Kev hloov pauv ntawm lub gallbladder hauv kev kho mob tsis suav tias yog ib yam kab mob, vim lawv yog cov hauv paus los yog tau txais cov yam ntxwv ntawm lub cev. Txawm li cas los xij, cov neeg mob uas muaj cov kab mob zoo li no yuav tsum tau ua tib zoo saib xyuas lawv cov zaub mov, kev ntxhov siab ntawm lub cev thiab plab zom mov, thiab lwm yam.
Kev tshwm sim
Yam thiab ua rau uas tuaj yeem ua ntej deformation ntawm lub gallbladder (ICD Q44.1) tuaj yeem ua tau ntau heev. Raws li txoj cai, lawv muab faib ua cov uas tau tsim thaum lub sij hawm kev loj hlob ntawm fetal, thiab cov uas tshwm sim nyob rau hauv lub neej.
Nyob tsis xws luag
Congenital malformations ntawm lub gallbladder tuaj yeem tshwm sim los ntawm kev ua txhaum cai thaum lub sijhawm yug menyuam. Tsis tas li ntawd, ib qho genetic predisposition, kev tsim txom ntawm nicotine, haus dej cawv, ua kom lub cev muaj zog tuaj yeem ua rau muaj qhov tsis xws luag.
Yog li, hauv kev tshawb fawb kho mob, ib daim ntawv teev npe tshwj xeeb rau kev txhim kho lub gallbladder deformities yog txhais, uas suav nrog:
- Cov txheej txheem mob ntawm ib hom mob ntev tshwm sim hauv cov kab mob biliary.
- pob zeb hauv cov ducts los yog hauv lub zais zis nws tus kheej.
- Nquag ntu ntawm kev noj ntau dhau, nrog rau kev noj zaub mov nruj ua raws li kev noj zaub mov ntau, kev hloov pauv ntawm kev noj zaub mov.
- Kev ua kom lub cev muaj zog ntawm cov leeg plab.
- Loosen the aperture.
- Adhesion txheej txheem.
- Ntau yam kab mob ntawm lub plab zom mov.
- bile duct dyskinesia.
- Cov txheej txheem mob qog noj ntshav zoo lossis mob qog noj ntshav.
Gallbladder deformities kuj tuaj yeem tshwm sim los ntawm cov hnub nyoog hloov pauv, txij li cov neeg laus feem ntau muaj kev cuam tshuam ntawm qee yam hauv nruab nrog cev, tshwj xeeb yog lub gallbladder. Feem ntau, qhov teeb meem no tshwm sim vim yog hernias ntawm lub plab phab ntsa, nrog rau tom qab qee qhov kev phais ntawm cov kab mob hauv nruab nrog cev.
Symptomatics
Cov tsos mob uas tshwm sim nrog ntau yam deformations ntawm lub gallbladder nyob ntawm seb, raws li txoj cai, ntawm tus nqi ntawm txoj kev loj hlob ntawm cov txheej txheem pathological. Yog tias qhov teeb meem ntawm lub cev tshwm sim sai sai, nws cov tsos mob tuaj yeem tshwm sim nyob rau hauv daim ntawv ntawm kev mob hauv lub gallbladder, nrog rau daim siab.
Cov tsos mob ntawm gallbladder deformity yog qhov tseem ceeb los txheeb xyuas lub sijhawm.
Tib lub sijhawm, tus neeg mob tsim daj ntawm cov mucous thiab daim tawv nqaij,nquag bouts ntawm xeev siab, ib qho kev xav tsis thoob rau cov zaub mov, thiab nyob rau hauv tej rooj plaub, qhov kub yuav nce mus rau subfebrile theem. Nrog tob palpation nyob rau hauv qhov projection ntawm daim siab, ib tug neeg hnov mob heev, thiab thaum kuaj tus nplaig, muaj ib tug tuab daj txheej.
Yog tias qhov deformation ntawm lub gallbladder tau tsim maj mam, ces cov tsos mob ntawm tus kab mob no yuav tshwm sim ib txhij nrog kev ua txhaum ntawm kev ua haujlwm ntawm cov kab mob biliary, uas ua rau muaj kev hloov pauv ntawm lub cev.
Thaum qhov deformity loj hlob zuj zus, cov tsos mob hauv qab no yuav tshwm sim:
- Faecal discoloration.
- Txuag lossis poob qab los.
