Acute cholecystitis: kuchengetedzwa kwekukurumidzira pamusana pekutanga

Iyo yakakomba uye panguva imwechete inetso inowanzo inoda cholecystitis. Kushandiswa kwemasimba kwakapiwa zvakanaka uye nenguva, dzimwe nguva chinhu chinokosha pakuwedzera kurapwa.

Chii chinonzi cholecystitis?

Kuita kupisa mukati memadziro ehuturi kunoratidzika nehukuru cholecystitis. Dzimwe nguva dzimwe nguva inotora basa rinokosha mukuchengetedza hupenyu hwomurwere. Ichi chirwere chinonyanya kusarudzwa nezvakadai sehupo kana kusavapo kwematombo. Saka, munyaya yekutanga iyi mubvunzo wekuverenga, uye muchipiri-pamusoro pekusarura cholecystitis. Uyewo, chirwere chinosarudzwa maererano neyero ye gallbladder kukuvara:

• Catarrhal cholecystitis - iyo gallbladder yakawanda kupfuura yakasvibirira, izere nemvura, uye masvingo akafukidzwa nemucheka;
• Phlegmonous - kuvhiringidza, pamwe nekuumbwa kwepus;
• Gangrenous - iyo yakanyanya kuipa ye cholecystitis, iyo inofambidzana necrosis yemasukisi.

Zvinokonzera chirwere chacho

Zvimwe zvinhu zvinogona kukonzera dambudziko rakadaro seyakanyanya cholecystitis. Emergency care inonyanya kugadziriswa navo. Saka, zvikonzero zvechinetso ndezvekuti:

• Kuvapo kwezvibvumirano, izvo zvinoshungurudza kubuda kwe bile;
• Kufuridzira kwemahara.

Uyewo, izvi zvinotungamirira kumatambudziko awa:

• Operative intervention;
• Kukuvara kwemagetsi;
• Zvokudya zvakaoma kana kutsanya;
• Matambudziko mubasa rekudya gumbo;
• Atherosclerosis;
• Kubuda kusina kunaka kubva pakudya (kuwedzera kwakanyanya muwandu wezvokudya zvinopedzwa);
• Sepsis;
• Hypertension of bile ducts;
• Yakatanga caries;
• Overweight;
• Zera mushure memakore makumi mashanu;
• Zvirwere zvisingaperi.

Zviratidzo zvikuru

Batsira kuziva acute cholecystitis zviratidzo. Kuchengetedzwa kwekumhanyira kunogona kudiwa kana pane zviratidzo zvekunze:

• Kunetseka mune zvakanaka hypochondrium (simba ravo uye nguva dzose rinowedzera);
• Dry muromo nemuchena mutauro wakagadzirwa;
• Kuwedzera mukushisa kwemuviri kusvika kune digirii 38;
• Chills uye kuwedzera kutuka;
• Bloating;
• Nausea uye kurutsa;
• Kunzwa shungu mumuromo;
• Ganda jena;
• Kunzwa wakaneta uye asina simba;
• Moyo palpitations;
• Matambudziko ane ruzivo rwemukati.

Zvinofanira kuonekwa kuti zviratidzo izvi zvinogonawo kuve zviratidzo zvezvirwere zvakasiyana-siyana muhuwandu hwakaoma (pancreatitis, abscess chiropa, musango wesonda, nezvimwewo), uye kwete kungoita dambudziko rakadaro seyakuoma cholecystitis. Emergency care inofanirwa kana, nekumanikidzirwa pamusoro peguruvladder, kurwadziwa kunowedzera zvikuru. Kufanana kwakaitwa kunoonekwa apo paine nzvimbo inorwadza panguva yekufuridzirwa.

Acute cholecystitis: kuchengetedzwa kwekukurumidzira pamusana pekutanga

Kurwisa kunoitika kamwe kamwe uye kunowedzera zvakaoma uye kwenguva refu. Asi usavimba nechigadziro chega chega kuzvipingamupinyi zvakadai seyakanyanya cholecystitis. "Rubatsiro Rwokutanga" rinofanira kunzi pakarepo apo zviratidzo zvekutanga zvinooneka. Uye vasati vasvika vanachiremba kunokosha kutora matanho akadaro:

• Chinhu chokutanga iwe unoda kubatsira murwere kurara pasi uye kutora nzvimbo yakanaka (zviri nani kuti avete kuruboshwe rwake);
• Inobvumirwa kupa murwere zvishoma zvisiri-carbonated mineral (kana yakabikwa) mvura kana yehuni yehuni;
• Kuti zvinyatsogadzirisa nzira yekurwisa, pakiti yakazadzwa nechando inofanira kuiswa pasi pechirudyi.

Zvakakosha kuziva kuti rubatsiro rwekutanga rweku cholecystitis rinenge risina kukwana. Kwete kungoita kusakoshesa, asiwo kufungidzirwa zvisina kufungidzirwa kunogona kutungamirira kumigumisiro isingaenzaniswi.

