Akwai dalilai da yawa don wannan tsari:
- tsaka-tsakin hanyar rayuwa;
- yawan wuce haddi mai yawan abinci mai yawan abincin dabbobi (mai, mai mai, qwai);
- haɓakar rikicewar endocrine (ciwon sukari mellitus, kiba);
- shan magunguna na baki don samun juna biyu (a cikin mata).
Akwai cututtuka da yawa na ƙwayar biliary:
- rikicewar aiki (dyskinesia);
- Tsarin kumburi (cholecystitis);
- kasawa na rayuwa (cutar gallstone).
Jihohin da aka nuna matakai ne na tsari guda. A farkon, matsaloli suna tasowa tare da motsin ƙwayar cuta, to haɗewar hanyar kumburi yana farawa, wanda ke ci gaba da cutar gallstone.
Babban Sanadin cholecystitis
Cutar kamar cholecystitis da farko tana haifar da sanadin kamuwa da cuta. Kamuwa da cuta ya ratsa jiki ta hanyar jini, ya shiga cikin tsotsewar da hanyoyi masu hawa zuwa cikin hanji.
Tushen farkon hanyoyin kamuwa da cuta sune:
- tafiyar matakai mai kumburi a cikin jijiyoyin ciki na kwayoyi daban-daban na hanya (enterocolitis, ciwon ciki, dysbiosis, appendicitis, kumburi na hanji);
- matsaloli na fili na numfashi (tonsillitis, sinusitis), da ƙwayar bakin ciki (cutar cututtukan farji);
- kumburi daga urinary fili (cystitis, pyelonephritis);
- rikice-rikice na tsarin haihuwa (prostatitis a cikin maza da adnexitis a cikin mata);
- raunuka na hanta na wani hoto ko bidiyo mai zagaya yanar gizo da sauri;
- kwayoyi a cikin biliary fili (roundworm, giardia).
Babban alamun cutar cholecystitis
Wannan cuta mai kumburi ita ce mai saurin kamuwa da cuta ta hanya.
M cholecystitis. Domin babban cutar cutar, idan babu samuwar dutse, farfadowa da sauri ba tare da ci gaba da rikitarwa ba halayyar mutum ne. A wasu yanayi, cutar na iya zama na kullum. Abubuwa masu kama da juna suna da matuƙar wuya.
A matsayinka na mai mulkin, cholecystitis yana haɓaka aiki a gaban duwatsun a cikin ƙwayar ƙwayar cuta, wanda shine haɓakar yanayin cutar cututtukan ƙwayar cuta.
A farkon farkon aiwatarwa, jin zafi mai zafi a ciki na dama yana faruwa. Abubuwan jin zafi suna faruwa a cikin rauni kuma ana iya kasancewa tare da amai, tashin zuciya da zazzabi zuwa digiri 38-39. Kari akan haka, jin sanyi, matattarar jinkiri, samar da iskar gas mai yawa, launin fata da fatar za a iya faruwa.
Cutar ƙarancin ƙwayar cuta cholecystitis kuma na iya nuna kanta ta yaɗuwar kumburi ga gabobin da kyallen da ke kewaye da hanji. Za'a iya bayyana rikicewar ta azaman ƙurji, kumburi da ƙwayar bile (ƙananan gida ko yaɗuwa peritonitis), pancreatitis. A irin waɗannan halayen, ana buƙatar iyakar likitan likita ko kuma a tura mai ilimin tiyata zuwa sashin tiyata don asibiti.
Cutar cholecystitis na yau da kullun na iya farawa a hankali, yana samo asali ne daga samartaka. Gunaguni ya fara tashi a sakamakon cin amanar ka'idodin abinci, gami da tausaya rai da tunanin mutum.
Cutar na bayyana kanta cikin jin zafi a ƙarƙashin haƙarfan dama kuma tana iya matsawa zuwa hagu ko babba na ciki. Kwayar cuta mara ƙididdigar ƙwayar cuta na iya haɗawa da kowane nau'i na dyskinesia na sakandare, wanda ke haifar da ci gaba da jin zafi.
Tare da haɓakar dyskinesia na homopomotor, ana iya samun jin zafi wanda yake kullun kuma ba a sarari yake ba. Kusan sau da yawa, analog na ciwo na iya zama nauyi ko konewa a ƙarƙashin haƙarƙarin. Tare da nau'in ƙwayar cuta ta gymbladder mai kumburi, zafin zai zama mai wahala kuma yana paroxysmal. Ana iya ba da shi cikin supssaclavicular fossa, zuciya, ko a ƙarƙashin mashin kafada.
Cutar cututtukan cholecystocardial ta ƙunshi jin zafi kusa da zuciya, da yawan bugun bugun zuciya na wannan sashin, da kuma rikicewar yanayin sa. Wannan na faruwa ne sakamakon guba da cututuka a zuciya.
