Cholecystopancreatitis: akara na ọgwụgwọ

Cholecystopancreatitis - Nke a bụ ngụkọta nke ọnya afọ. Ọ na-egosipụta onwe ya dị ka ihe mgbu na epigastrium, hypochondria na aka nri na aka ekpe, vomiting ugboro ugboro, mgbaàmà ndị ọzọ dyspeptik, mgbanwe na ọdịdị nke stool, na jaundice. Achọpụtara ya site na iji nyocha banyere biochemical nke ọbara na mmamịrị, usoro nyocha, ultrasound nke oghere afọ, MRPHG, RCHP. Maka ọgwụgwọ, a na - eji ọgwụ analgesics, myotropic, anticholinergic, antisecretory, antiemetic na antibacterial. Surgicalzọ ịwa ahụ akwadoro bụ ụzọ dị iche iche nke cholecystectomy, mpụga na nke afọ nke stomatology, dissection nke papilla Vater.

Ozi izugbe

Ihe mere cholecystopancreatitis bụ n'ihi ịdị nso nke anatomical na mmekọrịta nke pancreas (pancreas) na eriri afọ. Emebi ijide onwe ya nke sistemụ ime akpa nwa Vater n’oge ọrịa nke otu akụkụ ahụ n’oge na-adịghị anya ga-eduga na mgbanwe mgbanwe n’akụkụ nke ọzọ. Dabere na ọmụmụ n'ọhịa nke gastroenterology, na 69-70% nke ndị ọrịa nwere nnukwu cholecystitis, parenchyma nke gland na-agbanwe, na-arịa cholecystitis na-adịghị ala ala, ihe ngosi ahụ na-eru 85-88%. Na 38-39% ndị mmadụ na-arịa ajọ ọrịa akwara, a na-achọpụta cholecystitis, yana ọrịa na-adịghị ala ala nke pancreas, a na-emetụta ọnya afọ 62-63%.

Ihe na-akpata Cholecystopancreatitis

Ihe omume nke njikọta yana ọnya afọ na-ejikọta ya na ọnya isi nke otu akụkụ ahụ. N'ime 85% nke ndị ọrịa, cholecystitis metụtara cholelithiasis na-abụ njikọ mbụ na ọrịa ahụ. Na 15% nke ikpe, usoro mkpali ahụ na-amalite na pancreas ma na-agbagha mgbagwoju anya site na enzymatic cholecystitis nke abụọ. Ọrụ nke cholelithiasis na mmepe cholecystopancreatitis bụ n'ihi ihe ndị metụtara dịka:

• Ihe mgbochi usoro nke papilla Vater. Na mgbochi nke ụzọ dị iche iche maka ikenye ihe ọ juiceụ ofụ pancreatic, bile, biliary stasis na - eme, nke na - akpalite mkpokọta akụrụngwa nke akwara dị oke mma na akwara ozi, yana ọnya anụ ahụ. Mmụba n'otu oge na mgbali intracleal na pancreatic gland na-eduga na nmalite nke enzymes nke ya n'ime akwara anụ ahụ yana mmalite nke mkpali na mgbanwe na-emebi ihe.
• Sphincter Oddi Dysfunction. Iwe na -ewekarị mkpụbelata akwara na-eme ka dyskinesia na akwara nke Vater papilla. Ihe mgbakwunye biliary-pancreatic na pancreatic-biliary refluxes na-enye aka na ntinye nke bile, gụnyere nje, banye na pancreas, na enzymes pancreatic - n'ime dule dule. Ihe na - akpasu iwe bụ intralenceal hypertension megide nzụlite hypertonicity nke sphincter nke Oddi.

Usoro mmepe nke cholecystopancreatitis sitere na mmebi nke akụkụ ọmụmụ nke bile na ihe ọ juiceụ pancụ pancreatic n'ime duodenum. N'ọnọdụ dị mma, ihe ndị na - eme nke na - eme ihe na - egbochi ihe na - eme ihe na - egbochi ihe ịtụgharị. Site na mgbali ọbara intraductal nke na-ebute mgbochi nke Vater papilla ma ọ bụ dyskinesia nke sphincter nke Oddi, ọ ga-ekwe omume ka bile banye na ebe a na-eme pacreatic.

Nke a na - eduga na ịgbalite nke phospholipase, enzymes ndị ọzọ na - eme ka ọ bụrụ ihe na - emebi ihe ndị na - emebi ihe na - emebi ihe dị na bele. Obere oge, na-emegide usoro nke pancreatitis dị adị, a na-atụba enzymes n'ime otu ebe, nke na-akpalite mmepe nke cholecystitis. Ihe ọzọ bụ reflux, hematogenous na lymphogenous mgbasa nke pathogenic flora. Na udiri cholecystopancreatitis, mbufụt bụ catarrhal ma ọ bụ purulent-necrotic; n'ọnọdụ ndị na-adịghị ala ala, usoro fibro-degenerative kachasị.

