ʻO Cholecystopancreatitisitis - He maʻi kēia i hōʻike ʻia e ka hui ʻana o nā kaʻina hana a me nā maʻi pancnas. ʻO kēia maʻi kekahi o nā maʻi o ka gastrointestinal maʻamau. ʻO ke code MBC-10 no ka cholecystopancreatitis he K86.8.2. Hoʻohālikelike ʻia ka maʻi e ka ʻeha ma ka ʻākau a me ka hypochondrium hema, ka epigastrium, ka lua a lōʻihi a me nā hōʻailona like ʻole. ʻO ke kumu nui o kēia pilikia e hoʻoholo ʻia e ka pilina anatomical a me ka pili kino ma waena o kēia mau kino ʻelua.

No laila, inā pili kekahi o kēia mau mea i ka maʻi, a laila aia kahi hopena o ke hoʻololi i ke kaʻina pili i ke ʻano lua. Eia kekahi, ma nā cholecystopancreatitis waha, e pili ana ke ate i ka hana ʻōwili. Hiki ke hōʻeha nā dystrophic a me ka necrotic i kēia huelo.

Inā kahi maʻi o kekahi o nā iwi i makemake ʻole i ka hoʻoponopono ʻana iā ia iho o ka ʻōnaehana sphincter Nā ʻōhua o Vater, laila i kekahi manawa ka hoʻololi ʻana o nā mea pathological i kekahi ʻāpana ʻē aʻe. Hoʻopili ʻia nā mīkini o ka hōʻike o cholecystopancreatitis me kahi hōʻike i hoʻopuni ʻia bile a me ka wai pancreatic i loko o ka duodenum. Inā hele pinepine kēia kaʻina, a laila ʻaʻole i kū ka haki ʻana o ka mea huna ma muli o ka hana ʻana o nā sphincters o ka pancreatic a me ka umauma bile dile. Inā ulu ka hypertension intraductal ma muli o diskinesia o ka sphincter o Oddi a i ʻole pahuhopu mekanika o ka Villa papilla, hoʻomaka ka hua balo i ke komo ʻana i ka pancreatic duct.

A ʻo kahi hopena, ua hoʻomaopopo ʻia ka hoʻāla ʻana o ka phospholipase a me nā enzyme pancreatic ʻē aʻe. ʻO nā māhele o ka bile, ua hoʻokumu ʻia nā mea me nā mea hoʻonā kiʻekiʻe e hoʻopau i ka huelo.

Nā kuʻuna i ka wa i nā mea maʻi me lōkohu hoʻolei i nā enzyme i ka palaki biliary, i mea e hoʻonāukiuki ai ka hōʻike cholecystitis.

Hoʻomaopopo kahi kumu hou, ʻo ia ka pālahalaha o nā flora pathogenic hematogenous, hōʻanoa lizphogenousma ke ala.

Hōʻike ʻia nā ʻano o nā maʻi i ka catarrhal a i ʻole nā hanana ʻaihue catulhal-necrotic, i loko o ka maʻi - fibro-degenerative.

Kahi helu

Ke hoʻonohonoho nei i nā ʻano o ka maʻi, e noʻonoʻo i nā hiʻohiʻona o ke papa a me ke ʻano o nā loli histological.

Hāʻawi ʻia i nā loli nui morphological, i hoʻoholo ʻia nā ʻano hana o ka cholecystopancreatitis:

maʻemaʻe,
huhū,
Hana ʻino-luku,
huʻomi.

Aia i ke ʻano o ke ʻano o ka maʻi, e hoʻoholo ʻia nā ʻano maʻi like ʻole:

ʻO ka cholecystopancreatitis hopena - e ulu pololei me ka loaʻa ʻana o ka ʻōnaehana a i ʻole ka maʻi ʻai koʻikoʻi. ʻO ke ʻano o ke ʻano o ka maʻi e hōʻike ʻia e nā ʻeha hōʻeha a me nā sindrom regurgitation. He kūlana pōʻino kēia, ʻoiai me ka haʻalele o ka lāʻau kūpono, hiki i ka make ma nā 55%.
Hoʻopilikia me nā cholecystopancreatitis - e hoʻomohala iki nei kēia maʻi. I ka manawa like, ʻike ʻia nā hōʻike dyspeptic, ka ʻoluʻolu o ka ʻehaʻeha i loko o ka hypochondrium a me nā wahi epigastric. No ka mea aia ka lohi ʻana o ka pancreas, kahi hana ʻino o ka hoʻowalewale ʻana, a holomua kēia ʻano. ʻO ka helu maʻi maʻi ICD-10 ʻo K86.8.2.
ʻO ka cholecystopancreatitis pinepine - e like me ke kānāwai, ulu kēia kūlana i ke ʻano o kahi kūlana o ke ʻano o ka maʻi, ʻokoʻa pinepine - ma muli o ke ʻano mau papa o mua.

