Cholecystopancreatitis: matšoao le kalafo

Cholecystopancreatitis - Hona ke ho ruruha ho kopaneng ha gallbladder le manyeme. E iponahatsa e le bohloko ho epigastrium, hypochondria ka ho le letona le ka ho le letšehali, ho hlatsa khafetsa, matšoao a mang a dyspeptic, phetoho ea mofuta oa setulo, le jaundice. E fumanoa e sebelisa tlhahlobo ea biochemical ea mali le urine, kopi, ultrasound ea lesapo la ka mpeng, MRPHG, RCHP. Bakeng sa kalafo, analgesics, myotropic, anticholinergic, antisecretory, antiemetic le antibacterial agents li sebelisoa. Mekhoa e buelletsoeng ea ho buoa ke mekhoa e fapaneng ea cholecystectomy, ea ka ntle le ka hare ea stomatology ea bile duct e tloaelehileng, e arohaneng le Villa papilla.

Tlhahisoleseling ka kakaretso

Ho hlaha hoa cholecystopancreatitis ho bakoa ke ho atamelana le ho sebelisana ha "manyeme" le "senya". Ho sitoa ho itaola ha tsamaiso ea sphincter ea nipple ea nakong ea lefu la setho se seng kapele ho lebisa ho phetoho ea pathological ho e 'ngoe. Ho latela liphuputso lefapheng la bongaka ba mafu a makhopho, ho 69-70% ea bakuli ba nang le cholecystitis e matla, parenchyma ea tšoelesa e fetoloa ka methapo, 'me ho cholecystitis e sa foleng letšoao le fihla ho 85-88%. Ho 38-39% ea batho ba nang le pancreatitis e hlobaetsang, lefu la cholecystitis le fumanoa, ka ts'oaetso e sa foleng ea manyeme, gallbladder e ameha ho 62-63% ea linyeoe.

Lisosa tsa Cholecystopancreatitis

Ketsahalo ea ho ruruha ha makhopho a kopaneng, makhopho a nyooko e amana le lesapo la mantlha la e 'ngoe ea litho tsena. Ho 85% ea bakuli, cholecystitis e amanang le cholelithiasis e fetoha sehokelo sa pele ho lefu lena. Maemong a 15%, ts'ebetso ea ho ruruha e hlaha makhophong 'me e rarahane ke bobeli enzymatic cholecystitis. Karolo e ka sehloohong ea cholelithiasis ho nts'etsopele ea cholecystopancreatitis e bakoa ke ketso ea lintlha tse kang:

• Mechine e sitisang papilla ea Vater. Ka blockade ea tsela ea ho ajoa ha lero la pancreatic, bile, biliary stasis e etsahala, e halefisang ho bokelloa ha bongata ba limela tsa mala ka hare ho gallbladder, le ho ruruha hoa setho. Keketseho e ts'oanang ka nako e le 'ngoe ea khatello ea methapo kahare ea pancreatic e lebisa ho keneng ha li-enzyme tsa eona ka har'a litho tsa setho le ho qala ha liphetoho tse fokolisang le tse senyang.
• Sphincter Oddi Ho se sebetse hantle. Ho halefisoa khafetsa ka calculi e nyane ho baka dyskinesia ea mesifa e boreleli ea Vater papilla. Li-refluxes tse hlahisoang ke biliary-pancreatic le pancreatic-biliary li kenya letsoho ho kenngoeng ha bile, ho kenyeletsoa le tšoaetso, lipakeng tsa pancreas le enzymes tsa pancreatic - ka har'a li-ducts tsa bile. Ntho e mpefatsang ke khatello e matla ea methapo ea mali khahlanong le semelo sa hypertonicity ea sphincter ea Oddi.

Mochine oa nts'etsopele ea cholecystopancreatitis o thehiloe ho tlolo ea karolo ea mmele ea bile le lero la pancreatic ka duodenum. Tlas'a maemo a tloaelehileng, li-sphincters tsa pancreatic le ducts tse tloaelehileng li thibela ho khutla ha li-secretions. Ka khatello ea kelello e kenelletseng e bakoang ke ho ts'oaroa ha motsoako oa Vater papilla kapa dyskinesia ea sphincter ea Oddi, hoa khoneha hore bile e kene ka har'a pancreatic duct.

Sena se lebisa ts'ebetsong ea phospholipase, li-enzyme tse ling tsa pancreatic, sebopeho sa lintho tse nang le chefo tse ngata tse timetsang setho ho tsoa likarolo tsa bile. Ka tlase khafetsa, khahlano le semelo sa pancreatitis e teng, li-enzyme li lahleloa ka har'a duct ea bile e halefisang kholo ea cholecystitis. Ntho e 'ngoe e eketsang ke ho hasana hoa limela le limela ka linako tse ling. Ka mefuta e matla ea cholecystopancreatitis, ho ruruha ke catarrhal kapa purulent-necrotic; maemong a sa foleng, mekhoa ea ho senyeha ha fibro-degenerative e ka pele.