Nkewa

Mgbe a na-ahazi ụdị cholecystopancreatitis, ụdị mgbanwe akụkọ ihe mere eme na njiri mara nke ọrịa ahụ. Dabere na nsogbu ọrịa morphological na-ebute, exudative, purulent, necrotic-ebibi and atrophic dịgasị iche iche nke ọrịa ahụ bụ ihe dị iche, ebe ụdị mbufụt dị na glandbladder na pancreatic gland nwere ike ịdị iche. Site na okike nke ugbu a, ha na-amata:

• Nnukwu cholecystopancreatitis. Dịka iwu, ọ na-aputa na mberede n’ihu mgbochi ma ọ bụ njehie zuru oke na nri. Ejiri ya na ihe mgbu di uku na syndromes regurgitation. Ọ bụrụ na enweghị ọgwụgwọ zuru oke, ọnwụ dị 31.5-55.5%.
• Ọrịa cholecystopancreatitis na-adịghị ala ala. Ọrịa ahụ na-amalite nwayọọ nwayọọ ma na-ejikọkarị ya na cholelithiasis. Ihe mgbaàmà dyspeptik, ahụ erughị ala na epigastric na hypochondrium, nsogbu na - aga n'ihu na - aga n'ihu na - agbasawanye usoro nri.
• Ọrịa cholecystopancreatitis na-egbu oge. Ọtụtụ mgbe, ọ bụ nsonaazụ nke ụdị ọrịa pathology, nke a na-ahụkarị na usoro ahụ gara aga. Mbugharị azụ na-abụkarị nsogbu nri. Ọnụ ọgụgụ ọnụọgụ ọnụ n'oge iwe na-erute 3.5-7%.

Ọrịa nke cholecystopancreatitis

Ihe onyonyo a di banyere oria a di iche-iche ma bukwara ihe iriba ama na ogwugwu nke obi uto na ọnya. Mkpesa kachasị nke ndị ọrịa nwere cholecystopancreatitis bụ mgbu afọ, nke enwere ike idobe mpaghara hypochondria ma ọ bụ mpaghara epigastric. Mmụba na mgbu mgbe iri oke nri nke oke abụba na ị alcoholụ mmanya bụ njiri mara. Otutu otutu vootu nwere ihe ojoo nke enwere ike ntughari, enwere ike nke na adighi ewetara onye oria obi iru ala.

Ọrịa ọgbụgba na ụdị ọgbụgbọ, belching, na arọ nke afọ ka a na-ahụ oge niile, ọbụlagodi n'oge interictal. A na-eji cholecystopancreatitis na-arịa ọrịa ọgbụgba: ndị ọrịa na-ahụ ka ọpụpụ nke nsị, ọnụnọ nke nri na-enweghị nsogbu, mmụba nke afọ na-ebugharị ruo ugboro 4-6 n'ụbọchị. Ọrịa akpịrị na-egbochi mkpụkọ, akpụkpọ ahụ na akpụkpọ ahụ nwere ike ịjikọ ya na ụcha gbara ọchịchịrị. N'oge iwe dị ọkụ, a na-ahụ oke ịda subfebrile ma ọ bụ febrile, a na-ahụ adịghị ike n'ozuzu ya na mbelata ọbara mgbali.

Nsochi

Na cholecystopancreatitis, a na -eme nri ụkọ nri, na-esonye na imebi nzuzo nke bile, enweghị enzymes pancreatic dị mkpa. Ndị ọrịa nwere steatorrhea na linterea, a na-ahụ ibu dị arọ na-ahụ oke. N'ihi itinye aka nke agwaetiti nke Langerhans na usoro ọnya, pancreatogenic ọrịa shuga mellitus nwere ike ịmalite. Ọrịa nke akụkụ dị n'akụkụ obere eriri afọ na-eduga n'ihe omume nke duodenitis na eunitis.

Nsogbu siri ike nke cholecystopancreatitis bụ necrosis pancreatic, nke a na-achọpụta mgbe enzymes na-arụ ọrụ n'ime akwara. Ndị ọrịa na-egosipụtakarị mmebi gallbladder n'ụdị pericholecystitis na empyema. Enweghị ọgwụgwọ, akụkụ ahụ na ịhapụ ihe ndị ahụ butere n'ime oghere dị n'afọ nwere ike ịme. E nwere ihe ize ndụ nke biliary peritonitis. Site na oke iwe, ọtụtụ ihe na - arụpụta akụkụ nwere ike itopụta, nke na - eduga mmadụ mgbe ụfọdụ.

Diagnostics

Enwere ike ịtụle Cholecystopancreatitis na ọnụnọ nke mkpesa ndị a na-ahụkarị na mgbaàmà anụ ahụ (Kera, Murphy, Mayo-Robson, Mussse-Georgievsky). Iji gosipụta nchoputa a, inyocha nnyocha na iji ihe omumu dị mkpa. Ihe ndị kachasị akọ na atụmatụ nyocha bụ ụzọ ndị dị ka:

