Acalculous maʻi cholecystitis: lapaauʻanuʻu, a

Acalculous maʻi cholecystitis - he li nui o ka laau make bladder me ke kahua o ka gallstones. Kēia palapala kumu no kaʻeha ma ka hypochondrium akau a me ka dyspepsia.

Ma ke kahua o ka gastroenterology i ua lü maʻi lesions hoike no ma waena o 5 a hiki i 10% o ka hihia. Ma nā wāhine, maʻi cholecystitis me ka pohaku ia lŘlŘ ma kahi o 4 manawa hou aku pinepine. O ka mea i ka 'ikepili helu. Kekahi noiʻi helu maʻi cholecystitis me na pohaku me ka malumalu palapala i ka maʻi i naʻokoko kalkulez. Akā, e like me ka 'inikua hana, e hou ae aku nā mea maʻi, mai cholelithiasis.

Nā kumu o ka maʻi

Ke etiology o ka maʻi ua nānā 'ana ma luna o nā nā mea palahēhē:

• E. coli;
• enterococcus;
• aureus;
• Proteus;
• flora o ka hui type.

Ke anal o koʻohune i loko o ka gallbladder ma ka naʻau i ia lŘlŘ i kumu e like me:

• goiter;
• colitis;
• enteritis;
• hepatitis;
• pancreatitis.

Emi olelo, maʻiʻaʻai o ka hohola ma ka lymph a me ke koko mai ka infectious foci ke aupuni 'remotely.

No ka laʻana, ka maʻiʻaʻai hohola i ka maʻi e like me:

• periodontal maʻi;
• i ka maʻi tonsillitis;
• appendicitis;
• pneumonia;
• pyelitis;
• adnexitis.

Ma ka hoʻonāukiuki kumumea, a haʻalele i ka infectious keʻano o ka hanaʻana, nā:

• cholestasis;
• biliary dyskinesia;
• kaua o parasites e like me Giardia, roundworm, amoebae;
• sphincter dysfunction;
• obesity;
• dysmenorrhea;
• physical inactivity;
• malnutrition;
• burnout listen'ōlelo.

Acalculous maʻi cholecystitis komo ai hanaʻia naʻe, a deformation o ka gallbladder. Ke mucousʻili lahilahi loaʻa iā ia kekahi o ka hei 'ole ku i ka mea e' ano 'ē atrophic wahi me ka polyps i kuahene manoanoa pā.

Ai hanaʻia naʻe ia lŘlŘ muscular kapa. Eia kahi mea akaka me ka makaʻu no fibrous'aʻaʻa. A hiki i ka prevalence o hoʻoʻino kaʻina hiki ulu pericholecystitis, hōʻike adhesions me na nā loko aia i loko o ke kaiāulu, abscesses, pseudodiverticulum.

Mea Maluna o ka maʻi

Make o ka malamalama, a me ka meakino kaumaha. Ka maʻi komo ai i ke alo o ekolu kahua o ka hoʻonaʻauao.

• aggravation;
• subsidence a me ka aggravation;
• ka pilina paʻa, a lolelua ka kala ana.

ke hoomau aku me relapses Acalculous maʻi cholecystitis hiki. No hoi, maʻi ka monotone a me ka intermittent.

Ke kaumaha ma muli o ka nui o ke poho, eʻike ma waena o huikau, a uncomplicated ano o ka maʻi cholecystitis nekalkuleznogo. Nō hoʻi eʻike ma waena o typical a me ka atypical nānā aku. Ka hope palapala Ua maheleia i intestinal, a me kardialgichesky ezofagalgichesky type.

Symptoms o ka maʻi cholecystitis acalculous hoike mai ai ia lakou iho ma ka aoaoʻokoʻa ke kaumaha ma muli o ka degere o lesion o ka gallbladder.

Pehea e holo ai ka maʻi i loko o mehana?

No ka cholecystitis mea mehana, wehewehe aku ma pōkole lōʻihi like 'ole o ka exacerbation, ka loihi o 2-3 lā. Ka mea, i ka hapanui Hoonaukiuki e malnutrition, a hiki wawe ka eliminated, pili nae i ke kuponoʻai.

General kino ano Normal kino ka mahana mea maʻamau. Ka hookolokolo ana hōʻike i ooieoeiiaeuiiai ka haunaele o ke ake, a me ka gallbladder pancreas. Microscopic haʻawina o ka bile, aole ia e hōʻike i kekahi abnormalities.

