Eqenjini lezifo zohlelo lokugaya ukudla kunesifo esinjenge-cholecystopancreatitis. Ngokwephulwa kwalokhu, inqubo yokuvuvukala isakazeka ngasikhathi sinye kuma-pancreas kanye nesinye senyongo. I-pathology efanayo ivame kakhulu kubantu abadala.
Njengomthetho, ama-pancreas aqala ukuphazamiseka, kuthi emva kwalokho kuqhamuke isifo esivelisayo sobuhlungu. Ukutheleleka kungena gallbladder futhi kubangele ukuvuvukala. Ngaphezu kwalokho, ngokuqina kanye noshintsho ekwakhiweni kwamatshe e-bile angakha. Uma i-cholecystitis ebala ivela ngemuva kwesizinda se-pancreatitis, ukuhlinzwa kuvame ukudingeka.
I-Cholecystopancreatitis ivame ukuthinta abesilisa abaneminyaka engama-40-50. Abesifazane bavame ukuhlushwa i-cholecystitis engabaleki. Lesi sifo sinefomu elibi noma elingamahlalakhona, elinokuqina, isimo sesiguli singase sibe sibi kakhulu.
Izici zesifo
I-Cholecystitis ukuvuvukala okubi kakhulu noma okungamahlalakhona kwe-gallbladder, ngenxa yokuthi i-bile ducts igqagqana, ukuphuma kwe-bile kuyancipha, kanti ne-gastrointestinal tract iyaphazamiseka. I-gallbladder iyafana ngokufana neqanda lezinkukhu, lesi sitho sangaphakathi singesibindi. Isebenza ekuqongeleleni nasekuqedeni i-bile, esiza ekutholeni amafutha futhi ithuthukise ukuthuthwa kokudla emathunjini.
Isibindi sinesibopho sokwenza i-bile. Emini, umzimba onempilo uyakwazi ukukhipha kusuka kumalitha ayi-0,5 kuye kwayi-2. Ngaphambi kokungena emathunjini, i-bile idlula emiseleni ye-bile. Uma izindonga zezindlela zingaholi, i-cholecystitis iyakhula.
I-biliary pancreatitis isho ukuvuvukala kwamanyikwe. Njengoba ama-enzyme esitho sangaphakathi angakwazi ukungena esifundeni samathumbu, aqala ukunyakaza futhi abhubhise indlala. Uma izinto ezinobuthi zingena emithanjeni yegazi, ukulimala kungasakazeka kwezinye izinhlelo.
I-Pathology ingakhula ngenxa yezizathu eziningana.
- Ngokudla okungalungile kanye nendlela yokuphila, ukusetshenziswa kabi kotshwala, ushukela, ikofi, kanye nokudla okunezipayisi, okunamafutha, okunezipayisi kanye nokosa.
- Endabeni yokuqagelwa kofuzo ku-pathology.
- Uma umuntu ethatha imishanguzo enamandla isikhathi eside, okubandakanya ama-tetracycline antibiotic, izidakamizwa eziqukethe i-estrogen ne-corticosteroids.
- Ngezinguquko ezihlobene nobudala, ngenxa yalokho kukhona ukwephulwa kokuhlinzekwa kwegazi ezithweni zezitho zomzimba.
- Lapho kunendlela esezingeni eliphakeme yesifo sohlelo lokugaya ukudla.
Ikakhulu, izici ezilandelayo zingavusa ukuvuvukala gallbladder:
- Ukutheleleka;
- Ukwanda kwe-cholesterol nokwakhiwa kwe-plaque;
- Shintsha ekwakhekeni kwamakhemikhali kwe-bile;
- Ukuphazanyiswa kokuxhunyaniswa kwe-gallbladder ngohlelo oluphakathi lwezinzwa;
- Ukuba khona kwesakhiwo esingajwayelekile senyongo;
- Ukuphazamiseka kwe-Gene kwamaseli ku-membrane ye-mucous yezitho zangaphakathi.
I-pathology efanayo ivame ukutholakala kwabesifazane abadala kuneminyaka engama-40. Lokhu kungenxa yokwanda noma ukwehla kwesisindo, umlutha. Futhi, iziguli zisengozini lapho kukhona abakhulelwe abathathu noma ngaphezulu.