• Omuma ọbara. Ihe ịrịba ama nke ọrịa ahụ bụ mmụba dị ukwuu nke alkaline phosphatase na bilirubin na-eduzi, yana ọrịa pancreatic necrosis, ọkwa AST na ALT na-abawanye. Achọpụtakwa hypoalbuminemia na dysproteinemia, nke ejikọtara ya na nri ezughi ezu.
• Nyocha microscopic banyere feces. N'ihe banyere cholecystopancreatitis, nsonye nke nri na-enweghị ihe ọ bụla, ọnụ ọgụgụ buru ibu nke akwara ozi na mkpụrụ ọka starch na-ekpebisi ike na coprogram. Ọzọkwa, ELISA nke fe for alpha-amylase ka a rụrụ - mmụba nke ogo enzyme site ugboro 3-4 na-enye gị ohere ikwenye nchoputa.
• Ihe omimi nke oma. Ultrasound nke gallbladder, pancreas na-ekpughe ihe ịrịba ama nke mmebi ahụ. Ntinye mgbidi na ọnya afọ, ọnụnọ nke akwara dị na oghere ya na akwara, ọnya nke pacinsiki parenchyma, mmebi nke contours ya bụ njirimara.
• Ọkpụkpọ. A na - eji magnetic resonance pancreatocholangiography maka enweghị ozi nke ụzọ ndị ọzọ ma na - enyere aka ịmụ banyere usoro nke pancreas na usoro biliary. Usoro dị mkpa maka ịchọpụta cysts na mpaghara nke necrosis, na-achọpụta ọrịa pathologies nke imeju na isi nke pancreas.
• RCP. A na-eji Retrograde cholangiopancreatography jiri anya na-ahụ ala nke biliary tract na pancreatic ducts. Usoro a ga - enyere gị aka ịchọpụta X-ray calculi na-adịghị mma, nyochaa dayameta nke dule dule, yana ọnọdụ sphincter nke Oddi. Dabere na ihe ngosi, enwere ike papillosphincterotomy.

N'ime nyocha ọbara n'ozuzu maka njọ nke cholecystopancreatitis, ekwuru obere leukocytosis na mmụba na ESR. Na nyocha ihe banyere nje mmamịrị, Bilirubin na urobilin nwere ike ịnọ. Ọ bụrụ n ’ị na-enyo helminthiasis, a na-arụ enzymebent immunosorbent assay na arụ ọrụ. Iji wezuga ọrịa nke akwara ndị dị na eriri afọ, a na-emepụta eserese panoramic na ọmụmụ x-ray na ntụnyere onu.

Nke mbu, oria cholecystopancreatitis akwara ma ọ bụ nke na-akawanye njọ na ọdịiche dị na appendicitis. Ihe nchoputa di omimi bu uzo nwude ihe mgbu na epigastrium ma obu aka ekpe hypochondrium, ihe omimi nke anakpo nke puru iche na akwara nke biliary, akara oma nke Mayo-Robson na Kera. Lezienụ anya na anamnesis na oge ọrịa ahụ - mmụba ngwa ngwa nke mgbaàmà megide ndabere nke ọdịmma mmadụ n'ozuzu ya na-agba akaebe na ọrịa ịwa ahụ na-arịa nnukwu ọrịa. Onye ọkachamara na-ahụ maka eriri afọ, hepatologist na dọkịta na-awa ahụ na-etinye aka na nyocha nke onye ọrịa.

Ọgwụgwọ cholecystopancreatitis

Mgbe ị na-ahọrọ usoro ọgwụgwọ, usoro nke mmepe nke pathology, mgbanwe ndị a na-ebo ebubo na akụkụ ahụ, ọnụnọ nke ọgba aghara na-ebu n'uche. A na-agwọ ndị ọrịa nwere nnukwu ọrịa n'ụlọ ọgwụ ịwa ahụ ma nyekwa izu ike nke usoro nri (ụnwụ nri, mkpochapụ afọ, na, ọ bụrụ na ọ dị mkpa, nri ma ọ bụ ụkwara ume ọkụ). Na ụdị cholecystopancreatitis na-adịghị ala ala, ha na-amachi oke oriri nke abụba, belata oke carbohydrates. Nke ọgwụ eji:

• Ndị na-abụghị ọgwụ ọjọọ na ọgwụ ọjọọ. Ihe ndabere maka analgesia ọgwụ bụ ihe mgbu na-adịgide adịgide. N'okwu ndị kachasị sie ike, ọ ga-ekwe omume ịde ọgwụ antipsychotics ma mee ọgwụ mgbochi epidural.
• Myotropic antispasmodics. Wepu spasm nke akwara ndị dị larịị na-ebelata ọbara mgbali intraformal, na-eme ka mwepụta nke ihe ọreatụ pancụ pancreatic na bile. Ọ bụrụ na ọ dị mkpa, a na-agbakwunye ọgwụgwọ cholecystopancreatitis na anticholinergics.
• Ọgwụ antiemetic. Na ọnụnọ nke ọrịa regurgitation, ọgwụ mbụ dị na dopamine na serotonin blockers. Ndị ọrịa nwere vomiting na-adịgide adịgide na-egosiputa ndị na - egbochi 5HT-3-serotonin na-anabata ya.
• Ọgwụ nje. Maka mgbochi nke nje na-efe efe na mkpochasị nke pathogenic flora, penisilini semisynthetic, macrolides, cephalosporins na aminoglycosides. Mgbe ị na-ahọrọ ọgwụ, a na-atụle ọgụgụ isi nke pathogen.
• Ọgwụ antisecretory. Iji gbochie nzuzo a na-egbochi ọgwụ, a na-edenye ndị na-egbochi proton na ndị na-egbochi nnabata ihe mgbochi. Site na cholecystopancreatitis nwere mbibi dị egwu, octapeptides na mgbochi inhibitors dị irè.

