Gallstone kab mob - yuav ua li cas pom thawj cov cim thiab nres cholelithiasis?

Chololithiasis yog ib hom mob pathology, tshwj xeeb tshaj yog cov poj niam ntawm cov me nyuam muaj hnub nyoog. Tus txiv neej yog nquag cholelithiasis tsawg dua, lawv pom muaj 3-10 zaus tsawg zaus. Tus kab mob no yog tus cwj pwm los ntawm kev mob ntev, yog li nws pom nyob rau theem pib ntawm txoj kev loj hlob.

Chololithiasis - dab tsi yog tus kab mob no?

Rau lub qub hauj lwm ntawm digestive system, tas mus lawm thiab tawm ntawm bile yog tsim nyog. Nyob rau hauv tus ntawm lwm sab nraud thiab sab hauv tseem ceeb, nws muaj peev xwm thicken thiab tau txais ib tug sib xws ntawm putty (biliary sludge). Los ntawm xws li ib tug deposits deposit, pob zeb los yog pob zeb nyob rau hauv lub zais zas gall yog tsim. Lawv nce thiab muaj ntau, poob mus rau ducts (choledochus) thiab clog lawv, cuam tshuam cov outflow ntawm cov kua qaub (cholelithiasis).

Ua rau cholelithiasis

Nws tsis paub meej vim li cas cov kev ntsuam xyuas pathology tsim. Cov kws kho mob hu cov khoom, vim tias cholelithiasis tuaj yeem pib nrog qhov ntau dua. Ntawm lawv, lub luag haujlwm tseem ceeb los ntawm kev sib deev thiab hnub nyoog. Cov poj niam feem ntau yuav muaj mob cholelithiasis, qhov uas yuav muaj mob ntxiv tom qab 30 xyoo. Lwm cov tswv yim ua rau gallstones:

• kev xeeb tub thiab kev yug menyuam;
• kab mob siab ntsws ntev ntev ;
• helminthiases ;
• muaj kev puas siab ntsws ntawm lub npoo tsev thiab duodenum;
• cirrhosis ntawm lub siab;
• nta cov khoom noj khoom haus (nrog rau lub hwj chim ntawm cov nqaijrog thiab tsiaj txhu);
• hormonal ntshawv siab;
• tsis qoj ua ub ua no;
• tus kab mob, mob ntawm lub gallbladder;
• txha caj qaum;
• tshaib plab;
• kab mob ntawm cov hnyuv me;
• ntev hemolysis;
• ntshav qab zib mellitus;
• kev mob ntawm roj metabolism hauv;
• rog rog.

Gallstone tus kab mob - cov tsos mob

Lub ntsiab yog vim li cas rau kev paub txog keeb kwm yav dhau los yog qhov nws qeeb thiab tsis muaj kev vam meej (rau 7-10 xyoo). Cov kab mob cholelithiasis pom tau tias yog thaum choledocha raug thaiv los ntawm kev sib thooj thiab cov tsos mob ntawm cov mob nyaum heev. Hauv qee zaum, ib qho chaw tsis muaj mob qog nqaij hlav raug pom zoo rau cov keeb kwm ntawm kev noj haus, tab sis cov neeg tsis muab qhov tseem ceeb rau qhov tsis xis nyob.

Lub pob zeb nyob rau hauv lub gallbladder - cov tsos mob:

• rub rov qab mob thaum ua haujlwm nyob rau hauv ib txoj hauj lwm, tom qab noj fatty, ntsim thiab kib zaub, overexertion;
• lub sij hawm ntev;
• muaj kev ntxhov siab nyob rau sab xis;
• qaug zog, tsaug zog.

Yog hais tias tus cholelithiasis nce mus ntev, nws provokes colic:

• mob mob hauv thaj tsam ntawm lub siab ntawm kev txiav los yog kev tho qhov, muab rau lub xub pwg, nraub qaum, caj dab;
• xeev siab nrog nti ntawm ntuav;
• jaundice;
• angina pectoris;
• ntxiv zog kub cev;
• fecal decoloration;
• darkening ntawm zis.

Lub pob zeb nyob rau hauv lub gallbladder - dab tsi ua?

