Kab mob siab - cov tsos mob thiab cov tsos mob, ua rau thiab kev kho mob ntawm daim siab. Kev tiv thaiv

Cov txheej txheem:

Kab mob siab - cov tsos mob thiab cov tsos mob, ua rau thiab kev kho mob ntawm daim siab. Kev tiv thaiv
Kab mob siab - cov tsos mob thiab cov tsos mob, ua rau thiab kev kho mob ntawm daim siab. Kev tiv thaiv
Anonim

Cov tsos mob, cov cim qhia thiab kev kho mob siab

Lub cev tib neeg yog tsim los ua kom txhua lub cev tuaj yeem muab faib ua qhov tseem ceeb thiab pab. Lub siab kom meej meej belongs rau thawj pab pawg neeg. Nws qhov tseem ceeb rau kev tswj kom muaj kev vam meej ntawm lub cev tsis tuaj yeem overestimated. Tom qab tag nrho, qhov no yog lub cev muaj zog parenchymal uas sib txuas cov haujlwm ntawm lub caj pas digestive thiab ib hom kev kuaj biochemical.

Nws nyob ntawm no tias tag nrho cov tshuaj biochemical hauv nruab nrab thiab cov txheej txheem txhawb nqa lub neej tshwm sim. Lawm, qhov nyuaj ntawm cov qauv ntawm ib lub cev thiab qhov siab dua qhov load ntawm nws, qhov yooj yim dua nws yog. Thiab txawm hais tias muaj peev xwm rov tsim dua tshiab thiab rov tsim dua tshiab ntawm daim siab, tus naj npawb ntawm nws cov kab mob, hloov mus rau hauv daim siab tsis ua haujlwm, tseem pheej loj hlob tsis tu ncua.

tib neeg lub siab nyob qhov twg?

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Zoo li txhua lub cev tseem ceeb, lub siab nyob hauv nruab nrab ntawm lub cev. Nws occupies zoo tag nrho sab xis sab xis ntawm lub plab kab noj hniav, nyob rau hauv lub diaphragm. Lub ntsiab loj ntawm lub cev yog tsau los ntawm ligaments nyob rau hauv nws txoj cai dome, uas yog npaj mus rau lub anterior plab phab ntsa raws li thaj tsam ntawm txoj cai costal koov thiab hypochondrium. Los ntawm ntu no, daim siab mus rau sab laug, maj mam nqaim kom txog rau thaum cov npoo tau txuas tag nrho ntawm lub kaum sab xis nyob rau hauv daim ntawv ntawm ib lub voj voog ze rau sab laug hypochondrium. Yog li ntawd, yog tias muaj teeb meem nrog lub siab, cov neeg mob yws ntawm qhov mob lossis qhov tsis xis nyob hauv txoj cai hypochondrium nrog qhov kis tau mus rau epigastrium.

Kev ua haujlwm ntawm daim siab hauv tib neeg lub cev

Tsis muaj lwm yam kabmob hauv tib neeg lub cev muab kev ua haujlwm ntau npaum li lub siab ua. Cov no suav nrog:

  • Detoxification ntawm lub cev - neutralization ntawm tag nrho cov tshuaj lom uas nkag mus rau hauv cov hlab ntsha los ntawm ib puag ncig (cawv, co toxins, tshuaj);
  • Kev siv thiab tsis ua haujlwm ntawm cov tshuaj lom metabolic tsim nyob rau hauv lub cev thaum lub neej (cov khoom noj protein, phenol, ketone compounds thiab acetone);
  • Kev koom tes hauv cov vitamin thiab ntxhia cov metabolism: tso dej-soluble vitamins ntawm pawg B, C, PP, nrog rau cov rog-soluble D, E, K, kab kawm ntawm hlau, tooj liab thiab cob alt;
  • Kev koom tes hauv kev sib txuas ntawm steroid poj niam txiv neej, thyroid, adrenal hormones thiab neutralization ntawm lawv tshaj;
  • Txoj cai ntawm cov carbohydrates metabolism;
  • Kev tso tawm thiab kev faib tawm ntawm lub zog substrates hauv lub cev (glucose, glycogen) los ntawm cov txheej txheem ntawm glycogenolysis, gluconeogenesis, glycolysis;
  • Y Kev koom tes hauv lipid metabolism (metabolism ntawm cov roj cholesterol, phospholipids, fatty acids, lipoproteins);
  • Ua raws cov txheej txheem hauv nruab nrab ntawm cov metabolism hauv cov protein: kev sib txuas ntawm cov khoom siv protein rau cov cell membranes thiab thauj cov proteins, rov faib cov amino acids;
  • Kev koom tes hauv kev sib txuas ntawm immunogobullins, tshuaj tiv thaiv kab mob thiab lwm cov protein tseem ceeb ntawm lub cev tiv thaiv kab mob;
  • Synthesis ntawm plasma coagulation yam thiab anticoagulant ntshav system;
  • Kev ua haujlwm ntawm hematopoiesis, tshwj xeeb tshaj yog thaum cev xeeb tub thiab menyuam yaus;
  • Synthesis ntawm bile thiab enzymes uas koom nrog hauv cov txheej txheem ntawm kev zom zaub mov. Lawv lub luag haujlwm tseem ceeb yog kev rhuav tshem cov rog;
  • Kev ua tiav ntawm bilirubin metabolism thiab nws qhov nruab nrab los ntawm kev sib txuas nrog glucuronic acid;
  • Kev tso ntshav tawm, uas tso cai rau nws rov xa rov qab yog tias xav tau (kev tso ntshav mus rau hauv cov hlab ntsha yog tias nws tsis muaj peev xwm thaum ntshav poob lossis concentration hauv qhov mob plawv tsis ua haujlwm);

