Chololithiasis inowanzoongororwa hutachiona, kunyanya pakati pevakadzi vane makore ekubereka. Varume vanowanzoita cholelithiasis zvishoma, vanowanika katatu ka10 pane dzimwe nguva. Chirwere chacho chinoratidzwa nekufambira mberi kwenguva refu, saka inowanikwa mumatanho ekupedzisira ekubudirira.
Chololithiasis - chii ichi chirwere?
Nokuda kwekushanda kwechigadzirwa chekudya, kushandiswa nguva dzose uye kubuda kwebheri kunokosha. Pasi pesimba rekunze uye mukati, zvinogona kuvhara nekuwana kusagadzikana kwe putty (biliary sludge). Kubva pazvinyorwa zvakadaro, matombo kana matombo mumuromo wejuru zvinoumbwa. Vanowedzera muhukuru uye huwandu, vanowira mumatope (choledochus) uye vanovhara, vachivhiringidza kubuda kwezvinhu zvehupenyu (cholelithiasis).
Zvinokonzera cholelithiasis
Hazvizivikanwi kuti nei chirevo chinorondedzerwa chirwere chinowedzera. Nyanzvi dzinoshevedza zvinhu, nekuda kweiyo cholelitiasis inogona kutanga nepamusoro. Pakati pavo, basa guru rinoitwa nehutano nemakore. Vakadzi vanowanzova necholelithiasis, dambudziko rayo rinowedzera mushure memakore makumi matatu. Zvimwe zvinokonzera zvinokonzera maronda emhepo:
- pamuviri uye kubereka;
- chronic hepatitis ;
- helminthiases ;
- congenital anomalies ye gallbladder uye duodenum;
- chirwere chechiropa;
- zvikamu zvekudya zvinovaka muviri (pamwe nematokari emafuta uye mapuroteni emhuka);
- hormonal disorders;
- basa rakadzika remuviri;
- utachiona, kuputika kwegurubladder;
- maronda emupfupa;
- nzara;
- zvirwere zvemukati mudumbu;
- chronic hemolysis;
- chirwere cheshuga mellitus;
- kushungurudzika kwemafuta metabolism;
- overweight.
Gallstone chirwere - zviratidzo
Chikonzero chikuru chekugadziriswa kwekupedzisira kwehutachiona uku ndiko kufambira mberi kwayo kunononoka uye kusinganzwisisiki (kwemakore 7-10). Zviratidzo zvakajeka zve'cholelithiasis zvinowanikwa kare apo choledocha ichivharwa nemakona uye kuonekwa kweaicute colic. Muzviitiko zvisingawanzoitiki, chikwata chemakiriniki chisina simba chinoratidzirwa mushure mekusaziva kwekusaziva mune zvekudya, asi vanhu havanamati hukuru kune zvakashata zvakadaro.
Matombo ari mu gallbladder - zviratidzo:
- kutora marwadzo anorwadza paanenge achishanda mune chinzvimbo chakatadza, mushure mekudya mafuta, zvinonaka uye zvakabikwa, overexertion;
- kuramba kwenguva refu;
- kunzwa kusuruvara murutivi rworudyi;
- kuneta, kugona.
Kana icho cholelithiasis ichifambira kwenguva yakareba, chinokonzera colic:
- kurwadziwa kwakanyanya munharaunda yechiropa chekucheka kana kuputika, kupa kune pfudzi, sopapula, mutsipa;
- kushungurudzika nemakumbo ekurutsa;
- jaundice;
- angina pectoris;
- kuwedzera kwekushisa kwemuviri;
- fecal decoloration;
- kurima kwemuti.
Matombo ari mu gallbladder - chii chaunofanira kuita?
Maitiro ekurapwa anobva pane nhamba uye nekukura kwezvipfeko, kuoma kwecholelithiasis. Izvo zviri nyore kana zvishoma (kusvika 1 cm) uye mashoma ematombo anowanikwa - kurapwa kunongogumira kune mazano akawanda ekuchengetedza mararamiro akanaka uye kuchengetedza Pevzner's No. 5 kudya. Mukuwedzera, zvakakosha kuti nguva dzose uite prophylactic ultrasound kuongorora, kutarisa uwandu hwekufambira mberi kwehutachiona, kugadzirisa mamiriro uye nhamba yezvidimbu.
Pamberi pematombo makuru (kusvika kusvika 2 cm) nzira dzisiri dzekuvhiya dzehutano dzinoratidzwa. Izvi zvinosanganisira kuvhiringidzwa nemishonga uye kupwanya kubva kunze. Nzira dzakadaro hadzisi nguva dzose dzinoita zvinotarisirwa uye hazvirevi kuti zvakakwana kugadziriswa kwecholelithiasis. Mushure mekunyangarika kwematombo, vanogona kuvaka zvakare. Mukana wekudzoka kwehutano kana kuumbwa kwematombo makuru (kubva pa2 cm muupamhi), kupindira kwekuvhiya kunorayirwa. Nzira yacho inosanganisira kubvisa chidzitiro pamwe chete nemakwenzi.
