Isifo se-Gallstone - ukuthi ungabona kanjani izimpawu zokuqala bese uyeka i-cholelithiasis?

I-Chololithiasis i-pathology evame ukutholakala, ikakhulukazi kwabesifazane abaneminyaka yobudala. Amadoda athambekele kakhulu kwi-cholelithiasis kakhulu, athola izikhathi ezincane izikhathi ezingu-3-10. Lesi sifo sibonakala ngokuqhubekela phambili eside, ngakho-ke kutholakala ezinkathini ezisheshayo zokuthuthukiswa.

I-Chololithiasis - siyini lesi sifo?

Ukusebenza okujwayelekile kwesistimu yokugaya ukudla, ukukhiqizwa njalo nokuphuma kwebhili kuyadingeka. Ngaphansi kwethonya lezinto zangaphandle nezangaphakathi, zingakwazi ukugcoba futhi zithole ukuvumelana kwe-putty (i-biliary sludge). Kusukela ku-deposit efana ne-viscous, amatshe noma amatshe kulesi sikhumba senyongo. Banda ngesayizi nangokwengeziwe, bangena emathini (choledochus) bese bewagcoba, bephazamisa ukuphuma kwamanzi abilayo (cholelithiasis).

Izimbangela ze-cholelithiasis

Ayaziwa ukuthi kungani i-pathology echazwayo iqala. Ochwepheshe bezingcingo, ngoba i-cholelithiasis ingaqala ngamathuba amakhulu. Phakathi kwabo, indima enkulu idlalwe ubulili nobudala. Abesifazane banamathuba amaningi okuba ne-cholelithiasis, ingozi yanda ngemva kweminyaka engama-30. Ezinye izimbangela eziphakanyisiwe zezigulane:

• ukukhulelwa nokubeletha;
• i-hepatitis engapheli ;
• helminthiases ;
• ukungabikho kokuzalwa kwangempela kwe-gallbladder ne-duodenum;
• i-cirrhosis yesibindi;
• izici zokudla okunomsoco (enezinhlobo zamafutha kanye namaprotheni ezinkomo);
• ukuphazamiseka kwe-hormonal;
• umsebenzi ophansi womzimba;
• ukutheleleka, ukuvuvukala kwe-gallbladder;
• ukulimala komgogodla;
• indlala;
• izifo zomathumbu amancane;
• i-hemolysis engapheli;
• isifo sikashukela mellitus;
• ukuphazamiseka kwe-fat metabolism;
• ukwedlula ngokweqile.

Isifo seGallstone - izimpawu

Isizathu esiyinhloko sokuthola ukuthi lesi sifo sifinyelelwe isikhathi eside siphuthumayo siphuthumayo futhi esingavamile (iminyaka engu-7-10). Izimpawu ezicacile ze-cholelithiasis zitholakale kakade uma i-choledocha ivinjelwe yizikhonkwane nokubukeka kwe-colic acute. Ezimweni ezingavamile, isithombe esibhedlela esibuthakathaka siyabonakala ngokusuka kokungalungi ekudleni, kodwa abantu abathinteki ukubaluleka ekuhluphekeni okunjalo.

Amatshe agcwele i-gallbladder - izimpawu:

• ukudonsa ubuhlungu obunzima uma usebenza endaweni enesithakazelo, emva kokudla okunamafutha, ukudla okunezici ezinokuthosiwe nokuthosiwe, ukuphazamiseka okukhulu;
• i-nausea ende;
• uzizwa unesizungu ngakwesokudla;
• ukukhathala, ukulala.

Uma i-cholelithiasis iqhubeka isikhathi eside, iyakhuthaza i-colic:

• ubuhlungu obukhulu esifundeni sesibindi sokwemvelo noma ukubhoboza, ukunikeza ehlombe, isisindo, intamo;
• isicanucanu esinamanzi okuhlanza;
• i-jaundice;
• angina pectoris;
• ukushisa komzimba okwandisiwe;
• ukuguqulwa kwamafutha;
• ukumnyama komchamo.

Amatshe emgodbladder - yini okufanele ayenze?

