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ʻO Cholecystitis kahi kaʻina inflammatory i loko o ka gallbladder, i hoʻonāukiuki pinepine ʻia e ka maʻi o ke kino me ka microflora intestinal e kū'ē i ke kua o ka uhai ʻana i ka puka ʻana o ka bile ma o kahi duct cystic clogged. ʻO ka cholecystitis maʻamau ka hopena o ka cholelithiasis. Aia ka gallbladder ma ka ʻaoʻao o ke ake a paʻa i ka hana o ka ʻai ʻana. Puka ka bile ma ka ʻōpū liʻiliʻi, akā i kekahi manawa aia nā pilikia me ka haʻalele ʻana a hōʻiliʻili ka bile i loko o ka gallbladder, ka hopena i ka ʻeha nui a me ka piʻi ʻana o ka maʻi.
Ma keʻano he kūlana, hiki mai ka maʻi i ka hui pū me ka cholangitis - ka mumū o nā ducts bile. ʻO ka Cholecystitis kahi maʻi maʻi maʻamau maʻamau, ʻoi aku ka nui ma waena o nā makahiki waena a me nā wahine ʻelemakule - loaʻa lākou i ka maʻi ʻekolu a ʻewalu mau manawa ma mua o nā hoa kāne.
ʻO nā kumu nui o ka predisposition kāne i ka cholecystitis:
ʻO ka paʻa ʻana o ka gallbladder i ka wā hāpai e hoʻonāukiuki i nā hopena lōʻihi - kahi imbalance o ka cholesterol a me nā waikawa bile, a ma muli o ka stagnation o ka bile;
ʻO nā hiʻohiʻona o ka hormonal metabolism o nā wahine - ua hōʻike ʻia ʻo ka progesterone, i hana ʻia i ka nui o ka wā hāpai a me ka menopause, a me nā hormones wahine ʻē aʻe e hoʻopilikia i ka hana o ka gallbladder;
Makemake nā wāhine i nā meaʻai, a ʻo nā kapu meaʻai koʻikoʻi e hoʻopilikia i ka motility (contractility) o ka gallbladder.
ʻO ka hui pilikia, me ka nānā ʻole i ke kāne a me ka makahiki, e komo pū me nā poʻe i loaʻa mua:
ʻO nā maʻi ʻōpū a me / a i ʻole ka ate;
ʻO nā maʻi parasitic (helminthic a me protozoal invasions, localized stationary a i kekahi o nā pae o ka hoʻomohala ʻana i ka ʻōpū a me / a i ʻole ate);
ʻO ka maʻi Gallstone (GSD) me ke keakea (blockage) o ka pūpū a me / a i ʻole ka hōʻino ʻana i nā mucous membranes o ka gallbladder;
ʻO nā maʻi e hoʻopau i ke kahe koko i nā paia o ka gallbladder.
Ua hōʻoia ʻia kahi pilina reflex ma waena o nā pathologies o ka gallbladder a me nā ʻōpū o ka ʻōpū i pili ʻole anatomically - ʻo ia ka mea i kapa ʻia ʻo viscero-visceral reflexes. ʻO nā kumu āpau o luna o ka cholecystitis ma muli o ka uhaki ʻana i ka patency (obstruction) o ka gallbladder, a i ʻole ka haki ʻana i kona motility (dyskinesia).
Wahi a ke kumu etiological, ʻelua mau pūʻulu nosological nui o ka cholecystitis:
Calculous (lat. Calculus – pōhaku);
Noncalculous (pōhaku ʻole).
Nā hōʻailona o ka cholecystitis
ʻO nā hōʻailona mua o ka cholecystitis maʻamau eha oi ma ka aoao akau malalo o ka iwi aoaoʻike ʻole ʻia. ʻO ke kumu o kēia, he pōhaku ia e ālai ai i ka ʻauʻau cystic. ʻO ka hopena, ulu ka huhū a me ka mumū o ka gallbladder.
Hele ka ʻeha ma hope o kekahi manawa a ma hope o ka lawe ʻana i nā lāʻau ʻeha, akā i ka wā e hiki mai ana e piʻi mālie, a laila lilo ia i mau. Aia ka ulu ʻana o ka maʻi, i hui pū ʻia me ke kuni kiʻekiʻe, ka luaʻi a me ka nausea. Ke hoʻomau nei ke kūlana o ka mea maʻi.