Izimpawu zesifo se-pancreas kanye ne-gallder
Izimpawu zokuvuvukala inyongo namanyikwe ziyefana kakhulu. Ngaphezu kwalokho, i-cholecystitis ne-pancreatitis kuvame ukwenzeka ngasikhathi sinye, kanti izifo ziyahambisana futhi zivusa omunye nomunye.
Okwamanje, ama-pathologies womabili ayingozi kakhulu empilweni yabantu futhi abangela imiphumela emibi uma engalashwa ngesikhathi. Ngokushesha nje lapho kuvela izimpawu zokuqala, kufanele ufune usizo lwezokwelapha ukuze ucacise ukutholakala kwezifo futhi unikeze nokwelashwa.
Naphezu kweqiniso lokuthi zombili izitho zangaphakathi zinesibopho sokwenza imisebenzi ehlukene, zinomthelela ohlanganyele. Ama-pancreas akhiqiza ujusi we-pancreatic, oqukethe ama-enzyme abalulekile namahomoni. Lapho ukuvuvukala kuqala, kuqhamuka inani lama-enzyme ngokweqile ku-lumen ye-gallbladder, okucasulayo ukuthuthukiswa kweqoqo le-cholecystitis.
Ngokuvuvukala i-gallbladder, kuzabonakala lezi zimpawu ezilandelayo:
- Endaweni ohlangothini lwesokunene ngaphansi izimbambo, isiguli sizwa ubuhlungu obukhali ngezikhathi ezithile futhi ezisindayo njalo.
- Ukushisa komzimba kuyenyuka.
- Ukuqhuma kwe-bile kuqhamuka, umuzwa wokufutheka emlonyeni, isisu sivuvukele, iphango liyancipha, kungavela ukungezwani komzimba nokudla.
I-pancreatitis ihambisana nezimpawu ezifanayo:
- Ukusuka ohlangothini lwesobunxele lwesisu noma enkabeni, isiguli sizwa ubuhlungu obukhulu bebhande.
- Izikhathi ezithile kuba nokuhlaselwa isicanucanu nokuhlanza.
- Ezindundumeni zathola izinsalela zokudla okunggaywe kahle.
- Ukuvuvukala kwesisu, ukushisa komzimba kuyenyuka, ukushintshwa kwengcindezi yegazi, kanye ne-tachycardia kuyabonakala.
- Isikhumba ebusweni siba semhlabeni.
Uma kuvela ezinye zalezi zimpawu ezingenhla, kufanele ubonane nodokotela we-gastroenterologist futhi uhlolwe.
Ukuxilongwa kwe-pathologies
Indlela yakudala yokuhlonza i-cholecystitis is scan scanner, ongasithola lapho ukuvuvukala kutholakala khona.
Udokotela ngaleyo ndlela wembula noma yiziphi izinguquko ekwakhekeni komthambo, ukuba khona kwamatshe nezinye izifo. Ucwaningo alunazinhlungu, olubaluleke kakhulu esigulini.
Uma uhlela ukwenza ukuhlinzwa ukususa i-gallbladder, qiniseka ukuthi wenza i-cholecystography usebenzisa umshini we-x-ray. Ezindlela zanamuhla zokuxilonga zifaka i-endoscopy.
- I-laparoscopy yamanyikwe ihlanganisa ukwethula ngesibhobozo esiswini sesisu se-miccamera, ebekwe kwishubhu le-telescopic. Ngakho-ke, kungenzeka ukuhlola isimo sezitho zangaphakathi.
- Futhi, ukuhlolwa kolwelwesi lwe-mucous lwepheshana lesisu elingenhla kwenziwa ngo-esophagogastroduodenoscopy. Ucwaningo lwenziwa ngokungenisa i-endoscope encane nge-esophagus.
- Ngaphezu kwalokho, kwenziwa uhlaziyo lwe-bile, ngoba lokhu, kusetshenziswa imisindo ye-duodenal. Kufakwe ishubhu yerabha endaweni yamathumbu, emva kwalokho kutholakale impahla yokuxilonga. Izingxenye ezintathu ze-bile ziqoqelwe ukubonwa, ukucubungula ngezinto eziphilayo nokukhonjwa kwenqubo yokuvuvukala.