- Cov tsos mob ntawm cov rog hauv cov quav.
- Kev poob phaus.
Cov neeg mob uas nws lub zais zis deformity maj mam tuaj yeem qhia tau tias qhov hnyav ntawm txoj cai hypochondrium, qhov mob ntawm qhov kub hnyiab thoob plaws hauv cov hnyuv, nrog rau ntau yam kab mob dyspeptic.
Qee qhov kev phom sij yog sawv cev los ntawm qhov tshwm sim xws li necrosis ntawm lub ncauj tsev menyuam ntawm lub gallbladder, uas tshwm sim, raws li txoj cai, vim qhov kev hloov mus sij hawm ntev hauv cov duab ntawm lub cev. Cov kab mob pathological no tuaj yeem ua rau cov ntaub so ntswg tuag thiab nkag mus rau cov kua tsib rau hauv lub plab kab noj hniav, uas, dhau los, tuaj yeem ua rau muaj kab mob peritonitis, ua rau feem ntau tuag, tshwj xeeb tshaj yog tias tus neeg mob tsis tau txais kev pabcuam raws sijhawm.
Xav txog qhov deformationgallbladder nrog inflection.
Kub lub gallbladder
Muab cov ntaub ntawv anatomical, lub gallbladder tuaj yeem muab faib ua peb ntu: lub cev ntawm lub zais zis, thaj chaw ncauj tsev menyuam thiab hauv qab. Feem ntau deformation ntawm lub gallbladder yog nws inflection ntawm lub hauv qab thiab lub cev. Qhov no pathological tshwm sim yog soj ntsuam los ntawm qhov tshwm sim ntawm xeev siab, nce hws, mob mob nyob rau hauv txoj cai hypochondrium, thiab xws li mob yog muab rau cov nqi thiab scapular cheeb tsam. Nws kuj tseem tuaj yeem hloov lub complexion, poob phaus. Qhov tsis muaj kev pab kho mob hauv qhov xwm txheej no tuaj yeem ua rau muaj qhov tsis zoo.
Ntau yam deformations ntawm lub gallbladder los ntawm kinks, thaum cov duab ntawm lub cev no cuam tshuam rau ntau qhov chaw tib lub sijhawm, kuj tshwm sim, tab sis ntau zaus tsawg dua. Xws li ib tug pathology pab txhawb rau qhov loj ntawm lub gallbladder, kev loj hlob ntawm ib tug kab mob xws li calculous cholecystitis, tsim ib tug nplaum txheej txheem, thiab impaired ntshav txaus nyob rau hauv lub siab. Tus neeg mob tus mob feem ntau hnyav heev, thiab nws pib nrog cov tsos mob hnyav ntawm dyspepsia thiab nrog rau qhov mob hnyav.
YLabile deformation
hom kab mob gallbladder no tau sau ntau zaus. Cov kab mob no yog ib qho teeb meem ib ntus uas tshwm sim, raws li txoj cai, thaum lub sij hawm siv lub cev ntau dhau, tom qab nqa qhov hnyav, thiab rau qee qhov laj thawj. Zoo sib xwstsis tshua muaj nrog cov tsos mob tsis zoo thiab feem ntau daws nws tus kheej tom qab ib ntus.
Lub gallbladder caj dab deformity yog dab tsi?
Cervical deformation
Tsis tshua muaj tshwm sim yog lwm qhov sib txawv ntawm daim ntawv hloov pauv - qhov no yog qhov deformation ntawm cov qauv anatomical ntawm lub gallbladder hauv caj dab. Qhov no feem ntau tshwm sim tawm tsam keeb kwm yav dhau los ntawm qhov mob hnyav, xws li cholecystitis. Nyob rau hauv cov ntaub ntawv no, cov txheej txheem pathological txuas mus rau sab nrauv phab ntsa ntawm lub gallbladder: nyob rau hauv cov ntaub ntawv no, adhesion formations yog tsim, uas ua rau lub anatomical hloov nyob rau hauv lub cev. Qhov mob no ua rau muaj kev cuam tshuam ntawm cov txheej txheem digestive thiab txawm tias kev hloov pauv ntawm cov kua tsib tso tawm. Qee zaum ntawm caj dab deformation, cov phab ntsa ntawm lub cev yog tag nrho twisted nyob ib ncig ntawm nws axis.