Tlhomamiso

Ha ho hlophisoa mefuta ea cholecystopancreatitis, mofuta oa liphetoho tsa nalane le litšobotsi tsa thuto ea lefu lena li nkuoa. Ho ipapisitse le mathata a hlahelang a morphological, ho hlasolla, ho hlasimollang, ho senya le ho hlaseloa ha lefu lena ka linako tse ling, ha mofuta oa ho ruruha gallbladder le pancreatic gland e ka fapana. Ka mofuta oa hajoale, lia khetholla:

• Acute cholecystopancreatitis. Ha e le molao, e etsahala ka tšohanyetso moo ho nang le liphoso tsa tšebeliso kapa liphoso tse kholo ho phepo e nepahetseng. E tšoauoa ka bohloko bo boholo le li-syndromes tsa bohloko. Ha ho se na phekolo e lekaneng, ho shoa hoa batho ke 31,5-55,5%.
• Cholecystopancreatitis e sa foleng. Boloetse bona bo hola butle mme hangata bo amahanngoa le cholelithiasis. Matšoao a dyspeptic, ho se khotsofale ho epigastric le hypochondrium, tšitiso e tsoelang pele ea lits'ebetso tsa ho silafatsa ka lebaka la preancerate ea pancreatic.
• Kankere e sa feleng ea cholecystopancreatitis. Hangata ke sephetho sa mofuta o matla oa pathology, o sa tsejoeng hangata lithutong tse fetileng tsa thuto. Mefuta e khutšoane hangata e bakoa ke mathata a phepo e nepahetseng. Palo ea batho ba shoang nakong ea exacerbations e fihla ho 3.5-7%.

Matšoao a cholecystopancreatitis

Setšoantšo sa kliniki ea lefu lena se fapane 'me se kenyelletsa matšoao a ho ruruha ha gallbladder le pancreatic gland. Tletlebo e ka sehloohong ea bakuli ba nang le cholecystopancreatitis ke bohloko ba ka mpeng, bo ka hlahisoang sebakeng sa heno sebakeng sa hypochondria kapa epigastric. Ho eketseha ha bohloko ka mor'a ho ja lijo tse mafura tse ngata le ho noa joala ke tšobotsi. Ho hlatsa hangata ka litšila tsa bile hoa khoneha, e leng se sa tliseng phomolo ho mokuli.

Mathata a dyspeptic ka mokhoa oa ho nyekeloa, ho beoa, le boima bo ka mpeng a lula a bonoa khafetsa, esita le nakong ea lipakeng. Cholecystopancreatitis e tšoauoa ka lefu la mokoetla: bakuli ba hlokomela ho hloloa hoa mantle, ho ba teng hoa maikutlo a lijo tse sa fetoloang, metsamao e atileng ea bowel ho fihlela makhetlo a 4-6 ka letsatsi. Yellowing ea sclera, li-membrane tsa mucous le letlalo li ka hlaha hammoho le 'mala o lefifi oa moroto. Nakong ea ho eketsoa ho eketsehileng, feberu e nyane kapa febrile, bofokoli bo akaretsang le ho fokotseha ha khatello ea mali lia shejoa.

Mathata

Ka cholecystopancreatitis, ho boleloa ho haella ka tsela ea lijo, ho amanang le tlolo ea secretion ea bile, ho hloka li-enzymes tse hlokahalang tsa pancreatic. Bakuli ba na le steatorrhea le linterea, ho lahleheloa ke boima ba 'mele bo bohlokoa. Ka lebaka la ho kenya letsoho ha li-islets tsa Langerhans ts'ebetsong ea methapo ea methapo, mellitus ea "pancreatogenic" lefu la tsoekere e ka hlaha. Tšoaetso ea likarolo tse haufi tsa mala a manyane e lebisa ho hlaheng ha duodenitis le eunitis.

Phepelo e tebileng ea cholecystopancreatitis ke pancreatic necrosis, e fumanoang ha li-enzymes li kentsoe ka hare ho li-ducts tsa pancreatic. Hangata bakuli ba bontša ho senyeha ha gallbladder ka mokhoa oa pericholecystitis le empyema. Ntle le kalafo, ho ntlafatsoa ha litho le ho tšeloa ha lintho tse nang le tšoaetso kahara mpa ea mpa ea mpa. Ho na le kotsi ea biliary peritonitis. Ka ho mpefala, ho hloleha ha litho tse ngata ho ka theha, tseo ka linako tse ling li lebisang lefung.

Ts'oaetso

Cholecystopancreatitis e ka belaelloa ka boteng ba litletlebo tse tloaelehileng le matšoao a mmele (Kera, Murphy, Mayo-Robson, Mussse-Georgiaievsky). Ho netefatsa lefu lena, ho hlokahala tlhahlobo e felletseng e sebelisang lithuto tsa laboratori le tsa lisebelisoa. Tse nang le thuso ka ho fetesisa ho moralo oa tlhahlobo ea mafu ke mekhoa e kang:

