Cholecystopancreatitis - Bona ke lefu le tšoauoa ka motsoako oa ts'ebetso ea ho ruruha ea gallbladder le manyeme. Lefu lena ke a mang a maloetse a tloaelehileng a ka mpeng. Khoutu ea MBC-10 bakeng sa cholecystopancreatitis ke K86.8.2. Lefu lena le tšoauoa ka bohloko ho hypochondrium le letona le le letšehali, epigastrium, ho hlatsa ka nako e telele le matšoao a mang a tšoaeang motho. Sesosa se ka sehloohong sa bothata bona se hlahisoa ke kamano e haufi ea 'mele le boikoetliso lipakeng tsa litho tsena tse peli.

Ka hona, haeba e 'ngoe ea litho tsena e amehile, ho na le monyetla oa hore ts'ebetso ea methapo ea methapo e tsamaeang le setho sa bobeli. Ntle le moo, ho cholecystopancreatitis e hlobaetsang, sebete se kenella tšebetsong ea methapo ea methapo. Maloetse a Dystrophic le necrotic a ka hlaha sethong sena.

Haeba bokuli ba e 'ngoe ea litho li sitoa ho ipehela tsamaiso ea sphincter Nkoe ea Vater, ebe ka nako e itseng liphetoho tsa pathological li etsahala ka setho se seng. Mokhoa oa ho bonahatsa cholecystopancreatitis o amahanngoa le karolo e sa tsitsang bile le lero la pancreatic ka duodenum. Haeba ts'ebetso ena e etsahala ka mokhoa o tloaelehileng, joale ho khutlisetsa sephiri morao ha ho etsahale ka lebaka la ts'ebetso ea li-sphincters tsa pancreatic le duct e tloaelehileng ea bile. Haeba methapo ea methapo ea kutlo e kenella ka lebaka la dyskinesia ea sphincter ea Oddi kapa tšitiso ea mochine oa papali ea Vater, bile e qala ho kenella kahare ho pancreatic duct.

Ka lebaka leo, ts'ebetso ea phospholipase le li-enzyme tse ling tsa pancreatic li bonoa. Ho metsoako ea bile, ho entsoe lintho tse nang le chefo e ngata, tse fokotsang setho butle-butle.

Case ha e le ho bakuli ba pancreatitis Li-enzyme li lahleloa ka har'a pampitšana ea biliary, e leng se tsosang ponaletso cholecystitis.

Ho eketsoa ntlha e 'ngoe, e leng ho phatlalala ha limela tsa pathogenic hemato native, Refluxle lympho nativeka tsela.

Mefuta e bolaeang ea lefu lena e tšoauoa ka ts'ebetso ea ho ruruha ea catarrhal kapa purulent-necrotic, e sa foleng - fibro-degenerative.

Tlhomamiso

Ho hlophisa mefuta ea lefu lena, ho ela hloko likarolo tsa eona le mofuta oa liphetoho tsa nalane.

Ha ho fanoa ka liphetoho tse kholo tsa morphological, mefuta e latelang ea cholecystopancreatitis e ikemiselitse:

• purulent,
• exudative,
• necrotic-e senya,
• atrophic.

Ho ipapisitse le mofuta oa lefu lena, mefuta e latelang ea lefu e ikemiselitsoe:

• Acute cholecystopancreatitis - e hlaha haholo haeba ho ka ba le mathata a itseng ka hara masapo kapa mathata a tebileng a ho ja. Mofuta o bohloko oa bokuli o bontšoa ke bohloko bo boholo le li-syndromes tsa regurgation. Hona ke boemo bo kotsi, hobane ha ho sa sebelisoe kalafo e nepahetseng, lefu la batho le ka nyolohela ho 55%.
• Cholecystopancreatitis e sa foleng - lefu lena le hlaha butle butle. Ka nako e ts'oanang, matšoao a dyspeptic, maikutlo a ho se khotsofale libakeng tsa hypochondrium le epigastric a bonoa. Kaha ho na le ho fifala hanyane ka hanyane ha manyeme, lits'ebetso tsa ho hlohlona lia senyeha, 'me butle-butle ketsahalo ena ea tsoela pele. Khoutu ea lefu la ICD-10 ke K86.8.2.
• Kankere e sa khaotseng cholecystopancreatitis - e le molao, boemo bona bo tsoela pele khahlano le semelo sa lefu le bohloko, hangata hangata - ka lebaka la thuto e fetileng e phehellang.

