Cholangitis
Litaba tsa sengoloa sena
  1. tlhaloso e akaretsang
    1. Lisosa tsa
    2. Mefuta le matšoao
    3. Mathata
    4. thibelo ea
    5. Kalafo ea meriana e tloaelehileng
  2. Lijo tse phetseng hantle bakeng sa cholangitis
    1. thuto ea mahlale
  3. Lihlahisoa tse kotsi le tse kotsi
  4. Mehloli ea tlhahisoleseling

Tlhaloso e akaretsang ea lefu lena

Cholangitis ke ts'ebetso ea ho ruruha ka har'a methapo ea intrahepatic kapa extrahepatic bile. Cholangitis e bakoa ke tšoaetso e kenang methapong e tsoang mala, gallbladder kapa methapo ea mali.

Lefu lena le na le monyetla oa ho ama basali ba fetang lilemo tse 60. Cholangitis hangata e tsamaea le cholelithiasis, gastritis, cholecystitis le pancreatitis.

Mabaka a nts'etsopele ea cholangitis

E le molao, lebaka la nts'etsopele ea cholangitis ke tlolo ea patency ea methapo ea bile, e ka qholotsang:

  • tlhaselo ea helminthic;
  • lefu la sebete la kokoana-hloko;
  • dyskenesia ea pampitšana ea biliary;
  • pancreatitis, pancreatitis;
  • kankere ea pampiri ea biliary;
  • cyst e tloaelehileng ea bile
  • li-manipulos tsa endoscopic sebakeng sa gallbladder;
  • lefu la ho ruruha ha ulcerative;
  • Likokoana-hloko tsa baktheria tse kang Escherichia coli, baktheria ea lefuba, staphylococci.

Mefuta le matšoao a cholangitis

Tsela ea mafu a hlahisitsoeng ke methapo ea bile e ka ba e sa foleng kapa e bohloko:

  • cholangitis e matlae atisa ho tsoela pele ka potlako. Mokuli o tšoenyehile ka bohloko bo tebileng ba hypochondrium e nepahetseng, e phatsimang ho ea ho scapula e nepahetseng, letšollo, jaundice, ho nyekeloa ke pelo, ho fihlela ho hlatsa. Foromo ena hangata e tsamaea le hlooho e opang khahlanong le semelo sa mocheso o eketsehileng oa 'mele, tahlehelo ea takatso ea lijo le bofokoli bo akaretsang. Ho hlohlona ha letlalo ho ka etsahala bosiu;
  • cholangitis e sa foleng ho tsamaea le maikutlo a ho ruruha, feberu le bohloko bo khutsitseng sebeteng. Nako le nako, mokuli a ka ba le feberu, jaundice develops hamorao haholo.

Mathata a cholangitis

Ka kalafo e fosahetseng le e sa lebelloang, cholangitis e ka fetoha mofuta oa purulent, ebe mathata a latelang a ka hlaha:

  1. 1 sepsis;
  2. 2 portal vein thrombosis;
  3. 3 ts'oaetso ea endotoxic;
  4. Kankere ea 4 ea senya[3];
  5. 5 abscess ea cholangiogenic le ho thatafala ha sebete;
  6. 6 ho se sebetse ha litho tse fapaneng;
  7. Mathata a 7 a boits'ireletso;
  8. Ho haella ha renal.

Thibelo ea cholangitis

Thibelo ea nts'etsopele ea cholangitis ke:

  • kalafo e nakong ea mafu a tsoang ka mpeng;
  • ho hlahlojoa khafetsa ke gastroenterologist kamora ho buuoa ka gallbladder;
  • ho lahla litloaelo tse mpe, bophelo bo botle ba bophelo;
  • ho boloka mokhoa oa mosebetsi le phomolo;
  • boikoetliso bo itekanetseng;
  • ho ja lijo tse phetseng hantle;
  • ho tsamaea ha mala kamehla
  • Ho lahla likokoana-hloko ka nako e loketseng.

Kalafo ea Cholangitis meriana e tloaelehileng

Ho fumana hantle hore na lefu lena le fumanoa joang, cholangitis e fumanoa, e kenyeletsang:

  1. 1 tlhahlobo ea mantle bakeng sa likokoana-hloko;
  2. 2 duodenal intubation;
  3. 3 biochemistry ea mali;
  4. 4 Ultrasound ea gallbladder le sebete;
  5. Tloaelo e 5 ea baktheria ea bile;
  6. Tlhahlobo e akaretsang ea 6 ea moroto bakeng sa li-pigment tsa bile;
  7. 7 tlhahlobo ea mali ka kakaretso;
  8. 8 MRI ea litho tsa ka mpeng.

Phekolo ea Cholangitis e lokela ho reretsoe ho eketsa phallo ea bile le ho felisa sesosa se bakileng nts'etsopele ea lefu lena. E le molao, kalafo e qala ka kalafo ea detoxification ka ho ferekanya pampitšana ea biliary. Hape, mokuli o laeloa li-antibacterial agents, li-antiparasite le li-anti-inflammatory, hepatoprotectors. Nakong ea kalafo, mokuli o bontšoa tlala le phomolo ea bethe. Ka botahoa bo matla, plasmaphoresis e laeloa.

Kamora ho fokotsa ho mpefala, lits'ebetso tse sebetsang tsa physiotherapeutic: UHF, ts'ebeliso ea seretse le ozokerite ka hypochondrium e nepahetseng, electrophoresis, libate, kalafo ea microwave.

Bakeng sa bakuli ba nang le cholangitis ea mantlha, li-enzyme li laeloa ho ntlafatsa ts'oaetso.

