Kev kho mob ntawm mob cholecystitis. Cov tsos mob, ua rau ntawm tus kab mob. Noj cov zaub mov ntawm ib tug cholecystitis

Yog hais tias koj muaj mob loj heev mob nyob rau hauv txoj cai qaum quadrant, xeev siab thiab ntuav, uas tsis muaj kev nyem, qhov ncauj xav tias ab saj, nws yog tau hais tias koj muaj ib qho kev tua ntawm mob cholecystitis.

Cholecystitis - ib qho ntawm feem ntau heev cov kab mob. Raws li cov International ib suam ntawm kab mob (ICD-10) nws belongs rau ib chav kawm ntawv ntawm digestive pathologies. Tus kab mob no yuav ua tau ywj siab thiab muaj peev xwm tshwm sim raws li ib tug mob lwm yam kab mob, xws li pancreatitis, tej yam gastritis, kab mob siab thiab lwm tus neeg. Tus kab mob muaj maj, coj thaum xub thawj, ces nws yog tsim nyog los siv kev kho mob ntawm mob sai li sai tau cholecystitis, tej yam tshwm sim ntawm uas twb sawv.

Yuav ua li cas yog cholecystitis

Cholecystitis raws li ICD-10 - ib tus mob o ntawm lub gallbladder. Lub hom ua ntawm tus kab mob - lub kua tsib ducts, tsib lub zais zis los ntawm kev uas ntxuav ntawm cov kua tsib lub pob zeb daig. Qhov no tshwm sim tau backfired. Lub kua tsib stagnates nyob rau hauv lub cev loses nws antimicrobial zog, raws li ib tug tshwm sim ntawm lub gallbladder phab ntsa kis tus kab mob (nrog rau cov kab mob los ntawm tus mob huam). Vim cholelithiasis tshwm sim mus txog 95 feem pua ntawm cov cholecystitis.

Tsawg ntau tus kab mob tshwm sim los ntawm lwm yam yog vim li cas: acalculous cholecystitis tej zaum yuav precipitated vasculitis, ntev yoo mov, sepsis, mob plab phais, kev poob plig, salmonellosis, thiab lwm yam tsis muaj feem xyuam rau txoj kev tsim tsa ntawm gallstones.

Tus kab mob no tshwm sim nyob rau hauv mob thiab ntev cov ntaub ntawv. Cov mob daim ntawv thiaj paub tias yog sai tsim o. Nyob rau nruab nrab, 15 feem pua ntawm cov neeg mob nrog cov kab mob ntawm lub plab kab noj hniav yog raug rau mob cholecystitis. Lawv cim los ntawm kev mob loj mob nyob rau hauv lub plab mog. Yog hais tias koj xav tias koj muaj ib qho kev tua ntawm mob cholecystitis, nrhiav kev kho mob tam sim ntawd (hu tsheb thauj neeg mob).

Mob cholecystitis yog lub txiaj ntsim ntawm rov bouts ntawm mob. Feem ntau cov feem ntau nws yog calculous (ie gallstones). Gallbladder phab ntsa nkoog nrog lub sij hawm, pathological kev hloov tshwm sim los yog cov kua tsib ducts ntawm lub zais zis txo lub peev xwm mus khaws thiab tso tsib lub pob zeb raug tsim. Yuav kom tus kab mob tsis tsim mus rau hauv ib tug mob, koj yuav tsum raws sij hawm mloog mus rau lub pathological mob ntawm lub cev thiab kho mob cholecystitis.

kab mob cov tsos mob

Qhov tseem hnov cov tsos mob ntawm tus kab mob - ib tug ntse mob nyob rau hauv txoj cai hypochondrium. Mob nyob rau hauv cholecystitis yog loj heev, kav ib lub sij hawm ntev - txog rau lub sij hawm, feem ntau muab nyob rau hauv lub rov qab los yog hauv qab no rau txoj kev xub pwg nyom, thiab txawm los txog rau qaug dab peg.

Nrog rau txoj kev loj hlob ntawm tus kab mob ntawm tus neeg mob tej zaum yuav muaj kev xeev siab, nws lub kua muag, tej zaum tov nrog kua tsib, tab sis nws yooj yim tom qab ntuav yuav. Tsis tas li ntawd, cov neeg mob tej zaum yuav tsis txaus siab ntawm qhov ncauj qhuav, coated tus nplaig. Nquag kev tsis txaus siab ntawm tsam plab, belching cua. Tag nrho cov ntawm cov tsos mob no yuav tsum tau tam sim ntawd kho mob cholecystitis.

