Muaj ntau qhov laj thawj rau txoj kev no:
- sedentary txoj kev ntawm lub neej;
- ntau dhau ntawm kev noj cov rog ntawm cov tsiaj keeb kwm (roj, rog rog, qe);
- kev txhim kho ntawm cov kabmob endocrine (mob ntshav qab zib mellitus, rog rog);
- noj tshuaj kho qhov ncauj kom tsis muaj menyuam hauv plab (hauv cov poj niam).
Muaj ntau ntawm cov kab mob ntawm cov ntsaum:
- kev ua haujlwm tsis zoo (dyskinesia);
- cov txheej txheem mob (cholecystitis);
- metabolic swb (tus kab mob pob zeb).
Cov cim xeev qhia yog theem ntawm tib cov txheej txheem. Thaum nyuam qhuav pib, teeb meem tshwm sim nrog kev ua kom muaj lub plab zom zaws, tom qab ntawd txuas ntxiv ntawm cov txheej txheem mob pib, uas tsim kho tus kab mob gallstone.
Lub hauv paus tseem ceeb ntawm cholecystitis
Ib tug kab mob xws li mob cholecystitis feem ntau ua rau kis tau tus mob. Tus kab mob nkag mus rau hauv lub cev los ntawm cov hlab ntshav, hla mus rau hauv lub lymph thiab nce mus los ntawm txoj hnyuv.
Cov peev txheej ntawm qhov pib ntawm kev sib kis tau yog:
- inflammatory txheej txheem nyob rau hauv lub gastrointestinal huam ntawm ntau qib ntawm chav kawm (kis kab mob enterocolitis, pancreatitis, dysbiosis, appendicitis, o ntawm lub plab hnyuv);
- teeb meem ntawm lub ntsws ua pa (tonsillitis, sinusitis), thiab lub qhov ncauj kab noj hniav (kab mob ncig);
- o ntawm cov mob txeeb zig (cystitis, pyelonephritis);
- kev cuam tshuam ntawm kev muaj me nyuam (prostatitis hauv txiv neej thiab adnexitis rau cov poj niam);
- cov qhov txhab mob siab ntawm lub siab muaj kab;
- cab nyob rau hauv biliary huam (roundworm, giardia).
Cov tsos mob tseem ceeb ntawm tus mob cholecystitis
Qhov kab mob ua kis yog mob thiab mob ntev ntawm hom kev kawm.
Mob cholecystitis. Rau cov mob chav kawm ntawm tus mob, nyob rau hauv qhov tsis muaj pob zeb tsim, ib qho kev rov qab sai uas tsis muaj kev txhim kho ntawm cov teeb meem yog cov yam ntxwv. Muaj qee kis, tus kabmob no tuaj yeem ua tau ntev. Cov kev mob zoo sib xws yog tsis tshua muaj neeg nyiam.
Raws li txoj cai, cholecystitis nquag tsim muaj cov pob zeb hauv lub gallbladder, uas yog qhov kev tsis txaus ntseeg ntawm chav kawm ntawm tus kab mob gallstone.
Thaum pib muaj txheej txheem, kev mob hnyav ntawm lub plab nyob rau sab xis tshwm sim. Qhov hnov mob hnov mob hauv qhov chua leeg thiab tej zaum yuav ntuav nrog ntuav, xeev ntuav thiab kub cev kom txog 38-39 degrees. Tsis tas li ntawd, ua daus no, tso quav qeeb, tsim cov roj ntau dhau, ua kom daj ntawm daim tawv nqaij thiab sclera.
Mob xam tus mob cholecystitis tseem tuaj yeem pom nws tus kheej los ntawm kev kis mob rau cov kabmob thiab cov nqaij mos uas nyob ib ncig ntawm lub zais zis. Nws qhov tshwm sim tuaj yeem ua qhov qhia tshem tawm, mob ntawm tus kab mob bile ducts (hauv zos lossis mob sib kis), mob pancreatitis. Hauv cov xwm txheej zoo li no, tus kws phais mob siab tshaj plaws yuav tsum tau saib xyuas kev kho mob lossis tus kws kho mob xa mus rau chav phais mob kom pw hauv tsev kho mob.
Tus mob cholecystitis yuav mob qeeb qeeb, pib los ntawm qhov thaum tiav hluas. Kev tsis txaus siab pib tshwm sim los ntawm kev ua txhaum ntawm kev noj zaub mov zoo, nrog rau kev ntxhov siab thiab lub siab.