Kev kho tactics yog nyob ntawm tus naj npawb thiab qhov me me ntawm kev sib tw, qhov hnyav ntawm cholelithiasis. Nws yog yooj yim yog me me (txog li 1 cm) thiab ob peb gallstones muaj - kev kho tsuas yog siv rau kev pom zoo rau kev tswj hwm txoj kev noj qab haus huv thiab kev ua siab zoo ntawm Pevzner's No. 5 noj. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum tsis tu ncua ua tus kws kho mob ultrasound mob, tswj tus nqi ntawm kev mob ntawm pathology, txhim kho tus mob thiab tus naj npawb ntawm concrements.

Thaum muaj cov pob zeb loj loj (txog 2 cm) tsis yog phais kho txoj hauv kev kho. Cov no suav nrog cov kev sib tawmtsam nrog kev siv tshuaj thiab tawm ntawm sab nraud. Cov kev ua zoo li no tsis tas yuav tsim cov nyhuv kev xav thiab tsis ua kom tiav pov tseg ntawm cholelithiasis. Tom qab lub disappearance ntawm lub pob zeb, lawv muaj peev xwm rov qab ua dua. Nyob rau hauv cov ntaub ntawv ntawm ib tug recurrence ntawm pathology los yog tsim ntawm loj pob zeb (los ntawm 2 cm nyob rau hauv lub cheeb), kev phais kev pab yog sau. Cov txheej txheem yuav tshem cov zais zis nrog cov kev sib tw.

Gallstone tus kab mob, nres - ua li cas?

Colic yog ib qho mob tsis txaus thiab txaus ntshai, yog li ntawm nws cov paib thawj zaug nws yog ntshaw kom sai li sai tau teem caij nrog tus kws kho mob. Qhov kev sib kis yog mob heev li, yog tias cov pob zeb loj tsim hauv cov kua mis, cov tsos mob yog cov nyom los ntawm kev cuam tshuam ntawm cov ducts thiab stagnation. Qhov no provokes acute congestion ntawm lub cev thiab ib qho muaj zog ua txhaum ntawm tus txheej txheem digestive.

Ntawm no yog yuav ua li cas los daws qhov kev mob ntawm cholelithiasis tom tsev:

1. Tshaj tawm ntxiv thiab so kom txaus, tshem tawm cov haujlwm ua haujlwm.
2. Yuav kom haus dej haus tshuaj lom spasmolytics nrog cov vasodilating (Yunispaz, Drotaverin, Pllalgin).
3. Nrog rau kev sov siab, noj tshuaj tua kab mob thiab tshuaj tiv thaiv (Paracetamol, Ibuprom, Nurofen).
4. Yog tias muaj ib qho kev pheej hmoo ntawm tus mob angina pectoris, noj tshuaj los ua rau lub cev muaj zog ( Asparkam , Spasmol, Nifedeks).
5. Muab ib daig kom sov rau koj txhais ko taw lossis cia li npog nrog ib daim pam. Thaum tshav kub hnyiab nthuav cov hlab ntsha.
6. Haus txog 500 ml ntawm rhuab dej.
7. Muab ib qho sov so rau ntawm txoj cai hypochondrium.
8. Rau 12 teev, tso noj. Tom qab siv ceev xwmphem, koj tuaj yeem hloov mus noj zaub mov noj.
9. Ib qho mob siab ntev tshaj li 3 teev yuav tsum tau hu cov neeg ua hauj lwm hauv lub tsheb thauj neeg mob.

Pob zeb nyob rau hauv lub gallbladder - kev kho mob yam tsis muaj kev phais

Cov kev kho kom txuag tau kho yog tsuas sau nrog cov zauv me me xwb. Nws yog nqa tawm hauv 2 txoj hauv kev:

1. Tshem tawm ntawm pob zeb nyob rau hauv lub gallbladder. Rau qhov no, cov acids (chenodeoxycholic thiab ursodeoxycholic) thiab tshuaj ntsuab npaj (Extract ntawm immortelle) yog siv. Cov txheej txheem qis, pab tsuas yog los ntawm cov pob zeb hauv cov pob txha hauv 10-20% ntawm cov neeg mob.
2. Crushing pob zeb nyob hauv lub gallbladder. Manipulation yog ua los ntawm ultrasonic lossis electromagnetic yoj. Qhov no yog tsim nyob rau hauv muaj me me (txog li 1 cm) thiab tib pob zeb, yog tias tsis muaj cov cim qhia ntawm o.