Ho ruruha ho kopaneng ha manyeme le lesapo la nyooko ho etsahala kgahlano le bokantle ba lesion ea pele ea e 'ngoe ea litho. Maemong a ka bang 85%, lefu lena le hlaha khahlano le semelo sa cholecystitis, ho 15%, ts'ebetso e qala makhophong, kamora moo e thatafalloang ke sekhahla sa enzymatic cholecystitis. Nts'etsopele ea cholecystopancreatitis e khetholla ketso ea lintlha tse latelang:

• Meaching thibelo ea Vater papilla - haeba litsela tse tlotsitsoeng ea bile, lero la pancreatic li koetsoe, stili ea biliary e bonoa. Ka lebaka leo, limela le limela tse ngata tsa mala li bokellana ka nngorong, 'me setho sa eona sea chesoa. Khatello ea methapo e kenang ka har'a pancreatic gland le eona ea eketseha, 'me li-enzyme tsa eona li kena ka har'a lithane, tse lebisang ho ts'oenyeheng le ho senyeha.
• Sphincter ea ho hlohlona ha Oddi - ka ho teneha khafetsa ka majoe a manyane, dyskinesia ea mesifa e boreleli ea papali ea Vater e hlaha. Ka lebaka la biliary-pancreatic le pancreatic-biliary reflux, bile e kenella makhophong. Li-enzymes tsa pancreatic le tsona li kena ka har'a li-ducts tsa bile. Ho kenella ka bongata lipakeng tsa methapo ea methapo ea kutlo ka har'a hypertonicity ea sphincter ea Oddi ke ntho e mpefatsang.

Ha e le lisosa tsa lefu lena, tse tloaelehileng ka ho fetisisa ke:

• mafu a tšoaetsanoang
• lefu la tsoekere,
• metabolism e sa sebetseng,
• seso sa ka mpeng
• lefu la gallstone,
• ts'ebetso ea ho ruruha ka har'a gallbladder,
• tšoaetso ea likokonyana,
• mekhoa ea oncological.

E halefisa nts'etsopele ea lefu lena le khaello ea phepo e nepahetseng, hammoho le litloaelo tse mpe. Ba tsubang haholo 'me ba sebelisa joala khafetsa,' me ka bongata ba eketsa menyetla ea ho tšoaroa ke cholecystopancreatitis.

Mekhoa ea ho ruruha makhophong a manyeme le sebakeng sa nyooko ea senya e ka etsahala ka lebaka la tšebeliso ea meriana e sa laoleheng.

Ntho e tsosang ke khatello ea maikutlo le khatello e matla ea maikutlo.

Ntho e 'ngoe e ka bakang lefu lena ke ho ba teng ha tšoaetso ea vaerase' meleng. Le e sa foleng sinusitis kapa caries ho ka lebisa ho nts'etsopele ea cholecystopancreatitis.

Matšoao a cholecystopancreatitis

Matšoao a kliniki a hore cholecystopancreatitis e sa foleng a ka fapana haholo 'me a bonahala e le matšoao a ho ruruha hoa makhopho a pancreatic, le ts'ebetso ea ho ruruha ea gallbladder. Joalo ka mofuta o hlobaetsang oa lefu lena, cholecystopancreatitis e sa foleng e bonahatsoa ke ho opeloa ke mpa ka mpeng, e fumanehang sebakeng sa epigastric kapa hypochondrium. Ka foromo e mpe, bohloko bo kokobela ha motho a qeta ho ja lijo tse nang le mafura kapa a jele joala. Ho hlatsa khafetsa ho ka etsahala, moo ho fumanoang litšila tsa bile. Empa ha a tlise pholoso ho mokuli.

Hape, ka nts'etsopele ea lefu lena, matšoao a latelang a hlaha:

• lipontšo tsa dyspeptic - ho nyekeloa pelo, ho luma, ho hlonama ka hanong, ho ikutloa eka o boima ka mpeng.
• Tlolo ea setuloana - mantle a qhaloa, lijo tse sa fepeloang li teng kahare, khaello e hlaha hangata makhetlo a 'maloa ka letsatsi,
• moroto oa fifala
• sclera, letlalo le membrane ea mucous e ka fetoha mosehla,
• bohloko bo sa feleng bo ka hlaha ho hloka boroko,
• nakong ea ho eketsoa ho eketsehileng feberufokotsa khatello ea mali le maikutlo a bofokoli bo akaretsang.

Ka kakaretso, matšoao a bokuli bona a tšoana le lipontšo tsa mafu a mang a tsamaiso ea tšilo ea lijo. Ka mokhoa o sa foleng, linako tsa ho tšoareloa le ho exacerbations li a tsebahala. Nakong ea ho ata ha lefu lena, sebete sea holisoa, e leng se khethiloeng ke ngaka nakong ea thipa.

Ka mofuta o thibeloang oa lefu lena, le lengata haholo, methapo ea pancreatic e koetsoe, 'me lits'ebetso tsa tšilo ea lijo lia senyeha. Ka lebaka leo, litho tse ling tsa 'mele oa mpa li ea chesoa.

Bakuli ba bang ba na le matšoao a lefu lena. Tsena li kenyeletsa:

• ascites
• Tšenyo ea likepe tse nyane,
• li-cysts tsa bohata.