ʻO ka hui pū ʻana o ka pancreas a me ka papa ʻili e kū mai i ka ʻōlelo o ke lesion mua o kekahi o nā ʻiʻo. Ma kahi o 85% o nā hihia, ulu ka maʻi e kū aʻe i ka hope o ka cholecystitis, ma ka 15%, hoʻomaka ka kaʻina i ka pancreas, ma hope o ka paʻakikī o ka cholecystitis enzymatic lua. ʻO ka hoʻomohala ʻana o ka cholecystopancreatitis e hoʻoholo i ka hana o nā ʻano mea penei:

Hoʻopilikia ka hana ʻana i ka papilla Vater - inā ua pau nā ala no ka excretion o bile, ua kāohi ʻia ka wai o pancreatic, ua ʻike ʻia ka biliary stasis. A ke hopena, hōʻiliʻili ka nui o nā palu i ka ʻōpala i loko o ka palaki, a lilo a hui ke ola. Ke hoʻonui nei ke ʻano o ka intraductal i loko o ka papa pancreatic, a komo nā pūnaʻepekema i ke kaila, ka mea e alakaʻi ai i ka maʻi a me ka luku.
Sphincter o Oddi dysfunction - me ka hana mau ʻana i ka hoʻāla ʻia me nā pōhaku liʻiliʻi, dyskinesia o nā ʻalika momona o ka Vater papilla e hoʻoulu ai. Ma muli o ka biliary-pancreatic a me ka pancreatic-biliary reflux, bile i komo i ka pancreas. Komo nā enzyme pancreatic i nā meile bile. Intraductal hypertension ma waena o ka hypertonicity o ka sphincter o Oddi kahi mea i hoʻopili ʻia.

A ʻo nā kumu koke o ka maʻi, ka maʻi maʻamau:

nā maʻi ʻohi
maʻi mellitus maʻiʻi,
ʻaihue hoʻonaninani,
ʻōpū ʻōpū
maʻi maʻi,
nā hana maʻi ʻana i ke kīpī,
maʻi pāpaʻi parasit,
kaʻenehana ʻōnaehana.

Ua hoʻonāukiuki i ka holo ʻana o kēia maʻi a me ka palaualelo, a me nā hana ʻino. ʻO ka poʻe e hānai nui a ʻānai i ka wai maʻamau a loaʻa ka nui ma ka nui e hoʻonui i ka hiki ke loaʻa ka cholecystopancreatitis.

ʻO nā kaʻeha maʻi i ka pancreas a me ka papaʻi ʻana i hiki ke maʻi ma muli o ka hoʻokomo o ke ʻano o ka lāʻau lapaʻau.

ʻO kahi kumu hoʻonāukiuki ke kaumaha a me ka manaʻo ikaika ikaika.

ʻO kekahi mea ʻē aʻe e hoʻonāukiuki i kēia maiʻa, ʻo ka hana ʻana o nā foci o kahi maʻi maʻi i loko o ke kino. ʻOe kūlohelohe sinusitis a i ʻole cary hana hiki ke alakaʻi i ka hoʻomohala ʻana o ka cholecystopancreatitis.

Nā hōʻailona o ka cholecystopancreatitis

Hiki i nā ʻōmaʻomaʻi ma ke ʻano o ka cholecystopancreatitis kūʻokoʻa a kūlike loa a ʻike ʻia i nā hōʻailona o ke kuni ʻana o ka keleka pancreatic, a me ke kaʻina hana o ke kīhāpai. E like me ke ʻano o ke ʻano o ka maʻi, ua hōʻike ʻia ka cholecystopancreatitis maʻi e ka ʻeha i loko o ka ʻōpū, i hoʻokaʻawale ʻia i nā wahi epigastric a i ʻole hypochondrium. Ma ke ʻano koi, hoʻonui ʻia ke kaumaha ma hope o ka ʻai ʻana o ke kanaka i nā mea momona a ʻai wale paha i ka wai ʻona. Hōʻoia ʻia paha ka luaʻi, kahi i ʻike ʻia ai nā poke lepo. Akā naʻe, ʻaʻole ia e hānai i ka mea maʻi.

Eia kekahi, me ka hoʻolālā ʻana o ka maʻi, loaʻa kēia mau hōʻailona i lalo:

Hōʻike i ka dyspeptic - ke kala, ka ʻōpū, ka ʻeha i ka waha, he manaʻo e ʻeha ana i loko o ka ʻōpū,
ka haki ʻana o ka ʻaʻa - lilo nā kīkē i ka ʻokiʻoki ʻana, ka meaʻai pono ʻole i loaʻa i loko o laila, ka mea pinepine ʻo ka defecation i nā manawa he nui i ka lā,
pihi ka ʻeleʻele
sclera, ʻili a me nā melemaka mucous ke huli i ka melemele,
mau ka hopena mau ʻōpala,
i ka wā exacerbation i nānā fivalalo he pili koko a me kahi manaʻo nāwaliwali maʻamau.

Ma keʻano holoʻokoʻa, like nā hōʻailona o kēia maʻi me ka hōʻike ʻana o nā maʻi ʻē aʻe o ka ʻaina kūwaho. Ma ke ʻano maʻamau, ʻike ʻia nā manawa manawa o ke kala a me nā exacerbations. I ka wā o ka exacerbations o ka maʻi, ka hoʻonui ʻia o ke aniani, kahi e hoʻoholo ai ke kauka i ka wā palpation.

Me ke ʻano o ka pilikia o ka maʻi, i ka mea i koʻikoʻi nui loa, ua lilo nā kumu o ka pancreatic, a hoʻopau wale ʻia nā kaʻina hana. I ka hopena, lilo i nā ʻāpana ʻē aʻe o ka pēpē.

Loaʻa i kekahi mau maʻi nā maʻi ʻeha o kēia maʻi. E pili ana kēia:

ascites
hana ʻino i nā moku liʻiliʻi,
kauʻaʻa huna.