Tus kab mob no qhia tau nws tus kheej ntawm qhov mob hauv qab txoj cai pob thiab tuaj yeem hloov mus rau sab laug lossis siab dua lub plab. Kev tsis zwm rau tus mob cholecystitis tuaj yeem cuam tshuam nrog txhua hom kev ua ntawm dyskinesia, uas ua rau muaj kev txhim kho mob.
Nrog rau kev txhim kho homopomotor dyskinesia, tej zaum yuav muaj kev mob caj dab, tsis tu ncua thiab tsis meej. Ntau zaus, ib qho mob sib txig ntawm qhov mob tuaj yeem yog qhov hnyav lossis hlawv hauv qab tus tav. Nrog rau hyperkinetic hom gallbladder o, qhov mob yuav mob siab heev thiab yog paroxysmal. Nws tuaj yeem muab rau hauv qhov chaw supraclavicular fossa, lub siab, lossis hauv qab hniav ntawm lub xub pwg.
Cholecystocardial syndrome cuam tshuam nrog kev mob siab rau ntawm lub plawv, txhawm rau txhawm rau lub plawv dhia sai, thiab cuam tshuam rau nws lub suab sib luag. Qhov no tshwm sim vim muaj tshuaj lom thiab kis tau ntawm cov leeg plawv.
Hauv cov xwm txheej ntawd thaum tus kab mob pib lossis pib ntev dhau los, lub hnub ci plexus tuaj yeem txuas nrog cov txheej txheem pathological thiab tus mob polar syndrome pib tsim. Nws cov tsos mob tseem ceeb yog qhov mob hnyav thiab mob hnyav rau ntawm txoj hlab ntaws, uas tuaj yeem rov qab zoo rau sab nraub qaum. Ib qho txheej txheem zoo sib xws, thiab tshwj xeeb, kev ua kom muaj zog thiab tshwm sim ntawm qhov mob, tuaj yeem tshwm sim los ntawm kev tsis txaus siab hauv kev noj zaub mov, kev tawm dag zog, kev co, kev tsim txom cov dej cawv, ua rau lub siab thiab mob siab rau lub cev.
Yuav kho tus mob cholecystitis li cas?
Yog tias muaj cov tsos mob tshwm sim ntawm tus kab mob, thiab nws tau paub tseeb los ntawm kev kuaj sim, tom qab ntawd qhov kev hloov zoo tuaj yeem ua tiav nrog cov tshuaj tua kab mob. Tus kws kho mob yuav tsum ua nrog lawv xaiv, ntsuas lub peev xwm ntawm bile kom mloog zoo.
Txo cov kev mob tshwm sim thiab ib txwm ua kom tshem tawm cov kua tsib, cov kws kho mob koom nrog saib xyuas:
- "Riabal" 2 mg intramuscularly lossis 1-2 ntsiav tshuaj peb zaug ib hnub (tus neeg sawv cev anticholinergic);
- "Tsis-shpu" 2 ntsiav tshuaj peb zaug ib hnub, "Papaverine" 2 ml ntawm 2 feem pua ntawm cov tshuaj intramuscularly 2-3 zaug hauv ib hnub, "Mebeverin" 1-2 ntsiav tshuaj 3 zaug hauv ib hnub (myotropic antispasmodics);
- "Platifillin" (anticholinergics);
- "Analgin", "Baralgin" (tshuaj pleev ib ce).
Yog tias muaj cov tsos mob ntawm lub qog ua ntshav lawm, yog tias tsis muaj laij, kev npaj rau cov kua tsib tawm tuaj yeem, piv txwv li, "Allohol" 1-2 ntsiav tshuaj peb zaug ib hnub, "Cholenzym" 2 daim 3 zaug ib hnub, nrog rau tshuaj ntsuab tshuaj ntsuab.
Tshuaj ntsuab kho tus mob
Niaj hnub nimno cov tshuaj siv dav siv tshuaj ntsuab qhia paub tshuaj thiab siv tshuaj ntsuab kho mob. Qhov pib siv tau yuav yog:
- immortelle thiab St. John lub wort. Nws yog ib qho tsim nyog yuav tsum coj 15 g thiab 10 g ntawm cov nroj tsuag, ntsig txog, thiab ncuav ib nrab ib liter dej. Tom qab no, rhaub qhov sib tov rau 5 feeb thiab lim. Cov khoom tiav tau coj hauv ib nrab khob peb zaug ib hnub rau 15 feeb ua ntej noj;
- pob kws stigmas. Lawv yuav tsum tau noj 10 g thiab ncuav ib khob ntawm dej npau. Qhov sib tov yog hau rau 5 feeb thiab noj nyob rau hauv ib lub hlis twg khob 3 zaug ib hnub ua ntej noj mov;
- tansy. 5 g ntawm cov nroj tsuag yog insisted nyob rau hauv ib khob ntawm boiling dej rau ib nrab ib teev. Tom qab lub sijhawm no, siv cov tshuaj hauv ib rab diav 3 zaug ib hnub;
- txiv dev. Raws nws, kev npaj "Holosas" (condensed rosehip thiab qab zib extract) yog npaj. Txhais tau tias noj 2 teaspoons ua ntej noj mov. Koj tuaj yeem thov ib txoj kev lis ntshav ntawm lub duav Rose. Ua li no, ncuav 10 grams ntawm nws 400 ml ntawm dej npau, muaj sawv hauv dej da dej rau 15 feeb.