Nyob rau hauv qhov xwm txheej no, prolapse ntawm qee lub plab hnyuv tuaj yeem txhim kho, uas tuaj yeem tshwm sim los ntawm kev tawm dag zog ntau dhau thiab ua rau lub cev ntev. Lwm qhov laj thawj rau hom deformation ntawm lub zais zis, ntau tus kws kho mob xav txog qhov elongation ntawm lub ncauj tsev menyuam ntawm lub cev, nrog rau nws cov sagging. Feem ntau tsis tshua muaj, muaj ntau qhov sib tw ntawm lub gallbladder nyob rau hauv lub ncauj tsev menyuam cheeb tsam, thiab qhov tshwm sim no yog suav tias yog qhov tseem ceeb tshaj plaws, vim nws inevitably ua rau cuam tshuam cov ntshav ntws mus rau hauv lub cev.
Deformation ntawm lub gallbladder phab ntsa
Qhov tshwm sim no tsis tuaj yeem hu ua ntau heev, tab sis nws kuj tshwm sim nyob rau hauv cov ntaub ntawv mob cholecystitis, thiab qhov no yog vim, feem ntau.txoj kev, nrog sclerotic hloov nyob rau hauv cov hlab ntsha ntawm cov phab ntsa ntawm lub gallbladder los yog nrog rau cov tsim ntawm daim tawv nqaij kab mob nyob rau hauv lub cheeb tsam ntawm nws qab. Cov kab mob no tuaj yeem kuaj pom tau yooj yim thaum kuaj ultrasound, thaum tshwj xeeb parietal kab noj hniav, protrusions, thiab calcium deposits nyob ze ntawm phab ntsa pom pom, uas feem ntau yog tshwm sim nyob rau hauv tag nrho cov kev kho mob daim duab.
Cia tham txog qhov contour deformation ntawm lub gallbladder.
Contour deformation
Lub npe hu ua contour deformation ntawm lub gallbladder kuj yog rau ntau yam ntawm kev ua txhaum ntawm lub cev ntawm lub gallbladder. Lub ntsiab ntawm qhov kev ua txhaum cai no yog qhov tseeb ntawm lub npe nws tus kheej - muaj kev ua txhaum ntawm lub cev ntawm lub cev. Nyob rau hauv nws daim ntawv ib txwm, lub gallbladder zoo li ib tug pear-puab tsim, uas yog kev cob cog rua rau daim siab nrog rau nws qis. Nrog contour deformations, cov txheej txheem ntawm cov npuas hloov mus rau qee qhov. Qhov no tuaj yeem tshwm sim los ntawm cov txheej txheem mob ntev lossis ua txhaum ntawm cov kua tsib.
Feem ntau deformity hnyav yog nrog los ntawm qhov mob hnyav, uas feem ntau tshwm sim tom qab noj mov, ntxhov siab lossis nqa qhov hnyav. Tab sis feem ntau xws li ib tug tsis xws luag yog nrhiav tau heev los ntawm kev huam yuaj thiab tej zaum yuav tsis cuam tshuam rau lub digestive txheej txheem thiab cov kev mob ntawm tus neeg mob. Txawm li cas los xij, ntau tus neeg dhau lub sijhawm nco txog kev ua txhaum ntawm lub cev muaj zog ntawm lub plab zom mov, tsim cov pob zeb lossis microcrystalline sediment hauv lub gallbladder, qhov tshwm sim ntawm cholecystitis. Kev pheej hmoo ntawm kev tsim teeb meem yog vimqhov degree ntawm deformation nws tus kheej, nws qhov xwm txheej, nrog rau kev noj haus thiab kev ua neej ntawm tus neeg mob.
S-puab warp
Qhov kev ua txhaum cai no yog ob lub zais zis hauv cov duab ntawm tsab ntawv S. Feem ntau, qhov no pathology yog congenital thiab tshwm sim vim muaj kev cuam tshuam ntawm cov yam ntxwv ntawm caj ces. Qee qhov tsawg dua, qhov tau txais S-shaped deformity tuaj yeem pom, uas tshwm sim thaum kev loj hlob ntawm lub gallbladder pib tawm ntawm kev tsim ntawm lwm yam kabmob.