Nā hoʻāʻo a me nā diagnostics

Hiki paha i kekahi kanaka loea ke cholecystopancreatitis inā hoʻopiʻi ka mea maʻi i nā hōʻike maʻamau a loaʻa i kahi mau ʻano kino. Akā no ka hiki ke hōʻoia i ka maʻi maʻi, e koi ʻia kahi noiʻi kūʻokoʻa. No kēia, hoʻomaʻamaʻa ʻia nā hana noiʻi a me nā haʻawina kōkua. ʻO ka mea ʻike nui loa i ka wā e hana ai i kahi maʻi ʻoi aku nā ʻano hana:

Hōʻike ʻia he hōʻike koko biochemical - i ka wā e noiʻi ai ʻo ia mea hana, kahi nui e hoʻonui i nā hōʻailona alakaʻi bilirubin a alkaline posatase. ^ E Ha yM. Inā mālama ʻia ka nekrosis pancreatic, hoʻonui ʻia ke AST a me ALT. Ma muli o ka hoʻopili nele ʻana, ua ʻike ʻia ka hypoalbuminemia a me dysproteinemia.
ʻO ka loiloi mikroskopiko o ka moa - e hōʻike ana i ke koena o ka meaʻai ʻaʻole i ʻeli ʻia, ke kīwaha a me nā nui o nā mea hoʻonaninani unstriated. Hana ʻia kahi hana hoʻokaʻawale no ka alpha-amylase. Inā hoʻonui ʻia ka ʻike o kēia enima i nā manawa 3-4, ua hōʻoia ʻia ka maʻi.
ʻO ka hōʻike koko koko nui - me ka exacerbation o ka maʻi, i ʻike ʻia kahi hoʻonui ESRliʻiliʻi palukaio.
Hoʻoholo ʻia ka biochemical nānā ʻana i ka urine - e hoʻoholo ʻia urobilin a bilirubin.
ʻO nā hoʻāʻo koko e hoʻopili ʻia e hoʻoneʻe - lawe ʻia inā ke kali ka mea maʻi helminthiasis.
ʻOi aku ka nui o nā ʻōpū o ka ʻōpū - me ke aʻo ʻana like ʻole, hiki iā ʻoe ke hoʻoholo i nā hōʻailona o ka hōʻino i ka ʻūhā, ʻo ka pancreas. Hoʻohālikelike ʻia ka maʻi me ka hiki ʻana o ka huehue o ka ʻili pā, ka mālamalama o kona mau pā, calculi, a me ka palapala hou ʻana o nā contre o ka pancreas, heterogeneity o ka parenchyma.
MRI - ua lawe ʻia ka noiʻi ʻana inā ʻaʻole lawa ka ʻike. Ke hoʻohana nei i ka pancreatocholangiography magnetika resonance, hiki ke aʻo ma ka kikoʻī i nā kikoʻī hiʻona o nā pihi o ka pancreas a me ka pae biliary. Ke hoʻohana nei i kēia ala, hiki ke ʻike ʻia nā ʻie a me nā wahi o ka necrosis, nā pathology ate a me nā pancreas.
ʻO Retrograde cholangiopancreatography - e hoʻohana nei i kēia ʻano hana, ua ʻike ʻia nā kumu pancreatic a me nā alima ʻoi.
X-ray - lawe ʻia e haʻalele i ka hele ʻana o nā pathologies o nā ʻāpana ʻē aʻe o ka ʻeha gastrointestinal.

Hoʻololi ʻia ka maʻi maʻi ʻokoʻa, kahi o ka nui o mua, me ka ʻeha appendicitis.

Ke mālama nei i ka cholecystopancreatitis

Ke koho ʻana i kahi loea no ka lapaʻau ʻana, lawe ʻia nā mea nui: ka dinamics o ka hoʻomohala ʻana o ka maʻi, ka loaʻa ʻana o nā loli morphological i loko o nā hui a me nā pilikia pili. Inā hoʻomohala ka mea maʻi i ka cholecystopancreatitis waha, e lawe ʻia ʻo ia i ka hale maʻi i loko o ka waihona maʻi inpatient opera a hāʻawi iā ia i ke koena o nā hana kūwaho. E like me ke kānāwai, ka pōloli, ka decompression intestinal ka hoʻomaʻamaʻa ʻia. Inā pono, lawe ʻia ka hoʻokele meaʻai - makua a makua paha.

ʻO ka mālama ʻana i ka cholecystopancreatitis ka mea e pili ai i ka mālama ʻana i nā lāʻau lapaʻau, akā i ka mālama pono ʻana i ka meaʻai kūpono me ke kaupalena paʻa ʻana i nā mea momona a me ka hoʻemi ʻana i nā mea momona aʻai.

ʻO nā kumu no ka hoʻomohala ʻana

ʻOi aku ka maʻalahi o kahi wahine maikaʻi. ^ E Ha yM. Aia nā kihi pancreatic a me nā dile bile. Hōʻike kēia i ka hoʻololi o ke kaʻina hana mai ke kino hoʻokahi i kekahi kokoke. Me ka cholecystopancreatitis, hoʻomaʻamaʻa pinepine ka hana o ke ate. ʻO nā ʻōuli maʻamau o ka maʻi ʻeha o ka maʻi ʻawaʻawa a me nā loli i loko o nā ʻili o nā ate.

ʻO nā ʻōmaʻomaʻo o ka cholecystopancreatitis e kūlike i nā kumu o kona hiki ʻana mai. Nā kumu o ka maʻi:

nā huaʻala
nā maʻi maʻamau
helminthic infestions,
maʻiʻo pancreatic
maʻi mellitus maʻiʻi
puao
ka huehue o ka ʻōpū o Vater,
ua hoʻonui ʻia ka ikaika ma luna o ka pēpē a me ka duodenum,
maʻi pakanā a pehu paha,
maʻi maʻi maʻi
hana ōpū ka palu,
ʻāhā peptic
maʻi maʻi
maʻi hōʻiliʻili maʻi.