Lub siab yog lub qog loj tshaj plaws ntawm tib neeg lub cev, uas ua haujlwm tshaj plaws ntawm txhua lub cev. Kev puas siab puas ntsws tuaj yeem nrog los ntawm kev ua txhaum ntawm ib lossis tag nrho nws cov haujlwm, uas cuam tshuam qhov mob hnyav.

kab mob siab

Pab pawg kab mob siab tuaj yeem suav nrog txhua yam kev puas tsuaj rau txhua tus qauv uas tsis mus dhau qhov kev txwv anatomical ntawm lub cev. Cov no tuaj yeem yog hepatocytes thiab hepatic lobules uas lawv tsim, intrahepatic arterial thiab venous hlab ntsha, thiab cov kua tsib. Cov kab mob ntawm cov kab mob siab ntxiv thiab lub gallbladder yuav tsum tau kho raws li cov rubric cais.

Cov kab mob siab tseem ceeb muaj nyob hauv cov lus:

pab pawg kab mob siab

Nosological units los ntawm pawg

Primary inflammatory, purulent and functional lesions of siab hlwb
  1. Viral kab mob siab (A, B, C thiab lwm yam);
  2. Toxic kab mob siab;
  3. Hepatomegaly ntawm lub hauv paus tsis paub meej (tsis piav qhia txog lub siab loj);
  4. Fatty hepatosis (fatty siab);
  5. Cawv thiab tsis-alcoholic steatohepatosis;
  6. Tuberculosis thiab syphilitic lesions ntawm daim siab;
  7. Npaj siab ntawm daim siab (tsim kab noj hniav purulent).
Taumatic raug mob
  1. Ruptures ntawm daim siab nrog blunt kaw raug mob ntawm lub plab;
  2. Qhib lub siab raug mob (stab txhab);
  3. phom phom raug mob thiab mob siab.
kab mob vascular
  1. Hepatic vein thrombosis (Budd-Chiari syndrome);
  2. YPylephlebitis (purulent o ntawm lub portal leeg ntawm daim siab);
  3. Portal hypertension (nce siab hauv lub portal leeg thiab portal system hauv daim siab cirrhosis);
  4. Intrahepatic arteriovenous fistulas thiab fistulas (pathological fistulas ntawm daim siab hlab ntsha).
kab mob Intrahepatic bile duct
  1. Intrahepatic cholestasis (stagnation ntawm cov kua tsib hauv daim siab);
  2. Acute cholangitis (purulent o ntawm cov ducts);
  3. Chronic cholangitis;
  4. Intrahepatic cholelithiasis (tsim pob zeb hauv cov kab mob siab);
  5. kab mob Caroli (congenital enlargement ntawm intrahepatic ducts nrog nce pob zeb tsim thiab ntau yam me me abscesses).
Tumor disease
  1. daim siab cyst (tso sau cov kua txwv rau cov tshuaj ntsiav);
  2. Hemangioma (qhov txawv txav ntawm cov kab mob vascular nyob rau hauv daim ntawv ntawm cov qog);
  3. Hepatocellular carcinoma;
  4. Angiosarcoma thiab lwm hom kab mob siab;
  5. Intraductal cancer (Klatskin qog);
  6. Metastatic daim siab kab mob hauv qog noj ntshav ntawm txhua qhov chaw.
  1. Alveococcosis;
  2. Echinococcosis;
  3. Ascariasis;
  4. Opistorhoz;
  5. Leptospirosis.
Hereditary pathology thiab anomalies
  1. Hypoplasia thiab aplasia ntawm daim siab (kev txhim kho lossis tsis muaj lub cev);
  2. Atresia ntawm cov hlab ntsha thiab cov hlab ntsha (ua me me los yog daim nyias nyias uas cuam tshuam cov ntshav los yog cov kua tsib);
  3. Hepatic fermentopathy nrog impaired bilirubin metabolism (Gilbert, Rotor, Dubin-Jones syndromes);
  4. Hepatic fermentopathy nrog impaired tooj liab metabolism (Wilson-Konovalov syndrome);
  5. YHemochromatosis;
  6. Hereditary pigmentary kab mob siab.
daim siab puas hauv pathology ntawm lwm yam kabmob
  1. Congestive daim siab nyob rau hauv lub plawv tsis ua hauj lwm;
  2. Amyloidosis;
  3. Lub raum thiab lub siab tsis ua haujlwm;
  4. Hepatomegaly hauv leukemia.
Cov qauv thiab kev hloov pauv hauv lub siab thiab lawv cov teeb meem
  1. Cirrhosis ntawm daim siab;
  2. siab tsis zoo;
  3. Parenchymal jaundice;
  4. Hepatic coma.
Autoimmune siab kab mob