Cov peev nyiaj no ua rau tsim muaj cov kua tsib, txo nws cov viscosity thiab yog tus cwj pwm los ntawm kev muaj peev xwm daws cov mob. Lawv tuaj yeem raug teem cia thaum muaj kev zam txim rau 14 txog 28 hnub.
Lwm yam kev kho mob
Cov dej hauv dej yuav ua kom zoo ib yam, uas teb tau li cas kho tus mob cholecystitis hauv lawv txoj kev. Nyob ntawm lawv cov muaj pes tsawg leeg, dej tuaj yeem txhawb kev ua pa npuas. Cov dej tsis muaj roj yog siv rau kev pom zoo ntawm kws kho mob peb zaug ib hnub nyob rau hauv lub khob. Nws yog qhov tsim nyog los tsim qhov no rau lub sijhawm los ntawm 30 feeb mus rau 1.5 teev ua ntej noj mov hauv lub xeev rhuab.
Yog tias microliths nyob hauv cov kua tsib, tsib lub zais zis ntawm lub ntsej muag, cholestatic syndrome tau pom, tom qab ntawd cov kev mob no suav nrog tshuaj nyob rau hauv daim ntawv ntawm ursodeoxycholic acid rau 1-3 lub hlis, tab sis yuav raug saib xyuas ntawm tus kws kho mob.
Txhawm rau kom muaj lub siab ua haujlwm tsis zoo, tshuaj choleretic yog siv rau stagnation ntawm bile. Piv txwv li, nws yuav yog "Hofitol" - tus tiv thaiv lub siab ntawm lub siab ntawm cov nroj tsuag. Nws muaj cov kua aqueous ntawm nplooj ntawm artichoke teb. Cov cuab yeej siv 2 ntsiav tshuaj 3 zaug hauv ib hnub 20 feeb ua ntej yuav npaj pluas noj. "Gepabene" tuaj yeem pom zoo - nws tseem yog qhov kev npaj tshuaj ntsuab ua rau lub hauv paus ntawm cov txiv hmab txiv ntoo ntawm cov mis thistle thiab lam haus. Cov tshuaj yog siv 1 tshuaj ntsiav peb zaug ib hnub.
Nrog rau kev txhim kho ntawm cov hlab ntsha dystonia, kev ua kom loog siv, piv txwv li, Motherwort lossis Valerian. Adaptol 500 mg 3 zaug ib hnub rau 2 hlis tuaj yeem pom zoo.
Kev noj haus txhua hnub thiab kev noj haus kho mob
Nyob rau lub sijhawm thaum tus mob cholecystitis pib dhau mus rau theem ntawm exacerbation, tus kws kho mob pom zoo kom nyob hauv tsev kho mob lossis tshuaj mob hauv tsev kho mob. Nws tseem yog ib qho tseem ceeb kom soj ntsuam nruj lub caij pw thiab lub siab so. Tom qab cov tsos mob hais tawm tau tshem tawm, kev so so tej zaum yuav nthuav dav mus rau ib qho.
Hauv thawj hnub tom qab pib qhov mob cholecystitis, nws yog ib qho tseem ceeb kom haus cov kua sov xwb:
- qab zib dub qaug zog;
- cov kua txiv hmab txiv ntoo, zoo diluted nrog dej npau npau lossis lim dej;
- zaub kua txiv ntawm kev tsis tshua muaj siab;
- ntxhia dej tsis muaj roj.
Tag nrho cov no tuaj yeem noj hauv qhov siab tshaj plaws rau ib hnub nyob ntawm ib txog thiab ib nrab litres. Sai li qhov mob pib mob zuj zus, cov kws kho mob pom zoo:
- cov khoom noj zaub ua noob zaub mos;
- cereals siav on dej (mov, semolina, buckwheat, oatmeal);
- jelly, mousse lossis tsev cheese ntawm cov ntsiab lus tsis muaj rog;
- ntshiv hau los sis ntses ntses;
- dawb tawg;
- cov nqaij hau los yog ci (nqaij qaib, luav, qaib cov txwv).
