Dab tsi yog cholecystitis, nws zoo li cas thiab yuav kho li cas

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Cov ntaub ntawv thaum txoj kev zoo tshaj plaws yog kev phais.

Cholecystitis Cholecystitis yog ib qho mob ntawm lub gallbladder.

Vim li cas cholecystitis tshwm sim?

Cholecystitis gallbladder yog ib lub hnab me me nyob rau hauv txoj cai hypochondrium. Nws khaws cov kua tsib, uas yog tsim los ntawm lub siab.

Cov kua tsib yog qhov tseem ceeb rau kev zom cov rog. Thaum peb noj, lub zais zis cog lus thiab nws cov ntsiab lus raug xa mus los ntawm cov kab me me (ducts) rau hauv cov hnyuv me. Nyob rau hauv nws, cov kua tsib yog tov nrog zaub mov thiab muaj nyob rau hauv lub digestive txheej txheem.

Tab sis qee zaum cov kua tsib uas tsis tuaj yeem tawm hauv lub zais zis. Qhov no feem ntau yog vim yog pob zeb, ib qho uas thaiv cov kav dej. Cov kua tsib ua ntau thiab ntau dua, nws stagnates, cov kab mob pib ua rau hauv nws. Qhov no yog li cas tus mob pib.

Lwm yam ua rau mob cholecystitis tuaj yeem ua rau mob: o, kab mob kis, kinking thiab caws pliav ntawm cov ducts, kev puas tsuaj rau cov hlab ntsha.

Cov tsos mob ntawm cholecystitis yog dab tsi

Muaj ob hom cholecystitis - mob thiab ntev.

Feem ntau, cholecystitis ua rau nws tus kheej hnov tom qab noj mov, tshwj xeeb tshaj yog tias koj noj mov hnyav lossis ib yam khoom rog.

Cov tsos mob ntawm tus mob cholecystitis yog dab tsi

Cov tsos mob tseem ceeb ntawm Cholecystitis nyob rau hauv mob o ntawm lub gallbladder yog mob sai sai nyob rau hauv lub plab mog sab xis los yog qhov chaw. Nws feem ntau nrog cov tsos mob ntxiv.

• Qhov mob radiates rau sab xub pwg nyom lossis lub xub pwg hniav.
• Kev hnov mob nce ntxiv nyob rau lub sijhawm, ncav cuag qhov siab tshaj plaws hauv 15-60 feeb.
• Nws mob heev kov lub plab.
• Nauseous, qee zaum nce mus rau ntuav.
• Qhov kub nce.
• Qee zaum, jaundice tshwm sim: daim tawv nqaij thiab qhov muag dawb ua daj.

Yog tias muaj cov tsos mob ntawm tus mob cholecystitis, lub tsheb thauj neeg mob yuav tsum tau hu. Qhov tseeb yog tias cov kua tsib nyob rau hauv lub zais zis tuaj yeem tawg los ntawm nws cov phab ntsa, tus kab mob kis mus rau hauv plab mucosa thiab tuag peritonitis tshwm sim.

Dab tsi yog cov tsos mob ntawm cholecystitis ntev

Qee lub sij hawm mob cholecystitis mus qhov muag tsis pom: qhov mob zoo li mob thiab tom qab ib ntus nws nres ntawm nws tus kheej. Qhov no tshwm sim, piv txwv li, yog lub pob zeb me me, tig ib ncig los yog dhia tawm ntawm cov kav dej, thiab cov kua dej tawm rov pib dua. Tab sis cov kev tawm tsam no tuaj yeem rov ua dua.

Yog tias koj tsis xyuam xim rau qhov mob siab rau hauv txoj cai hypochondrium, cholecystitis ntev cholecystitis tuaj yeem tsim. Nws yog o thiab khaus ntawm lub gallbladder tshwm sim los ntawm recurrent tab sis maj mam tawm tsam ntawm mob cholecystitis.

Vim qhov mob tas li, cov phab ntsa ntawm lub zais zis caws pliav, thicken, thiab lub cev nws tus kheej maj mam poob nws lub peev xwm los khaws, khaws cia thiab tso tawm cov kua tsib. Tsis tas li ntawd, txhua lub sijhawm, cholecystitis ntev tuaj yeem ua mob hnyav.

Nws yog qhov nyuaj heev kom paub txog "chronicle" ntawm koj tus kheej. Yog li ntawd, yog tias koj pom tias qhov mob tshwm sim ib ntus hauv txoj cai hypochondrium, txawm tias nws mob me, nco ntsoov nrog tus kws kho mob - tus kws kho mob lossis tus kws kho mob gastroenterologist.

