I-Cholecystitis ne-pancreatitis kubhekwa njengokujwayelekile kakhulu namuhla. Zixhunyaniswe zombili ngezimpawu nangezimbangela.
Ivela ezimeni eziningi ngokuhambisana nesizinda sokungondleki.
Njengoba lokhu kuphazamiseka kwenzeka ngasikhathi sinye, ukwelashwa kugxile ekuvinjelweni kwezifo ezimbili ngasikhathi sinye. Ngakho-ke, sibheka izimbangela eziphambili, izindlela zokuhlola nokuthi ungayelapha kanjani i-cholecystitis pancreatitis engapheli.
Izimbangela ze-cholecystitis ne-pancreatitis
Ingemuva nesibonakaliso sokuvela kokuthuthuka kwezifo kuyafana impela. Ngakho-ke, izifo eziningi kakhulu kwesinye isikhathi zingadala ukwanda kwesinye. Isibonelo, ukungena kwejusi le-pancreatic kusuka kupancreas eligulayo kuya emgudwini we-biliary kubangela izinqubo ezinzima zokuvuvukala kwe-gallbladder kanye ne-duct mucosa. Futhi ngezifo ze-gallbladder, ukuvuvukala okunamandla kuvame ukuvela, okuhamba isikhathi kuthatha isimo sesigaba esingamahlalakhona.
Ukuthi welapha kanjani isifo esihlangene kungatholakala kuphela ngemuva kokuhlolwa okugcwele nokuqinisekiswa kokuxilongwa. Cabanga imbangela ngemininingwane eminingi:
- ukuba khona kokutheleleka ekhaleni, umphimbo;
- isifo se-metabolic;
- isifo sikashukela
- ukuntuleka kokuzivocavoca umzimba;
- ukuqunjelwa kanye nesifo sohudo;
- Izinkinga ngokweqile;
- ukubaluleka kwe-fat, usawoti, ukudla okunezipayisi ekudleni;
- ukusetshenziswa kabi kotshwala;
- ukutheleleka kwamathumbu okubangelwa ukudla noma ukudakwa nezinye izinto eziyingozi.
ISymbomatology
Ngempilo ejwayelekile, i-pancreas kanye ne-gall bladder isebenza ngokujwayelekile, okuvumela ipheshana lesibeletho ukuthi licubungule izinhlobo zokudla ezijwayelekile.
Kodwa-ke, lapho esinye sezitho singenampilo, imvamisa lokhu kubangela isifo sesibili. Isibonelo, nge-pancreatitis, ujusi we-pancreatic use gallbladder futhi uveza izindonga zawo.
Ngenxa yokuthi lezi zifo zinezimpawu ezifanayo, abahlinzeki bezempilo baphinda babize i-cholecystopancreatitis inhlanganisela ye-cholecystitis ne-pancreatitis.
Izimpawu nokwelashwa kwe-pancreatitis ne-cholecystitis kuqukethe inani elikhulu lokufana.
Izimpawu ezejwayelekile ze-pancreatitis ne-cholecystitis:
- imizwa yokucanuzelelwa kwenhliziyo nokuhlanza;
- Ubuhlungu buyanda ngezikhathi ezithile;
- izinga lokushisa ngokweqile;
- izithukuthuku ezinamathele.
Isibonakaliso esiyinhloko lapho lezi zifo zizokwehluka khona sibonisa ukuthi nge-pancreatitis isiguli sizoba nezinhlungu ohlangothini lwesobunxele esiswini, futhi nge-cholecystitis, izinhlungu ziwela ohlangothini lwesokunene, ngoba isinye inyongo sitholakala ngqo lapho.
Izifo zingahluka ngokuya ngomlomo owomile, okujwayelekile i-pancreatitis. Kepha ukudabuka kuyinkomba ye-cholecystitis.
Ucwaningo
Ukuxilongwa kusekelwe kumlando wezokwelapha. Qiniseka ukuthi unikeza izindlela ezinjalo zokutadisha, njengokutadisha kwegazi nezindunduma. Ngosizo lwe-diagnostics, inqubo engapheli noma ebukhali ye-pathological inqunywa. Ngokusekelwe kulemiphumela, udokotela unquma umuthi.
Ukwelashwa ngaphandle kokuxilongwa kokutholwa akwenziwa, ngoba ukubukeka kwezinkinga kungenzeka. Ukuxilongwa okuhlukile kwe-pancreatitis esikhathini esibi kwenziwa nezinye izivivinyo: ngesilonda se-peptic, ukuvinjwa kwamathumbu, i-cholecystitis eyingozi, i-appendicitis.
Umnyombo wokuhlolwa: funda izinga le-alpha 2 macroglobulin ku-serum yegazi. Ngesikhathi esifanayo, amanani we-alpha 2 macroglobulin alingana nama-200 mg / l athathwa njengephuzu le-1.
Ngakho-ke, izinga lokufika ku-800 mg / l ngamaphuzu ama-4, okuhambelana nokuba khona kwe-pancreatitis, futhi ngezinga elingaphezu kwama-800 mg / l - cholecystitis eyingozi.
Ukusungula i-diagnostic enembile, kuzodingeka ukuxilongwa okwengeziwe, kufaka phakathi i-ultrasound.
