ọdịnaya
Cholecystitis bụ usoro mkpali na gallbladder, nke na-akpasukarị site na ọrịa nke akụkụ ahụ nwere microflora intestinal megide ndabere nke mmebi nke mpụta nke bile site na eriri cystic mechiri emechi. Cholecystitis na-abụkarị ihe mgbagwoju anya nke cholelithiasis. Gallbladder dị n'akụkụ imeju ma na-arụsi ọrụ ike na usoro mgbaze. Bile na-esi na eriri afọ na-apụ apụ, ma mgbe ụfọdụ, a na-enwe nsogbu na npụpụ na bile na-anakọta na gallbladder, na-ebute oke mgbu na nnukwu ihe ize ndụ nke ibute ọrịa.
Dị ka a na-achị, ọrịa ahụ na-apụta na ngwakọta na cholangitis - mbufụt nke bile ducts. Cholecystitis bụ ọrịa ịwa ahụ a na-ahụkarị, ọkachasị n'etiti ndị agadi na ndị agadi nwanyị - ha na-arịa ọrịa ugboro atọ ruo asatọ karịa ndị ọgbọ nwoke.
Isi ihe na-akpata predisposition okike na cholecystitis:
Mkpakọ na-adịghị ala ala nke gallbladder n'oge ime ime na-akpalite nsonaazụ ogologo oge - enweghị aha cholesterol na bile acid, na, n'ihi ya, stagnation nke bile;
Akụkụ nke metabolism nke hormonal nke ụmụ nwanyị - egosipụtara na progesterone, nke a na-emepụta n'ọtụtụ dị ukwuu n'oge ime ime na menopause, na homonụ mmekọahụ nke nwanyị ndị ọzọ na-emetụta ọrụ nke gallbladder;
Ụmụ nwanyị na-enwekarị mmasị na nri, na mmachi nri siri ike na-akpaghasị motility (contractility) nke gallbladder.
Otu ihe egwu, n'agbanyeghị okike na afọ, gụnyere ndị nwerebu:
Ọrịa eriri afọ na / ma ọ bụ imeju;
Ọrịa parasitic (helminthic na protozoal invasions, ọdụ ụgbọ ala ma ọ bụ n'otu n'ime usoro mmepe na eriri afọ na / ma ọ bụ imeju);
Ọrịa gallstone (GSD) na mgbochi (mgbochi) nke cervix na / ma ọ bụ mmebi nke akpụkpọ anụ mucous nke gallbladder;
Ọrịa ndị na-akpaghasị nnyefe ọbara na mgbidi nke gallbladder.
Achọpụtala njikọ ntụgharị uche n'etiti pathologies nke gallbladder na akụkụ ahụ nke afọ na-enweghị njikọ anatomically - ndị a bụ ihe a na-akpọ viscero-visceral reflexes. Ihe ndị a niile na-akpata cholecystitis bụ n'ihi mmebi nke patency (obstruction) nke gallbladder, ma ọ bụ mmebi nke motility ya (dyskinesia).
Dabere na etiological ndabere, a na-ekewa nnukwu ìgwè abụọ nke cholecystitis:
Calculous (lat. Calculus - nkume);
Enweghị mgbako (enweghị nkume).
Mgbaàmà nke cholecystitis
Ihe mgbaàmà mbụ nke cholecystitis na-abụkarị mgbu dị nkọ n'akụkụ aka nri n'okpuru ọgịrịganke pụtara na-atụghị anya ya. Ihe kpatara nke a bụ nkume nke na-egbochi eriri cystic. N'ihi ya, iwe na mbufụt nke gallbladder na-amalite.
Mgbu na-apụ mgbe oge ụfọdụ gasịrị n'onwe ya ma ọ bụ mgbe ọ nwụsịrị ọgwụ mgbu, ma n'ọdịnihu ọ na-eji nwayọọ nwayọọ na-abawanye, mgbe ahụ ọ na-aghọ mgbe niile. Enwere mmepe nke ọrịa ahụ, nke na-esonyere oke ahụ ọkụ, vomiting na ọgbụgbọ. Ọnọdụ onye ọrịa na-aga n'ihu na-akawanye njọ.
