Cholecystopancreatitis - usoro nyocha na ọgwụgwọ

Cholecystopancreatitis na-ezo aka na ọrịa nke eriri afọ.

Dabere na nhazi ọkwa nke ICD-10, ọ na-anọ n'okpuru koodu K87.0 ma kọwaa mmụkọ nke usoro mkpali nke gallbladder (cholecystitis) na pancreas (pancreatitis).

Ọdịdị ya na mmetụta gburugburu, nri adịghị mma, yana nrụgide ugboro ugboro. Ọrịa a na-ahụkarị n'etiti ụmụ nwanyị.

Site na cholecystopancreatitis (aha nke abụọ bụ pancreocholicystitis), mmebi nke abụba na carbohydrates, mmepụta nke obere enzymes eriri afọ yana ebufe nke bile na-efu.

A na-ekwupụta mbido ọrịa a site na njikọta dị n'etiti otu ihe na-efe efe na isi ihe nke pancreas, ya mere oria na-emetụta otu akụkụ jiri nwayọ gbanwere ọzọ. Na nnukwu cholecystopancreatitis, a na-ekesa ọrịa ahụ na imeju, na-eme mgbanwe ndị na-achọghị ka ọ dị na njikwa anụ ahụ.

Ihe na - akpata ya na ihe mgbaàmà nke ọrịa ahụ

Mkpali a na –eme ka cholecystopancreatitis nwere ike ịbụ ụdị ọrịa dị iche, ikpuru, ero, nje.

Njupu nke ya so kwa:

• nnagide nke ihe ojoo, iwere site na itu ime, akwara ime;
• gallstones
• nrụrụ akụkụ biliary;
• mbufụt nke anụ ahụ dị n’ime;
• nsogbu endocrine.

Ọtụtụ mgbe ihe na-akpatakarị ọrịa eriri afọ bụ ịlutụbiga mmanya ókè, ị abuseụbiga mmanya ókè, nnu, a smụrụma, nri abụba, mmanya.

Imirikiti mgbaàmà nke cholecystitis na pancreatitis yiri. Otu n'ime ihe mgbaàmà na-adịghị enyekarị obi ụtọ bụ mmetụ obi. Ọ na-egosi n’okpuru aka ekpe ma ọ bụ aka nri, enyere n’azụ, n’akpụ ubu aka nri.

O kwere omume iburu mmepe nke cholecystopancreatitis na mmadụ site na akara ụfọdụ:

• ọdịdị na mpaghara nke hypochondrium ziri ezi nke mmetụta nke ike ọgwụgwụ;
• ọgbụgbọ na-eri nri, mgbe ụfọdụ ọgbụgbọ, belching, obi mgbu, fever;
• mmepe nke nsogbu dyspeptik.

A na-ahụta mgbaàmà ụfọdụ ka awa atọ gachara nri: ịmịcha ọbara, mmetụta nke mgbu, ajọ iwe, afọ ntachi ma ọ bụ afọ ọsịsa, na nsogbu ụra.

Na nyocha, onye ọrịa nwere ahụ erughị ala n'akụkụ akpa ume, mmụba nke oke imeju, mgbu na palpation.

Ihe na-akpatakarị ọrịa:

• ofufe ọrịa;
• mẹ ụnwunna ẹphe ta abyadụ l'iphu ẹphe;
• ọnya afọ;
• ọrịa shuga mellitus;
• ọrịa ọnya;
• ntanye nke duodenal duct n'ihi mgbanwe nke cicatricial;
• oke acidity nke ihe ọ gastụricụ gastric;
• oncology.

Vidiyo si na Dr. Malysheva banyere ọrịa pancreatitis na-adịghị ala ala:

Nchọpụta ọrịa Pathology

Uzo udiri uzo abuo a bu ihe amara: ihe di nkpa.

Ihe mgbaàmà nke nnukwu ọrịa na-esochi ihe mgbu, akwara na -eme ka akpụkpọ ahụ na akpụkpọ ahụ, na -anụ ugboro ugboro, ọgbụgba na-enweghị ike ịgbagha agbagha. N’ọnọdụ ndị siri ike, ọ ga-ekwe omume ịgafe steeti kọlọtọ.

Thedị na-adịghị ala ala fọrọ nke nta ka enweghị mgbaàmà ọ nwere ike ịga n'ihu na-achọpụta. Ma ngbanwe nke cholecystitopancreatitis na-adịghị ala ala nwere ike ịkpasu ọtụtụ nsogbu siri ike. Iji zere nke a, achọrọ ọgwụgwọ kwesịrị ekwesị na oge, nke na-enye ohere iji nweta nsonaazụ dị mma na obere oge.

Mgbe ụfọdụ ọrịa a na - egbochi ihe mgbochi, nke, n'ihi nbilata nke akwara agbaji, ọ na - egbochi ha. N'ihi ya, ọ na-akpalite ọgba aghara nke usoro nri.