N'iburu n'uche mgbaàmà ike, ọgwụ infusion na-ebu ụzọ na ntinye nke ngwọta nke electrolytes, analeptics na cardiac glycosides iji nọgide na-enwe ọrụ gbasara obi. Enweghị ike nke ọgwụgwọ na - achọghị ọdịmma nke cholecystopancreatitis bụ ngosipụta maka ịwa ahụ. Ọtụtụ mgbe, mmelite na-apụta mgbe emechiri, laparoscopic ma ọ bụ SILS cholecystectomy. Na nnukwu mgbochi nke biliary tract, choledochostomy, choledochoduodenostomy ma ọ bụ choledochoenterostomy. Ndị ọrịa nwere ọnya dịpụrụ adịpụ nke Vater na-egosi papillosphincterotomy.

Amụma na Mgbochi Ya

Amụma ahụ dabere na oge ọrịa ahụ na ogo ọgba aghara usoro. Nsonaazụ ya dị mma nchoputa banyere cholecystopancreatitis n'oge yana ọgwụgwọ ya n'oge. Site na usoro ọrịa siri ike, prognosis bụ ihe na-apụ n'anya. Iji gbochie ya, ọ dị mkpa ịgbaso nri (zere ịme ihe oriri na oriri na-egbu egbu, belata ị alcoholụ mmanya), na-eme mmega ahụ siri ike, ma gwọọ ọrịa ndị ọzọ na -akasi ahụ.

Ihe na-akpata mmepe nke ọrịa ahụ

Isi ihe kpatara ọrịa a gụnyere:

• mgbali elu na duodenum na imeju n'oge ịmị mkpụrụ,
• Ọ dị oke nso nke akụkụ ahụ dị na hepatopancreatic, n'ihi na nke a na-atụba ihe isi na duodenum,

E nwekwara usoro nke mkpụrụ ndụ ihe ọmụmụ pathogenetic, nke cholecystopancreatitis nwere ike ịmalite, ndị a gụnyere:

Ọrịa cancer akpa ume

Ihe eserese na-egosi Vater Nipple

Ihe osise Sketchy Sphincter nke Oddi

Njirimara nke ọgwụgwọ nke ọrịa ahụ

Ọtụtụ mgbe, a na-agwọ ọrịa ahụ site na ịwa ahụ. Edere ọgwụ Symptomatic ogologo oge. A na-eji ọgwụ eme ihe iji melite mgbaze. Ihe ndị dị otú a bụ analogues nke nri enzymes na-arụ ọrụ na ebumnuche iji kpochapụ steatorrhea, mezie mgbaze ma gbochie guzobe elastase na feces.

Usoro ọgwụgwọ niile dabere na ụkpụrụ ndị a:

• ịkwụghachi azụ.
• mee ka ndu onye ori ghara idi nma.
• neutralization nke ga-ekwe omume nsogbu,
• mkpochapu usoro mkpali.

A na-ewepụ mmiri n'ime mmiri site na nhọpụta nke mmiri ịnweta nwere chlorides na bicarbonates (otu iko ugboro ise n'ụbọchị).

Nyocha mmiri nke ịnweta

E mepụtara nri nri pụrụ iche (anyị na-ekwu maka nri Nke 5P), nke na - ewepu abụba abụba, nri na - egbu egbu na ihe ọ ,ụ carbonụ juru.

N'okpuru bụ ọgwụ edepụtara na ọgwụgwọ nke cholecystopancreatitis.

Uzo ndi mmadu

Dị ka anyị kwuru na mbido isiokwu a, enwere ike ịgbakwunye ọgwụgwọ ụfọdụ na ọgwụgwọ ndị mmadụ. Ọtụtụ n'ime ndị a bụ ihe egwu egwu. Ndị kachasị dị irè edepụtara n'okpuru.

Isiokwu. Herus infusions maka ọgwụgwọ nke cholecystitis

Atụmatụ Enyemaka Symptom

Nke a bụ ndụmọdụ ole na ole bara uru iji belata usoro ọrịa ahụ.

Ikwesiri ị drinkụ mmiri dị ka o kwere mee - opekata mpe 2 lita kwa ụbọchị.

Cholesterol n'ime nri

Ihe mgbochi

Mainkpụrụ bụ isi nke mgbochi cholecystopancreatitis bụ ịjụ mmanya na sịga.

Qukwụsị ise siga, ọgwụ na mmanya

Na mgbakwunye, mwakpo nke ọrịa a na-esonyere oke mgbu na oke afọ mgbe nri ọ bụla gasịrị, yabụ ekwesịrị ịhazi nri ahụ ka ego nke nri na-akpasu iwe dị ntakịrị. Ikwesiri iri nri karie (ihe kariri 60 g n'otu oge), na ikwughachi ugboro ugboro, a ga-egbochi oke abụba, yana vitamin, na ntụle, mụbaa.

Gini bu cholecystopancreatitis?

Cholecystopancreatitis bụ mmebi n'otu oge na-arụ ọrụ nke gallbladder na pancreas, tinyere mmeghachi omume mbufụt.

Usoro a bụ synchronous, ya na mmebi akụkụ ahụ nke sistemụ ịba ọcha n'anya. Nke a bụ ọrịa pancreatitis na cholecystitis, nke malitere ịmalite n'otu oge maka ebumnuche dị iche iche ma ọ bụ concomitant.