Liteko le tlhahlobo ea mafu

Setsebi se ka belaella cholecystopancreatitis haeba mokuli a tletleba ka lipontšo tse tloaelehileng mme a e-na le matšoao a itseng a 'mele. Empa bakeng sa ho netefatsa tšoaetso, ho hlokahala tlhahlobo e batsi. Bakeng sa sena, ho etsoa lithuto tsa laboratori le tsa lisebelisoa. Tse thusang ka ho fetisisa ha u etsa tlhahlobo ea mafu ke mekhoa e latelang:

• Teko ea mali a biochemical - nakong ea thuto ena ea laboratori, ho na le keketseho e kholo ea matšoao a tobileng bilirubin le alkaline phosphatase. Haeba pancreatic necrosis e bonoa, maemo a AST le ALT a eketseha. Ka lebaka la tšilo ea lijo e sa lekaneng, ho bonoa hypoalbuminemia le dysproteinemia.
• Tlhahlobo ea microscopic ea makhopho - e senola masala a lijo a e-so ho chesoe, lijo-thollo tse entsoeng ka starch le likhoele tse ngata tse sa sebetseng tsa mesifa. Ho ithutoa ka setulo sa alpha-amylase le hona hoa etsoa. Haeba litaba tsa enzyme ena li eketseha makhetlo a 3-4, tlhahlobo ea bongaka e ea netefatsoa.
• Teko e akaretsang ea mali - ka lebaka la lefu lena le eketseha, ho bonahala ho eketseha ESRnyane leukocytosis.
• Tlhahlobo ea biochemical ea moroto - e kanna ea khethoa urobilin le bilirubin.
• Liteko tsa mali tse amanang le enzyme - lia etsoa haeba mokuli a belaelloa helminthiasis.
• Ultrasound ea litho tsa ka mpeng - ka boithuto bo joalo, o ka khetholla matšoao a senya ho gallbladder, manyeme. Lefu lena le tšoauoa ka ho ba teng ha lesapo la mokokotlo, mokokotlo oa mabota a lona, ​​calculi, hammoho le phetoho ea mokhoabo oa manyeme, heterogeneity ea parenchyma.
• MRI - lipatlisiso li etsoa haeba mekhoa e meng e sa rutehe ka ho lekaneng. U sebelisa matla a khoheli a pancreatocholangiography ea matla a khoheli, ho ka etsahala hore o ithute ka ho qaqileng likarolo tsa sebopeho sa manyeme le tsamaiso ea biliary. U sebelisa mokhoa ona, li-cysts, libaka tsa necrosis, pathology ea sebete le manyeme li ka fumanoa.
• Retrograde cholangiopancreatography - o sebelisa mokhoa ona, li-ducts tsa pancreatic le li-ducts tsa bile li bonoa, e lumella ho lekola boemo ba Oddi sphincter, ho khetholla bophara ba li-ducts tsa bile.
• X-ray - e etselitsoe ho kenyelletsa boteng ba methapo ea methapo e meng ea litho tsa ka mpeng.

Khethollo e khethollang ea mantlha e etsoa, ​​pele ho tsohle, ka lefu le matla appendicitis.

Phekolo ea cholecystopancreatitis

Ha u khetha mokhoa oa phekolo, ho hlokomeloa lintlha tse 'maloa tsa bohlokoa: matla a ntlafatso ea lefu lena, boteng ba liphetoho tsa morphological ho litho le mafu a amanang le ona. Haeba mokuli a e-ba le cholecystopancreatitis e hlobaetsang, o tla kenngoa sepetlele sepetleleng sa ho buuoa sa bongaka 'me a mo fe likarolo tse ling tsa tšebetso tsa lijo. Ha e le molao, ho bolaoa ke tlala, decompression ea mala e etsoa. Haeba ho hlokahala, phepo ea probe e etsoa - ka mokhoa oa batsoali kapa oa enter.

Phekolo ea cholecystopancreatitis e sa foleng ha e kenyeletse kalafo ea bongaka feela, empa hape le ho latela ka tieo lijo tse nepahetseng tse nang le lithibelo tse thata tsa lijo tse mafura le ho fokotseha ha lijo tsa nama ea lik'habohaedreite.

Mabaka a ntlafatso

Thobalano e ntle e ka tšoaetsoa habonolo. Li-ducts tsa pancreatic le li-ducts tsa bile li haufi haholo. Sena se hlalosa phetoho ea ts'ebetso ea ho ruruha ho tloha ho setho se le seng ho ea ho se haufi. Ka cholecystopancreatitis, ts'ebetso ea sebete e atisa ho fokola. Mathata a tloaelehileng a bokuli ba 'mele ba mala ke liphetoho tse etsahalang seleng ea sebete.

