Acalculous kullum cholecystitis: magani mataki da kuma

Acalculous kullum cholecystitis - wani kumburi da gall mafitsara ba tare da samuwar gallstones. Wannan nau'i sa jin zafi a dama hypochondrium da dyspepsia.

A fagen gastroenterology a kan gungumen azaba kullum raunuka asusu domin tsakanin 5 zuwa 10% na lokuta. A mata, na kullum cholecystitis ba tare da duwatsu ya auku a game da 4 sau fiye da sau da yawa. Waɗancan ne statistics. Wasu masu bincike zaton na kullum cholecystitis ba tare da duwatsu a matsayin tsaka-tsakin sifa da irin wannan cuta a matsayin cholesterol kalkulez. Amma, kamar yadda likita yi, marasa lafiya za su daina fama da cholelithiasis.

A Sanadin cutar

A etiology da cutar dogara ne a kan daban-daban cututtuka:

• E. coli.
• enterococcus.
• aureus.
• Proteus.
• Flora na gauraye da irin.

A shigar azzakari cikin farji daga kwayoyin cuta a cikin gallbladder ta cikin hanji yakan faru a cikin yanayin kamar:

• goiter.
• colitis.
• enteritis.
• hepatitis.
• pancreatitis.

Kadan fiye, kamuwa da cuta daga baza ta cikin Lymph ko jini daga cututtuka foci located mugun.

Alal misali, da kamuwa da cuta shimfidawa a cututtuka kamar:

• periodontal cuta.
• a kullum tonsillitis.
• appendicitis.
• ciwon huhu.
• pyelitis.
• adnexitis.

By sa dalilai, wanda kunna dauke da kwayar cutar matakai, sun hada da:

• cholestasis.
• biliary dyskinesia.
• mamayewa na parasites kamar Giardia, roundworm, amoebae.
• sphincter tabarbarewa.
• kiba.
• dysmenorrhea.
• jiki rashin aiki.
• tamowa.
• burnout et al.

Acalculous kullum cholecystitis ya shafi thickening da nakasawa daga cikin gallbladder. A mucous membrane yakan mallaki raga tsarin saboda gaskiyar cewa a madadin atrophic yankunan da polyps cewa samar m folds.

Thickening auku murdede gashi. Yana bayyana tabo fibrous nama. Lokacin da na ruwan dare na kumburi tsari zai iya ci gaba pericholecystitis, ya bayyana adhesions da gabobin dake a cikin unguwa, abscesses, pseudodiverticulum.

rarrabuwa na cututtuka

Shan kashi ne mai haske, matsakaici da kuma nauyi. Cutar ya shafi gaban matakai uku:

• ƙarin tsanani.
• subsidence kuma ƙarin tsanani.
• barga kuma m gafarta musu.

Acalculous kullum cholecystitis iya ci gaba da komowan cutar. Har ila yau, cuta ne monotone da intermittent.

Dangane da irin nisan da lalacewar rarrabe tsakanin rikitarwa da kuma uncomplicated nau'i na kullum cholecystitis nekalkuleznogo. Har ila yau a rarrabe tsakanin hankula da kuma atypical bayyanar. A karshen nau'i ne zuwa kashi hanji, da kuma kardialgichesky ezofagalgichesky irin.

Bayyanar cututtuka na kullum cholecystitis acalculous bayyana kansu a cikin hanyoyi daban-daban dangane da mataki na rauni daga cikin gallbladder.

Ta yaya cuta a cikin m?

Domin cholecystitis ne m, halin da gajeren lokacin kiranka na exacerbation, zaunanniya kwanaki 2-3. Su ne mafi yawa tsokane ta tamowa da kuma sauƙi shafe, batun dace rage cin abinci.

Janar jiki yanayin al'ada jiki zafin jiki ne na al'ada. A jarrabawa saukar da wani aikin disturbances na hanta, gallbladder da kuma pancreas. Microscopic nazarin da bile ba ya nuna wani munanan.

Ta yaya ne talakawan siffar?

Tare da wani talakawan siffar irin cututtuka kamar na kullum cholecystitis acalculous, gafarta musu kuma ƙarin tsanani maye gurbin juna. A tsawon lokaci da exacerbations ne 2-3 makonni. Marasa lafiya yawanci dame zafi da kuma bayyana dyspeptic cuta. Yawanci, irin wannan yanayin ne ya sa ta a m abinci ko overeating. A wasu lokuta, da muhimmancin provocateur m na numfashi kamuwa da cuta ayyukan.

Kamar yadda yakan faru a cikin yanayin na kullum cholecystitis ba tare da duwatsu? Cututtuka su ne bambance bambancen. A lokacin exacerbation na marasa lafiya babu ci, rage jiki nauyi, maye ya bayyana bayyana, a gajiya da migraine. Yana iya ma ta da hadin gwiwa zafi.

Wasu marasa lafiya a Bugu da kari ga zafi a dama babba quadrant iya kai ƙarar wani maras ban sha'awa zafi a hagu na sama quadrant da kuma na sama ciki. Pain ne sau da yawa amfani da zuciya. Marasa lafiya damu game da tashin zuciya, maƙarƙashiya ko zawo.

