Cholecystitis na a nwa: a nkọwa, na o kwere omume na-akpata na ọgwụgwọ atụmatụ

Enweghị uche na ndị nne na nna ọ bụla abdominal mgbu nwa ya na-ejikọta ya na nke ukwu na àgwà nke nri. Ha kweere na e nyere ezu dose sorbents ma ọ bụ enzymes, na niile na-aga. Ma nke a abụghị mgbe niile ikpe. The akpata ihe mgbu nwere ike mbufụt nke biliary tract usoro, ie cholecystitis na ụmụ. Oddly ezu, ma na mbufụt nke gallbladder na ducts eme ezi mgbe. Ọrịa nwere ike ịbụ nnukwu ma ọ bụ ala ala. Na ọtụtụ nke ikpe na-chọpụtara na-adịghị ala ala ụdị oge nke exacerbation ma ọ bụ ọzọ.

ọrịa provokers

Cholecystitis na a na nwa nwere ike ịkpalite E. coli, Proteus, ma ọ bụ cocci, ha tọrọ atọ a mma gburugburu ebe obibi. Ọnọdụ ndị dị otú na-agụnye ọrịa na protozoan, ie giardiasis, irighiri infestation, ọrịa nke biliary usoro. Main-akpata cholecystitis kewara 2 iche iche:

• parasitic;
• microbial.

-Adịghị ala ala cholecystitis na ụmụaka a na-ejikọta ya na ọnụnọ nke ọzọ foci nke mbufụt, ọ pụrụ ịbụ, e.g., rịaworo ma ọ bụ tonsillitis. Na ọtụtụ mgbe, ọrịa na-akpalite na mbụ bufere ọrịa ndị dị ka mgbu, kollibatsillez, duodenitis, appendicitis, influenza, acha uhie uhie ahụ ọkụ na ọnyụnyụ ọbara.

Mbufụt nke gallbladder ma ọ bụ opi mgbailu nwere ike triggered site Ịhazi mebiri nri, abụba absorption nke buru ibu nke nri na carbohydrate-nwere ngwaahịa, a pụrụ iche mwepu nke mkpụrụ osisi na akwụkwọ nri na ihe oriri.

The usoro nke ọrịa n'obiọma. -adịghị ala ala cholecystitis

Cholecystitis na a na nwa na-adịghị ala ala ụdị nwere ike nke purulent ma ọ bụ catarrhal agwa. Catarrhal ụdị jikọtara mbufụt nke mucous membranes. Na nke a, na ńsí eriri afo mgbidi na-aghọ thicker na denser, na n'ime lining ahụ mucosa atrophy.

N'ihi na purulent cholecystitis e ji mara aka nke niile anụ ahụ mgbidi. The ahụ ụdị ahụ etuto, nke bụ isi iyi nke mgbe exacerbations nke-adịghị ala ala cholecystitis. Na ntighari ọrịa emee ọzịza nke gallbladder. A mara mma a na ndim nke mucosa, ọdịdị nke polyps na onya.

Mgbe ọnyá afọ na-agwọ ọrịa dochie connective anụ ahụ, e n'ichihịa. Mgbe ụfọdụ adhesions ii na anya spaced ozu. Nke a usoro a na-akpọ pereholetsistita.

The ọnyá afọ nwere ike iduga guzobe nke a fistula na mmepe nke bile peritonitis. Ọ bụrụ na nwatakịrị cholecystitis na-eduga ná mkpọchi nke bile duct, nwere ike ịzụlite hydrops nke gallbladder. -Adịghị ala ala cholecystitis nwere ike imetụta ọnọdụ nke imeju, diaphragm, na afo. Exacerbation nke usoro akpalite ihe etuto na ndị a akụkụ. Na oké ikpe, mpụga biliary fistula nwere ike ime.

nnukwu cholecystitis

Nnukwu cholecystitis na ụmụaka nwere ike ịchọ ịwa ahụ aka. Otú ọ dị, nke a adịghị eme mgbe mgbe. Abụkarị mmepe nke ọrịa a na-ejikọta ya na agbasawo site n'ọbara ma ọ bụ Lymph ugbu a ọrịa. Na nwata kasị nkịtị ihe na mmepe usoro bụ nnukwu nsia-efe efe na bile stasis ruru afọ ntachi ma ọ bụ bloating.

