Zviratidzo cholecystitis vakadzi uye kurapwa. Chirwere cholecystitis vakadzi: zviratidzo uye kurapwa, kudya. Exacerbation echirwere cholecystitis

With marwadzo zvakarurama repamusoro quadrant yakatarisa yakawanda vanhu vachinge vafamba chinhu-gore 30. Saka zviratidzo zvakadaro kazhinji kuitika mushure mabiko, waimira zvakakangwa, mafuta zvokudya, zvokunwa. Achiona ane zvakawanda zvive, anogona vakafungira cholecystitis. Zvisinei, kazhinji, kuti zvokurwara kunokwanisa kuonekwa netsaona munguva ongororo. Zvinonzi akacherechedza kuti vakawanda akaona zviratidzo cholecystitis vakadzi. Izvi zvinobatsira kuti zvinhu zvizhinji.

Zvinoitwa chirwere

Chii chinonzi chirwere ichi? It is kushoma kuti rikaitika gallbladder. muviri Izvi vemunyika zvakarurama repamusoro quadrant. Ndokusaka, kana akanaka pabonde pane marwadzo munharaunda, zvinokwanisika kuti vanofungidzira kuti izvi zviratidzo cholecystitis vakadzi.

Nduru dundira rinoungana bile zvinoberekwa chiropa. chakavanzika ichi chinokosha ducts iri duodenum uye rinobatanidzwa kugaya zvokudya. Kana sphincter uye huta parasympathetic ezvinhu vari kushanda zvakanaka, ari bile kunoita chete imwe chete.

Asi kana somugumisiro zvimwe zvirwere inomuka asynchronous nokushanda sphincters, chakavanzika chinobuda mu azere dundira kuchiita marwadzo uye kumanikidzwa. It Kazhinji nokukanda zviri ura kunyika ducts. Kazhinji ndiwo, rine utachiona kuti chinopinda pachena kupinda bile, zvichitungamirira ayo kuzvimba.

The mashandiro kuti kukura zvokurwara hwakajeka. Zvino funga nei paine cholecystitis zviratidzo vakadzi, chii chiri kukonzera zvokurwara?

The zvinokonzera chirwere

Saka, chikuru chinhu okukura chirwere - ndiwo kupinda chirwere kupinda dundira.

Kazhinji ichi mamiriro ezvinhu zvinosiyana zvinotevera:

1. A-siyana kuzvimba munzvimbo gastrointestinal munharaunda. Zvinogona zvokurwara kuitika chakasimba, chisingaperi pechikuva. Kazhinji, cholecystitis kungaita kuti enterocolitis, pfungwa nomuviri zvemwana asati, dysbiosis, appendicitis.
2. Anogumbura zvirwere dzokubereka nadzo. Kazhinji cholecystitis Zviratidzo vakadzi chinokurwadzai zvirwere zvakadai adnexitis.
3. Chiropa chirwere wanda.
4. Parasitic infestation munzvimbo yacho biliary turakiti. Hwaro chirwere anogona nhema giardiasis, ascariasis.

A chikuru basa kukura zvokurwara kutamba zvimwe zvinhu:

1. Dyskinesia pamusoro biliary ducts. With chirwere ichi pane kurega kunotanga kubva bile, anotanga kubuda kwayo.
2. Pancreatic reflux. zvokurwara ichi, umo zviri ura zvakare ugokandwa ducts. Somugumisiro dundira rusvingo kubudikidza makemikari ose pancreatic muto uye hunenge.
3. Vachiberekwa anomalies. Tiri kutaura nemamiriro wacho sefuro. By zvokurwara kungaita partitions siyana, eChechi muviri ichi.
4. Kweropa kusagadzikana dundira. kiriniki iri kungakonzera zvirwere: BP, chirwere cheshuga, atherosclerosis. The mberi zvirwere izvi kunoratidzwa kuderedza pamusoro vascular lumen.
5. Diskholiya. Chirwere, iyo chacho chete Zvinoumba bile uye dundira rusvingo kukuvadza kunoitika. Bhowa kiriniki kunowanzokonzera Kudya kukodzera (kunyanya muropa kwemafuta kana monotonous kudya).
6. Chisimbwa, immunological siyana.
7. Kwemakemikari anobudiswa hunhu. Cholecystitis zviratidzo kazhinji dzinoitika vakadzi kutora nemumuromo pamuviri. Mukuwedzera, zvinokonzera chirwere ave mugari kumwedzi, kufutisa uye pamuviri.
8. Enhaka chikonzero.