Ngokuthola kwe-pancreatitis, kusetshenziswa izindlela zokucwaninga zamathuluzi.
- I-ultrasound ihlola isisu sesisu.
- I-gastroscopy isetshenziselwa ukuhlola isimo se-mucosa esiswini. Kuyadingeka ukugwinya uphenyo olunciphile ikhamera enamathiselwe kulo. Ngenxa yalokhu, udokotela angahlola isisu, izindunduma, amathumbu.
- Ukuthola ukulinganisa kwe-pancreatic kanye namatshe, kusetshenziswa i-radiography.
- Ukuthola isithombe esinezinhlangothi ezintathu zama-pancreas, ucwaningo lwenziwa kusetshenziswa i-computer tomography.
- Kubandakanya udokotela angakunquma ukudlula kwe-laparoscopy.
Ukuthola imininingwane eningiliziwe ngesimo sezitho zangaphakathi, sebenzisa ukuhlolwa kwegazi okune-biochemical, general and elect-electrolyte. Futhi, isiguli kufanele sidlule umchamo wokuhlaziywa.
Ukwelashwa kokuvuvukala gallbladder kanye pancreas
Uma kuvela noma yiziphi izimpawu ezisolisayo zesifo, akunakusho ukuthi kufanele uzindle. Udokotela osesibhedlela uzokwenza ukuhlolwa okugcwele, akhombise ukuxilongwa okuqondile bese ukhetha imishanguzo efanelekile yokuvuvukala i-gallbladder and pancreas.
Ukwelashwa kwalesi sifo kuyinkimbinkimbi futhi kuqukethe izigaba eziningana. Okokuqala, isiguli kufanele sibuyekeze indlela esidla ngayo bese sishintshela ekudleni okhethekile okwelapha.
Kubalulekile ukwelapha lesi sifo ngokuphelele ukuze ugweme ukuthuthukiswa kwesifo esingalapheki. I-Pathology iphathwa ngokuhlelekile, ngaphandle kokuphazamiseka, noma ngabe isimo sesiguli sithuthuka kakhulu.
Uma kwenzeka wephula i-pancreas kanye ne-bladder, udokotela ubeka lezi zinhlobo zemithi elandelayo:
- Ukukhiqizwa kwe-enzyme kubangelwa ukusetshenziswa kwe-Cantrical and Gordox inhibitors.
- I-Pentoxyl neMethyluracil asetshenziselwa ukuthuthukisa imetabolism.
- Ubuhlungu phakathi nokuhlaselwa kususwa ngama-painkillers.
- Vimbela ukukhiqizwa kwezidakamizwa zejusi le-gastric Cimetin ne-Omeprazole.
- Ukulungiswa kwama-enzyme kufaka iFestal, iHermitage nePancreatin.
Ngaphezu kokwelashwa kwezidakamizwa kanye nokudla, kunconyelwa ukuthi ukwelashwa kwe-spa kube yiprophylactic enhle kakhulu ekuqhakazeni kwezifo ze-pheshana lesisu.
Lapho kukhona isifo se-gallstone, esikhonjwa njengomphumela wokuxilongwa, amatshe asesiswini senyongo ayasuswa futhi imicu ye-bile iyahlanzwa.
Uhlobo lwesifo olungamahlalakhona luphathwa ngempumelelo nangezinye izindlela. Kulokhu, kusetshenziswa amakhambi okwelapha ane-anti-inflammatory effect, afaka i-chamomile, i-calendula, i-stigmas yommbila. Ngamatshe ku-gallder yenyongo, baphuza i-decoction ekhethekile yezitshalo zokwelapha ezishintsha ukwakheka kwe-bile.
Endabeni ye-gastritis, kunconywa ukuphuza amanzi ashisayo ngejusi kalamula ukunciphisa ukukhiqizwa kwejusi. Ngenye indlela, kusetshenziswa ujusi osanda kufakwa kusuka izaqathe, ukhukhamba kanye nama-beet.