Pathology uas muaj kev puas tsuaj ntawm daim siab tsis tsim nyog los ntawm nws tus kheej lub cev tiv thaiv kab mob:

  1. Autoimmune kab mob siab;
  2. Primary sclerosing cholangitis;
  3. Primary biliary cirrhosis;

Txhua tus kab mob siab rau qhov kev loj hlob xaus nrog cirrhosis thiab nrog qee qhov kev tsis txaus siab hepatobiliary.

Cov tsos mob thiab cov tsos mob ntawm daim siab

Cov tsos mob thiab cov tsos mob ntawm daim siab mob
Cov tsos mob thiab cov tsos mob ntawm daim siab mob

Cov tsos mob ntawm daim siab yog xeev siab, kub siab, tsis kaj siab, tsis hnov tsw ntawm hws, daj xim ntawm daim tawv nqaij, zis daj daj, raws plab, tsis muaj xim ntawm cov quav mus rau xim av lossis xim daj, qee zaum ntsuab.

Tsis tas li ntawd, kab mob siab tuaj yeem ua rau pob txuv hauv cov neeg laus, nquag tshaib plab lossis muaj zog thiab nqhis dej tas li, khaus ntawm qee qhov tawv nqaij, thiab qhov muag tsis pom kev. Piv txwv li, ib tug neeg yuav pib tsis meej pem nrog daj, dheev hnov mob los yog kub, tsis tsaug zog thaum hmo ntuj, thaum kub taub hau, plawv dhia. Cov plaub hau thiab pob muag yuav pib poob tawm. Muaj convulsions, papillomas tsim, kev loj hlob ntawm atherosclerosis ntawm lub paj hlwb, lub plawv, hnyuv, hlab ntsha ntawm ob txhais ceg pib.

Cov mob ntawm daim siab teeb meem ntawm cov organic thiab kev ua haujlwm tau lees paub yam tsis muaj teeb meem los ntawm cov tsos mob. Tab sis qee qhov xwm txheej ua rau nws nyuaj rau cov kws kho mob hepatologist (tshwj xeeb ntawm cov kab mob siab) txhawm rau kuaj xyuas kom raug. Nws tag nrho yog nyob ntawm hom kab mob tshwj xeeb, tus yam ntxwv ntawm lub cev, muaj lossis tsis muaj cov kab mob sib kis.

Qhov kev kho mob tseem ceeb ntawm cov kab mob siab tuaj yeem yog:

  • Tsis xis nyob thiab mob hauv lub siab ua haujlwm;
  • daim siab;
  • Kev qaug zog thiab tsis xis nyob;
  • Headache;
  • Kev ua txhaum ntawm kev puas siab puas ntsws-cogitative muaj peev xwm;
  • tawv nqaij tawm hws thiab puffiness;
  • daim tawv nqaij daj thiab sclera;
  • pob khaus;
  • khaus khaus khaus;
  • Ntau vascular fragility thiab nyiam los ntshav;
  • Cov cim qhia ntawm hypovitaminosis;
  • Kev tsis ruaj tsis khov ntawm cov quav, hloov qhov xwm thiab xim ntawm cov quav;
  • Ntawm qhov loj ntawm lub plab;
  • Txhim kho venous qauv ntawm daim tawv nqaij ntawm lub plab;
  • Tsis txhob poob phaus;
  • Nyob hauv qhov ncauj;
  • Ncaim ntawm tus nplaig thiab nws txheej nrog cov xim dawb lossis xim av;
  • Kub qhov tshwm sim ntawm qhov sib txawv hnyav.

lub siab mob li cas?