• Khemistri ea mali. Matšoao a tšoaetso ea lefu lena ke keketseho e kholo ea alkaline phosphatase le bilirubin e tobileng, e nang le pancreatic necrosis, boemo ba AST le ALT bo eketseha. Hypoalbuminemia le dysproteinemia le tsona lia fumanoa, tse amanang le ho haella ha tšilo ea lijo.
• Tlhahlobo ea microscopic ea makhopho. Tabeng ea cholecystopancreatitis, masala a lijo tse sa fepeloang, palo e kholo ea mesifa ea mesifa e sa thijoeng le lijo-thollo tse ts'oeroang li ikemiselitse ho protheine. Ho feta moo, ELISA ea makhopho a alpha-amylase e etsoa - keketseho ea boemo ba enzyme ka makhetlo a 3-4 eu lumella ho netefatsa tšoaetso.
• Abdominal ultrasound. Ultrasound ea gallbladder, manyeme a senola matšoao a ho senyeha ha setho. Ho tsitsipanya ha marako le ho ruruha ha nyooko, boteng ba calculi sebakeng sa eona le mepopotlo ea bile, heterogeneity ea "pancreatic parenchyma", phetoho ea methati ea eona ke tšobotsi.
• Tomography. Magnetic resonance pancreatocholangiography e sebelisetsoa ho haella ha tlhaiso-leseling ea mekhoa e meng hape e thusa ho ithuta ka ho qaqileng sebopeho sa manyeme le tsamaiso ea biliary. Mokhoa o hlokahala bakeng sa ho fumana li-cysts le libaka tsa necrosis, ho hlahloba li-pathologies tsa sebete le hlooho ea manyeme.
• RCP. Retrograde cholangiopancreatography e sebelisetsoa ho bona ka leihlo boemo ba seteraeke sa biliary le li-ducts tsa pancreatic. Mokhoa o u lumella ho khetholla khalori ea X-ray e mpe, ho lekola bophara ba litutulu tsa bile, le boemo ba sphincter ea Oddi. Ho ea ka lipontšo, papillosphincterotomy e ka etsoa.

Tlhahlobong e akaretsang ea mali bakeng sa ho mpefatsa ha cholecystopancreatitis, ho boleloa hore leukocytosis e nyane le keketseho ea ESR. Tlhahlobisong ea biochemical ea moroto, bilirubin le urobilin li kanna tsa ba teng. Haeba u belaella helminthiasis, ho etsoa enzo e amanang le enzyme e amanang le enzyme. Bakeng sa ho kenyelletsa li-pathologies tsa litho tse ling tsa sefuba sa ka mpeng, ho hlahisoa li-radiograph tsa panoramic le thuto ea x-ray e nang le phapang ea molomo.

Pele ho tsohle, cholecystopancreatitis e mpe haholo kapa e sa foleng e khethollotsoe le appendicitis e mpe. Mekhoa e meholo ea ho hlahloba lefu ke ho tsebisoa ha bohloko ho epigastrium kapa hypochondrium e setseng, matšoao a ultrasound a lesapo la pancreatic le biliary, leseli le letle la Mayo-Robson le Kera. Ele hloko anamnesis le nako ea nako ea lefu lena - keketseho e potlakileng ea matšoao khahlano le semelo sa bophelo bo botle ka kakaretso se lumellana le ts'oaetso ea methapo ea methapo ea methapo. Ngaka ea mafu a gastroenterologist, hepatologist le ngaka e buoang e nka karolo tlhatlhobong ea mokuli.

Phekolo ea cholecystopancreatitis

Ha u khetha mokhoa oa phekolo, matla a matla a ntlafatso ea methapo ea kutlo, liphetoho tse boleloang tsa morphological ho litho tsa botona le botšehali li nkoa li le hloko. Bakuli ba nang le ts'ebetso e mpe ba kenngoa sepetlele sepetleleng sa bongaka se fanang ka tšilo ea lijo (ho bolaoa ke tlala, ho hlohlona ka mpeng, mme, haeba ho hlokahala, ho fepa bana kapa ho enta ka tube). Mofuteng o sa feleng oa cholecystopancreatitis, ba fokotsa ho ja lijo tse mafura haholo, ba fokotsa bongata ba lik'habohaedreite. Ea litlhare tse sebelisitsoeng:

• Li-analgesics tseo e seng tsa narcotic le tsa narcotic. Motheo oa analgesia ea lithethefatsi ke bohloko bo sa feleng. Maemong a boima ka ho fetesisa, ho ka khonahala ho fana ka li-antipsychotic le ho etsa opereishene ea bohloko ba maqhubu.
• Myotropic antispasmodics. Ho tlosa spasm ea mesifa e boreleli ho fokotsa khatello ea methapo ea kutlo, ho thusa ho lokolloa ha lero la pancreatic le bile. Haeba ho hlokahala, kalafo ea cholecystopancreatitis e tlatselletsoa ka li-anticholinergics.
• Lithethefatsi tsa antiemetic. Boteng ba regurgitation syndrome, lithethefatsi tsa mola oa pele ke li-dopamine le li-serotonin blockers. Bakuli ba nang le phepelo e sa khaotseng ba bonts'a li-blocker tse amohelang 5HT-3-serotonin receptors.
• Lithibela-mafu. Bakeng sa thibelo ea mathata a tšoaetsanoang le ho felisoa ha limela tsa pathogenic, penicillin ea semisynthetic, macrolides, cephalosporins le aminoglycosides li sebelisoa. Ha u khetha sethethefatsi, maikutlo a pathogen a nkoa a le hloko.
• Lithethefatsi tsa antisecretory. E le ho thibela secretion ea pancreatic, li-blocker pump blockers le li-histamine receptor inhibitors li laetsoe. Ka cholecystopancreatitis e nang le ts'enyo e matla, li-octapeptides le proteinase inhibitors lia sebetsa.