Hoʻohui aku i nā kumu, ke kuhikuhi nei i ka papa kuhikuhi o ka gastroenterology i nā kumu e hoʻonāukiuki i ka maʻi. I waena o lākou:

maikaʻi ʻole (ʻoka, inu hewa),
hōʻeha kaumaha,
i ke ʻano o nā hua bile,
stagnation o ka bile (i ka wā o ka hapai, ke ola passive, prolaps o nā ʻōpū),
nā hana hoʻowalewale,
hoʻoholomua i ka pancreatitis,
ʻai ʻaʻai ʻole, ʻai i nā meaʻai me nā GMO,
hemo ana i luna a me ke kala paha,
lāʻau lapaʻau ʻole paʻa
Nā ʻōpū a me nā pōhaku ʻala,
gaugitis
pinepine nā kaumaha.

ʻO kahi hōʻailona o kahi maʻi o ka pākuhi gastrointestinal

ʻO nā hōʻailona o ka cholecystopancreatitis ka like me nā hōʻailona o nā maʻi like ʻole o ka pākīpoki. Hiki ke hōʻeha i kēia ma ka hypochondrium pololei, kūlohelohe (dyspeptic), ka luaʻi, a i ʻole ka hanu i loko o kekahi mau hola ma hope o ka ʻai ʻana. Malia paha kahi manaʻo kaumaha.

Aia he 2 mau ʻano o ka cholecystopancreatitis: ʻeha a me nā maʻi. ^ E Ha yM. Hoʻomaopopo nā hōʻailona o kahi puka ma hope o ka ʻai ʻana i ka meaʻai momona a i ʻole aʻa i ka palaoa, ma hope o ka ʻaina. Nā hōʻailona o ka cholecystopancreatitis a me nā:

constipation
ʻohi kāʻei
nā ninia
insomnia ma muli o ke kaumaha
utuka
ʻālina
ʻūlū.

Hōʻikeʻike o ke ʻano maʻamau

Hōʻike ʻia ka maʻi e nā manawa o ke kala a me nā exacerbations. Hoʻohālike nā hōʻailona me ka helehelena maʻi maʻamau, akā me ke kala ʻana i ke kiʻi ma ka ultrasound, ʻike ʻia ka hoʻonui ʻia ʻana o ka puʻuwai. Ma ka palpation, ʻike ka mea maʻi i ka ʻeha.

Hiki hoʻi ke ʻeha ma nā wahi gallbladder. ʻO ke ʻano paʻakikī o ka maʻi he ala lōʻihi. Me ka nui o ka ʻano maʻamau o ka maʻi, ua kākau ʻia ke ʻano nei:

mea kaumaha
nā maʻi dyspeptic
ʻūlū
steatorrhea (momona i loko o feces).

Aia kekahi mau hōʻailona neʻe o nā maʻi. I kēia:

nā puka ākea ma ka pancreas,
ka waiū o nā ʻiʻo o ka peritoneum,
hōʻemi ma ka momona subcutaneous
ʻeha i ka ʻāwau o ka piko-vertebral,
uliuli ʻili a puni o ka movel,
ʻū liʻiliʻi liʻiliʻi ma kēia wahi.

Ma muli o ka lōʻihi o nā papa o ka pono o ka pūpū, loaʻa ʻole ka hapa o nā enzyme digestive. Ma muli o kēia, ua hōʻike ʻia nā hōʻailona lapaʻau:

ka hoʻemi ʻana i ka hana lipase huna (ka wai hoʻohuihui-hoʻoluʻu i ka wai),
nā ʻilihune a he ʻole paha a ka momona o nā ʻiʻo a i ʻole momona i nā feces,
hele a lilo ka pā i nā māmā a me ka māmā.

ʻO nā hōʻailona o ka palapala obstructive

ʻO ka puka koʻikoʻi o ka cholecystopancreatitis he obstructive. Ke alakaʻi ia i nā hōʻailona e like me ka hoʻomanawanui ʻana o ka maʻi a me ka hoʻomohala ʻana o ka ʻaihue i ka ʻeha o ka ʻōpū.

Me kēia maʻi, loaʻa ka maʻi i ka hoʻopaʻa ʻana o nā pā o ka duodenum. Ma ke kānāwai, hana i loko o 5 mau makahiki. I nā hihia pinepine, ulu i ka mea maʻi i nā koena o ke kaʻina pili.

ke ʻano o nā hana cystic hoʻopunipuni,
ka ulu ʻana o ascites (dropsy),
ka ʻopo maloʻo a me ka pīhoihoi,
nā pilikia o nā hui liʻiliʻi,
ka hoʻomohala ʻana o nā maʻi o ka lima (arthritis),
keʻokeʻo keʻokeʻo ma ka alelo
papalolo i nā papa manamana,
ka ʻanuʻu o ka ʻili.

ʻO nā ʻōhua hiki

ʻO kahi kanaka e loaʻa nei i kahi maʻi no ka manawa lōʻihi e hoʻomohala i ka nele o ka pancreatic. Inā ʻaʻole lawe ʻia ka mālama ʻana o ka maʻi ma ka manawa kūpono, a laila piʻi nui ka pilikia o nā ʻōpiopio.

Hiki i kahi hopena lethal me ke kūkulu ʻana a me ka hōʻole ʻole ʻana i ka maʻi. Hana kēia i ka hapalua o nā hihia. I waena o nā hopena pinepine o nā maʻi i:

maʻi hana e pili ana i ka peritoneum (peritonitis),
bile pauku
hōʻele o ka hana pehu,
uaua vekoposis,
nā maʻi endocrine.

