na onye ọrịa ahụ adịghị anabata ya (Sulfazin, Ftalazol, Sulgin). Ha nwere mmetụta antimicrobial.
- Mmezi nke ahụ na ọgwụ ọjọọ. N'oge mbụ ị nọrọ n'ụlọ ọgwụ, a na-ebute ụzọ infusion (plasma, Dextran, solution Ringer, Reopoliglyukin).
- Cholagogue, osisi na sịntetik (Ursoliv, Ursosan, mmanya, nettle epupụta, burdock mgbọrọgwụ, atịchok wepụ).
- Ngosiputa nke Kupirovanie nke pathology. Mpị ụda mgbe ị na-achọpụta nkume na eriri afo (na-ekpochapụ ha).
Nnukwu cholecystitis bụ ọrụ
Dị ka ụfọdụ na-egosi, mmetụ nke gallbladder na-agwọ ọrịa. Mmepe nke nsogbu na-egosi ihe mberede mberede, a na-arụkwa ọrụ ahụ mgbe usoro ọgwụgwọ ahụ na-adịghị arụ ọrụ. Nnukwu nnukwu cholecystitis mgbagwoju anya ma chefuo ya kpamkpam nwere ike iwepụ gallbladder. Ime ihe a na-eme site na usoro mmeghe na laparoscopic. Dị ka a na-achị, ọ bụrụ na a chọpụtara na cholecystitis dị ukwuu, bụ otu n'ime ụdị ọrịa ndị na-eduga na gangrene, onye ọrịa ahụ na-etinye ya na tebụl ahụ ngwa ngwa.
Na nnukwu cholecystitis
N'oge ọgwụgwọ na n'ọdịnihu, onye nwere ọrịa cholecystitis kwesịrị iso nri pụrụ iche. Ihe oriri na nke a abụghị naanị mgbochi nke ọrịa ahụ, kama ọ bụ usoro ọgwụgwọ na-aga nke ọma. N'ọrịa siri ike, ihe oriri nke nwere nnukwu ụfụ nke eriri ụfụ na-agụnye agụụ zuru oke (n'ụbọchị mbụ mgbe agha ahụ gasịrị). A na-enye ya ohere ịṅụ ihe ọṅụṅụ naanị, ihe na-esi ísì ọjọọ, tii na-enweghị shuga. Mgbe nke a gasịrị, onye ọrịa ahụ na-agafe nri nri 5 - nri mgbochi mkpesa. Nkwenye ndị a bụ:
- Carbohydrates bụ nanị 200 g kwa ụbọchị. Ọ pụtara ịnweta carbohydrates dị mfe: jams, sugar, honey, jam.
- Ọnụ ụba protein dị na 80 g. Fat bụ otu.
- Ihe odide caloric nke ihe dị kwa ụbọchị bụ ihe dị ka 1600 kcal. Mmiri mmiri na-ere ruo 2,5 lita.
- A na-ahụ ụkpụrụ nke oriri na-edozi ahụ.
- A ghaghị kwadebe ihe oriri n'enweghị nnu.
- A na-emepụta ngwaahịa niile na grated form: n'ụdị purees, soups, souffle.
N'ime ndepụta nke ihe eji egbochi:
- agwa;
- kabeeji;
- ngwaahịa salted;
- mushrooms, gụnyere broths;
- mkpụrụ osisi na mkpụrụ osisi tomato;
- nchara;
- ncha;
- obi cheese;
- koko.
Ndabere nke oriri na-edozi bụ:
- anu ehi na anu ọkụ;
- azụ maka di na nwunye;
- nri anụ anaghị eri anụ;
- ihe mgbawa;
- mmiri ara ehi mmiri ara ehi;
- oatmeal, osikapa, wheat wheat;
- Akwụkwọ nri;
- kissels;
- mkpụrụ osisi mịrị amị.
Site na-atọ ụtọ ọ ga-ekwe omume iji:
- mmanụ aṅụ;
- shuga;
- marshmallow;
- nchịkwa;
- tinye ihe na-esi ísì ụtọ ịṅụ mmanya.
Iji mee ka ọ ghara ịnagide nnukwu cholecystitis, ị ghaghị ịrapagidesi ike na nri mgbe ị gwọchara ya. N'ọtụtụ ọnọdụ, na ịme nri na nlekọta ahụike na-agbanwe agbanwe, ọ ga-ekwe omume iji nweta remission. A na - eji dọkịta na - achịkwa ọgwụ ọ bụla (ihe nkwụsị, choleretic) na nsị nke gallbladder.