Cholecystitis tshwm sim los ntawm kev khaus thiab mob ntawm lub gallbladder (ib qho khoom nruab nrog nyob ze ntawm daim siab thiab koom nrog hauv kev zom zaub mov). Cov kua tsib yog tawm los ntawm lub cev feem ntau los ntawm txoj hnyuv me, tab sis qee zaum muaj teeb meem nrog nws tso tawm, vim tias nws khaws cia hauv lub gallbladder. Qhov no ua rau mob thiab kis kab mob.
Kev ua haujlwm ntawm lub gallbladder hauv lub cev
Lub zais zis ua haujlwm yog dab tsi? Lub cev no secretes ib tug zais cia uas dilutes cov zaub mov ua tiav los ntawm gastric kua txiv, hloov pais plab zom mov rau txoj hnyuv. Nws activates lub peristalsis ntawm cov hnyuv me thiab zus tau tej cov physiological mucus, uas plays lub luag hauj lwm tiv thaiv. Nrog rau qhov no, nws neutralizes roj cholesterol, bilirubin thiab lwm yam tshuaj, thiab tseem txhawb kev tsim cov enzymes.
Leej twg txaus ntshai?
Raws li txoj cai, cholecystitis tshwm sim nyob rau tib lub sijhawm nrog kev mob ntawm cov ducts. Tus kab mob no heev. Feem ntau, kev kho mob cholecystitis thiab cholecystitis ntev yog xav tau rau cov poj niam. Hauv kev sib deev ncaj ncees, tus kab mob no tshwm sim3-8 npaug ntau dua cov txiv neej uas muaj hnub nyoog tib yam.
Vim li cas poj niam thiaj li muaj tus kab mob no ntau dua? Feem ntau, nws tshwm sim thaum cev xeeb tub vim yog mob ntev ntawm lub gallbladder los ntawm fetus. Qhov tshwm sim yog qhov tsis txaus ntseeg thiab stagnation ntawm cov kua tsib.
Progesterone, uas yog tsim los ntawm ntau ntau thaum cev xeeb tub thiab poj niam cev xeeb tub, nrog rau lwm cov poj niam cov tshuaj hormones, cuam tshuam rau lub gallbladder. Tsis tas li ntawd, cov poj niam nyiam mus noj zaub mov uas ua rau ua txhaum ntawm nws lub cev muaj zog.
Pab pawg txaus ntshai, tsis hais hnub nyoog thiab poj niam txiv neej, suav nrog cov neeg uas tau raug kev txom nyem yav dhau los:
- mob plab lossis kab mob siab;
- kab mob parasitic (helminthic thiab protozoal invasion localized nyob rau hauv txoj hnyuv los yog daim siab);
- cholelithiasis nrog kev txhaws lossis kev loj hlob ntawm bedsores ntawm lub gallbladder mucosa;
- kab mob uas cuam tshuam cov ntshav mus rau lub gallbladder.
Cov laj thawj no yog vim yog kev ua txhaum ntawm kev cuam tshuam (patency), lossis ua txhaum ntawm lub zais zis.
Nyob ntawm kab mob
Raws li cov kab mob, cholecystitis ntawm daim siab tuaj yeem mob hnyav lossis mob ntev. Lub physiology ntawm lub gallbladder yog ze rau ntawm daim siab, lub luag hauj lwm ntawm uas muaj ntau haiv neeg. Qhov tseem ceeb tshaj plaws yog qhov tsis tu ncua ntawm cov kua tsib thiab tawm mus rau hauv duodenum. Cov kua tsib ntau ntxiv hauv lub gallbladder thiab noj maj mam.
kab mob cholecystitis tuaj yeem muab faib los ntawm etiological hauv paus rau 2pawg: calculous (los ntawm Latin Calculus txhais tau tias "pob zeb") thiab non-calculous (stoneless).
