Cholangitis
Cov ntsiab lus ntawm tsab xov xwm
  1. kev piav qhia dav dav
    1. Ua rau ntawm
    2. Hom thiab cov tsos mob
    3. Teeb meem
    4. Kev tiv thaiv
    5. Kev kho mob hauv cov tshuaj tseem ceeb
  2. Cov khoom noj muaj txiaj ntsig zoo rau cholangitis
    1. kev paub qab hau
  3. Cov khoom uas muaj kev phom sij thiab tsis zoo
  4. Cov ntaub ntawv peev txheej

General piav qhia ntawm tus kab mob

Cholangitis yog kev kho mob rau hauv txoj hnyuv intrahepatic lossis extrahepatic bile ducts. Cholangitis tshwm sim los ntawm kev kis mob uas nkag mus rau hauv txoj hlab hnyuv, lub plab, lossis txoj hlab ntshav.

Cov kab mob no ntau dua yuav cuam tshuam rau cov poj niam hnub nyoog 60 xyoo. Cholangitis feem ntau yog nrog mob cholelithiasis, gastritis, cholecystitis thiab pancreatitis.

Vim li cas rau kev loj hlob ntawm cholangitis

Raws li txoj cai, yog vim li cas rau kev txhim kho ntawm cholangitis yog kev ua txhaum ntawm patency ntawm cov kua tsib cov leeg, uas tuaj yeem ua rau:

  • helminthic kev ntxeem tau;
  • kis kab mob siab;
  • dyskenesia ntawm biliary huam;
  • enteritis, mob caj pas;
  • biliary mob hnyuv;
  • hom kab mob ntsws nqaj;
  • endoscopic manipulations nyob rau thaj tsam gallbladder;
  • mob plab hlaub;
  • cov kab mob tua kab mob xws li Escherichia coli, kab mob ntsws, staphylococci.

Hom thiab cov tsos mob ntawm cholangitis

Cov chav kawm ntawm cov kab lus nthuav tawm ntawm lub bile ducts tuaj yeem ua mob ntev lossis mob siab:

  • mob cholangitisnyhav rau kev loj hlob sai. Tus neeg mob tau txhawj xeeb txog qhov mob siab rau hauv qhov yog hypochondrium, uas tawg rau txoj cai scapula, raws plab, daj ntseg, xeev siab, txog ntuav. Daim ntawv no feem ntau yog nrog mob taub hau tawm tsam keeb kwm ntawm lub cev kub nce ntxiv, qhov tsis txaus siab thiab qhov tsis muaj zog. Khaus ntawm daim tawv nqaij yog ua tau thaum hmo ntuj;
  • mob cholangitis nrog los ntawm kev xav tias tsam plab, ua npaws thiab hnov ​​mob hauv siab. Ib ntus, tus neeg mob yuav ua npaws, jaundice tshwm sim ntau tom qab.

Teeb meem ntawm cholangitis

Nrog txoj kev kho tsis raug thiab tsis raug, cholangitis tuaj yeem hloov mus rau hauv daim ntawv purulent, thiab tom qab ntawd cov teeb meem hauv qab no tuaj yeem tsim:

  1. 1 sepsis;
  2. 2 portal cov hlab ntsha thrombosis;
  3. 3 endotoxic poob siab;
  4. 4 mob zais zis[3];
  5. 5 cholangiogenic abscess thiab cirrhosis ntawm daim siab;
  6. 6 Kev ua haujlwm ntawm ntau yam kabmob;
  7. 7 kev tiv thaiv tsis raug;
  8. 8 lub raum tsis txaus.

Kev tiv thaiv ntawm cholangitis

Kev tiv thaiv ntawm kev txhim kho ntawm cholangitis yog:

  • kev kho kom raws sij hawm ntawm txoj hnyuv plab pathologies;
  • kev soj ntsuam ib txwm muaj los ntawm tus kws kho mob plab zom mov tom qab kev phais mob gallbladder;
  • tsis lees txais kev coj tsis zoo, ua lub neej noj qab nyob zoo;
  • kev saib xyuas ntawm hom kev ua haujlwm thiab so kom txaus;
  • qoj ua hauj lwm;
  • noj zaub mov zoo;
  • tsis tu ncua tso quav;
  • raws sij hawm pov tseg ntawm cab.

Cholangitis kev kho mob hauv cov tshuaj tseem ceeb

Txhawm rau txiav txim siab kom paub tseeb, cholangitis yog kuaj, uas suav nrog:

  1. 1 tshuaj xyuas cov quav rau cov cab;
  2. 2 duodenal intubation;
  3. 3 biochemistry ntawm cov ntshav;
  4. 4 Ultrasound ntawm lub gallbladder thiab mob siab;
  5. 5 kab lis kev cai kab mob ntawm cov kua tsib;
  6. 6 kev ntsuam xyuas cov zis dav dav rau cov xim bile;
  7. 7 kev kuaj ntshav dav dav;
  8. 8 MRI ntawm lub plab zom mov plab.

Kev kho mob cholangitis yuav tsum tau tsom mus rau ua kom muaj qhov tawm ntawm cov kua tsib thiab tshem tawm cov laj thawj uas ua rau muaj kev loj hlob ntawm cov kabmob. Raws li txoj cai, kev kho mob pib nrog detoxification kev kho los ntawm decompression ntawm biliary huam. Tsis tas li, tus neeg mob yog kws kho cov tshuaj tua kab mob, noj cov tshuaj tiv thaiv thiab tshuaj los tiv thaiv, hepatoprotectors. Thaum kho, tus neeg mob pom tias tshaib plab thiab mus pw. Nrog rau kev qaug cawv hnyav, plasmaphoresis yog tus kws kho mob.

