Gallbladder: noj zaub mov thiab nws cov nta
Gallbladder: noj zaub mov thiab nws cov nta
Anonim

Nyob hauv lub cev noj qab haus huv, cov kua tsib yog tsim nyob rau hauv daim siab, los ntawm qhov uas nws nkag mus rau lub gallbladder. Nyob rau hauv tas li ntawd, cov kua yuav ntau concentrated. Thaum cov zaub mov, nkag mus rau hauv lub plab, pib zom, cov kua tsib tsim nyog rau kev zom zaub mov kom raug, uas tau muab pov rau hauv duodenum los ntawm lub gallbladder.

Cov khoom noj uas tsim nyog los tswj qhov kev pom zoo ntawm lub plab zom mov yog tias muaj kab mob lossis tshem tawm cov khoom nruab nrog cev no yuav tsum ua kom muaj kev zom zaub mov zoo thiab tsis txhob tsis xis nyob thiab muaj kev cuam tshuam.

gallbladder nres
gallbladder nres

Nyob li cas thiab yog vim li cas thiaj xav tau

Bile yog qhov tsim nyog rau kev ua tiav cov zaub mov ntawm ntau yam zoo. Cov khoom no muaj dej, fatty acids, roj cholesterol thiab inorganic tshuaj, txawm li cas los xij, nws yog cov khoom no uas emulsifies rog thiab txhim kho lawv cov khoom tawg. Tsis tas li ntawd, cov kua tsib yog tsim nyog rau kev ua,Kev nqus thiab tiv thaiv ntawm putrefaction ntawm lwm cov as-ham hauv lub plab zom mov ntawm txhua tus neeg.

Thaum cov zaub mov nkag mus rau hauv lub plab, cov txheej txheem ntawm cov kua tsib pib tso rau hauv lub plab zom mov: cov kua dej nkag mus rau hauv duodenum los ntawm cov kua tsib feem ntau los ntawm lub gallbladder thiab cov kab mob pancreatic. Cov kua dej no yog tsim los ntawm ib qho ntawm cov qog loj tshaj plaws hauv lub cev - lub siab. Qhov zais cia nres nkag mus rau hauv lub plab zom mov tam sim tom qab qhov kawg ntawm cov zaub mov tawm hauv plab, piv txwv li thaum lub plab zom mov hloov mus rau hauv txoj hnyuv.

Vim tias cov kua tsib tsis txaus lossis tsis txaus ua rau muaj kev zom zaub mov, uas feem ntau tshwm sim tom qab kev phais lub gallbladder, kev noj haus tau dhau los ua ib theem tseem ceeb hauv txhua tus neeg lub neej.

oatmeal
oatmeal

tso quav ciab

Cov kua dej uas xav tau rau cov txheej txheem digestive yog tsim los ntawm daim siab hlwb thiab nkag mus rau hauv cov kua tsib. Maj mam txav mus raws lawv, nws pib ua rau lub gallbladder, qhov twg nws tseem nyob mus txog rau tom ntej noj mov.

Lub gallbladder yog ib lub cev me me, qhov ntim tsis pub tshaj 60-80 milliliters. Txawm li cas los xij, qhov no yog qhov uas daim siab tso tawm ntau dua.

Nrog kev noj zaub mov tsis tu ncua, thaum lub sijhawm yoo mov yog hloov los ntawm kev noj ntau dhau, cov txheej txheem stagnation tshwm sim hauv lub gallbladder. Qhov no ua rau txo qis kev siv ntawm cov kua tsib thiab kev cuam tshuam hauv kev ua haujlwm ntawm lub cev. Tom qab ib ntus, cov kua tsib pib pibsiv lead ua thiab pob zeb tsim. Nyob rau hauv cov txheej txheem pathological hnyav, nrog rau cov kab mob hnyav, tus kws kho mob yuav pom zoo kom tshem tawm lub gallbladder raws li txoj kev xwm txheej ceev.

Txawm li cas los xij, qhov tsis muaj lub cev tsis tuaj yeem lav tias tus neeg mob yuav tsis muaj pob zeb ntxiv. Txawm tias muaj kev hloov pauv ntawm cov kua tsib los yog nws cov stagnation tuaj yeem ua rau lawv qhov tsos.

Nws cov ntsiab lus ncaj qha nyob ntawm seb tus neeg noj tau zoo npaum li cas. Nrog rau kev noj zaub mov tsis txaus, cov txheej txheem tsis tsim nyog cuam tshuam nrog kev tsim pob zeb yuav rov ua dua, tab sis tam sim no tsuas yog nyob rau hauv cov kua tsib.