Ha ho nahanoa ho teba ha matšoao, kalafo ea infusion e etsoa ka ho hlahisoa ha tharollo ea li-electrolyte, linaptics le pelo glycosides ho boloka ts'ebetso ea pelo. Ho se sebetse hantle ha kalafo e bolokang cholecystopancreatitis ke sesupo sa ho buuoa. Ka tloaelo, ntlafatso e etsahala kamora ho hlaha, laparoscopic kapa SILS cholecystectomy. A a thibelo e matla ea pampiri ea biliary, choledochostomy, choledochoduodenostomy kapa choledochoenterostomy e etsoa. Bakuli ba nang le lesapo le ikhethileng la nipple ea Vater ba bontšoa papillosphincterotomy.

Phatlalatso le Thibelo

Tsoelo-pele e itšetlehile ka nako ea lefu lena le hore na maemo a pherekano e kae. Sephetho se batla se le setle ntlheng ea ho fumanoa ha cholecystopancreatitis le kalafo ea eona e nakong. Ka thuto e rarahaneng ea lefu lena, lefu lena la botšehali le belaetsa. Bakeng sa thibelo, ho hlokahala ho latela mokhoa oa ho ja (qoba tšebeliso e mpe ea lijo tse halikiloeng le tse mafura, fokotsa ho ja joala), ho ikoetlisa ka matla le ho phekola mafu a mang a gastroenterological.

Lisosa tsa kholo ea lefu lena

Lisosa tse ka sehloohong tsa lefu lena li kenyelletsa:

• khatello e eketsehileng holima duodenum le sebete nakong ea lipalesa,
• sebaka se haufi haholo sa litho tsa kahare tsa hepatopancreatic, ka lebaka leo bile e kenngoa ka duodenum,

Ho na le mekhoa ea mofuta oa pathogenetic, eo cholecystopancreatitis e ka ntlafatsang ho eona, e kenyeletsang:

Kankere ea "pancreatic"

Setšoantšo se bonts'a Vater Nipple

Setšoantšo sa Sketchy Sphincter sa Oddi

Likarolo tsa kalafo ea lefu lena

Hangata, lefu lena le phekoloa ka ho fetelletseng. Phekolo ea matšoao e laetsoe nako e telele. Motsoako o sebelisoa ho ntlafatsa tšilo ea lijo. Lisebelisoa tse joalo ke li-enjes tsa maiketsetso tse silang lijo mme li etselitsoe ho felisa steatorrhea, li etse hore tšilo ea lijo li sebetse hantle le ho thibela sebopeho sa elastase ka har'a maro.

Ts'ebetso eohle ea kalafo e thehiloe holim'a melao-motheo e latelang:

• ho tsitsa ha manyeme,
• ho ntlafatsa bophelo ba mokuli,
• ho se nke lehlakore ha mathata a teng,
• ho felisoa ha ts'ebetso ea ho ruruha.

Ho kenella kahare ho tlosoa ke ho khethoa ha metsi a liminerale a nang le chloride le bicarbonates (khalase e le 'ngoe ka makhetlo a mahlano ka letsatsi).

Tlhahlobo ea metsi a manyane

Ho boetse ho hlahisoa lijo tse khethehileng tsa lijo (re bua ka phepelo ea No. 5P), e sa kenyeng lijo tse mafura, tse tsoekere le tse bolila, lino tse tahiloeng tsa khabone.

Ka tlase ke meriana e boletsoeng kalafo ea cholecystopancreatitis.

Mekhoa ea setso

Joalokaha ho boletsoe qalong ea sehlooho sena, kalafo e ka tlatselletsoa ka litlhare tse itseng. Boholo ba tsena ke infusions. Tse sebetsang ka ho fetisisa li thathamisitsoe ka tlase.

Tafole. Litlama-mafu tsa litlama bakeng sa kalafo ea cholecystitis

Malebela a Liphallelo

Malebela ke ana a 'maloa a ka thusang ho fokotsa lefu lena.

O hloka ho nwa metsi a mangata kamoo ho ka khonehang - bonyane lilitha tse peli letsatsi le leng le le leng.

Cholesterol lijong

Mehato ea thibelo

Molao-motheo o ka sehloohong oa thibelo ea cholecystopancreatitis ke ho hana joala le ho tsuba.

Ho tlohela ho tsuba, lithethefatsi le joala

Ntle le moo, litlhaselo tsa lefu lena li tsamaisana le bohloko bo boholo ka mpeng e kaholimo kamora lijo, ka hona, lijo li lokela ho etsoa e le hore palo ea lijo tse hohelang e be nyane. U lokela ho ja ka mokhoa o fokolang (o sa feteng 60 g ka nako), o pheta khafetsa, palo ea mafura e lokela ho fokola, 'me livithamine, ho fapana le moo, li eketsehile.

Cholecystopancreatitis ke eng?

Cholecystopancreatitis ke tlolo ea nako e tšoanang ts'ebetsong ea gallbladder le manyeme, li tsamaisana le karabelo ea ho ruruha.

