Acalculous chisingaperi cholecystitis: kurapwa danho uye

Acalculous chisingaperi cholecystitis - ane kuzvimba nduru dundira pasina paumbwe matombo omunduru. chimiro ichi chinoita marwadzo zvakarurama hypochondrium uye dyspepsia.

In munda gastroenterology mungozi chisingaperi maronda pamusana pakati 5 kusvika 10% nyaya. Vakadzi, chisingaperi cholecystitis pasina matombo kunoitika munenge 4 nguva kakawanda. Avo ndivo nhamba. Vamwe vatsvakurudzi kutarirwa chisingaperi cholecystitis pasina matombo ave Transitional fomu nechirwere akadai remafuta akawandisa kalkulez. Asi, sezvo okurapa, varwere haangazodzingi kutambura cholelithiasis.

Zvinokonzera chirwere

The etiology chirwere hunobva zvirwere zvakasiyana-siyana:

• E. coli;
• enterococcus;
• aureus;
• Proteus;
• nemiti yakavhenganiswa mhando.

The kupinda mabhakitiriya kupinda gallbladder kuburikidza bowel kunoitika mumamiriro ezvinhu akadai:

• goiter;
• colitis;
• enteritis;
• chiropa;
• pfungwa nomuviri zvemwana asati.

Zvishoma kacho, hweHIV rakapararira kubudikidza node kana ropa kubva kutapuriranwa foci iri ari kure.

Somuenzaniso, utachiona pakanyenga zvirwere zvakadai:

• periodontal chirwere;
• mu chisingaperi tonsillitis;
• appendicitis;
• nemabayo;
• pyelitis;
• adnexitis.

By afunge zvinhu, izvo Activate kuti zvirwere urongwa, zvinosanganisira:

• cholestasis;
• biliary dyskinesia;
• nechisimba tupukanana akadai Giardia, roundworm, amoebae;
• sphincter dysfunction;
• kufutisa;
• dysmenorrhea;
• nokusarovedza muviri;
• zvokudya;
• kurukutika and said.

Acalculous chisingaperi cholecystitis kunosanganisira thickening uye deformation yacho gallbladder. The mucous Kamudzira anowana pajira riya chivakwa nokuti kuti humwewo atrophic dzinodiwa polyps kuti zvinoumba pazvirugu paukobvu.

Thickening kunoitika tsandanyama jasi. Rinooneka vanga fibrous tishu. Kana kuwanda kushoma angatanga pericholecystitis, kuonekwa adhesions pamwe nhengo iri munharaunda, abscesses, pseudodiverticulum.

kupatsanura zvirwere

Kukundwa ari chiedza, svikiro uye rinorema. The chirwere kunosanganisira kuvapo matanho matatu:

• kusembura;
• subsidence uye kusembura;
• yakatsiga uye kusagadzikana kanganwiro.

Acalculous chisingaperi cholecystitis anogona mberi pamwe zvazvo. Uyewo, chirwere monotone uye inoratidza.

Zvichienderana rwakadini kukuvara kusiyanisa yakaoma uye nyore chimiro echirwere cholecystitis nekalkuleznogo. Uyewo kusiyanisa kwese uye atypical chitarisiko. Zvapedzisira chimiro rakakamurwa intestinal, uye kardialgichesky ezofagalgichesky mhando.

Chirwere cholecystitis acalculous anozviratidza munzira dzakasiyana zvichienderana mwero lesion of gallbladder.

hosha sei mune munyoro?

Nokuti cholecystitis riri munyoro, vaine nguva pfupi kuti exacerbation, inotora mazuva 2-3. Vari kunyanya kushatiriswa zvokudya zvinovaka muviri uye nyore zvachose, pasi kudya kwakakodzera.

tembiricha General muviri ezvinhu Normal muviri kunowanikwa. Kuongorora kwakaratidza pasina dzichipfekeka vachivavhiringidza kuti chiropa, gallbladder uye rwatata. Zvidzidzo nemaziso zviri bile asingadi kuratidza chero abnormalities.

Sei avhareji chimiro?