Na nhazi ọkwa nke mba dị iche iche, ekenye cholecystopancreatitis ebe klaasị 11 (ọrịa digestive). Ọrịa ahụ dị na otu K80-K87 - Ọrịa nke ọnya afọ, ọnya biliary na pancreas.

ICD nwere koodu K87.0 nke aka ya, "oria nke ogwurugwu, aru biliary na pancreas na oria ndi ozo."

Ọgwụ ọgwụ

Ingwọ ọrịa n’ime ndị okenye gụnyere iji ọgwụ mgbu, ọgwụ antacids, ndị na - enye enzyme na vitamin.

Ọrịa cholecystopancreatitis agaghị aka ma ọ bụrụ na eleghara nri na-edozi ahụ anya yana yana ọgwụ.

A na-eji ọgwụ na-esochi ọgwụ cholecystopancreatitis na-adịghị ala ala na nnukwu ọgwụ:

• ndị na - eme ihe mgbu - enyere iwu maka ibelata ihe mgbu. Otu a bụ Papaverine, No-spa, Ketorolac, Motilium.
• nhazi enzyme - enyere usoro nri nri. Dịka ọmụmaatụ Festal, Mezim, Pancreatin na Creon.
• antacids - ọgwụ antacid kachasị mma maka ịgwọ nnukwu cholecystopancreatitis bụ Almagel. Ọgwụ dị mkpa iji belata acidity ma melite usoro nri.

Ọgwụgwọ ọgwụgwọ ga-apụta naanị ma ọ bụrụ na ị na-agbaso ndụmọdụ dọkịta.

Gerywa ahụ

Site na mbufụt ugboro ugboro, ịwa ahụ bụ ihe amamihe dị na ya. Nke a pụtara na a gharịrị ịwa ahụ Galites n'ime awa iri abụọ na anọ gachara ụlọ ọgwụ.

A nwekwara ike ịgwọ ọrịa mgbu gallbladder na-enweghị ịwa ahụ. Ka osiladi, mgbe a gbasasịrị ọgwụgwọ na - achọghị ọdịmma onwe onye, ​​nsogbu na - ebilite. N'ime 30% nke ọgwụgwọ nke cholecystopancreatitis na-adịghị ala ala, dọkịta ahụ nyere iwu ịwa ahụ.

Mgbe ewepụchara anụ ahụ, a na-asọ oghere dị n’afọ ka ọ wepu bile na-ezighi ezi.

Okenye ma ọ bụ n'ihe ọghọm ịba ụba n'ihi ọrịa concomitant, enwere ike ibido ịwa ahụ ruo ụbọchị ọzọ.

Usoro nri maka cholecystopancreatitis

Ndi okenye kwesiri iri ezigbo nri. Site na oria ogwu, nri cholecystopancreatitis na-adịghị ala ala bụ ụzọ ndụ.

N’ụdị ọrịa ahụ, a na-ahapụkarị ndị dọkịta ịhapụ iwu ha nyere n’ihe gbasara nri, mana ekwesighi imerụ nke a.

Kedu ihe nri pụtara? Nke mbu, nke a bụ iwepu nke ngwaahịa na-emerụ ahụ. Iji wepụta nri, gwaa dọkịta gị. Ọ dị mkpa iburu n'uche ụzọ ọrịa ahụ, ọnụnọ nke ọnya ọnya ọnya, nsonaazụ nnwale na àgwà nke onye ọrịa.

Nri oriri bu uzo di nkpa na ọgwụgwọ. Agbanyeghị, usoro a enweghị ike ime dị ka monotherapy. Otu nri anaghị enyere aka ịgwọ cholecystopancreatitis.

Ekwesịrị ịgbakọ oge nri. A na-atụ aro iri nri kwa elekere 2.5-3. Iji maa atụ, nri ụtụtụ kwesịrị ịbụ 30% nke nri ụbọchị, nri ehihie - 10%, nri ehihie - 30%, tii ehihie - 15%, nri abalị - 10%.

Compsọpụrụ na nri ahụ na - enyere aka ịghara ị wellụbiga mmanya ókè, rie nri nke ọma, ọnaghị egbochi afọ na ịkwụsị usoro mkpali.

Nlele usoro nri

Mọnde:

• Akwa 3, akwa oatmeal na mmiri, tii na-adịghị ike, crackers ma ọ bụ bisiki,
• iko kefir ma ọ bụ obere ụlọ nwere obere abụba,
• ofe akwukwo nri, a mịrị nke anụ oke bekee ma ọ bụ anụ ezi ọzọ, semolina,
• iko kefir na bisikiiti,
• compote nke mkpụrụ osisi a mịrị amị, ọ bụghị ụtọ jam.

Tuzdee:

• oatmeal, crackers na chamomile infusion,
• pastille na Mint tii,
• karọt, bekee cutlet, mkpụrụ osisi rosehip,
• achịcha bred na-enweghị uto na achịcha nke achịcha ụnyaahụ na tii,
• otu iko mmiri ara ehi na-eme ka obere abụba, kuki biskiiti.

Wenezdee:

• ihendori, ome, ofe aru.
• rosehip efere ya na caramel,
• ofe eghe, ofe eghe na lemon ihe ozo, tii,
• nri ehihie - bred apụl,
• 200 ml nke kefir nwere obere abụba ma ọ bụ mmiri ara ehi.