Lijo tse phetseng hantle bakeng sa cholangitis

Batho ba nang le cholangitis ba lokela ho khomarela lijo tsa bona le kamora ho fola. Ho khothalletsoa lijo tsa No. 5, tse kenyelletsang lijo tse 5-6 ka letsatsi mme li kenyelletsa lijo tse latelang:

  • lithuto tsa pele tse thehiloeng ho moro oa meroho;
  • boroso e phehiloeng ea maemo a holimo ka ho fetisisa le lisoseje tsa lebese;
  • lijana tsa nama tse halikiloeng tse nang le mafura a mangata;
  • litlhapi tse phehiloeng kapa mefuta e sa tsoaneng ea mafura a mangata;
  • meroho e mecha le meroho e makhasi;
  • mahe a kana feela ka mofuta oa protheine omelet;
  • chisi e nang le mafura a tlase le lebese kaofela;
  • di-cookie tse sa phehoang le bohobe ba maobane;
  • litholoana le monokotšoai o seng asiti;
  • tee e fokolang le kofi e nang le lebese;
  • bijoux;
  • mahe a linotsi.

Litlhare tsa batho bakeng sa kalafo ea cholangitis

  1. 1 Steam 0,3 kg ea habore e nang le litara e le 1 ea metsi a belang, tlohela metsotso e 30-40, noa senoelo sa ½ makhetlo a mararo ka letsatsi;
  2. 2 ratha li-beet tse ebotsoeng 'me u phehe ho fihlela moro o nka ho tsitsana ha sirapo, ho pholile le ho noa linoelo tse 0.2 makhetlo a 3-4 ka letsatsi;
  3. 3 ka mpeng e se nang letho, nka linoelo tse 0,5 tsa lero le futhumetseng la kh'abeche le futhumetseng;
  4. Noa pear compote ka hohle kamoo ho ka khonehang ntle le tsoekere motšehare, ja lipere tse ncha mpeng e se nang letho[2];
  5. 5 phello e matla e khahlanong le ho ruruha le choleretic e na le phello ea makhasi a St. John's wort;
  6. Makhetlo a 6 ho isa ho a 2-3 ka beke etsa li-enemas tse ipapisitseng le lipalesa tse tsoang chamomile;
  7. 7 pepeta lero ho tsoa lilamunu tse 2, eketsa 500 g ea mahe a linotši le 500 g ea oli ea mohloaare, nka motsoako o hlahisoang ka 1 tbsp. pele ho lijo. Boloka ka setshelong se koetsoeng ka thata sebakeng se phodileng[1];
  8. 8 ja 200-300 g ea motoho oa mokopu le nyalothe letsatsi le leng le le leng;
  9. 9 eketsa khaba e 250 ho 1 ml ea lebese le belang. khabeloa a hloekileng horseradish motso, tlisa ho e pheha, tsitlella, pholile, filthara, nka 2-3 tbsp. k. Makhetlo a 5 ka letsatsi;
  10. Tšela ligrama tse 10-20 tsa peo ea rantipole ka 30 ml ea metsi a chesang, pheha, tlohela lihora tse 400 'me u noe joalo ka tee;
  11. Senya 11 g ea peo ea sekhoka sa lebese ho phofo, tšela 30 g ea metsi, pheha, pholile, noa likhaba tse 500 ka 'ngoe. Makhetlo a 2 ka letsatsi;
  12. 12 nka makhetlo a 4 ka letsatsi, 50 ml. Lero la mothapo o motšo.

Lijo tse kotsi le tse kotsi bakeng sa cholangitis

Ka cholangitis, ha ho amohelehe ho ja lijo tse bakang khatello ea maikutlo ka mpeng ea meno le ho eketsa k'holeseterole:

  • mahe a mahe a kana;
  • caviar e ntšo le e khubelu;
  • lisoseje tse tsubang le chisi tse nokiloeng ka linoko;
  • lijo tsa leoatleng;
  • bohobe bo bocha, liphae tse halikiloeng le likuku;
  • lithuto tsa pele tse thehiloeng ho li-mushroom, litlhapi le nama ea nama;
  • litlhapi tse entsoeng ka makotikoting le nama;
  • ho tsuba le letsoai tlhapi le nama;
  • letata, khantsi, offal;
  • lihlahisoa tsa lebese tse mafura;
  • lebenkele la li-confectionery;
  • li-mushroom, konofolo, linaoa;
  • ice-cream, chokolete;
  • metsi a k'habone, cocoa, kofi e matla;
  • lisoso tsa lebenkele le chesang;
  • meroho e halikiloeng;
  • lino tse tahang.
Ho hatisoa ha thepa

Ts'ebeliso ea thepa efe kapa efe ntle le tumello ea rona e ngotsoeng e thibetsoe.

Melao ea polokeho

Tsamaiso ha e ikarabelle bakeng sa boiteko bofe kapa bofe ba ho sebelisa risepe, likeletso kapa lijo, hape ha e fane ka tiiso ea hore tlhaiso-leseling e boletsoeng e tla u thusa kapa ea u ntša kotsi. E-ba bohlale 'me kamehla u buisane le ngaka e loketseng!

Hlokomela!

Tsamaiso ha e ikarabelle bakeng sa boiteko bofe kapa bofe ba ho sebelisa tlhaiso-leseling e fanoeng, ebile ha e fane ka tiiso ea hore e ke ke ea u ntša kotsi ka seqo. Lisebelisoa ha li sebelisoe ho fana ka kalafo le ho e hlahloba. Kamehla buisana le ngaka ea hau ea litsebi!

Phepo ea mafu a mang:

Leave a Reply