Kuyini i-cholecystitis nokuthi ungayelapha kanjani: odokotela nemithi

Kunezizathu eziningana zalenqubo:

• indlela yokuhlala impilo;
• ukusetshenziswa ngokweqile kokudla okunamafutha okuvela kwimvelaphi yezilwane (uwoyela, inyama enamafutha, amaqanda);
• ukuthuthukiswa kokuphazamiseka kwe-endocrine (isifo sikashukela i-mellitus, ukukhuluphala);
• ukuthatha amakhambi ngomlomo wokukhulelwa okungafuneki (kubantu besifazane).

Ziningi izifo zezifo ezisetshenziswayo:

1. ukuphazamiseka kokusebenza (dyskinesia);
2. izinqubo zokuvuvukala (cholecystitis);
3. ukwehluleka kwe-metabolic (isifo senyongo).

Izwe elikhonjisiwe liyizigaba zenqubo efanayo. Ekuqaleni nje, kuphakama izinkinga ngesisusa se-gallbladder, khona-ke ukunamathiselwa kwenqubo yokuvuvukala kuqala, okuba yisifo se-gallstone.

Izimbangela eziphambili ze-cholecystitis

Isifo esinjenge-cholecystitis ngokuyinhloko sibangela isici esithathelwanayo. Ukutheleleka kungena emzimbeni ngokugeleza kwegazi, kudlule ku-lymph nezindlela ezikhuphuka ngamathumbu.

Imithombo yokuqalisa kwenqubo yokutheleleka yile:

• izinqubo zokuvuvukala ku-emathunjini emathunjini ama-degree ahlukene we-(i-enterocolitis ethelelekile, i-pancreatitis, i-dysbiosis, i-appendicitis, ukuvuvukala kwamathumbu);
• Izinkinga zamapheshana wokuphefumula (i-tonsillitis, sinusitis), kanye nomlomo wesibeletho (isifo se-periodontal);
• ukuvuvukala kwephepha lomchamo (cystitis, pyelonephritis);
• ukuphazamiseka kohlelo lokuzala (i-prostatitis emadodeni kanye ne-adnexitis kwabesifazane);
• izilonda zesibindi zemvelo yegciwane;
• izimuncagazi emgudwini we-biliary (roundworm, giardia).

Izimpawu eziphambili ze-cholecystitis

Lesi sifo esingukuvuvukala siyizindlela eziqinile nezingapheli zezifundo.

I-cholecystitis eyingozi. Inkambo ebabazekayo yesi sifo, uma kungekho ukwakhiwa kwamatshe, ukululama okusheshayo ngaphandle kokuthuthuka kwezinkinga kuwuphawu. Kwezinye izimo, lesi sifo singalapheka. Izimo ezifanayo zivamile kakhulu.

Njengomthetho, i-cholecystitis ikhula ngenkuthalo phambi kwamatshe emgodini, okuwukuqina kwenkambo yesifo se-gallstone.

Ekuqaleni kwenqubo, kubuhlungu kakhulu esiswini ngakwesokudla. Ukuzwa kobuhlungu kwenzeka ekuqulekeni futhi kungahle kuhambisane nokuhlanza, isicanucanu kanye nomkhuhlane kuya kuma-38- 39 degrees. Ngaphezu kwalokho, ukushisa, izihlalo ezibambezelekile, ukwakheka ngokweqile kwegesi, ukuphuzi kwesikhumba kanye ne-sclera kungenzeka.

I-cholecystitis ebabayo kakhulu futhi ingazibonakalisa ngokwanda kokuvuvukala kwezitho nezicubu ezizungeze i-gallbladder. Ukubandakanyeka kwalo kungavezwa njenge-abscess, ukuvuvukala kwama-bile ducts (kwasendaweni noma kuhlukanisa i-peritonitis), ipancreatitis. Ezimweni ezinjalo, ukunakekelwa okuphezulu kokuhlinzwa kudingekile noma udokotela udluliselwe emnyangweni wokuhlinzwa ukuze ulaliswe esibhedlela.

I-cholecystitis engapheli ingaqala kancane, isuka ebusheni. Izikhalazo ziqala ukuvela ngenxa yokwephulwa kwezindlela zokudla, kanye nokuxineka ngokomzwelo nangokwengqondo.

Lesi sifo sizibonakalisa ngobuhlungu ngaphansi kwembambo yangakwesokudla futhi singashintshela kwesokunxele noma ngenhla kwesisu. I-cholecystitis engabaleki ingahlanganiswa nanoma yiluphi uhlobo lwe-dyskinesia yesibili, ebangela ukukhula kwezinhlungu.