Mob lub siab puas tuaj yeem muaj qhov sib txawv. Koj tuaj yeem txhais lawv li no:

  1. mob me ntsis hauv txoj cai hypochondrium hauv daim ntawv ntawm kev mob hnyav, tawg thiab hnyav. Lawv characterizes ib tug sluggish pathological txheej txheem ntawm inflammatory toxic los yog lwm yam keeb kwm. Hom mob hauv daim siab no feem ntau yog vim qhov nce ntawm qhov loj ntawm lub cev thiab overstretching ntawm daim siab capsule. Cov neeg mob tsis tuaj yeem txheeb xyuas qhov mob ib leeg;
  2. mob hnyav hnyav nyob rau hauv txoj cai hypochondrium. Lawv tsis tshua muaj thiab hais txog ib qho kev hais tawm inflammatory, purulent, traumatic pathological txheej txheem, los yog kev puas tsuaj rau cov kua tsib ducts los ntawm pob zeb;
  3. mob hnyav hauv cheeb tsam hauv qhov projection ntawm daim siab. Tsis raug rau daim siab puas thiab feem ntau cuam tshuam nrog pathology ntawm lub gallbladder thiab extrahepatic bile ducts;
  4. Txhob mob lub siab. Nws yog ib qho tshwm sim hauv cov kab mob siab tawv nqaij uas mus tsis tau pom ntev thiab txiav txim siab tsuas yog nyob rau theem ntawm daim siab tsis ua haujlwm lossis cirrhosis.

Daim tawv nqaij mob siab

Daim tawv nqaij hauv kab mob siab
Daim tawv nqaij hauv kab mob siab

Tus yam ntxwv ntawm daim tawv nqaij tuaj yeem txiav txim siab ua haujlwm ntawm ntau yam kabmob, nrog rau daim siab.

Nyob hauv cov kab mob no, daim tawv nqaij yuav yog:

  • Pleev lossis swarthy nrog tawm hws hnyav thiab o ntawm cov ntaub so ntswg subcutaneous, tshwj xeeb tshaj yog nyob rau ntawm lub ntsej muag thiab ceg;
  • Qhuav, flaky nrog ntau qhov khawb thiab tawg;
  • Nyob rau cov pob liab liab, atopic dermatitis, psoriasis, eczema;
  • Icteric. Los ntawm qhov xwm txheej ntawm cov tawv nqaij hloov pauv no, nws muaj peev xwm txiav txim siab txog keeb kwm ntawm jaundice. Nrog rau cov teeb meem ntawm daim siab, jaundice yog siv los ntawm nruab nrab thiab yog sawv cev los ntawm cov txiv kab ntxwv tint. Thaum ua qhov kev kuaj mob sib txawv ntawm tus kab mob jaundice, qhov kev ntsuas no ua rau nws muaj peev xwm tshem tawm lawv cov khoom siv tshuab (xim xim av) thiab hemolytic, nrog rau cov txiv qaub-daj ntawm daim tawv nqaij;
  • Nrog striae. Stretch marks yog stretch marks ntawm daim tawv nqaij, feem ntau ntawm lub plab mog, nyob rau hauv daim ntawv ntawm cyanotic kab txaij ntawm nws thinning. Yog vim li cas rau lawv cov tsos yog ib tug hormonal tsis txaus, ob leeg nyob rau hauv txiv neej thiab poj niam lub cev, thaum lub siab tsis muaj peev xwm mus neutralize ntau tshaj ntawm steroid hormones.

Raws kab mob siab

Nyob rau hauv cov neeg mob feem ntau nrog rau daim siab pathology, nrog rau kev hloov ntawm daim tawv nqaij xim, cov tsos ntawm ntau yam pob khaus tau sau tseg.

Mechanisms ntawm qhov tshwm sim thiab hom pob khaus tuaj yeem ua raws li hauv qab no:

  • Pustular ntsiab, nyiam folliculitis thiab furunculosis. Lawv ua raws li kev tiv thaiv kab mob tsis txaus ntseeg uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev txo qis hauv lub peev xwm ntawm lub siab los ua ke cov immunoglobulins;
  • ua xua pob khaus los ntawm hom pob thiab papules. Nws yog tshwm sim los ntawm kev ua txhaum ntawm lub siab ua haujlwm detoxification, uas ua rau muaj qhov tshwm sim ntawm kev tsis haum tshuaj rau ib puag ncig uas paub txog lub cev;
  • pob liab liab. Me me hemorrhages tshaj tag nrho saum npoo ntawm daim tawv nqaij, uas yog hu ua petechial pob, yog ib qho tshwm sim ntawm ib tug txo nyob rau hauv lub synthetic muaj nuj nqi ntawm lub siab. Ua ntej tshaj plaws, cov proteins uas ua rau cov ntshav coagulation raug kev txom nyem. Cov neeg mob zoo li no muaj kev xav ntau dua los ua hematomas ntawm qhov raug mob me ntsis.