Cov tsos mob ntawm mob cholecystitis kuj muaj xws li:

• kub taub hau, kub taub hau;
• daj ntseg;
• lub rooj zaum gray;
• lub plawv palpitations thiab lwm yam kev mob ntawm intoxication.

Nyob rau hauv tas li ntawd mus rau qhov nws yog tsim nyog them sai sai mus rau nram qab no cov tsos mob:

• Murphy thiab qauv: nyob sib sib zog nqus palpation ntawm txoj cai hypochondrium neeg mob nyuaj ua pa, nws mob ua pa;
• Grekov - Ortner: tus neeg mob muaj kev mob thaum lub sij hawm effleurage xibtes ntawm txoj cai costal koov;
• Shchetkina - Bloomberg: qhov mob ntawm cholecystitis amplified yog sai sai thawb mus rau lub anterior mob plab phab ntsa thiab cia mus.

Ua rau mob cholecystitis

Lub ntsiab ua rau cholecystitis - gallstones:

• roj uas txhaws taus lub pob zeb (feem ntau cov ntaub ntawv);
• bilirubin pob zeb los yog pigmented (tshwm sim nyob rau puas ntawm cov ntshav liab).

Lwm yam ua rau ntawm tus kab mob:

• kua tsib stasis nyob rau hauv lub nruab nrog cev;
• mob npuas paug ntawm daim siab thiab biliary ib ntsuj av tau;
• sai poob (seb raws li ib tug tshwm sim ntawm noj cov zaub mov los yog bariatric phais nws tshwm sim);
• cev xeeb tub (nyob rau hauv lub gallbladder muaj feem xyuam rau txoj hauj lwm ntawm lub fetus, raws li zoo raws li hormonal hloov lub cev).

Ib qho tseem ceeb luag hauj lwm nyob rau hauv qhov pib ntawm mob cholecystitis ua si nrog txiv neej pw thiab muaj hnub nyoog. Cov poj niam raug tus kab mob nyob rau nruab nrab 2-3 lub sij hawm ntau dua cov txiv neej. Nws twb tseem sau tseg tias tus kab mob yog feem ntau yuav tsim yog ib tug poj niam tau muab yug rau tsawg kawg ib tug me nyuam muaj kev tiv thaiv contraceptives uas muaj estrogen cov ntsiab lus, yog nyhav dhau heev lawm. Txawm li cas los, nyhav dhau heev lawm yuav ua rau tus kab mob, tsis hais poj niam txiv neej: ib tug sedentary txoj kev ua neej thiab ib tug tsis zoo noj cov zaub mov uas muaj ntau ntau ntawm hnyav oily cov zaub mov ua 4 lub sij hawm ntau yuav mus nrhiav kev pab los ntawm cov kws kho mob rau mob cholecystitis. Txawm li cas los, mob siab heev lub cev ua hauj lwm tseem muaj txhawb rau txoj kev loj hlob ntawm cholecystitis li nce loads cuam tshuam rau lub gallbladder thiab cov kua tsib ducts.

Cov kev pheej hmoo ntawm kev cog lus sharply nce tom qab 40-50 xyoo, tab sis lub caij nyoog yog vim li cas yog vim li cas qhov no tshwm sim yog tseem paub tsis meej. Laus cov txiv neej muaj ntau nquag cai mob calculous cholecystitis.

Cholecystitis rau cov neeg laus yog ntau tshaj nyob rau hauv cov me nyuam, tab sis nyob rau hauv Feem ntau, tus kab mob no tshwm sim nyob rau hauv thaum yau thiab tseem mus rau hauv adulthood.

Tsis tas li ntawd, cov yam tseem ceeb uas tshoov mob cholecystitis xws li cov kab mob xws li ntshav qab zib, Crohn tus kab mob, immunodeficiency.

Pathology zaum yuav tshwm sim raws li ib tug tshwm sim ntawm kev noj cov tshuaj rau txos cholesterol ntau ntau, heev yoo mov, mob plab raug mob.

mob ntawm tus kab mob no

kev tshawb fawb kom paub meej tias qhov mob vim hais tias cov kab mob yog ib tug kev hem thawj rau lub neej nyob rau hauv lub slightest suspicion ntawm mob cholecystitis cov neeg mob yuav tsum tau pw tsev kho mob nyob rau hauv feem ntau tus neeg mob thiab tsis pub dhau 24 teev.

Nyob rau hauv ib tug raug kawg ntawm mob cholecystitis paub meej tias qhov mob ntawm ib tug kws kho mob yog ib qho yooj yim.