Matšoao a cholecystopancreatitis ka ho tšoanang a itšetlehile ka lisosa tsa ho hlaha ha eona. Lisosa tsa lefu lena li kenyeletsa:

• likokoana-hloko
• tšoaetso
• helminthic infestations,
• mofetše wa pancreatic
• lefu la tsoekere
• fungus
• Ho ruruha ha nipple ea Vater,
• khatello e eketsehileng holima sebete le duodenum,
• allergic kapa chefo e thusang
• mafu a baktheria
• gallbladder kuvimba,
• uleptic ulcer
• lefu la gallstone
• lefu la metabolic.

Ntle le mabaka, pokello ea gastroenterology e boetse e hlalosa lintho tse bakang lefu lena. Har'a tsona ke:

• mekhoa e mebe (ho tsuba, tšebeliso e mpe ea joala),
• pherekano e matla maikutlong,
• Sebopeho se sa tloaelehang sa maqhutsu a bile,
• stagnation ea bile (e etsahala nakong ea kemero, mokhoa oa bophelo bo sa pheleng, ho ata ha litho tsa ka mpeng),
• maloetse a amanang le tšilo ea lijo,
• ho mpefala ha pancreatitis,
• lijo tse se nang moeli, ho ja lijo tse nang le li-GMO,
• ho ja ho feta tekano kapa botena,
• meriana e sa laoloeng
• mabenyane le majoe a liphio,
• gastritis
• khatello ea maikutlo khafetsa.

Matšoao a bokuli ba mokokotlo oa mpa

Matšoao a cholecystopancreatitis a ts'oana le matšoao a mafu a fapaneng a pampitšana ea gastric. Sena se ka ba bohloko ho hypochondrium e nepahetseng, tšilo ea lijo (dyspeptic), ho hlatsa kapa ho nyekeloa ke pelo ka mor'a lihora tse 'maloa ka mor'a ho ja. Mohlomong o ikutloa a le boima.

Ho na le mefuta e 'meli ea cholecystopancreatitis: a hlobaetsang le e sa foleng. Matšoao a foromo e mpe a hlaha ka mor'a ho ja lijo tse mafura kapa tse halikiloeng hang hang ka mor'a lijo. Matšoao a cholecystopancreatitis a hlobaetsang a kenyelletsa:

• ho sokela
• bohloko ba senyepa
• lets'ollo
• ho hloka boroko ka lebaka la bohloko
• ho hlatsa
• burping
• bloating.

Liponahatso tsa mofuta o sa foleng

Lefu lena le tšoauoa ka linako tsa ho tšoareloa le ho ata. Matšoao a tšoana le ponahalo e mpe, empa ka ho pepesoa setšoantšong sa ultrasound, keketseho ea sebete e bonahala ka ho hlaka. Ha a le palopation, mokuli o utloa bohloko.

Bohloko bo boetse bo khonahala sebakeng sa gallbladder. Mofuta o sa foleng oa lefu lena o sa ntse o le teng. Ka ho mpefala ha mofuta o sa foleng oa lefu lena, ho boletsoe tse latelang:

• ho theola boima ba 'mele
• mathata a dyspeptic
• bloating
• steatorrhea (mafura ka har'a mantle).

Ho boetse ho na le matšoao a bokuli. Tsena ke:

• Sebopeho se letsoalo mokhoeng,
• atrophy ea mesifa ea peritoneum,
• Phokotso ea mafura a subcutaneous
• bohloko bo boholo ba lehare-vertebral angle,
• letlalo le leputsoa ho pota khaba,
• makhopho a manyane sebakeng sena.

Ka lebaka la mathata a mangata a ho ba le bothata ba mala ka mpeng, ho haella ha li-enzymes tsa tšilo ho etsahala. Ka lebaka la sena, lipontšo tsa kliniki li bonahala:

• fokotseha ha lipase secretion (enele e tsoang ka metsing e qhibilihang ka metsi),
• dikarolo tse futsanehileng kapa tse sa fokotsoang tsa mosifa kapa mafura mafung,
• Mokokotlo oa hae o fetoha mokelikeli le ho feta.

Matšoao a foromo e thibelang

Mofuta o matla ka ho fetisisa oa cholecystopancreatitis ke o thibelang. E lebisa ho matšoao a kang ho ts'oaroa ke lets'oao le nts'etsopele ea ho ruruha ka mpeng ea mala.

Ka lefu lena, lefu le baka ho koaloa ha methapo ea kutlo. Ha e le molao, sena se etsahala nakong ea lilemo tse 5. Maemong a sa tloaelehang, mokuli o hlahisa matšoao a setseng a ts'ebetso ea methapo ea methapo:

• ponahalo ea sebopeho sa leshano la leshano,
• nts'etsopele ea ascites (lerotholi),
• letlalo le omeletseng,
• mathata a manonyeletso a manyane,
• nts'etsopele ea mafu a matsoho (ramatiki),
• koae e tšoeu lelemeng
• nolofatsa lipekere,
• ho soeufala ha letlalo.

Mathata a ka bang teng

Motho ea tšoeroeng ke lefu le nako e telele a ka ba le ho fokola ha pancreatic. Haeba kalafo ea lefu lena e sa tšoaroe ka nako, menyetla ea mathata e eketseha.