Ngokuthuthukiswa kwe-dyskinesia ye-Homopomotor, kungahle kube neminjunju ebuhlungu ehlala ihlala futhi ingacaci. Ngokuvamile, i-analogue yezinhlungu ingaba usizi noma ivutha ngaphansi kobambo. Ngohlobo lwe-hyperkinetic yokuvuvukala kwe-gallbladder, izinhlungu ziba kakhulu futhi zi-paroxysmal. Inganikezwa kufossa ye-supraclavicular fossa, inhliziyo, noma ngaphansi kwehlombe.

I-Cholecystocardial syndrome ifaka phakathi izinhlungu eduze kwenhliziyo, ukushayeka kwenhliziyo okusheshayo kwalesi sitho, nokuphazamiseka kwesigqi saso. Lokhu kwenzeka ngenxa yemiphumela enobuthi futhi ethelelekile emisipha yenhliziyo.

Kulezo zimo lapho isifo sesiqala noma siqhubeka isikhathi eside kakhulu, i-solxus ye-solar ingaxhunywa kwinqubo ye-pathological futhi i-polar syndrome iqala ukukhula. Isibonakaliso saso esiyinhloko sibuhlungu impela futhi sishisa ngobuhlungu enkabeni, esinganikela emuva emuva. Inqubo efanayo, futhi ikakhulukazi, ukuqina kanye nokuvela kobuhlungu, kungabangelwa ukuntuleka kokudla, ukusebenza komzimba, ukudlidliza, ukusebenzisa kabi utshwala, i-hypothermia nokucindezelwa okungokomzwelo emzimbeni.

Iphathwa kanjani i-cholecystitis?

Uma kunezimpawu zomtholampilo zalesi sifo, futhi kwaqinisekiswa ukuhlolwa kwelabhorethri, khona-ke amandla amandla amahle angatholakala ngama-antibiotics. Udokotela kufanele abhekane nokukhetha kwabo, ehlola ikhono le-bile lokugxila.

Ukwehlisa izimpawu futhi wenze kube ngokwejwayelekile ukususwa kwe-bile, udokotela ohambelayo angakunquma:

1. "I-Riabal" 2 mg intramuscularly noma amaphilisi ama-1-2 kathathu ngosuku (i-anticholinergic agent);
2. I-"No-shpu" amaphilisi ama-2 kathathu ngosuku, “Papaverine” 2 ml wesisombululo samaphesenti ama-2 intramuscularly izikhathi ezingama-2-3 ngosuku, “Mebeverin” amaphilisi ama-3 izikhathi ezintathu ngosuku (myotropic antispasmodics);
3. "I-Plifillin" (anticholinergics);
4. "Analgin", "Baralgin" (analgesics).

Uma kunezimpawu ze-gallbladder hypotension, lapho kungekho sibalo, amalungiselelo wokuphuma kwe-bile angabekwa, ngokwesibonelo, "I-Allohol" amaphilisi ama-1-2 kathathu ngosuku, “Cholenzym” izingcezu ezi-3 kathathu ngosuku, kanye nomuthi wamakhambi.

Ukwelashwa ngamakhambi

Umuthi wanamuhla wenza kakhulu izindlela zokupheka zemithi yendabuko futhi usebenzisa amakhambi. Okusebenzayo kakhulu kungaba:

• ukungafi kanye ne-wort yaseSt. Kuyadingeka ukuthatha u-15 g no-10 g wezitshalo, ngokulandelana, uthele uhhafu wamalitha amanzi. Ngemuva kwalokhu, ubilise le ngxube imizuzu emi-5 bese uxubha. Umkhiqizo ophumayo uthathwa engxenyeni yengilazi kathathu ngosuku imizuzu engu-15 ngaphambi kokudla;
• izinhlamba. Badinga ukuthatha i-10 g bese uthele ingilazi yamanzi abilayo. Ingxube ibilisiwe imizuzu emi-5 futhi idliwa endebeni yesithathu izikhathi ezintathu ngosuku ngaphambi kokudla;
• tansy. I-5 g yesitshalo ifakwa engilazini yamanzi abilayo engxenyeni yehora. Ngemuva kwalesi sikhathi, thatha lesi sidakamizwa isipuni izikhathi 3 ngosuku;
• i-dogrose. Ngokusekelwe kulo, kulungiswa "iHolosas" (i-roseens evunyelwe kanye nokukhipha ushukela). Kusho ukuthatha izipuni ezimbili ngaphambi kokudla. Ungafaka ukumfaka kwe-rose okhalweni. Ukuze wenze lokhu, uthele amagremu ayishumi kuwo ama-400 ml wamanzi abilayo, lapho usukume emanzini okugeza imizuzu eyi-15.