Cov zaub mov zoo li no yuav tsum noj nyob hauv me me tsawg kawg 5 zaug hauv ib hnub.
Thaum lub sij hawm exacerbation ntawm cholecystitis, nws raug pom zoo kom koj ua hnub yoo mov tsawg kawg ib zaug ib lub lim tiam. Rau cov hnub ntawd, cov khoom lag luam hauv qab no tsim nyog heev:
- hnub nyob rau hauv tsev cheese thiab kefir. Kev siv 900 g ntawm kefir yog kev kho mob, uas yuav tsum tau muab faib ua 6 qhov sib npaug. Ib qho ntxiv, cheese tsev me-rog yog noj hauv ntim ntawm 300 g, faib ua 3 pluas mov;
- hnub on mov thiab compote. Txog cov hnub, nws yog qhov ua tau kom haus 1.5 liv ntawm compote raws 1.5 kilo cov txiv tshiab los yog 240 g ntawm txiv hmab txiv ntoo qhuav. Haus cov kua rau 6 zaug. Mov (50 g) yuav tsum tau muab rhaub hauv dej thiab noj hauv 3 kev xaiv.
Tom qab thaiv cov kab mob kev pheej hmoo ntawm tus mob cholecystitis, tus kws kho mob yuav sau ntawv noj zaub mov tshwj xeeb rau tus naj npawb 5, pom zoo kom ua rau mob hnyav. Yuav cia tus neeg mob los:
- haus cov zaub, mis los, kua zaub txiv ntoo;
- cov nqaij rhaub, chav rhaub;
- tawv nqaij ntshiv ntawm hiav txwv lossis dej ntses yam uas tsis muaj tawv nqaij;
- Qhov siab tshaj 2 lub qe muag muag;
- kev noj haus tsis rog;
- zaub hau los yog ci;
- txiv hmab txiv ntoo thiab txiv ntoo;
- cereal zaub mov;
- hmoov cov khoom nyob rau hauv daim ntawv ntawm cov khob cij qhuav.
Tsis txhob hnov qab tias ib qho khoom noj twg yuav tsum noj nyob rau hauv qhov me me. Qhov no yuav tsum tshwm sim qeeb 5 lossis 6 zaug hauv ib hnub. Kev yoo mov lossis siv sijhawm ntev los noj mov tsis tau txais kev pom zoo. Txhua txhua hnub nws yog ib qho tseem ceeb kom muaj tshais nplua nuj, thiab noj hmo tsis pub dhau 3 teev ua ntej lub sijhawm kwv yees pw, thiab tsis ntau.
Cov kua uas tau haus lawm tsis tuaj yeem txwv, txawm li cas los xij, kev noj ntau dhau ntawm cov zaub mov noj ib zaug tuaj yeem cuam tshuam cov lus sib dhos ntawm cov kua tsib lub cev, thiab tseem tuaj yeem ua rau lub plab zom zaws thiab mob.
Yog tias mob cholecystitis ntev ntev, tom qab ntawd koj tuaj yeem nce ntxiv ntawm kev siv cov khoom uas yuav pab txhim kho cov dej ntws tawm ntawm cov kua tsib, nrog rau cov khoom uas tshem cov roj hauv lub cev:
- ceg, txiv hmab txiv ntoo, thiab txiv hmab txiv ntoo, zaub (txhua hom qoob loo muaj protein ntau). Ceg yuav tsum tau muab cub ua ntej, thiab tom qab ntawd twb tau suav nrog kev sau cov tais ua noj 1 rab diav peb zaug ib hnub;
- buckwheat thiab oatmeal, cov txiv hmab txiv ntoo qhuav (tag nrho cov khoom noj uas muaj nplua nuj hauv magnesium);
- sunflower roj: pob kws, txiv ntseej, cov roj sunflower (lawv muaj cov roj tseem ceeb polyunsaturated fatty acids);
- cov khoom noj siv mis (ua rau lub xeev kev noj qab haus huv vim yog cov kab mob lactic acid).
Nrog rau tus mob cholecystitis, nws tsis pom zoo:
- kev siv cov khoom noj thiab cov tais diav nrog cov ntsiab lus siab ntawm cov tsiaj rog (rog ntses, nqaij, nqaij nqaij haus luam yeeb, khoom qab zib, cream, kib zaub mov);
- dos, qij, spinach, nceb, legumes (taum pauv, taum mog), sorrel, radish;
- chaw haus dej haus, piv txwv li, cov kua dej zoo nkauj, kas fes, cocoa, dej qab zib txias, dej cawv ntawm ib lub zog.