Izindlela zokwelapha
Kuyadingeka ukwelapha ukuvuvukala kwepancreatic nesifo se-duct ye-bile ngosizo lwemithi engaphansi kokuqondisa uchwepheshe. Imvamisa, odokotela balulekisa inkambo ehlanganyelwayo yokwelashwa ngendlela yabantu, into eyenza sikwazi ukuqeda inqubo ye-pathological ngokushesha okukhulu. Ngakho-ke, kungenzeka ukuthi ubhekane nokukhukhumala. Kubalulekile ukuhlanganisa ukwelashwa nokudla kanye nokujwayelekile kwendlela yokuphila. Inhlanganisela enjalo izokhombisa umphumela ophumelela ngokwengeziwe ekwelashweni.
Uma lesi sifo singalashwa, kungaba khona inkinga enkulu yezempilo, kufaka phakathi isifo sikashukela sohlobo 2. Indlela yokwelapha yazo zombili lezi zifo izonqunywa ngochwepheshe be-gastroenterologists, abangathola kalula ukuthi yisiphi isizathu esasiyiginali yokuqala yokwakhiwa kwalesi sifo.
Imithi
Ukwelashwa kwe-cholecystitis ne-pancreatitis ende kuthatha isikhathi eside futhi kudinga ukusetshenziswa kwama-antibiotics. Okokuqala, kuthathwa umuthi, ngokwesibonelo, i-biseptol, okumele uphuzwe ekuthelelekeni. Okulandelayo, udinga ukususa izimo lapho amagciwane aqale ukwanda ngokushesha okukhulu. Udokotela angakunikeza umuthi wokuqabula izindunduma ze-gallbladder. Ngakho-ke, nikeza amaphilisi i-nosh-pa noma i-papaverine.
Ezimweni eziningi, ama-pancreas awonakele akha kancane kakhulu noma ujusi we-gastric, ngenxa yalokho, isiguli sinqunywe i-pantoprazole, i-lansac.
Ukuqeda i-spasm, udinga ukuphuza umuthi ongakwazi ukwenza i-anesthetize ngempumelelo.
Amakhambi okwelapha
Lapho welapha, kubalulekile ukwazi ukuthi yimaphi amakhambi ane-pancreatitis ne-cholecystitis azosiza ukuphulukisa izitho zangaphakathi. Imithi ihlala ingalungele ukunikeza umphumela oyifunayo, ngoba ukusetshenziswa kwawo isikhathi eside kuvame ukuholela kwi-toxicosis. Imikhiqizo esekwe ezitshalweni ayinangozi ngokuphelele, futhi ungayiphuza isikhathi eside. Okusebenzayo kakhulu kufaka phakathi impande ye-dandelion, ama-stigmas ommbila, i-calendula ne-chamomile.
Lapho kukhona amatshe ku-bile duct noma imicengezi yawo, kulokhu, ungasebenzisa utshani ukuwaqothula nanjenge-anesthesia.
Imenyu eyisampula yosuku
Kunconywa ukuhambisana nokudla okufanele, amadoda. Iziguli zinqunyelwe inombolo yokudla eyisi-5, egxile ekuqalweni kabusha komsebenzi wesibindi, ipheshana lamathumbu kanye nepheshana lokusebenzelana nobuchopho. Kwesinye isikhathi indlela yokwelapha evela kumakhambi iletha eminye imiphumela.
Ukudla okufanele kufanele kuhlanganiswe namaprotheni, amafutha nama-carbohydrate, futhi izingxenye zosuku lonke akufanele zibe zinkulu, kepha zisatshalaliswe izikhathi ezingama-5-6.
Ukudla okulinganiselwa nsuku zonke kubukeka kanjena:
- I-8.30 - ibhulakufesi. Ama-cutlets angama-Steamed kusuka enkukhu - 60 gr. Oatmeal ngobisi, amanzi -100 gr. Itiye (nobisi) - 200 gr.
- 11.00 - ibhulakufesi lesibili. I-Cottage shizi casserole - 100 gr. Itiye le-Herbal -200 g
- 14.00 - kwasemini Isobho elinemifino enama-porridge ama-buckwheat -150 gr. Inhlanzi ebilisiwe kanye nesaladi ye-beetroot - 60 g lilinye. I-apula elilodwa elibhakwe.
- 16.00 - itiye ntambama. Ama-omelette amaqanda amabili -100 gr. Ijusi le-karoti -150 gr.
- 19.00 - isidlo sakusihlwa. Inyama yenkomo ebilisiwe - amagremu angama-30. Steamed iklabishi isitshulu - 60 gr. Uzvar -100 gr.
- 21.00 - isidlo sesibili. I-Kefir ayinamafutha - 150 g.
Ukudla okuqinile kubhekwa izinyanga ezimbili kusukela ngesikhathi salesi sifo, kepha iziguli ezinepancreatitis kufanele zigcine imikhawulo yokudla ekudleni okungenani izinyanga eziyi-8-9.
Lapho unamathela ezelulekweni zokuvimbela ukwanda kwezifo, khona-ke ukwephulwa kungalapheka kalula, kanti i-zapnosis izonikeza umphumela omuhle. Ngokudla okungenampilo kanye nokusebenzisa kabi imilutha, amathuba ezinkinga ayanda.
Ezimweni eziningi, ukungenelela kokuhlinzwa kuyadingeka, kwesinye isikhathi okugcina ngokufa. Ngokuqala kwezimpawu zokuqala, kungcono ukubonana nodokotela ngokushesha bese uqala ukwelashwa kwamanyikwe. Iqhaza elibalulekile kulokhu lidlalwa ukwelashwa kanye nokudla kokudla, kanye namakhambi okwelapha.
Mayelana ne-cholecystitis ne-pancreatitis kuchazwe kule vidiyo kule ndatshana.