Tọzdee:

• Nri anụ a Softụ ara, pasta na chiiz, tii na mmiri ara ehi,
• chamomile tii na bisikiiti akọrọ,
• achicha eghe, ofe ojoo, mmiri ara ehi,
• akwa chiiz casserole,
• salad akwukwo nri nke tomato na kukumba, tii na lemon.

Fraịde:

• steepụ omelet na salad akwukwo nri, buckwheat porridge na mmiri ara ehi, iko tii na-ekpo ọkụ na lemon,
• achicha bisikiiti na mmiri ara ehi
• jelii ma ọ bụ ndị na-eme mkpọtụ na kefir, bred nke nwere bọta, bred,
• souffle, kissel,
• iko kefir.

Satọde:

• ụlọ oriri na ọ porụ semụ semolina, tii na-acha akwụkwọ ndụ, cheesecakes na ofe mmanụ a ,ụ,
• mkpụrụ
• bred, osikapa, ofe azu, na ofe,
• lemon tii na uzuoku omelet,
• yogọt na achịcha anụ.

Sọnde:

• mpaghara oatmeal, chiiz obi na cracker, kissel,
• salad akwukwo nri, meringue,
• ugu ofe puree, compote, meringue,
• apụl a withụ na chiiz ụlọ,
• Obi chiiz dị obere obere, tii na lemon.

Iji wepụta nri maka otu izu, ịkwesịrị ịma ụdị nri amachibidoro iji ya na ụdị ha na-esi nri.

A na-atụ aro ndị ọrịa nwere cholecystopancreatitis ka ha rie nri dị ọcha. Steam, akpọọ nkụ, esi nri. Ahịhịa ahịhịa anaghị achọ mma.

Can nweghị ike ose ofe, anụ riri anụ, pịịl, ngwaahịa a zụrụ nke ọma (ofe na briquettes, ọka ọka). Amachibidị iri achịcha ọhụrụ, anụ mara abụba, ude, mkpo, ,ụọ kọfị na mmanya.

Amachibidoro nri oriri gụnyere nri achicha, abụba anụmanụ, muffins na olu.

Ihe kpatara oria a

Cholecystopancreatitis na-etolite n'ụzọ abụọ: nje na-efe efe na-adịghị efe efe, ebe mgbaàmà ha dị iche. Ma enwere otutu ihe iriba ama banyere mmepe nke oria,

• ọrịa na-efe efe
• ọrịa shuga mellitus
• nsogbu nke metabolic, ọnya afọ, ụba acidity:
• ọrịa dị iche iche na-egbochi ọrụ sphincter nke Oddi,
• ọrịa cancer ara.

Ihe na-ebute mbuze:

1. Mmebi nke ezi mmegharị nke bile site na ducts, ya itufu.
2. Oriri na-adighi nma.
3. Ofufe ọrịa nke anụ ahụ na nje ndị ọzọ

Ọrịa cholecystopancreatitis na-adịghị ala ala na-apụta n'ihi erighị ihe na-edozi ahụ, ị ​​alcoholụbiga mmanya ókè na ị drugụ ọgwụ ọjọọ na-enweghị nlekọta dọkịta, na-enwe protein dị ala, ntinye ọbara na-arịa na arịa, yana ọrịa dị iche iche.

Mgbaàmà na ọgwụgwọ nke ọrịa

Mgbe cholecystopancreatitis nọ na nnukwu ọrịa, a na-ahụ ihe ịrịba ama:

1. Mmetụta ọgbụgbọ na ọgbụgba na-egbu egbu, ịmịcha ọbara, karịsịa mgbe ị risịrị nri.
2. Mgbu na hypochondrium ziri ezi.
3. Ọrịa Dyspeptik.
4. Akpụkpọ anụ ahụ.
5. Ọnụnọ abụba na feces.
6. Ahịhịa aja aja na akwa, na afọ.
7. Enweghị agụụ.

Ọ bụrụ na cholecystopancreatitis dị oke njọ, mgbe ahụ ihe mgbaàmà ahụ: mgbu afọ, ọgbụgbọ, ọgbụgba, na ndị ọzọ, na-apụta mgbe ha risịrị nri e ghere eghe ma ọ bụ oseose. Yụkwa etolite afọ ọsịsa, afọ ntachi, na ime ihe ndị a niile, ehighị ụra nke ukwuu.

Egosiputa ihe ngosi ndia n’elu oria n’oge ọrịa a, n’oge enwere ike imeju imeju ya, ihe mgbu n’azu. Ọgwụ nke cholecystopancreatitis na-adịghị ala ala gụnyere: ị medicationsụ ọgwụ, physiotherapy, ụzọ ndị ọzọ, yana ezigbo nri.

Dị mgbochi

Ọ bụrụ cholecystopancreatitis were ụdị a, mgbe ahụ, ekwesịrị ịgwọ ya ozugbo. Ihe niile nihi na n'oge ọ na - eme mkpọchi nke akwara ụkwụ, nke na - eduga n'ọgba aghara na arụ ọrụ nke akụkụ nri, yana ọrịa dị iche iche na ngwangwa na akụkụ ndị ọzọ nke sistem nri.

