Cholecystopancreatitis - txoj kev kuaj thiab kho

Cholecystopancreatitis yog hais txog cov kab mob ntawm txoj hnyuv huam.

Raws li kev faib tawm ntawm ICD-10, nws sawv nyob rau hauv txoj cai K87.0 thiab cim tus cwj pwm ntawm kev sib txig sib luag hauv kev kho mob ntawm tus kab mob gallbladder (cholecystitis) thiab mob caj pas (pancreatitis).

Nws cov tsos yog cuam tshuam nrog kev cuam tshuam ib puag ncig, kev noj zaub mov tsis zoo, thiab kev ntxhov siab ib zaug ntxiv. Tus kab mob no nthuav mus thoob plaws cov poj niam.

Nrog rau tus mob cholecystopancreatitis (lub npe thib ob yog pancreocholicystitis), kev tawg ntawm cov rog thiab carbohydrates, kev tsim cov hnyuv plab hnyuv me me thiab kev thauj cov kua tsib yog ploj.

Qhov pib ntawm tus kab mob yog sau los ntawm kev sib raug zoo ntawm cov kua tsib lub plab thiab cov kav dej loj ntawm cov txiav, yog li tus kab mob uas cuam tshuam ib qho hloov mus rau lwm qhov. Hauv cov mob cholecystopancreatitis, tus kab mob pathology xa mus rau daim siab, ua rau tsis muaj kev hloov pauv ntawm cov qauv nqaij.

Cov ua rau thiab muaj tsos mob ntawm tus kab mob

Kev mob siab rau kev tsim cov kab mob cholecystopancreatitis tuaj yeem yog hom sib txawv ntawm cov kab mob, cua nab, kab mob fungus.

Exacerbation ntawm nws kuj pab:

• stagnation ntawm bile, provoked los ntawm cev xeeb tub, omission ntawm plab hnyuv siab raum;
• lub qog
• biliary huam ua haujlwm tsis zoo;
• o ntawm cov kabmob sab hauv;
• endocrine mob.

Feem ntau ua rau mob plab zom mov yog gluttony, kev tsim txom los ntawm ntsim, qab ntsev, haus luam yeeb, cov rog rog, haus dej cawv.

Feem ntau cov tsos mob ntawm tus mob cholecystitis thiab pancreatitis yuav zoo sib xws. Ib qho tsis kaj siab tshaj plaws cov tsos mob yog zoo li mob lub siab. Nws pom nyob rau hauv sab laug lossis sab xis, yog muab nyob rau hauv nraub qaum, txoj cai hniav pwg.

Nws muaj peev xwm xav qhov kev loj hlob ntawm tus mob cholecystopancreatitis hauv ib tus neeg los ntawm qee yam cim:

• cov tsos nyob thaj tsam ntawm txoj cai hypochondrium ntawm qhov kev xav ntawm hnyav;
• xeev siab tom qab noj mov, qee zaum kuj ntuav, ntuav, kub siab, kub cev;
• kev loj hlob ntawm dyspeptic mob.

Qee qhov tsos mob tau pom peb teev tom qab noj mov: tsam plab, zoo li hnov ​​mob, mob plab dhau mus, cem quav lossis zawv plab, thiab pw tsis tsaug zog.

Ntawm kev tshuaj xyuas, tus neeg mob xav tias tsis xis nyob ze lub plab zom mov, kev nce hauv daim siab, qhov mob ntawm palpation.

Cov ua malaise:

• kis kab mob;
• congenital txawv txav ntawm lub plab mog;
• lub plab zom mov;
• ntshav qab zib mellitus;
• mob pob zeb;
• nyem ntawm duodenal duct vim kev pauv hloov cicatricial;
• ntev li ntawm acidity ntawm pais plab kua txiv;
• oncology.

Yees duab los ntawm Dr. Malysheva txog kev mob caj dab ntev:

Kev kuaj mob pathology

Ob hom ntawm cov kab mob pathology no yog paub: mob thiab mob huam (mob).

Cov kab mob ntsig txog cov mob tshwm sim nrog cov mob girdle, icteric pigmentation ntawm cov leeg thiab daim tawv nqaij, txhaws tsis tu ncua, tsis tuaj yeem ntuav. Hauv cov xwm txheej nyuaj, kev hloov pauv mus rau xeev collaptoid yog ua tau.

Daim foos yuav luag tsis muaj cov tsos mob thiab tuaj yeem mus tsis tau. Tab sis kev nce qib ntawm tus mob cholecystitopancreatitis tuaj yeem ua rau ntau qhov teeb meem loj. Txhawm rau zam qhov no, kev kho kom raug thiab kho tus kab mob yog yuav tsum tau ua, uas tso cai kom ua tiav cov txiaj ntsig zoo hauv lub sijhawm luv.

Qee lub sij hawm tus kab mob ua obstructive, nyob rau hauv uas, vim txoj kev nqaim ntawm pancreatic ducts, lawv ua rau txhaws. Raws li qhov tshwm sim, nws provokes cuam tshuam ntawm lub plab zom mov.