mhando chirwere

Zvokurwara zvichienderana kuerera angava:

1. Chenjera. The chirwere kukura pamusoro mashoma kana maawa. It kunoratidzwa raidudzwa zviratidzo. Izvi zvokurwara iri chiitiko nenguva kuwana mishonga anotora zvikuru zvakanaka.
2. Chisingaperi. Kana chenjera chimiro chirwere haina kupiwa ruremekedzo kana chirwere zvakanaka zvakaipa, murwere ari kukura Danho ichi. Chirwere kunogona asymptomatic. Anovandudza kazhinji zvishoma nezvishoma. Special nzeve kunofanira chisingaperi cholecystitis (Zviratidzo neMarapirwo). Diet kukonzera mukurwisa chirwere.

Chirwere cholecystitis inokamukana:

• nokuti usimbe (Isimba rakadini rinogona kubudiswa);
• idzokororo;
• purulent maronda.

By kuvapo concrements with fomu 2:

• acalculous (pasina cholelithiasis);
• calculous.

For chisingaperi dzinoratidzwa tsoka:

• kanganwiro;
• exacerbation.

Saka, funga zvinhu chirwere ichi sezvo chirwere cholecystitis. Zviratidzo neMarapirwo, kudya uye ekudzivirira chirwere dzinoturwa pazasi.

Clinical zvinoratidza chirwere

Very akazivisa chenjera kurwisa cholecystitis. Zviratidzo kwese nokuti chimiro ichi:

• marwadzo dzinokwanisa kuipa pashure kudya zvokudya;
• kurutsa;
• manyoka zvingaitika;
• shungu kana esimbi kuravira mumuromo;
• hyperthermia.

Zvisinei, kuti rikwanise chimiro chirwere akawanikwa chete kuzvimba dundira. A mufananidzo siyanei ari kuchengetwa kana murwere chirwere cholecystitis. Zviratidzo zviri chirwere chimiro ichi zvisinganyanyi raidudzwa. Zvisinei, pamusoro pamadziro nduru kuona atrophic uye sclerotic kuchinja. Changing makemikari omuviri maitiro bile.

Cholecystitis nekusangana zvinotevera Zviratidzo vakadzi (Photo zviratidzwa yakadaro risingafadzi state):

• kuvapo marwadzo munharaunda rwerudyi hypochondrium;
• kusagadzikana zviri dzinowedzerwa pashure kudya mafuta zvokudya;
• inovava uye kuoma iri nemumuromo mhango mangwanani;
• nenguva dzirikure panowanikwa svoto;
• bloating;
• kashoma zvokunwa chetsoka.

Kurwadziwa nezvirwere hakuna iziviswe sapanguva rikwanise chimiro. Chinowanzoonekwa se kusanzwa akapfeka achirwadza, mikukutu hunhu. Mune vamwe varwere, pane kugara, inonetesa marwadzo. Other varwere tatarisana chakasimba zvinoratidza chirwere, yokuvamba kazhinji pashure rinorema nokunwa zvokudya zvakaipa. Muchiitiko chino, zvingaita kunyange kuzviratidza biliary colic.

Zviratidzo zvirwere exacerbations

Kuyerera mune chirwere murefu nguva pane kurwisa cholecystitis. Zviratidzo Panguva iyi zviri chaizvo rakafanana rikwanise chimiro chirwere. Nokuti mamiriro ichi kunoratidzwa zvakafanana zvinhu uye kuratidzwa yomunzvimbomo kuti chiratidzo kuzvimba dundira.