Lezi zimali zandisa ukukhiqizwa kwe-bile, zinciphisa ukubukeka kwayo futhi zibonakaliswa yikhono lokunciphisa ukuvuvukala. Zingaqokwa ngesikhathi sokuxolelwa kusuka ezinsukwini eziyi-14 kuye kwezingama-28.

Ezinye izindlela zokwelapha

Amanzi amaminerali azosebenza ngokulinganayo, aphendula ngokuthi angayiphatha kanjani i-cholecystitis ngendlela yabo. Ngokuya ngokwakhiwa kwazo, amanzi angavusa ukuthengiswa kwe-bubble. Amanzi ngaphandle kwegesi asetshenziswa enconyweni kadokotela kathathu ngosuku engilazini. Kuyadingeka ukukhiqiza lokhu isikhashana kusuka emizuzwini engama-30 kuye emahoreni angama-1.5 ngaphambi kokudla endaweni efudumele.

Uma ama-microliths akhona ku-bile, i-gall bladder hypotension, i-cholestatic syndrome ibonwa, khona-ke lezo zimo zifaka izidakamizwa ngesimo se-ursodeoxycholic acid izinyanga eziyi-1-3, kepha ngokuya ngokuhlolwa kukadokotela.

Ukuqinisekisa ukusebenza kwesibindi okujwayelekile, izidakamizwa ze-choleretic zisetshenziselwa ukuqina kwe-bile. Isibonelo, kungaba "yiHofitol" - umvikeli wesibindi wemvelo yezitshalo. Inokukhishwa okungamanzi kwamaqabunga enkambu ye-artichoke. Ithuluzi lisetshenziswa amaphilisi ama-2 izikhathi ezi-3 ngosuku imizuzu engama-20 ngaphambi kokudla okuhlosiwe. "I-Gepabene" nayo inganconywa - futhi kungukulungiswa kwamakhambi okwenziwe ngesisekelo sezithelo zobisi thistle kanye nokubhema okwelapha. Umuthi usetshenziswa i-1 capsule kathathu ngosuku.

Ngokuthuthukiswa kwe-vegetovascular dystonia, izidakamizwa zokuxilonga zisetshenziswa, isibonelo, i-Motherwort noma iValerian. I-Adaptol 500 mg izikhathi ezi-3 ngosuku izinyanga ezimbili inganconywa.

Regimen nsuku zonke kanye nokudla kwezokwelapha

Ngesikhathi lapho i-cholecystitis iqala ukungena esigabeni sokuxhamazela, udokotela uncoma ukuhlala esibhedlela eselaphekile noma i-gastroenterological hospital. Kubalulekile futhi ukugcina isikhathi sokuphumula kombhede nokuphumula okungokomzwelo. Ngemuva kokuba izimpawu ezikhonjisiwe seziqediwe, ukuphumula kombhede cishe kuzokwandiswa kube yinto ejwayelekile.

Ezinsukwini zokuqala emva kokuqala kwe-cholecystitis eyingozi, kubalulekile ukusebenzisa kuphela uketshezi olufudumele:

• itiye elimnyama elibuthakathaka;
• amajusi wezithelo, ahlanjululwe kahle ngamanzi abilisiwe noma ahlanziwe;
• imifino yemifino yokuhlushwa okuphansi;
• amanzi amaminerali ngaphandle kwegesi.

Konke lokhu kungadliwa ngevolumu ephezulu yansuku zonke efinyelela kwilitha elilodwa nengxenye. Ngokushesha lapho izinhlungu ziqala ukuncipha, odokotela batusa:

1. isobho lemifino elisuselwa emgodini;
2. okusanhlamvu okuphekwe emanzini (irayisi, i-semolina, i-buckwheat, i-oatmeal);
3. i-jelly, i-mousse noma i-cottage shizi yokuqukethwe kwamafutha aphansi;
4. inhlanzi ebilayo noma ebilayo;
5. abamhlophe abamhlophe;
6. inyama ebilisiwe noma ebanjiwe (inkukhu, unogwaja, ikalikuni).