Nws yog ib yam uas txhua yam ntawm daim tawv nqaij ua pob khaus nyob rau hauv daim siab kab mob yog nrog los ntawm khaus heev. Nws kis tau tshwj xeeb persistence thaum ua ke nrog yellowness ntawm daim tawv nqaij nrog pob khaus. Cov tsos mob no tau piav qhia los ntawm qhov tseeb tias bilirubin tsis neutralized los ntawm daim siab, tso rau hauv daim tawv nqaij, ua rau khaus. Tsis tas li ntawd, lwm yam tshuaj lom metabolic yog concentrated nyob rau hauv ib tug dav microcirculatory network ntawm daim tawv nqaij, uas kuj ua rau khaus thiab khaus. Hauv qhov no, thaum kuaj xyuas cov neeg mob nrog daim siab pathology, cov cim ntawm khawb tuaj yeem pom, tshwj xeeb tshaj yog nyob rau sab nraud ntawm lub plab thiab lub hauv pliaj.

Ua rau mob siab

Ua rau kab mob siab
Ua rau kab mob siab

daim siab cov ntaub so ntswg muaj peev xwm loj heev nyob rau hauv cov nqe lus ntawm resilience thiab ib puag ncig tiv thaiv.

Yuav ua rau muaj teeb meem daim siab suav nrog:

  1. Viral agents. Cov no suav nrog kab mob siab kab mob siab hom A, B, C, D, E thiab lwm yam tsawg. Lawv ua rau muaj qhov tshwm sim ntawm cov txheej txheem mob hnyav thiab mob ntev hauv daim siab cov ntaub so ntswg, uas yog hu ua kab mob siab, raws li lub npe ntawm tus kab mob. Hom kab mob siab kab mob siab tshaj plaws yog kab mob siab A, txaus ntshai - B, kis tau tus mob ntev thiab kuaj pom nyob rau theem ntawm cirrhosis - kab mob siab C;
  2. Cov teebmeem toxic. Lub sijhawm ntev thiab ua haujlwm tau txais cov tshuaj lom neeg los ntawm ib puag ncig (vapors, tshuaj lom neeg, cov hlau hnyav) rau hauv lub cev lossis tib lub sijhawm raug rau cov tshuaj ntau ntawm lawv. ntawm daim siab ua rau kev puas tsuaj rau lub cev. Nyob rau hauv cov ntaub ntawv no, ob qho tib si ib tug nruab nrab o ntawm lub siab yam tsis muaj kev ua haujlwm tsis zoo, thiab loj necrosis ntawm hepatocytes nrog kev hloov mus rau kev loj hlob hepatocellular insufficiency tuaj yeem tshwm sim;
  3. Tshuaj cuam tshuam. Tsis yog txhua yam tshuaj muaj tib yam tshuaj hepatotoxicity. Cov tshuaj tua kab mob, tshuaj tua kab mob, tshuaj hormones suav hais tias yog qhov ua phem tshaj plaws ntawm lawv;
  4. dej cawv. Kev tsim txom ntawm cov khoom uas muaj ethanol ua rau muaj kev cuam tshuam ncaj qha rau lub siab hlwb. Nyob rau tib lub sijhawm, qhov no ua rau cirrhosis ntawm daim siab. Kev tsim kom muaj kev nyab xeeb txhua hnub ntawm 40% ethanol rau lub siab tsis pub tshaj 90-100 milliliters rau txiv neej thiab 50-70 ml rau poj niam;
  5. kis kab mob thiab kab mob cab. Ntawm lawv, qhov chaw tseem ceeb yog nyob ntawm echinococcus thiab alveococcus, roundworms, pathogens ntawm leptospirosis. Lawv ua rau ob qho kev hloov pauv pathological ntawm qhov mob hnyav thiab ua rau cov txheej txheem mob ntev hauv daim ntawv ntawm cystic transformation ntawm daim siab;
  6. Yam yuam kev hauv kev noj zaub mov tsis zoo. Hauv qhov no, qhov txaus ntshai tshaj plaws yog kev tsim txom ntawm cov rog, kib, haus luam yeeb thiab cov khoom noj uas muaj cov txuj lom ntau. Qhov no ua rau muaj kev ua txhaum ntawm cov kua tsib, uas ua rau nws stagnation, cholangitis thiab tsim cov pob zeb nyob rau hauv lub ductal system ntawm lub siab;
  7. Hereditary predisposition, kab mob caj ces thiab malformations. Hom no ua rau underlies ntau yam atresias ntawm lub siab hlab ntsha thiab ducts, hepatic hypoplasia, cia kab mob thiab fermentopathies;
  8. Cov kab mob hauv plab hnyuv, nrog rau cov txheej txheem suppurative. tuaj yeem ua rau kev sib kis ntawm suppuration mus rau hauv lub portal hlab ntsha, uas yuav ua rau nws thrombosis;
  9. Kev mob plab thiab lub siab. Lawv tseem ceeb tsis yog nyob ze yav tom ntej tom qab qhov tshwm sim. Qee lub sij hawm ob peb xyoos tom qab raug mob, hlwv lossis lwm cov kua dej sib xyaw hauv daim siab parenchyma tuaj yeem pom;
  10. Ionizing hluav taws xob thiab lwm yam kab mob hauv lub cev thiab tshuaj lom neeg. Cov laj thawj no tuaj yeem ua rau mob qog noj ntshav ntawm qee qhov chaw ntawm daim siab.