Cholecystitis n'ụdị a nwere mgbaama ndị a:

• ụkpa ụkwara anụ ahụ
• mmebi nke obere nkwonkwo,
• ihe ndaputa ugha.

Ọ bụrụ na ebidoghị ọgwụgwọ n'oge, nsogbu ndị dị ka ịpụta nke mkpụkọ ọbara na veins, ọrịa nke usoro endocrine, na peritonitis ga-ekwe omume.

Ọgwụ ọgwụ

N'ime cholecystitis na pancreatitis na-adịghị ala ala, a na-enye ọgwụ ọgwụ: ọgwụ nje, ndị na-egbu mgbu, ndị na-ahụ maka metabolic na enzymatic:

1. Iji belata ihe mgbu ma melite ọrụ nke gallbladder, edepụtara ọgwụ mgbochi. Nke a bụ Papaverine, Analgin.
2. Iji mee ka nri digestion ma mepụta enzymes zuru ezu - Creon, Pancreatin.
3. Iji belata secretion nke gland - Omeprazole.
4. Ọgwụ antibacterial - metronidazole.
5. Iji weghachi microflora eriri afọ - Hilak.

Enweghị ike iji ego ndị a na aka ha, ha ga-ekwenye tupu oge eruo na dọkịta.

N'oge ọgwụgwọ cholecystopancreatitis na-adịghị ala ala, a na-enye onye ọrịa iwu ụzọ dị iche iche nke physiotherapy: ọgwụgwọ laser, UHF, ọgwụgwọ diadynamic, cryotherapy, nke na-ebelata ihe mgbu. Iji belata nsị, a na-eji magnetotherapy, electrophoresis na ngwa paraffin. A na-eji ụdị ọgwụgwọ ahụ naanị dị ka dọkịta nyere ya iwu.

Zọ nyocha

Ebumnuche nke nchọpụta bụ ịmata ihe kpatara ọrịa ahụ. Ejiri usoro ndị a iji chọpụta ọrịa:

• Ọrịa na mkpesa nke onye ọrịa (akụkọ gbasara ahụike),
• Nyochaa anya nke dọkịta
• Palp nke afọ,
• Nyocha ọbara, mmamịrị, ahụ,
• Nnyocha nke ultrasound,
• Ingda afọ
• Ihe esere magnetik (MRI) nke oghere n’afọ.

Dabere na nsonaazụ nyocha zuru ezu, ekwuru nchọpụta ziri ezi nke ọrịa ahụ.

Cholecystopancreatitis chọrọ usoro ọgwụgwọ iji gwọọ ọrịa. Usoro ahụ bụ ị takingụ ọgwụ, ịgbaso usoro edenye ọgwụ, na mmega ahụ. Dabere ogo ọrịa ahụ, a na-ahọrọ usoro ọgwụgwọ otu onye. Denye ọgwụ: ọgwụ nje (Cefazolin, Ampioks, Gentamicin), choleretic (Cholagol, Liobil), painkillers (No-shpa, Papaverin), enzymes (Omeprazole, Creon, Mezim, Pancreatin), weghachite eriri afọ, antispasmodics, Drota ), ọgwụ nje (Cycvalone, Oxafenamide), ọgwụ antacids (Almagel), ọgwụ mgbochi-mbufụt. Dọkịta ahụ ka ahọpụtara oge ọ ga-aga, ọgwụ iji lụ ọgụ cholecystopancreatitis. Amachibidoro iji ọgwụ ịchọrọ onwe gị, ị nwere ike ibute ọrịa ndị ọzọ.

Edere onye na-ahụ maka ọrịa na-agwọ ọrịa ma ọ bụrụ na ọrịa ahụ agbaghara. N'ihi electrophoresis, mgbasa ọbara na-akawanye mma, mmepụta ihe na-abawanye, ma usoro mkpali na-ebelata. N'ihe banyere ajọ cholecystopancreatitis (pancreatic cholecystitis) ma ọ bụ na-aka njọ nke ọrịa, usoro ndị a contraindicated. Nkwonkwo ọgwụgwọ nke ọrịa ahụ ga-eweta nsonaazụ dị mma ngwa ngwa.

Nri maka cholecystopancreatitis

Nri oriri bu ihe di nkpa. Nri nwere ike ịkpaghasị ngọngọ nri, mepụta mgbakasị ahụ nke eriri afọ, imeju, akụrụ. Na-agbasochi iwu nke usoro iri nri na ntinye nke dọkịta.

• Rie nri,
• Rie obere nri
• A na-ahụ nri ahụ ogologo oge, ọ bụghị naanị n'oge ọrịa ahụ,
• Jiri naanị nri iri,
• Emebila nri ahụ (dịka ọmụmaatụ, obere nri nri na-ese anwụrụ nwere ike ibute ndọghachi azụ).

Emere nri menu ya na dibia bekee. A na-enye ndị ọrịa nwere cholecystopancreatitis nri Nke 5. Nri ahụ mejupụtara nri nri: anụ esi anụ, azụ anụ, ofe ihe oriri, ngwaahịa mmiri ara ehi, obere ọka, tii na-adịghị ike, compote, ihe ọ fruitụ fruitụ mkpụrụ osisi, wdg.