Ts'ebetso ena e tsamaisana, e na le tšenyo ea litho tse haufi tsa tsamaiso ea hepatobiliary. Ena ke pancreatitis le cholecystitis, e ileng ea qala ho hlaha ka nako e ts'oanang ka mabaka a fapaneng kapa a kopaneng.

Mokhatlong oa machaba oa maloetse, cholecystopancreatitis e beoa sebaka sehlopheng sa 11 (mafu a tšilo). Boloetse bona bo ka sehlopha K80-K87 - Boloetse ba mokokotlo, pampitšana ea biliary le manyeme.

ICD e na le khoutu ea eona ea K87.0 "Lions of the gallbladder, biliary trekta le manyeme a mafu a khethiloeng kae kapa kae."

Phekolo ea lithethefatsi

Phekolo ho batho ba baholo e kenyelletsa tšebeliso ea li-painkillers, li-antacid, li-enzyme le li-vithamine.

Matšoao a cholecystopancreatitis a ke ke a ntlafala haeba phepo e nepahetseng e hlokomolohuoa hammoho le kalafo ea lithethefatsi.

Phekolo ea cholecystopancreatitis e sa foleng le e hlobaetsang e etsoa ka ho sebelisa litlhare tse latelang:

• painkillers - e laetsoeng ho imolla bohloko. Sehlopha sena ke sa Papaverine, No-spa, Ketorolac, Motilium.
• Litokisetso tsa enzyme - thusa ts'ebetso ea tšilo ea lijo. Mohlala Festal, Mezim, Pancreatin le Creon.
• li-antacid - antacid e molemohali ea ho phekola cholecystopancreatitis e matla ke Almagel. Setlhare sea hlokahala ho fokotsa acidity le ho ntlafatsa ts'ebetso ea tšilo ea lijo.

Tšusumetso ea kalafo e tla hlaha ha feela u latela litlhahiso tsa ngaka ka tieo.

Ho buoa

Ka ho ruruha khafetsa, ts'ebetso e bohlokoa. Hona ho bolela hore opereishene ea gallbladder e tlameha ho etsoa kamora lihora tse 24 kamora ho kena sepetlele.

Ho ruruha gallbladder hape ho ka phekoloa ntle le ho buuoa. Leha ho le joalo, kamora kalafo e hlokofatsang, mathata a hlaha hangata. Ho 30% ea linyeoe tsa kalafo ea cholecystopancreatitis e sa foleng, ngaka e laela ngaka e buoang.

Kamora ho tlosa setho, sebopeho sa ka mpeng sea hlatsuoa ho tlosa ka ho phethese le bile e hlahisitsoeng.

Batho ba baholo kapa ba kotsing e kholo ea ho buuoa ka lebaka la mafu a tšoanang, ho buuoa ho ka chechisoa ho fihlela letsatsi la morao.

Pheko ea lijo tsa 'mele bakeng sa cholecystopancreatitis

Batho ba baholo ba tlameha ho ja phepo e nepahetseng. Ka pathology, phepo e sa foleng ea cholecystopancreatitis ke tsela ea bophelo.

Ka mofuta o matla oa bokuli, ka linako tse ling lingaka li lumelloa ho tlohela melaoana eo li e behileng ka phepo, empa sena ha sea lokela ho hlekefetsoa.

Lijo li bolela eng? Pele ho tsohle, sena ke ho khetholloa ha lihlahisoa tse kotsi. Ho etsa mokhoa oa ho ja, etela ngaka ea hau. Ho bohlokoa ho ela hloko nako ea lefu lena, ho ba teng ha bokuli bo kopaneng, liphetho tsa liteko le litšoaneleho tsa tatso ea mokuli.

Tšebeliso ea lijo ke mohato oa bohlokoa kalafong. Leha ho le joalo, mokhoa ona o ke ke oa sebetsa e le monotherapy. Lijo tse le 'ngoe ha li thuse ho phekola cholecystopancreatitis.

Lenaneo la lijo le lokela ho baloa hanghang. Ho ja ho khothalletsoa lihora tse ling le tse ling tse 2,5 ho isa ho tse. Mohlala, lijo tsa hoseng li lokela ho ba 30% ea lijo tsa mots'eare, lijo tsa mots'eare - 10%, lijo tsa mots'eare - 30%, tee ea mantsiboea - 15%, lijo tsa mantsiboea - 10%.

Ho tsamaellana le phepo ha ho thusa ho nona ho feta tekano, ho ja hantle, ho se ts'oenyehe ka mpeng le ho emisa ts'ebetso ea ts'oaetso.

Mohlala oa lijo:

Mantaha:

• Makhooa a 3 a mahe, oatmeal metsing, tee e fokolang, likhalase kapa libiskiti,
• khalase ea kefir kapa chisi e nang le mafura a tlase,
• sopho ea meroho, selae sa nama ea mmutla kapa nama e 'ngoe e halikiloeng, semolina,
• khalase ea kefir e nang le biscuit,
• compote ea litholoana tse omisitsoeng, eseng jeme e monate.