Na-akwụsị ịgbasa bile nkịtị n'ime eriri afọ, Ihe ịrịba ama nke bụ icteric coloration nke akpụkpọ na anya sclera. Ihe achọrọ maka jaundice bụ kpọmkwem ọnụnọ nke nkume na-egbochi bile ducts. A na-eji ịdị njọ nke pathogenesis eme ihe site na ụbụrụ onye ọrịa: na-emekarị obi obi site na iri asatọ ruo otu narị na iri abụọ - otu narị na iri atọ na-akụ kwa nkeji (ma ọ bụ ọbụna karịa), nke bụ nnukwu ihe ịrịba ama, nke pụtara na mgbanwe ndị dị ize ndụ emeela. n'ime ahụ.
N'ihe banyere ụdị cholecystitis na-adịghị ala ala, ihe ịrịba ama ahụ nwere ike ọ gaghị apụta nke ọma, n'ọdịnihu ọrịa ahụ nwere ike ime onwe ya ka ọ dịkwuo elu ma ọ bụ buru nnukwu ụdị. N'okwu a, naanị ọgwụgwọ na ụlọ ọrụ ahụike pụrụ iche ga-ezere mmebi nke ọnọdụ ahụ.
Ọgbụgbọ na cholecystitis – a nkịtị akara. Ọgbụgbọ bụ ọnọdụ na-ebutekarị gag reflex. N'ọnọdụ ụfọdụ, ọgbụgbọ na vomiting bụ mmeghachi omume nchebe nke ahụ maka ịṅụbiga mmanya ókè. Site na cholecystitis, ọgbụgbọ na ọgbụgbọ na-abụkarị akụkụ nke pathogenesis nke ọrịa ahụ.
Ọgbụgbọ na cholecystitis kwesịrị ịdị iche na mgbaàmà ndị yiri ya na ọrịa ndị ọzọ na pathologies:
Ọsịsa (afọ ọsịsa) na cholecystitis hụrụ ọtụtụ mgbe. Ọgbụgbọ, afọ ntachi, bloating bụ ihe ịrịba ama nke ọrịa nke eriri afọ tract, gụnyere cholecystitis. Mpụta mberede nke nsogbu stool n'oge ọgwụgwọ cholecystitis na-egosi usoro mgbagwoju anya nke ọrịa ahụ.
Ihe na-akpata cholecystitis
Ihe na-akpata ọrịa ahụ nwere ike ịdị nnọọ iche, ma ọtụtụ mgbe cholecystitis na-apụta n'ihi nchịkọta nke nkume dị na cystic duct, ahụ na olu nke gallbladder, nke na-eme ka bile siri ike ịpụ. Ihe kpatara ya nwekwara ike ịbụ ụdị mmerụ ahụ ma ọ bụ ọrịa, yana ọnụnọ nke ọrịa siri ike dị ka ọrịa shuga mellitus, Otú ọ dị, ebe a cholecystitis ga-egosipụta onwe ya dị ka mgbagwoju anya nke pathology dị ugbu a, ọ bụghị dịka ọrịa nke onwe ya.
Nsonaazụ nke ihe niile dị n'elu nwere ike ịbụ nnukwu ụdị cholecystitis nwere eriri afọ na-ere ọkụ. A na-ahụkarị ụdị ọrịa ahụ na-adịghị ala ala n'ọnọdụ ebe mgbakasị ahụ adịghị ebelata ogologo oge ma na-agbatị, n'ihi nke a na mgbidi nke akụkụ ahụ na-adịwanye njọ.
Mwakpo nke cholecystitis
Mwakpo bụ ihe e ji mara ma cholecystitis bụ isi na mmụba nke ụdị ọrịa ahụ na-adịghị ala ala. Ndị na-akwa ọdịdọ bụ ahụ erughị ala n'ime afọ mgbe ha richara nri ndị nwere abụba, oseose ma ọ bụ mmanya.
Mgbaàmà nke nnukwu ọgụ nke cholecystitis:
Mgbu mgbu dị nkọ na hypochondrium ziri ezi, epigastrium ma ọ bụ otubo;
Ọgbụgbọ na ọgbụgbọ, gas belching, uto ilu n'ọnụ;
Subfebrile ma ọ bụ febrile ahụ okpomọkụ (37-38 0 C ma ọ bụ 38-39 0 SITE).
Kedu ka esi ewepụ cholecystitis n'ime ahụ?
Iji kwụsị ọgụ nke cholecystitis, ị kwesịrị:
Kpọọ ụgbọ ihe mberede;
Dina n'elu akwa ma tinye oyi na afo;
Were antispasmodic (no-shpa) na analgesic;
Iji belata ọgbụgbọ, ṅụọ tii mint ma ọ bụ mmiri ịnweta mmiri na-abụghị carbonated na ụlọ okpomọkụ;
Na ọnụnọ nke vomiting, hụ na nchịkọta nke vomit maka nyocha.
