Cholecystitis nyob rau hauv ib tug me nyuam: ib tug piav qhia, tau ua thiab kev kho mob nta

Inexperienced niam txiv tej mob plab nyob rau hauv nws tus me nyuam yog txuam nrog rau cov kom muaj nuj nqis thiab zoo tshaj ntawm cov khoom noj. Lawv ntseeg tias muab txaus koob tshuaj sorbents los yog enzymes, thiab txhua yam mus. Tab sis qhov no yog tsis ib txwm rooj plaub. Cov ua mob tej zaum yuav o ntawm lub biliary ib ntsuj av tau system, piv txwv li cholecystitis nyob rau hauv cov me nyuam. Oddly txaus, tab sis lub o ntawm lub gallbladder thiab ducts tshwm sim feem ntau heev. Kab Mob yuav ua tau mob los yog mob. Nyob rau hauv feem ntau ntawm cov mob tshuaj mob nyob rau hauv lub mob hauv daim ntawv ntawm lub sij hawm ntawm exacerbation los yog relapse.

kab mob provokers

Cholecystitis nyob rau hauv ib tug me nyuam muaj peev xwm ua rau muaj mob E. coli, Proteus, los yog cocci, daig nyob rau hauv ib tug dej siab ib puag ncig. Tej yam kev mob xws li kab mob nrog protozoan, piv txwv li giardiasis, cab kab, cov kab mob ntawm lub biliary system. Main ua cholecystitis muab faib mus rau hauv 2 pab pawg:

• cab;
• microbial.

Mob cholecystitis nyob rau hauv cov me nyuam yog feem ntau txuam nrog lub xub ntiag ntawm lwm yam foci ntawm o, nws yuav ua tau, e.g., angina los yog tonsillitis. Nyob rau hauv feem ntau, tus kab mob provokes yav tas los kis kab mob xws li gastritis, kollibatsillez, duodenitis, hnyuv tws, mob khaub thuas, kub taub hau thiab dysentery.

O ntawm lub gallbladder los yog cov kua tsib ducts yuav tau triggered thaum uas systematic ua txhaum kev noj haus, muaj roj haum ntawm loj nyiaj ntawm cov khoom noj khoom haus thiab carbohydrate-muaj khoom, ib cov disadvantage ntawm txiv hmab txiv ntoo thiab zaub nyob rau hauv cov khoom noj.

Lub mechanism ntawm tus kab mob manifestations. mob cholecystitis

Cholecystitis nyob rau hauv ib tug me nyuam nyob rau hauv lub mob daim ntawv tej zaum yuav purulent los yog catarrhal cim. Catarrhal daim ntawv yog txuam nrog o ntawm lub qog ua kua week. Nyob rau hauv cov ntaub ntawv no, lub tsib zais zis phab ntsa yuav thicker thiab denser, thiab sab hauv ob sab phlu lub cev mucosa Atrophy.

Rau purulent cholecystitis yam ntxwv kev koom tes ntawm txhua cov ntaub so ntswg phab ntsa. Lub cev daim ntawv paug, uas yog ib qhov chaw ntawm cov kev exacerbations mob cholecystitis. Nyob rau hauv recurrent kab mob tshwm sim o ntawm lub gallbladder. Ib tug yam ntxwv feature yog thooj ntawm lub mucosa, cov tsos ntawm polyps thiab ulcers.

Thaum lub rwj zoo hloov los ntawm connective ntaub so ntswg, muaj caws pliav. Qee zaus adhesions yog tsim nrog zoo spaced lub cev. Qhov no yog hu ua pereholetsistita.

Lub rwj yuav ua tau kom tsim ntawm ib tug fistula thiab cov kev loj hlob ntawm cov kua tsib peritonitis. Yog hais tias tus me nyuam cholecystitis ua rau txhaws ntawm cov kua tsib duct, tej zaum yuav tsim hydrops ntawm lub gallbladder. Mob cholecystitis yuav cuam tshuam rau kev mob ntawm lub siab, diaphragm, thiab lub plab mog. Exacerbation ntawm tus txheej txheem provokes ib tug rwj nyob rau hauv cov kabmob. Nyob rau hauv loj heev zaum, lwm biliary fistula yuav tshwm sim.

mob cholecystitis

Mob cholecystitis nyob rau hauv cov me nyuam yuav tsum tau kev phais kev cuam tshuam. Txawm li cas los, qhov no tsis tshwm sim ntau. Feem ntau txoj kev loj hlob ntawm tus kab mob yog txuam nrog tau kis los ntawm cov hlab ntsha los yog qog tau tam sim no. Nyob hauv ib lub hnub nyoog feem ntau tshaj nyob rau hauv txoj kev loj hlob txoj kev yog mob plab hnyuv kab mob thiab cov kua tsib stasis vim cem quav los yog tsam plab.