Ukudla okunjalo kufanele kuthathwe ezingxenyeni ezincane okungenani izikhathi ezi-5 ngosuku.

Ngesikhathi sokukhulisa i-cholecystitis, kunconywa ukuthi wenze izinsuku zokuzila okungenani kanye ngesonto. Ngosuku olunjalo, imikhiqizo elandelayo ilungile impela:

• usuku ku-cottage shizi naku-kefir. Ukusetshenziswa kwe-kefir eyi-900 g kuchaziwe, okumele ihlukaniswe ngokuhlukaniswa oku-6 okulinganayo. Ngaphezu kwalokho, ushizi we-cottage shizi ongenamafutha udliwa ngomthamo ongu-300 g, ohlukaniswe izidlo ezi-3;
• usuku irayisi futhi compote. Ngezinsuku ezinjalo, kungenzeka ukuthi kudle ama-1.5 amalitha we-compote ngokusekelwe kumakhilogremu 1.5 wezithelo ezintsha noma ezingama-240 g ezithelo ezomisiwe. Phuza uketshezi izikhathi eziyisithupha. Ilayisi (50 g) kufanele libiliswe emanzini futhi idliwe ekukhetheni kwe-3.

Ngemuva kokuvimba inkambo yokusebenza kwe-cholecystitis, udokotela uzonikeza ukudla okuyisipesheli ngenombolo 5, okunconyelwe ukugula. Isiguli siyovunyelwa:

1. kudla imifino, ubisi, isobho lezithelo;
2. inyama ebilisiwe, umusi;
3. izinhlobonhlobo zezinhlanzi zolwandle noma zasemfuleni ezingenasikhumba;
4. amaqanda aphezulu ama-2 abilisiwe;
5. imikhiqizo yobisi engenawo fat;
6. imifino ebilisiwe noma ebhakwe;
7. izithelo namajikijolo;
8. okusanhlamvu okusanhlamvu;
9. imikhiqizo kafulawa ngendlela yesinkwa esomile.

Ungakhohlwa ukuthi noma yikuphi ukudla kufanele kuthathwe izingxenye ezincane. Lokhu kufanele kwenzeke kancane kancane izikhathi ezi-5 noma ezi-6 ngosuku. Ukuzila noma ukuthatha ikhefu elide phakathi kokudla akunconywa. Zonke izinsuku kubalulekile ukuba nesidlo sasekuseni esicebile, nesidlo sakusihlwa ngaphambi kwamahora ama-3 ngaphambi kwesikhathi sokulala esilinganiselwe, futhi hhayi okuningi.

Uketshezi oludliwayo awunakulinganiselwa, noma kunjalo, izingxenye ngokweqile zokudla ezithathwe ngasikhathi sinya kungaphazamisa isigqi se-bile secretion, futhi kungadala nemisebe yobuhlungu be-gallbladder kanye nobuhlungu.

Uma i-cholecystitis engapheli, ungangeza ukusetshenziswa kwaleyo mikhiqizo ezosiza ukuthuthukisa ukuphuma kwe-bile, kanye nemikhiqizo ekhipha i-cholesterol emzimbeni:

• i-bran, izithelo, amajikijolo, imifino (noma yiziphi izinhlobo ezinothile ku-fiber yokudla). Amagatsha kumele abiwe kuqala, abese efakwe ekwakhiweni kwezitsha zokupheka 1 isipuni kathathu ngosuku;
• i-buckwheat ne-oatmeal, izithelo ezomisiwe (konke lokho kudla okune-magnesium);
• uwoyela we-sunflower: ummbila, umnqumo, uwoyela we-sunflower (aqukethe ama-acid abalulekile wama-polyunsaturated acid);
• imikhiqizo yobisi (iguqula isimo sezempilo ngenxa yama-bacterium e-lactic acid).

Nge-cholecystitis, kunconywa kakhulu:

• ukusetshenziswa kokudla nezitsha ezinokuqukethwe okuphezulu kwamafutha ezilwane (inhlanzi enamafutha, inyama, inyama ebhemayo, amakhekhe, okhilimu, ukudla okuthosiwe);
• anyanisi, ugarlic, isipinashi, amakhowe, ama-legumes (ubhontshisi, uphizi), i-sorrel, isithombo;
• iziphuzo zezimboni, ngokwesibonelo, amajusi aphezulu kakhulu, ikofi, ukhukhunathi, ushukela obandayo, utshwala banoma yimaphi amandla.