Da sauri da kuma hanzari tasowa ƙananan gallbladder ake kira m cholecystitis. Kwayar cutar, wadda ta tashi a karo na farko, ta ƙare tare da cikakken dawowa tare da isasshen magani. Lokacin da aka maimaita rudani, ana gano cutar ta kullum. Da shekaru, da yiwuwar samun cholecystitis yana ƙaruwa, mata fiye da maza suna fama da pathogens. A cikin hadarin haɗari - mata masu juna biyu, shan kwayoyin hormonal da mutanen obese.
Ƙananan cholecystitis - haddasawa
Rashin ƙananan ƙananan gallbladder yana nuna halin motsi a cikin jikin bile saboda katsewa daga cikin fitowarta. A mafi yawancin lokuta, haɓaka pathology an hade tare da kasancewar duwatsu (har zuwa 95% na cututtuka), kuma cikin 60% na marasa lafiya akwai kamuwa da kwayar cutar bacteria: E. coli, cocci, salmonella a bile. Abubuwa daban-daban masu tayar da hankali zasu iya haifar da cholecystitis, maɗaurin cutar suna kira da wadannan:
- kamuwa da cuta, kwayoyin fure a bile;
- sclerosis na ganuwar mafitsara ko atrophy;
- kink na kwaya da kuma biyan bile;
- canza garun mafitsara saboda yarinya;
- ruwan 'ya'yan itace a cikin mafitsara, simintin gyaran ƙwayoyi na enzymes;
- rashin abinci mai gina jiki - m, kayan abinci mai tsami da abinci mai tsanani;
- gyare-gyare na bile duct ko lalata ganuwar ta hanyoyi masu kyau.
Ƙananan cholecystitis
Dangane da kasancewar duwatsu - biliary calculation - kumburi na gallbladder ya raba zuwa ga abin mamaki (tare da duwatsu) da kuma wadanda ba na bautar ba. Ƙarancin cututtuka na da yawa. A matsayinka na mai mulki, ƙwayar cholecystitis na da ƙwayar cuta, kuma idan m, an hade shi da shigar da magungunan kai tsaye a cikin gallbladder yayin da ake ciwo da ƙwayoyin cuta a cikin hanji. Kwayoyin cutar suna haifar da irin waɗannan abubuwa kamar:
- parasitic kamuwa da cuta na kwayoyin;
- gaban kwayoyin cuta;
- maganin cutar bidiyo;
- E. coli ;
- staphylococcus, enterococcus;
- Proteus.
Ba da jimawa cholecystitis
Saboda rashin daidaituwa da sinadarin jiki a cikin jiki a cikin mafitsara da duwatsunsa, an kafa samfurori masu kyau da duwatsu. Suna cutar da bile ducts, haifar da ciwo, rashin jin daɗi, kumburi da kuma haifar da mummunan ƙwayoyi cholecystitis. Dalilin cholelithiasis, wanda ke haifar da yanayin maganin mafitsara:
- nauyi;
- rikitarwa daga m nauyi asara;
- liyafa na maganin rigakafi;
- ciwon sukari mellitus ;
- tsufa;
- Amfani da kwayoyi wanda ya rage matakin cholesterol cikin jini, da dai sauransu.
Ƙananan cholecystitis - bayyanar cututtuka
A matsayinka na mai mulki, ƙananan cholecystitis yana nuna kansa bayan shan abinci mai cutarwa, yana fuskantar damuwa ko shan barasa. Kwayar zata dauki matsala ga abubuwa masu ma'ana. Rage matsa lamba, damuwa, vomiting, bloating da wasu alamu, ya yi rahoton cewa ƙonewa na gallbladder ya fara, da alamunta wadanda suke da wuya a kau da kai. Girman bayyanar cututtuka ya dogara ne da mataki na cutar. Ƙididdiga ta musamman na ƙananan cholecystitis, rarrabe shi daga wasu cututtuka kuma taimakawa wajen gano asalin cututtuka:
- Idan ka danna kan yankin a tsakanin kafafu na tsoka mai tsoka, zafi zai bayyana.
- Tare da zubar da hankali mai zurfi, mai haƙuri ba zai iya motsawa ba.
- Yayinda ake zubar da jini na yanki mai kyau, rashin jin zafi.
- Akwai rikici na tsaro na tsokoki na ciki.
- Lalacewa a lokacin da ke yanki gefen gefen dabino na tarkon dasu daga gefen dama (wurin da mafitsara) yake.
Sanarwa ga m cholecystitis
Lokacin da yanayin rashin lafiyar ya faru, marasa lafiya suna jin dadi. Daga cikin maganin cututtuka marasa tausayi sun la'anta: haushi a cikin bakin, tashin zuciya, zubar da ruwa tare da admixture na bile, bayan haka babu taimako. Abubuwan da za su iya yin ruwa tare da ƙananan cholecystitis, bayyanar jaundice da karuwa mai yawa a cikin gallbladder, karuwa a yanayin jiki (har zuwa digiri 40). Amma mafi muhimmanci mahimmanci da kuma manyan alamu na ƙananan cholecystitis ba zafi ba ne.