A wani dakin gwaje-gwaje binciken, bile alama karuwa a cikin adadin gamsai, leucocytes, cholesterol, bilirubinate Ca, bile salts a wasu lokuta microlites. Shi ne kuma zai yiwu don gane kwayoyin.

A m yanayin a wani haƙuri a gane canje-canje a cikin hanta aiki gwaje-gwaje. Sau da yawa nuna matsakaici hypoalbuminemia, wani kadan karuwa a transaminase aiki, yafi AJIT, matsakaici karuwa thymol da kuma aiki na alkaline phosphatase.

Fihirisa na dakin gwaje-gwaje jarrabawa na hanta ne na al'ada, a gafarta musu. A haƙuri iya ta da ji na wani nauyi a cikin sama ciki da kuma bloating bayan ingestion. Sau da yawa, a mutum damu game maƙarƙashiya ko zawo.

Dyspeptic cututtuka kara da m abinci ko m fiber. Irin wannan abincin da zai iya tsokana wani ƙarin tsanani da cuta.

Yadda mai tsanani nau'i na faruwa?

Acalculous kullum cholecystitis a mai tsanani form halin da kwarara tare da m dakwai, komowan cutar ba tare da gafarar. Cutar yada waje da gallbladder. Tsallake zuwa babban cuta hade hepatitis a kullum form, kuma pancreatitis.

Marasa lafiya koka rashin ci, gudana tashin zuciya, wani nauyi a cikin sama ciki. Wani lokaci mai raɗaɗi majiyai ne shingles hali. Marasa lafiya da shawarar a tsananin rage cin abinci, wadda take kaiwa zuwa nauyi asara da kuma gajiya. A wasu lokuta, akwai sepsis a kullum form.

A ayyuka na gallbladder cin zarafi sosai. A bango na jiki thickens. Idan talakawan mataki na hanta aiki ne partially karya, a lokacin da tsanani cuta sau da yawa bayyana kanta a kullum hepatitis ko cholangitis.

A wannan yanayin, da wadannan matakai faru:

• hanta ƙaruwa a size.
• alama karu a magani albumin.
• ya karu globulin sulusi da murabba'i da taro na jimlar bilirubin.

Lokacin gudanar da duban dan tayi na ciki nuna tsawo bututu na gall mafitsara, ya bayyana "m" gall mafitsara, na kullum pancreatitis saukar aiki pancreas.

Marasa lafiya sau da yawa koka da dyspepsia, tashin zuciya, nauyi asara. Sun kiyaye ƙãra fecal girma, steatorrhea, kuma kreatoreya amylorrhea.

A tsanani cuta lalace tasoshin da zuciya, ta bayyana dystonia, jijiyoyin zuciya insufficiency da ya dace canje-canje a kan ECG.

Kamar yadda atypical nau'i na gudana?

An halin wani atypical nau'i na kullum cholecystitis acalculous? Damu da lafiya m ƙwannafi, nauyi, zafi a baya da breastbone, mai shudewa dysphagia. Lokacin da na hanji da irin da fore da zafi a cikin hanji yankin, bloating, maƙarƙashiya.

A matasa, shekaru na kullum cholecystitis ba tare da duwatsu kama da rheumatism a wani latent form. Marasa lafiya koka asthenia, zafi a cikin gidajen abinci. Auscultation saukar rage zuciya sauti.

By atypical hanya da cutar sun hada da lumbar da piloroudenedalny irin na kullum cholecystitis. Lokacin da lumbar form, marasa lafiya sun dandana shan azaba a cikin kashin baya. A irin haka ne, shi ya nuna a X-ray na kashin baya shafi.

Symptomatology kardialgicheskoy fom

Wannan nau'i na cuta ne muhimmi arrhythmias (extrasystoles) ko ciwon kirji. Har ila yau, ECG canje-canje.

A tsakiyar da kuma tsufa ne kamar wani nau'i na cardiac angina ko jijiyoyin zuciya insufficiency, sunã gudãna a cikin kullum form. Marasa lafiya koka zafi a cikin zuciya, tachycardia.

gastroduodenal fom

Clinic kullum cholecystitis a cikin wannan hali yayi kama ulcerative cuta ko gastroduodenitis da darajar matakan ciki acid samuwar. Marasa lafiya koka jin zafi a ciki da dare.

hanyoyin da ganewar asali

A palpation na ciki a yankin na gall mafitsara akwai soreness cewa shi ne mafi sharri a lokacin da numfashi ko effleurage dama costal baka.

A wani dakin gwaje-gwaje binciken, ta ƙara yawan m:

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

Domin mai da muhimmanci sosai bincike hanyoyin sun hada da:

• duban dan tayi.
• cholecystography.
• tseliakografiyu.
• holestsintigrafiyu.
• duodenal intubation.

Bisa ga latest bincike, za ka iya magana game da tsanani da kumburi tsari.

Hankula canje-canje bayyananna a macroscopic matakin a bile turbidity da kuma gaban gamsai kuma flakes.

Microscopic jarrabawa ya nuna wani karin leukocyte count, bilirubin, furotin, cholesterol, da sauransu. D.