Labobeli:

• oatmeal, crackers le inflores chamomile,
• tee ea pastille le koena,
• lihoete tse halikiloeng, cutlet ea nama ea khomo, ho kenngoa ha rosehip,
• jeme e sa lomosoang e nang le selae sa bohobe le tee ea maobane,
• khalase ea yogurt ea lapeng e nang le mafura a tlase, li-cookies tsa biscuit.

Laboraro:

• litapole omelette, selika sa mohloa, lehe le phehiloeng ka bonolo, tee,
• meroho ea rosehip ka caramel,
• sopho ea nama ea nama, tlhapi e halikiloeng ka asene ea linoko, tee e tala,
• lijo tsa motšeare - liapole tse halikiloeng,
• 200 ml ea kefir e nang le mafura a tlase kapa lebese.

Labone:

• Lehe le phehiloeng ka bonolo, pasta le chisi, tee le lebese,
• tee ea chamomile ka biscuit e omileng,
• liapole tse halikiloeng, sopho ea limela, lebese,
• Cottage cheese casserole,
• salate ea limela ea langa le le lej le likomkomere, tee e nang le linoko.

Labohlano:

• omele ea mohloaare ka salate ea meroho, porridge ea buckwheat ka lebese, khalase ea tee e futhumetseng e nang le linoko,
• li-cookies tsa biscuit le lebese le mafura a tlase,
• jelly kapa marang-rang ka kefir, litapole tse khotliloeng ka botoro, yogurt,
• souffle, kissel,
• senoelo sa kefir.

Moqebelo:

• semolina porridge, tee e tala, chisi ea mahe a linotsi
• litholoana
• sopho ea celery, tlhapi e foforelitsoeng, khalase ea buckwheat le salate ea meroho,
• tee le selamunu ea mouoane,
• yogi le pie ea nama e halikiloeng.

Sontaha:

• karolo ea oatmeal, chisi ea chisi le moqapi, kissel,
• salate ea meroho, meringue,
• mokopu oa sopho puree, compote, meringue,
• liapole tse halikiloeng ka chisi ea ntloaneng,
• chisi e nang le mafura a tlase, tee e nang le linoko.

Ho etsa lijo bakeng sa beke, o hloka ho tseba hore na ke lijo life tse thibetsoeng ho li sebelisa le hore na ba pheha lijo ka mokhoa ofe.

Bakuli ba nang le cholecystopancreatitis ba khothaletsoa ho nka lijo tse hloekisitsoeng. Steam, bake, pheha. Li-broth tsa nama ha li lakatsehe.

U ke ke ua hlapa lijana tse nang le linoko tse ngata, nama e tsubelletsoeng, li-apole, lihlahisoa tse rekiloeng tse lokisitsoeng (sopho ho li-briquette, lijo-thollo tse tsoang hang-hang). Ho thibetsoe ho ja bohobe bo bocha, nama e mafura, tranelate, linaoa, lino tsa kofi le joala.

Lijo tse thibetsoeng li kenyelletsa lijo tse halikiloeng, mafura a liphoofolo, li-muffin le li-mushroom.

Lisosa tsa lefu lena

Cholecystopancreatitis e hlaha ka mekhoa e 'meli: e tšoaetsanoang ebile e sa tšoaetsane, athe matšoao a eona a fapane. Empa ho na le matšoao a tloaelehileng a kholo ea lefu lena,

• mafu a tšoaetsanoang
• lefu la tsoekere
• mathata a metabolic, leqeba la ka mpeng, acidity e eketsehileng:
• maloetse a fapaneng a sitisang ts'ebetso ea sphincter ea Oddi,
• gastrointestinal cancer.

Lisosa tsa ts'oaetso ea gallbladder:

1. Tlas'a ho sisinyeha ho nepahetseng ha bile ka ducts, ho sisinyeha ha eona.
2. Phepo e fosahetseng.
3. Tšoaetso ea 'mele le likokoana-hloko

Cholecystopancreatitis e sa feleng e hlaha ka lebaka la khaello ea phepo e nepahetseng, tšebeliso e mpe ea lithethefatsi le lithethefatsi ntle le taolo ea ngaka, ka tekanyo e tlase ea protheine, tšenyo e ngata ea mali ka har'a lijana, le li-pathologies tse fapaneng tsa setho.

Matšoao le kalafo ea lefu lena

Ha cholecystopancreatitis e se sethaleng se matla, lipontšo li bonoa:

1. Ho ikutloa u nyekeloa ke pelo ka ho hlatsa, ho thunya, haholo-holo ka mor'a ho ja.
2. Bohloko ho hypochondrium e nepahetseng.
3. Mathata a amanang le dyspeptic.
4. Letlalo la letlalo.
5. Boteng ba mafura ka har'a makhopho.
6. Ho na le matheba a lerootho ka har'a groin, ka mpeng.
7. Ho hloka takatso ea lijo.

Haeba cholecystopancreatitis e hlobaetsitse, joale matšoao: bohloko ba ka mpeng, ho hlatsa, ho thunya, le a mang, a hlaha kamora ho ja lijo tse halikiloeng kapa tse nokiloeng. Hape e ba le lets'ollo, ho sokela le khahlano le semelo sa boroko bona bohle.