• Abụba nri, nri, nke dị ụtọ,
• Anwụrụ anụ
• Ime achịcha: achịcha ọcha, achịcha,
• Utoojoo, ihe ọ juụ sweetụ dị ụtọ,
• Ngwaahịa nwere koko (chocolate),
• Garlic, yabasị, radish,
• Ike brewed teas
• Mmanya na-egbu egbu
• Mmiri ncha
• Marinade nwere mmanya gbara ụka.

Klọ ọgwụ ndị na-ewu ewu

Ngwọta ndị mmadụ nwere mmetụta na-aba uru n'ahụ akwara nri. Nkwonkwo ọgwụgwọ na ọgwụ na ụzọ ndị ọzọ ga-eweta nsonaazụ dị mma, dị mma. Ogwu ogwu na nkpuru ogwu nke ogwu igha oria:

• Ctionchọ mma rosehip. 500 gr. A na-awụba hips rose na mmiri, siri ọnwụ nkeji 30, gbanye ọkụ na-adịghị ngwa, gboo maka minit 5. Were ugboro atọ n'ụbọchị, 200 ml mgbe ị risịrị nri. Debe ofe na friji. Jiri maka pancreatitis.
• Ahịhịa afụ ọnụ. Gwuo 2-3 ahịhịa nke osisi ahụ, wụsa 500 ml nke mmiri esi, obụpde ihe karịrị ọkara maka minit 10-15. Ọnwụ 8 awa. Ọ na-atụ aro ị drinkụ tincture ọkụ ugboro atọ n'ụbọchị tupu nri, 50 ml. Ọzụzụ bụ ụbọchị 30. Suchdị ọgwụgwọ ahụ na - enyere aka belata mbufụt nke biliary tract, a na - eji ya maka ọrịa nke gallbladder.

• Nchịkọta nke ahịhịa: burdock, string, wormwood, okooko osisi chamomile, calendula officinalis, sage. Gwakọta ọgwụ mkpá akwụkwọ ahụ n'ụzọ hà nhata, wụsa 2 tablespoons nke 400 ml nke mmiri esi ogo 100, hapụ otu awa. Were ugboro atọ n'ụbọchị, tupu nri, 100 ml. Usoro ya bụ izu 3. Nchịkọta ahụ ga - enyere aka ịgwọ ọtụtụ ọrịa afọ.
• Nnukwu ahịhịa ọhịa. Mgbakwunye nke strawberries strawberries (1 tbsp.spoon) wụsa mmiri esi (250 ml). Ka ọ na ime biya 1 awa. Na-a 100ụ 100 ml n'ụtụtụ na mgbede. Etinyere ya na cholecystitis, gastritis, site na pancreatitis.
• Dill. A na-eji mmiri dill mee ihe maka nsogbu nke eriri afọ. Mkpụrụ osisi wụsa esi mmiri, ka ọ na-eme ya. Na-a 3ụ ugboro atọ n'ụbọchị maka 100 ml. Enwere ike ịzụta mmiri dill dị njikere na ụlọ ahịa ọgwụ.
• St John's wort, nnewort, okooko osisi chamomile, ọhịa rose, nettle. Were ahihia ahihia nha nha. Steam a tablespoon nke mkpokọta na esi mmiri (250 ml). Ka ọ na ime biya 6 awa. Na-eri tupu nri, 100 ml 3 ugboro n'ụbọchị.
• Ugwu uhie. Ọdịiche dị n’etiti ahịhịa ndụ na-acha uhie uhie na ezigbo uru bara uru na ngwangwa nri. A na-eji ya dị ka onye na-ahụ maka choleretic; na mgbochi nke ụkọ vitamin, a ga-agbakwunye tomato rowan a mịrị amị na tii na efere. You nwere ike esi nri oke mma osisi ash. Mike a tablespoon nke tomato, wunye 200 ml nke esi mmiri, ka ọ ime biya maka 5 awa. Na-a 100ụ 100 ml n'ụtụtụ na mgbede.
• Anwụ. Ejiri ha dị ka ọgwụ mgbochi mkpali, antibacterial, diuretic, choleretic, analgesic. Tincture na-eme ka nri nri nri ka mma. Gbaa mkpọrọgwụ na horseradish, were 1 tablespoon, wunye 100 ml nke mmiri ara ehi, ghee minit 10 maka obere okpomọkụ. Jụụ, iyo. Were ụbọchị.

Ekwesịrị iji usoro ọzọ dị na ọgwụgwọ na mgbagwoju anya na ọgwụ, site na ikike nke dọkịta na-aga.

Mgbochi Ọrịa

Vent igbochi ọrịa ahụ mfe karịa ọgwụgwọ, ị takingụ ọgwụ na ịnagide nsogbu ndị ọzọ. Ihe mgbochi:

• Ndụ ike
• Oriri kwesịrị ekwesị, nri,
• Nchọpụta nke oge
• Jiri akọ na uche gwọọ ọrịa,
• Hapụ omume ọjọọ,
• Na-ahụ maka ibu, zere ị oveụbiga mmanya ókè,
• Zere ọnọdụ ndị na-akpata nrụgide.

Cholecystopancreatitis bụ ọrịa dị njọ, mana site na iji usoro a maka ọgwụgwọ, ị nwere ike iwepụ ihe mgbaàmà na-adịghị mma. Nwee ahụike!