On exacerbation echirwere cholecystitis zviratidzo anoratidza zvinotevera:

• akazivisa zvakawanda zvive;
• hyperthermia;
• kakawanda kupatira;
• kurwadziwa nemusoro;
• kungava itchy.

Pamwe chete kiriniki pane zviratidzo vemo. Vanewo kuzivikanwa exacerbation echirwere cholecystitis.

Zviratidzo vakadaro vakacherechedza:

1. Pain. Zvinogona kuva nemwero kana zvakanaka unopinza. Vemunyika kusagadzikana munyika yokumusoro mudumbu, kazhinji zvakarurama repamusoro quadrant.
2. Kusingafadzi manakiro pamuromo. Murwere vanogona chinovava kana esimbi kuravira kunyunyutira. Ane dzvova mhepo, kuda kurutsa. Murume uchinetswa flatulence. Kazhinji hapana zvemamiriro bowel kufamba kazhinji humwewo pamwe manyoka, kupatira.
3. A kunzwa waziya munzvimbo rworudyi hypochondrium.
4. The panowanikwa hope, kunyanya kugumbuka.

Kuwanda marwadzo kunoenderana pamberi matombo dundira. Kana calculous cholecystitis kusagadzikana dzinoratidzwa unopinza, hunhu zvikuru. For acalculous chirwere hwokuratidza achirwadza, patainzwa marwadzo, zvakanyanyisa kuneta murwere. Kusagadzikana anokwanisa tichiratidza kwete chete zvakarurama repamusoro quadrant. Kakawanda, anopa rwake rworudyi ruoko, papfudzi reza.

Chirwere paroxysmal abnormality kunoitika. akazivisa Zviratidzo panguva exacerbation. Mushure kurwisa, zvose zviratidzo chirwere kuserera. Kunouya kanganwiro. Panguva ino, murwere anodavira kuti anoporeswa chirwere uye zvinoitika zviratidzo kwete vachadzoka. Zvisinei, kufunga kutyora zvataidya, kunyanya mutoro, hypothermia, doro anogona zvakare kutungamirira kurwiswa.

yematambudziko chirwere

Hatifaniri kuregeredza nezviratidzo cholecystitis. Zviratidzo zvinounza kusagadzikana murwere, - chiratidzo muviri tinoda pokugara kurapwa.

Refu basa kungaita kuti kukura zvakakwana zvakakomba yematambudziko:

• cholangitis;
• paumbwe imwe fistula mudumbu, hepatic flexure, duodenum;
• reactive chiropa;
• "Shutdown" dundira (nduru haachatyi anoita kwayo basa iri vhoriyamu yakakwana);
• periholedohealnomu lymphadenitis (kuzvimba ikabuda iri bile mutsinga dzinofamba nemukaka);
• dundira empyema (purulent kuzvimba);
• bowel mhingaidzo;
• neronda rinonyenga of nduru pamwe veMubatanidzwa peritonitis;
• perforations (dhudhumira pakumedura).

kuongorora chirwere zvirwere

Zvakakosha chaizvo, kana chirwere cholecystitis zviratidzo zvinochengetwa vakadzi, bvunza chiremba.

Zvinotevera mabasa kunze nokuti chirwere:

• Nhoroondo zvokurapa;
• Kuongorora murwere;
• rabhoritari miedzo;
• paku zveBhaibheri.

Pakutanga, chiremba muchakumbira zvakadzama sei, chii Zviratidzo murwere kuitwa, sei kare neakatanga, zvokuti rinowanika. Doctor ongorora murefu kuvapo kwezvirwere zvakadai cheshuga, gastrointestinal zvirwere, hepatitis. Akati kana paiva chirwere dzakadaro chero hama.

Munguva vakaongorora pfungwa inobhadharwa kuti zviratidzo zvinoratidza kuvapo chirwere:

1. tsandanyama kuchengeteka chinhu. Murwere it kuti abdominal tsandanyama kudzivirira munhu mudumbu kurwara.
2. Panguva palpation marwadzo kunowedzera zvakarurama repamusoro quadrant.
3. Tapping kodzero costal chematenga achiperekedzwa kusanzwa.