N'ihi nke nnukwu cholecystitis bụ a elu ịta nke lysolecithin. Bile salts imebi eriri afo mucosa, ịkpaghasị permeability nke cell membranes. N'ihi na dịghịzi nchebe ụmụ na-kpam kpam guzobere, na edema na ọbara mgbali nke abụọ bile.

Mmalite nke mgbaàmà

Olee otú cholecystitis-egosipụta onwe ya na ụmụ? Mgbaàmà nwere ike na-egbuke egbuke ma ọ bụ ọrịa na-kọwaa. Na-emekarị nke a mkpesa ilu uto ke inua, a ịrịba ọnwụ nke agụụ, ọgbụgbọ na vomiting, afọ ntachi ma ọ bụ afọ ọsịsa. Otú ọ dị, isi mgbaàmà nke cholecystitis-atụle ga-a mgbu na nri elu quadrant. Pain nwere ike paroxysmal, na-adịru site a nkeji ole na ole ọtụtụ awa ma ọ bụ na-adịgide adịgide.

Otu n'ime ndị isi mgbaàmà nke ọrịa bụ ihe mgbu na ịmụba ọnụ ọgụgụ nke imeju. Mgbe ụfọdụ, e nwere ahụ erughị ala na palpation nke abdominal mgbidi dị n'elu gallbladder. Ọtụtụ ụmụaka na ogologo e wee na ala-ọkwa fever. Ọ bụrụ na ị na ikpokọta mmetụta ọ na otu ndepụta, ọ ga-ele anya dị ka nke a:

1. Pain paroxysmal ma ọ bụ na-adịgide adịgide uwa, metụtara nanị akụkụ ụfọdụ na nri n'okpuru ọgiriga. Adịkwu a awa ole na ole mgbe a nri, Bilie a mmetụta nke arọ ma jubiga ókè.
2. Dyspepsia, ntụgharị a aghara nke digestive usoro. Ilu ma ọ bụ dara uto, Ugboro regurgitation, ọgbụgbọ, mụbara flatulence, ejighị n'aka oche.
3. The ala okpomọkụ ruo ogologo oge, ngụkọta ogwe, ehighi ura.

Nne na nna kwesịrị ịghọta na, n'agbanyeghị ndị doro anya ihe ịrịba ama nke ọrịa, ikpo nke onwe nchoputa na-adịghị ekwe. Naanị dọkịta gị bụ ike iji gosi cholecystitis na ụmụ. Mgbaàmà na ọgwụgwọ nke ọrịa na-adabere na ogo nke ọrịa na-arịa. Specialist anya nke-adakarị picture na na ndabere nke ule results ahọrọ kwesịrị ekwesị ụdị ọgwụ.

-arụ ọrụ bụ

N'ụzọ bụ isi dọkịta asụrụ a ndidi ma ọ bụ ya ma ọ bụ nne na nna ya na-anakọta ihe mere eme. Ọzọkwa, na-adakarị na laabu nnyocha. Nke a bụ a chọrọ zuru ọbara ọnụ na n'ihi mmiri ọgwụ.

Iji gosi nchoputa inye sonography. Nke a ule bụ iji chọpụta mgbanwe ke size na mgbidi ọkpụrụkpụ nke gallbladder. Ke adianade do, ndị mebiri achọpụtara ngwa mkpi. Ọzọkwa, ọ na-achọsi ike ka duodenal intubation na SPL.

Ke adianade do, nyocha ekenịmde bile. The analysis na-egosi a ọnụ ke kpọmkwem nnukwu mpo na-abawanye na acidity.