Kev noj zaub mov rau lub gallbladder nyob rau theem ntawm o lossis exacerbation yuav tsum coj mus rau hauv tus account qhov kev ntxhov siab ntawm lub plab zom mov thiab qhov tshwm sim ntawm lwm yam kab mob sib kis. Nws yog nyob ntawm tus neeg mob noj hauv nws cov khoom noj rau lub sijhawm no uas lub xeev ntawm nws lub cev noj qab haus huv nyob ntawm.

tshem tawm ntawm lub gallbladder
tshem tawm ntawm lub gallbladder

cov txheej txheem pathological hauv lub gallbladder

Cov kab mob uas tshwm sim hauv cov kab mob biliary feem ntau tshwm sim los ntawm qhov tshwm sim ntawm lub cev tsis ua haujlwm vim kev noj zaub mov tsis txaus lossis tsis ua raws li kev noj zaub mov. Feem ntau qhov no ua rau kev tshem tawm ntawm lub gallbladder (kev noj haus tom qab kev ua haujlwm yuav nruj dua).

YCholelithiasis

Nyob rau hauv lwm txoj kev, tus kab mob no hu ua cholelithiasis, vim hais tias nws yog nrog los ntawm cov tsos ntawm pob zeb-calculi nyob rau hauv lub zais zis nws tus kheej los yog cov kua tsib ducts. Lawv cov tsos mob tau yooj yim los ntawm ntau dhau ntawm cov roj (cholesterol) hauv cov kua tsib thiab kab mob sib kis. Cov kab mob ua rau ua txhaum cai ntawm nws cov dej ntws tawm.

Feem ntau, cov poj niam muaj hnub nyoog tshaj 40 xyoo uas muaj keeb kwm ntawm cev xeeb tub thiab rog dhau los ntawm qhov tshwm sim ntawm tus kab mob gallstone. Hauv cov txiv neej, tus kab mob no tshwm sim nws tus kheej thaum muaj hnub nyoog laus dua, nrog kev nyiam haus cawv thiab kev tsim txom ntawm cov khoom noj uas muaj roj cholesterol.

Nyob ntev asymptomatic chav kawm, tsis quav ntsej thawj cov tsos mob ntawm tus kab mob gallbladder, noj zaub mov uas tsis raug xaiv thiab ua rau lub cev hnyav dua, ua rau mob hnyav thiab xav tau mus pw hauv tsev kho mob sai.

khoom noj khoom haus rau cov kab mob gastrointestinal
khoom noj khoom haus rau cov kab mob gastrointestinal

duct dyskinesia

Kev ua txhaum cai (dyskinesia) ntawm kev ua haujlwm ntawm kev cog lus ntawm cov kab mob biliary yog tsim tawm tsam keeb kwm ntawm kev puas siab puas ntsws thiab kev ntxhov siab. Lwm qhov tseem ceeb hauv kev txhim kho tus kab mob no yog kev ua txhaum cai ntawm kev noj haus. Lub gallbladder thiab/lossis cov kua tsib pib raug kev txom nyem vim kev noj mov ntev ntev.

Cholecystitis

Nyob rau hauv cov neeg mob feem ntau, cholecystitis tsim tawm tsam keeb kwm ntawm cholelithiasis, uas ua rau muaj kev loj hlob ntawm inflammatory thiab necrotic txheej txheem nyob rau hauv lub gallbladder.

Cov kab mob acalculous cholecystitis tsis tshua muaj tshwm sim, kev loj hlob ntawm keeb kwm ntawm kab mob, kab mob parasitic invasion. Cov txheej txheem ua xua, nrog rau qee cov kab mob ntawm lub plab zom mov (tshwj xeeb yog kab mob siab thiab mob pancreatitis), kev nyuaj siab ntawm cov kua tsib kuj tuaj yeem ua rau kev loj hlob ntawm cholecystitis.

Txhua yam no qhia tias thaum twgCov kab mob ntawm lub gallbladder, noj zaub mov yog qhov tseem ceeb hauv kev tiv thaiv kev txhim kho ntxiv ntawm cov txheej txheem pathological.

buckwheat
buckwheat

YCholangitis

Nyob rau hauv mob thiab mob cholangitis, o ntawm cov kua tsib ducts yog yam ntxwv. Raws li txoj cai, cov kab mob no tshwm sim raws li qhov teeb meem tiv thaiv keeb kwm yav dhau los ntawm cov kab mob hauv qab no vim yog cov kab mob tshwm sim los yog kev puas tsuaj thaum lub sij hawm txav ntawm pob zeb, tom qab kev ua haujlwm thiab thaum muaj caws pliav, ua rau lub pob zeb nqaim. Yog li ntawd, kev xaiv noj zaub mov kom raug tom qab kev phais lub gallbladder yog ib qho ntawm cov ntsiab lus tseem ceeb tshaj plaws hauv kev kho kom rov zoo.

Cholangitis muaj ntau hom thiab tuaj yeem tshwm sim hauv daim ntawv ntawm obstructive, rov tshwm sim, theem nrab sclerosing, kab mob ntawm cov kab mob. Nrog rau cov kab mob purulent thiab kab mob cholangitis, qhov kev tawm tsam tshwm sim nyob rau hauv ob peb hnub thiab yuav tsum tau txais kev kho mob txaus. Thaum tsis muaj kev kho mob uas muaj peev xwm, feem ntau, qhov tshwm sim tuag tau tshwm sim.

