Jiyya na m cholecystitis. Cutar cututtuka, haddasa cutar. Abinci a cholecystitis

Idan kana da tsanani zafi a dama babba quadrant, tashin zuciya da kuma amai, wanda ba ya samar da taimako, baki ji m dandano, yana yiwuwa cewa kana da wani hari na m cholecystitis.

Cholecystitis yana daya daga cikin cututtuka da suka fi kowa. Bisa ga Cibiyar Nazarin Ƙungiyoyin Ƙasa ta Duniya (ICD-10), tana da nau'i na nau'in pathologies na yankin na narkewa. Wannan cututtuka na iya zama mai zaman kanta, kuma zai iya bayyana a matsayin wani nau'i bayan wasu cututtuka, misali, pancreatitis, wasu irin gastritis, hepatitis da sauransu. Haka kuma cutar tasowa sannu a hankali, unobtrusively a farko, don haka wajibi ne ka ciyar da magani daga m maza maza cholecystitis, ãyõyi cikinsu sun riga ya haifar.

Menene cholecystitis?

Cholecystitis bisa ga ICD-10 shine kumburi na gallbladder. Babban dalilin cutar shi ne bile ducts, ta hanyar da aka cire gallbladder na bile, clogged tare da duwatsu. Wannan sabon abu yana da tasiri mara kyau. Bile yana da jiki a jiki, ya rasa dukiyar antimicrobial, sakamakon haka, ganuwar kwayar cutar ta kamu da kwayar cutar (ciki har da kwayoyin da suka fito daga cikin gastrointestinal tract). Saboda cholelithiasis, har zuwa kashi 95 cikin dari na cholecystitis na faruwa.

Ƙari da wuya cutar ta haifar da wasu cututtuka: zubar da ƙwaƙwalwar ƙwayar cuta za ta iya haifar da vascularitis, yunwa mai tsanani, sepsis, ayyukan cavitary, traumas, salmonellosis da wasu dalilai da basu haɗa da samuwar gallstones ba.

Haka kuma cutar ta auku ne a cikin mummunar cuta da na yau da kullum. An gano magungunan muni tare da aiwatar da ƙwayar ƙwayoyin cuta mai sauri. A matsakaici, kashi 15 cikin dari na marasa lafiya da cututtuka na ƙananan ciki suna da wuya ga mummunan cholecystitis. Ana nuna su da ciwo mai tsanani a cikin ciki. Idan ka yi zargin cewa kana da mummunan ƙwayar cholecystitis, nan da nan ka nemi likita (kira motar motar).

Kullum cholecystitis ne sakamakon maimaita bouts na m. Yawanci sau da yawa shi ne baqin ciki (wato, tare da gallstones). Ganuwar gallbladder ya zama damuwa tare da lokaci, canjin yanayi na faruwa a cikin bile ducts ko mafitsara kanta, da ikon adanawa da saki bile an rage, kuma an kafa duwatsu. Don hana cutar daga tasowa a cikin tsari na yau da kullum, dole ne a kula da yanayin dacewa da yanayin yanayin jiki da kuma kula da ƙananan cholecystitis.

Cutar cututtuka na cutar

Mafi yawan alamun bayyanar cututtuka na cutar shine mummunan ciwo a hannun dama na hypochondrium. Ciwo tare da cholecystitis yana da karfi, yana da dogon lokaci - kimanin sa'o'i shida, sau da yawa ya ba da baya ko kuma a karkashin hannun dama na kafar hannu har ma ya zo da kama.

Tare da ci gaba da cutar, mai haƙuri zai iya shawo kan hare-haren nausea, yana zubar, wani lokaci tare da admixture na bile, amma ya zama sauƙi bayan zubar da jini. Har ila yau, marasa lafiya na iya yin korafin baki, lagging harshen. Akwai matsaloli masu yawa na damuwa, belching iska. Duk waɗannan alamun sun buƙaci gaggawa don maganin cholecystitis.

Bayyanar cututtuka na m cholecystitis kuma sun hada da:

• Fever, zazzabi;
• Jaundice;
• A kujera na launin toka launin toka;
• Raunin zuciya da sauran alamun maye.

Bugu da ƙari, yana da muhimmanci a kula da wadannan bayyanar cututtuka:

• Murphy da Obraztsova: tare da zurfi mai kyau na hypochondrium mai kyau, yana da wahala ga mai yin haƙuri numfashi, yana da zafi don motsawa;
• Grekova - Ortnera: mai haƙuri yana fama da jin zafi lokacin da yake tare da dabino na gefen gefen dama;
• Sauke - Блюмберга: sha wahala a cholecystitis amplify, idan da sauri don danna hannun a kan na baya na ciki bango da kuma saki.

