Chii biliary pfungwa nomuviri zvemwana asati? Zviratidzo uye Prevention

Nokuti vanhu vazhinji, rwatata anotanga kukundikana, zvinoitika chokutsva kuti kunoitika nokuda kutyora bile goho. Kuumba biliary pfungwa nomuviri zvemwana asati, izvo kazhinji chinobata vakuru. chirwere ichi ndicho rinorapika, asi pasi nenguva kurapwa kwachiremba, uye zvinoenderana nemitemo zvose zvakafanira. Nokuda chinobudirira dambudziko pancreatic varwere kukurumidza kudzokera dzose upenyu.

Zvakakurukurwa chirwere

Biliary pfungwa nomuviri zvemwana asati kunoitika muna cholelithiasis. Inokudziridza somugumisiro vachikanda nemvura munzvimbo ducts pakati rwatata, zvichiita dermatitis. Izvi zvinoratidza mumwe atadze kushanda zvakanaka pamusoro gallbladder.

In hwakanaka munhu kumanikidzwa iri ducts muviri dererei zvikuru pane muedzo pamwero iri ducts pakati rwatata. Zvibereko zvayo rinoratidza kuti chipingamupinyi kuti kunotadzisa kuti bile zvakanaka kuti aite ayo iyezvino. Izvi zvingava nokuda blockage pakati ducts, kazhinji namabwe. izvi zvose zvinotungamirira nemvura akandwe rwatata.

Zvinokonzera chirwere

zvokurwara Izvi zvinogona kuitika nezvikonzero zvakasiyana-siyana. Funga inokosha.

Kana munhu anotambura gallstone chirwere, kazhinji kana hosha anotanga stagnate mashoko zvomudumbu muto rakavhara mutsinga dzinofamba nemukaka namabwe. izvi zvose zvinotungamirira yakawedzera kuomesa munzira idzi, pave wakati kukandwa pasi mvura iri rwatata.

Cholecystitis gallbladder panyika pane kushoma, kwete kupa muto iyerere zvakanaka.

Anotsigira cholangitis uye biliary pfungwa nomuviri zvemwana asati ndiro uncharacteristic ducts kuzvimba anomuka nokuda patency ari biliary turakiti uye secretion chirwere.

Yekunwa zvirwere akabatana biliary pfungwa nomuviri zvemwana asati kukonzera zvinotevera kuchinja rwatata:

• kuzvimba uye degeneration;
• yokuwedzera connective tishu masero;
• kutyorwa mubasa rayo.

Asi izvi kwete chete zvinobatsira kuti chidzoke chirwere. Pfari kuitika inonyanyoshandiswa pakati vanoda zvokudya zvakanaka. zvokudya zvakadai uve provocateur kurwadza kwacho gallbladder uye pancreatic edema anobatsirawo. Uyezve, pfungwa nomuviri zvemwana asati hwapedyo nokuda nokudyisa, kudya stale kana nokupambarwa chikafu.

Ko chirwere?

Biliary pfungwa nomuviri zvemwana asati angava chisingaperi uye rikwanise chimiro. Yokupedzisira kuchimuka kubva pakushandisa chikafu zvakadaro, izvo zvinosimudzira ose zvomudumbu kwendangariro. Inogona zvakakanyiwa namafuta nyama pizza, zvinwiwa, nyama nezvikafu zvishoma, grilled nyama.

Zvokudya ichi haana zvakurukurwa utano, sezvo vatsigiri kwebasa mabwe, izvo zvinogona kuvhara mutsinga dzinofamba nemukaka iri gallbladder. Varwere kosi chirwere, nokucherechedza mwero zvokudya zvinogona kutadzisa panowanikwa biliary pfungwa nomuviri zvemwana asati.

The panowanikwa biliary zvokurwara kunoenderana zviito matombo vari bile mutsinga dzinofamba nemukaka. Kana vari mupfupi uye zvakanaka mukati duodenum, murwere mamiriro ezvinhu nani nokukurumidza. Kana kufamba nematombo Canal chakaoma, chinofanira kutyiwa upenyu murwere iyi.

Zviratidzo biliary pfungwa nomuviri zvemwana asati

Zviratidzo chirwere ichi, kunyanya pamusoro kurega kunotanga kubva bile, zvikuru siyana, saka zvokurwara izvi zvakaoma chaizvo kuziva.

Saka, kana murwere biliary pfungwa nomuviri zvemwana asati, zviratidzo zvingasanganisira zvinotevera:

• The kwaita vachirwadziwa marwadzo ose pamusoro rokumusoro chikamu mudumbu, iyo inogona kupiwa ari shure kana munzvimbo hypochondria. Kakawanda pane marwadzo pashure unoparadza nuna zvakakangwa kana aisvuta zvokudya. amplification Its anotora nzvimbo usiku, kana maawa maviri pashure zvokudya.
• Nemishonga shungu manakiro pamuromo.
• Kuda kurutsa, kurutsa.
• Manyoka, kupatirwa kana bloating.
• Dai simuka zvishoma kupisa muviri.

Chenjera biliary pfungwa nomuviri zvemwana asati kunoratidzwa yakapinza kurwadziwa ari hypochondria, anomuka nokuda kurwadza kwacho kuti mvere tsandanyama kuti chinokurwadzai ibwe, uye chirwere - vachirwadziwa marwadzo kunotora nguva refu.

