Chololithiasis ke lefu le fumanoang khafetsa, haholo-holo har'a basali ba lilemo tsa ho beleha. Banna ba tloaetse ho ba le cholelithiasis haholo, ba fumanoa hangata ka makhetlo a 3-10. Lefu lena le khetholla ka nako e telele, kahoo e fumanoa mekhahlelo ea morao-rao ea tsoelo-pele.
Chololithiasis - lefu lena ke eng?
Bakeng sa tshebetso e tloaelehileng ea tsamaiso ea lijo, ho hlahisa nako le ho tsoa ha bile ho hlokahala. Tlas'a tšusumetso ea mabaka a ka hare le a ka hare, e ka thibela le ho fumana ho tsitsana ha putty (biliary sludge). Ho tloha ho joalo, ho ne ho thehoa majoe kapa majoe ka senya. Li eketsa ka boholo le bongata, li oela ka li-ducts (choledochus) ebe lia li koala, li sitisa ho tsoa ha metsi a likokoana-hloko (cholelithiasis).
Lisosa tsa cholelithiasis
Ha ho tsejoe hantle hore na ke hobane'ng ha lefu lena le hlalositsoeng le hlaha. Litsebi tsa litsebi li hoeletsa, ka lebaka la hore li-cholelithiasis li ka qala ka monyetla o moholo. Har'a bona, karolo ea bohlokoa e bapaloa ke thobalano le lilemo. Basali ba na le monyetla oa ho ba le cholelithiasis, kotsing ea hore e eketse ka mor'a lilemo tse 30. Litlhahiso tse ling tse hlahisitsoeng ke li-gallstones:
- ho ima le ho beleha;
- lefu la sebete le sa foleng ;
- helminthiases ;
- congenital anomalies ea gallbladder le duodenum;
- ho thatafala ha sebete;
- likarolo tsa phepo e nepahetseng (tse nang le lihlooho tsa mafura le liprotheine tsa liphoofolo);
- ho kula ha hormone;
- boithabiso bo tlaase;
- tšoaetso, ho ruruha ha gallbladder;
- likotsi tsa mokokotlo;
- tlala;
- maloetse a mala a manyenyane;
- hemolysis e sa foleng;
- lefu la tsoekere;
- Mathata a metabolism a mafura;
- ho feta boima ba 'mele.
Lefu la sejoale - matšoao
Lebaka le ka sehloohong la ho hlahlojoa ha morao ke lefu lena ke phetoho ea eona e liehang le e sa tloaelehang (lilemo tse 7-10). Lipontšo tse hlakileng tsa cholelithiasis li fumaneha hangata ha choledocha e koetsoe ke li-concrements le ponahalo ea colic e thata. Maemong a sa tloaelehang, setšoantšo se fokolang sa tleliniki se hlokomeloa ka semelo sa ho se nepahale ha lijo, empa batho ha ba nahane ka bohlokoa boemong boo bo sa thabiseng.
Majoe a lekaneng - matšoao:
- ho hula bohloko bo bosula ha o sebetsa sebakeng se sekametseng, ka mor'a hore o je mafura, lijo tse monate le tse halikiloeng, overexertion;
- ho nyefoloa nako e telele;
- boikutlo bo boima ka lehlakoreng le letona;
- mokhathala, ho otsela.
Haeba cholelithiasis e tsoela pele ka nako e telele, e baka pelo:
- bohloko bo bobe sebakeng sa sebete sa tlhaho ea ho phunya kapa ho phunya, ho fa mahetleng, sekoti, molaleng;
- ho nyekeloa ke pelo ka ho hlatsa;
- jaundice;
- angina pectoris;
- mocheso oa 'mele o eketsehileng;
- ho senyeha ha tlhaho;
- ho fifala ha motsu.
Majoe a ka hare - ke eng eo u lokelang ho e etsa?