Lub siab muaj ib lub peev xwm rov tsim dua tshiab ntawm txhua lub cev nqaij daim tawv. Qib ntawm kev siv cov teeb meem cuam tshuam ntawm cov laj thawj hauv kev txhim kho cov kab mob siab yog nyob ntawm kev ua neej ntau dua

Kev noj zaub mov rau daim siab

Noj zaub mov
Noj zaub mov

Kev ua raws li kev noj haus rau cov kab mob siab yog qhov yuav tsum tau ua ntawm cov txheej txheem kho mob. Qee zaum nws txoj kev ua tau zoo nyob ntawm nws. Txhua tus neeg mob hepatic pathology yuav tsum nco ntsoov qhov no. Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua raws li cov lus pom zoo ntawm kev ua neej kom thiaj li ua kom lub siab nyob hauv lub xeev ntawm cov txheeb ze ua haujlwm so.

Yuav ua li cas tshem tawm ntawm kev noj haus?

Cov zaub mov hauv qab no yuav tsum raug cais tawm ntawm kev noj haus:

  • Cawv raug txwv nruj, txawm tias me me
  • Khaub thiab tshuaj yej muaj zog;
  • Cov dej ntxhia pob zeb, tshwj xeeb nrog cov dyes, lossis cov dej txias txias tsis tu ncua
  • Cov nqaij rog (nqaij npuas, os, goose) thiab offal (raum, siab, hlwb, lub siab);
  • Koj tsis tuaj yeem ua kua zaub los ntawm cov nqaij nplua nuj, rog, nceb, raws li legumes thiab sorrel
  • Cov nplej zom, cov khoom noj muaj roj thiab cov kua ntses, cov txiv lws suav muaj zog thiab cov kua txiv hmab txiv ntoo
  • Txhua yam khoom haus luam yeeb, hnyuv ntxwm, cov khoom noj kaus poom, cov khoom noj muaj roj, yaj, nqaij nyuj thiab nqaij npuas tsis suav nrog
  • Cov ntses rog (salmon, salmon, sturgeon, eel, carp, stellate sturgeon, catfish), nrog rau cov ntses ntsev thiab haus luam yeeb.
  • Txhua yam caviar thiab sushi
  • Cov khoom noj tshiab thiab cov khoom noj pastry (buns, pies, donuts, ncuav qab zib);
  • Ryazhenka, cov mis muaj rog thiab tsev cheese, ntsev thiab seasoned cheeses
  • YQee zaub: kale, Brussels sprouts, sorrel, spinach, pickles, pickles, qej, dos, eggplant, nceb, radishes, turnips, asparagus thiab siav tswb peppers
  • Yuav luag txhua yam txiv hmab txiv ntoo tshiab thiab txiv hmab txiv ntoo suav nrog hnub, cranberries, txiv hmab txiv ntoo, figs thiab raspberries
  • Koj tsis tuaj yeem noj qe ntau hauv cov kab mob siab, nrog rau lawv daim ntawv kib
  • Sushi, nqaij haus luam yeeb, ntsim thiab rog zaub mov tsis tuaj yeem txais los ntawm cov khoom noj txom ncauj;
  • Los ntawm qab zib, txhua yam khoom muaj chocolate thiab cocoa, qab zib, lossis ntau cov khoom qab zib yog txwv tsis pub
  • Y Txhua yam seasonings, mustard, vinegar, kua txob, adjika, ketchup, mayonnaise, thiab kua ntses, tshwj xeeb tshaj yog ntsim;