- Umenzeli wokupholisa osebenza ngempumelelo uthathwa njengokufakwa kwamakhambi. Ukulungiselela kwayo, bathatha izimbali ze-Helichrysum sandwort, i-mamawort, i-calendula. Isipuni seqoqo sithululelwa ilitha elilodwa lamanzi abilayo, agxiliswa futhi ahluziwe. Thatha umuthi we-100 ml okungenani izikhathi eziyisithupha ngosuku.
- I-tincture yemithi ye-Eleutherococcus engxenyeni yesigamu noma isipuni sonke sithathwa imizuzu engama-30 ngaphambi kokudla izinsuku ezingama-30. Kodwa ngokuqwasha noma umfutho wegazi ophakeme, indlela efanayo yokwelashwa iyaqinisekiswa.
- Kuyasiza kakhulu ukuthatha ithisipuni elingu-0.5 lempuphu emafafini aphansi omlotha nsuku zonke. Ukuyekisa izinhlungu, baphuza isigamu sehora ngaphambi kokudla i-tinication ekhemisi ye-calendula enobukhulu bezipuni eyodwa noma ezimbili.
- I-isipuni esisodwa sembewu ye-caraway sithululelwa ilitha lamanzi abilayo futhi sifakwe amahora amabili. Baphuza umuthi wabantu abangama-100 ml kathathu kungqongqoza imizuzu engama-30 ngaphambi kokudla.
Uma kwenzeka isifo, kuphakama isixazululo ku-mummy, ophuzwa izinsuku eziyi-10, ezingama-250 lilinye. Ukuze uyilungiselele, i-2 g ye-mummy ichithwa ngamalitha amathathu amanzi abilisiwe, isixazululo sixutshwe kahle ngaphambi kokumukelwa ngakunye.
Ngemuva kwenkathi oyifunayo, sekhefu elithatha isonto lonke, emva kwalokho ukwelashwa kuphindwa kathathu kuya kane.
Imithetho yokudla ngokugula
Ngokungeziwe ekwelashweni kwezidakamizwa, udinga ukufunda ukuthi ukuhlela kahle kanjani ukudla okudlayo. Ukudla kufanele kufudunyezwe njalo, kepha kungashisi kakhulu, izitsha ezibandayo nazo ziyaphikiswa.
Kufanele udle kaningi, kepha ngezingxenye ezincane, amahlandla ayisihlanu kuya kwayisithupha ngosuku ngamakhefu amahora amane. Imenyu kufanele ifake imikhiqizo emnene kakhulu evunyelwe ukusetshenziselwa ukwephula ipheshana lesisu.
Ukudla kufanele kube namavithamini namaminerali amaningi, ngoba lokhu kudla imifino nezithelo. Kuyadingeka ngokuphelele ukulahla ngokuphelele okuthosiwe, obhemayo, okunosawoti, okunamafutha. Kuhle ukunikela ngokuthanda ukudla okubilisiwe.
- Izinsuku zokuqala ngemuva kokuba lesi sifo sibhebhethekisa, ukudla kulungiswa ngaphandle kosawoti, ukuze ukukhiqizwa kwe-hydrochloric acid esiswini kunciphe futhi ukuphuma kwe-bile okuvela esithobeni sangaphakathi esikhanyisiwe kunciphe.
- Odokotela be-gastroenterologists batusa ukudla okungadluli kuma-60 g wamafutha, ama-90 g we-protein, ama-210 g wama-carbohydrate nsuku zonke.
- Ukuze i-mucosa yegastric ingacasuki, ukudla kungumhlabathi. Baphinde basebenzise nokudla okune-ketshezi nolwelwesi.
Ngemuva kwesonto, lokhu kudla kungafaka i-jelly, isobho elincane
Uma isimo sesiguli sesithuthukile, khona-ke kuvunyelwe ukuthi kudliwe ama-omeleette amaprotheni, ama-puddings ushizi ophekwe ngotshani, ama-apula abunjiwe futhi abhakwe, isanqante se-karoti.
Ungayiphatha kanjani i-pancreatitis ezochazwa ngochwepheshe kule vidiyo ekulesi sihloko.