ʻO nā kaʻina hana hoʻomālikelike

Ma ke kumu o kahi hoʻokolohua ʻike, ʻo ka hopena o ka diagnostics laboratine a me ke kumu o ka hoʻopiʻi ʻana o ka mea maʻi, ʻo ka loaʻa ʻana o ka maʻi cholecystopancreatitis. Hoʻopili nā hana diagnostic:

magnetic resonance imaging,
ʻO ka loiloi ultrasound o ka pancreas a me ka lolo puhoi,
hoʻāʻo a me ka hoʻokahe koko
fibrogastroduodenoscopy (FGDS).

ʻO ke ala hope hana hope e pili ana i ka nānā ʻana i ka membous mucous o ka duodenum a me nā mea o ka ʻōpū. Hoʻohana ʻia ke kaʻina FGDS me ka hoʻohana ʻana o ka endoscope wikiō. Ma ke ʻano he ala hopena hou aʻe, ke kau nei ke kauka i ka duodenography hoʻomaha. Mālama kēia hōʻike X-ray i ka ʻike i ka hele a me ke ʻano o ka pathology i nā wahi:

pancreas
pipi a me ka pua?
ka papilla duodenal nui.

Nā lāʻau lapaʻau

I mua o nā hoʻopiʻi a me no ke koho ʻana i ka mālama ʻana, pono e kūkā ma kahi gastroenterologist. E haʻi ka mea loea i ka mea maʻi e pili ana i ka cholecystopancreatitis maʻi, nā hōʻailona a me kāna hana. Pono ka hopena o ka maʻi o ka maʻi.

I nā pilikia koʻikoʻi, pono ke lawelawe ʻia. Hoʻohana ʻia ka mālama ʻana o cholecystopancreatitis me ka hoʻohana ʻana:

lāʻau lapaʻau lāʻau
hoʻoponopono ʻia o ka meaʻai a me ka hoʻōla ʻana o ka meaʻai.
lāʻau lapaʻau kuʻuna
kaʻina hana physiotherapeutic.

ʻO ka lāʻau lapaʻau

Ke koho nei i kahi gastroenterologist i nā lāʻau lapaʻau kūpono e mālama i ka maʻi. E hoʻopau i nā mumū a me nā hōʻailona leʻaleʻa o ka maʻi, aia nā nui o nā lāʻau lapaʻau.

Nā kahakaha plasma wai (Polyglyukin, Reopoliglyukin, Refortan, Gemodez).
ʻO nā kumu e hoʻohaʻahaʻa i ka acidity o ka ʻōpū, antacids (Fosfalugel, Almagel, Vicalin, Maalox).
ʻEkaukau e hōʻeuʻeu ana i ka hiki ke kūleʻa gastrointestinal, prokinetics (Motilium, Perinorm, Cerucal, Raglan).
Hoʻopili i nā mea hoʻokō hōʻiliʻili histamine H2 (Kvamatel, Roxatidine, Ranitidine, Gastrosidine).
Nā lāʻau lapaʻau e hōʻoluʻolu i ke kaumaha e hōʻino ʻia e nā spasms, antispasmodics (Spazgan, Baralgin, No-Shpa, Buskopan).
Nā mākena palekele proton (Esomeprazole, Rabeprazole, Omeprazole, Lansoprazole).
Ka poʻe pena kiʻi, analgesics (Analgin, Ketanov, Nimesil).
ʻO nā lāʻau lapaʻau Cholinergic, anticholinergics (Gastrocepin, Platifillin, Atropine, Scopolamine).
ʻO nā hui a me nā inhibitors (Festal, Kontrikal, Gordoks, Trasilol).

Hoʻolaha ka meaʻai a me ka hoʻoponoponoʻai ʻana

ʻO ka nānā ʻana o ka cholecystopancreatitis me ka hoʻomaka ʻana o ka loiloi meaʻai holoʻokoʻa. He mea koʻikoʻi loa ia i ka mea maʻi e hahai i kahi meaʻai paʻa i kau ʻia e ke kauka. Ma kahi o ka loiloi piha o ka papa kuhikuhi, hiki ʻole ke hoʻōla i kahi maʻi o ka maʻi kuʻekuʻe. I ka wā e ʻai ai i nā meaʻai maikaʻi, e hoʻi hou ka maʻi. Nā manaʻo no ka hoʻoponopono ʻana i ka pau ʻana o ka inu inu:

ka inu pinepine a me ka nui (e pili ana i 2 lita o ka wai), akā he liʻiliʻi ma ka manawa
inu i ka wai mahana me ka lemon,
wai hoʻōla pono ʻia mai chamomile, dandelion, calendula.

Pono e hoʻohana pono ʻia ka hoʻohana ʻana o ka waiʻu, ʻoi aʻe ka citrus. ʻAi ʻia ka ʻōpio a me ke kofe, nā mea inu ʻona. Hōʻike ʻia ka mea maʻi e hahai i nā ʻōlelo aʻo e pili ana i ka papa ʻaina o ka papa lāʻau no ka papa inoa 5. ʻO ia ka mea nāna i mālama i ka meaʻai ʻo Pevzner M. I. He mea pono ia e mālama i kahi kīnā paʻa a hiki i 3 mau mahina, akā e pono paha i ka ʻai lōʻihi. I waena o nā meaʻai i papa ʻole ʻia:

nā lau ʻāpala (maʻa mau nā kamato a me nā kukama),
momona, kāʻei ʻia, nā ʻōpū a me nā meaʻai,
nā mea inu ʻoki
greens
ʻona
confectionery, pastries a me keke,
brown brown, pastries,
meaʻai maikaʻi
meaʻai kai
nā meaʻai me nā mea e pono ai ke kai,
mauʻa momona i hana ʻia mai nā lau iʻa, nā iʻa a me ka ʻiʻo,
ʻōwawa.

