Calculous cholecystitis - abin da yake da shi? Alamun, haddasawa, magani na calculous cholecystitis

Calculous cholecystitis ne wani nau'i na kullum tsari, cikinsa da daban-daban calculi (duwatsu) ne ba a cikin gallbladder. Da lambar kuma girman su iya bambanta. Wani lokaci yana da wani fairly babban dutse, da diamita daga wanda zai iya isa har zuwa 5-6 cm ko fiye, kuma watakila wani yawa sosai kananan duwatsu tare da diamita ne sa'a guda daga millimeter, a cikin wasu kalmomi, da yashi. Calculous cholecystitis - abin da yake da shi? Wannan za a tattauna a wannan labarin.

Bisa kididdigar da, 10% na yawan balagaggun shan wahala daga gall duwatsu. Kullum calculous cholecystitis mata da damuwa game da biyar sau fiye da sau da yawa fiye da maza. Age category na marasa lafiya - daga shekaru 40 da mazan. Yara da matasa da mutane har zuwa shekaru 30, da wannan cuta da wuya dame.

Gallstones. Mene ne hadari?

Da shi shi ne girman gallstones da kuma sanin ko bayyanar cututtuka, mai tsanani, na asibiti cutar da kuma zai yiwu rikitarwa da gallstone cuta (GSD). Kullum calculous cholecystitis ne m domin ta rikitarwa.

A mafi yawan lokuta (75%) na concretions dake a cikin jiki na gallbladder, amma wani lokacin a can iya zama kananan duwatsu a cikin bile bututu, game da shi sa shi wuya ko gaba daya rufe shi da kuma haddasa seizures gallstone colic.

Idan concrements har zuwa 3 mm iya da kansa fita ta hanyar ducts, da duwatsun jere a size daga 3 zuwa 7 mm a kanti na gallbladder za a iya obturated (zoba) da bile bututu da kuma wannan wahala bukatar gaggawa tiyata.

Abun da ke ciki gallstones kuma dabam. Suna iya zama:

• cholesteric - duwatsu na wannan irin ba za a iya gani a kan x-ray.
• lemun tsami.
• pigment.
• gauraye.

Mafi na kowa gauraye iri gallstones, su form ne sosai bambancin (zagaye, faceted ko branched).

A Sanadin matsalar

Calculous cholecystitis (CL) da aka kafa nan da nan. Ka yi la'akari da abubuwan da taimakawa ga samuwar duwatsu a cikin gallbladder:

• cholestasis, cholestasis ko, misali, yana iya zama a bends gallbladder jiki;
• diskholiya ko modified bile abun da ke ciki, ta maida hankali saboda dagagge cholesterol mugunya, ko rashin lafiya.
• cholecystitis, ko kumburi a cikin gallbladder.

Bugu da kari, da kunama ne iya calculous cholecystitis rage cin abinci, m, din take hakki a cikin abinci (ma high-kalori, mai kuma cholesterol-arzikin abinci, rashin bitamin a rage cin abinci). -Din-din yunwa da kuma low-kalori abun da ake ci, har ma da dogon lokacin da amfani da maganin hana haifuwa hormonal kwayoyi kuma iya kai wa ga cholelithiasis.

Daga cikin cututtuka da cewa sau da yawa da impetus ga samuwar gallstones, an san:

• kiba da kuma rayuwa cuta.
• endocrine cututtuka irin su ciwon sukari.
• hanta cututtuka, msl, hepatitis da cirrhosis.
• biliary dyskinesia.
• pancreatitis.
• duodenitis.
• Crohn ta cuta.
• kullum gastritis.
• helminth cututtuka.

A pathogenesis na samuwar gallstones

A abun da ke ciki ya hada da bile acid, lipids, pigments da kuma ma'adinai abubuwa. Yadda aka saba, duk wadannan abubuwan da suke a colloidal (tarwatsa) jiha. Karkashin unfavorable dalilai da aka jera a sama, disrupted bile cholesterol matakin coefficient, r. F. Taro rabo daga acid don ta cholesterol ciki. Wannan na taimaka wa asarar cholesterol a cikin laka tare da m crystallization. Saboda haka concretions kafa a cikin gall mafitsara.

rarrabuwa

Calculous cholecystitis - abin da yake da shi? The asibiti hanya GSD iya zama m ko na kullum. Dangane da cututtuka ne da hankula, ezofagalgichesky, cardiac, gastrointestinal, kuma atypical calculous cholecystitis. A bayyanar cututtuka da kuma magani iya bambanta dangane da iri cikin shakka daga cikin cutar.