With avhareji chimiro zvirwere zvakadai chisingaperi cholecystitis acalculous, kuregererwa uye kusembura kutsiva mumwe. Ya exacerbations ndiyo vhiki 2-3. Varwere kazhinji dzingaidza marwadzo uye akaratidza dyspeptic zvirwere. Kazhinji, mamiriro ezvinhu akadaro kunokonzerwa nokuziva nuna kudya kana nokudyisa. Mune zvimwe zviitiko, basa provocateur chakasimba kufema chirwere mabasa.

Sezvo kunoitika kune chisingaperi cholecystitis pasina mabwe? Zviratidzo zviri akasiyana-siyana. Panguva exacerbation wevarwere hapana kudya, akaderedza muviri uremu, kudhaka rinowanika runoratidzwa kuneta uye migraine. Inogonawo kunokanganisa kurwadza kwemajoini.

Vamwe varwere kuwedzera kurwadziwa zvakarurama repamusoro quadrant anganyunyuta ane patainzwa kurwadziwa kuruboshwe yepamusoro quadrant uye yokumusoro dumbu. Marwadzo rinowanzoshandiswa kureva mwoyo. Varwere ainetseka pamusoro kuda kurutsa, kupatirwa kana manyoka.

Murabhoritari kudzidza, bile akacherekedza kuwedzera uwandu madzihwa, leucocytes, remafuta akawandisa, bilirubinate Ca, bile munyu mune zvimwe zviitiko microlites. Zvinogonekawo kuona tusingaoneki.

In chenjera ezvinhu mune murwere kuziva kuchinja chiropa shanda nemiedzo. Kazhinji akaratidza mwero hypoalbuminemia, zvishomanana kuwedzera transaminase basa, kunyanya AJIT, mwero kuwedzera thymol uye basa alkaline phosphatase.

Maindex pakati Murabhoritari kuzviongorora chiropa vari muupenyu mune kanganwiro. Murwere anogona kunokanganisa kunzwa waziya chokumusoro mudumbu uye bloating pashure ingestion. Kazhinji, munhu ainetseka pamusoro kupatirwa kana manyoka.

Dyspeptic zviratidzo kuwedzera pamwe mafuta kudya kana zvinonyadzisa faibha. zvokudya kwakadaro kunogona kumutsa kusembura chirwere chacho.

How zvakakomba chimiro kunoitika?

Acalculous chisingaperi cholecystitis ari kwazvo chimiro dzinoratidzwa inoyerera kugara zvazvo pasina kanganwiro. The chirwere kupararira kunze gallbladder. Zvashandiswa chikuru chirwere akabatanidza chiropa mune chirwere chimiro, uye pfungwa nomuviri zvemwana asati.

Varwere vanotsutsumwa yokushaya kudya, kuramba kuda kurutsa, Kutambudzika repamusoro mudumbu. Dzimwe nguva dzinorwadza nezvekufadza vari shingles hunhu. Varwere akataura kunyatsoteerera kudya, iyo inotungamira uremu uye kuneta. Mune zvimwe zviitiko, pane sepsis mune chirwere chimiro.

The functionality of gallbladder zvikuru vasingadzoreki. Rusvingo muviri richikora. Kana avhareji mwero hepatic functionality iri zvishoma kuputswa, kana yakanyanya chirwere kazhinji kunooneka pacharo mune chirwere chiropa kana cholangitis.

Panyaya iyi, zvinotevera pezvakaitwa kutora nzvimbo:

• chiropa kunowedzera ukuru;
• nemuumbi kuderera serum sealbumin;
• wakawedzera globulin, chikamu chiduku uye wevasungwa zvachose bilirubin.

Pakuitisa Ultrasound ari mudumbu yakaratidza kuwedzera mutsinga dzinofamba nemukaka pamusoro nduru dundira, akazivisa "mira" nduru dundira, chisingaperi pfungwa nomuviri zvemwana asati pasi functionality rwatata.

Varwere kazhinji chokunyunyuta pamusoro dyspepsia, kuda kurutsa, uremu. Vakaona yakawedzera fecal vhoriyamu, steatorrhea, uye kreatoreya amylorrhea.

In zvakakomba chirwere kwakakanganiswa midziyo uye mwoyo, zvinoita sokuti dystonia, coronary insufficiency nokuchinja zvakakodzera pamusoro ECG.

