Ua thiab cov tsos mob ntawm mob cholecystitis

Rau hnub tim, ntau yog xav nyob rau hauv cov nqe lus nug ntawm yuav ua li cas zoo li lub ntsiab ntawm cov tsos mob mob cholecystitis. Tom qab tag nrho, cov txheeb cais qhia hais tias yuav luag ib tug nyob rau hauv plaub phais neeg mob mus nyob hauv lub tsev kho mob nrog no mob. Yog li ntawd yog vim li cas mob thiab seb puas muaj cov zoo kev kho mob?

Mob cholecystitis: ua ntawm tus kab mob

Cholecystitis - ib tug kab mob uas muaj mob ntawm lub gallbladder. Xws li ib tug ua txhaum yuav muaj ob peb ua. Cuaj kaum, nyob rau hauv Feem ntau, qhov ua rau ntawm lub inflammatory txheej txheem yog cholelithiasis, raws li ib tug tshwm sim ntawm uas tus overlap biliary pob zeb. Cov tsos mob ntawm mob cholecystitis tshwm sim vim allergic ntawm kab mob mus rau hauv lub zais zis nrog rau cov muaj kev cuam tshuam ntawm lub cev outflow ntawm bile.

Kwv yees li 15% ntawm cov neeg mob mob yog tshwm sim ntawm dabtsi yog khoov los yog elongation ntawm lub ducts, uas kuj muab lub cev feem secretion.

Nyob rau hauv tas li ntawd, txoj kev pheej hmoo yam loj tej yam kev mob, nrog rau nws kim heev kev kub nyhiab thiab sepsis. Nyob rau hauv tej rooj plaub, cholecystitis npaj tom qab phais rau tus mob plab kabmob. Cov kev pheej hmoo ntawm gallbladder o yog nce nyob rau hauv cov neeg uas muaj cov kab mob autoimmune.

Txheeb cais qhia tau hais tias rau xws tus kab mob yog feem ntau yuav poj niam nyob hauv lub hnub nyoog ntawm 45 xyoo.

Lub ntsiab ntawm cov tsos mob mob cholecystitis

Tej kab mob no pib acutely nrog ntswj mob nyob rau sab xis. Thiab raws li tus kab mob no tawm tsam cov kab ntev thiab tus mob intensified. Muaj yog ib tug sawv nyob rau hauv kub mus 37.5, thiab nyob rau hauv ntau mob loj thiab 40 degrees. Tsis muaj zog, kiv taub hau, nkees nkees, qhov ncauj qhuav, nquag ntuav - nws tseem yog cov tsos mob ntawm mob cholecystitis. Rau hauv loj heev ntaub ntawv ntawm tus kab mob cai tsam plab thiab belching, thiab tej zaum kuj jaundiced daim tawv nqaij.

Mob cholecystitis thiab diagnostic txoj kev

Qaug dab peg yuav tsum sib txawv ntawm cov ntev (los ntawm ob peb teev mus rau ob peb hnub). Tab sis nyob rau hauv txhua rooj plaub, ib tug neeg mob nrog zoo xws li cov tsos mob mus rau lub tsev kho mob yuav tsum tau xa tam sim ntawd - nws tus kheej tsis pab no, tiam sis tsuas yog complicate qhov teeb meem no.

Kev pab kho mob cov koom haum yuav tau kuaj ntshav (ib tug kab mob yog nrog los ntawm ib qho kev nce rau hauv lub xov tooj ntawm cov ntshav dawb), thiab kis tau tej kev tshawb fawb. Differential mob ntawm mob cholecystitis yuav tsis yooj yim, vim zoo xws li cov tsos mob kuj nrog hepatic Colic, perforated lub rwj ntawm lub plab, hnyuv tws, pancreatitis. Nyob rau hauv txhua rooj plaub, tsuas yog tom qab ib tug muaj tseeb mob yuav pib kho mob.

Mob cholecystitis: phais los yog conservative kev kho mob?

Nyob rau hauv qhov tseeb, rau qhov kho ntawm tus kab mob yuav luag ib txwm yuav tsum tau phais. Cov xwb yog cov neeg mob qhov twg o yog tsis txuam nrog kev cuam tshuam ntawm lub cev outflow ntawm bile. Nyob rau hauv thawj ob peb teev, tus neeg mob yuav muab antispasmodic tshuaj uas tshem tawm qhov mob thiab tshuaj tua kab mob tua kab mob. Tom qab faint cov tsos mob, tus neeg mob yog tus kws kho kev lag luam yog nqa tawm thaum lub sij hawm uas qhov kev tshem tawm ntawm lub gallbladder