Dr. Berg - 7 cov khoom xyaw uas ua rau koj lub siab puas tsuaj:

Yuav ua li cas pub zaub mov rau kab mob siab

Cov khoom hauv qab no tso cai rau cov kab mob siab:

  • Drinks. Ib decoction ntawm rosehips, qaug zog dub tshuaj yej nrog txiv qaub, mis nyuj. Hloov cov piam thaj, hloov pauv (xylitol) tuaj yeem siv. Kua txiv los ntawm berries thiab txiv hmab txiv ntoo tsis muaj suab thaj. Compotes yog npaj los ntawm qhuav thiab tshiab txiv hmab txiv ntoo, sib tsoo lawv.
  • Rye lossis bran qhob cij, lossis nag hmo lub khob cij (los yog stale), biscuit, biscuit type ncuav qab zib;
  • cov khoom noj muaj roj tsawg. Qaib ntxhw nqaij, nqaij nyuj, luav, nqaij qaib yog pom zoo. Nws yog qhov zoo dua los tshem tawm daim tawv nqaij ntawm nqaij qaib;
  • Qe-rog ntau hom ntses. Kev tsom xam yog muab tso rau ntawm zander, pike, cod, txhua yam muaj roj tsawg ntawm cov ntses dej;
  • Oil. Refined zaub roj (txog 10 g) thiab butter (txog 10-30 g) raug tso cai;
  • Cov khoom noj muaj roj tsawg. Nws tuaj yeem yog cov mis nyuj khov, tsis muaj rog lossis rog tsawg, tsis yog cheeses ntsim. Kefir thiab mis nyuj tsuas tuaj yeem tsis muaj rog, qhov siab tshaj plaws ntawm cov rog yuav tsum tsis pub tshaj 2%. Koj tuaj yeem faib cov ntawv qhia zaub mov nrog cheesecakes, tub nkeeg dumplings, puddings.;
  • Qe. Cov qe pom zoo ib hnub tsuas yog ib qho xwb. Cov no tuaj yeem yog qe ntawm txhua hom noog;
  • Nws yog qhov zoo dua los ua zaub mov ntawm qos yaj ywm, taub dag, zaub qhwv, zucchini, carrots thiab beets. Ntsuab peas thiab Beijing cabbage yuav zoo kawg nkaus ntxiv cov zaub mov. Zaub tuaj yeem boiled, grated thiab ua kua zaub-puree, soufflé, casseroles nrog nqaij thiab ntses. Nyob rau hauv ib tug me me, zaub xam lav nrog ib tug nruab nrab saj (pob kws, iceberg, romaine) yog txais tos. Pab tau Bulgarian kua txob;
  • YKoj tuaj yeem siv txhua yam ntawm vermicelli thiab pasta, buckwheat, mov, oatmeal - txhua yam yog boiled;
  • YKoj tuaj yeem ua lub caij npaj ua zaub mov nrog nplooj nplooj, cinnamon, parsley, dill, vanilla. Zoo rau flavoring soy sauce.;
  • Rau cov neeg muaj kab mob siab, khoom qab zib thiab khoom qab zib yuav tsum tau nthuav tawm nrog txiv hmab txiv ntoo jam, me me ntawm zib ntab, marmalade.
  • khoom noj txom ncauj. Kev noj zaub mov rau kab mob siab tsis txwv kev siv cov zaub tshiab thiab txiv hmab txiv ntoo nyias seasoned nrog refined roj; Tom qab boiling, ntses yog ua rau aspic, tsawg-rog ntau hom herring yog soaked, thiab ntses stuffed yog ua. Nws raug tso cai nyob rau hauv ib qho me me, thiaj li tsis ua rau flatulence, sauerkraut tsis muaj vinegar. Los ntawm cov zaub nyoos ib txwm: vinaigrette, zucchini nyob rau hauv daim ntawv ntawm caviar.

Yuav ua li cas noj thiab noj mov?

Txhua yam zaub mov yuav tsum tau steamed, stewed, ci, boiled. Tsis muaj teeb meem lawv yuav tsum tau kib thiab haus luam yeeb. Nws tuaj yeem yog kua zaub, kua zaub puree, casserole, paj npleg, puree, tsuas yog boiled cov khoom hauv lawv daim ntawv ntshiab. Koj tuaj yeem muab cov zaub mov tso rau hauv cov zaub xam lav thiab stews. Nco ntsoov ua kom lawv lub caij kom zoo. Qhov no yuav muab lub cev nrog sodium thiab chloride ions. Npaj zaub mov yuav tsum sov ua ntej noj. Nws yog qhov zoo dua los ua raws li lub hauv paus ntsiab lus ntawm fractional dosed 6 pluas noj ib hnub. Txoj hauv kev no yuav tsim tus cwj pwm zoo tshaj plaws rau daim siab thiab muab cov khoom noj rau lub cev.

