Pachimake ndi matenda cholecystitis: chimene iwo ali, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• 1. Pachimake cholecystitis
• 2. Matenda a cholecystitis
• Momwe mungatsimikizire matendawa
• Zomwe zimayambitsa
• Momwe mankhwalawa amachitikira

Cholecystitis ndikutupa kwa ndulu, thumba laling'ono lomwe limakhudzana ndi chiwindi, ndipo limasunga bile, madzimadzi ofunikira kwambiri pakudya mafuta. Kutupa kumeneku kumatha kukhala koopsa, kumatchedwa pachimake cholecystitis, ndizizindikiro zoyipa kwambiri, kapena zosatha, ndizizindikiro zoyipa zomwe zimatha milungu ingapo mpaka miyezi.

Cholecystitis imayambitsa zizindikilo monga kupweteka m'mimba, nseru, kusanza, malungo ndi kufatsa kwa m'mimba. Kupweteka kwa maola opitilira 6 kumathandiza kusiyanitsa pakati pa cholecystitis pachimake ndi ululu wa cholelithiasis.

Kutupa kwakukulu kwa ndulu kumatha kuchitika kudzera munjira ziwiri:

• Lithiasic cholecystitis kapena zowerengera: ndichomwe chimayambitsa cholecystitis ndipo amapezeka kwambiri azimayi azaka zapakati. Zimachitika pomwe mwala, womwe umatchedwanso mwala, umayambitsa kutsekeka kwa kanjira kamene kamatulutsa bile. Chifukwa chake, bile imadzikundikira mu ndulu ndikuipangitsa kusokonekera ndikuyaka. Mvetsetsani chomwe chimayambitsa mwala wa ndulu;

  
  
• Alithiasic cholecystitis: ndizosowa kwambiri ndipo zimayambitsa kutupa kwa ndulu popanda miyala. Zizindikirozi ndizofanana ndi za lithiasic cholecystitis, koma chithandizocho ndi chovuta kwambiri ndipo chimakhala ndi mwayi wochira kwambiri, chifukwa nthawi zambiri chimachitika ndi anthu odwala kwambiri.

Mulimonsemo, cholecystitis iyenera kuthandizidwa mwachangu, ndipo wina sayenera kudikirira nthawi yayitali kuposa maola 6 chiyambireni zizindikiro, kuti apewe zovuta zowopsa monga kuphulika kwa ndulu kapena matenda wamba.

Zizindikiro zazikulu

Chizindikiro chodziwika kwambiri cha cholecystitis ndikumva m'mimba, komabe, zizindikilo zina zimatha kusiyanasiyana ngati ndi matenda oopsa kapena osachiritsika.

1. Pachimake cholecystitis

Nthawi zambiri, zizindikilo za cholecystitis zimaphatikizapo:

• Kupweteka kwa colic kumtunda chakumanja kwam'mimba, kumatha maola opitilira 6. Kupweteka kumeneku kumathanso kuyamba pamwamba pamchombo ndikusunthira kumtunda chakumanja;
• Zowawa zam'mimba zomwe zimatulukira paphewa lamanja kapena kumbuyo;
• Chisamaliro pamimba panthawi yopopera pa mayeso a zamankhwala;
• Nseru ndi kusanza, ndi kusowa kwa njala;
• Malungo, pansi pa 39ºC;
• Kuwonekera kwa malaise wamba;
• Fast kugunda kwa mtima;
• Khungu lachikaso ndi maso, nthawi zina.

Kuphatikiza pa zizindikilozi, adotolo amayang'ananso chikwangwani cha Murphy, chomwe chimafala kwambiri mu cholecystitis ndipo chimakhala chopempha kuti munthuyo apumire kwambiri, kwinaku akukanikiza pamimba chakumanja. Chizindikirocho chimawerengedwa kuti ndichabwino, chifukwa chake, chikuwonetsa cholecystitis, munthuyo atapuma, amalephera kupitiliza kupuma.

Zizindikiro zomwe zimawonetsedwa nthawi zambiri zimawoneka pafupifupi ola limodzi kapena kupitilira apo mutadya zakudya zamafuta, monga ndulu imagwiritsidwa ntchito ndi thupi kuthandizira kugaya mafuta ndikutengera michere.

Komabe, kwa odwala azaka zopitilira 60 kapena kupitilira apo, zizindikilozo zimatha kukhala zosiyana. Zikatero, ndikofunikira kudziwa zizindikilo zina monga kusokonezeka kwa malingaliro, malungo komanso khungu lozizira, labuluu. Zikatero, muyenera kupita kuchipatala mwachangu.

2. Matenda a cholecystitis

Matenda a cholecystitis ndi kutupa kwanthawi yayitali. Zimayambitsidwa ndimachitidwe ofanana ndi a cholecystitis pachimake, ndipo atha kukhala osagwirizana ndi kupezeka kwa mwala.

