Zviratidzo zveefa kurwisa gallstone chirwere. How kupa rubatsiro rwekutanga?

Vanhu kubva kare chinozivikanwa pamusoro gallstone chirwere (GSD). A kuwanda mabhuku uye nyaya vakazvipira chirwere ichi. Pasinei neizvi, vanhu vakawanda havazivi kuti rubatsiro mhando vanofanira kupiwa varwere panguva gallstone kurwisa. Ndezvipi zviratidzo yo iye anogona kuitwa kuti munhu, chii mishonga chingabatsira? Iyi mibvunzo inofanira wofunga.

Chii CL?

Kurwisa kuti gallstone chirwere (zviratidzo, rwekutanga munyaya ino) - zvikuru rinopisa nyaya, nekuti GSD vanowanzochema chirwere. Apo ainzi chirwere ari bile ducts uye gallbladder -wedzera matombo. Vane cholesteric uye ruvara. Wokutanga ndiwo rakajairika. Zvinoumba remafuta akawandisa mabwe rinosanganisira remafuta akawandisa, mucin, bilirubinate, phosphate, carbonate, uye calcium yakawanda palmitate, uye zvimwe zvinhu.

Ruvara Mabwe rakakamurwa dema uye shava. Black mamiriro kunyanya zvinowanikwa gallbladder. Vari aumba kubva bilirubinate calcium nedzimwe yeimwe bilirubin, karusiyamu carbonate uye phosphate munyu, mucin, zvimwe zvinhu. mabwe Brown kazhinji dzakaonekwa ari bile ducts. zvivako izvi vanoumbwa calcium munyu pamusoro unconjugated bilirubin chete kwebasa rinofanira remafuta akawandisa, mapuroteni.

zvinokonzera njodzi

Kurwara umo Zviratidzo zvinogona kuratidza kurwisa gallstone chirwere, kunoitika nezvikonzero zvakasiyana-siyana. Mumwe zvinokonzera njodzi - womusikana. Nhamba dzinoratidza kuti vamiririri rakaisvonaka hafu vanhu inonzi chirwere kunoitika zvikuru kakawanda kupfuura vanhu. Chimwe hakukoshi ngozi - zera. Matombo omunduru zvinowanika vanhu vazhinji shure kwemakore 60.

Vakakurumbira basa yakawedzera kakawanda cholelithiasis anoridza kufutisa. Pane zvakare vakafutisa vanhu anobudiswa bile supersaturated pamwe remafuta akawandisa. Chimwe chinokosha zvikuru - pamuviri. Vakadzi vari munzvimbo, anowedzera padanho inonzi estrogen. Nokuda kwaizvozvi, izvozvo inowedzera secretion kuti remafuta akawandisa ari bile.

Zvimwe zvinokonzera njodzi, nokuda iyo pane gallstone chirwere (kurwisa) vari:

• nokukurumidza uye chinokosha kuderera uremu muviri;
• chirwere cheshuga;
• parenteral zvokudya ;
• intestinal zvirwere;
• shandisa nomumukanwa pamuviri.

Asymptomatic uye chirwere chemanyoka fomu

Vamwe vanhu vari munduru dundira mabwe, asi vanorwara panguva iyoyowo regai kuita chinhu kunyunyuta. Ichi chimiro chirwere chinonzi asymptomatic (Isimba rakadini rinogona kubudiswa). Nyanzvi haazvirangariri sezvo nguva kuitika GSD Chokwadi, maererano nenhamba, vanenge 10 kana 15 makore, 30-50% vanhu vanoona zviratidzo chirwere uye matambudziko.

Chimwe chimiro gallstone chirwere - manyoka. Sick vanhu chokunyunyuta pamusoro dzichipfekeka zvirwere zviri nemudumbu basa. Waunowana zvinotevera zviratidzo (zvaitika, kazhinji pashure zvokudya, kunyanya kana wanga kudya fried, mafuta, Spicy zvokudya, doro):

• kunzwa Kutambudzika epigastric nezvakarurama yokumusoro quadrant;
• shungu manakiro mumuromo;
• chirungurira;
• zvakawandisa gasi kuunganidza ari ura;
• kusagadzikana chair.