Hauv qee qhov xwm txheej, tus mob cholecystitopancreatitis ua rau muaj kev mob txha caj qaum, kev tshwm sim ntawm cov kab mob mus ntev ntawm cov kab mob endocrine, kev ua haujlwm tsis zoo, thiab hauv cov xwm txheej tshwj xeeb, mob peritonitis.

Kev kho tus mob pancreatic cholecystitis yog ua raws cov txiaj ntsig ntawm kev tshuaj ntsuam thiab kev tshawb fawb ua rau kuaj tus kab mob. Kev xa mus kuaj mob yuav tsum tau muab los ntawm kws kho mob plab zom mov.

Muaj cov qauv tseem ceeb ntawm cov kev tshawb nrhiav tshuaj:

• kev tshuaj xyuas sab nraud, keeb kwm;
• palpation ntawm lub plab plab;
• cov ncauj lus kom ntxaws ntawm cov ntshav, zis, tso quav;
• kev siv ntawm kev tshawb nrhiav kho vajtse - ECG, MRI, CT, ultrasound.

Cholangiography txoj kev

Txhawm rau txheeb xyuas qhov tseeb dua, ntxiv cov hauv kev kuaj mob tuaj yeem txiav txim siab: cholangiography (kev kawm ntawm cov biliary huam), cholecystography (radiography ntawm lub zais zis nrog tus sawv cev sib piv) thiab tshuaj xyuas cov ntsiab lus ntawm duodenum.

Tus kab mob cholecystopancreatitis yog suav tias yog tus mob autoimmune o ntawm qhov kev tawm tsam.

Qhov tseeb, qhov no txhais tau hais tias feem ntau qhov ua rau mob yog ib qho mob los yog foci mus tas li ntawm cov kab mob hauv lub cev, piv txwv li, caries.

Cov hau kev kho

Yog tias tsis tshem tawm cov laj thawj ntawm tus kab mob, nws tsis muaj peev xwm ua kom qhov xwm txheej ntawm tus neeg mob.

Cov tshuaj noj

Cholecystopancreatitis raug pom zoo kom kho mob los tshem tawm qhov mob. Cov tshuaj uas ua hauj lwm zoo tshaj plaws suav nrog: Atropine, Metacin. Lawv ua tiav kev tshem tawm txoj kev txhawm thiab mob, txo qis rau ntawm kua txiv kua zaub, qhov no yog qhov tseem ceeb rau kev ua mob ntawm cov txiav. Ua ntej, lawv tau sau tseg nyob rau hauv hom kev txhaj tshuaj, tab sis yav tom ntej lawv tuaj yeem raug kho nyob rau hauv daim ntawv ntawm dauv, hauv cov koob tshuaj uas kws kho mob sau tseg.

Paub txog antispasmodics xws li No-Shpa, Duspatalin, Papaverine tsis tshua muaj txiaj ntsig, tab sis lawv kuj pom zoo rau qee lub sijhawm.

Kev siv tshuaj analgesics muaj analgesics thiab sedatives: Analgin txhaj tshuaj, Tramadol. Tsis tas li ntawd, tus neeg mob tau pom zoo: cov tshuaj metabolic, piv txwv li, Methyluracil; tshuaj muaj cov tshuaj uas tsim cov tshuaj pleev (Festal), Creon, Pancreatin); tshuaj uas txo qis qhov zais cia ntawm lub qog (Omeprazole, Pantoprazole, Cimetidine); los kho plab hnyuv microflora pom zoo kom Bifiform, Ntxawg.

Kev kho tshuaj yuav muaj ntau kauj ruam:

1. Cov neeg mob yuav tsum noj cov tshuaj metabolic raws sij hawm (Methyluracil, Pentoxyl), uas yuav qeeb cov nyhuv ntawm trypsin rau ntawm cov nqaij hauv lub plab, tab sis tsuas yog tus kws kho mob tuaj yeem sau nws.
2. Rau qhov mob, koj yuav tsum noj tshuaj loog lossis tshuaj antispasmodic uas tus kws kho mob sau tseg, nyob ntawm tus neeg mob lub neej.
3. Txhawm rau txo qis enzyme kev ua si, xws li cov tshuaj xws li Cantrical, Gordox raug pom zoo.
4. Txo cov khoom noj ntawm lub plab zom zaub mov, tshuaj yog kho kom lub cev acidity: cimetadine, omeprazole.
5. Cov txheej txheem qoj ib ce kuj ua rau pom zoo rau lub xeev ntawm cov nqaij hauv lub plab zom mov, txhim kho kev tsim kho cell thiab txhim kho cov ntshav ncig (UHF, ultrasound, electrophoresis).

Muab lub luag haujlwm ntawm kev kis kab mob hauv kev txhim kho ntawm pancreatic cholecystitis, immunomodulators thiab vitamins yog kws kho. Cholagogue npaj kuj tseem yog kws kho, qhov ua tau zoo tshaj plaws uas yog Allochol.

Kev kho mob yuav tsum tau nqa tawm tsis tsuas yog nrog cov tshuaj noj, tab sis kuj nrog kev sib npaug ntawm tus neeg mob.