Yuav ua li cas kho cholecystitis

Ua ntej, koj yuav tsum tsim kom muaj kev kuaj mob. Rau tus neeg mob no, cholecystitis yog kuaj. Kev kuaj mob thiab kev kho mob:

• Kev kuaj ntshav yog ua kom pom cov tsos mob ntawm o thiab teeb meem gallbladder.
• Ib qho ultrasound plab lossis xam tomography (CT) scan ntawm lub gallbladder yog ua tiav. Qhov no yuav pab kom pom cov tsos mob ntawm cholecystitis lossis gallstones.
• Txheeb xyuas qhov txav ntawm cov kua tsib. Cov txheej txheem no hu ua gallbladder scintigraphy (HIDA-SCAN). Nrog kev pab los ntawm cov xim uas txuas mus rau lub hlwb ntawm cov kua tsib, cov kws kho mob saib raws nraim li cas nws ntws thiab seb puas muaj teeb meem hauv nws txoj kev.

Yuav kho tus mob cholecystitis li cas?

Qhov no ib txwm tshwm sim hauv tsev kho mob. Feem ntau, cov kws kho mob siv lub npe hu ua active-expectant tactic, Protocol for the Treatment of Patients with Acute Cholecystitis, tsim los txo cov tsos mob thiab tiv thaiv cov teeb meem. Nws suav nrog:

• pw so;
• yoo mov kom txo tau lub nra ntawm cov kab mob o;
• Intravenous kua kom koj hydrated
• tshuaj loog hauv zos, xws li siv lub tshuab cua txias txias rau sab xis hypochondrium;
• noj cov tshuaj antispasmodics thiab tshuaj tua kab mob yog tias tsim nyog;
• noj tshuaj tua kab mob;
• tshem tawm cov pob zeb thaiv cov kua tsib.

Nrog rau txoj kev kho no, cov tsos mob ploj zuj zus tom qab 2-3 hnub. Hauv txoj kev xav, nyob rau theem no, tus neeg mob tuaj yeem tawm hauv tsev kho mob. Tab sis nyob rau hauv kev xyaum, cov kws kho mob feem ntau hais rau kev phais tshem tawm ntawm lub gallbladder - cholecystectomy.

Qhov no yog vim lub fact tias nyob rau hauv 25% ntawm cov neeg mob ib tug nres ntawm mob cholecystitis tshwm sim nyob rau hauv ib xyoos. 60% - tsis pub dhau rau xyoo.

Txhawm rau kom tsis txhob muaj kev pheej hmoo, nws yog qhov zoo dua kom tshem tawm cov neeg muaj sia nyob ntawm lub gallbladder o. Kev ua haujlwm yuav tsis cuam tshuam rau lub neej zoo. Nws muaj peev xwm ua neej nyob yam tsis muaj lub cev no: cov kua tsib tsim nyog rau kev zom zaub mov yuav nkag mus rau hauv cov hnyuv ncaj qha los ntawm daim siab.

Yuav kho cholecystitis ntev li cas?

Cholecystectomy nkaus xwb.

Yuav ua li cas kom tsis txhob cholecystitis

Koj muaj kev pheej hmoo yog cholecystitis:

• koj muaj hnub nyoog tshaj 60 xyoo;
• koj cev xeeb tub los yog cev xeeb tub ob peb zaug yav dhau los;
• koj tab tom noj tshuaj tiv thaiv kab mob los yog nyob rau hauv kev kho tshuaj estrogen;
• koj rog dhau lawm;
• koj poob phaus sai heev;
• koj muaj ntau cov zaub mov muaj roj ntau hauv koj cov zaub mov.

Hmoov tsis zoo, koj ua tsis tau dab tsi nrog hnub nyoog. Raws li kev xeeb menyuam. Tab sis lwm yam kev pheej hmoo tseem ceeb heev rau kev kho. Nov yog qhov kws tshaj lij ntawm American Mayo Clinic pom zoo kom mob cholecystitis rau kev tiv thaiv cholecystitis.

1. Tswj koj qhov hnyav

Qhov zoo tshaj plaws, koj lub cev qhov ntsuas yuav tsum tsis pub tshaj 24, 9. Taug kev ntau zaus, tawm dag zog, noj zaub mov tsawg dua.

2. Txo qhov hnyav qeeb

Yog tias koj xav kom poob phaus, sim kom poob tsis pub ntau tshaj 1 kg ib lub lis piam.

3. Saib xyuas koj cov zaub mov

Yog tias koj cov khoom noj muaj roj ntau thiab tsis muaj fiber ntau, koj txoj kev pheej hmoo ntawm gallstones nce sai. Sim ua kom txaus siab rau koj cov kev tshaib kev nqhis ntau zaus nrog zaub, txiv hmab txiv ntoo thiab cov nplej tag nrho.