Cholecystopancreatitis e bua ka mafu a pampitšana ea ka mpeng.
Ho ea ka karohano ea ICD-10, e eme tlasa khoutu ea K87.0 mme e supa tsoelo-pele e ts'oanang ea ts'ebetso ea ho ruruha ea gallbladder (cholecystitis) le manyeme (pancreatitis).
Ponahalo ea eona e amahanngoa le litšusumetso tsa tikoloho, khaello ea phepo e nepahetseng le khatello ea maikutlo khafetsa. Psychology ena e atile haholo har'a basali.
Ka cholecystopancreatitis (lebitso la bobeli ke pancreocholicystitis), ho phatloha ha mafura le lik'habohaedreite, tlhahiso ea li-enzyme tse nyane tsa mala le ho tsamaisoa ha bile li lahlehile.
Ho qala ha lefu lena ho laoloa ke kamano lipakeng tsa duct ea bile le duct ea mantlha ea manyeme, kahoo lefu le amang setho se seng butle butle le fetoha le leng. Ho "cholecystopancreatitis" e mpe haholo, "pathology" e fetisoa ho sebete, e baka phetoho e sa batleheng ea sebopeho sa lithane.
Lisosa le matšoao a lefu lena
Tšusumetso ea ho thehoa ha cholecystopancreatitis e ka ba mofuta o fapaneng oa tšoaetso, liboko, fungus, vaerase.
Ho eketsa le eona e kenya letsoho:
- stagnation ea bile, e halefisitsoeng ke ho ima, ho siea litho tse ka hare;
- gallstones
- biliary pampitsana e haelloang;
- ho ruruha ha litho tsa ka hare;
- mathata a endocrine.
Khafetsa lisosa tse tloaelehileng tsa mafu a ka mpeng ke khatello ea kelello, ho hlekefetsoa ha linoko, letsoai, ho tsuba, lijo tse mafura, joala.
Matšoao a mangata a cholecystitis le pancreatitis lia tšoana. E 'ngoe ea matšoao a sa thabiseng a tloaelehileng ke ho utloa bohloko. E hlaha tlasa lehlakore le letšehali kapa le letona, e fanoa ka morao, lehare le letona.
Hoa khoneha ho nahana ka nts'etsopele ea cholecystopancreatitis ho motho ka matšoao a itseng:
- ponahalo sebakeng sa hypochondrium e nepahetseng ea maikutlo a boima;
- ho nyekeloa ke pelo ka mor'a ho ja, ka linako tse ling ho lateloe ke ho hlatsa, ho luma, ho otla ha pelo, feberu;
- nts'etsopele ea maloetse a dyspeptic.
Matšoao a mang a bonoa lihora tse tharo kamora ho ja: ho thunya, ho utloa bohloko, tatso e bohloko, ho sokela kapa lets'ollo, le ho sitisoa ke boroko.
Ha ho hlahlojoa, mokuli o ikutloa a sa khotsofala haufi le nyooko, keketseho ea boholo ba sebete, bohloko bo otlang kahara palpation.
Lisosa tse tloaelehileng tsa malaise:
- tšoaetso ea tšoaetso;
- tlhaho ea tlhaho ea litho tsa ka mpeng;
- leqeba la ka mpeng;
- lefu la tsoekere;
- lefu la gallstone;
- ho tsitsisa ha "duodenal duct" ka lebaka la liphetoho tse bang teng maemong a ferekanyang;
- acidity e ngata ea lero la gastric;
- oncology.
Video e tsoang ho Dr. Malysheva mabapi le pancreatitis e sa foleng:
Tlhahlobo ea methapo ea mafu
Mefuta e 'meli ea pathology ena e tsejoa: a hlobaetsang le a ho khutla hape.
Matšoao a kliniki a foromo e mpe a tsamaea le bohloko ba senyepa, ho fifala ha 'mala ka mucous le letlalo, ho thunya khafetsa, ho hlatsa ho sa feleng. Maemong a thata, phetoho ea ho ba maemong a boea e ka khoneha.
Foromo e sa foleng e batla e se na matšoao ebile e ka tsoela pele u sa hlokomeloe. Empa ho eketseha ha cholecystitopancreatitis e sa foleng ho ka baka mathata a mangata a tebileng. Ho qoba sena, ho hlokahala kalafo e nepahetseng le e nakong ea lefu lena, e lumellang ho fihlela sephetho se nepahetseng ka nako e khuts'oane.
Ka linako tse ling lefu lena le fetoha le boima, leo ka lebaka la ho fokotsoa ha matangoana a pancreatic, a koaloang. Ka lebaka leo, e baka tsitsipano ea tsamaiso ea tšilo ea lijo.