N'ọnọdụ ụfọdụ, cholecystitopancreatitis na-eduga n'ọrịa thrombosis venous, ihe na-efe efe nke ọrịa na-adịghị ala ala nke sistemu endocrine, na-enwe ọrụ ụjọ, yana n'ọnọdụ pụrụ iche, peritonitis.

Nlekọta nke cholecystitis nke pancreatic sitere na nsonaazụ nke ule na ọmụmụ emere iji chọpụta ọrịa ahụ. Nwetara maka nchọpụta ọrịa sitere n'aka ndị ọkachamara na-ahụ maka ọrịa na-enye echiche.

E nwere ụzọ ndị kachasị mkpa maka nchọpụta nchọpụta:

• nyocha nke mpụga, akụkọ ihe mere eme;
• ọphu ẹphe anọduje enweru iphe;
• nyocha zuru ezu nke ọbara, mmamịrị, feces;
• mmejuputa nyocha nke akụrụngwa - ECG, MRI, CT, ultrasound.

Usoro Cholangiography

Iji chọpụta nyocha nke ọma, enwere ike ikpebi ụzọ nchọpụta ọrịa ọzọ: cholangiography (ọmụmụ nke biliary traktị), cholecystography (radiography of the gallbladder with a investment Agency) na nyocha ihe dị na duodenum.

A na-ewere Cholecystopancreatitis dị ka ihe mmerụ ahụ nke ọdịdị ihe ike.

N'ezie, nke a pụtara na ihe na-ebutekarị ọrịa bụ ọrịa ma ọ bụ ọdịmma na-adịgide adịgide nke ọnya nje na ahụ, dịka ọmụmaatụ, caries.

Zọ ọgwụgwọ

Na-enweghị iwepụ ihe kpatara ọrịa ahụ, ọ gaghị ekwe omume ịme ka ọnọdụ nke onye ọrịa dị ka usoro ọgwụgwọ ọ bụla.

Ọgwụ

A na-atụ aro ka Cholecystopancreatitis gwọọ ya na mkpochapu ihe mgbu. Ọgwụ kachasị dị irè gụnyere: Atropine, Metacin. Ha kpochapụrụ mkpachapu na mgbu, belata imepụta mmiri ọricụ gastụ gastric, nke a dị mkpa maka mbufụt nke pancreas. Nke mbu, edere ha udiri ogwu, ma n ’odinihu, apuru iku ha n’ udiri mmiri, nke dokita nyere.

Usoro ọgwụ mgbochi a ma ama dịka No-Shpa, Duspatalin, Papaverine adịghị arụ ọrụ, mana a na-atụ aro ya n'ọnọdụ ụfọdụ.

Analgesics nwere analgesics na mgbochi: Analgin injections, Tramadol. Na mgbakwunye, a na-atụ aro onye ọrịa ahụ: ọgwụ metabolic, dịka ọmụmaatụ, Methyluracil; ọgwụ nwere enzymes guzobere artificially (Festal), Creon, Pancreatin); ọgwụ na-ebelata secretion nke gland (Omeprazole), Pantoprazole, Cimetidine); iji weghachi microflora eriri afọ nke na-atụ aro Bifiform, Hilak.

Ọgwụ ọgwụ nwere ike ịnwe ọtụtụ usoro:

1. Ndị ọrịa kwesịrị ị aụ ọgwụ metabolic n'oge oge (Methyluracil, Pentoxyl), nke ga-akwụsịlata nsonaazụ nke trypsin na anụ ahụ nke sistem nri, mana naanị dọkịta nwere ike inye ya ọgwụ.
2. Maka mgbu, ị ga-anara ọgwụ anestetiiki ma ọ bụ ọgwụ mgbochi nke dọkịta nyere, dabere n'ọnọdụ onye ọrịa.
3. Iji belata ọrụ enzyme, ọgwụ ndị dị ka Cantrical, Gordox ka akwadoro.
4. Iji belata mmepụta nke enzyme gastric, a na-enye ọgwụ ọgwụ iji gbochie acidity: cimetadine, omeprazole.
5. Usoro usoro mmega ahụ na-akwadokwa izizi nke steeti nke anụ ahụ nke akwara nri, mee ka nwulite mkpụrụ ndụ ma melite mgbasa ọbara (UHF, ultrasound, electrophoresis).

Nyere ọrụ nke ibute ọrịa na mmepe nke cholecystitis nke pancreatic, ọgwụ immunomodulators na vitamin ka enyere. A na-ahazi usoro Cholagogue, nke kachasị arụ ọrụ bụ Allochol.

Ekwesịrị iji ọgwụgwọ mee ya ọ bụghị naanị ọgwụ, kamakwa site na nri kwesịrị ekwesị nke onye ọrịa.