Chisingagoni kuitwa

Kune huwandu hwezvigaro zvinoratidza kushanda kwakanyanya muacute cholecystitis. Shanduro yegoridhe haifaniri kusanganisira zvinhu zvinotevera:

• Hazvina mhosva kuti kurwadziwa sei, kusati kwasvika kwavanachiremba, kusabvisa kutora chero mishonga inorwisa mishonga (havangakwanisi kumira kurwisa kweaiclecystitis yakaoma, asi zvingava zvakaoma kuti vanachiremba vaite zvakajeka);
• Hazvigamuchirwe kupa murwere zvakare kupisa kana kutonhora kunwa;
• Pasinei nenyaya iyo inofanirwa kupisa dambudziko rakaoma (izvi, zvechokwadi, zvinogona kuderedza zvishoma, asi, kune rumwe rutivi, kupisa kunogona kushanda sechinokurudzira kurwisa).

Kurapa

Kudanwa kwe "First Aid" kunokosha kune chinetso chakadai sechiremera cholecystitis. Emergency home care is limited. Basa guru reboka rezvehutano nderokujekesa kufungidzirwa (nekudzidza zviratidzo uye palpation), pamwe nekuregererwa kwemarwadzo. Saka, musanganiswa chaiwo weantispasmodic inopindwa mukati. Iyo mishonga inogona kukanganisa kwenguva pfupi kubuda kwe bile kuburikidza nemakumbo, zvichiita kuti zviratidzo zvive zvishoma kududzwa. Chikamu chinotevera chichava kuendesa murwere kuchipatara, apo kuongororwa kuchaitwa uye kurapa kunotevera kuchaiswa.

Kurapa

Mushure mokunge vaongororwa muchipatara, murwere anorayirwa kurapwa. Mumamiriro ezvinhu akaoma cholecystitis, inogona kusanganisira zvinhu zvinotevera:

• Kudya kwakanyanya (kusvikira pazara nenzara), iyo inotora 1-2 mazuva. Uyezve, chikafu chacho hachifaniri kunge chakanyanyisa uye chinosanganisira kunyanya dairy nemichero yemiti, uyewo nyama yakaderera-mafuta.
• Kugadziriswa kweantispasmodic uye anesthetics, iyo yakagadzirirwa kugadzirisa mamiriro ehutori bhiariary uye kubvisa zviratidzo zvisingafadzi. Mune zviitiko zvakanyanya zvakanyanya, kunyange zvinodhaka zvinodhaka zvinogona kurongerwa.
• Ne catarrhal cholecystitis, kushandiswa kwepiruscular yemishonga inorwisa mabhakitiriya inorayirwa, iyo inowanzotungamirira pakuzadzikisa zvakakwana. Nezvekuita kwechirwere chechirwere ichi, nzira iyi inogona kunge isinganzwisisiki, nekuda kwekuchinja muhupenyu hunosvibisa hwekupararira kweropa munhengo haikwanisi.
• Kuvhiya kunogona kusanganisira kubviswa kwechikamu chenduru kana chirwere zvachose. Zvinosuruvarisa, kakawanda izvi izvi zviyero zvakakosha, pasina izvo zvisingabviri kuponesa hupenyu hwomurwere uye kugadzirisa kupora.

Matanho ekudzivirira

Zvakaoma kurwisana nechokwadi chokuti zviri nani kusabvumira kuitika kwezvirwere kudarika ipapo kubata nemishonga yavo. Pasinei nekuti boka guru riri pangozi yekushaya cholecystitis ndeyevakadzi vane hukuru hwakakura mushure memakore makumi mashanu, chaizvoizvo hakuna munhu ari inshupiti pakurwisa dambudziko iri. Saka, zvakakodzera kubhadhara zvakakwana kudzivirira, izvo zvinoreva zvinotevera:

• Kudya kwakakwana, izvo zvinosanganisira zvinhu zvakawanda zvinobatsira;
• Kurapa kwenguva yakareba zvirwere zvinotapukira (izvi zvinoshanda kwete kungoita gumbo rekudya, asiwo kupemha system uye dzimwe nhengo);
• Nguva dzose kushanyira meno uye caries kurapwa;
• Kuchengetedzwa kwehutachiona nehutachiva hwepamuviri kana kuparadzwa kwacho panguva inenge ichinetsa chinetso);
• Nzira yekushanda yakasimba (iva nechokwadi chekuita masikati masikati, uyewo kufamba zvakanakira);
• Kuzorora zvakakwana mushure mebasa rezuva;
• Kuongororwa kwechiremba nguva dzose kuitira kuti uzive zvishoma zvishoma uye kuparadzwa kwavo nokukurumidza.

Mhedziso

Acute cholecystitis inguva ine dambudziko rinogona kuratidzika pachena zvachose. Izvo zvakakosha zvikuru kukwanisa kupa rubatsiro rwekutanga vasati vasvika vanachiremba, nokuti izvi zvinogona kuvimba noupenyu hwomurwere. Hapana unyanzvi hwezvehutano hunoshandiswa hunodikanwa, nokuti kupindira kwakanyanya hakusi kungofanirwa chete, asi kune ngozi.