Maemong a mang, cholecystitopancreatitis e lebisa ho venous thrombosis, ho hlaha ha mafu a sa foleng a tsamaiso ea endocrine, ts'ebetso ea methapo e sa sebetseng, le maemong a ikhethang, peritonitis.
Phekolo ea pancreatic cholecystitis e ipapisitse le liphetho tsa liteko le lithuto tse entsoeng ho fumana lefu lena. Phetisetso bakeng sa ts'oaetso e lokela ho fanoa ke ngaka ea mafu a gastroenterologist.
Ho na le mekhoa ea bohlokoa ea ho etsa lipatlisiso:
- tlhatlhobo ea kantle, nalane;
- palpation ea ka mpeng;
- liteko tse qaqileng tsa mali, moroto, makhopho;
- ts'ebetsong ea lipatlisiso tsa lisebelisoa - ECG, MRI, CT, ultrasound.
Mokhoa oa Cholangiography
Bakeng sa ho tseba ka nepo haholoanyane, ho ka khethoa mekhoa e meng ea tlhahlobo: cholangiography (boithuto ba pampitšana ea biliary), cholecystography (radiography ea gallbladder le moemeli ea fapaneng) le tlhahlobo ea litaba tsa duodenum.
Cholecystopancreatitis e nkoa e le ts'oaetso ea autoimmune ea tlhaho e mabifi.
Ebile, hona ho bolela hore hangata sesosa sa ho ruruha ke ts'oaetso kapa ntho e sa feleng ea lesapo la baktheria 'meleng, mohlala, li-caries.
Mekhoa ea kalafo
Ntle le ho felisa lisosa tsa lefu lena, ho ke ke ha khoneha ho fokotsa maemo a tloaelehileng a mokuli.
Bongaka
Cholecystopancreatitis e khothalletsoa ho phekoloa ka ho tlosa bohloko. Lithethefatsi tse sebetsang ka ho fetisisa li kenyeletsa: Atropine, Metacin. Ka mokhoa o phethahetseng li felisa cramping le bohloko, li fokotsa tlhahiso ea lero la gastric, hona ho bohlokoa bakeng sa ho ruruha makhopho a makhopho. Taba ea pele, li ngotsoe ka mokhoa oa liente, empa nakong e tlang li ka beoa ka mokhoa oa marotholi, ka tekanyetso e boletsoeng ke ngaka.
Li-antispasmodics tse tsejoang joalo ka No-Shpa, Duspatalin, Papaverine ha li sebetse hantle, empa li khothaletsoa le maemong a itseng.
Li-analgesics li na le li-analgesics le lintho tse ka etsoang ka mokhoa oa ho hlapela: Liente tsa analgin, Tramadol. Ho feta moo, mokuli o khothalletsoa: Lithethefatsi tsa metabolic, mohlala, Methyluracil; meriana e nang le enzymes e entsoeng ka maiketsetso (Festal, Creon, Pancreatin); lithethefatsi tse fokotsang secretion ea tšoelesa (Omeprazole, Pantoprazole, Cimetidine); ho khutlisetsa li-microflora tsa mala, Hilak.
Phekolo ea lithethefatsi e ka ba le mehato e 'maloa:
- Bakuli ba lokela ho nka moriana oa metabolic ka nako e loketseng (Methyluracil, Pentoxyl), e tla liehisa phello ea trypsin liseleng tsa tsamaiso ea tšilo ea lijo, empa ke ngaka feela e ka e laelang.
- Bakeng sa bohloko, o lokela ho nka ente ea meriana e bolaeang likokoana-hloko kapa antispasmodic e fanoeng ke ngaka, ho latela boemo ba mokuli.
- Bakeng sa ho fokotsa ts'ebetso ea enzyme, ho khothalletsoa lithethefatsi tse kang Cantrical, Gordox.
- Ho fokotsa tlhahiso ea enzyme ea gastric, lithethefatsi li laetsoe ho hatella acidity: cimetadine, omeprazole.
- Ts'ebetso ea physiotherapeutic e boetse e rata maemo a tloaelo ea maemo a methapo ea lijo, ho ntlafatsa tsoelo-pele ea sele le ho ntlafatsa phallo ea mali (UHF, ultrasound, electrophoresis).
Fuoa karolo ea ts'oaetso ho nts'etsopele ea "pancreatic cholecystitis", li-immunomodulators le livithamini li boletsoe. Litokisetso tsa Cholagogue le tsona li laetsoe, tse sebetsang ka ho fetisisa e leng Allochol.
Phekolo ha ea lokela ho etsoa eseng ka meriana feela, empa hape le phepo e nepahetseng ea mokuli.