Pehea o ka awelika shape?

Me ka awelika shape o na maʻi like maʻi cholecystitis acalculous, kala ana a me ka aggravation e puku i kekahi i kekahi. Ka lōʻihi like 'ole o ka exacerbations mea 2-3 pule. Hoʻomanawanui iki mai pele bother ka eha a me ka hōʻike dyspeptic kāna hana. Nō kāu, ua ano ua kauoha ae la ia e ka momoma ai a overeating. Ma kekahi mau hihia, i ke kūlana o ka provocateur huʻi naehana maʻiʻaʻai hana.

E like me ia lŘlŘ i loko o ka hihia o ka maʻi cholecystitis me ka pōhaku? Symptoms mea e lauwili. Ma exacerbation o nā mea maʻi i ikaika loa ka makemake, hoemiia kino ke kaupaonaʻana, intoxication i Konakele. Kaheaia ma ka luhi a me ka migraine. Ua hiki no hoi i ko na ami eha.

Kekahi nā mea maʻi i hou i kaʻeha ma ka akau maluna quadrant e ohumu no ka hoopaa hoi iʻeha ma ka hema luna quadrant a me ka hoaka o abdomen. Pain ua pinepine pili ana i ka naau. E hoomanawanui i hoohihiaia e pili ana i nausea, constipation paha diarrhea.

Ma ke keʻena hoʻokolohua ao, bile ia mea ulu i loko o ka nui o mucus, leucocytes, naʻokoko, bilirubinate Ca, bile paʻakai i loko o kekahi mau hihia microlites. Ua mea i hiki ke huai ae microorganisms.

Ma huʻi ano ma ka hoomanawanui, e huai ae loli i ka akepaʻa kuleana pili i ho'āʻo. Pinepine i hōʻike lōpū hypoalbuminemia, he hōʻemi iki mahuahua ma ka transaminase haʻawina,ʻano nui AJIT, lōpū mahuahua thymol a me ka mama no hoi o kona'ākilikai phosphatase.

Indexes o ke keʻena hoʻokolohua hoike o ke akepaʻa mea maʻamau i loko o ke kala. Ke hoomanawanui i hoopilikia i ka manao o ka naau i loko o ka luna abdomen a me ka bloating ma hope, inu. Pinepine, he kanaka hoohihiaia e pili ana i constipation paha diarrhea.

Dyspeptic symptoms hoomahuahua me ka momomaʻai a lohi puluniu. Oia ka ai hiki hoʻonāukiuki i aggravation o ka maʻi.

Pehea loa palapala ia lŘlŘ?

Acalculous maʻi cholecystitis i loko o ka nui palapala wehewehe aku ma ke kahe me ka ikaika relapses me ke kala. Ka maʻi hohola iho la mawaho o ka gallbladder. E lele i ka papa kuhikuhiE maʻi hou pili hepatitis i loko o ka maʻi palapala, a me ka pancreatitis.

E hoomanawanui i ohumu o ka nele o ka ikaika loa ka makemake, ka hoʻomauʻana nausea, ehaeha i loko o ka luna abdomen. I kekahi manawa, ola ka waiʻona ma ke i shingles külana. E hoomanawanui i paipai i ka ikaikaʻai, i hiki aku ai i Weight Loss a me ka luhi. Ma kekahi mau hihia, he mea sepsis i loko o ka maʻi palapala.

Ke functionality o ka gallbladder a loa hihia hoʻi. I ka pa o ke kino thickens. Inā ka awelike degere o hepatic functionality ua hapa 'ia' wāwahiʻia, ka wā loa maʻi pinepine hoike mai ai ia ia iho i loko o maʻi hepatitis ole cholangitis.

Ma kēia hihia, na kēia mau keʻano o ka hanaʻana i wahi:

• ake piʻina ma ka nui;
• na hiohiona emi ma ka lāʻau lapaʻau albumin;
• hoʻonuiʻia globulin hapa iki, a me ka lehulehu o ka huina bilirubin.

I ka hoʻokō 'ultrasound o ka abdomen hōʻike hoʻopaneʻe leki uea o ka make bladder, hōʻike "stagnant" ka laau awaawa, bladder, maʻi pancreatitis iho functionality pancreas.

Nā mea maʻi pinepine ohumu o ka dyspepsia, nausea, ke kaupaonaʻana me keia poho. Ka mea, malama, a mahuahua nui fecal ka leo, steatorrhea, a me ka kreatoreya amylorrhea.