A wadancan halayen lokacin da cutar ta fara ko kuma ta yi tsayi da yawa, za a iya haɗa hasken rana zuwa tsari na cuta sannan kuma cutar polar ta fara haɓaka. Babban cutar tasa babban raɗaɗi ne kuma yana jin zafi a cikin cibiya, wanda zai iya ba da baya zuwa ƙananan baya. Tsarin aiki iri ɗaya, kuma musamman, ƙaruwa da faruwa na jin zafi, na iya haifar da rashi a cikin abinci, aiki na jiki, rawar jiki, shan giya, hauhawar jini da damuwa a jiki.
Yaya ake kula da cholecystitis?
Idan akwai alamun asibiti na cutar, kuma an tabbatar dashi ta hanyar gwaje gwaje, to za a iya samun tsayayyen kuzari tare da maganin rigakafi. Likita yakamata yayi maganin abinda suka zaba, yana kimanta karfin bile don maida hankali.
Don sauƙaƙe bayyanar cututtuka da kuma daidaita ƙazamar bile, ƙwararren likita zai iya yin wasiyya:
- "Riabal" 2 mg intramuscularly ko 1-2 Allunan sau uku a rana (wakilin maganin anticholinergic);
- Allunan guda biyu "Babu-shpu" sau uku a rana, "Papaverine" 2 ml na maganin kashi 2 na intramuscularly sau 2-3 a rana, "Mebeverin" 1-2 Allunan sau 3 a rana (myotropic antispasmodics);
- "Platifillin" (anticholinergics);
- "Analgin", "Baralgin" (analgesics).
Idan akwai alamun cututtukan ƙwayar cuta, a cikin rashin ƙwaƙwalwar ƙwayar cuta, ana iya tsara shirye-shiryen don zubar da ƙwayar bile, alal misali, Allohol 1-2 Allunan sau uku a rana, Cholenzym guda 2 sau 3 a rana, kazalika da maganin ganye.
Maganin ganye
Magungunan zamani suna amfani da girke-girke na gargajiya da amfani da magani na ganyayyaki. Mafi inganci na iya zama:
- John da kuma wortelle. Wajibi ne a ɗauki 15 g da 10 g na tsirrai, bi da bi, kuma a zuba rabin lita na ruwa. Bayan wannan, tafasa cakuda na mintina 5 da iri. Ana ɗaukar samfurin da aka haifar a cikin rabin gilashin sau uku a rana don mintina 15 kafin cin abinci;
- masara stigmas. Suna buƙatar ɗaukar 10 g kuma zuba gilashin ruwan zãfi. An cakuda cakuda na mintina 5 kuma ana cinyewa a cikin kofin kwata sau 3 a rana kafin abinci;
- tansy. 5 g na shuka an nace a cikin gilashin ruwan zãfi na rabin sa'a. Bayan wannan lokacin, ɗauki miyagun ƙwayoyi a cikin tablespoon sau 3 a rana;
- karewa. Dangane da shi, an shirya shirye-shiryen "Holosas" (ruwan da aka ɗauka tare da cire sukari). Yana nufin shan cokali 2 kafin abinci. Kuna iya amfani da jiko na kwatangwalo na fure. Don yin wannan, zuba 10 na shi 400 ml na ruwan zãfi, da ya tsaya a cikin ruwan wanka na mintina 15.
Wadannan kudade suna kara samar da bile, rage danko kuma ana nuna shi ta ikon taimakawa rage kumburi. Ana iya nada su yayin ragowa daga kwanaki 14 zuwa 28.
Sauran jiyya
Ruwa na ma'adinai zai zama daidai, wanda ke amsa yadda za a magance cutar cholecystitis a hanyar su. Dogaro da abun da ke ciki, ruwa na iya taɓar da ɓarkewar kumfa. Ana amfani da ruwa ba tare da gas ba a kan shawarar likita sau uku a rana a gilashin. Wajibi ne a samar da wannan na ɗan lokaci daga mintuna 30 zuwa awanni 1.5 kafin cin abinci cikin yanayi mai zafi.
Idan microliths suna cikin bile, zazzabin ciwan ciki, ana lura da cututtukan cholestatic, to irin waɗannan yanayi sun haɗa da kwayoyi a cikin nau'in ursodeoxycholic acid na watanni 1-3, amma batun kulawar likita.
Don tabbatar da aiki na hanta na yau da kullun, ana amfani da magungunan choleretic don tsayayye na bile. Misali, yana iya zama "Hofitol" - mai kare hanta na dabi'ar shuka. Ya ƙunshi tsantsa mai ganyayyaki na filin artichoke. Ana amfani da kayan aiki 2 Allunan sau 3 a rana minti 20 kafin abincin da aka yi niyya. Hakanan za'a iya ba da shawarar "Gepabene" - haka ma shirye-shiryen ganye ne wanda aka yi akan 'ya'yan itaciyar madara da ciyawar ciyawa. Ana amfani da maganin 1 maganin kawa 1 sau uku a rana.
Tare da haɓakar dystonia na tsire-tsire, ana amfani da kayan maye, misali, Motherwort ko Valerian. Ana iya ba da shawarar adaptol 500 mg sau 3 a rana don watanni 2.