Raws li ib tug tshwm sim ntawm mob cholecystitis yog ib tug high concentration ntawm lysolecithin. Kua tsib ntsev puas lub zais zis mucosa, cuam tshuam lub permeability ntawm cell week. Vim hais tias lub cev tiv thaiv nyob rau hauv cov me nyuam yog tsis tau kiag li tsim, lub edema thiab tawg theem nrab bile.

Pib ntawm cov tsos mob

Yuav ua li cas yuav cholecystitis manifests nws tus kheej nyob rau hauv cov me nyuam? Cov tsos mob tej zaum yuav kaj los yog mob-txhais. Feem ntau qhov no tsis txaus siab ntsim saj nyob rau hauv lub qhov ncauj, ib tug tseem ceeb tsis qab los noj mov, xeev siab thiab ntuav, cem quav los yog raws plab. Txawm li cas los, lub ntsiab ntawm cov tsos mob cholecystitis yog pom tias yuav tsum muaj ib tug mob nyob rau hauv txoj cai qaum quadrant. Mob tej zaum yuav paroxysmal, thiab nyob ntev li ntawm ob peb feeb mus rau ob peb teev los yog tas mus li.

Ib tug ntawm lub ntsiab tsos mob ntawm tus kab mob no yog mob thiab o ntawm lub siab. Tej zaum kuj muaj yog nro rau palpation ntawm lub plab phab ntsa saum toj no lub gallbladder. Ntau tus me nyuam tau ntev tau khaws cia tsawg-qib kub ib ce. Yog hais tias koj muab cov teebmeem nyob rau hauv ib tug daim ntawv teev, nws yuav zoo li no:

1. Mob paroxysmal los yog tas mus li xwm, laus nyob rau txoj cai nyob rau hauv lub tav. Amplified ib ob peb teev tom qab ib tug noj mov, nrog los ntawm ib tug kev xav ntawm heaviness thiab phwj.
2. Dyspepsia, piv txwv li ib tug teeb meem ntawm lub digestive system. Iab los yog nws yog xim hlau saj, nquag regurgitation, xeev siab, muaj zog flatulence, tsis ruaj tsis khov lub rooj zaum.
3. Cov uas tsis muaj kub rau ib ntev lub sij hawm, tag nrho cov irritability, insomnia.

Cov niam txiv yuav tsum to taub hais tias, txawm cov cuab kev pom ntawm tus kab mob, staging ntawm nws tus kheej mob yog tsis tau tso cai. Tsuas yog koj tus kws kho mob muaj peev xwm kom paub meej tias cholecystitis nyob rau hauv cov me nyuam. Cov tsos mob thiab kev kho mob ntawm tus kab mob yog nyob ntawm seb heev ntawm tus neeg mob tus mob. Specialist nyob rau hauv view ntawm tus soj ntsuam daim duab thiab nyob rau lub hauv paus ntawm kev kuaj tau xaiv rau qhov uas haum hom ntawm txoj kev kho.

kev pab yog

Feem ntau tus kws kho mob hais rau ib tug neeg mob los yog nws los yog nws niam thiab txiv thiab sau keeb kwm. Ntxiv mus, nyob rau hauv kev soj ntsuam thiab kuaj kev tshawb fawb. Qhov no yog ib tug yuav tsum tau tag nrho cov ntshav count thiab biochemistry.

Yuav kom paub meej tias cov mob taw sonography. Qhov no kev kuaj ntawd yog los mus txiav txim qhov kev hloov nyob rau hauv lub qhov loj thiab cov phab ntsa thickness ntawm lub gallbladder. Nyob rau hauv tas li ntawd, cov ua txhaum yog kuaj hloov khoom nruab nrog contraction. Tsis tas li ntawd, nws yog ntshaw kom duodenal intubation thiab SPL.

Nyob rau hauv tas li ntawd, kev tshawb fawb ua bile. Qhov tsom xam qhia tau hais tias ib tug txo nyob rau hauv ib lub ntiajteb txawj nqus thiab nce rau hauv acidity.