Uyezve, mune chirwere chimiro chirwere chinogona kuitika jaundice zviratidzo, sezvo biliary turakiti mhingaidzo uye zvomudumbu muto anopinda kweropa hurongwa. Saka yero nevachena kwemaziso uye ganda. Muchiitiko chino, kurapwa zvinofanira chatangwa, nokuti aigona anopedzisira zvakasuwa.

chirwere chirwere

Murwere anofanira zvakaitika kurapwa uye nokukanganisika miedzo ropa. In chisingaperi pfungwa nomuviri zvemwana asati, biliary akacherekedza kuwedzera kwevari bilirubin, alkaline phosphatase, remafuta akawandisa, uye nhamba huru mapuroteni pamusoro zvinopesana, ipfupi. In weti uye ropa 3-6 nguva zvakawedzera kwevari amylase.

Iva nechokwadi kuti tiite Ultrasound pakati rwatata, uye Ultrasound pamusoro hepatobiliary ezvinhu, vachibvumira kuziva pamberi matombo ari ducts, uyewo mukuru mamiriro rwatata.

Kuziva matombo kugadza dzinobudirira zvakadai, zvakadai intraductal kana endoscopic Ultrasound.

Chinonyanya zvakwo nzira vaiona CT biliary turakiti, kunyanya kana chinotarisirwa musiyano mumiririri. MRPHG uye ERCP rinoshandiswawo nokuda chirwere pamusoro pancreatic uye biliary ducts.

kurapwa chirwere

Mabatirwo biliary pfungwa nomuviri zvemwana asati ari kuitwa pasi kutarisira gastroenterologist, endoscopist uye chiremba. Kuti hosha mberi mberi, uyewo kudzivirira exacerbations, kushandisa mishonga chaicho chirwere.

Kana chisingaperi zvokurwara akapfuura chakasimba biliary pfungwa nomuviri zvemwana asati, marapirwo anofanira kuitwa chete muchipatara. Kuonekwa chenjera chimiro akaoma, nokushandiswa mishonga uye zvokudya.

Biliary pfungwa nomuviri zvemwana asati ari rikwanise danho kunoitika ane simba marwadzo chirwere, izvo chinobviswa pachishandiswa analgesics uye spasmolytics. Kururamiswa chiri kuitwa zvemukati uye zvokunze secretory kushanda rwatata, detoxification, pamwe nemishonga rinoitwa kudzivirira zvirwere yematambudziko.

Panguva exacerbation mumazuva matatu nokutsanya wokutanga, uye zvakakodzera kushandisa asiri carbonated alkaline chicherwa mvura. Kamwe simba iri dzakatanga, iva nechokwadi kuti dzisanyanya mune zvokudya kwemafuta, makabhohaidhiretsi anofanirawo kudzorwa.

Kuderedza risa riri kusashanda pancreatic makemikari raitongwa somatostatin, runovharidzira mamwe FIs, hwepurotoni pombi FIs. Chiremba wenyu anogona taurira microspherical makemikari kuti abatsire kudzorera enzymatic dysfunction pakati rwatata. To shuga ropa vakadzokera dzose, ndishandise hypoglycemic nevamiririri.

Rekukwazisa kurwiswa chakasimba yabviswa, chiremba angataura kuvhiyiwa kubvisa matombo. Voitakura kunze munzira mbiri: kucheka yokumusoro rusvingo abdominal (laparotomy) kana kuti ponji mbiri duku parusvingo abdominal (laparoscopy).

zvinogoneka yematambudziko

Kana biliary pfungwa nomuviri zvemwana asati kubatwa zvakanaka, murwere achakurumidza kudzokera dzose upenyu. Kana ndasiya zvirwere zvinogona kufamba matombo ari biliary ducts. Kana chirwere regai zvinhu Vaiisa uye kuita chinhu, zvichakutungamirira kuti kuparara nemudumbu. Pose, marwadzo achange chete kuwedzera, kunyanya pashure achitora zvokudya zvisingavaki muviri.

Mukuwedzera, akura chirwere unogona kuenda parenchymal pfungwa nomuviri zvemwana asati. Izvi zvinogona kukanganisa murwere sezvinotevera:

• refu kurapwa muchipatara ezvinhu;
• kuvhiyiwa;
• ya vapore mishonga;
• kuzviomesera kudya zvinenge zvose hwake.

Kudzivisa biliary pfungwa nomuviri zvemwana asati zvakafanira kuchengeta utano hwakanaka, mudye zvakanaka, uye chose kurega doro.

dhayeti

Kana paiva biliary pfungwa nomuviri zvemwana asati, zvokudya kuva kodzera. Masikati, murwere anofanira zvokudya 4-5 nguva bhuku rimwe mugove Hachifaniri anopfuura 250 Rine mamiririta. Zvinonzi zvaisambobvumirwa, aisvuta, zvakakangwa uye mafuta zvokudya.

Munguva zvokudya mapuroteni anofanira yakawedzera 25%. Saka, murwere pazuva kudya 120 d mapuroteni zvigadzirwa. Asi uwandu mafuta, nekusiyana, anofanira kuderedzwa 20%, uye panguva zuva yaunodya haafaniri kupfuudza '80 carbohydrate yaunodya vanofanirawo kuderedzwa, uye chinofanira kuva 350 magiramu pazuva. Huwandu shuga inokurudzirwa kuderedza ne 2 nguva yaidiwa mitemo.

mhedziso

Chirwere biliary pfungwa nomuviri zvemwana asati (kunyanya rikwanise chimiro) - nechirwere chakakomba zvikuru. Zvakakosha kuti zvakarurama rokuongorora ichi zvokurwara uye mangwanani kurapwa, sezvo kurwisa acharamba kuva kakawanda, kuunza yakawanda kutambura. Nokusingaperi chete Kuvhiya chinobatsira kubvisa biliary pfungwa nomuviri zvemwana asati.