The murwere ushandiswe rabhoritari nzira:

1. Blood bvunzo.
2. A kudzidza pamusoro pamberi mumuviri nehepatitis wanda.
3. Blood nemakemikari omuviri. Ongororo iyi chinodzidzisa chete pashure achirwadziwa kwenguva pfupi colic.
4. Kuongorora kuti mafuta lipid muviri.
5. Coprogram.

Kuti tizive cholecystitis yakarumbidza zvokushandisa zviitiko zvakadaro:

1. Ultrasonography of peritoneum.
2. Upper endoscopy. The kuongorora kunotibatsira kudzidza mamiriro yegurokuro, duodenum, dumbu. Munguva yokudzidza, kuti biopsy chinobviswa.
3. Bani radiography of peritoneum. Inoburitsa pamberi matombo dundira, asi avo kuti ane karusiyamu chete.
4. CT. The kuongorora kunoita kuti uwane tinyatsonzwisisa mamiriro zvomukati. Achibatsirwa chidzidzo ichi zvinoratidza havaratidzi padzakacherechedza bundu compressing ari bile ducts.
5. Holetsistoangiografiya. Izvi X-ray Diagnostics, umo pasi Ultrasound kudzora chikwata vaitiridzira pfuti dzakawanda. Yakadaro kuongorora kunoitika nokushandiswa radiopaque fuma zvekupfakira ducts.
6. Retrograde cholangiopancreatography. Kushandisa chaiyo mudziyo - duodenofibroskopa iyo chinotarisirwa kubudikidza muromo kusvika duodenum murwere, chiremba anotanga bile nzira radiopaque fuma. Izvi zvinobvumira kuti rione matombo kana mutsinga dzinofamba nemukaka constriction. Panoongororwa zvipingamupinyi zvakadaro chiremba anoita endoscopic pokuvhiyiwa, anobvisa zvipingamupinyi.
7. MR. Kudzidza anosarudza usingaonekwi X-ray uye Ultrasound kuchinja dundira masvingo akapoteredza nenyere.
8. Hepatobiliary scintigraphy. Kuzviongorora chiropa uye biliary turakiti, iyo inechirevo kushanda nadzo uye locomotor kwebasa ducts.

Kurapa chirwere iri rikwanise chokutambudzika

kurapwa nzira kuvimba zvachose chii vane zviratidzo cholecystitis vakadzi. Treatment echirwere nezvirwere rekukangamwirwa yakasiyana chaizvo kutamburira pamwe chirwere panguva exacerbation.

Kana murwere ane kurwisa, mishonga nechinangwa noWokumusoro zviratidzo uye kuzorodzwa hosha pathogenic siyana. Kuregererwa kurapwa kunosanganisira kudzivirira dzokororo.

Drug Kutemeswa chisingaperi cholecystitis panguva rikwanise kurapa anobva zvinotevera mishonga Formulations:

1. Mishonga: "Erythromycin", "Doxycycline", "Ciprofloxacin", "Biseptol", "Furozolidon", "metranidazol", "Oxacillin".
2. Antispasmodics "papaverine", "Pitofenone", "Drotaverinum", "Platifillin".
3. Bile zvigadzirwa: "Sorbitol" "Nicodin", "Allohol", "Tsikvalon".
4. NSAIDs: "Baralgin", "spazgan".
5. Propulsanty (zvinodhaka izvo zvinoita motility), akadai "domperidone".
6. Antiemetics, "Reglan", "Promethazine".
7. Polyenzyme mishonga, "wokupembera", "Pancreatin".
8. Kunyaradza zvinodhaka: valerian tincture, motherwort.

mukurumbira chaizvo mukurwisa chirwere cholecystitis inahwo chiitiko chakadai tubeless tyubazh. Chaizvoizvo Its kunoratidzwa pakushambidza ducts, kunoteverwa kweiyi bile secretion kwacho.

kurapa cholecystitis

Panguva kuregererwa kurapwa chinosanganisira:

• zvataidya mishonga;
• choleretic mishonga kushandiswa, "Holenzim", "Lioba", "Allohol", "Flamen", "holosas", "Holagol", "Olimetin", "Rozanol";
• physiotherapy (inoshanda kurapwa: balneotherapy, inductothermy, electrophoresis "novocaine").