Matšoao a ka holimo a ts'ebetso ea methapo ea methapo a bonahala nakong ea lefu lena le ntseng le eketseha, ha ho ntse ho khonahala ho holisa sebete, bohloko bo kahara gallbladder. Phekolo ea cholecystopancreatitis e sa foleng e kenyelletsa: ho nka meriana, ho phekola 'mele, mekhoa e meng, hammoho le phepo e nepahetseng.

Sebopeho se u thusang

Haeba cholecystopancreatitis e nka mofuta ona, joale e lokela ho phekoloa hanghang. Hobane hohle nakong ea kemiso ea ona ho na le ho phatloha ha methapo ea pancreatic, e lebisang pherekanong ea tšebetso ea litho tsa tšilo ea lijo, hammoho le ho nyefoloa ho fapaneng ka manyeme le likarolo tse ling tsa tsamaiso ea tšilo ea lijo.

Cholecystitis ka foromo ena e na le matšoao a latelang:

• boteng ba letlalo
• Tšenyo ea manonyeletso a manyane,
• ho hlaha hoa li-cysts tsa bohata.

Haeba kalafo e sa qale ka nako, mathata a kang ho hlaha ha methapo ea mali methapong, mafu a system ea endocrine le peritonitis a khonahala.

Phekolo ea lithethefatsi

Ho sa feleng cholecystitis le pancreatitis, ho fanoa ka meriana: lithibela-mafu, li-painkiller, li-metabolic agents le enzymatic:

1. Ho fokotsa bohloko le ho ntlafatsa mosebetsi oa gallbladder, ho ngotsoe antispasmodics. Ena ke Papaverine, Analgin.
2. Ho ntlafatsa tšilo ea lijo le ho hlahisa li-enzyme tse lekaneng - Creon, Pancreatin.
3. Ho fokotsa secretion ea tšoelesa - Omeprazole.
4. Lithethefatsi tsa antibacterial - metronidazole.
5. Ho khutlisetsa microflora ea ka mpeng - Hilak.

Lichelete tsena kaofela li ke ke tsa sebelisoa ka bo bona, li lokela ho lumellanoa esale pele le ngaka.

Nakong ea kalafo ea cholecystopancreatitis e sa foleng, mokuli o fuoa mekhoa e fapaneng ea physiotherapy: kalafo ea laser, UHF, phekolo ea diadynamic, cryotherapy, e fokotsang bohloko. Ho imolla spasms, magnetotherapy, electrophoresis le kopo ea parafini lia sebelisoa. Phekolo e joalo e sebelisoa feela joalo ka ha u laetsoe ke ngaka.

Mekhoa ea ho Tseba

Morero oa ts'oaetso ke ho tseba sesosa sa lefu lena. Ho sebelisoa mekhoa e latelang ho khetholla lefu lena.

• Matšoao le litletlebo tsa mokuli (nalane ea bongaka),
• Tlhahlobo e bonoang ke ngaka
• Ho bola ha mpa,
• Tlhahlobo ea mali, moroto, makhopho
• Tlhahlobo ea Ultrasound,
• Ho lla ka mpeng
• Magnetic resonance imaging (MRI) ea mokokotlo oa mokokotlo.

Ho ipapisitse le liphetho tsa tlhahlobo e felletseng, ho boleloa ka nepahalo ea lefu lena.

Cholecystopancreatitis e hloka mokhoa o kopaneng oa kalafo. Thupelo ena e na le ho nka meriana, ho latela lijo tse fanoeng le kalafo ea mmele. Ho latela boima ba lefu lena, ho khethoa mofuta oa kalafo ka boeona. Fana ka litlhare: lithibela-mafu: ), li-antibacterial (Cycvalone, Oxafenamide), li-antacids (Almagel), lithethefatsi tse thibelang mafu. Nako ea thupelo, meriana e loantšang cholecystopancreatitis e khethoa ke ngaka. Ha ho thibeloe ho sebelisa litlhare, o ka baka mathata a eketsehileng a lefu lena!

Physiotherapy e fuoe mokuli haeba bokuli bo le teng. Ka lebaka la electrophoresis, phallo ea mali e ea ntlafala, tlhahiso ea bile e eketseha, mme lits'ebetso tsa ho ruruha lia fokotseha. Haeba ho na le cholecystopancreatitis e hlobaetsang (pancreatic cholecystitis) kapa ho mpefatsa lefu lena, lits'ebetso li hanyetsanoa. Phekolo e kopaneng ea lefu lena e tla fana ka sephetho se potlakileng.

Lijo tsa 'mele tsa cholecystopancreatitis

Lijo tse nang le phepo e nepahetseng ke karolo ea bohlokoa ea kalafo. Lijo li ka senya tšilo ea lijo, tsa baka khatello ea kelello mokokotlong oa senya, sebete, liphio. Khomarela ka tieo melao ea lijo le litlhahiso tsa ngaka.

• E ja hantle,
• E-ja lijo tse nyane
• Lijo li bonoa nako e telele eseng feela nakong ea lefu lena.
• Ja feela lijo tse lumelletsoeng,
• Se ke oa senya lijo (ka mohlala, lijo tse fokolang tse tsubang li ka baka ho khutla hape).