Gallstone chirwere, kurwisa - chii chaunofanira kuita?
Colic chinhu chisina kunaka uye chinotyisa, saka pazviratidzo zvaro zvekutanga zvinoda kuti pakarepo uite musangano nechiremba. Kurwisana kunorwadza sezvinobvira, kana mabwe makuru akaumbwa mu bile, zviratidzo zvakaoma nekudzimirwa kwemakumbo uye kupera. Izvi zvinokonzera kudhakwa kwakanyanya kwemuviri uye kukanganisa kwakasimba kwegadziriro yekudya.
Heino nzira yekugadzirisa chikamu che cholelitiasis kumba:
- Dzimwe nhema uye zororo, kusanganisa chero basa romuviri.
- Kunwa spasmolytics nekuita vasodilating (Yunispaz, Drotaverin, Pllalgin).
- Nokupisa kunowedzera, kutora antipyretic uye anti-inflammatory drugs (Paracetamol, Ibuprom, Nurofen).
- Kana pane njodzi yekuvandudza angina pectoris, tora mishonga yekuita kuti miitiro ye mwoyo ishande ( Asparkam , Spasmol, Nifedeks).
- Isa chidziya pamakumbo ako kana kungovafukidza nehombodo. Kupisa kunowedzera midziyo.
- Inwa inenge 500 ml yemvura inopisa.
- Itai compress yakasvibirira pane right hypochondrium.
- Kwemaawa 12, rega kudya. Mushure mekumisa colic, unogona kuchinja kune kudya kwekudya.
- Kurwiswa kunogara kwemaawa matatu kunoda kuti vashandi vekugadzirira va ambulance.
Dombo mumhepo - chirwere pasina chirwere
Conservative therapy inorongedzerwa chete nekawanda kadiki yezvipfeko zviduku duku. Inoitwa nenzira mbiri:
- Kuparara kwematombo mu-gallbladder. Nokuda kweizvi, acids (chenodeoxycholic uye ursodeoxycholic) uye mishonga yekugadzira (extract of immortelle) inoshandiswa. Nzira yakadzika-inoshanda, inobatsira chete kubva mumatombo e-cholesterol mu 10-20% emhosva.
- Kuputsa mabwe mujeri. Kushandiswa kunoitwa nema ultrasonic kana kushandiswa kwemagetsi. Iyi nzira yakakodzera pamberi pediki (kusvika 1 cm) uye mabwe asina kubviswa, kana pasina zviratidzo zvekuputika.
Gallstone chirwere - kurapwa nemishonga yevanhu
Hapana nzira dzakasiyana-siyana dzokurapa inoparadza maitiro akasimba. Kurapa kwevanhu vekuchiriithiasis kunofanira kushandiswa sechiyero chekubatsiridzira kuderedza chirwere uye kunonoka kukura kwayo. Kushandiswa kusingadzorwi kwemishonga yekugadzirira kuchaita kuti chilelithiasis ichinetseke - zviratidzo zvinokurumidza kukura, zvishoma nezvishoma zvinosvika zvakanyanya uye zvinorwadza colic.
Herbal collection of cholelithiasis
Zvisungo:
- chamomile - 5 g;
- valerian - 5 g;
- mint - 5 g;
- hawthorn - 5 g;
- midzi ye buckthorn - 5 g;
- dzoka - 5 g;
- ledum - 5 g;
- midzi aira - 5 g;
- motherwort - 5 g;
- maruva emupata - 5 g;
- hip - 5 g;
- mvura - 1.5 litita.
Kugadzirira, shandisa :
- Sakanidza zvakaoma zvigadzirwa.
- Birai kukohwa kwemaminitsi mashanu kusvika ku7.
- Simbisai maawa matanhatu.
- Simbisa muto.
- Inwa 100-110 ml yemishonga katatu pazuva kwehafu yeawa musati wadya. Preheat.
Matombo ari mu gallbladder - operation
Nzira yakanakisisa yekurapa chirwere ichi ndicho cholecystectomy. Kubviswa kwematombo kubva mujeri kunoitwa pamwe chete nhengo, pasinei nenhamba yezvipfeko. Kazhinji kazhinji, nzira inoshandiswa yakawanda inoparadzanisa laparoscopic inoshandiswa, dzimwe nguva chiremba anovhiya anoita chisarudzo pamusoro peparapotomy kana kuti chirwere chinopindira chinopindira. Muna 99% yezviitiko, cholelithiasis inopora zvachose mushure mekuita. Kazhinji kuwedzera postcholecystectomy syndrome kana kuti sphincter kudzvinyirira Oddi - chirwere chisingaperi chisingagoneki.