Dalilin m cholecystitis

Babban mawuyacin cholecystitis shine duwatsu a cikin gallbladder:

• Dutsen daga cholesterol (shari'ar da ta fi kowa);
• Dutsen daga bilirubin, ko alade (tasowa lokacin da aka lalata jinin jini).

Sauran haddasa cutar:

• Ruwan bile a cikin kwayar;
• Cirrhosis na hanta da kuma biliary fili;
• Asarar nauyi mai nauyi (koda kuwa saboda sakamakon abinci ko magani na kiba ya faru);
• Hawan ciki (a kan gallbladder yana rinjayar matsayin tayin, kazalika da canjin hormonal a jiki).

Matsayi mai mahimmanci a cikin abin da ya faru da mummunan cholecystitis an buga shi ta hanyar jima'i da kuma shekaru. Mata suna da saukin kamuwa da cutar sau 2-3 sau sau da yawa fiye da maza. An kuma lura cewa cutar tana tasowa sosai, idan mace ta haifi akalla yara daya, ana kare shi ta hanyar maganin rigakafi tare da karuwar isrogen mai yawa, yana da nauyin nauyi. Duk da haka, kiban zai iya haifar da cutar ba tare da jima'i ba: salon zama da rashin abinci mara kyau da yawancin kayan abinci mai nauyi yana sa sauƙi sau 4 ya nemi taimako daga likitoci game da ƙananan cholecystitis. Duk da haka, babban aikin jiki yana taimakawa wajen bunkasa cholecystitis, tun da karuwar ƙananan ƙwayar cuta yana haifar da ƙwayar gallbladder da bile ducts.

Rashin ciwon rashin lafiya yana da girma bayan shekaru 40-50, amma ainihin dalilan da ya sa wannan ya faru bai riga ya bayyana ba. Mazan maza suna da kaifi, acerbic cholecystitis.

Cholecystitis a tsofaffi yafi kowa a cikin yara, amma a lokuta da yawa cutar ta faru a lokacin yaro kuma yana ci gaba a cikin balagagge.

Har ila yau, abubuwan da suke jawo mummunan cututtuka sun hada da cututtuka irin su ciwon sukari, cutar Crohn, da rashin daidaituwa.

Harkokin cututtuka na iya tashi saboda sakamakon shan shan magani don rage yawan cholesterol, azumi mai tsawo, da ciki ya ji rauni.

Sanin asalin cutar

A matsananciyar zato na rashin lafiya mai cututtuka dole ne a cikin mafi yawancin lokuta a asibiti kuma a cikin sa'o'i 24 don gudanar da bincike don tabbatar da ganewar cutar, saboda cutar tana dauke da barazanar rayuwa.

Tare da irin yanayin da ake ciki na ƙananan cholecystitis, ba wuya a tabbatar da ganewar asibiti ga likita ba.

Bugu da ƙari, nazarin jiki na ciki, ya zama dole don gudanar da irin wannan jarrabawa kamar yadda duban dan tayi da lissafin rubutu na ɓangaren ciki. Lokacin da aka bincikar da shi, dole ne likita ya tabbatar cewa yana da ƙananan cholecystitis, kuma ba game da pancreatitis ba, irin wannan alamun shine irin wannan, ko appendicitis ko wata cuta. A kan duban dan tayi, likita zai ga idan girman girman gallbladder ya kara girma, ko ganuwarta sunyi girma, ko akwai wasu canje-canje, turawa, duwatsu, da sauransu. Amfanin wannan bincike ya kai 90 bisa dari.

A wasu lokuta, radiography, endoscopic, laparoscopic da kuma sauran nau'in bincike na iya buƙata. Amine mai karfi da gwaje-gwaje na jini - na kowa, don bilirubin, amylase da lipase, enzymes pancreatic, kuma suna da nufin nazarin ayyukan hanta.

Conservative far na m cholecystitis

Idan babu barazanar zubar da ciki da ƙwararrun ƙwayoyin cuta a cikin ƙananan cholecystitis, ana gwada gwaji da magungunan ra'ayin mazan jiya. Wanda ake yin haƙuri an tsara shi da farko da magunguna da maganin rigakafi. A lokacin da cholecystitis don taimako mai zafi, an gabatar da antispasmodics (alal misali, "Papaverin", "No-shpa" da sauransu). Hada kwayoyi da cholecystitis (antispasmodics da analgesics, alal misali) suna da sakamako mafi tasiri.