Mokuli o lokela ho qheleloa ka thoko ho lihlahisoa tse sebelisang kotsi bakeng sa tšilo ea lijo:
- marinade, asene, lihlahisoa tse kubelletsoeng;
- lijo tse mafura le tse halikiloeng;
- Confectionery
Ho khothalletsoa ho qala kalafo ea lefu lena sethaleng se matla le ka ho itima lijo, o lumelloa feela hore a noe metsi, tee e fokolang. Kamora matsatsi a mabeli, o ka chencha sopho e bobebe le phepo e nepahetseng. Ho bohlokoa ho mokuli ho kenyelletsa meroho e ncha, e phehiloeng, e halikiloeng ka har'a menyu; lihlapi tse tsamaisitsoeng le nama.
Boemong ba ho hlaphoheloa, lihlahisoa tsa lebese li na le thuso: chisi ea chisi, chisi, yogati hammoho le lijo-thollo, jelly le litholoana. Lisebelisoa li ka kenyelletsa bohobe ba maobane, litlolo, li-cookies tse sa tlaleheloang. E le karolo ea lijana tsa phepo, ho lokela ho sebelisoa nama e se nang mafura feela.
Li-decoctions tsa litlama tse kenyang letsoho ntlafatsong e potlakileng ea ho hlasimolla le ho fola li thusa hantle kalafong. Ka kalafo e nepahetseng, ho na le monyetla oa ho qoba mathata a tebileng: lefu la tsoekere, ho thehoa ha cysts le mofets'e.
Video e tsoang ho setsebi:
Litlhare tsa setso
Mosebetsi o ka sehloohong oa ho sebelisa litlolo tsa setso sa batho ke ho ntlafatsa litšebeliso tsa lithethefatsi. Empa ts'ebeliso ea moriana ofe kapa ofe oa setso e lokela ho lumellanoa le ngaka pele.
Li-infusions le li-decoctions tsa limela tsa meriana, haholo-holo decoction ea rose letheka, li na le phello e molemo.
Ho lokisa tincture ea meriana, o ka nka tee e le 'ngoe ea seboko le yarrow, tšela khalase ea metsi a belang ebe o beha sebakeng se lefifi ho tsitlallela metsotso e mashome a mararo. Noa lithethefatsi e lokela ho ba senoelo sa 0.5 ka makhetlo a mane ka letsatsi.
O ka lokisa infusion ea lengana ka likhalase tse peli tsa metsi a belang a seboko, peppermint le wort ea St. John (e ngoe le e ngoe ea tee) ebe oa e tlohella e le metsotso e 20. E noang tharollo e hlahisitsoeng ka mpeng e se nang letho ka khalase habeli ka letsatsi.
Tincture e na le thuso e kholo, e na le khaba ea sage, likhaba tse peli tsa li-buckthorn tse halikiloeng, peo ea dill, e knotweed, serrate, likhaba tse tharo tsa wort ea St. Motsoako o lokela ho tsoakoa hantle, butle-butle tšela khalase ea metsi a belang, tlohela hoo e ka bang lihora tse peli. Nka infusion e lokiselitsoeng e lokela ho ba halofo ea khalase makhetlo a mararo ka letsatsi pele ho lijo. Phekolo e ka nka likhoeli tse fetang tse peli e sa khaotseng.
Ha o hloekisa gallbladder ho tsoa li-depositi, ke khale oli e tsoang ho lipeo tsa folaxe. Ho sebelisa oli ena khafetsa ho tla thibela ho hlahisoa hape. Bakeng sa sepheo se ts'oanang, ho eletsoa ho sebelisa motsoako oa oli ea castor le lero le sa tsoa qhekelloa le lero. U hloka ho nka motsoako letsatsi le leng le le leng metsotso e 30 pele u ja.
Ho hloekisoa ha li-pancreatic le bile ducts ho khothalletsoa ka ho eketsa limela tse phetseng hantle, mohlala, ginseng le basil.
Video mabapi le kalafo ea ho thekesela ea bile ka mekhoa ea tlhaho:
Thibelo
Ho latela litlhahiso tsohle, phepo e ntlafalitsoeng le likeletso tsa ngaka e tlileng phepong, ntlafatso e tla ba telele, empa e be le litholoana tse ntle.
Thibelo ea cholecystopancreatitis ke ts'ebetsong ea likhothaletso tse bonolo:
- ho tsuba, ho itlopa joala;
- tumellano le lijo;
- phomolo e ntle;
- ho qoba maemo a sithabetsang, ho sebetsa haholo;
- lipapali, e thusang bile hore e se ke ea thekesela.