Yanayi da kuma ganowa na ciwo a cikin m cholecystitis
Haka kuma cutar ta fara da kai hari. Raunuka tare da m cholecystitis faruwa, a matsayin mai mulkin, a cikin dama hypochondrium yankin, na iya bayyana a cikin epigastrium. Rashin jin dadin jiki na dogon lokaci bazai wuce ba, yaduwa sama a cikin scapula da ƙafar dama, wuyansa, yankin supraclavicular, baya. Raunin da aka yi da damuwa:
- tashi da dare ko da safe;
- zama karfi, amma gushe bayan dan lokaci (daga 30 zuwa 60 minutes);
- wannan harin yana da wuya ga mutum, an tilasta masa ya dauki matsayi mai dadi, ya janye kafafunsa a cikin ciki kuma yayi kokarin wanke wurin da ba shi da ƙura.
Mene ne haɗarin cholecystitis?
Cutar da ƙananan cholecystitis yakan kasance na kwanaki da yawa, amma cututtuka da sepsis na iya haifar da matsaloli. Wani lokaci a lokacin ci gaba da cutar da lalacewa na bango na mafitsara ya auku. A sakamakon haka, akwai ƙonewa ko fistula mai sauƙi. Sakamakon ganewar asali, aikatawa a lokacin da ba daidai ba, rashin kulawa ta dace yana ƙara ƙaddamar cewa matsalolin ƙananan cholecystitis zasu ci gaba. Mafi yawan su shine:
- pancreatitis - ƙonewa na pancreas;
- Cholangitis - tsarin ilimin lissafi;
- wani kuskuren caulinian;
- supyeration (suppuration), gangrene ko tsinkayar gallbladder;
- biliary fistula;
- purulent diffuse peritonitis;
- jaundice.
Ƙananan cholecystitis - ganewar asali
Marasa lafiya tare da mummunar ciwo ga likita bayan alamun bayyanar cholecystitis, a matsayin mai mulkin, ana asibiti, an sanya shi a asibiti. Wannan shi ne saboda asibiti kamuwa da cututtuka da appendicitis. Gidan asibiti yana nuna nauyin ganewar asali na m cholecystitis. An samo sakamakon bayan jerin bincike, wanda ya haɗa da labarun da kayan aiki. Binciken ba shi da wahala kuma ya haɗa da:
- da nazarin jini (general), yana nuna fushin kumburi;
- nazarin kwayoyin halitta na biochemical;
- Duban dan tayi daga cikin rami na ciki, kyale nazarin gallbladder, da girma;
- urinalysis;
- Rahoton radiyo - tare da tsammanin peritonitis.
Madacciyar cholecystitis - magani
Idan an gano cututtukan cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa, zubar da hankali ya shafi gaggawa na gaggawa kuma nan da nan (cikin sa'o'i 24-48) kwashe kayan ciki. Don wannan, an yi amfani da bututun nasogastric. Mai nuna haƙuri yana nuna babban kwanciya. Don kwanakin da yawa an ƙi shi abinci, ruwa yana shiga cikin jiki cikin intravenously. Tare da wannan, an tsara magani. Daga bisani, mai haƙuri yana canjawa wuri zuwa cin abinci kamar ɗaya daga cikin mahimman hanyoyin maganin magani. Tsarin abinci mai kyau yana inganta kyakkyawan bile.
Mutuwar cholecystitis babbar gaggawa ce
Kwayoyin cholecystitis mai tsanani, bayyanar cututtuka da magani wanda aka ƙaddara tare da taimakon likita, ya kamata a lura a asibitin. Amma ba kowa ba ne ya shafi likita a farkon alamar ilmin lissafi, yana son zama a gida don 'yan kwanaki na farko. Wannan yana damuwa da rikitarwa. Pre-magani don m cholecystitis yana da muhimmanci don bayar da hankali. Mai haƙuri bai kamata ya ƙone wurin da ba a fure ba, ya yi wanka mai zafi, ya sha abin sha. Taimako gaggawa ya kamata a yi amfani da shi don samar da zaman lafiya na mutum kafin zuwan likitoci. Wajibi ne:
- don ba shi matsayi na kwance;
- kare daga danniya (tunanin mutum da jiki);
- don rage abin da ya faru na tashin zuciya, ba da kayan ado na mint;
- sanya sanyi a hannun dama na hypochondrium, amma ba fiye da mintina 15 ba.
Ƙananan cholecystitis - shawarwarin asibiti
Magungunan cholecystitis mai tsanani shine cututtuka mai mahimmanci, amma idan an gano shi a lokaci, magungunan ra'ayin mazan jiya yana yiwuwa. Yayin da aka gano ƙananan ƙwayar cutar a cikin yara, ana yin amfani da magani marasa magani. Ya hada da abinci, kayan aikin jiki na musamman, zauna a sanadorium don sake gyara jikin. Amfani mai mahimmanci a wurare masu ma'adinai. A cikin lokuta masu wahala, farfesa ya shafi shan magani, yiwuwar yin aiki. Ana gudanar da jiyya a matakin gwaji.