Akwai matakai huɗu, a daidai GSD ultrasonic jarrabawa:

1. Predkamennaya ko na farko - ta halayyar fasali su ne gaban m bile, gall stasis da kuma samuwar microlites (yashi) a cikin gallbladder. Wannan mataki da cutar tare da dama magani zabi kuma daidaita ikon a mafi yawan lokuta reversible.
2. calculi samuwar - by duban dan tayi gano daya ko dama karami duwatsu.
3. Kullum calculous cholecystitis - wannan mataki da cutar na bukatar gaban duwatsu na daban-daban masu girma dabam a cikin gallbladder. Wannan na iya zama guda babban dutse, da kuma samuwar kananan diamita, ko da dama karami su.
4. Rikitarwa calculary cholecystitis - wannan mataki na cutar halin da ci gaban daban-daban da rikitarwa kamar biliary shãmakacẽwa.

bincikowa da

Duban shi ne na farko Hanyar bincike jarrabawa ga ganewar asali "calculous cholecystitis". Abin da shi ne, da wani ra'ayin riga ya kafa. Amfani da duban dan tayi gwani zai ƙayyade yawan da size of concretions dake a cikin gall mafitsara, da kuma su wuri, da kuma jihar na kumfa katangu.

By instrumental hanyoyin da jarrabawa a calculous cholecystitis kuma sun hada da endoscopic retrograde cholangiopancreatography (ERCP). Wannan hanya ya sa ya yiwu don su bincika jihar na biliary fili da kuma sanin mataki na toshewa, wanda zai taimaka a zabi da hakkin dabara gwani tiyata. A Hanyar kunshi a cika wani radiopaque abu biliary fili a lokacin EGD, kafin radiography aka yi.

Bugu da kari a wadannan instrumental hanyoyin da jarrabawa amfani da dakin gwaje-gwaje, kamar general bincike da kuma biochemical jini. Tare da na farko a cikin wannan cutar za a iya gani a cikin hali na dagagge ESR gaban kumburi a cikin gallbladder, kazalika da karuwa a neutrophil leucocyte count analysis.

Biochemical bincike na jini a wannan cuta rage zuwa tabbatar da dalilin da wadannan matakan:

• Alt da AST.
• bilirubin.
• alkaline phosphatase.
• jimlar gina jiki.
• CRP.

Wadannan alkaluma za a karu a taron na stagnation na bile (cholestasis). Wannan ci gaban da cuta ne yiwu tare da ilimin lissafi toshewa da wani daga cikin bile ducts.

Akwai sauran hanyoyin da ƙarin ganewar asali na irin wannan cututtuka kamar calculous cholecystitis. A bayyanar cututtuka da kuma magani zai dogara ne a kan yanayin da biliary fili da kuma janar yanayin hanta a matsayin dukan. Irin wannan bincike dabaru sun hada da:

• igiyar jini cholegraphy.
• Na baka cholecystography.
• gepatobiliostsintigrafiya.

Calculous cholecystitis. Alamun da jiyya. janar bayanai

A wasu lokuta, da mãsu haƙuri yana da wani ra'ayin cewa ya calculous cholecystitis. Mene ne shi, ya san kawai bayan hari na biliary colic. An halin ciwo mai tsanani a dama babba quadrant, wanda za a iya bai wa epigastrium, ƙananan baya, kafada ko wuyansa.

Irin hare-hare sau da yawa faruwa bayan da holidays da idodi, a lokacin da unsuspecting game da rashin lafiya da mutum damar kansa ya dauki giya ya sha kuma a cizo za su ci da kyau m, yaji, kyafaffen ko salted abinci. Tsokane irin wannan hare-hare na iya motsa jiki, ko karfi da motsin zuciyarmu. Da zarar da haƙuri da aka tsĩrar da su zuwa asibiti da kuma nazari, ya san game da ganewar asali "calculous cholecystitis". Ƙarin tsanani za a iya tare da tashin zuciya da kuma amai.

Aiki ko ba?

Lokacin da ganewar asali "calculous cholecystitis" bayyanar cututtuka da kuma lura dangane da mataki da cutar da kuma yanayin biliary fili su iya bambanta. Idan har yanzu yiwu reversible matakai, to, duk sauran, a lokacin da samuwar duwatsu ya riga ya fara, mafi kyau yanke shawara zai zama a cikin ganewar asali "calculous cholecystitis" aiki a predkamennoy ko a farko. Kuma da sauri zai zama mai tiyata, da kasa da alama na da rikitarwa.

Shiri for tiyata ne samun maganin rigakafi, kuma rehydration na jiki idan ya cancanta. Magance dehydration dole yi idan haƙuri a lokacin harin da aka maimaita amai. Wadannan matakan da za su taimaka wajen rage hadarin sepsis.