I loa mai o Nyos na moku, a me ka naau, eia kahi mea akaka dystonia, coronary insufficiency me ka kūpono loli ma ECG.

Like atypical ano o ke a pele?

Ua Ua wehewehe aku ma ka atypical ano o ka maʻi cholecystitis acalculous? Hoohihiaia maʻi ikaika heartburn, ehaeha, eha ma ke kua o ka breastbone, transient dysphagia. I ka wā o ka intestinal 'ano i ka mua o ka eha i loko o ka intestinal wahi, bloating, constipation.

I ka manawa'ōpio wale nō o ka maʻi cholecystitis me na pohaku like i ka rumatika i loko o ka latent palapala. E hoomanawanui i ohumu o asthenia,ʻeha i loko o na ami. Auscultation hoikeia mai ua hoʻemi naau kani.

Ma atypical papa o ka maʻi nā lumbar a me piloroudenedalny 'ano o ka maʻi cholecystitis. I ka lumbar palapala, e hoomanawanui i ka mahinaʻeha i loko o ka spine. Ma ia ano hihia, e hōʻike i ka X-Ray o ka spinal kolamu.

Symptomatology kardialgicheskoy palapala

Kēia palapala o ka maʻi ka hoʻomaopop 'ana i arrhythmias (extrasystoles) a me ka umauma eha. Kekahi ECG hoʻololi.

I waena a me ka wa elemakule mea e like me ka ano o cardiac angina a coronary insufficiency, e kahe ana i loko o ka maʻi palapala. E hoomanawanui i ohumu o kaʻeha ma ka naʻau, tachycardia.

gastroduodenal palapala

Ke Kalinika maʻi cholecystitis ma keia hihia kohu ulcerative maʻi paha gastroduodenitis me ke kiekie pae o gastricʻakika ho okumu. E hoomanawanui i ohumu o kaʻeha i loko o ka'ōpū i ka po.

ki ina hana like o kaʻike,

Ma palpation o ka abdomen i loko o ka wahi o ka laau make bladder he mea soreness i ka mea ino ia ha a effleurage pono costal e pio.

Ma ke keʻena hoʻokolohua ao, mahuahua kōmi manao paa:

• transaminases;
• 'ākilikai phosphatase;
• γ-glutamyl.

No ka mea nui PalekanaEND_LINK ki ina hana like nā:

• ultrasound;
• cholecystography;
• tseliakografiyu;
• holestsintigrafiyu;
• duodenal intubation.

Ma muli o ka mea hope loa noiʻi, oe ke kamailio e pili ana i ka nui o ka hoʻoʻino kaʻina.

Typical loli hoikeia mai ma ka macroscopic pae ma ka bile turbidity a me ka alo ana o mucus a me flakes.

Microscopic ninaninau i hōʻike mai i ka loa leukocyte helu, bilirubin, kumuʻiʻo, naʻokoko, a no laila, ma luna o. D.

Bacteriological lulu bile hoʻokolokolo kona microbial flora.

Me ke kōkua o holetsistografii i loko o nā mea maʻi e loaa ana mai ka maʻi cholecystitis acalculous oaeuiinoe Hawaii a me ka lehulehu functionality o ka gallbladder, kona contours a kulana.

Sonography huai ae ka deformation o ka gallbladder, atrophic keʻano o ka hanaʻana i loko o kona pā pōhaku, haoʻa kipi epithelium, i ke alo o ka ole-homogeneous ka maʻiʻo me na inclusions o bile ole-ʻaʻahu hana mau.

Ka palena pauʻike, ua lawe mai me ka biliary dyskinesia, maʻi cholangitis, ulcerative colitis nonspecific ano, a me Crohn ka maʻi.

Inc ki ina hana like

Ua eliminates maʻi cholecystitis me nā pōhaku? Lapaʻau ua ana hana makeʻe kulana. Kauka paipai aku i kaʻai. He kupono e hookaawale, mai kaʻai o ka momoma a me ka palai ai, spicy ka ai, a me ka pahee kanakaʻona mau inu.

I ka abdominalʻeha paipaiʻai ana o antispasmodics e like me "Platifillin" "Drotaverine" "Papaverine" listen'ōlelo.

Ma exacerbation o ka maʻi a me ka hui pu ana, me ka cholangitis pili antibacterial lapaʻau "cefazolin" "amoxicillin", "erythromycins", "ampicillin" "furazolidone" listen'ōlelo.