Deformity in neeg laus
Hauv cov neeg laus, kev ua txhaum ntawm lub zais zis ntawm lub gallbladder tuaj yeem tshwm sim los ntawm cholecystitis, nrog rau tom qab tus kab mob Botkin. Nws muaj peev xwm hais tias qhov deformity yog congenital, tsuas yog txog thaum lub sijhawm kuaj pom, tus neeg mob yeej tsis tau qhia txog nws lub xub ntiag. Cov tsos mob nyob rau hauv cov ntaub ntawv no yog raws li nram no: xeev siab, ntuav, mob nyob rau hauv lub epigastric cheeb tsam thiab nyob rau hauv txoj cai hypochondrium, flatulence, tawm hws, cem quav los yog raws plab.
Yog tias muaj quav quav, ces qhov no yuav yog ib qho kev mob ntawm lub gallbladder los yog kev loj hlob ntawm calculous cholecystitis, uas yog yus muaj los ntawm tsim pob zeb nyob rau hauv lub cev.
Lub gallbladder deformation nyob rau hauv ib tug me nyuam yog dab tsi?
Deformity in me nyuam
Tam sim no, cov kws tshaj lij feem ntau kuaj xyuas cov qauv ntawm lub gallbladder thaum yau. Feem ntau, xws li ib tug kab mob no tau pom nyob rau hauv cov hluas, thaum, raws li ib tug tshwm sim ntawm lub sij hawm congestion, nrog rau lub active kev loj hlob ntawm lub cev, ib tug inflammatory txheej txheem. Qhov tseem ceeb ntawm txoj kev loj hlob ntawm qhov tshwm sim tuaj yeemua dyskinesia ntawm cov kua tsib, los yog tsim cov xuab zeb lossis pob zeb zoo li tso rau hauv lub zais zis.
Txawm li cas los xij, feem ntau qhov deformation ntawm lub gallbladder nyob rau hauv ib tug me nyuam yog congenital, txwv tsis pub nws yuav ua tau:
- kab mob kis ntawm lub plab zom mov.
- Kev ua txhaum ntawm cov kua tsib.
- Pathology ntawm biliary system.
Tam sim no, tus menyuam yws yws ntawm qhov mob ntawm sab xis, tsis qab los noj mov, iab hauv qhov ncauj, belching, bouts xeev siab. Kev mob tuaj yeem cuam tshuam nrog kev noj mov, noj ntau dhau thiab tawm dag zog.
Yuav ua li cas kho lub gallbladder deformation, tus kws kho mob yuav qhia.
Txhais tau
Yog tias qhov deformation ntawm lub cev no cuam tshuam rau kev tso tawm ntawm cov kua tsib, ces qhov tsim ntawm biliary stagnation yog ua tau. Qhov no tuaj yeem ua lub hauv paus rau kev txhim kho cov tshuaj tiv thaiv kab mob hauv lub cev nrog kev tsim cov pob zeb ntxiv hauv lub zais zis. Congestion kuj tuaj yeem tshwm sim vim cov quav hauv lub zais zis thiab quav. Twisting ntawm lub zais zis thiab ua tiav dabtsi yog khoov tuaj yeem ua rau lub sijhawm ntev ntawm cov kab mob hauv lub plab, thiab dhau sijhawm cov txheej txheem no tuaj yeem txhim kho mus rau hauv cov ntaub so ntswg zais zis, tso cov kua tsib tso tawm thiab perforation ntawm nws cov phab ntsa. Yog li ntawd, cov kua tsib peritonitis pib, uas ua rau muaj kev cuam tshuam loj heev nrog kev ua txhaum ntawm homeostasis.
Kev kho rau lub gallbladder deformity yog dab tsi?
Kev kho mob
Kev kho yog raws li hauv qab no:
- Ua raws li lub txaj so thaum lub sijhawm mob hnyav.
- Haus dej kom ntau.
- Special diet.
- Noj tshuaj analgesics thiab antispasmodics. Hauv lub sijhawm mob hnyav, kev siv tshuaj intramuscular ntawm drotaverine tau pom zoo.
- Kev siv atropine sulfate 0.1%, thiab hauv cov mob hnyav dua, "Tramadol" yog siv.
- Noj tshuaj tua kab mob (cephalosporins, ampicillins).
- Kev tiv thaiv kab mob fungal.
- Siv probiotics.
- Nyob rau hauv lub xub ntiag ntawm intoxication - detoxification therapy.
- Kev siv cov tshuaj choleretic, tshwj xeeb tshaj yog tom qab tshem tawm lub sijhawm mob - Gepabene, Flamin, Nicodin.