Nyob rau hauv tas li ntawd cev nqaij daim tawv kev soj ntsuam ntawm lub plab mog yog tsim nyog los ua kev cai xws tshawb fawb raws li ultrasound thiab xoo tomography ntawm lub plab mog. Nyob rau hauv lub mob ntawm tus kws kho mob yuav tsum nco ntsoov hais tias peb yog tham txog mob cholecystitis, pancreatitis es cov tsos mob ntawm uas yog zoo sib xws, los yog mob hnyuv tws los yog lwm yam kev kho mob tej yam kev mob. Nyob rau ultrasound tus kws kho mob yuav pom hais tias lub gallbladder loj, seb nws nyeem tas phab ntsa ntau zog, muaj lwm yam kev hloov, kua paug, thiab lwm yam pob zeb. Cov hauj lwm zoo txoj kev tshawb no yog mus txog 90 feem pua.

Nyob rau hauv tej rooj plaub, tej zaum yuav X-ray, endoscopic, laparoscopic thiab lwm yam ntawm kev tshawb fawb. Nco ntsoov zis thiab ntshav kuaj yog nqa tawm - general, bilirubin, amylase thiab lipase, pancreatic enzymes, raws li zoo raws li aiming rau kev ntsuam xyuas daim siab muaj nuj nqi.

Conservative txoj kev kho ntawm mob cholecystitis

Yog hais tias ib tug mob cholecystitis muaj yog tsis muaj kev txaus ntshai ntawm peritonitis, daim ntawv ntsuam xyuas qhia tau hais tias, thiab conservative kev kho mob. Tus neeg mob yog tus kws kho feem ntau analgesics thiab tshuaj tua kab mob. Thaum muab cholecystitis antispasmodics rau mob nyem (e.g., "Papaverine", "Tsis muaj-spa" thiab lwm tus neeg). Ua ke npaj nrog cholecystitis (antispasmodics, thiab anesthetics, piv txwv li) muaj qhov zoo tshaj kev txiav txim.

Tshuaj tua kab mob cholecystitis yog siv mus suppress tau tus kab mob ntawm cov tsib zais zis thiab tiv thaiv kom txhob nws tsim.

Tus Neeg Mob thaum lub sij hawm txoj kev kho yuav tsum tau withstand ib tug nruj kev noj haus, thawj hnub tau starvation. Nyob rau hauv txoj cai qaum quadrant yog thov txias.

Yaj lub pob zeb siv npaj chenodeoxycholic los yog ursodeoxycholic acid. Kom muaj lub zog ntawm tus kabmob tsa cov kua tsib thiab gepatoprotektory. Tej kev kho mob tej zaum yuav kav ntau tshaj li ob lub xyoos, tab sis tau ib tug relapse nyob.

phais kho mob

Thaum tej yam tshwm sim ntawm peritonitis rau tus neeg mob yog nqa tawm thaum muaj xwm ceev kev phais - cholecystectomy (tsib zais zis tshem tawm). Nyob rau hauv peritonitis, lub neej no yog heev siab heev, txawm nyob rau hauv thaum muaj xwm ceev ua hauj lwm, thiaj li qhov kev ncua nyob rau hauv tsev kho mob no tsis tshua muaj txaus ntshai thaum tej yam tshwm sim ntawm mob cholecystitis.

Yog hais tias daim ntawv ntsuam xyuas pom calculary cholecystitis (i.e., nrog pob zeb), tsis pub tshaj peb hnub tom qab qhov pib ntawm tus kab mob nyob rau hauv lub qhaj ntawv ntawm contraindications pom zoo thaum ntxov phais los tiv thaiv teeb meem nram qab no mob cholecystitis. Nws lub ntsiab lus - qhov kev tshem tawm ntawm lub gallbladder, ib tug puas mob.

Tam sim no nyob rau hauv ob hom ntawm kev ua hauj lwm: laparotomy thiab laparoscopic cholecystectomy. Nyob rau hauv thawj rooj plaub no nws yog ib qho qhib phais nrog mob plab incision uas yog ua tam sim no yog thiab tsawg tsawg. Laparoscopy yog ua tsis phais incisions siv tshwj xeeb cov khoom. Thaum lub sij hawm laparoscopic phais me me incisions uas los ntawm ib lub koob yees duab thiab seev yog ua tswvcuab. Qhov no hom ntawm cholecystectomy tsawg puas, yog ib tug me me kev ncaj ncees lub sij hawm tom qab nws yog sab laug pob qij txha yog suab tsis muaj adhesions. Tsis tas li ntawd nws yuav siv tau raws li ib tug diagnostic txoj kev.