Zizindikiro nthawi zambiri zimawoneka mukatha kudya zakudya zamafuta ambiri komanso kumapeto kwa tsiku, zimakhala zofanana ndi za cholecystitis pachimake, koma chowopsa:

• Ululu kumtunda chakumanja kwam'mimba, kutulutsa phewa lamanja kapena kumbuyo;
• Zowawa zowonjezereka zowonjezereka, zomwe zimasintha pambuyo pa maola angapo, biliary colic;
• Chisamaliro pamimba panthawi yopopera pa mayeso a zamankhwala;
• Nseru, kusanza, kusowa kwa njala, kumva kutupa ndi kuchuluka kwa mpweya;
• Kumva kusapeza;
• Khungu lachikaso ndi maso, nthawi zina.

Matenda a cholecystitis akuwoneka kuti amayamba chifukwa cha zigawo zazing'ono zotupa ndulu, zomwe zimachitika kangapo, pakapita nthawi. Zotsatira za mavuto obwerezabwereza, ndulu imatha kusintha, kukhala yaying'ono komanso yokhala ndi makoma olimba. Zitha kupanganso zovuta, monga kuwerengera kwa makoma ake, kotchedwa porcelain vesicle, mapangidwe a fistula, kapamba kapenanso kukula kwa khansa.

Momwe mungatsimikizire matendawa

Zizindikiro zakuthwa kwa cholecystitis zikuwoneka, tikulimbikitsidwa kuti mufunsane ndi dokotala kapena gastroenterologist kuti mufufuze zochitikazo ndikuyesa matenda, monga kuyesa magazi, ultrasound kapena cholecintilography.

Cholecintilography imagwiritsidwa ntchito ngati zotsatira za ultrasound sizikumveka bwino kuti ziwone ngati ndulu yayamba kapena yotupa, kapena ngati ili ndi zovuta kudzaza.

Zomwe zimayambitsa

Nthaŵi zambiri, cholecystitis imayamba chifukwa cha ndulu, zomwe zimapangitsa kuti kutuluka kwa ndulu kutsekeke mu njira yotchedwa cystic duct, yomwe imalola kuti ndulu ituluke mu ndulu. Milandu yambiri imakhalanso yokhudzana ndi vuto lamwala, lomwe lingakhale kapena lingakhale ndi zizindikilo, ndi pafupifupi ¼ anthu okhala ndi miyala yomwe imatha kukhala ndi cholecystitis yovuta nthawi ina.

Nthawi zina, kubisala sikumachitika chifukwa cha mwala, koma ndi chotupa, chotupa, kupezeka kwa tiziromboti kapena ngakhale atachitidwa opaleshoni pamadontho a ndulu.

Pakakhala alitiásic cholecystitis, kutupa kwa ndulu kumachitika chifukwa cha zomwe sizimvetsetsedwe bwino, koma okalamba, omwe akudwala kwambiri, omwe achita opaleshoni yovuta kapena odwala matenda ashuga, ali pachiwopsezo.

Momwe mankhwalawa amachitikira

Chithandizo cha cholecystitis nthawi zambiri chimayambika ndikulandilidwa kuchipatala kuti chithandizire kuchepetsa kutupa komanso kupweteka, kenako opaleshoni yochotsa chikhodzodzo imachitika. Kawirikawiri amalimbikitsidwa kuti ndulu igwiritsidwe ntchito mkati mwa masiku atatu oyambilira a kutupa kwakukulu.

Chifukwa chake, chithandizo chitha kuphatikizira:

• Mofulumira: momwe ndulu imagwiritsidwira ntchito kupukusa chakudya, adotolo amalimbikitsa kuti muyimitse kudya kwa chakudya ndi madzi kwakanthawi kuti muchepetse kupsinjika kwa ndulu ndikuwongolera zizindikilo;
• Madzi amalowa mumtsinje: chifukwa chololedwa kudya kapena kumwa, m'pofunika kuti madzi azikhala ndi mchere wambiri mumtsinje;
• Maantibayotiki: pa theka la milandu, ndulu imatenga kachilombo mkati mwa maola 48 kuyambira cholecystitis, chifukwa kutalika kwake kumathandizira kufalikira kwa mabakiteriya mkati;
• Kupweteka kumachepetsa: itha kugwiritsidwa ntchito mpaka ululu utachepetsedwa ndikutupa kwa chikhodzodzo kwachepetsedwa;
• Opaleshoni kuchotsa ndulu: laparoscopic cholecystectomy ndiye mtundu waukulu wa opaleshoni yochizira cholecystitis. Njirayi imalola kuti munthu achiritse msanga, popeza sakhala wankhanza mthupi. Mvetsetsani momwe opaleshoni ya chikhodzodzo imagwirira ntchito ndikuchira.

Nthawi yomwe cholecystitis imakhala yovuta kwambiri ndipo wodwalayo sangathe kuchitidwa opaleshoni nthawi yomweyo, kukhetsa ndulu kumachitika, komwe kumathandiza kuchotsa mafinya mu ndulu ndikuchepetsa kutupa, motero kutsegulira ngalandeyo. Nthawi yomweyo, maantibayotiki amaperekedwa kuti ndulu isatenge kachilomboka. Vutoli likakhazikika, opaleshoni yochotsa nduluyo imatha kuchitika kale.