Georgievsky cov tsos mob - Mussy tau pom nyob rau hauv cov txheej txheem inflammatory ntawm cov kab mob biliary. Cholecystitis tshwm sim nyob rau txhua lub hnub nyoog, feem ntau tom qab noj rog, kib, pickled zaub mov ntau.
Yuav kuaj tus mob li cas?
Txhawm rau ua rau cov tsos mob ntawm Georgievsky-Mussy, nws yog ib qho tsim nyog yuav tsum nias tus ntiv tes ntsuas ntawm lub sternum thiab clavicular txheej txheem ntawm cov leeg sternocleidomastoid. Koj yuav tsum nias maj mam, ntawm sab xis. Cov neeg mob uas muaj cov txheej txheem inflammatory ntawm lub gallbladder pib hnov mob ntse nyob rau hauv txoj cai hypochondrium. Dab tsi ua rau ib tus neeg hnov mob hauv thaj chaw deb? Nrhiav cov lus teb rau lo lus nug yuav pab tib neeg lub cev.
Lub hauv paus ntawm lub cev ntawm cov tsos mob
Txhua yam hauv nruab nrog cev yog tswj hwm los ntawm lub hauv paus paj hlwb, uas yog lub luag haujlwm rau kev ua haujlwm ntawm txhua lub cev ntawm lub cev. Cov kab mob ua rau muaj kev ua txhaum ntawm kev ua haujlwm ntawm qhov chaw tshwj xeeb anatomical (lub plawv, ntsws, bronchi, siab, thiab lwm yam), uas.manifests nws tus kheej nyob rau hauv daim ntawv ntawm kev mob hauv zos. Tab sis cov hlab ntsha lub luag haujlwm rau ib lub cev tshwj xeeb kuj koom nrog hauv cov txheej txheem. Cov paj hlwb nyob hauv thaj tsam ntawm ob txhais ceg ntawm cov leeg sternocleidomastoid, cov neurons cuam tshuam rau hauv nws, innervating tsis tau tsuas yog lub caj dab, tab sis kuj yog cov hauv nruab nrog cev.
Raws li qhov tshwm sim ntawm lub siab, khaus ntawm cov hlab ntsha plexuses yog tsim, thiab tom qab ntawd tus yam ntxwv mob tshwm sim ntawm qhov chaw mob. Kev tshawb fawb kho mob tsis ntev los no tau lees paub qhov tshwm sim no. Qhov tseeb yog tias daim siab yog tswj los ntawm phrenic paj hlwb, uas ua rau lub npe hu ua hepatic plexus. Cov hlab ntsha hla mus ze rau ntawm cov leeg sternocleidomastoid, uas ua haujlwm raws li kev pom zoo ntawm pathophysiological rau cov tsos mob no. Yog vim li cas tus tsos mob Mussy-Georgievsky ua rau mob hnyav nyob rau hauv lub gallbladder.
Thaum twg tus tsos mob zoo?
Georgievsky cov tsos mob - Mussi, lossis phrenicus-cov tsos mob, tej zaum yuav zoo rau sab laug. Qhov no qhia txog lub xeev tseem ceeb ntawm lub cev thiab ua qhov qhia txog kev mus pw hauv tsev kho mob sai. Georgievsky cov tsos mob - Mussi yog duplicated ntawm sab laug nyob rau hauv rooj plaub ntawm:
- tawg lossis raug mob ntawm tus po;
- plab plab perforation;
- abscesses hauv cheeb tsam subdiaphragmatic;
- loj heev sab hauv hemorrhages nyob rau hauv qhov chaw retroperitoneal (nrog rau ectopic cev xeeb tub, txhua yam kev txiav txim ntawm cov ntaub so ntswg, phom phom qhov txhab).
Cov xwm txheej no yog xwm txheej xwm txheej ceev.
Thawj kos npecholecystitis
Cov tsos mob thawj zaug ntawm o ntawm lub gallbladder yog cov yam ntxwv mob ntawm txoj cai hypochondrium, uas yog nrog xeev siab (qee zaum ntuav). Lub cev kub kuj nce mus txog 38 degrees. Cov kua tsib ducts pib ntsws, vim tias cov kua tsib tsis ntws mus rau hauv cov hnyuv. Cov tawv nqaij pib daj, thiab cov quav poob lawv cov xim tsaus, noj cov tsos ntawm melena.
Tus neeg mob yuav muaj cov tsos mob ntawm Ortner, Murphy, Georgievsky - Mussy. Txhawm rau txheeb xyuas qhov seem ntawm cov paib, koj yuav tsum paub tias lub gallbladder nyob rau hauv txoj cai hypochondrium ntawm tus nqi qis ntawm midclavicular lycinium. Nws yog nyob rau hauv qhov chaw no uas koj yuav tsum nias koj tus ntiv tes xoo los kuaj xyuas Murphy lub cim thiab xyuas kom meej tias muaj mob. Ortner lub cim yog tshwm sim los ntawm lub teeb tapping ntawm xibtes raws tus nqi qis, qhov twg lub gallbladder nyob.
Georgievsky cov tsos mob - Mussy nrog cholecystitis pab txawm tias cov kws phais hluas kom sib txawv cov txheej txheem inflammatory hauv lub gallbladder los ntawm appendicitis, peritonitis, ectopic cev xeeb tub, perforated ulcer ntawm lub plab los yog cov hnyuv me, kab mob siab, nonspecific colitis.
Yuav ua li cas yog tias tsis pab?
Lub sijhawm mob cholecystitis yuav tsum tau kho enzyme tshwj xeeb. Yog tias tsis muaj kev kho mob kom raug, tus kab mob yuav mob ntev nrog rau theem ntawm exacerbation thiab tshem tawm. Cov mob ntev yog qhov nyuaj dua los kho, txij li lub txiav thiab cov hnyuv tau koom nrog hauv cov txheej txheem. Tsis tas li ntawd, cov zaub mov tsis zoo digested, uas txhais tau hais tias lub cev yuav tsis tuaj yeem tau txais cov vitamins, rog, proteins,carbohydrates, zaub mov.
Feem ntau, Georgievsky cov tsos mob - Mussy qhia qhov hnyav ntawm cov txheej txheem inflammatory. Cov teeb meem tuaj yeem yog:
- fistula tsim;
- kev txhim kho ntawm tus mob pancreatitis;
- abscess ntawm gallbladder;
- ntshav lom (sepsis).
Txawm tias muaj cov tsos mob tsis zoo, nws raug nquahu kom mus rau lub tsev kho mob ze tshaj plaws hauv chaw ua haujlwm ntawm tus kws phais neeg ua haujlwm.
Yuav ua li cas?
Qee zaum nrhiav kev pab kho mob yuav ua tsis tau, piv txwv li rau cov neeg nyob deb nroog. Thawj qhov uas yuav ua tau rau tus neeg mob yog muab nws txoj hauj lwm xis nyob hauv txaj, tshem tawm qhov mob hnyav hauv hypochondrium. Tom qab ntawd koj yuav tsum kuaj xyuas lwm cov cim qhia ntawm cholecystitis. Yog tias lawv zoo, yuav tsum mus ntsib kws kho mob. Tom qab thawj cov tsos mob tshwm sim, cov nqaij haus luam yeeb, zaub nyoos, zaub mov muaj roj, thiab cawv yuav tsum raug cais tawm ntawm kev noj haus. Qhov no yuav pab kom tsis txhob ua rau cov txheej txheem inflammatory, tshem tawm cov teeb meem loj.