E hāʻawi pū kekahi i kahi gastroenterologist i ka mea maʻi i kahi papa inoa o nā meaʻai i makemake ʻia. Aia kēia papa inoa i ka meaʻai ʻaʻole ia e hoʻoikaika i ke kaomi ʻana i ka wā o ka hoʻāʻo ʻana. ʻAno ʻia nā meaʻai a me nā mea inu ʻehā:

ʻoki ʻoki o ka iʻa, pipi, moa,
ʻili wale
nā huaʻai a me nā lau,
he decoction o currants, kū pōkole,
ʻōmaʻomaʻo ʻāmaʻomaʻo
ke kāleka
nutmeg
pāpaʻi ʻōpala a i ʻole nā ʻano wai,
ʻōwili waiū uumea (ʻaʻohe yolk),
nā ʻona māmā.

ʻO ka lāʻau lapaʻau kuʻuna

Hoʻohana ʻia ka hoʻohana ʻana i nā pono o ka lāhui i ka mālama ʻana i ka cholecystopancreatitis. Hiki ke hoʻohui pū i ka lāʻau lapaʻau me nā mea hoʻoponopono kanaka. No ka hoʻomākaukau i ka decoctions a me nā lāʻau lapaʻau maʻi, hiki iā ʻoe ke hoʻohana i:

W John wort
lāʻau ʻawaʻawa
pepeke ka pepa
ʻulaʻula linden
violet
yarrow
immortelle
Bulu
ginseng.

ʻO kahi infusion kūikawā o nā aloe, ʻo ia hoʻi nā lau lau, e hōʻoluʻolu i nā hōʻailona o ke kuʻuna o ka cholecystopancreatitis. ʻŌpena ʻia no ka hana ʻana i nā aloe infusion:

Holoi i nā papa, holoi maikaʻi ʻia.
E kau i loko o kahi pahu aniani.
E ninini i ka wai anuanu i loko o kahi pahu aniani.
Manaʻe no 6 mau hola.
Kūʻai ma ka cheesecloth maʻemaʻe.

Hoʻohana ʻia ka hopena hopena i ka 1 tbsp. la l 3 mau lā i ka lā. He mea nui e nānā i ka manawa hoʻokae - 40 mau minuke ma mua o kahi pāʻina. ʻAʻole pono e hoʻohana ʻia nā ʻano maʻi āpau ʻole me ke kūkā mua ʻana i kahi kauka. Nā ʻālana ʻē aʻe o ka lāʻau lapaʻau kuʻuna:

Hiki iā ʻoe ke hoʻomākaukau i kahi huahana o ka pepi, St. John's wort and wormwood. Pono ʻoe e lawe i ka 1 tsp. nā mea āpau, ninini i ka 0,5 lita. wai wai. E hoʻoweliweli i ka lāʻau no 20 mau minuke, lawe i ka 250 ml. 2 mau lā i kahi lā ma kahi ʻōpū ʻole.
E ninini i ka ʻōpala a me ka yarrow no 1 tsp, e ninini i kahi aniani o ka wai paʻū a waiho no 30 mau minuke. Kūʻai a inu i ka kīʻaha ½ a hiki i 4 mau manawa i ka lā.
Lawe iā 1 tsp. daisies, violets, peppermint, linden pua. Pono e hoʻokaʻawale i nā mea āpau, ninini i ka 0,5 lita o ka wai anuanu. E hoʻokau i 30 mau minuke a lawe i 250 ml. 3 mau lā i kahi lā ma mua o ka papaʻaina.

ʻŌnaehana physiotherapeutic

Ua kuhikuhi ʻia nā kaʻina like ʻole no ka cholecystopancreatitis maʻi. Ua wehewehe ʻia ka hopena o nā hana physiotherapy ma o ka ʻoi ko kā lākou hoʻokō ʻana e kōkua i ka hoʻopau ʻana i ka mānoanoa.

Ma hope o ka wehe ʻana i nā hōʻailona hōʻeha o ka maʻi ʻeha o ke akepapa, hiki ke kuhikuhi ʻia i ka ʻōpala. Loaʻa lākou i ka hopena maikaʻi ma ka mālama ʻana i ka cholecystopancreatitis, i ko lākou hoʻoikaika ʻana i ka pale pale kino o ke kino, loaʻa i kahi hopena analgesic a anti-inflammatory. I waena o nā kaʻina hana physiotherapeutic no ka maʻi.

Hoʻomaʻamaʻa UHF
kaʻina hana ʻōnaehana
electrophoresis.

ʻO Cholecystopancreatitisitis

ʻO ka ʻike theoretical e pili ana i ka cholecystopancreatitis. ʻAʻole kēia palapala kuhikuhi i kahi kuhikuhi no ka lāʻau lapaʻau ponoʻī iho.

ʻO ka pancreatitis ka mumū o ka pancreas. ʻO kahi Cholecystitis ka maʻi kahi o ka ʻōpū. ʻO nā ʻōlaʻi maʻi i ka ʻōpū ʻelua, nā pancreas a me nā ʻāpana polū, e alakaʻi i ka hoʻomohala ʻana o ka cholecystopancreatitis (ʻo kona inoa kekahi inoa ʻo pancreocholycystitis), ka maʻi maʻamau loa o ka ʻeha gastrointestinal. Hōʻike ka kiʻi o ka lāʻau lapaʻau i nā hana hōʻeha nui i ka hana o ka ʻōnaehana holoʻokoʻa, a me nā pilikia o nā ʻōmole like ʻole, no ka laʻana, ka maʻi diabetes mellitus, ka pale ʻana o ka dile bile, thrombosis venous, nā hana koʻikoʻi i ka ʻoihana endocrine.