Maqheka a phekolo a itšetlehile ka palo le boholo ba li-concrements, boima ba cholelithiasis. Ho bonolo haholo haeba e le nyenyane (ho fihlela ho 1 cm) le li-gallstones tse fokolang li fumanoa - kalafo e lekanyelitsoe ho lits'ebeletso tse tloaelehileng bakeng sa ho boloka bophelo bo botle le ho boloka lijo tsa Pevzner. Ho phaella moo, ho hlokahala hore o hlahlojoe hangata ka prophylactic ultrasound, ho laola lebelo la tsoelo-pele ea mafu, ho lokisa boemo le palo ea li-concrements.
Ka pel'a majoe a maholo (ho fihlela ho 2 cm) mekhoa e sa buuoang ea phekolo e bontšoa. Tsena li kenyelletsa ho qhibiliha ka lithethefatsi le ho senya ka ntle. Mekhoa e joalo hase kamehla e hlahisang phello e lebelletseng 'me ha e tiise hore ho felisoa ha cholelithiasis ho feletseng. Ka mor'a ho nyamela ha majoe, ba ka theha hape. Haeba ho e-na le ho khutlela ha mafu kapa ho thehoa ha majoe a maholo (ho tloha ho 2 cm bophara), ho kenella ho buuoa ho etsoa. Tsamaiso ena e kenyelletsa ho tlosa senya le lisebelisoa.
Lejoe la sejoale, tlhaselo - ke eng seo u lokelang ho se etsa?
Colic ke boemo bo sa thabiseng le bo kotsi haholo, kahoo lipontšo tsa eona tsa pele ke tse lakatsehang hore hang-hang u etse kopano le ngaka. Tlhaselo e bohloko joaloka kamoo ho ka khonehang, haeba majoe a maholo a thehoa bile, matšoao a thata le ho thibeloa ha li-duc le ho phalla. Sena se etsa hore motho a noe haholo 'me a be le tšenyo e matla ea ts'ebetso ea lijo.
Mona ke mokhoa oa ho lokisa sekhetho sa cholelithiasis lapeng:
- Ho bua leshano le ho phomola, kenyelletsa mosebetsi leha e le ofe oa boipheliso.
- Ho noa spasmolytics ka khato ea vasodilating (Yunispaz, Drotaverin, Pllalgin).
- Ha mocheso o ntse o eketseha, nka li-antipyretic le li-anti-inflammatory drugs (Paracetamol, Ibuprom, Nurofen).
- Haeba ho na le kotsing ea ho ba le angina pectoris, noa meriana ho tloaelefatsa mosebetsi oa pelo ( Asparkam , Spasmol, Nifedeks).
- Kenya mofuthu maoto kapa u li koahele ka kobo. Mocheso o eketsa lijana.
- Noa ka 500 ml ea metsi a futhumetseng.
- Beha compress e mofuthu ka hypochondrium e nepahetseng.
- Ka lihora tse 12, tlohele ho ja. Ka mor'a ho emisa colic, o ka fetola lijo tse fokolang.
- Tlhaselo e fetang lihora tse tharo e hloka moemeli oa basebetsi ba ambulense.
Lejoe la gallbladder - phekolo ntle le ho buuoa
Phekolo ea meriana e bolokehileng e behiloe feela ka palo e nyenyane ea li-concrements tsa boholo bo nyenyane. E etsoa ka litsela tse peli:
- Ho qhalana ha majoe ka gallbladder. Bakeng sa sena, li-acids (chenodeoxycholic le ursodeoxycholic) le litokisetso tsa litlama (extract of immortelle) li sebelisoa. Mokhoa o sa sebetseng, o thusa feela ka majoe a k'holeseterole ka 10-20% ea linyeoe.
- Majoe a ho senya majoe. Ho qobella ho etsoa ke mahlaseli a motlakase kapa a motlakase. Mokhoa ona o loketse ho ba teng ho nyenyane (ho fihlela ho 1 cm) le majoe a le mong, haeba ho se na matšoao a ho ruruha.