Sezvo atypical chimiro Rwako?

Zvinonzi ichazivikanwa noku atypical muchimiro echirwere cholecystitis acalculous? Ainetseka sick kugara chirungurira, kufundumwara, marwadzo seri breastbone, inopfuura dysphagia. Kana intestinal mhando kuoneke marwadzo ari intestinal nzvimbo, bloating, kupatira.

Panguva mudiki echirwere cholecystitis pasina matombo zvakafanana rheumatism ari Isimba rakadini rinogona kubudiswa chimiro. Varwere chokunyunyuta pamusoro asthenia, marwadzo majoini. Auscultation kwakaratidza ungaderedza mwoyo kurira.

By atypical nzira chirwere zvinosanganisira lumbar uye piloroudenedalny mhando echirwere cholecystitis. Kana lumbar chimiro, varwere kuona kurwadziwa nomuzongoza. Muzviitiko zvakadaro, zvinoratidza mumwe X-ray pamusoro musana mbiru.

Symptomatology kardialgicheskoy fomu

chimiro ichi zvirwere tinoberekwa arrhythmias (extrasystoles) kana bhokisi marwadzo. Uyewo ECG kuchinja.

In pakati uye kukwegura kwakafanana rudzi cardiac angina kana coronary insufficiency, ruchiyerera ari chirwere chimiro. Varwere vanotsutsumwa kurwadziwa mumwoyo, tachycardia.

gastroduodenal chimiro

Clinic chisingaperi cholecystitis iyi nyaya afanane maronda chirwere kana gastroduodenitis pamwe yakakwirira kwevari gastric asidhi inotungamirwa. Varwere vanotsutsumwa kurwadziwa mudumbu usiku.

nzira nechirwere

On palpation zviri mudumbu munzvimbo nduru dundira pane soreness kuti kwakaipa kana kufema kana effleurage zvakanaka costal Arch.

Murabhoritari kudzidza, vakawedzera mwero tsunga:

• transaminases;
• alkaline phosphatase;
• γ-glutamyl.

Nokuti zvinokosha zvikuru chirwere nzira dzinosanganisira:

• Ultrasound;
• cholecystography;
• tseliakografiyu;
• holestsintigrafiyu;
• duodenal intubation.

Pachishandiswa ichangobva tsvakurudzo, unogona kutaura kusimba kushoma.

Typical kuchinja pachena panguva macroscopic dhigiri bile turbidity nokuvapo madzihwa uye flakes.

Nemaziso Kuongorora kwakaratidza rwakawedzerwa leukocyte count, bilirubin, mapuroteni, remafuta akawandisa, uye zvichingodaro. D.

Bacteriological kudyarwa bile nezvokumwe ayo microbial kasvisto.

Achibatsirwa holetsistografii Varwere kutambura nekuora cholecystitis acalculous Zvinofungidzirwa injini uye mumisasa functionality pamusoro gallbladder, ayo contours uye chinzvimbo.

Sonography anoona kuti deformation ari gallbladder, atrophic pezvakaitwa mu masvingo aro, gogonera womukati epithelium, kuvapo asiri homogeneous Gutsikana inclusions pakati bile dzisiri rekuchikoro kusachinja-chinja.

The differential chirwere rinoitwa pamwe biliary dyskinesia, chisingaperi cholangitis, maronda colitis nonspecific hunhu, uye Crohn chirwere.

kurapa nzira

It anobvisa chisingaperi cholecystitis pasina mabwe? Treatment Kazhinji kuitwa kuchinja. Doctors vanokurudzira kudya. Zvinokurudzirwa kubvisa kubva zvokudya mafuta uye zvakakanyiwa namafuta zvokudya, Spicy chikafu, nyoro uye zvinwiwa zvinodhaka.

Kana abdominal kurwadziwa yakarumbidza yaunodya kuti antispasmodics akadai "Platifillin" "Drotaverine" "Papaverine" and said.

Panguva exacerbation chirwere kana pamwe waro cholangitis zvinoshanda antibacterial kurapwa "cefazolin" "amoxicillin", "erythromycins", "ampicillin" "furazolidone" and said.