Mgbagwoju anya na nsonaazụ
Ụdị cholecystitis siri ike na-enweghị ọgwụgwọ zuru oke na-aghọ nke na-adịghị ala ala na oge mkpasu iwe na mgbaghara. Na ọrịa na-adịghị ala ala siri ike ịgwọ ọrịa, ebe ọ bụ na akụkụ ndị ọzọ na-etinye aka na pathogenesis. A na-achọpụta ụdị cholecystitis dị elu na 15% nke ndị ọrịa. Ọ nwere ike ịkpata gangrene, fistulas biliary na-ejikọta eriri afọ, akụrụ na afọ na eriri afọ, jaundice na-egbochi, ọzịza, nnukwu pancreatitis, na mgbe ụfọdụ sepsis.
Nsonaazụ (prognosis) nke cholecystitis calculous na enweghị mgbako:
Amụma nke calculous cholecystitis na-enweghị mgbagwoju anya dị mma. Mgbe ọgwụgwọ siri ike gasịrị, foto ụlọ ọgwụ nwere ike ọ gaghị apụta ogologo oge. A mara ikpe nke mgbake zuru oke. N'ụdị mgbagwoju anya nke cholecystitis calculous, prognosis na-akpachara anya karị;
Amụma nke cholecystitis na-abụghị calculous bụ ejighị n'aka. Site na ọrịa dị otú ahụ, mmadụ kwesịrị ịkpachara anya maka ụdị purulent na mbibi nke mbufụt.
Ọgwụgwọ na nri
A na-eme ọgwụgwọ nke nnukwu cholecystitis na ọrịa na-adịghị ala ala na nnukwu ọkwa n'ụlọ ọgwụ ịwa ahụ. A na-ahọrọ usoro ọgwụgwọ n'otu n'otu dịka ihe ngosi si dị.
Usoro ọgwụgwọ nke cholecystitis:
Ọgwụ nje, nhọrọ na-adabere na ịdị irè nke ọgwụ ahụ;
Antispasmodics iji mee ka ọrụ nke ngafe nke bile n'ime obere eriri afọ;
Cholagogue na hypotension nke gallbladder na patency nkịtị nke bile duct;
Hepatoprotectors iji nọgide na-arụ ọrụ imeju.
Ọgwụgwọ ịwa ahụ nke cholecystitis:
Cholecystectomy - mwepụ nke gallbladder zuru oke, a na-eme ya ozugbo na mgbaàmà nke peritonitis na-agbasa na nnukwu mgbochi bile, n'ọnọdụ ndị ọzọ - n'ụzọ a haziri ahazi.
Nri maka cholecystitis
N'oge mwakpo siri ike, a na-enye onye ọrịa ahụ naanị ihe ọṅụṅụ na-ekpo ọkụ na obere akụkụ. Olu nke mmiri mmiri ruru otu na ọkara lita kwa ụbọchị.
Mgbe i wepụrụ nnukwu mgbu, nri na-agụnye ọka, kissels, uzuoku cutlets si anụ ma ọ bụ azụ azụ, akwa ọkụkọ n'ụdị omelet, na achịcha ọcha.
Nri maka cholecystitis:
Ịkwesịrị iri nri na obere akụkụ (5-6 ugboro n'ụbọchị) iji nọgide na-enwe usoro nke mmepụta bile;
A na-atụ aro nri abalị karịa awa 4-6 tupu ụra abalị.
Nri nke ndị ọrịa nwere cholecystitis kwesịrị ịgụnye:
Ngwaahịa anụmanụ nwere obere abụba kacha nta, bee nke ọma na steamed;
Akwukwo nri na-enweghi eriri siri ike, bara ụba na vitamin na ihe nchọta.
Na cholecystitis, a machibidoro iwu iri ngwaahịa ndị a:
Mkpọ, pickled, smoked, nnu, pickled, abụba abụba, astringent;
na-akpasu afọ ntachi na mmepụta gas (mmiri ara ehi, mkpo, ihe ọṅụṅụ carbonated);
Ịgbanwe pH nke gburugburu ebe obibi nke afọ (mmanya, sọrel, akwụkwọ nri, mkpụrụ osisi citrus).