Ana amfani da maganin cututtuka na cholecystitis don kawar da kamuwa da cuta da cutar ta hanyar hana shi.

Mai haƙuri ya kamata ya iya tsayayya da wani cin abinci mai tsanani a lokacin farfadowa, a rana ta farko, yunwa za ta yiwu. A madaidaicin hypochondrium ya nuna sanyi.

Don kwashe duwatsu, amfani da kwayoyi na chenodeoxycholic ko ursodeoxycholic acid. Cholestgue da hepatoprotectors an umarce su don kula da ayyukan sassan. Irin wannan magani zai wuce fiye da shekaru biyu, amma yiwuwar sake dawowa ya kasance.

M magani

Idan akwai alamun da aka zubar da peritonitis, an yi amfani da mai haƙuri a kan - cholecystectomy (kawar da gallbladder). Tare da peritonitis, lethality yana da matukar tasiri ko da a lokacin ayyukan gaggawa, saboda haka jinkirin jinkiri a cikin alamun m cholecystitis mai tsanani ne.

Idan ana samuwa da ƙwayar cholecystitis mai tsanani (wato, duwatsu) a jarrabawar, ba bayan kwana uku bayan farawar cutar ba, in ba tare da takaddama ba, an yi amfani da matakan farko don hana rikitarwa bayan mummunan cholecystitis. Ma'anarsa ita ce kawar da gallbladder, wanda cutar ta lalace.

A halin yanzu, ana gudanar da ayyuka biyu: laparotomic da laparoscopic cholecystectomy. A cikin akwati na farko, wannan aikin tiyata ne na yau da kullum tare da yanke daga cikin rami na ciki, wanda yanzu ya zama ƙasa da ƙasa. Laparoscopy an yi ba tare da m incisions tare da taimakon kayan aiki na musamman. A lokacin aikin laparoscopic, an sanya kananan ƙira ta hanyar amfani da kyamara bidiyo da kayan kida. Wannan nau'i na cholecystectomy yana da rauni sosai, yana da ɗan gajeren lokacin gyaran, babu alamar bayansa, babu kusan adhesions. Ana iya amfani da ita azaman hanyar bincike.

Bayan aikin, mai haƙuri ya dawo da sauri, bayan watanni biyu zai iya komawa rayuwarsa ta saba, amma akwai buƙatar kiyaye wani cin abinci mai tsanani don rabin shekara sannan kuma ya kula da abincinsa a nan gaba.

Wani sabon nau'i na tiyata ba tare da ɓarna ba ne mai rikice-rikice masu rikicewa. Ana amfani da lithotripsy na gallbladder idan akwai contraindications ga aiwatar da wani aiki na intracavititary. Ana gudanar da shi ta hanyar na'urar da ke aika da wata damuwa zuwa dutse da murkushe shi har sai ya juya zuwa turɓaya.

Sanarwar da ake kira ga ƙananan cholecystitis yana da kyau. Bayan an tilasta masa aikin ta hanyar cizon saurin cholecystitis, kusan dukkanin marasa lafiya basu fuskanci cututtuka na cutar ba.

Rarraban cutar

Magungunan cholecystitis mai yawa yakan haifar da yaduwa da peritonitis. Peritonitis yana nunawa a cikin wani ciwo mai tsanani a kan rana ta 3-4 na cutar, tashin hankali daga cikin tsokoki na ganuwar ciki, da ciwon daji na peritoneum.

Har ila yau, m cholecystitis zai iya haifar da perforation na gallbladder. A wannan yanayin, zafi zai rage don dan lokaci, amma sai duk bayyanar cututtuka, ciki har da ciwo, ya zama karfi.

Wadannan cututtuka sun hada da cholangitis, pancreatitis, gangrene, magunguna a cikin mafitsara. Musamman wahala - biliary lalacewa a lokacin tiyata don cire gallbladder.

Yawancin hare-haren da ake samu na ƙwaƙwalwar cututtuka na iya haifar da mummunar cuta na cutar.

Tsarin kariya

Tare da tsinkaya ga samuwar gallstones gaba daya ya hana abin da ya faru na ƙananan cholecystitis. Duk da haka, ana iya rage yiwuwar ƙaddamar da cholelithiasis ta hanyar matakan tsaro, wanda zai rage haɗarin hare-hare na ƙananan cholecystitis da ci gaba na ci gaba.

Stagnation na bile hana aiki salon. Motsi ba zai haifar da duwatsu ba, amma yana kula da nauyin jikin jiki.

Idan akwai nauyin nauyi, ba za ku iya rage shi ba.

Har ila yau, wajibi ne a lura da ma'aunin ruwa (akalla lita 2 na ruwa a rana).