Phello e bolaeang e ka etsahala ka nts'etsopele le ho iphapanyetsa lefu lena. Sena se etsahala halofo ea linyeoe. A mang a litlamorao khafetsa tsa mafu ke:

• ho ruruha ho amang peritoneum (peritonitis),
• bile duct obstruction,
• kotsi ea methapo ea kutlo,
• vein thrombosis,
• mafu a endocrine.

Mekhoa ea ho khetholla

Motheong oa tlhahlobo ea pono, liphetho tsa tlhahlobo ea laboratori le ho ipapisitse le litletlebo tsa mokuli, tlhahlobo ea cholecystopancreatitis e etsoa. Mekhoa ea ho khetholla e kenyeletsa:

• monahano oa matla a kelello
• Tlhahlobo ea ultrasound ea manyeme le senya.
• liteko tsa moroto le mali,
• fibrogastroduodenoscopy (FGDS).

Mokhoa oa ho qetela oa ho tsebahala o kenyelletsa ho hlahloba mucous ea mucous ea duodenum le se ka mpeng. Ts'ebetso ea FGDS e etsoa ho sebelisoa endoscope ea video. E le mokhoa o mong oa ho hlahloba mafu, ngaka e fana ka tlhahiso ea ho phomola. Tlhahlobo ena ea X-ray e thusa ho bona boteng ba mofuta oa Psychology libakeng tse:

• manyeme
• bile duct le senya sa senya,
• papilla e kholo ea duodenal.

Mekhoa ea kalafo

Boteng ba litletlebo le ho khethoa ha kalafo, ho hlokahala hore o buisane le gastroenterologist. Setsebi se tla bolella mokuli ka cholecystopancreatitis e sa foleng, matšoao le kalafo ea eona. Phekolo ea lefu lena e tlameha ho ba e akaretsang.

Maemong a tebileng, ho ka hlokahala opereishene. Phekolo e rarahaneng ea cholecystopancreatitis e etsoa ho sebelisoa:

• phekolo ea lithethefatsi
• phetoho ea phepo le phepo e nepahetseng,
• meriana ea setso
• Mekhoa ea physiotherapeutic.

Phekolo ea lithethefatsi

Ngaka ea gastroenterologist e fana ka meriana e loketseng ho phekola lefu lena. Ho felisa ho ruruha le matšoao a bohloko a lefu lena, ho na le lihlopha tse ngata tsa kalafo:

1. Sebaka sa plasma ea mali (Polyglyukin, Reopoliglyukin, Refortan, Gemodez).
2. E bolela ho fokotsa acidity ea ka mpeng, li-antacids (Fosfalugel, Almagel, Vicalin, Maalox).
3. Litokisetso tse tsosang takatso ea mahlaba a ka mpeng, prokinetics (Motilium, Perinorm, Cerucal, Raglan).
4. Histamine H2 receptor blockers (Kvamatel, Roxatidine, Ranitidine, Gastrosidine).
5. Meriana e kokobetsang bohloko bo bakiloeng ke spasms, antispasmodics (Spazgan, Baralgin, No-Shpa, Buskopan).
6. Proton inhibitors (Esomeprazole, Rabeprazole, Omeprazole, Lansoprazole).
7. Painkillers, analgesics (Analgin, Ketanov, Nimesil).
8. Lithethefatsi tsa Cholinergic, anticholinergics (Gastrocepin, Platifillin, Atropine, Scopolamine).
9. Baemeli ba enzymatic le inhibitors (Festal, Kontrikal, Gordoks, Trasilol).

Liphetoho tsa lijo le phepo e nepahetseng

Phekolo e phethahetseng ea cholecystopancreatitis e kenyelletsa tlhahlobo e felletseng ea lijo. Ho bohlokoa haholo hore mokuli a latele lijo tse thata tse boletsoeng ke ngaka. Ntle le tlhaiso-leseling e felletseng ea menyu, ho ka se khonehe ho phekola lefu la seterata. Ha ho ja lijo tse kotsi, lefu le tla khutla hape. Malebela mabapi le ho fetola 'muso oa ho noha:

• khafetsa le ho noa haholo (hoo e ka bang lilitha tse peli tsa metsi), empa hanyane ka nako,
• noa metsi a futhumetseng ka linoko,
• Tee ea litlama e sebetsang ho tsoa ho chamomile, dandelion, calendula.