Kev tiv thaiv kab mob siab

Hmoov tsis zoo, kev tiv thaiv kab mob siab tsis yog nyob ntawm tus cwj pwm raug ntawm ib tus neeg xwb, uas, txawm tias tag nrho nws lub siab nyiam, yuav tsis muaj peev xwm tiv thaiv nws tus kheej ntawm lawv. Lub siab pathology yog rau qee qhov teeb meem pej xeem. Ntawm cov laj thawj rau nws txoj kev loj hlob yog cov uas nyuaj heev los cuam tshuam los ntawm kev ua raws li cov lus pom zoo tiv thaiv ib txwm muaj. Tab sis txhua tus neeg yuav tsum mob siab rau qhov no: lub xeev tsoomfwv cov qauv, tsev kho mob, chaw noj mov thiab txhua tus neeg uas saib xyuas lawv txoj kev noj qab haus huv.

Cov dej num hauv qab no tuaj yeem raug ntaus nqi los tiv thaiv kab mob siab:

  • Ua raws li thev naus laus zis ntawm kev tsim khoom phom sij nrog kev tshem tawm cov pov tseg pov tseg rau hauv dej khib nyiab lossis huab cua;
  • Ua raws li cov neeg ua haujlwm hauv kev tsim khoom phom sij nrog cov cai rau kev ua haujlwm nrog cov tshuaj lom neeg, siv cov cuab yeej tiv thaiv tus kheej;
  • Yuav tsuas yog cov zaub mov tshiab los ntawm cov neeg muag khoom ntseeg siab. Ntau yam ntawm lawv tau cog thiab thauj siv tshuaj ua haujlwm uas ua rau lub siab tsis zoo;
  • Kev haus cawv tsis suav nrog;
  • Ua kom nruj tswj hwm kev ua cov cuab yeej hauv cov chaw kho mob phais thiab chaw kho hniav. Ua cov khoom siv pov tseg ntau tshaj plaws hauv kev xyaum;
  • Kev tswj hwm nruj ntawm cov ntshav pub ntshav thiab nws cov khoom, nrog rau cov neeg pub dawb. Qhov no yuav tiv thaiv kab mob siab kab mob siab;
  • cais cov neeg mob uas muaj kab mob siab A;
  • Tsis muaj kev tiv thaiv tsis yog kev sib deev;
  • Ua raws li cov hauv paus ntsiab lus ntawm kev noj qab haus huv;
  • Tshuaj tiv thaiv kab mob siab B rau cov neeg muaj kev pheej hmoo kis tus kab mob no;
  • Saib xyuas cov neeg mob uas muaj kab mob siab ntev;
  • Tshwj tsis muaj tshuaj kho tsis tau;
  • Siv hepatoprotectors yog tias muaj kev hem thawj ntawm daim siab puas;
  • Nrhiav kev kho mob sai yog tias muaj kev xav tias muaj kab mob siab;
  • kho kom raug ntawm txhua yam kab mob uas ib tus neeg muaj uas tuaj yeem ua rau lub siab ua kom puas.

kab mob siab yog ib qho kev hem thawj rau kev noj qab haus huv thiab lub neej, uas tsis muaj qhov yuav tsum tau tso tseg yam tsis muaj kev saib xyuas!

Npaj rau kab mob siab

Cov neeg mob siab yuav tsum tso tus cwj pwm phem, ntawm kev noj ntsim, kub, rog. Thaum tshav kub kub thiab tshav kub yuav tsum zam. Cov zaub mov yuav tsum tau noj steamed los yog boiled, stewed. Nws tsis pom zoo kom noj nag hmo cov zaub mov. Koj tsis tuaj yeem noj dos thiab qej, tab sis nws yog qhov zoo dua los ntxiv horseradish thiab mustard rau zaub mov; noj nqaij qaib, tsis kib. Tsis tas li ntawd, koj tuaj yeem tsis tau os, tshis nqaij, lossis tib cov nqaij qhuav. Noj zaub nyoos. Tsis txhob noj cov khoom noj siv mis ntau dhau, noj ntau zaus, tab sis me me.

Koj tuaj yeem noj khoom qab zib, tshuaj yej qab zib tuaj yeem pab mob siab. Noj zaub mov tsis tas li qab zib, iab, astringent.

Kuv yuav hu rau tus kws kho mob twg?

Tus kws kho mob lub siab - tus kws kho mob gastroenterologist (gastroenterologist), kws kho mob siab (yog tias koj muaj kab mob siab)

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