Kula da lafiyar lafiyar ku, daina shan barasa da shan taba, yayin da suke rage rigakafi da kuma mummunan aiki game da tsarin narkewa.

Magungunan cholecystitis mai mahimmanci sau da yawa wani cututtukan da ke cikin kwayar cutar ta jiki, don haka cututtukan cututtukan gastrointestinal dole ne a bi da su sosai.

Dokar asali ita ce abincin abinci mai kyau. Dole ne ku ci abinci a kai a kai, a lokaci guda, akalla sau uku zuwa sau biyar a rana, a cikin kananan ƙananan. Wannan taimaka wajen hana stagnation na bile a cikin gallbladder.

Gina na abinci don m cholecystitis

Abinci yana taka muhimmiyar rawa wajen magance cutar. Saboda haka, mai haƙuri dole ne ku tuna da abin da aka ci tare da cholecystitis, kuma ku tsayar da dukan ƙuntatawa don hana sake komawa harin.

Abinci yana bambanta a kowane mataki na cutar:

• Tun daga lokacin asibiti, ana nuna azumi azumi har sai zafi ya ɓace (amma ba fiye da kwanaki 4 ba). A wannan mataki ne kawai an yarda da ruwa (ruwa mai ma'adinai ba tare da iskar gas ba, shayi mai sha, abin sha, abin sha, shafuka, zane). Sha sau da yawa, a kananan sips.
• Bayan cire ciwo mai ciwo, zaka iya shiga cikin abincin abincin abincin mai ruwa - mai sassauka, brops daga shinkafa, semolina, oatmeal, soups, souda, jelly, low-calorie kefir. Akwai bukatar a kananan rabo. A wannan mataki dole ne ku sha fiye da lita 2 na ruwa kowace rana.
• Kusa da farfadowa a cikin abincin abincin ya kara daɗa kan kifi da nama. An yarda da shi kawai abinci kawai, Boiled ko dafa shi ga ma'aurata, amma za a iya karɓar rabo. A wannan mataki, cin abinci ya bada kayan lambu da 'ya'yan itatuwa, gurasa mai bushe, biscuits, marshmallows, kofi tare da madara.

A cikin mummunan cututtukan ƙwayar cuta, ba za ku ci abinci ba, kyafaffen hatsi, kayan yaji, tsumburai, yaji. Abincin haramtacciyar abinci tare da cholecystitis - cakulan, mai soda mai dadi, gasa naman alade, namomin kaza. Wannan abinci mai nauyi yana da mummunar tasiri a kan tsarin narkewa kuma zai iya haifar da sabon hari.

Bayan sake dawowa, matsalolin abinci na ci gaba, an ba da haƙuri ga abincin nasu 5a (amfani da ƙwayoyi da abinci masu arziki a cikin tsire-tsire masu tsire-tsire, oxalic acid, cholesterol, nitrogen extractives an iyakance).

Jiyya tare da mutane magunguna

Ana ba da shawarar maganin magunguna don ƙarin bayani. Gaba ɗaya don maye gurbin su da maganin gargajiya, musamman ma a cikin mummunan tsari, yana da haɗari. Idan kunyi tunanin cutar, ya kamata ku tuntubi likitanku. Na farko, za a kula da ƙwayar cholecystitis, bayyanar cututtuka ta ci gaba da buƙatar kulawar likita, kuma bayan hakan zai iya samun magani ga magungunan magani.

Yin amfani da maganin cholecystitis na yau da kullum tare da maganin magungunan gargajiya yana amfani da shi a matsayin mai tsabta ga hanya ta hanyar farfadowa. Mafi yawancin tsire-tsire masu amfani da choleretic, anti-inflammatory, antimicrobial Properties, da zuma da man zaitun. Dabaran shayi ana bada shawara don maye gurbin broth na masara ko masara. Ɗaya daga cikin kayan aikin da za a iya amfani da shi don cholecystitis, kazalika da sauran cututtuka na gastrointestinal tract ne decoction na raw hatsi.

Duk wani magani na jama'a ya kamata a yarda da likita mai halartar.

Tare da abinci, salon rayuwa mai kyau, hadarin gallstones da ci gaban cholecystitis ƙananan. Duk da haka, idan bayyanar cututtuka sune halayyar ƙananan cholecystitis, ba lallai ya kamata ba a yin magani ba, amma nan da nan don ganin likita don yin cikakken ganewar asali kuma ya warkar da cutar nan da nan ba tare da tsangwama rikitarwa ba kuma ya tasowa cikin tsari na yau da kullum.