Ts'ebeliso ea li-jusi e tlameha ho ba le meeli, haholo-holo litatso. Tai le kofi, lino tse nang le khabone le tsona ha li lumelloe. Mokuli o bonts'oa a latela likeletso mabapi le phepo e nepahetseng ea tafole ea kalafo No. 5, eo mongoli oa eona e leng phetolelo ea lijo tsa Pevzner M. I. Ho bohlokoa ho boloka lijo ka tieo ho isa ho likhoeli tse 3, empa ho ka hlokahala le nako e telele ea ho ja. Har'a lijo tse thibetsoeng ke:

• meroho e tala (haholo-holo litamati le likomkomere),
• Lijo tse mafura, tse khaolehileng, tse halikiloeng le tse halikiloeng,
• ho tsuba nama
• meroho
• chokolete
• confectionery, pastries le likuku,
• bohobe bo sootho, pastries,
• lijo tse letsoai
• lijo tse ka makotikoting
• lijo tse nang le phepo e nepahetseng
• moro o monate o entsoeng ka meroho, tlhapi le nama,
• soseji.

Ngaka ea gastroenterologist e tla fa mokuli lenane la lijo tse khothalletsoang. Lethathamo lena le kenyelletsa lijo tse sa faneng ka khatello ea tšilo ea lijo nakong ea tšilo ea lijo. Lijo le lino tse khothalletsoang li kenyelletsa:

• li-cutlets tsa tlhapi, nama ea khomo, khoho,
• jelly
• litholoana le meroho,
• decoction ea currants, ema thekeng,
• tee e bobebe e hlahisitsoeng
• konofolo
• nutmeg
• porridge e halikiloeng kapa e le foromo ea metsi,
• steam protein (ha a na yolk),
• sopho e bobebe.

Moriana oa setso

Ts'ebeliso ea litlhare tsa setso e amohelehile kalafo ea cholecystopancreatitis. Phekolo ea bongaka e ka tlatselletsoa ka litlhare tsa setso. Ho lokisa li-decoctions le litlatsetso tsa kalafo u ka sebelisa:

• St. wort ea St.
• seboko se bohloko
• peppermint
• 'mala oa linden
• Violet
• yarrow
• untelle
• basil
• ginseng.

Ho kenella ka mokhoa o ikhethileng oa lekhala, e leng makhapetla a eona a makhasi, ho fokotsa matšoao a cholecystopancreatitis a hlobaetsang. Mokhoa oa ho etsa infusion ea lekhala:

1. Hlatsoa lijana, khabeloa khabeloa.
2. Kenya sejana sa khalase.
3. Tšela metsi a batang ka sejaneng sa khalase.
4. Tsitlella lihora tse 6.
5. Mathata ka cheesecloth e hloekileng.

Lithethefatsi tse hlahisoang li nooa ho 1 tbsp. l Makhetlo a 3 ka letsatsi. Ho bohlokoa ho boloka nako ea ho kenoa - metsotso e 40 pele ho lijo. Lipheko tsohle tsa setso ha lia lokela ho sebelisoa ntle le ho buisana le ngaka pele. Lipheko tse ling tsa meriana ea setso:

1. U ka lokisa sehlahisoa sa peppermint, wort ea St. John le seboko. U hloka ho nka 1 tsp. likarolo tsohle, tšela lilithara tse 0.5. metsi a belang. Tsitlella pheko ka metsotso e 20, nka 250 ml. Makhetlo a 2 ka letsatsi ka mpeng e se nang letho.
2. Tšela lengana le yarrow bakeng sa tsp e le 1, tšela khalase ea metsi a belang ebe u tlohela metsotso e 30. Mathata le ho noela ½ senoelo ho fihlela makhetlo a 4 ka letsatsi.
3. Nka 1 tsp. li-daisies, li-warts, peppermint, lipalesa tsa linden. Hoa hlokahala ho kopanya metsoako eohle, tšela lilithara tse 0.5 tsa metsi a belang. Tsitlella metsotso e 30 'me u nke 250 ml. Makhetlo a 3 ka letsatsi pele ho lijo.

Mekhoa ea physiotherapeutic

Mekhoa e ts'oanang e laetsoe cholecystopancreatitis e sa foleng. Katleho ea mekhoa ea physiotherapy e hlalosoa ke hore ts'ebetsong ea bona e thusa ho felisa ho ruruha.

Kamora ho tlosa matšoao a bohloko a bokuli ba lefu la ka mpeng, ho ka laeloa seretse se folisang. Li na le phello e molemo kalafong ea cholecystopancreatitis, ha li ntse li matlafatsa ts'ireletso ea 'mele ea ho itšireletsa mafung, li na le phello ea analgesic le anti-inflammatory. Har'a mekhoa ea physotherapeutic bakeng sa lefu lena e sebelisoa:

• Phekolo ea UHF
• lits'ebetso tsa ultrasound
• electrophoresis.

Cholecystopancreatitis

Tlhahisoleseling ea theoretical ka cholecystopancreatitis. Sengoliloeng sena ha se tataiso bakeng sa kalafo.