No ka mea normalization o ka gastrointestinal'āpana i ka manao, e lawe i ka "Festal", "Mezim-forte", "Pancreatin".

No ka hoʻoikaika secretion o bile pele e akoakoa ai e loaa choleretic ( "Allohol" "Holenzim" "Oksafenamid").

E hoʻoulu i ka contraction o ka laau awaawa, gallbladder pili makanekiuma sulufahate a me ka sorbitol.

I loko o ka exacerbation a me ke kala kupono, e hoʻomaka i ka papa o ka Inc me ka lau nahele. E ka decoction o chamomile, calendula, pua rose, licorice, ka mineta.

I ke kala ana i lawe tyubazh, inu o ka mea pōhaku wai, me ka Inc ua hana.

ʻoki lāʻau lapaʻau 'uao

I ka ua iaʻoki kino i loko o ka mooolelo mōʻaukala o ka maʻi. Maʻi cholecystitis acalculous i hoike ia ma deformation o na paia o ka gallbladder a me ka intractable? Iaea cholangitis a me ka pancreatitis ponoʻoki kino.

Ma keia hihia, lawe mai ma ka hamama cholecystectomy uao laparascopy a Mini ke kula.

Ka hoʻohana o ka poʻe kānaka ki ina hana like

Pehea'ē aʻe ua eliminated acalculous maʻi cholecystitis? Folk Kids iapaau ana no hoi i ka maikaʻi ia.

Hoʻohana 'aʻa ke kalamo, valerian, wort maloʻo nā'ōpuʻu St. John o, calendula, paʻapū, ke kulina, ke olona i na anoano. Ua mea i kupono e hoʻohana Lime, peppermint, Leonurus, chamomile, fennel, horsetail, rosehip.

I ka hoʻohana 'ana i ke kaulana kāu kiʻina hana me ka maʻi maʻi o ka pua, a immortelle elderberry phytotherapy hou.

phytotherapy

Lāʻau lapaʻau lapaau komo ai i ka hoʻohana 'ana o ka lama hoʻohuihui o na kēia mau mea ulu.

• Pion - 20 ml;
• valerian - 20 ml;
• boyaryshnik- 20 ml;
• ka mineta - 20 ml;
• belladonna - 10 ml;
• motherwort - 20 ml;
• Calendula - 30 ml;
• laau awaawa, - 20 ml.

Ma ke alo o ka glaucoma belladonna ua hou.

E inu paahana e ia ma luna o 1-8 kulu,ʻekolu manawa i ka lā no elima minuke mamua i ka infusion o nā lāʻau ikiʻai a hiki i 1 tbsp. nā lika o ka wai no ka 4-6 pule. I ka läÿau, tincturesʻoheʻala, a me ka Inula ia i loko o like dala. I inu ma 1-8 kulu,ʻekolu manawa i ka lā i mau minuke mamua i loaa infusions o nā lāʻau ikiʻai a hiki i 1 tbsp. noho ho'āo ai. wai no ka 4-6 pule.

Ua hoʻomanaʻoʻia ai ia i ua pili i ka ohi ana o Phytotherapy ma ka mahele lāʻau o 0,00325, 'ole. E. 14th dilution, a maoli he lā kēlā ma 1-2? Aneii e kū ai i ka e pono ai ke mahele lāʻau.

A kupono mahele lāʻau i kekahi mea e hookomo ana diarrheal maʻi, a ma ka kekahi lima, ho'ēmi i kā ke degere o na symptoms. Kēia mahele lāʻau ua ia iloko o ka holo ana, akā, inā he mea discomfort, ua hoemiia ka mea, ma 1-2 huahelu.

Outlook

He aha ka ka prognosis o na maʻi like maʻi cholecystitis ole nā pōhaku? Exacerbation o mehana ia lŘlŘ wale kēlā wā i kēia wā. I ka maʻi i ka maikaʻi papa. Mea hōʻemi ia lŘlŘ ma ka olelo wanana a ina he exacerbation ia lŘlŘ pinepine i ka wa a ka awelika maʻi oolea.

Kāohi

Preventative ana i puni i loko o ka 'eleu lapaʻau o ka maʻi, readjustment o foci o ka maʻiʻaʻai, ke kāpaeʻana haunaele ma ka'emi'ōnaehana, e like me ka hoihoi hou ana o maʻamau pūnao. Oe E hoi malama i ka pololeiʻai, e kaua intestinal helminth nā mea palahēhē a me lesions.