Lokacin da ganewar asali "kullum calculous cholecystitis" aiki ne ya saba yi amfani da wani laparoscope. Wannan zamani Hanyar rage zafi a wani gyaran fuska da lokaci da kuma rage dawo da lokaci da kuma rage hadarin postoperative rikitarwa.

Ana cire zafi hari

Hare-hare na gallstone cuta na iya bambanta a cikin yanayi da kuma tsanani da zafi. A tsanani lokuta, zai yiwu tashin zuciya da kuma amai, da kuma idan dutse gaba daya toshe kowa bile bututu, da launi da kujera iya zama mai haske saboda za a yi ba bile pigment. A karkashin irin wannan tsanani hare-hare shi ne zama dole don magance gaggawa zuwa asibiti ko kira motar asibiti.

Idan cutar bayyana kanta sosai m harin, za ka iya kokarin don ya taimaka wa zafi da kanka. Don yin wannan, akwai buƙatar ka kai kamar wata kwayoyi da miyagun ƙwayoyi "A'a-dima jiki" ko "papaverine" da kuma sa wani sanyi a dama hypochondrium. Cin a lokaci guda zuwa ga dakatar for akalla 12 hours. Idan wannan bai yi aiki ba, ya kamata ka nemi taimakon likita.

Calculous cholecystitis. Jiyya ba tare da tiyata

Ba tare da tiyata, cutar za a iya bi, amma kowanne daga cikin wadannan hanyoyi na da contraindications da kuma rikitarwa, kazalika da bai da garantin cewa cutar ba zai kõma. Mun jera wadannan hanyoyi:

• Jiyya tare da acidic kwayoyi.
• tuntube halakar gallbladder duwatsu.
• extracorporeal buga kalaman lithotripsy.

Yanzu musamman magana game da kowane daga cikinsu.

acidic kwayoyi

A halin yanzu, ganewar asali da "kullum calculous cholecystitis" magani ne zai yiwu ba tare da tiyata, amma wannan hanya ne tsada sosai, kuma babu wani tabbacin cewa ba za su sake dawowa. far dogon - akalla 24 months. Akwai da zama dole yanayi alaka da size da duwatsu, abun da ke ciki, jihar na gallbladder kuma ta ducts:

1. dutse size kada ta kasance fiye da 1.5 cm a diamita.
2. A abun da ke ciki na kankara - kawai cholesterol.
3. Gall mafitsara da kuma ducts dole aiki yadda ya kamata da kuma zama cikin koshin lafiya.

Lokacin da ganewar asali "calculary cholecystitis" magani ayyukan suna da za'ayi ba tare da kwayoyi "Henofalk" da "Ursofalk" - shi ne ursodeoxycholic da chenodeoxycholic acid, bi da bi.

Jigon magani ne don tabbatar da cewa wadannan acidic jamiái tara a cikin abun da ke ciki na bile kuma sannu a hankali ta soke cholesterol calculi. Amma tabbatar da cewa cutar ba zai dawo, ba. Zai yiwu dakwai, komowan cutar.

Saduwa da halakar gallbladder duwatsu

Wannan hanya na lura ya shafi ba daya amma da dama hanyoyin. Su suna da za'ayi kamar haka. A lokacin da duban dan tayi likita punctures da agara na ciki bango na dogon allura a cikin tsinkaya yankin na gall mafitsara, da kuma kumfa kanta shiga catheter ta hanyar abin da su shiga takamaiman kwayoyi da zai iya soke gallstones. Wadannan hanyoyin suna da za'ayi sau da yawa. Ya kamata a haifa tuna cewa su ba duk Fit. Akwai wasu gazawar suna guda kamar yadda a cikin hanyar aka bayyana a sama. Bugu da kari, akwai na iya zama da rikitarwa, kamar kumburi daga cikin hanji mucosa.

Extracorporeal buga kalaman lithotripsy

A wannan hanya, a kan haƙuri ta fata a yankin na tsinkaya daga cikin gallbladder a cikin agara na ciki bango na haska aka located, da tura taguwar ruwa zai fitowa daga gare shi, kuma a kan yi aiki da gallstones. Don yin irin wannan hanya na bukatar wadannan yanayi:

• a cikin gallbladder ya kamata ba kumburi.
• dutse size - ba fiye da 3.5 cm.
• gall mafitsara da kuma ducts kamata aiki da kyau.

Wannan hanya ba sosai amintattu. Zai yiwu rikitarwa:

• rufe da ducts na gallbladder duwatsu.
• obstructive jaundice.
• da ci gaban m pancreatitis ko ciwon sukari.