Pancreatitis ke ho ruruha ha makhopho. Cholecystitis ke ho ruruha ha gallbladder. Ts'ebetso ea ho ruruha kahara litho ka bobeli, "manyeme" le "senya" e lebisa ho nts'etsopele ea cholecystopancreatitis (lebitso le leng la eona ke pancreocholycystitis), lefu le tsebahalang ka ho fetisisa mokhoeng oa gastrointestinal. Setšoantšo sa kliniki se tšoaetsoa ke ho ferekana ho matla ha ts'ebetso ea ts'ilo ea lijo tsohle, le likotsi tsa mathata a fapaneng, mohlala, lefu la tsoekere, ho thijoa ha methapo ea methapo, venous thrombosis, ho kheloha ho hoholo tsamaisong ea endocrine.

Ka cholecystopancreatitis, ts'ebetso ea ho petsoha mafura le lik'habohaedreite e rarahane haholo, 'me tlhahiso ea li-enzyme tsa lijo tse ka mpeng e nyane le ho tsamaisoa ha bile lia senyeha. Cholecystopancreatitis e sa feleng lilemong tse 'maloa e tsosa khaello ea lero la pancreatic le enzymes, tse ka lebisang ho nts'etsopele ea maloetse a mang le matšoao a latelang:

• litulo tse hlephileng li tšoeu
• ho fokotseha ha tlhahiso ea lipase ea pancreatic,
• steatorrhea, e nang le lefu lena, mafura a sa foleng a teng makhopho,
• creatorrhea - Mefuta ea mesifa e sa fetoloang e teng mefuteng.

Nts'etsopele ea cholecystopancreatitis e bakoa ke kamano e haufi pakeng tsa "pancreas" le "gallbladder" hantle haholo, pakeng tsa bile duct le "pancreatic duct" e kholo ea pancreas. Tlas'a maemo a joalo, ts'ebetso ea methapo e amang setho se seng e fetela le ho le leng. Ho feta moo, maemong a hlobaetsang a cholecystopancreatitis, ts'oaetso ea ts'oaetso e boetse e ama sebete, e lebisang ho liphetoho tsa necrotic le dystrophic lithong tsa eona.

Tlhahlobo ea lefu lena

Hoa khoneha ho lemoha cholecystopancreatitis feela motheong oa tlhahlobo ea laboratori ea mokuli, ho nahanela litletlebo tsa hae le tlhahlobo ea pono. Haeba ho na le bothata ba ho etsa lefu lena, ngaka ea methapo e kanna ea sebelisa mekhoa e amanang le tlhahlobo ea mafu, ho kenyelletsa:

• Litlhahlobo tsa MRI le CT,
• FGDS, kapa tšoaetso e hlaselang ea le biopsy,
• boithuto ba semelo sa lihormone ba sebelisa tlhahlobo ea mali,
• Ultrasound
• boikemisetso ba enzyme ea proteinolytic ka tlhahlobo ea biochemical ea makhopho.

Ngoliso ea lithethefatsi e etsoa feela ka mor'a hore ho fumanoe tlhahlobo e nepahetseng ea bongaka, e arohanang le kliniki ea ho hloka tlhokomelo ea pancreatic le cholecystopancreatitis.

Likarolo tsa kalafo ea lefu lena

Phekolo bakeng sa cholecystopancreatitis e hlobaetsang e reretsoe ho imolla spasm ea sphincter ea Oddi, duct e tloaelehileng le duct e tloaelehileng ea pancreatic.

Litharollo tsa atropine le metacin ea 0.1% ka bongata ba 1 ml li tsamaisoa kahare. Li-regimens tsa Dropper li kenyelletsa no-shpu, diphenhydramine, baralgin, aminophylline, magnesia le ascorbic acid ho imolla matšoao a ho fokola, a kotsi. Maemong a tebileng, blockade e nang le novocaine e etsoa.

Phekolo ea lithethefatsi e kenyeletsa:

• lithibela-mafu
• proteinase inhibitors
• lithethefatsi tsa antifungal
• antiemetics.

Kaha bakuli ba laetsoe tlala, polyglucin, tsoekere e fanoa ka har'a methapo, 'me matsoele a fanoa kahare. Ka linako tse ling ho hlokahala hore motho a be le takatso ea se ka mpeng.

Cholecystopancreatitis e sa foleng e phekoloa nakong ea exacerbations, empa khahlanong le semelo sa tokollo, hoa hlokahala ho felisa ka botlalo lijo tse nang le mafura, li-broths tsa nama, linoko le li-seasonings.

Tlhahlobo e pharalletseng e lumella ho supa pathology: tlhahlobo e akaretsang ea mali, ho bona boemo ba bilirubin, protheine, mosebetsi oa transaminase. Ka ho ruruha ha nako e telele, metabolism ea lipid e hlahlojoa, hobane ho kenella ha mafura ho ama boemo ba lisele tsa 'mele kaofela.

Ngaka ea gastroenterologist e etsa tlhahlobo ea mafu, 'me liteko li sebeletsa e le motheo oa kalafo. Ultrasound e bontša boemo ba ducts le sebete. Ka linako tse ling ho hlahlojoa le ho phekoloa ka mpeng le duodenum ho hlokahala ho felisa phello ea tsona lipeong tse haufi.

