Pob zeb nyob rau hauv lub tsib lub zais zis.

Ib tug pob zeb nyob rau hauv lub tsib zais zis yog tsim raws li ib tug tshwm sim ntawm cholelithiasis. Qhov no tshwm sim vim teeb roj uas txhaws taus thiab bilirubin thiab raws li ib tug tshwm sim, - tus tsim ntawm deposits nyob rau hauv lub zais zis (cholecystolithiasis) los yog nyob rau hauv cov kua tsib ducts (choledocholithiasis).

Tus kab mob tshwm vim yog lub stagnation ntawm cov kua tsib thiab kev hloov nyob rau hauv nws muaj pes tsawg leeg, nyob rau hauv inflammatory dab. Thaum nws yog supersaturated nrog roj uas txhaws taus, nws precipitates thiab roj uas txhaws taus muaju pib rau daim ntawv. Bilirubin pob zeb yuav tshwm sim nyob rau ntxiv dag zog rau disintegration ntawm cov ntshav liab. Mixed hom muab ob daim ntawv thiab muaj bilirubin, calcium, cholesterol.

Pob zeb nyob rau hauv lub tsib lub zais zis, cov tsos mob ntawm uas rau ib ntev lub sij hawm tsis tshwm sim, yuav yuav ntes tau nkaus xwb los ntawm ultrasound. Nyob rau hauv cov tsos mob ntawm tus kab mob muaj feem xyuam rau qhov chaw ntawm lub pob zeb, lub degree ntawm o thiab kev puas tsuaj ntawm lwm yam digestive kabmob.

Thaum lub pob zeb nyob rau hauv lub tsib lub zais zis thiab tsiv tawm ntawm ducts, muaj bouts ntawm Colic nyob rau hauv daim ntawv ntawm ib tug Sudden thiab ntse qhov mob ntawm sab xis ntawm lub plab. Mob ncus yog feem ntau nrog xeev siab thiab ntuav, qhov ncauj qhuav. Qhov pib ntawm kev mob tej zaum yuav kav mus txog rau ob peb teev. Mob extends nws tus kheej los yog tom qab daim ntawv thov ntawm painkillers. Nyob rau hauv thiaj li yuav tsim kom muaj ib qho tseeb mob, koj yuav tsum tam sim ntawd mus nrhiav kev pab txog kev kho mob ntawm thawj cov cim qhia ntawm tus kab mob.

Pob zeb nyob rau hauv lub gallbladder yuav raws sij hawm kuaj tsuas yog tom qab uas nws kim heev diagnostics thiab kuaj kev tshawb fawb. Ua ntej ntawm tag nrho cov, nqa tawm ultrasound thiab x-rays ntawm lub digestive system. Nyob rau hauv cov kev tshwm sim ntawm kev tsis sib haum endoscopy thiab sib nqus resonance cholangiography tej zaum yuav tau tsa.

Tom qab cov kev tshawb fawb yog tsim nyog los tham ib tug kws phais neeg xaiv qhov yog tactics kev kho mob.

Kev kho mob cholelithiasis nqa conservative los yog surgically.

Conservative txoj kev muaj xws li kev siv yeeb tshuaj kho mob thiab shockwave holeliotrepsiyu. Nws yog siv nyob rau hauv lub tsim ntawm roj uas txhaws taus lub pob zeb, muaj qhov ntev ntawm 15 hli thiab nyob rau hauv lub qhaj ntawv ntawm o nyob rau hauv lub gallbladder.

Npaj muaj ursodeoxycholic acid, kev noj nyob rau lub hlis mus rau ib xyoos. Nws pab cov tshuaj yaj cholesterol pob zeb. Txawm li cas los, qhov no txoj kev kho mob, lub ntau yam ntawm re-tsim ntawm 50%. Tej kev kho mob yog nqa tawm tsuas nyob rau hauv lub saib xyuas ntawm tus kws kho mob. Kev kho mob nrog poob siab tsis tso cai rau kom phua loj tawg tsam hauv me me pieces. Ces nws yog tsim nyog los txais kev npaj ntawm ursodeoxycholic acid. Re-tsim xwb tshwm sim nyob rau hauv 30% ntawm cov neeg.

Thaum pom gallstones, kev phais yuav tsum tau nqa tawm nyob rau hauv ib tug teem sij hawm yam. Dua li ua ntej mus rau lub rov tshwm sim ntawm Colic los yog cia li tom qab nws, nyob rau hauv thiaj li yuav tiv thaiv tau cov kev loj hlob ntawm cov teeb meem. Tom qab lub lag luam yog tsim nyog los soj ntsuam nruj tus kheej noj cov zaub mov kiag li cais los ntawm cov khoom noj ntawm kib thiab zaub mov. Yuav kom tshem tawm tsis siv haus dej haus cawv.

Tus kab mob no yog txaus ntshai nyob rau hauv ntau yam teeb meem. Nyob rau hauv lub xub ntiag ntawm lub pob zeb nyob rau hauv lub gallbladder kab mob tej zaum yuav tshwm sim nyob rau tib lub sij hawm, provokes tus txoj kev loj hlob ntawm mob cholecystitis. Nyob rau tib lub sij hawm muaj ib tus mob o ntawm lub ducts thiab ib tug loj tsub zuj zuj ntawm kua paug. Tej teeb meem yog ib tug kev hem thawj rau lub noj qab haus huv thiab lub neej ntawm tus neeg mob. Nyob rau hauv txhua tus neeg mob xav tau kev ceev pw tsev kho mob nyob rau hauv ib tug phais tsev kho mob, los xyuas txog cov chaw qhia kiag ntawm lub pob zeb thiab ntxiv kev kho mob. Txwv tsis pub muaj tej zaum yuav mob loj txim, tuag taus.