Qhov tseem ceeb ntawm kev noj zaub mov tom qab laparoscopy ntawm lub gallbladder

Nrog rau kev cuam tshuam kev phais, txhua tus neeg mob yuav tsum ceev faj tshwj xeeb txog nws txoj kev noj haus thiab ua tib zoo ua raws li lwm tus kws kho mob cov lus pom zoo. Yog tias muaj kev noj zaub mov tsis txaus, kev ua haujlwm ntawm daim siab tuaj yeem nyuaj, thiab cov kua tsib kuj tseem tuaj yeem tsim los ntawm kev ua tsis tau raws sij hawm tawm mus rau hauv cov hnyuv. Qhov no feem ntau ua rau mob hauv plab, duodenum lossis pancreas.

Tom qab tshem tawm lub gallbladder (laparoscopy)kev noj haus naj npawb 5 yog qhov yuav tsum tau ua ua ntej kom rov zoo sai thiab rov zoo ntawm tus neeg mob.

zaub kua zaub
zaub kua zaub

Yuav noj dab tsi

Tom qab kev phais gallbladder, kev noj zaub mov pom zoo yog ua raws li ob peb txoj cai dav dav.

Ua ntej tshaj, haus dej ua ntej txhua pluas mov yog qhov tseem ceeb heev. Haus tsawg kawg ib khob dej txhua zaus.

Txhua yam khoom noj thiab dej haus uas suav nrog hauv cov zaub mov yuav tsum sov, tab sis tsis kub lossis txias. Koj yuav tsum noj tsawg kawg tsib zaug hauv ib hnub hauv ib qho me me. Tag nrho cov tais diav yuav tsum tau siav los ntawm stewing, boiling los yog steaming.

Tsis txhob noj cov zaub mov kib, vim tias cov tshuaj muaj nyob hauv lawv tsim cov tshuaj uas ua rau mob plab hnyuv. Qhov no ua rau muaj kev ntxhov siab ntxiv ntawm cov mucous ntawm lub plab zom mov.

Nyob rau hauv nqe lus nug ntawm dab tsi yuav tsum tau suav nrog hauv kev noj haus txhua hnub tom qab laparoscopy ntawm lub gallbladder, koj yuav tsum tau coj los ntawm kev nkag siab zoo thiab cov lus pom zoo ntawm koj tus kws kho mob.

Kev noj haus 5

Kev noj zaub mov txhawm rau txhawm rau txhim kho lub cev tom qab kev ua haujlwm thiab kev rov ua haujlwm sai ntawm tus neeg mob, suav nrog kev siv:

  • thawj chav kawm ua zaub mov thiab ntses broths, nrog rau cov kua zaub nrog cov nqaij ntshiv;
  • chav kawm thib ob ntawm boiled, stewed los yog steamed ntses, nqaij qaib, lean nqaij nyug thiab nqaij nyug;
  • porridges (buckwheat thiab oatmeal yog qhov tseem ceeb, semolina yog qhov zoo dua tsis yog tag nrho.siv);
  • ci lossis maj mam steamed txiv hmab txiv ntoo;
  • zaub stewed;
  • fermented mis nyuj khoom (tshwj tsis yog cheese) thiab 9% tsev cheese.

Kev Noj Qab Haus Huv No 5 tom qab kev phais lub gallbladder tso cai siv cov rog (zaub, me me ntawm butter thiab qaub cream) hauv cov zaub mov txhua hnub tsuas yog 1.5-2 lub hlis tom qab ua haujlwm.

dej ntshiab
dej ntshiab

Yuav tsum tau tshem tawm

Tom qab tshem lub gallbladder (laparoscopy) hauv tus neeg mob noj zaub mov yuav tsum tsis tuaj:

  • nqaij ntses thiab nqaij qaib;
  • yuav haus cov nqaij thiab hnyuv ntxwm;
  • ntses thiab nqaij khaws cia;
  • ntsim, qab ntsev, qaub zaub mov, ntxiv rau marinades thiab txuj lom;
  • nceb hauv txhua yam ua noj;
  • legumes;
  • dej qab zib thiab dab;
  • khoom qab zib, tshwj tsis yog cov txiv hmab txiv ntoo qhuav thiab cov txiv hmab txiv ntoo qhuav;
  • tshuaj yej thiab kas fes.

Ntxiv rau, koj yuav tsum tsis txhob haus luam yeeb.

Txawm hais tias kev noj zaub mov nrog ntau qhov txwv tau pom zoo tom qab laparoscopy, txawm tias nrog nws, koj tuaj yeem ua zaub mov qab thiab nthuav. Xws li cov tais diav yuav muaj txiaj ntsig tsis yog rau tus neeg zoo xwb, tab sis kuj rau lwm tus neeg hauv tsev neeg. Ua li no, tus cwj pwm ntawm kev noj zaub mov zoo tuaj yeem tshwm sim hauv txhua tsev neeg.

Pom zoo: