Ua, soj ntsuam kev tshwm sim thiab kev kho mob ntawm tus kab mob gallstone

Gallstone tus kab mob - ib tug kab mob uas tshwm sim nrog rau lub tsim ntawm lub pob zeb nyob rau hauv lub gallbladder. Qhov no pathology yog heev, feem ntau cov poj niam raug kev txom nyem.

Ntawm cov ntsiab pathogenic mechanisms uas ntxias no pathology tej zaum yuav hais mob ntawm roj metabolism, kua tsib stasis, thiab nws cov kab mob. Ntawm cov precipitating yam cholelithiasis cais cov neeg laus, uas tau txais cais pharmacological cov neeg ua hauj (e.g., contraceptives, "Ceftriaxone"), ib feem yog muab tshem tawm raws roj ntsha los yam, rog, cev xeeb tub, mob ntshav qab zib mellitus, thiab gastrectomy, ib tug tsis tshua muaj concentration ntawm cov roj cholesterol thiab biliary dyskinesia. Cov kev loj hlob ntawm tus kab mob no kuj ua rau kom cov tshuaj tsis haum thiab autoimmune dab, o ntawm lub tsib lub zais zis, cov lus noj cov zaub mov, roj zaub mov, raws li tau zoo raws li nruj cov pluas noj. Kev kho mob ntawm gallstone tus kab mob nyob rau theem ntawm txoj kev loj hlob, lub etiology thiab cov hoob kawm nta.

soj ntsuam ces

Heev feem ntau, qhov no pathology yog asymptomatic. Thaum lub pob zeb tawm hauv lub gallbladder, muaj yog ib tug nres ntawm gallstones, uas manifests cia li mob rau hauv lub Upper quadrant, xeev siab thiab ntuav, qhov ncauj qhuav, tawv nqaij khaus. Tej zaum tsim daj ntseg ntawm daim tawv nqaij thiab sclera, tso zis dub, thiab muaj yog sis tsuas kob quav.

Kev kho mob ntawm tus kab mob gallstone

active txoj kev ua neej yog pom zoo nyob rau hauv thawj zaug rau theem ntawm txoj kev loj hlob ntawm no pathology. Nws tseem yog tsim nyog rau normalize lub cev hnyav thiab tshem tawm etiologic yam - endocrine ntshawv siab, o ntawm lub biliary ib ntsuj av tau, plab hnyuv kab mob. Tus nqi muaj dietetic zaub mov suav fatty thiab siab calorie khoom noj.

Kev kho mob ntawm gallstone tus kab mob yuav tsum tau muaj xws li tau txais kom tsim nyog noj tshuaj, nrog rau cov nram qab no:

• "Phenobarbital" (mus tsim kho lub tsim ntawm cov kua tsib acids);

• ursodeoxycholic acid - pab yaj lub pob zeb;

• M-peripheral anticholinergics (e.g., atropine sulfate) - pab tshem tawm mob syndrome;

• analgesics, uas kuj tshem tawm cov kev mob ( "Analgin", "Baralgin", nyob rau hauv loj heev zaum - "Promedol");

• myotropic spasmolytics (e.g., "Papaverine hydrochloride");

• tshuaj tua kab mob.

Thaum tsim gallstone tus kab mob, lub lag luam nyob rau hauv daim ntawv ntawm cov cholecystectomy feem ntau muaj nyob rau tsuas yog nyob rau calculous daim ntawv uas muaj teebmeem bouts ntawm biliary Colic. Rau hnub tim, pheej txoj kev phais kho mob yog laparoscopic cholecystectomy.

Nyob rau hauv tej rooj plaub, kev kho mob yuav tsum muaj ntaub ntawv shockwave cholelithotrity uas loj concretions yog lawm rau hauv me tawg tsam. Nws yuav tsum tau muab sau tseg tias kev kho mob ntawm gallstone tus kab mob yuav tsum tau kev. Xaav kho modalities sij xwb kws kho mob xav tias yuav soj ntsuam kom paub txog tus kab mob no, raws li zoo raws li lub degree ntawm rhuav txhua ntawm cov kua tsib ducts.