Nokuti normalization ari nemudumbu vari zano kutora "wokupembera", "mezim-forte", "Pancreatin".

Kuti uvandudze secretion pamusoro bile kazhinji unodzokera kugamuchira choleretic ( "Allohol" "Holenzim" "Oksafenamid").

Kuti vabatsire marwadzo enduru gallbladder kushandisa magnesium sulfate uye sorbitol.

Panguva imwe exacerbation kana kuregererwa here kuitisa nzira yokurapa nemishonga yemakwenzi. Tora decoction pamusoro chamomil, calendula, ruva, licorice, chemindi.

In kuregererwa akatakurwa tyubazh, kumwa chicherwa mvura, kurovedza muviri kurapa rinoitwa.

kuvhiya kupindira

Kana Kuvhiya inocherechedzwa nhoroondo nhoroondo chirwere. Chirwere cholecystitis acalculous kunoratidzwa deformation kwemasvingo ari gallbladder uye intractable kururamiswa cholangitis uye pfungwa nomuviri zvemwana asati kunoda kuvhiyiwa.

Muchiitiko chino, kuitwa kuburikidza pachena cholecystectomy kupindira laparascopy kana Mini kuwana.

Kushandiswa zvavo nzira

Sei zvimwe panobviswa acalculous chisingaperi cholecystitis? Folk mishonga Treatment anewo kunobatsirawo.

Used Midzi karamusi, valerian, sana Dried atwo St. vaJohani, calendula, yorukato, chibage, Mufurakisi mbeu. Chinhu here kushandisa limes, peppermint, Leonurus, chamomil, fennel, horsetail, rosehip.

Kana uchishandisa akakurumbira nzira iri chisingaperi zvirwere maruva uye immortelle elderberry phytotherapy vakawedzera.

phytotherapy

mushonga Mishonga kunosanganisira kushandisa coctail anotevera miriwo:

• Pion - 20 Rine mamiririta;
• valerian - 20 Rine mamiririta;
• boyaryshnik- 20 Rine mamiririta;
• chemindi - 20 Rine mamiririta;
• belladonna - 10 Rine mamiririta;
• motherwort - 20 Rine mamiririta;
• Calendula - 30 Rine mamiririta;
• gavakava - 20 Rine mamiririta.

In pamberi yemaziso belladonna inowedzerwa.

Drink turusi zvinofanira kuva pamusoro 1-8 anosiya katatu pazuva kwemaminitsi mashanu asati aizomupa miriwo kusvika 1 tbsp. marita dzemvura kwevhiki 4-6. Musanganiswa neiya inoiswa muzvinwiwa zvinodhaka Karamusi Inula wakabatwa zvakaenzana mari. Uyewo ukanwa 1-8 anosiya katatu pazuva kwemaminitsi maviri asati kugamuchira infusions wemiriwo 1 tbsp. l. mvura kwevhiki 4-6.

Zvinofanira kurangarirwa kuti kuunganidzwa Phytotherapy kwakabatana panguva dose pamusoro 0,00325, t. E. rechi14 dilution, uye anowedzera rimwe zuva 1-2 dzokupfuya vabudirire Zvakanyanya Kunaka Panguva Yepamuviri dose.

A dzakakodzera dose imwe chinokonzera chemanyoka chirwere, uye Ukuwo, akazoita mwero aripo zviratidzo. dose ichi chinobviswa panguva kosi, asi kana paine kusanzwa, zvinonzi kuderedzwa 1-2 dzakabatana.

mataridzikiro

Chii fungidziro kwezvirwere zvakadai chisingaperi cholecystitis pasina mabwe? Exacerbation pamusoro munyoro kunoitika chete neapo. The chirwere ane zvakanaka kosi. Kudzikira rikaitika achifanotaura kana exacerbation kunoitika kakawanda apo avhareji chirwere zvakaoma.

dziviriro

Preventative matanho vari akanyudzwa nenguva kurapa chirwere, kururamiswa pamusoro foci chirwere, kubvisa kuvhiringidzika tsinga, uyewo kudzorerwa dzose muviri. Unofanirawo kuchengeta yakarurama kudya, kurwisa intestinal helminth utachiona uye maronda.