Chikafu chechilelithiasis
Chikafu chakakodzera chikamu chinokosha chekurapa kwecholelithiasis. Zvokudya zvakakodzera zvechiriyithiasis zvinopa mutoro unorema pachiropa uye pancreas zvakaenzana nekudya kwakakwana kwezvibereko uye mavitamini mumuviri. Zvokudya zvinokonzera kuwanda kwemafuta nemaprotheni emhuka, kunopedza munyu kudya. Kudya nematombo mu-bile kunopa humanani hunotevera:
- zvose zvakasviba zvinofanira kuva zvitsva;
- kudya kudya - 4-6 kakawanda pazuva muzvikamu zviduku zvakafanana;
- panguva yekuwedzerwa kunokurudzirwa kugaya kana kugaya zvokudya;
- pane zvisina chinhu mudumbu kunokosha kunwa mvura yakachena isina-carbonated yemuwaniki wekamuri.
Gallstone chirwere: kudya - Ndezvipi zvokudya zvingadyiwa?
Tafura nhamba ye5 inofungidzirwa kuti yakadya zvakakwana, ichipa zuva rega rega munhu mukuru mumakori. Zvaunogona kudya necholelithiasis:
- vegetarian soups;
- macaroni;
- semi-liquid mucous porridges uye ndiro kubva kwavari;
- kudya nyama;
- hove dzakaderera;
- hove (zvishoma);
- sausage yechiremba;
- dairy sausages;
- chingwa chezuro chiya che 1 kana 2 chinyora upfu, zvine bran;
- Mazamu anocheka-mafuta uye misi yemukaka-mucheki;
- dry biscuit;
- mishonga (kupisa kunotapirwa, yakasvibirira - inogumira);
- mazai - kwete kakawanda kaviri pavhiki, kunyanya protein omelets;
- squash caviar;
- maapuro akanaka;
- dairy kana zvinyoro zvinyoro;
- masipiresi echisikigo - zvine mwero (jam, pastille, uchi, marshmallow, marmalade nezvimwe);
- yakasviba (kusvika pamagiramu 30 pazuva) nemafuta ezviviramu (kusvika pamagiramu 15 pazuva);
- loose loose tea;
- chamomile broth;
- compote yemichero yakaomeswa, imbwa-rose;
- sweet sweet fruit drinks and compotes.
Chii chausingagoni kudya necholelithiasis?
Kuti udzikinure chiropa, unofanira kusiya chero "zvokudya zvakaremara" izvo zvinochera kwenguva yakareba. Kana icho cholelithiasis chiri munharaunda yakaoma, zviri nani kushaya nzara zuva rokutanga mushure mekurwa. Kushandura kutafura nhamba nhamba 5 kunoitwa zvishoma nezvishoma, nekuiswa kwezvikamu zvezvitsva zvitsva. Kudya nematombo mujeri hakusipo:
- broths, nyama soups, okroshku;
- chingwa chitsva;
- fried food;
- nyama nenyama-michina, kuvigwa;
- tsvina;
- pickling;
- marinades;
- zvinonhuwira uye zvinonhuwira;
- hove yakakora nenyama;
- nyemba;
- bhari, chibage, pearl bhari;
- zvokudya zvekunamatira;
- kubika;
- zvigadzirwa kubva pazviputi;
- salted cheese;
- whey;
- mishonga inokurudzira kuvhenekera (garlic, kabichi, anyanisi, radishes nevamwe);
- citrus fruit;
- nuts;
- mahwisi machiri uye michero;
- chocolate;
- dessert nemakisi;
- mbeu;
- cocoa;
- carbonated drinks;
- kofi;
- doro;
- green tea;
- karkade;
- chicory
Gallstone chirwere - zvinetso
Migumisiro yakaipa inomuka kana kusingateereri mazano ekudya uye kusava nekurapa. Yakanamatira mabwe mu-bile ducts anovadzivirira, zvichikonzera matambudziko akawanda. Izvi zvinotungamirira kumatambudziko akadaro:
- cholangitis ;
- acute biliary pancreatitis;
- cholecystitis ;
- mechanical jaundice ;
- matumbo okudzivirira;
- dropsy;
Chirwere chinokonzera chirwere chinogona kukonzera chirwere chakakura chokuvhiringidza nekukuvadza kune mucous membrane pamadziro echando. Somugumisiro, nhengo ye perforation (kuputika) inowanikwa nekubuda kwezvinhu zviri mukati mudumbu remuviri - puretoniti yakaoma. Ichi chiitiko chinotyisa zvikuru, chakazara nemigumisiro isingagoni kusvibiswa uye kunyange rufu.
Gallstone chirwere - kudzivirira
Kudzivirira kuumbwa kwe calculi, zvakakosha kudzivisa zvinhu zvinowedzera kwavari. Kudzivirira kuumbwa kwemaronda emhepo:
- nzwisiso noutano;
- kuchengetedza kwechimiro chemuviri wepanyama;
- kuita basa;
- kuramba kurwara;
- kurapwa kwenguva yakakodzera zvirwere zvisingaperi zvekudya.