Ewepụrụ onye ọrịa site na iji ngwaahịa dị ize ndụ maka usoro nri nri:

• marinades, pickles, ngwaahịa ndị na-ese anwụrụ;
• abuba na nri n’abali;
• Fectionchọcha

Ọ na-atụ aro ka ịmalite ọgwụgwọ nke ọrịa ahụ na oke ọrịa na -ebu ọnụ na-ebu ọnụ, a na-ahapụ ya ka ọ waterụọ mmiri, tii. Twobọchị abụọ mgbe nke a gasịrị, ị nwere ike gbanwee gaa ofe dị mfe na nri ọgwụgwọ. Ọ bara uru maka onye ọrịa ahụ ịgụnye inine ọhụrụ, sie ya, stewed stewed na menu; azu achara.

Na ọkwa mgbake, ngwaahịa mmiri ara ehi bara uru: ụlọ chiiz, chiiz, bred, yana ọka, jelii na mkpụrụ osisi. Nchịkọta nhọrọ nwere ike ịgụnye achịcha ụnyaahụ, ndị na-eme mkpọtụ, kuki a na-ejikọtaghị. Dị ka akụkụ nke nri nri, ọ bụ naanị anụ anụ kwesịrị iji.

Ihe ndozi nke osisi na-enye aka na mmeghari ohuru na mgbake nke aru na-enyere aka na usoro ọgwụgwọ. Site na ọgwụgwọ kwesịrị ekwesị, enwere ohere iji zere nnukwu nsogbu: ọrịa shuga mellitus, nguzobe cysts na kansa.

Vidiyo site na ọkachamara ahụ:

Klọ ọgwụ ndị na-ewu ewu

Isi ọrụ nke iji usoro nri ndị mmadụ bụ ịkwalite mmetụta ọgwụ. Ma ojiji nke usoro ọgwụgwọ ọdịnala ọ bụla ga-ebu ụzọ kwenye na dọkịta.

Infusions na decoctions nke osisi ọgwụ, karịsịa decoction nke hips rose, nwere mmetụta bara uru.

Iji kwadebe tincture ọgwụ, ị nwere ike were otu teaspoon nke ahịhịa na yarrow, wunye otu iko esi na mmiri ma tinye ebe gbara ọchịchịrị na-esi ọnwụ maka nkeji iri atọ. Na-a theụ ọgwụ kwesịrị ịdị 0,5 iko ugboro anọ n'ụbọchị.

You nwere ike ịkwadebe infusion nke wormwood na iko abụọ nke mmiri ọ boilingụ boilingụ mmiri nke wormwood, pepemint na wort John (iko ọ bụla na nke ọ bụla) ma hapụ ya ka ọ buru maka nkeji 20. Drinkụọ ihe ọ rụpụtara na afọ efu na iko ugboro abụọ n'ụbọchị.

A tincture bara ezigbo uru, mejupụtara otu tablespoon nke sage, ngaji abụọ nke buckthorn, mkpụrụ osisi dill, knotweed, serrate, ngaji atọ nke St John's wort, dị ka ọtụtụ mkpụrụ osisi bluuberi, mkpụrụ osisi flax, ngaji nke burdock mgbọrọgwụ, dandelions na spoons ise nke ọka ọka na mkpọrọgwụ na-eto eto. A ga-agwakọta ngwakọta nke ọma, jiri nwayọ wunye otu iko esi mmiri, hapụ ihe dị ka awa abụọ. Were njikere infusion kwesịrị ọkara iko ugboro atọ n'ụbọchị tupu nri. Ọgwụgwọ nwere ike ijeri karịa ọnwa abụọ.

Mgbe ị na-ehicha gallbladder na nkwụnye ego, ogologo oge ejirila mmanụ sitere na flax mkpụrụ. Iji mmanụ a mgbe niile ga-egbochi itinyeghachi ya. Maka otu nzube ahụ, a dụrụ ya ọdụ ka ị jiri ngwakọta nke mmanụ castor na mmiri ọ anyụzedụ ọ anyụlyụ ọ bụla. Ikwesiri iwere ngwakọta a kwa ụbọchị nkeji iri atọ tupu iri nri.

A na-atụ aro ịsacha nke pancreatic na bile dupe site na ịgbakwunye osisi dị mma, dịka ọmụmaatụ, ginseng na basil.

Vidiyo banyere ọgwụgwọ nke bile n'ụzọ nkịtị:

Mgbochi

N'okpuru ọgwụ niile, usoro nri etinyere na ndụmọdụ nke dibịa na-aga, ịmezigharị ga-adị ogologo, mana ọ nwere nsonaazụ dị mma.

Mgbochi cholecystopancreatitis bụ mmejuputa nke ndụmọdụ dị mfe:

• ịkwụsị ise siga, ị alcoholụ mmanya;
• mẹ ndu achịjeru Nchileke nri;
• izu ike ọma;
• na - ezere ọnọdụ ndị na - akpata nrụgide, oke ọrụ;
• egwuregwu, nke na - enyere aka mee ka ihe ojoo ghara idi egwu.