Batho ba bang ba ka etsa ntle le phepo e matla le ts'ebeliso ea litokisetso tsa enzyme haeba tlhaselo e bakoa ke ts'ebeliso e feteletseng ea sehlahisoa se thibetsoeng - tranelate e bolila ea mafura, joala, linate le chokolete ka bongata. Ho bana, ho se sebetse hantle ho bonahatsoa ke acetone e phahameng le ho hlatsa.

Ntle le Pancreatin, Mezim le painkiller khahlanong le ho ruruha le khatello methating, ho sebelisoa kalafo e susumetsang. Phekolo ea Methyluracil e thusa ho ntlafatsa litho, ho itšireletsa mafung.

Mekhoa ea setso

Ho a khonahala ho phekola cholecystopancreatitis e sa foleng ka litlhare tsa setso haeba o khetha lithethefatsi tse amang likokoana-hloko, e le tšoaetso e ferekanyang pampitšana ea gastrointestinal. Ha ho na thuso ho nka litlama ntle le khethollo ka thepa ea anthelmintic.

Ho ntlafatsa sepheo sa ts'ebetso, ho fokotsa ho ruruha le ho hatella tšebetso ea likokoana-hloko ho tla thusa baemeli ba khato e akaretsang ho li-decoctions.

Ho etsa sena, o hloka ho nka chamomile, wort ea St. John le peppermint, khaba e le 'ngoe e le' ngoe, tšela likhalase tse peli tsa metsi a belang, tsitlella halofo ea hora. Noa khalase pele ho lijo.

Phekolo ea cholecystopancreatitis e tlatselletsoa ka vithamine C ka mokhoa oa li-supplement kapa lero le lecha la k'habeche. Hangata pepere e monate, li-citruse ha li mamelloe hantle ka ho kenella ha gallbladder le manyeme.

Malebela a Liphallelo

Acute cholecystopancreatitis ka ho hlatsa e tlameha ho phekoloa sepetlele ho qoba ascites, hypovolemic makala, ho tahoa. Ho se khotsofale ho fokotsang hae.

Sebelisa ho hema ka mokhoa o tebileng: o robetse mokokotlong, tšoara likhopo ka pel'a menoana ea hau. Ka pululelo, bula karolo e ka tlase ea sefuba, ka ho hema - se ke oa tlohela likhopo hore li theohe, u otlolle diaphragm le ligaments tsa litho tse haufi. Pheta makhetlo a 2-3.

Etsa boitlhakiso ba visceral: tobetsa ka bonolo sebakeng se ka tlasa lehare le letona, ebe ka lehlakoreng le letona haufi le setsi le ts'ebetso ea xiphoid. Beha menoana ea hau ka letsohong le letšehali mohopolong o ts'oanang, ebe o bohareng ba mola pakeng tsa mokhubu le kiine e nepahetseng.

Osteopathy e sebetsa ka ho ruruha ha makhopho a matšoafo le senya. Lingaka li tlosa ho se leka-lekane pakeng tsa likarolo tsa parasympathetic le kutloelo-bohloko ea tsamaiso ea methapo ea kutlo.

Mehato ea thibelo

Ka linako tse ling ho sebelisa meriana ho phekola ho tlisa phomolo ea nakoana. Mokhoa oa bongaka o itšetleha ka lijo tse thata, tseo ho tsona tsohle tse susumetsang tlhahiso ea li-enzyme li lekantsoeng. Moriana o mong le o mong o mabapi le ho imolla matšoao ntle le ho rarolla bothata. Ka hona, ha ua lokela ho senya lijo le cholecystopancreatitis, ho ja ice cream, lieie, lero le bolila ebe u nka Pankeatin kapa Omeprazole khahlano le ho se khotsofale.

Joalo ka cholecystitis, phepo e nepahetseng nakong ea ho eketsoa ho kenyelletsa litlhapi tse phehiloeng kapa tse phookoang, nama, meroho ka sopho le lijo-thollo tse halikiloeng tsa metsi.

Sepetlele, ho fanoa ka lijo tsa 5 sepetlele, tse kenngoeng lipetleleng tsa sepetlele. E khomarele bakeng sa libeke tse ling tse peli kamora ho tsoa.

Na hoa khoneha ho ja pepere e monate, chisi ea cottage, bohobe bo tšoeu? Tsohle li ipapisitse le boemo ba litho tsa litho tsa kahare. Ha ho khutlisetsa motility, lihlahisoa tsa setofo li hlahisoa butle butle, li eketsa ho ja.

Bakeng sa thibelo ea letsatsi le letsatsi ea cholecystopancreatitis, ho ikoetlisa ka mokhoa oa ho tsamaea hoa hlokahala. Ts'ebetso ea litho tsa 'mele e itšetlehile ka lesapo la thoracic, le etsang motsamao o potoloha ka mohato.