Me ka cholecystopancreatitis, he pilikia nui ka kaʻina o nā wāʻoki a me nā mea kālai, a me ka hoʻoneʻe ʻana o nā huina o nā ʻaina liʻiliʻi a me ka lawe ʻana o ka bile. ʻO ke cholecystopancreatitis maʻi i loko o kekahi mau makahiki e hoʻonāukiuki i ka nele o ka wai pancreatic a me nā enzyme, hiki iā ia ke alakaʻi i kekahi mau maʻi a me nā hōʻailona aʻe:

keʻokeʻo keʻokeʻo keʻokeʻo
kahi emi ʻana o ka hana lipre pancreatic,
steatorrhea, me kēia maʻi, ʻike ʻia nā momona i nā loea.
nā mea hoʻonaninani - ʻike ʻia nā leo o nā ʻiʻo no ka feces.

ʻO ka hoʻomohala o ka cholecystopancreatitis ma muli o ka pilina pili anatomical a me ka physiological ma waena o ka pancreas a me ka gallbladder, ʻoi aku ka pololei, ma waena o ka puna bile a me kahi kumu nui o ka pancreatic o ka pancreas. Ma lalo o nā ʻano maʻamau, ka ʻola e pili ana i kekahi kino maʻi e hoʻolalaha i ka manawa i kekahi. Eia kekahi, i ka hihia o ka cholecystopancreatitis, ua hana ke kaʻina hana i ke kuʻuna, e alakaʻi ana i ka loli necrotic a me dystrophic i kāna mau kiko.

ʻO ka maʻi hoʻoliʻi o ka maʻi

Hiki ke hōʻoia pololei i ka cholecystopancreatitis wale nō ma ka papa o ka hoʻopaʻa noi ʻana o ka mea maʻi, me ka noʻonoʻo pono ʻana i kāna hoʻopiʻi a me ka nānā hoʻokolohua. Inā pilikia ka hana ʻana i kahi maʻi maʻi, hiki i ka gastroenterologist ke hoʻoponopono i nā ala diagnostic, e pili ana i:

Nā MRI a me nā kumu hōʻike CT,
FGDS, a i ʻole hoʻokūʻē invasive me biopsy,
ka noiʻi ʻana o ka ʻōuli o ka hormonal e hoʻohana ana i kahi hōʻike koko,
Uiuei
ka hoʻoholo ʻana o ka enzyme proteolytic e ka hoʻokolokolo biochemical o nā loina.

Ke hana ʻia nei nā lāʻau lapaʻau ma hope wale nō o ka hana pololei ʻana, ka mea e hoʻokaʻawale i ke keʻena maʻi pancreatic insufficiency mai ka cholecystopancreatitis.

Nā hiʻohiʻona o ka mālama ʻana i ka maʻi

Hana ʻia nā mea lapaʻau no ka cholecystopancreatitis e hoʻokuʻu ana i ka spasm o ka sphincter o Oddi, ka punawai kahe a me ka kumu maʻi pancreatic maʻamau.

Hoʻohālikelike nā hopena o 0.1% atropine a me metacin i kahi nui o 1 ml e hoʻopili ma ka wae. ʻO nā regimens Dropper e komo i ka no-shpu, diphenhydramine, baralgin, aminophylline, magnesia a me ka ascorbic acid e hōʻoluʻolu i nā maʻi maʻi, hoʻoneʻe. I nā pilikia koʻikoʻi, hana ʻia ka blockade me novocaine.

Aia pū me ka lāʻau lapaʻau:

antibiotika
nā mea pale o protease
lāʻau lapaʻau antifungal
antiemetics.

No ka mea, ua kuhikuhi ʻia nā mea maʻi i ka pōloli, polyglucin, e mālama ʻia ka glucose i loko, a hāʻawi ʻia nā sorbents i loko. I kekahi manawa ua makemake ʻia nā manaʻo o nā ʻōpū.

Hoʻomaʻamaʻa ka cholecystopancreatitis i ka wā o ka exacerbations, akā, i ke kuana ʻana o ke kala ʻana, pono ia e hoʻopau loa i nā momona momona, nā ʻono ʻai, nā mea ʻono a me nā kekā.

Hiki i kahi loiloi holoʻokoʻa e hoʻomaopopo i ka pathology: kahi hōʻike koko ākea, e ʻike ana i ka pae o ka bilirubin, ka protein, ka hana transaminase. Me ka hoʻōla lōʻihi, loiloi ka hoʻoneʻeʻana o ka lipid, ʻo ka hoʻokaʻina ʻana o nā palaka i ka maikaʻi o nā papa i loko o ke kino holoʻokoʻa.

Ke lawe nei kahi gastroenterologist i kahi hana maʻi, a me nā hoʻokolohua e mālama i ke kumu no ka mālama olakino. Hōʻike ka Ultrasound i ke kūlana o nā dile cile a me ka ate. I kekahi manawa ke nānā ʻia a me ka mālama ʻana i ka ʻōpū a me ka duodenum e hoʻopau i kā lākou hopena i nā mea pili kokoke.