Amaqhinga wezokwelapha ancike kwinombolo nobukhulu bezingqinamba, ubunzima be-cholelithiasis. Kulula uma kuncane (kuze kufike ku-1 cm) nambalwa ama-gallstones atholakele - ukwelashwa kunqunyelwe izincomo ezijwayelekile zokulondoloza impilo enempilo nokugcina ukudla kuka-Pevzner No. 5. Ngaphezu kwalokho, kuyadingeka ukuba uhlolwe njalo nge-prophylactic ultrasound diagnostic, ulawule izinga lokuqhubeka kwe-pathology, ulungise isimo nesibalo sezingcingo.

Lapho kubonakala khona amatshe amakhulu (kuze kufinyelele ku-2 cm) izindlela zokwelapha ezingahlinzekiwe. Lokhu kuhlanganisa ukuhlakazwa nezidakamizwa nokuchoboza kusuka ngaphandle. Izindlela ezinjalo azikhiqizi njalo umphumela okulindelekile futhi awuqinisekisi ukulahlwa okuphelele kwe-cholelithiasis. Ngemuva kokunyamalala kwamatshe, bangakwazi ukwakha futhi. Uma kwenzeka ukuphindaphindeka noma ukubunjwa kwamatshe amakhulu (kusuka ku-2 cm ububanzi), ukungenelela kokuhlinzekwa kunqunywe. Le nqubo ihilela ukukhipha isambiso kanye nezisombululo.

Isifo seGallstone, ukuhlaselwa - yini okufanele uyenze?

I-Colic yisimo esibi kakhulu futhi esiyingozi, ngakho-ke lapho izibonakaliso zayo zokuqala kuyisifiso sokwenza i-aphoyintimenti nodokotela ngokushesha. Ukuhlasela kubuhlungu ngangokunokwenzeka, uma kutholakala amatshe amakhulu e-bile, izimpawu ziyinkimbinkimbi ngokuvinjelwa kwamadayini kanye nokulimala. Lokhu kubangela ukuxiliswa komzimba nokuphuka okuqinile kwenqubo yokugaya ukudla.

Nansi indlela yokukhulula isiqephu se-cholelithiasis ekhaya:

1. Amanga amaningi futhi uphumule, ungafaki noma yimuphi umsebenzi wenyama.
2. Ukuphuza i-spasmolytics nge-vasodilating action (Yunispaz, Drotaverin, Pllalgin).
3. Njengoba izinga lokushisa likhulayo, thatha izidakamizwa zokulwa nama-antipyretic neziphikisayo (i-Paracetamol, i-Ibuprom, i-Nurofen).
4. Uma kukhona ingozi yokuthuthukisa i-angina pectoris, thatha imithi ukujwayela umsebenzi wenhliziyo ( Asparkam , Spasmol, Nifedeks).
5. Beka imfudumalo ezinyaweni zakho noma uzihlanganise nje ngengubo. Ukushisa kwandisa izitsha.
6. Phuza nge-500 ml amanzi ashisayo.
7. Faka i-compress efudumele ku-hypochondrium efanele.
8. Amahora angu-12, shiya ukudla. Ngemuva kokuma i-colic, ungashintsha ekudleni kokudla.
9. Ukuhlaselwa okuhlala isikhathi esingaphezulu kwamahora amathathu kudinga ukushayela abasebenzi be-ambulensi.

Amatshe e-gallbladder - ukwelashwa ngaphandle kokuhlinzwa

Ukwelashwa kokugcinwa kwemvelo kunqunywe kuphela ngenani elincanyana lezingcingo zesayizi encane. Lenziwa ngezindlela ezimbili:

1. Ukuchithwa ngamatshe ku-gallbladder. Kulokhu, ama-acids (chenodeoxycholic ne-ursodeoxycholic) kanye nama-herbal preparations (okukhishwe i-immortelle) asetshenziswa. Izindlela eziphansi kakhulu, zisiza kuphela ngamatshe e-cholesterol ema-10-20% amacala.
2. Amatshe okuchoboza e-gallbladder. Ukuxhaphazwa kwenziwa nge-ultrasonic noma i-wave electromagnetic. Le ndlela ifaneleka phambi kwamancane (kufika ku-1 cm) namatshe angashadile, uma kungekho zibonakaliso zokuvuvukala.