Hoʻopau i ke kahe maʻamau o ka bile i loko o ka ʻōpū, ʻO ka hōʻailona o ia ka waihoʻoluʻu icteric o ka ʻili a me ka sclera maka. ʻO nā mea e pono ai no ka jaundice ʻo ia ka loaʻa ʻana o nā pōhaku e ālai ana i nā ducts bile. Hōʻike ʻia ka paʻakikī o ka pathogenesis e ka pulse o ka mea maʻi: ʻo ka maʻamau o ka puʻuwai mai ke kanawalu a i hoʻokahi haneri me iwakālua - hoʻokahi haneli kanakolu mau beats i kēlā me kēia minuke (a i ʻole ke kiʻekiʻe aʻe), he hōʻailona koʻikoʻi ia, ʻo ia hoʻi ua hiki mai nā loli weliweli. ma ke kino.
No ke ʻano maʻi o ka cholecystitis, ʻaʻole hiki ke ʻike ʻia nā hōʻailona, i ka wā e hiki mai ana e manaʻo ʻia ka maʻi i kahi ʻano kiʻekiʻe a i ʻole ke ʻano o ka maʻi. I kēia hihia, ʻo ka mālama wale ʻana i kahi keʻena olakino kūikawā e pale i ka deterioration o ke ʻano.
Nausea me ka cholecystitis - he hōʻailona maʻamau. ʻO ka nausea kahi maʻi ma mua o ka gag reflex. I kekahi mau hihia, ʻo ka nausea a me ka luaʻi ʻana he hopena pale o ke kino i ka ʻona. Me ka cholecystitis, nausea a me ka luaʻi ʻana he ʻāpana mau o ka pathogenesis o ka maʻi.
Pono e hoʻokaʻawale ʻia ka nausea i ka cholecystitis mai nā hōʻailona like i nā maʻi ʻē aʻe a me nā pathologies:
ʻO ka maʻi maʻi (diarrhea) me ka cholecystitis nānā pinepine ʻia. ʻO ka diarrhea, constipation, bloating he mau hōʻailona mau o nā maʻi o ka ʻōpū o ka ʻōpū, me ka cholecystitis. ʻO ka ʻike koke ʻana o ka maʻi stool i ka wā o ka mālama ʻana i ka cholecystitis e hōʻike ana i kahi papa paʻakikī o ka maʻi.
ʻO nā kumu o ka cholecystitis
Hiki ke ʻokoʻa nā kumu o ka maʻi, akā ʻo ka pinepine ka cholecystitis ma muli o ka hōʻiliʻili ʻana o nā pōhaku i loko o ka cystic duct, kino a me ka ʻāʻī o ka gallbladder, kahi mea paʻakikī i ka kahe ʻana o ka bile. Hiki i ke kumu ke ʻano o ka hōʻeha a i ʻole ka maʻi, a me ke ʻano o nā maʻi koʻikoʻi e like me ka maʻi diabetes mellitus, akā naʻe, e hōʻike ʻia ka cholecystitis iā ia iho ma ke ʻano he hoʻopiʻi o kahi pathology e kū nei, ʻaʻole ma ke ʻano he maʻi kūʻokoʻa.
ʻO ka hopena o nā mea a pau i luna nei he ʻano koʻikoʻi o ka cholecystitis me kahi gallbladder inflamed. ʻO ke ʻano maʻamau o ka maʻi e ʻike pinepine ʻia i nā hihia kahi i hoʻomaha ʻole ai ka huhū no ka manawa lōʻihi a hoʻolōʻihi ʻia, ʻo ia ka hopena e lilo ai nā paia o ke kino.
ʻO kahi hoʻouka ʻana o ka cholecystitis
ʻO ka hoʻouka ʻana he ʻano o ka cholecystitis mua a me ka exacerbations o ke ʻano maʻi o ka maʻi. ʻO nā hōʻailona o ka hopu ʻana he pilikia i loko o ka ʻōpū ma hope o ka lawe ʻana i nā meaʻai momona, mea ʻala a i ʻole ka waiʻona.
Nā hōʻailona o ka hoʻouka ʻana o ka cholecystitis:
ʻO ka ʻeha ʻeha ma ka hypochondrium ʻākau, epigastrium a i ʻole piko;
Nausea a me ka luaʻi ʻana, belching kinoea, ʻono ʻawaʻawa i ka waha;
Ka wela o ke kino subfebrile (37-38 0 C a i ʻole 38-39 0 MAI).
Pehea e hoʻomaha ai i ka hoʻouka ʻana o ka cholecystitis?
No ka ho'ōki i ka hoʻouka ʻana o ka cholecystitis, pono ʻoe:
Kāhea i kahi ambulance;
E moe i lalo ma kahi moe a kau i ke anu i ka ʻōpū;
E lawe i kahi antispasmodic (no-shpa) a me kahi analgesic;
No ka hoʻohaʻahaʻa ʻana i ka nausea, inu i ka mint kī a i ʻole ka wai mineral non-carbonated ma ka lumi wela;
Ma ke alo o ka luaʻi, e hōʻoia i ka hōʻiliʻili ʻana o ka luaʻi no ka nānā ʻana.