Tsarin yau da kullun da abinci mai gina jiki
A lokacin da cholecystitis ya fara wucewa cikin yanayin tashin hankali, likita ya ba da shawarar kasancewa a cikin asibiti na warkewa ko na ciki. Hakanan yana da mahimmanci a kiyaye tsayayyun gado da hutawa na nutsuwa. Bayan an cire alamun bayyanar, hutu na gado zai yiwu a fadada shi zuwa gaba ɗaya.
A cikin kwanakin farko bayan farawar m cholecystitis, yana da muhimmanci a cinye ruwa mai ɗumi:
- zaki da rauni baƙar fata mai shayi;
- ruwan 'ya'yan itace, wanda aka tafasa da kyau tare da Boiled ko tsarkakakken ruwa;
- ruwan 'ya'yan itace na kayan lambu
- ruwan kwalba
Duk wannan ana iya cinyewa a cikin matsakaicin yawan yau da kullun zuwa lita ɗaya da rabi. Da zaran ciwon ya fara yin rauni, likitoci sun ba da shawarar:
- hatsi na tushen hatsi
- hatsi da aka dafa akan ruwa (shinkafa, semolina, buckwheat, oatmeal);
- jelly, mousse ko cuku na gida mai ƙoshin mai;
- naman alade mai narkewa ko kifin tururi;
- farin fasa;
- Boiled ko steamed nama (kaza, zomo, turkey).
Ya kamata a dauki irin wannan abincin a kananan rabo aƙalla 5 a rana.
Yayin haɓakar cholecystitis, ana ba da shawarar yin kwanakin azumi akalla sau ɗaya a mako. Don irin wannan rana, samfuran masu zuwa sun dace sosai:
- ranar kan gida cuku da kefir. An wajabta amfani da 900 g na kefir, wanda dole ne a raba shi zuwa 6 daidai sabis. Bugu da kari, ana cin cuku mai-kitse mai kitse mai yawa a cikin 300 g, an raba shi zuwa abinci 3;
- rana akan shinkafa da compote. A irin waɗannan ranakun, yana yiwuwa a cinye 1.5 lita na compote bisa kilo 1.5 na sabo ko 240 g na 'ya'yan itace da aka bushe. Sha ruwa a sau 6. Rice (50 g) ya kamata a tafasa a ruwa kuma a ci a cikin zaɓaɓɓun 3.
Bayan katange hanya mai aiki na cholecystitis, likita zai ba da umarnin abinci na musamman a lamba 5, an ba da shawarar don cutar. Za a kyale mara lafiyar:
- cinye kayan lambu, kiwo, soyayyen 'ya'yan itace;
- dafaffen nama, tururi;
- nau'ikan kifin teku ko kifayen ba tare da fata ba;
- matsakaicin 2 qwai mai laushi;
- kayayyakin kiwo marasa-kitse;
- dafaffen kayan lambu ko gasa;
- 'ya'yan itatuwa da berries;
- hatsi na hatsi;
- gari na kayan abinci a cikin nau'i na gurasar bushe.
Kar a manta cewa yakamata a ɗauki kowane abinci a kananan rabo. Wannan ya kamata ya faru a hankali sau 5 ko 6 a rana. Ba a ba da shawarar yin azumi ko daukar dogon hutu tsakanin abinci ba. Kowace rana yana da mahimmanci don samun karin kumallo mai yawa, da abincin dare ba tare da sa'o'i 3 ba kafin lokacin da aka kiyasta lokacin bacci, kuma ba yawa.
Ruwan da aka ƙone ba zai iya zama mai iyaka ba, koyaya, sashin abincin da aka ɗora a lokaci ɗaya na iya tarwatsa haɗarin ɓoyewar ƙwayar cuta, kuma yana iya haifar da zubin ciki da zafi.
Idan cholecystitis na yau da kullun, to, zaku iya haɓaka amfani da waɗannan samfuran waɗanda zasu taimaka inganta haɓaka ƙwayar bile, har da samfuran da ke cire cholesterol daga jiki:
- bran, 'ya'yan itãcen marmari, berries, kayan lambu (kowane irin nau'in wadataccen abinci a cikin zare) Dole ne a fara sakin layi na farko, sannan kuma an riga an haɗa shi a cikin abun da ke cikin jita-jita na cin abincin 1 tablespoon sau uku a rana;
- buckwheat da oatmeal, 'ya'yan itatuwa masu bushe (duk waɗannan abincin da ke da wadatar magnesium);
- mai sunflower: masara, zaitun, mai sunflower (suna ƙunshe da mahimmancin acid mai polyunsaturated);
- kayayyakin kiwo (normalizes da jihar na kiwon lafiya saboda lactic acid kwayoyin).
Tare da cholecystitis, ba a ba da shawarar sosai ba:
- da amfani da abinci da abinci tare da babban abun ciki na kitse na dabba (kifaye mai ƙiba, nama, naman da aka lalata, da wuri, cream, soyayyen abinci);
- albasa, tafarnuwa, alayyafo, namomin kaza, legumes (wake, Peas), zobo, radish;
- abin sha na masana'antu, alal misali, ruwan-ɗora mai ɗorewa, kofi, koko, koko soda, barasa na kowane ƙarfi.