Tus neeg mob yuav tsum raug cais tawm ntawm kev siv cov khoom txaus ntshai rau txoj hnyuv:

• marinades, pickles, haus luam yeeb cov khoom;
• rog thiab kib;
• Kev sib cav sib ceg

Nws raug nquahu kom pib kho kab mob nyob rau hauv kev mob huam nrog rau kev kho sai, nws raug tso cai tsuas yog haus dej, tsis muaj zog tshuaj yej. Ob hnub tom qab, koj tuaj yeem hloov mus rau kua zaub lub teeb thiab kev noj tshuaj kho kom zoo. Nws yog txiaj ntsig rau tus neeg mob suav nrog cov zaub tshiab, rhaub, stewed zaub hauv zaub mov; steamed ntses thiab nqaij.

Ntawm cov theem rov qab, cov khoom noj siv mis yog pab tau: tsev cheese, tshij, kua mis nyeem qaub, thiab zaub mov txawv, jelly thiab txiv hmab txiv ntoo. Cov ntawv qhia tuaj yeem suav nrog cov ncuav ci ncuav, ncuav ci, ncuav qab zib, thiab lwm yam ncuav qab zib. Ua ib feem ntawm kev noj haus tais diav, yuav tsum siv cov nqaij ntshiv xwb.

Tshuaj ntsuab kho kom zoo uas pab txhawb kev kho kom rov zoo thiab rov qab los ntawm lub cev pab zoo hauv kev kho. Nrog txoj kev kho kom zoo, nws muaj txoj hmoo kom tsis txhob raug mob hnyav ntxiv: ntshav qab zib mellitus, kev tsim cov nqaij hlav thiab mob qog nqaij hlav.

Video los ntawm cov kws tshaj lij:

Cov tshuaj kho neeg mob

Lub luag haujlwm tseem ceeb ntawm kev siv pej xeem cov zaub mov txawv ua kom zoo dua qub kev kho mob ntawm cov tshuaj. Tab sis kev siv lwm tus tshuaj rau pej xeem yuav tsum xub pom zoo nrog kws kho mob.

Infusions thiab decoctions ntawm cov nroj tsuag tshuaj, tshwj xeeb tshaj yog ib qho decoction ntawm rose duav, muaj cov txiaj ntsig zoo.

Txhawm rau npaj cov tshuaj tincture, koj tuaj yeem noj ib me nyuam diav ntawm wormwood thiab yarrow, nchuav ib khob ntawm cov dej npau thiab muab tso rau hauv qhov chaw tsaus kom txaus rau peb caug feeb. Haus cov tshuaj yuav tsum yog 0.5 khob plaub zaug ib hnub twg.

Koj tuaj yeem npaj ib qho kev lis ntshav ntawm wormwood nrog ob lub khob ntawm lub rhaub dej ntawm cov dej wormwood, peppermint thiab St. John lub wort (txhua me me ib me me) thiab cia nws brew rau 20 feeb haus dej haus cov tshuaj daws ntawm lub plab khoob hauv ib khob ob zaug ib hnub.

Ib qho tincture yog qhov tseem ceeb heev, muaj xws li ib tug tablespoon ntawm sage, ob dia ntawm tws buckthorn, dill noob, knotweed, serrate, peb diav ntawm St. John lub wort, raws li ntau nplooj blueberry, flax noob, plaub dia ntawm burdock hauv paus, dandelions thiab tsib diav ntawm wheatgrass thiab cov hauv paus hluas. Cov dej sib tov yuav tsum tov zoo, maj mam hliv ib khob ntawm cov dej npau, tawm mus li ob teev. Siv lub npaj Txoj kev lis ntshav yuav tsum yog ib nrab ib khob peb zaug ib hnub ua ntej noj mov. Kev kho mob tuaj yeem siv sijhawm ntau dua ob hlis txuas ntxiv.

Thaum ntxuav lub qog ntawm lub chaw tso nyiaj, cov roj los ntawm flax noob tau siv ntev. Kev siv cov roj no tsis tu ncua yuav tiv thaiv kev muab tso rov qab. Rau tib lub hom phiaj, nws raug nquahu kom siv cov sib xyaw roj castor nrog ib cov kua txiv tshiab. Koj yuav tsum coj cov sib tov txhua hnub 30 feeb ua ntej noj mov.

Kev ua kom huv ntawm pancreatic thiab bile ducts yog pom zoo los ntawm kev ntxiv cov nroj tsuag muaj kev noj qab haus huv, piv txwv li, ginseng thiab basil.

Ntuj Kev Khwv Noj Video

Kev Tiv Thaiv

Ua raws li txhua daim ntawv sau tshuaj, kev noj zaub mov tsim thiab cov lus qhia ntawm tus kws kho mob tuaj koom, kev kho kom rov zoo yuav ntev, tab sis muaj txiaj ntsig zoo.

Kev tiv thaiv kab mob cholecystopancreatitis yog kev siv cov lus qhia yooj yim:

• txiav luam yeeb, haus dej haus cawv;
• ua kom tiav ntawm kev noj haus;
• zoo so;
• kev zam ntawm cov xwm txheej ntxhov siab, ua haujlwm dhau;
• kev ua kis las, uas pab bile kom tsis txhob ua sab.