Lisebelisoa tsa ho ja li etsoa hammoho le ngaka e eang. Bakuli ba nang le cholecystopancreatitis ba fuoe lijo No. 5. Lijo li na le lijo tse nang le phepo e ntle: lijo tse phehiloeng ka nama, tlhapi e besitsoeng, sopho ea meroho, lihlahisoa tse lebese tse fokolang tse nang le mafura a mangata, lijo-thollo, tee e fokolang, compote, lino-mapholi tsa litholoana, jj.

• Lijo tse mafura, tse nokiloeng ka linoko,
• Lijo tse tsubileng
• Ho baka: bohobe bo bosoeu, li-buns,
• Tsoekere, lino tse tsoekere,
• Lihlahisoa tse nang le cocoa (chokolete),
• Garlic, onion, radish,
• Tee e tsoetseng pele haholo
• Joala
• Metsi a phallang
• Marinade a nang le asene.

Litlhare tsa setso

Melemo ea limela e na le phello e molemo meleng ea ho sefa. Phekolo e kopaneng le meriana le mekhoa e meng e tla tlisa litholoana tse potlakileng. Litlama tsa litlama le limela bakeng sa kalafo ea mafu a ka mpeng:

• Omisitsoeng rosehip decoction. 500 gr. letheka la rose le tšeloa ka metsi, tsitlella metsotso e 30, ho beoa mollo o liehang, pheha metsotso e 5. Nka makhetlo a 3 ka letsatsi, 200 ml ka mor'a ho ja. Boloka moro sehatsetsing. Sebelisa bakeng sa pancreatitis.
• Makhasi a Mustache ea Khauta. Grind makhasi a 2-3 a semela, tšela 500 di ml tsa metsi a belang, pheha ka mocheso o mahareng bakeng sa metsotso e 10-15. Tsitlella lihora tse 8. Ho khothalletsoa ho noa tincture e futhumetseng makhetlo a 3 ka letsatsi pele ho lijo, 50 di ml. Thupelo ke matsatsi a 30. Phekolo e joalo e thusa ho kokobetsa ho ruruha ha methapo ea kutlo, e sebelisetsoa mafu a nyooko.

• Ho bokella litlama: burdock, thapo, lengana, lipalesa tsa chamomile, calendula officinalis, sage. Kopanya litlama ka tekanyo e lekanang, tšela likhaba tse 2 tsa 400 ml ea metsi a belang a 100-degree, tlohela hora. Nka makhetlo a 3 ka letsatsi, pele u ja, 100 di ml. Nako ea kalafo ke libeke tse 3. Ho bokella ho tla thusa ho phekola mafu a mangata a ka mpeng.
• Fragole e hlaha. Metso ea fragole e hlaha (1 tbsp.spoon) e tšela metsi a belang (250 ml). E tlohele e etse 1 hora. Noa 100 ml hoseng le mantsiboea. E sebelisoa ka cholecystitis, gastritis, e tsoang ho pancreatitis.
• Dill. Metsi a dill a sebelisetsoa mathata ka pampitšana ea mala. Dill dipeo tšela metsi a belang, e ke e tlohele. Noa makhetlo a 3 ka letsatsi bakeng sa 100 di ml. Ho ka rekoa metsi a dill e se nang letho lithekeng.
• Wort ea St. John, mamare, lipalesa tsa chamomile, rosa ea hlaha, nettle. Nka mefuta e lekanang ea joang, Remix. Steam thispone ea pokello le metsi a belang (250 ml). E tlohele e etse lihora tse 6. Sebelisa pele lijo, 100 di ml makhetlo a 3 ka letsatsi.
• Molora o mofubelu oa thaba. Phapano lipakeng tsa molora o mofubelu oa thaba e sebetsang ka tsela e atlehang molemong oa tšilo ea lijo. E sebelisoa e le moemeli oa choleretic; ho thibela khaello ea vithamine, monokotšoai o omisitsoeng oa li-ritan o ka eketsoa tee le lijana. O ka pheha decoction ea lithaba. Grila thispone ea monokotsoai, tšela 200 di ml ea metsi a belang, e tlohele e hlahise lihora tse 5. Noa 100 ml hoseng le mantsiboea.
• Horseradish Li sebelisoa e le li-anti-inflammatory, antibacterial, diuretic, choleretic, analgesic. Tincture e ntlafatsa mekhoa ea ho sefa. Grosa motso oa horseradish, nka 1 thispone, tšela 100 ml ea lebese, belisa metsotso e 10 ka mocheso o tlase. Pholile, sefahleho. Nka mots'ehare.

Mokhoa o mong o lokela ho sebelisoa kalafo e rarahaneng ka meriana, ka tumello ea ngaka e eang.

Thibelo ea mafu

Ho thibela lefu lena ho bonolo ho feta ho phekola, ho nwa lipilisi le ho sebetsana ka katleho le mathata a morao. Mehato ea thibelo:

• Bophelo bo botle
• Phepo e nepahetseng, ho ja
• Tlhahlobo ea nako
• Mokhoa o hlokolosi oa kalafo,
• Ho tlohela mekhoa e mebe,
• Boloka boima ba 'mele, qoba ho ja haholo,
• Qoba maemo a sithabetsang.

Cholecystopancreatitis ke lefu le kotsi, empa ka mokhoa o loketseng oa kalafo, o ka tlosa matšoao a seng monate. Eba bophelo bo botle!