Nā pilikia a me nā hopena
ʻO ke ʻano koʻikoʻi o ka cholecystitis me ka ʻole o ka lāʻau kūpono e lilo i mau manawa me nā manawa o ka exacerbation a me ke kala ʻana. A paʻakikī ka mālama ʻana i nā maʻi maʻi, no ka mea, pili nā kino ʻē aʻe i ka pathogenesis. Ua ʻike ʻia ke ʻano holomua o ka cholecystitis i 15% o nā maʻi. Hiki ke hopena i ka gangrene, biliary fistula e hoʻopili ai i ka ʻōpū, nā puʻupaʻa a me ka ʻōpū me ka gallbladder, ka jaundice obstructive, abscess, acute pancreatitis, a i kekahi manawa he sepsis.
Nā hopena (prognosis) o ka calculous a me ka non-calculous cholecystitis:
ʻOi aku ka maikaʻi o ka wānana o ka calculous cholecystitis paʻakikī. Ma hope o ka mālama koʻikoʻi, ʻaʻole hiki ke ʻike ʻia ke kiʻi lapaʻau no ka manawa lōʻihi. ʻIke ʻia nā hihia o ka hoʻōla piha. I nā ʻano paʻakikī o ka calculous cholecystitis, ʻoi aku ka makaʻala o ka prognosis;
ʻAʻole maopopo ka wānana o ka cholecystitis non-calculous. Me kēlā ʻano maʻi, pono e makaʻala kekahi i nā ʻano purulent a me ka luku ʻana o ka mumū.
Lapaʻau a me ka meaʻai
Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka cholecystitis a me ka maʻi maʻi ma ka pae koʻikoʻi i loko o kahi hale hoʻokipa. ʻO nā ʻano o ka mālama ʻana i koho ʻia e like me nā hōʻailona.
ʻO ka mālama conservative o ka cholecystitis:
ʻO nā lāʻau'alopelo, pili ka koho i ka pono o ka lāʻau;
Antispasmodics e hoʻopaʻa i ka hana o ka hele ʻana o ka bile i loko o ka ʻōpū liʻiliʻi;
Cholagogue me ka hypotension o ka gallbladder a me ka patency maʻamau o ka bile duct;
Hepatoprotectors e mālama i ka hana ate.
ʻO ka mālama ʻana i ka cholecystitis:
ʻO Cholecystectomy - ka wehe piha ʻana i ka gallbladder, lawe koke ʻia me nā hōʻailona o ka diffuse peritonitis a me ka pale ʻana i ka bile, i nā hihia ʻē aʻe - ma ke ʻano hoʻolālā.
ʻAi no ka cholecystitis
I ka wā o ka hoʻouka kaua ʻana, hāʻawi ʻia ka mea maʻi i kahi inu mehana ma nā ʻāpana liʻiliʻi. ʻO ka nui o ka wai a hiki i hoʻokahi a me ka hapalua lita i ka lā.
Ma hope o ka hoʻokuʻu ʻana i ka ʻeha nui, ʻo ka ʻai ka cereals, kissels, cutlets mahu mai ka ʻiʻo wīwī a iʻa paha, kahi hua moa ma ke ʻano he omelet, a me ka berena keʻokeʻo.
ʻO ka meaʻai no ka cholecystitis:
Pono ʻoe e ʻai i nā ʻāpana liʻiliʻi (5-6 mau manawa i ka lā) e mālama i ke kani o ka hana bile;
Manaʻo ʻia ka ʻaina ahiahi ma mua o 4-6 mau hola ma mua o ka hiamoe o ka pō.
ʻO ka meaʻai o nā maʻi me ka cholecystitis pono e komo:
ʻO nā huahana holoholona me ka liʻiliʻi liʻiliʻi o ka momona, ʻoki maikaʻi ʻia a puhi ʻia;
ʻO nā huahana huaʻai ʻaʻole i loaʻa i ka fiber coarse, waiwai i nā huaora a me nā mea trace.
Me ka cholecystitis, pāpā ʻia ka ʻai ʻana i kēia mau huahana:
Hiki, ʻiʻo, puhi, paʻakai, ʻaila, momona, astringent;
Hoʻoulu i ka ʻai ʻana a me ka hoʻokumu ʻana o ke kinoea (waiu, legumes, nā mea inu kalapona);
Ke hoʻololi nei i ka pH o ke kaiapuni o ka ʻōpū (ka waiʻona, sorrel, spinach, nā hua citrus).