Bacteriological shuka bile diddigin ta da ake dasu Flora.

Da taimakon holetsistografii a marasa lafiya fama da kullum cholecystitis acalculous kiyasta mota da kuma maida hankali ayyuka na gallbladder, ta contours da matsayi.

Sonography detects da nakasawa daga cikin gallbladder, atrophic matakai a ganuwar, m ciki epithelium, gaban da ba-kama abun ciki tare da inclusions na bile ba uniform daidaito.

A bambanci ganewar asali ne da za'ayi tare da biliary dyskinesia, na kullum cholangitis, ulcerative colitis nonspecific yanayi, da kuma Crohn ta cuta.

far hanyoyin

Yana gusar kullum cholecystitis ba tare da duwatsu? Jiyya ana gudanar da ra'ayin mazan jiya. Doctors bayar da shawarar a rage cin abinci. A bu mai kyau zuwa ware daga rage cin abinci na m da soyayyen abinci, abinci mai kayan yaji, taushi da kuma giya.

Lokacin da ciwon mara shawarar ci daga antispasmodics kamar "Platifillin" "Drotaverine" "Papaverine" et al.

A lokacin exacerbation da cutar ko ta hade tare da cholangitis m antibacterial jiyya "cefazolin" "amoxicillin", "erythromycins", "ampicillin" "furazolidone" et al.

Domin an daidaita da gastrointestinal fili rika yi da "Festal", "Mezim-forte", "Pancreatin".

Don inganta mugunya bile yawanci koma ga sami choleretic ( "Allohol" "Holenzim" "Oksafenamid").

Don ta da ƙanƙancewa na gall gallbladder tambaya magnesium sulfate da sorbitol.

A lokacin da wani exacerbation ko gafarta musu bu mai kyau da za su gudanar da wani shakka daga far da ganye. Take a decoction na chamomile, calendula, fure, licorice, Mint.

A gafarar kwashe tyubazh, sha na ma'adinai ruwa, motsa jiki far aka yi.

m baki

Lokacin da tiyata da aka ɗauke shi zuwa lissafi tarihi da cutar. Kullum cholecystitis acalculous bayyana a nakasawa na ganuwar da gallbladder kuma baro gyara cholangitis da pancreatitis bukatar tiyata.

A wannan yanayin, da za'ayi ta hanyar wani bude cholecystectomy baki laparascopy ko mini hanya.

A amfani da jama'a hanyoyin

Ta yaya kuma aka shafe acalculous kullum cholecystitis? Folk magunguna Jiyya ma yana da kyau sakamako.

Used tushen calamus, valerian, St. John wort Dried buds, calendula, nettle, masara, flax tsaba. Shi ne kuma bu mai kyau don amfani limes, ruhun nana, Leonurus, chamomile, fennel, horsetail, rosehip.

Lokacin amfani da m hanyoyin a kullum cututtuka na furanni da kuma immortelle elderberry phytotherapy kara.

phytotherapy

Ganye magani shafi yin amfani da wani hadaddiyar giyar da wadannan ganye:

• Pion - 20 ml.
• valerian - 20 ml.
• boyaryshnik- 20 ml.
• Mint - 20 ml.
• belladonna - 10 ml.
• motherwort - 20 ml.
• Calendula - 30 ml.
• abinci mai ɗaci - 20 ml.

A gaban glaucoma belladonna aka kara.

Drink kayan aiki ya zama a kan 1-8 saukad da sau uku a rana for minti biyar kafin jiko na ganye zuwa 1 tbsp. lita na ruwa ga 4-6 makonni. A cakuda tinctures calamus da inula dauka a daidai yawa. Har ila yau sha a kan 1-8 saukad da sau uku a rana biyu da minti kafin samun infusions da ganye zuwa 1 tbsp. l. ruwa ga 4-6 makonni.

Ya kamata a tuna da cewa tarin Phytotherapy an haɗa a kashi na 0,00325, t. E. 14th dilution, kuma qara kowace rana ta 1-2 kiwo a cimma mafi kyau duka kashi.

A dace kashi daya ne da cewa yana sa diarrheal rashin lafiya, da kuma a daya hannun, rage mataki na data kasance bayyanar cututtuka. Wannan kashi da aka dauka a lokacin hanya, amma idan akwai rashin jin daɗi, shi ne rage by 1-2 raka'a.

Outlook

Menene hangen nesa da irin wannan cututtuka kamar na kullum cholecystitis ba tare da duwatsu? Exacerbation na m ya auku ne kawai lokaci-lokaci. A cuta yana da wani m hanya. Tabarbarewar auku a cikin Hasashen idan wani exacerbation na faruwa akai-akai lokacin da talakawan cuta mai tsanani.

rigakafin

Preventative matakan da aka kewaye a cikin wani dace magani daga cuta, readjustment na foci na kamuwa da cuta, kawar da disturbances a cikin juyayi tsarin, kazalika da maido da al'ada metabolism. Ya kamata ka kuma tsayar da daidai rage cin abinci, domin yaki da hanji helminth cututtuka da kuma raunuka.