Ƙananan cholecystitis - kwayoyi
Yin amfani da kwayoyi a maganin cututtuka yana nunawa a lokuta daban-daban - lokacin da cutar ta kasance a farkon matsala, alal misali, duwatsu sun kasance a cikin mafitsara, amma basu haifar da rashin jin dadi, kuma lokacin da rikitarwa ya faru. Ƙarin magani ya danganta da ƙananan kumburi da yanayin lafiyar mai haƙuri. Tare da taimakon magunguna, likitoci suna ƙoƙari su cire kumburi, suna daidaita da abun bile da kuma tabbatar da fitarwa ta al'ada. Drug farra yana nufin:
- Magungunan spasmolytic a rana ta farko na kai hari don taimakawa zafi (Papaverin, No-Shpa, Dimedrol).
- Alurar rigakafi don m cholecystitis (Ampicillin, Tetracycline, Cephzoline). Za su iya maye gurbin sulfanilamide idan mai haƙuri (Sulfazin, Ftalazol, Sulgin) ya yi haƙuri. Suna da sakamako na antimicrobial.
- Detoxification na jiki tare da kwayoyi. A lokacin da aka fara zama a asibitin, an gabatar da jita-jita (plasma, Dextran, Ringer, Reopoliglyukin).
- Cholagogue, tsirrai da roba (Ursoliv, Ursosan, Febihol, filayen ƙwayoyin cuta, burbushiya, samfurin artichoke).
- Kupirovanie bayyanar cututtuka na pathology. Lithotripsy lokacin da aka gano duwatsu a cikin mafitsara (narke su).
Kwayoyin cholecystitis mai mahimmanci aiki ne
Bisa ga wasu alamomi, an lalata ƙananan ƙwayar cuta. Ci gaba da rikitarwa yana nuna saurin gaggawa, kuma aikin yana faruwa a yayin da aka tsara maganin bai dace ba. Block babban rikitarwa cholecystitis kuma manta gaba daya game da shi zai iya cire kawai gallbladder. Ana gudanar da aikin ne ta hanya na budewa da kuma laparoscopic. A matsayinka na mai mulki, idan aka gano ƙwayar cutar ƙwayar cuta mai ƙwayar cuta, daya daga cikin irin abubuwan da ke haifar da cututtukan da ke haifar da gangrene, mai hakuri nan da nan ya sa tebur a kan teburin.
A cikin m cholecystitis
A lokacin magani da kuma nan gaba, mai haƙuri da cholecystitis ya kamata ya bi abinci na musamman. Abinci a cikin wannan yanayin ba wai kawai yin rigakafin ci gaba da cutar ba, amma har ma hanyar farfadowa. A cikin cututtuka mai tsanani, cin abinci tare da mummunan ƙumburi na ƙwayar cuta mai ma'ana yana nuna cikakken yunwa (a cikin kwanakin farko bayan harin). An ba shi damar sha kawai juices, broth na dogrose, shayi ba tare da sukari. Bayan haka, masu haƙuri suna wucewa zuwa abincin abinci 5 - kayan shafa-mai kumburi. Shawarar sune kamar haka:
- Carbohydrates an iyakance ga 200 g kowace rana. Yana nufin ɗaukar carbohydrates mai sauƙi: jams, sugar, honey, jam.
- Yawan adadin furotin ya rage zuwa 80 g. Fat shine daya.
- Bayanin caloric na yau da kullum yana da kimanin 1600 kcal. Ana amfani da ruwa zuwa lita 2.5.
- An kiyasta ka'idar yawancin abinci.
- Abinci ya kamata a shirya ba tare da gishiri ba.
- Ana amfani da dukkan kayan aiki a cikin nau'in grated: a cikin nau'i na purees, soups, soufflé.
A cikin jerin abubuwan da ake haramtawa:
- wake;
- kabeji;
- salted kayayyakin;
- namomin kaza, ciki har da broths;
- 'ya'yan itatuwa masu banƙyama da berries;
- sausages;
- stew;
- gida cuku;
- koko.
Dalili akan abinci mai gina jiki shine:
- yankakken naman sa da kaza;
- kifi ga ma'aurata;
- ganyayyaki mai ganyayyaki;
- masu fashi;
- samfurori na madara mai yalwa;
- oatmeal, shinkafa, alkama porridge;
- kayan lambu;
- kissels;
- dried 'ya'yan itatuwa.
Daga zaki yana yiwuwa don amfani:
- zuma;
- sugar;
- marshmallow;
- marmalade;
- ƙara kayan zaki don sha.
Don ci gaba da kawar da ƙananan cholecystitis, dole ne ku bi hanyar abinci mai kyau da kuma bayan farfadowa. A mafi yawan lokuta, tare da kiyaye abinci da magungunan likita, ya yiwu a cimma gafara. Ana amfani da duk magunguna (magunguna, choleretic) tare da kumburi na gallbladder da likita.