Chiropa (bile) colic

Asymptomatic uye despepticheskaya chimiro gallstone chirwere havasi voga. Nyanzvi wo oga chiropa (bile) colic. Izvi ndicho kunotoda chimiro chirwere. Zvinonzi chirwere muna 75% zviitiko vanhu kutambura kubva gallstone chirwere.

Nokuti chiropa (bile) colic inozivikanwa pakarepo kunoratidzwa idzokororo zviratidzo uye kurwisa cholelithiasis. Mune vamwe varwere, zvaitika nokuti zvokudya zvisina kunaka uye kurovedza muviri. Vamwe vanhu havakwanisi kuziva ude. Pfari vanotanga usiku, panguva hope.

Zviratidzo gallstone kurwisa

Kurwisa hosha kunoratidzwa marwadzo. Kazhinji, rinenge vemunyika vari epigastrium, dzimwe nguva ainzwa munzvimbo yacho xiphoid muitiro. Possible irradiation kwokurwadziwa iri rorudyi kana ari rorudyi chipasa. Kusanzwa kuchinyanya uye hunhu angava akasiyana, kuboora, kurovererwa, cramping.

Kuwedzera marwadzo, pangava kuva kufungira zviratidzo zvakadai kuda kurutsa, kurutsa pamusoro bile, izvo haiunzi zororo. Zvisinei, zvinofanira kucherechedzwa kuti zviratidzo izvi zveefa kurwisa gallstone chirwere hadziwanzowaniki zvakakwana. Ivo dzinoitika vashoma vanhu vanorwara.

On ongororo, nyanzvi dzinoti zvinotevera zviratidzo chinangwa varwere vavo:

• kufunganya, wokusagadzikana (vanhu vanorwara kumhanyira kumativi uye kuedza kutora chinzvimbo umo marwadzo vangadai ichidzokera);
• yakawedzera kwemwoyo kune anorova 100 paminiti;
• rurimi nyoro, zvemapuranga unhani whitish Hue;
• Bloating, hafu yaro zvakarurama shure achiita kufema;
• percussion uye palpation pakati mudumbu vanhu chokunyunyuta pamusoro marwadzo zvakarurama hypochondrium.

Nguva uye kakawanda kurwiswa

Marwadzo vanhu vachitambura kubva gallstone chirwere, kunoitika nokukurumidza. nepfari nguva zvingava maminitsi 15 kusvika maawa 8. Dzimwe nguva marwadzo uye vakatambudza kwemaawa 12. Izvi zvinoitika kukura rikwanise cholecystitis. Kana Kumbonetswa chirwere chapfuura, marwadzo nokupera. Tinogona chete kusingafadzi kunzwa mudumbu.

Periodicity kurwiswa panguva chirwere nomumwe. Mune zvimwe vanhu zviratidzo varwere biliary colic kunogona kuitika zuva nezuva, wechipiri - kamwe pavhiki, panguva yechitatu - kamwe pamwedzi. Very kashoma imwe chete marwadzo kurwisa.

rubatsiro First

Kana uine chinhu zviratidzo ane kurwisa gallstone chirwere, zvakakodzera kutsvaka zano dzokurapa pakarepo. Pamberi murwere vanofanira kushanyira nyanzvi kupa rubatsiro rwekutanga:

• zvinopa zororo (akakurudzira pamubhedha);
• kupa mvura Bhodhoro (chinofanira kuiswa kurudyi hypochondrium);
• kupa kugeza nemvura inodziya.

Panguva kurwisa gallstone chirwere anobvumirwa kupa mishonga: antispasmodics ( "Drotaverinum" "No-Spa") akabatana analgesics ( "Spazmalgon", "Baralgin"). Uye anogona kumirira chiremba nokukurumidza. Mazvikokota vachakuudza sei kubvisa kurwisa, kuzozivisa mishonga zvakafanira panguva dose rinotsanangurwa:

• "Nospanum" (2 Rine mamiririta intramuscularly);
• "Papaverine", 2% (2 Rine mamiririta intramuscularly);
• "Baralgin" (nomutsinga 5 Rine mamiririta);
• "Atropine", 0.1% (1 Rine mamiririta subcutaneously).