Tom qab muab hlais tawm lawm, tus neeg mob zoo tu qab tso sai sai, nws muaj ob lub hlis yuav rov qab mus rau li ib txwm lub neej, tab sis qhov yuav tsum tau tseem rau rau lub hlis ua raws li nrog ib tug nruj kev noj haus thiab nyob rau hauv lub neej yav tom ntej los tswj koj cov zaub mov.

Ib tug tshiab kuj zoo uas tsis yog-tus phais - tej thaj chaw deb poob siab-yoj lithotripsy. Gallbladder lithotripsy yog siv thaum uas muaj contraindications rau intracavitary phais. Nws yog tau siv ib tug ntaus ntawv uas xa ib tug poob siab yoj rau ib lub pob zeb thiab crushing nws raws li ntev raws li nws tsis tig mus rau hmoov av.

Cov raug ntawm mob cholecystitis feem ntau dej siab. Tom qab muab hlais tawm lawm vim calculous cholecystitis yuav luag tag nrho cov neeg tsis muaj kev cov tsos mob ntau.

mob ntawm tus kab mob

Mob cholecystitis feem ntau lwm yam kab mob ua rau peritonitis. Peritonitis manifests nws tus kheej nyob rau hauv ib tug tseem ceeb strengthening ntawm kev mob kev nkeeg nyob rau hauv lub 3-4th hnub ntawm kev muaj mob, nqaij nro ntawm lub plab phab ntsa, mob plab.

Tsis tas li ntawd mob cholecystitis yuav ua tau kom perforation ntawm lub gallbladder. Nyob rau hauv cov ntaub ntawv no, tus mob rau ib txhia lub sij hawm yuav raug txo kom tsawg, tab sis, ces tag nrho cov tsos mob, nrog rau kev mob, ua muaj zog.

Mob ntawm tus kab mob muaj xws li cholangitis, pancreatitis, gallbladder gangrene, suppuration nyob rau hauv lub zais zis. Kev yam tab kaum - biliary kev puas tsuaj thaum lub sij hawm kev phais kom tshem tawm cov gallbladder.

Ua tawm tsam ntawm mob cholecystitis yuav ua tau kom mob tus kab mob.

tiv thaiv kev ntsuas

Thaum nyhav rau gallstone tsim kiag tiv thaiv kom txhob muaj tshwm sim ntawm mob cholecystitis yog ib qhov nyuaj. Txawm li cas los, qhov yuav ua ntawm kev tsim gallstones yuav txo tau los ntawm kev tiv thaiv, li no kom txhob muaj txoj kev pheej hmoo ntawm sib cem ntawm mob cholecystitis thiab mob txoj kev loj hlob.

Stagnation ntawm cov kua tsib tiv thaiv active txoj kev ua neej. Mobility tiv thaiv pob zeb tsim, raws li zoo raws li muaj ib txwm lub cev hnyav.

Yog hais tias muaj yog nyhav dhau heev lawm, koj yuav tsis ruaj txo nws.

Tsis tas li ntawd, cov dej tshuav nyiaj li cas yuav tsum muaj cai (hnub koj yuav tsum tau haus tsawg kawg yog 2 liv dej).

Ua tib zoo saib xyuas cov kev kho mob, muab cawv thiab haus luam yeeb, txij li thaum lawv txo lub cev thiab muaj ib tug tsis zoo feem nyob rau cov txheej txheem ntawm kev zom.

Mob cholecystitis yog feem ntau ib tug concomitant kab mob nrog rau hnyuv pathologies, li ntawd, tag nrho cov kab mob ntawm tus mob huam yuav tsum tau kho nyob rau hauv ib tug raws sijhawm.

Cov yooj yim txoj cai - kom kev noj haus. Koj yuav tsum noj tsis tu ncua, nyob rau tib lub sij hawm, yam tsawg kawg peb mus rau tsib lub sij hawm ib hnub twg nyob rau hauv me me. Qhov no yuav pab tiv thaiv kom txhob stagnation ntawm cov kua tsib nyob rau hauv lub gallbladder.

Hwj chim rau mob cholecystitis

Noj cov zaub mov plays ib tug luag hauj lwm loj nyob rau hauv cov kev kho mob ntawm tus kab mob. Yog li ntawd, tus neeg mob yuav tsum xub nco ntsoov tias noj mov nrog cholecystitis, thiab nruj me ntsis raws li nrog tag nrho cov kev txwv los mus tiv thaiv ib tug tsis tshua mob heev ntawm tus nres.