Lejoe la sejoale-phekolo le mekhoa ea batho
Ha ho mekhoa e meng ea phekolo ea ho phekola mekhoa e tiileng. Phekolo ea sechaba ea cholelithiasis e lokela ho sebelisoa e le tekanyo e thusang ea ho fokotsa boloetse le ho liehisa tsoelo-pele ea eona. Tšebeliso e sa laoleheng ea litlama e tla qobella cholelithiasis - matšoao a tla atoloha ka potlako, butle-butle a fihle ho bolila bo bohloko le bo bohloko.
Sehlopha sa limela tsa cholelithiasis
Lijo:
- Kamomile - 5 g;
- Valerian - 5 g;
- mint - 5 g;
- hawthorn - 5 g;
- metso ea buckthorn - 5 g;
- reteleha - 5 g;
- ledum - 5 g;
- metso aira - 5 g;
- 'mè oa boipheliso - 5 g;
- khahla ea phula - 5 g;
- letheka - 5 g;
- metsi - 1.5 a etsang dilitara tse.
Ho itokisa, sebelisa :
- Kopanya lisebelisoa tse omeletseng.
- Pheha pokello bakeng sa metsotso e 5-7.
- Tsitlella lihora tse 6.
- Qobella moro.
- Noa moriana oa 100-110 ml ka makhetlo a mararo ka letsatsi ka halofo ea hora pele u ja. Preheat.
Majoe a lekaneng - opereishene
Mokhoa o atlehang haholo oa ho phekola lefu lena ke cholecystectomy. Ho tlosoa ha majoe a gallbladder ho etsoa hammoho le setho, ho sa tsotellehe palo ea likonopo. Hangata, mokhoa o sebelisoang ke laparoscopic o sebelisoang ka nakoana, ka linako tse ling ngaka e buoang e etsa qeto mabapi le laparotomy kapa mokhoa o tloaelehileng oa ho kenella. Maemong a 99%, liklelithiasis li phekoloa ka ho feletseng ka mor'a mokhoa ona. Hangata ho hlahisa lefu la postcholecystectomy syndrome kapa ho se sebetse ha sphincter Oddi - boloetse bo sa foleng ba ho senya lijo.
Nutrition bakeng sa cholelithiasis
Lijo tse nepahetseng ke karolo ea bohlokoa ea phekolo ea cholelithiasis. Lijo tse nepahetseng bakeng sa cholelithiasis li fana ka maroalo a bonolo sebeteng le likamoreng tse tšoanang le ho ja ka ho feletseng ha limatlafatsi le livithamine 'meleng. Lijo tse fokolang li lekanyetsa boholo ba lihlahisoa tsa mafura le liphoofolo, li fokotsa letsoai. Ho ja ka majoe ka bile ho fana ka mekhahlelo e latelang:
- lijana tsohle li lokela ho futhumala;
- lijo tsa lijo tse 4-6 ka letsatsi likarolong tse nyenyane tse tšoanang;
- nakong ea ho feteletsa ho kgothaletswa ho sila kapa ho sila lijo;
- ka mpeng e se nang letho ho hlokahala ho noa metsi a hloekileng ao e seng carbonate ea mocheso oa kamore.
Bothata ba sejoale-joale: lijo - lijo tseo u ka li jang ke life?