Gallstone tus kab mob - kho nrog pej xeem tshuaj

Tsis muaj txoj kev kho txoj kev kho txoj hauv kev tsis sib haum. Kev kho haiv neeg ntawm kev mob cholelithiasis yuav tsum raug siv los ua ntsuas kev pab kom txo tau cov kab mob pathology thiab qeeb nws txoj kev loj hlob. Kev siv cov tshuaj ntsuab tsis siv tshuaj yuav ua rau cov mob cholelithiasis tsis zoo - cov tsos mob yuav ua rau kom sai, maj mam mus cuag mob thiab mob heev.

Herbal sau ntawm cholelithiasis

Cov khoom xyaw:

• chamomile - 5 g;
• valerian - 5 g;
• mint - 5 g;
• hawthorn - 5 g;
• keeb kwm ntawm buckthorn - 5 g;
• tig - 5 g;
• ledum - 5 g;
• keeb kwm aira - 5 g;
• motherwort - 5 g;
• Lily ntawm Valley - 5 g;
• hips - 5 g;
• dej - 1.5 liv.

Npaj, siv :

1. Sib tov cov khoom xyaw qhuav.
2. Boil tus sau rau 5-7 feeb.
3. Txias rau 6 teev.
4. Lim lub broth.
5. Haus 100-110 ml ntawm cov tshuaj 3 zaug ib hnub rau ib nrab ib teev ua ntej noj mov. Preheat.

Lub pob zeb nyob rau hauv lub gallbladder - lag luam

Qhov zoo tshaj plaws txoj kev kho ntawm tus kab mob yog cholecystectomy. Tshem tawm ntawm lub pob zeb los ntawm lub gallbladder yog nqa tawm nrog lub cev, tsis hais tus naj npawb ntawm kev sib tw. Feem ntau, txoj kev siv cov minyuam laparoscopic minimally yog siv, qee zaus tus kws phais yuav ua rau kev txiav txim siab txog laparotomy lossis txheem kab noj hniav. Nyob rau hauv 99% ntawm cov neeg mob, cholelithiasis kho kiag li tom qab tus txheej txheem. Tsis tshua muaj tus mob postcholecystectomy syndrome los yog sphincter kuj txawv Oddi - ib tus mob plab hnyuv.

Khoom noj khoom haus rau cholelithiasis

Kev noj haus yog ib qho tseem ceeb ntawm kev kho mob cholelithiasis. Qhov khoom noj khoom haus kom tseeb rau cholelithiasis muab cov khoom hnyav rau daim siab thiab txiav rau hauv lub nrog rau tag nrho cov kev pabcuam ntawm cov as-ham thiab cov vitamins rau hauv lub cev. Qhov kev noj haus tsuas pub cov rog ntawm cov rog thiab tsiaj cov protein, minimizes salt intake. Kev noj haus nrog pob zeb hauv lub khob kuj muaj cov nram qab no nuances:

• tag nrho cov tais diav yuav tsum sov;
• zaub mov kom tsawg - 4-6 zaug ib hnub nyob rau hauv tib lub me me;
• thaum lub sijhawm ua kom qis dua nws raug pom zoo muab zom los yog zom zaub mov;
• nyob rau hauv lub plab uas khoob nws yog tsim nyog haus cov dej ntshiab tsis-carbonated ntawm ib chav hauv tsev.

Gallstone kab mob: noj cov zaub mov - koj noj cov zaub mov twg?