Uyewo, iva nechokwadi murwere inokurudzirwa kana pane zvirwere zvakadai chisingaperi cholecystitis, zviratidzo, zvokudya.

Kana kuziva calculous chirwere murwere itungamirirwe vakaronga cholecystectomy. Kuvhiya uku, panguva iyo sefuro chinobviswa.

haushandi chikafu

Pasinei chimiro aibuda, chinhu chinokosha kuti vabudirire kurapwa. Naizvozvo, varwere vose inokurudzirwa (nayo haambotauri kurwadza unhu hwakadaro nehosha, rinonzi cholecystitis zviratidzo) zvokudya.

Kana maperembudzi basa patafura nhamba 5. Of zvikuru kucherechedza ndiyo kusembura kuti cholecystitis.

Zviratidzo, uchimhanya murwere, zvinoda kwete chete kurapwa, asi chinja zvokudya:

1. Panguva akangokudenha, unofanira asike zvinhu maximally anorura zvomudumbu turakiti. Kuti izvi zvidaro, mazuva maviri okutanga vanachiremba kubvumira murwere kunwa zvinwiwa chete. Nokuti chinangwa ichi, zvakakodzera non-carbonated chicherwa mvura, asiri acidic bheri uye muchero facial rakasanganiswa yakabikwa nemvura hafu. Kubatsira murwere muto muhudyu.
2. Sezvo Kurwadziwa kwacho kwakazopera kusagadzikana murwere anobvumirwa kuenda mberi kudya pureed zvokudya. Munhu yakarumbidza mucous zviyo, soups (mupunga, O, semolina), bheri zvibereko (inotapira hazvo) mango, mondo, jellies. Zvisinei, zvokudya apere zvishoma kuitira kuti kumutsa zadzisa pamusoro zvomudumbu hurongwa. Zvakakosha chaizvo zvokudya. Food vanofanira chete kutorwa imwe nguva.
3. Zvadaro, muna murwere Kudya yakaderera-mafuta koteji chizi kunobatanidzwa, yakabikwa hove, nyama chiutsi. Pachii kushandiswa croutons dzechingwa chichena.
4. Mushure memazuva 5-10 mushure kurwisa, murwere nokungwarira kune rimwe Mishonga tafura nhamba 5a.

Varwere vanofanira kuva wainyatsoziva kuti cholecystitis - iri kurwara chaizvo. Kuchengetwa kudya zvinovaka muviri kunoita zvikuru nokukurumidza kuti vamuuraye. Diet nechinangwa achidzikisa acidity uye bile.

Nyanzvi, mabasa kudya zvinovaka muviri kuti varwere kutokurudzira zvinotevera:

1. Vasiye fried, kunyanyokwidziridzwa mafuta zvokudya.
2. Vakira zvaunodya pamusoro zvakabikwa, yakabikwa, ine muto zvokudya.
3. Musatora zvakare inopisa kana kutonhora chikafu.
4. Usanyanya kunwa yezvinonhuhwira uye chikanywa.
5. Idya kazhinji, asi zvikamu zviduku.
6. Mukanyatsochengeta murayiro zvokudya - kudya zvokudya panguva imwe chete nguva.
7. Ipa kupfuura miriwo uye dheri zvokudya. Fiber mukuru normalizes chirongwa defecation uye zvokonzera motility. Mukaka unokubvumira kudzorera muviri asidhi-alkaline mwero.
8. Strong tii, kofi isina inokurudzirwa kushandisa.
9. Kudya mazai hazvifaniri anopfuura 2-3 pavhiki. The mondo nani siya.

Uyezve, varwere vanofanira tikanwa zvinwiwa zvakawanda. The zvigadzirwa yakakwirira mune mafuta uye remafuta akawandisa, zviri zvinodiwa kubvisa zvachose zvaunodya.