Lethathamo la 5 le nkoa e le lijo tse feletseng, tse fanang ka tlhoko ea letsatsi le letsatsi bakeng sa motho e moholo ka lik'hilojule. Seo u ka se jang ka cholelithiasis:
- sopho ea meroho;
- macaroni;
- li-semi-liquor mucous porridges le lijana ho bona;
- nama ea lijo;
- tlhapi e tlaase e mafura;
- lijo tsa leoatleng (ka mokhoa o itekanetseng);
- sose ea ngaka;
- sausage ea lebese;
- bohobe ba maobane bo le 1 kapa 2 bo hlahisa phofo, ka mohala;
- lebese le tlaase le mafura a lebese;
- seseke e omileng;
- meroho (mocheso o tšoaroa, e tala - e lekane);
- mahe - hangata ka makhetlo a mabeli ka beke, haholo-holo protheine omelets;
- karabo ea squash;
- liapole tse monate;
- linotši tsa mafura kapa tse bonolo;
- lipompong tsa tlhaho - ka mokhoa o itekanetseng (jeme, pastille, mahe a linotši, marotholi, marmalade le tse ling);
- e mafura (ho fihlela ho 30 dikgerama ka letsatsi) le oli ea meroho (ho fihlela ho ligrama tse 15 ka letsatsi);
- tee e sootho e tala;
- mousomomile moro;
- compote ea litholoana tse omisitsoeng, ntja-ema;
- litholoana tse monate tsa litholoana le compotes.
Seo u ke keng ua se ja ka cholelithiasis?
Ho laolla sebete, o tlameha ho tlohela lijo tse "boima" tse fumanoang ka nako e telele. Haeba cholelithiasis e le boemong bo thata, ho molemo ho bolaoa ke tlala letsatsi la pele ka mor'a tlhaselo. Phetoho ho tafoleng ea nomoro ea 5 e etsoa butle-butle, ka ho kenyelletsa likarolo tsa lijana tse ncha. Ho ja ka majoe a gallbladder ha e akarelletse:
- li-broth, li-soups tsa nama, okroshku;
- bohobe bo monate;
- lijo tse halikiloeng;
- nama ka-lihlahisoa, offal;
- lisebelisoa tsa tsuba;
- pickling;
- marinades;
- lisoso tse monate le tse monate;
- tlhapi e mafura le nama;
- linaoa;
- harese, poone, perela harese;
- lijo tse nang le makoti;
- ho baka;
- lihlahisoa tse hlahang holimo;
- chisi e letsoai;
- whey;
- meroho e hlahisang mekhoa ea ho belisa (konofolo, k'habeche, eiee, radishes le ba bang);
- litholoana tsa citrus;
- linate;
- monokotsoai o monate le litholoana;
- tsokolate;
- di-dessert le tranelate;
- peo;
- koaa;
- lino tse nang le carbonate;
- kofi;
- joala;
- tee e tala;
- karkade;
- chicory.
Bothata ba Gallstone - mathata
Liphello tse mpe li hlaha ha ho se tsamaisane le litlhoko tsa lijo le ho hloka phekolo. Ho khabisa majoe ka li-ducts ho ba thibela, ho baka ts'ebetso e tsitsitseng. Sena se lebisa maemong a joalo a ho kula:
- cholangitis ;
- ho fokola ha biliary e matla;
- cholecystitis ;
- jaundice ea maiketsetso ;
- ho thibela mala ho hang;
- ho theoha;
Lefu le nang le bothata ba gallstone le ka qholotsa mokhoa o matla oa ho ruruha le tšenyo ea lera le leholo la marako a senya. Ka lebaka leo, ho phunyeha ha setopo ho hlaha le ho tsoa ha lintho tse ka hare ka mpeng - ka mahlakoreng a maholo a peritonitis. Boemo bona bo kotsi haholo, bo tletse liphello tse ke keng tsa qojoa esita le lefu.
Lefu la sejoale-thibelo
Ho thibela ho thehoa ha calculi, ho hlokahala hore u qobe lintlha tse ba hlahisetsang. Ho thibela ho thehoa ha gallstones:
- phepo e nepahetseng;
- tlhokomelo ea boima ba 'mele bo tloaelehileng;
- ho ikoetlisa;
- ho lahla lithethefatsi;
- ho phekoloa ka nako e nepahetseng maloetseng a sa foleng a sa foleng.