Cov naj npawb 5 yog xam tag nrho cov khoom noj khoom haus uas muaj kev noj qab haus huv, muab kev tu txhua hnub rau ib tus neeg laus hauv calorie ntau ntau. Yam koj noj tau nrog cholelithiasis:

• neeg tsis noj nqaij soups;
• macaroni;
• cov dej khib nyiab thiab cov tais diav los ntawm lawv;
• kev noj zaub mov;
• cov ntses tsawg;
• nqaij nruab deg (nruab nrab);
• tus kws kho mob hnyuv;
• Kev Khom Khoom;
• nag hmo tus qhob cij ntawm 1 los sis 2 txheeb hmoov nplej, nrog kua txhuam;
• cov khoom muaj roj tsawg thiab cov khoom ua qaub-mis nyuj;
• qhuav biscuit;
• zaub (kub kho, nyoos - txwv);
• qe - tsis ntau tshaj 2 zaug ib lub lim tiam, dua li cov protein omelets;
• squash caviar;
• qab zib qab zib;
• dej los yog cov kua qab ntsev;
• ntuj cov khoom qab zib - nruab nrab (jam, pastille, zib mu, marshmallow, marmalade thiab cov zoo li);
• creamy (txog 30 grams ib hnub) thiab zaub roj (li 15 grams ib hnub);
• xoob dub tshuaj yej;
• chamomile broth;
• compote ntawm qhuav txiv hmab txiv ntoo, aub-rose;
• qab zib txiv hmab txiv ntoo thiab cov kua dej qab zib.

Yam koj tsis tuaj yeem noj nrog cholelithiasis?

Yuav kom txo tau lub siab, koj yuav tsum tso cov khoom noj uas "hnyav" uas ntim tau ntev. Yog hais tias tus cholelithiasis yog nyob rau hauv cov theem mob, nws zoo dua rau tshaib plab thawj hnub tom qab qhov kev tawm tsam. Kev hloov mus rau lub rooj zauv 5 yog nqa tawm maj, nrog cov kev taw qhia ntawm feem ntawm cov khoom noj tshiab. Kev noj haus nrog pob zeb hauv lub gallbladder excludes:

• broths, nqaij soups, okroshku;
• tshiab qhob cij;
• kib zaub mov;
• nqaij by-products, offal;
• cov khoom haus luam yeeb;
• pickling;
• marinades;
• ntsim thiab ntsim;
• ntses rog thiab nqaij;
• taum;
• barley, pob kws, pearl barley;
• cov zaub mov kaus poom;
• ci;
• cov khoom siv los ntawm pastry pastry;
• salted cheese;
• whey;
• zaub uas provoke fermentation xyaw (qej, zaub qhwv, dos, radishes thiab lwm tus);
• citrus txiv hmab txiv ntoo;
• ceev;
• nqaij nyoos thiab txiv hmab txiv ntoo;
• chocolate;
• desserts nrog cream;
• noob;
• cocoa;
• carbonated dej;
• kas fes;
• cawv;
• ntsuab tshuaj yej;
• karkade;
• chicory.

Gallstone kab mob - teeb meem

Kev tsis zoo yuav tshwm sim thaum tsis ua raws li cov lus pom zoo noj haus thiab tsis muaj kev kho mob. Daig lub pob zeb nyob hauv cov kab mob ducts thaiv lawv, ua rau muaj qhov tshwm sim tshwm sim. Qhov no ua rau xws li pathologies:

• cholangitis ;
• acute biliary pancreatitis;
• cholecystitis ;
• mechanical jaundice ;
• plab hnyuv txhuam;
• poob;

Ib hom kab mob nyuab nyuab heev tuaj yeem ua rau ib tus mob loj heev tuaj yeem tsim kev puas tsuaj rau lub qhov dej ntawm lub zais zis. Vim li ntawd, qhov hloov perforation (rupture) tshwm sim nrog cov outflow ntawm txheem rau hauv plab kab noj hniav - mob ua pauj. Tus mob no tsis tshua muaj xwm txheej zoo li, nws yog kev tsis ncaj ncees thiab kev tuag.

Gallstone tus kab mob - kev tiv thaiv

Txhawm rau tiv thaiv kev tsim ntawm kev xam, nws yog ib qho tsim nyog kom tsis txhob muaj cov xwm txheej uas muab rau lawv. Tiv thaiv kev tsim ntawm gallstones:

• kev noj zaub mov;
• txij nkawm ntawm lub cev qhov hnyav;
• kev qoj ib ce;
• thim kev quav yeeb quav;
• raws sij hawm kev kho mob ntawm cov mob digestive.