For Zviratidzo zveefa kurwisa gallstone chirwere anogona kuvanza mamwe mamiriro ngozi. Kuzosimbisa chirwere kunodiwa kuti uwane kuongorora ropa, Ultrasound kana fluoroscopy. Zvinotevera mabasa chichaitwa pamberi nyanzvi yechipupuriro;

• rokuchenesa bile ducts;
• kuvhiya kubviswa aivapo mabwe, gallbladder.

simba Features

Kurwisa gallstone chirwere, zviratidzo, kurapwa rinozikamwa ose gastroenterologist, kwete makuhwa zvaizivikanwa vanhu vazhinji. Zvisinei, zvose hazvina vari kufunga pamusoro dziviriro. The kudzivirira panowanikwa gallstone chirwere acharwisa wandei rubatsiro achava kuchinja kwako daily Muterere.

Chekutanga, zvinokosha kusiya mukuru-utsotso kwemafuta. Nokuda kwokushayikwa okutambirwa bile kwakaderedza zvakananga basa enzayemu - lipase. Izviwo, zvinotungamirira murombo kugaya uye kuitwa kwemafuta. Vanhu vanonzwa marwadzo, chinyamunhari chinorwadza, bloating. Achirega chete ruomba mafuta muriwo.

Chechipiri, kubvira Muterere wayo siya rye chingwa, howa, pizi, bhinzi, nzungu, gorosi, Chocolates, kofi, but, chikanywa. zvokudya izvi zvinokonzera kusemburwa, nekuti kugaya dzavo zvinoda voltage pakati enzayemu mugadziriro dzemuviri.

Tips varapi

Sand uye Mabwe akaumba ari gallbladder, bile kupindira kuipa ndiwedzere, kushandura mashandiro ayo chiito. Nokuti kurapa uye kudzivirira azvaiitwa varapi angarayira zvokuita. The Kurwisa inogona kudziviswa:

1. Kuonekwa namafuta omuorivhi. chigadzirwa ichi chinobatsira kuti rikurumidze kurwadziswa matombo mumuviri yomukati. Folk varapi vanokurudzira zuva, ndisati ndarara, tora 1 tbsp. l. mafuta uye kunwa muto kusvinwa kubva hafu ndimu. Duration pamusoro pevairwara chingamubatsira kungava 1 vhiki. Panguva ino zvakafanira kuomerera miriwo, regai kuputa, usanwa doro, kofi, regai kudya zvokudya rinokonzera flatulence.
2. Inwa mishonga decoction. nokuchengeta First kubva mindi, chamomil uye immortelle mu nhamba 2: 1: 1. Ipapo brewed 1 tbsp. l. muvhenganiswa muna 0.5 litres mvura inopisa. mishonga akapiwa vakaramba yakaderera kupisa kwemaminitsi 30. Ready muto Sefa uye kunwa 0.5 nemikombe kanokwana pazuva, nehafu yeawa pamberi kudya.
3. Kutsanya kudya ndimu nokuda 3 days. muchero uyu akasvuura uye achipfuura ari nyama mukuyi. The zvichiguma muvhenganiswa chakawedzerwa maawa 0.5. L. mushaba.

Saka, iwe wava kuziva kuti kurwisa uku gallstone chirwere. Zviratidzo, rubatsiro rwekutanga - ndicho chinhu kuti anofanira kuziva vose, nekuti hakuna yakachengeteka kubva chirwere. Uyewo usakanganwa kuti panowanikwa gallstone kurwiswa zvinogona kudziviswa. Kudzivirira kunofanira kusanganisira kuomerera ndaisagona kudya, zvinoderedza kana kubviswa kurega kunotanga kubva bile ari gallbladder (kurwa adynamia, kakawanda zvokudya), nokukurumidza kurapwa kuti zviripo chisingaperi zvirwere.