Isifo seGallstone - ukwelashwa ngamakhambi abantu

Awekho izindlela zokwelapha ezingezinye zokuchitha izinhlaka eziqinile. Ukwelashwa kwabantu nge-cholelithiasis kumele kusetshenziswe njengesilinganiso esisizayo ekunciphiseni i-pathology nokunciphisa ukuqhubeka kwayo. Ukusetshenziswa okungalawulwa kwamalungiselelo emifino kuzokwenza kube nzima ukuba i-cholelithiasis - izimpawu ziyokhula ngokushesha, kancane kancane zifinyelele i-colic enzima futhi ebuhlungu.

Iqoqo lemifino ye-cholelithiasis

Izithako:

• chamomile - 5 g;
• i-valerian - 5 g;
• i-mint - 5 g;
• hawthorn - 5 g;
• izimpande ze-sihlahla sihlahla sivame ukutholakala - 5 g;
• vula - 5 g;
• i-ledum - 5 g;
• izimpande aira - 5 g;
• umama - 5 g;
• i-lily yesigodi - 5 g;
• izinkalo - 5 g;
• amanzi - 1.5 amalitha.

Ukulungiselela, sebenzisa :

1. Hlanganisa izithako ezomile.
2. Bilisa iqoqo lemaminithi angu-5-7.
3. Ukumelela amahora angu-6.
4. Bamba umhluzi.
5. Phuza 100-110 ml imishanguzo izikhathi ezintathu ngosuku ngosuku lwesigamu sehora ngaphambi kokudla. Preheat.

Amatshe angaphakathi kwe-gallbladder - ukusebenza

Indlela ephumelela kakhulu yokwelapha lesi sifo yi-cholecystectomy. Ukususwa kwamatshe avela enkongweni ye-gallbladder kuqhutshwa kanye nesigungu, kungakhathaliseki ukuthi inani lamakhansela. Ngokuvamile, kusetshenziselwa indlela ye-laparoscopic encane engasetshenzisiwe, ngezinye izikhathi udokotela ohlinzayo wenza isinqumo mayelana ne-laparotomy noma ukungena okujwayelekile. Emaphesenti angu-99%, i-cholelithiasis ikhambi ngokuphelele ngemva kwenqubo. Ngokuvamile ukwakhiwa kwe-postcholecystectomy syndrome noma ukungasebenzi kwesifo se-sphincter Oddi - isifo esingavamile sokugaya ukudla.

Ukondleka kwe-cholelithiasis

Ukudla okunempilo yingxenye ebalulekile yokwelashwa kwe-cholelithiasis. Ukudla okunembile kwe-cholelithiasis kunikeza imithwalo enobumnene esibindi nase-pancreas kufana nokudla okugcwele kwezakhi namavithamini emzimbeni. Ukudla kunciphisa inani lamafutha namaprotheni, kunciphise uketshezi. Ukudla ngamatshe nge-bile kunikeza ama-nuances alandelayo:

• zonke izitsha kumele zifudumele;
• ukudla okudla - izikhathi ezingu-4-6 ngosuku ezinxenyeni ezincane ezifanayo;
• ngesikhathi sokucindezela kunconywa ukuba ugaya noma ugaye ukudla;
• esithombeni esingenalutho kudingekile ukuba uphuze amanzi angenawo-carbonated ekamelweni lokushisa.

Isifo seGallstone: ukudla - yiziphi ukudla ongadla?