Har yanzu, mafi kafaffen Hanyar magani daga calculous cholecystitis game da rikitarwa da ya rage holetsistoektomiya, watau kau na gallbladder.

zai yiwu rikitarwa

Calculous cholecystitis Bi dole bukatar t. Don. Shĩ ne m tare da rikitarwa. Mun jera mafi kowa wadanda:

1. M pancreatitis.
2. Empyema na gall mafitsara (kumburi bi ta cika cikin mafitsara surkin jini abinda ke ciki).
3. Hallakaswa cholecystitis.
4. Cholangitis (kumburi da bile ducts).
5. Secondary biliary cirrhosis.
6. Fistulas tsakanin bile bututu da kuma mafitsara.
7. Ileus.
8. Oncology gallbladder.
9. Choledocholithiasis (concrements a bile bututu).

rage cin abinci

Fi dacewa, kana bukatar ka ci dãma, kuma kafin haƙuri kamu da "kullum calculous cholecystitis". Rage cin abinci, yadda ya kamata zaba, zai iya zama a matsayin rigakafin cutar a tambaya. Nuna a fakaice ta main manufofin:

1. Rage abun ciki na lipids a cikin jini. Wannan yafi tana nufin cholesterol, kuma ta kasarun adadi.
2. Tabbatar da al'ada aiki na gallbladder da kuma hana stagnation a cikinsa.
3. A hankali ku yi jihãdi ga nauyi asara, idan da ake bukata. Nauyi asara ya zama sauka a hankali, a cikin wata daya ba za ka iya rasa ba fiye da 2-3 kg.
4. Sha yalwa da ruwaye, har zuwa 2 lita rana.
5. Cinye tare da abinci da isasshen bitamin da kuma ma'adanai a cikin abinci ya kamata ba kayan lambu, 'ya'yan itatuwa da kuma kuri'a na greenery.
6. Don tabbatar da kyau hanji ƙungiyoyi, ci abinci mai arziki a zare da dukan hatsi burodi da kuma alkama bran.
7. Bari dabba fats.
8. Kayan lambu fats ya kamata ba a rage cin abinci, amma ba fiye da 80 grams per day.
9. Nama, Ku ci, ya zama ramammu (babu kitse).
10. Daina samun wasiku daga m da yaji abinci, kazalika da soyayyen abinci. Jita-jita da ya kamata a Boiled ko steamed, kuma maraba da yin amfani da salatin na raw kayan lambu.
11. Wajibi ne a ci kananan abinci 5-6 a rana sau.

Da wannan dokoki shafi abinci bayan holetsistoektomii (kau na gallbladder).

Game da barasa ya kamata a ambata dabam. Duk wani giya ne tsananin haramta a wannan cuta. Yana nuna fiye da daya tarihi da cutar, m calculous cholecystitis sau da yawa yakan faru kawai bayan shan barasa. Sau da yawa sosai marasa lafiya shigar kai tsaye saboda da hutu tebur.

Recipes Alternative Medicine

Lokacin da ganewar asali "calculous cholecystitis" jama'a magunguna kuma za a iya amfani da su bi. Aiyuka sashi zargin, infusions da decoctions mallakan choleretic sakamako, to rage bile maida hankali da kuma rage stagnation a cikin gallbladder.

Tasiri a cikin mutane dauke su a decoction na furanni na immortelle. Nunarsa, 15 g busassun raw zuba 80 ml na ruwan zafi da kuma tsanani a kan wani tururi wanka domin minti 30. Abin sha da aka yarda su kwantar da tace, sa'an nan Ya sanya har zuwa 100 ml na sanyi Boiled ruwa da kuma shan 50 ml sau biyu a rana da abinci.

Domin lura da cholelithiasis yadu popularly amfani da jiko na Cranberry ganye. Ga shiri na raw magani 3 tebur cokali cike cikin thermos da kuma zuba tafasasshen ruwa girma na 1 lita. Idan wadannan jan yi a yamma, da safe da warkewa shayi shirya.

ƙarshe

An yi imani da cewa mafi kyau magani - rigakafin cutar. Wannan cikakken shafi wannan cuta a matsayin calculous cholecystitis. Proper abinci mai gina jiki da kuma riko da wani lafiya salon zai taimaka wajen kauce wa wannan m rashin lafiya. Kuma idan shi don haka ya faru da cewa GSD ne har yanzu kafa, wajibi ne a dauki na gaggawa da matakan warware shi. Ka tuna cewa a farko, a lokacin da gall mafitsara akwai yashi maimakon manyan duwatsu, da tsari zai iya har yanzu a juyawa.