Hiki i kekahi poʻe ke hana me ka ʻole paʻa o ka meaʻai a me ka hoʻohana ʻana i nā mākaukau o ka enzyme inā e hoʻouka ʻia ka hoʻouka ʻana e ka nui o nā huahana i pāpā ʻia - ka momona momona iʻa, ka wai ʻona, nā huaʻai a me ke kime i ka nui I nā keiki, hōʻike ʻia nā maʻi maʻi e ka acetone kiʻekiʻe a me ka luaʻi.

Hoʻopili i Pancreatin, Mezim a me nā mea hōʻeha e kū'ē i ka hoʻowalewale a me ka hoʻokūkūʻana i nā kumulāʻau, hoʻoulu ʻia i ka therapy. Hoʻomaʻamaʻa ka hana Methyluracil i ka hoʻoponopono hou ʻana i ka hui.

Nā ʻano hana

Hiki ke ho'ōla piha i ka cholecystopancreatitis me ka hoʻoponopono ʻana i nā kānaka inā koho ʻoe i nā lāʻau e hōʻeha ana i ka parasit, ka maʻi ʻeha e hoʻonāukiuki i ka ʻeha gastrointestinal. He mea pono ʻole e lawe i ka lāʻau kanu lino me nā waiwai anthelmintic.

ʻO ka hoʻonui ʻana i ka motility, hoʻomaha i ka hana ʻaihue a me ke kāohi ʻana i ka hana a nā microorganisms e kōkua i nā kikowaena o nā hana ākea i decoctions.

No ka hana i kēia, pono ʻoe e lawe i ka chamomile, wort a John John a me ka pepi i loko, 1 tīpana kēlā me kēia, e ninini i ʻelua mau aniani o ka wai e hoʻolapalapa ana, koi i ka hapalua hola. E inu i kahi aniani ma mua o ka papaʻaina.

Hoʻohui ʻia ka mālama ʻia o ka cholecystopancreatitis me ka vitamin C i loko o ka ʻano o nā mea hoʻohui a me nā wai kāpeti hou. ʻO ka pinepine i nā pepa momona, ka citruses i palaka i ka palupalu o ke gallbladder a me ka pancreas.

Nā ʻōkuhi kōkua kōkua

ʻO ka cholecystopancreatitis acute e mālama ʻia i ka hale ʻaihue e pale i ka ascites, hypovolemic shock, hoʻoheheʻe ʻia. Hoʻoluʻolu ka leo ʻoluʻolu ma ka home.

E hoʻohana i ka hanu diaphragmatic hohonu: e waiho ana ma kou kua, e hopu i nā iwi i ke alo me kou mau manamana lima. I ka hoʻoweliweli ʻana, wehe i ka ʻaha o ka umauma, ma ka exhalation - mai waiho i nā iwi iwi i lalo, e hohola ana i nā diaphragm a me nā ligament o nā mea pili. E hana hou i nā manawa 2-3.

Hana i ka hoʻokaʻawale ʻana iā visceral iho: e kaomi iki ma ka wahi ma lalo o ka iwi ʻākau, a laila ma ka ʻaoʻao kokoke i ke kikowaena waena a me ke kaʻina xiphoid. E kau i kou mau manamana lima ma ka hema ma kahi kikoʻī like, a laila ma ka waena o ka laina ma waena o ka pehu a me ka ilium kūpono.

Hoʻohana pū ʻo Osteopathy i ka ʻaihue o ka pancreas a me ka ʻoi ʻana o ke aniani me ka hoʻomakeke ʻia o nā sphincters a me ka ʻōpū. Hoʻopau nā kauka i ka paleʻole ma waena o nā wahi parasympathetic a me ke aloha i ka mana o nā ʻano aʻAmelika autonomic.

Nā hana kūpono

I kekahi manawa lawe ka lāʻau lapaʻau i loko o ka hoʻōla i lawe mai i kahi hoʻomaha pilikino. Ke hilinaʻi nei ka lāʻau lapaʻau i nā kīkaha hiki loa, kahi i kaupalena ʻia ai nā mea a pau e hoʻoulu ai i ka hana ʻana o nā enzymes. ʻO kekahi lāʻau lapaʻau e pili ana i ka hoʻomaha ʻana i nā hōʻailona me ka ʻole o ka hoʻonā ʻana i ka pilikia. No laila, ʻaʻole ʻoe e uhaʻi i ka ʻai me ka cholecystopancreatitis, ke kīloi i ka aila hau, nā ʻamala, nā wai momona, a laila e lawe iā Pankeatin a i ʻole Omeprazole e kūʻē i ka hōʻeha.

E like me cholecystitis, nā mea kanu i ka wā exacerbation e pili ai i ka iʻa aʻa ʻūlū a ʻaʻa paha, ʻai ʻiʻo, nā lau ʻai i ka pala a me ka steamed, semi-wai cereals.

I loko o ka hale hoʻomaha, ua kuhikuhi ʻia kahi papaʻai 5., I hoʻokomo ʻia ma loko o nā kahu hānai. E hoʻomau iā ia no ʻelua mau pule ma hope o ka hoʻokuʻu ʻana.

Hiki paha ke ʻai i ka momona, ke kīwī kolo, ka berena keʻokeʻo? Aia nō ka hilinaʻi a pau i ke ʻano o nā mea o kēia manawa. Ke hoʻihoʻi nei i ka motility, ua hoʻolaha lemu nā huahana stool, e hoʻonui ana i ka meaʻai.

No ka paleʻana i kēlā me kēia lā ka cholecystopancreatitis, pono ka hana kino i ke ʻano o ka hele. Kuhi ka hana i nā mea maʻi i ka spor thoracic, e hana ana i ka neʻe ʻana i ke kiʻina i kahi hāhā.