Inombolo yethebula 5 ibhekwa njengokudla okugcwele, inikeza isidingo nsuku zonke somuntu omdala ngama-khalori. Yini ongayidla nge-cholelithiasis:

• isobho semifino;
• i-macaroni;
• ama-porridges ama-semi-liquid namanzi okuphuma kuwo;
• inyama yokudla;
• izinhlanzi ezinamafutha aphansi;
• izinhlanzi zasolwandle (ngokulinganisela);
• sausage udokotela;
• ama-sausages yobisi;
• Isinkwa sango-1 noma 2 sihlele ufulawa, ne-bran;
• Ubisi olunamafutha aphansi kanye nemikhiqizo yobisi omuncu;
• ibhisikidi elomile;
• imifino (ukushisa ukuphathwa, okuluhlaza - okulinganiselwe);
• amaqanda - hhayi kaningi izikhathi ezimbili ngesonto, ikakhulukazi amaprotheni omelets;
• i-squash caviar;
• ama-apula amnandi;
• ama-milk noma ama-sauces amnene;
• amaswidi asemvelo - ngokulinganisela (ujamu, i-pastille, uju, i-marshmallow, i-marmalade nokunye okunjalo);
• okunamafutha (kuze kube ngu-30 amagremu ngosuku) namafutha omifino (kuze kube ngu-15 amagremu ngosuku);
• itiye elimnyama elimnyama;
• umhluzi we-chamomile;
• ukuqoqa izithelo omisiwe, inja-rose;
• izithelo eziphuzo ezithandekayo nama-compotes.

Yini ongenakuyidla nge-cholelithiasis?

Ukuze ulayishe isibindi, kufanele ushiye noma yikuphi ukudla "okunzima" okugayiwe isikhathi eside. Uma i-cholelithiasis isesiteji esibucayi, kungcono ukulamba ngosuku lokuqala emva kokuhlaselwa. Ukuguqulwa kwetafula inombolo ye-5 kwenziwa kancane kancane, ngokusungulwa kwezingxenye zezitsha ezintsha. Ukudla ngamatshe ku-gallbladder akubandakanyi:

• ama-broths, inyama yesobho, okroshku;
• isinkwa esisha;
• ukudla okuthosiwe;
• inyama by-imikhiqizo, offal;
• imikhiqizo yokubhema;
• ukukhethwa;
• izimoto zemikhumbi;
• ama-sauces anesiphuzo nama-spicy;
• izinhlanzi ezinamafutha nenyama;
• ubhontshisi;
• ibhali, ummbila, ibhali lensiza;
• ukudla okusemathinini;
• ukupheka;
• imikhiqizo evela emakhazeni;
• ushizi usawoti;
• whey;
• imifino evusa ukuvuthwa kwezinqubo (garlic, iklabishi, anyanisi, ama-radishes nabanye);
• izithelo ze-citrus;
• amantongomane;
• amajikijolo aluhlaza nezithelo;
• ushokoledi;
• ama-dessert no-ukhilimu;
• imbewu;
• i-cocoa;
• iziphuzo ze-carbonated;
• ikhofi;
• utshwala;
• itiye elihlaza;
• i-karkade;
• chicory.

Isifo seGallstone - izinkinga

Imiphumela emibi ivela lapho kungavumelani nezincomo zokudla nokuntula ukwelashwa. Ukugubha amatshe ezindlebeni ze-bile ukuvimbela kubo, kubangele izigameko eziqhubekayo. Lokhu kuholela ekutheni izifo ezinjalo zenzeke:

• i-cholangitis ;
• i-pancreatitis ye-biliary acute;
• i-cholecystitis ;
• i-jaundice yomshini ;
• ukuvimbela emathunjini;
• i-dropsy;

Isifo esiyinkimbinkimbi segulane singashukumisa inqubo enamandla yokuvuvukala ngomonakalo emangqamuzaneni amancane ezindongeni zesisu. Ngenxa yalokho, i-perforation yomzimba (ukuphuka) kwenzeka nge-outflow yezinto ezingaphakathi kwisigxobo esiswini - i-peritonitis enzima. Lesi simo sinengozi kakhulu, sinezimiphumela ezingenakuguquka ngisho nokufa.

Isifo seGallstone - ukuvimbela

Ukuvimbela ukwakheka kwe-calculi, kubalulekile ukugwema izici ezinikeza zona. Ukuvimbela ukwakheka kwe-gallstones:

• ukudla okunengqondo;
• ukugcinwa kwesisindo somzimba esivamile;
• umsebenzi womzimba;
• ukulahla izidakamizwa;
• ukwelashwa okwesikhashana kwezifo ezingasetshenziswayo zokugaya.