Tom qab daws mob exacerbation, cov txheej txheem ntawm lub cev ua kom zoo: UHF, daim ntawv thov av nkos thiab ozokerite ntawm txoj cai hypochondrium, electrophoresis, da dej, microwave kho.

Rau cov neeg mob uas muaj cholangitis ua ntej, cov enzymes tau raug kho los txhim kho kev zom zaub mov.

Cov khoom noj muaj txiaj ntsig zoo rau cholangitis

Cov neeg muaj cholangitis yuav tsum lo rau lawv cov zaub mov noj txawm tias tom qab rov zoo los. Kev noj haus No. 5 raug pom zoo, uas koom nrog rau 5-6 pluas noj nyob rau ib hnub thiab suav nrog cov zaub mov hauv qab no:

  • thawj cov chav kawm raws li cov zaub zaub;
  • hau hnyuv ntxwm ntawm cov qib siab tshaj plaws thiab cov hnyuv ntxwm mis;
  • steamed tsawg-rog minced nqaij tais;
  • cov ntses rhaub los yog stewed uas tsis muaj rog ntau;
  • zaub tshiab thiab pom zaub ntsuab;
  • nqaij qaib qe tsuas yog hauv daim ntawv ntawm cov protein omelet;
  • tsev cheese muaj roj tsawg thiab mis nyuj tag nrho;
  • cov ncuav qab zib tsis muaj siav thiab qab zib mov ci nag hmo;
  • cov txiv hmab txiv ntoo uas tsis muaj kua qaub thiab cov txiv ntoo;
  • qaug tshuaj yej thiab kas fes nrog mis nyuj;
  • nplej zom;
  • zib ntab.

Pej xeem tshuaj kho tus mob cholangitis

  1. 1 Chav 0,3 kg ntawm oats nrog 1 liter ntawm dej rhaub, tawm rau 30-40 feeb, haus dej ½ khob peb zaug ib hnub;
  2. 2 tsuav cov tev tawv nyias thiab ua noj kom txog thaum lub sijhawm kua zaub siv li qub, ib lub cawv, haus thiab haus 0.2 khob 3-4 zaug ib hnub;
  3. 3 ntawm ib npliag plab, noj 0,5 khob ntawm sov freshly nyem cabbage kua txiv;
  4. 4 haus kom ntau li pear compote ntau li ntau tau yam tsis muaj suab thaj thaum nruab hnub, noj pears tshiab ntawm lub plab khoob[2];
  5. 5 lub zog loj los tiv thaiv mob thiab choleretic nyhuv yog muaj los ntawm decoction ntawm St. John lub wort nplooj;
  6. 6 2-3 zaug hauv ib lub lis piam ua kev tso quav raws li decoction ntawm chamomile paj;
  7. 7 nyem cov kua txiv los ntawm 2 txiv qaub, ntxiv 500 g zib ntab thiab 500 g ntawm cov txiv ntseej roj, coj cov txiaj ntsig sib xyaw hauv 1 tbsp. ua ntej noj mov Khaws rau hauv ib lub thawv uas kaw zoo nyob hauv qhov chaw txias[1];
  8. 8 noj 200-300 g ntawm taub dag taub dag nrog millet txhua hnub;
  9. 9 ntxiv 250 diav rau 1 ml ntawm mis nyuj npau. tws tshiab horseradish paus, coj mus rau ib tug boil, insist, txias, lim, noj 2-3 tbsp. l. 5 zaug ib hnub;
  10. 10 Ncuav 20-30 gram ntawm cov noob zaub ntug hauv av nrog 400 ml ntawm dej kub, rhaub, tawm rau 8 teev thiab haus zoo li tshuaj yej;
  11. 11 Zom 30 g ntawm mis thistle noob rau ib cov hmoov, nchuav 500 g dej, rhaub, txias, haus 2 dia ib. 4 zaug ib hnub;
  12. 12 noj 4 zaug ib hnub, 50 ml. kua txiv turnip dub.

Khoom noj phom sij thiab tsim kev puas tsuaj rau cholangitis

Nrog cholangitis, nws tsis tuaj yeem lees noj cov khoom noj uas tsim kev ntxhov siab ntxiv rau lub plab zom mov thiab nce roj cholesterol:

  • nqaij qaib qe qe;
  • caviar dub thiab liab;
  • haus sausages thiab ntsim chees;
  • nqaij nruab deg;
  • tshiab qhob cij, ncuav kib thiab ncuav ncuav;
  • thawj cov hoob kawm raws li cov nceb, ntses thiab nqaij nqaij;
  • cov kaus poom ntses thiab nqaij;
  • haus thiab salted ntses thiab nqaij;
  • os, goose, offal;
  • fatty khoom noj siv mis;
  • khw muag khoom confectionery;
  • nceb, qej, legumes;
  • mis nyuj khov, chocolate;
  • dej carbonated, cocoa, kas fes muaj zog;
  • cov khw kub;
  • pickled zaub;
  • dej cawv.
Reprint cov khoom siv

Txwv tsis pub siv cov ntaub ntawv yam tsis muaj peb kev sau ntawv tso cai ua ntej yog txwv.

Cov cai tswj kev nyab xeeb

Hauv paug tswj tsis muaj feem xyuam rau kev sim siv cov ntawv qhia, tswv yim lossis zaub mov noj, thiab tseem tsis tau lees tias cov ntaub ntawv sau tseg yuav pab lossis ua phem rau koj tus kheej. Ua tib zoo thiab ib txwm tham nrog kws kho mob tsim nyog!

Mloog!

Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!

Khoom noj khoom haus rau lwm yam kab mob:

Sau ntawv cia Ncua