Noj cov zaub mov txawv nyob rau txhua txhua theem ntawm tus kab mob:

• Txij li thaum tus neeg mob pw tsev kho mob qhia yoo mov kom txog thaum txog thaum tsis muaj mob (tab sis tsis ntau tshaj 4 hnub). Rau ntawm no theem tsuas pub haus (mineral dej uas tsis muaj roj los kuj siv tau tsis muaj zog tshuaj yej, txiv hmab txiv ntoo dej qab zib, teas chamomile, peppermint, sawv). Koj yuav tsum haus dej haus feem ntau nyob rau hauv me me sips.
• Tom qab tshem tawm cov kev mob nyob rau hauv kev noj haus yuav tsum tau qhia grated kua zaub mov - es tsis muaj zog broth, kua zaub, mov, semolina, oats, mis nyuj kua zaub, jelly, muaj roj tsawg yogurt. Muaj yog ib tug yuav tsum tau nyob rau hauv me me. Rau ntawm no theem, koj yuav tsum haus dej ntau tshaj 2 liv ntawm dej ib hnub twg.
• Los ze zog mus rov qab nyob rau hauv kev noj haus ntxiv rau cov uas tsis muaj roj ntses thiab nqaij. Tseem tso cai nkaus xwb mashed qos zaub mov, boiled los yog steamed, tab sis feem yuav muab ntau zog. Rau ntawm no theem, cov khoom noj tso cai txiv hmab txiv ntoo thiab zaub, tej ncuav uas qhuav, biscuits, marshmallows, kas fes nrog mis nyuj.

Nyob rau hauv mob thiab ntev cholecystitis nyob rau hauv tsis muaj cov ntaub ntawv yuav tsis noj tej khoom kib, smoked, ntsim, marinated, ntsim. Txwv tsis pub khoom cholecystitis - chocolate, qab zib dej qab zib, qab zib pastries, nceb. Qhov no hnyav khoom noj khoom haus zoo muaj feem xyuam rau lub digestive system thiab yuav ua tau rau ib tug tshiab nres.

Tom qab rov qab noj haus txwv tsis pub nyob twj ywm, tus neeg mob yuav muab cov zaub mov № 5a (limited siv ntawm cov nqaijrog thiab tej zaub mov nplua nuj ntxhib fiber, oxalic acid, cholesterol, nitrogenous extractives).

Kev kho mob ntawm pej xeem cov tshuaj

Folk kev pom zoo raws li ntxiv. Kiag li hloov lawv cov pa txoj kev kho, tshwj xeeb tshaj yog nyob rau hauv lub mob hauv daim ntawv, nws yog txaus ntshai. Yog hais tias koj xav tias ib tug kab mob nyob rau hauv thawj qhov chaw nws yog tsim nyog los tham ib tug kws kho mob. Nws yuav tsum xub muab nqa tawm kev kho mob ntawm mob cholecystitis, uas tsim cov tsos mob thiab yuav tsum tau ceev kho mob tswj, thiab xwb ces koj yuav chaw uasi mus rau tshuaj ntsuab thiab cov nqi.

Kev kho mob ntawm tus kab mob cholecystitis pej xeem tshuaj no kuj siv nyob rau hauv tas li ntawd mus rau lub ntsiab txoj kev kho mob. Feem ntau siv nroj tsuag nrog rau choleretic, anti-inflammatory, antimicrobial zog, raws li zoo raws li zib ntab thiab txiv roj roj. Sawv ntxov tshuaj yej yog pom zoo kom hloov ib tug decoction ntawm maize stigmas los yog sawv duav. Ib tug ntawm cov txhais tau tias zoo li nyob rau hauv cholecystitis thiab lwm yam kab mob ntawm tus mob huam - ib tug decoction ntawm nyoos nplej ntawm oats.

Tej pej xeem tshuaj yuav tsum tau kev pom zoo los ntawm koj tus kws kho mob.

Thaum dieting, noj qab nyob zoo txoj kev ua neej uas yuav muaj gallstones thiab cholecystitis txoj kev loj hlob yog heev me me. Txawm li cas los, thaum ib tug yam ntxwv ntawm mob cholecystitis cov tsos mob yuav tsum tsis txhob self-medicate thiab sab laj ib tug kws kho mob sai li sai tau los mus ua kom ib tug muaj tseeb mob thiab cov zoo li, tsis tas yuav ua cov tsos ntawm cov teeb meem thiab tsim mus rau hauv ib tug mob hauv daim ntawv ntawm cov kab mob no yuav kho tau zoo sai sai.