Ozi ndị ọzọ banyere ụdị ọrịa

Ọtụtụ mgbe ọ na-eme na anyị bụ ndị a ọkachamara dọkịta bụghị mgbe niile doro anya na-enweghị uche na onye. Ka ihe atụ, ọ bụrụ na dọkịta na-agwa onye ọrịa ahụ nne na nna na ọ nekalkuleznogo ụdị cholecystitis, ọ pụtara na ọrịa na-adịghị metụtara guzobe gallstones. Nanị na-akpọ nwa ụdị acalculous.

ọgwụgwọ

cholecystitis ọgwụgwọ na ụmụaka a rụrụ na a kpọmkwem ụkpụrụ:

1. Nnabata na bed fọdụrụ n'ụlọ.
2. Ọgwụ nje kenyere onye dọkịta.
3. Ịnata choleretic ọgwụ ọjọọ.
4. Ọ bụrụ na ọ dị mkpa - n'ikuku nke antiparasitic mmadụ.
5. Mgbagwoju vitamin na a elu ọdịnaya nke B na C.
6. Admission antispasmodics ka ibelata ihe mgbu.
7. Nzube preparations rụọ imeju ọrụ.

-Adịghị ala ala ụdị cholecystitis emekarị emeso n'ụlọ, ma ihe exacerbation nke usoro, ọ na-achọsi ike ka ụlọ ọgwụ nwa. Ụbọchị mbụ mgbe exacerbation nke nwa kenyere agụụ na mgbe e mesịrị ndị nne na nna ga-nyochaa ndaba na a isiike nri. Children na cholecystitis na-etinye na dispensary aha.

achọghị

Cure nwa na-enweghị edebe iwu ụfọdụ nke ike agaghị ekwe omume. Diet na a cholecystitis ụmụaka pụtara sie ma ọ bụ uzuoku nri a powdered ụdị. The dọkịta edepụta dietary table nọmba 5 ma ọ bụ 5a.

Ihe oriri ekwesịghị nkọ oseose na ha nwekwara, na-ese siga oriri na mmanu mmanu eghe oriri. Òkè kwesịrị obere, n'ihi na nwa ahụ pụrụ bụghị overeat.

Oriri nke obere ndidi oriri na-edozi bụchaghị ẹkenam sunflower mmanụ, obi cheese, azụ na anụ uzuoku ma ọ bụ sie, mkpụrụ osisi, na akwụkwọ nri ma ọ bụ ìhè salads nke ha.

mgbochi

All ndị nne na nna chọrọ ịhụ ha ụmụaka ahụ ike. Na nwa na-egosi cholecystitis, ọ dị mkpa na-eso ya nri, na-adịghị ekwe ka overeat na akpiri na n'abalị. Ị gaghị na-enye nwa ahụ na-ewu ewu snacks n'ụdị snacks, crackers na ibe. Ọ bụ ihe amamihe na-arapara a mgbe nile fractional na Ugboro feedings.

Children mgbe niile kwesịrị iduga ifịk si ebi ndụ. Nke a ga-egbochi bụghị naanị cholecystitis, kamakwa ọtụtụ nsogbu ndị ọzọ. Morning mmega, egwuregwu dị iche iche, njem, n'èzí play - nkịtị e ji egbu oge maka ahụ ike nwa.

Gbalịa iji zere ma ọ bụ ọ dịghị ihe ọzọ oge iji chọpụta ndị ọzọ eriri afọ ọrịa na ọrịa n'ihi na ahụ bụ interconnected.

Igosi ọgwụ mgbochi nke helminthiasis, ma ọ bụrụ na ị na-enyo na nwata nwere ike bulie nje na ụlọ akwụkwọ ọta akara, n'ụlọ akwụkwọ, n'ụlọ ma ọ bụ na a na-akọrọ sandbox na yad.

Kenyere onye dọkịta lee cholagogue preparations na ịnweta mmiri. Na n'elu ihe nile - Lelee ọnọdụ nke nwa gị, dị ka uche mmalite nke ọrịa ma ọ bụ ya nkpasu-iwe nanị, ma na-emeso - kama siri ike. Mgbe e mesịrị, nwa ọhụrụ ahụ nwere ike na-atụ aro ọbụna ịwa ahụ.