Cov lus qhia ntxiv txog cov ntawv no ntawm tus kab mob

Feem ntau nws tshwm sim hais tias peb yog ib tug kws kws kho mob yog tsis ib txwm kom meej rau ib tug inexperienced neeg. Piv txwv li, yog hais tias tus kws kho mob qhia tus neeg mob cov niam txiv hais tias nws nekalkuleznogo daim ntawv ntawm cholecystitis, nws txhais tau tias tus kab mob no yog tsis txuam nrog lub tsim ntawm gallstones. Tsuas hu ua tus me nyuam daim ntawv acalculous.

kev kho mob

cholecystitis kev kho mob nyob rau hauv cov me nyuam yog nqa tawm nyob rau hauv ib lub qauv:

1. Raws li txaj so nyob rau hauv tsev.
2. Tshuaj tua kab mob tshuaj los ntawm ib tug kws kho mob.
3. Tau txais choleretic tshuaj.
4. Yog hais tias tsim nyog - txais tos ntawm antiparasitic agents.
5. Complex vitamins nrog ib tug high school cov ntsiab lus ntawm B thiab C.
6. Nkag antispasmodics kom txo tau qhov mob.
7. Purpose npaj kev txhim kho siab muaj nuj nqi.

Mob daim ntawv ntawm cholecystitis feem ntau kho nyob rau hauv tsev, tiam sis ib tug exacerbation ntawm tus txheej txheem, nws yog ntshaw kom raug pw tsev kho mob me nyuam. Thawj hnub tom qab lub exacerbation ntawm tus me nyuam tus kws kho starvation thiab tom qab cov niam txiv yuav saib xyuas raws li ib tug nruj heev zaub mov noj. Cov me nyuam nrog cholecystitis muab tso rau hauv dispensary sau npe.

dieting

Kho tus me nyuam tsis muaj tsom kwm tej cai ntawm lub hwj chim yog tsis yooj yim sua. Noj cov zaub mov ntawm ib tug cholecystitis me nyuam txhais tau hais tias boiled los yog chav cov zaub mov nyob rau hauv ib tug hmoov daim ntawv no. Tus kws kho mob prescribes kev noj haus rooj tooj 5 los yog 5a.

Cov khoom noj yuav tsum tsis txhob yuav ntse ntsim thiab additives, smoked cov zaub mov thiab oily kib zaub mov. Qee yuav tsum tau me me, vim hais tias cov me nyuam muaj peev xwm tsis overeat.

Cov khoom noj uas me me tus neeg mob kev noj haus tas tswvcuab sunflower roj, tsev cheese, ntses thiab nqaij nyob rau hauv lub chav los yog boiled, txiv hmab txiv ntoo, zaub los yog lub teeb xam lav ntawm lawv.

tiv thaiv kev ntsuas

Tag nrho cov niam txiv xav mus saib lawv cov me nyuam noj qab nyob zoo. Tias tus me nyuam tsis tshwm cholecystitis, nws yog ib qho tseem ceeb ua raws li nws noj cov zaub mov, tsis txhob pub rau overeat thiab noj tsau hwv lawm nyob rau hauv lub hmo ntuj. Koj yuav muab tsis tau tus me nyuam lub nrov khoom noj txom ncauj nyob rau hauv daim ntawv ntawm cov khoom noj txom ncauj, crackers thiab chips. Nws yog ib advisable mus lo rau ib tug tsis tu ncua fractional thiab pub.

Cov me nyuam yuav tsum nco ntsoov ua ib tug active txoj kev ua neej. Qhov no yuav tiv thaiv tau tsis tsuas cholecystitis, tab sis kuj muaj ntau lwm yam teeb meem. Sawv ntxov ib ce, cov kev ua si pawg, tourism, sab nraum zoov ua si - ib txwm taw tes rau ib tug noj qab nyob zoo tus me nyuam.

Sim kom tsis txhob los yog tsawg kawg lub sij hawm kom paub tias lwm yam gastrointestinal kab mob thiab kab mob vim hais tias lub cev yog interconnected.

Ua tiv thaiv kev kho mob ntawm helminthiasis, Yog hais tias koj xav tias ib tug me nyuam yuav tsum khaws cab nyob rau hauv kindergarten, nyob rau hauv tsev kawm ntawv, nyob rau hauv tsev los yog nyob rau hauv ib tug sib sandbox rau hauv lub mev.

Ntawv sau yuav tshuaj los ntawm ib tug kws kho mob muab cholagogue kev npaj thiab ntxhia dej. Thiab saum toj no tag nrho - Kos rau lub zwj ceeb ntawm koj tus me nyuam, raws li nco thaum pib ntawm tus kab mob los yog nws cov aggravation tsuas, tab sis los kho - es tsis yooj yim. Tom qab, tus me nyuam tej zaum yuav pom zoo txawm phais.