Kab mob tuaj yeem ua rau muaj qhov sib txawv, nyob ntawm seb tus kab mob cholecystitis tau muab faib ua catarrhal, purulent, sib xyaw, gangrenous thiab phlegmonous. Qhov kawg ob hom cholecystitis suav nrog hauv ib pab pawg - kev puas tsuaj cholecystitis. Qhov exacerbation ntawm tus kab mob feem ntau ua rau tus neeg mob tsis xis nyob. Yog li ntawd, nws yog ib qho tseem ceeb los txheeb xyuas tus kab mob nyob rau theem pib thiab pib kho nws raws sijhawm. Kev kho kom raug zam kom tsis txhob muaj teeb meem tshwm sim.
Ua rau mob
Kev kho mob cholecystitis thiab cholecystitis ntev yuav tsum pib nrog kev kuaj los ntawm tus kws kho mob tshwj xeeb. Tab sis ua ntej nws tsim nyog nrhiav seb yog vim li cas tus kab mob no tshwm sim. Cov laj thawj rau kev loj hlob ntawm tus kab mob tuaj yeem sib txawv heev. Txawm li cas los xij, feem ntau nws tshwm sim los ntawm kev sib sau ntawm pob zeb hauv lub gallbladder, uas ua rau muaj kev cuam tshuam ntau ntawm cov kua tsib los ntawm lub cev. Lwm qhov ua rau muaj tus kab mob yog kis kab mob lossis raug mob. Tsis tas li ntawd, biliary cholecystitis tuaj yeem tshwm sim raws li qhov teeb meem ntawm cov kab mob loj, xws li ntshav qab zib. Hauv qhov no, txoj kev kho mob rau tus neeg mob tau muab tshuaj rau tus kheej.
Raws li qhov tshwm sim ntawm cov xwm txheej no, mob cholecystitis tuaj yeem tshwm sim, uas tshwm sim ntawm lub gallbladder. Chr. cholecystitis, raws li txoj cai, tshwm sim nyob rau hauv cov ntaub ntawv uas o tsis ploj mus rau lub sij hawm ntev thiab yog protracted. Qhov no ua rau cov phab ntsa ntawm lub gallbladder thicken.
Cov tsos mob thiab kev kuaj mobcholecystitis
Nyob rau hauv cov theem pib, cov tsos mob tseem ceeb ntawm cholecystitis feem ntau yog ib qho mob ntawm sab xis, uas ib tug neeg hnov hauv qab tav. Kev mob ib txwm los tsis tau xav txog. Lub ntsiab ua rau mob cov tsos mob yog pob zeb thaiv cov hlab ntsha hauv lub zais zis. Qhov no ua rau khaus thiab mob.
Kev hnov mob mob ploj tom qab qee lub sijhawm ntawm lawv tus kheej lossis tom qab siv tshuaj kho mob. Txawm li cas los, nyob rau hauv lub neej yav tom ntej muaj ib tug maj mam nce nyob rau hauv qhov mob, uas nws thiaj li ua rau systematic. Kev loj hlob ntawm cholecystitis yog nrog ua npaws, xeev siab thiab ntuav, thiab tus neeg mob maj mam zuj zus.
Tsis ntev tus neeg mob yuav mob jaundice, vim tias daim tawv nqaij thiab sclera ua daj. Qhov no yog vim kev ua txhaum ntawm cov kua tsib nyob rau hauv cov hnyuv. Qhov tseem ceeb ua ntej rau qhov no yog qhov muaj pob zeb thaiv cov ducts hauv lub zais zis. Ib tus neeg lub plawv dhia tso cai rau koj los txiav txim siab qhov kis kab mob thiab kev loj hlob ntawm tus kab mob. Txhua tus neeg mob uas kuaj mob cholecystitis yuav tsum ntsuas nws. Exacerbation ntawm tus kab mob tuaj yeem ua rau muaj teeb meem. Yog li, yog tias tus neeg mob muaj lub plawv dhia ntawm 80 mus rau 130 tus neeg ntaus ib feeb lossis siab dua, koj yuav tsum ceeb toom. Vim tias qhov no yog ib qho cim qhia tias muaj kev hloov pauv txaus ntshai tshwm sim hauv lub cev.
Nyob rau hauv lub sijhawm ntev ntawm tus kab mob no, cov tsos mob yuav tsis tshwm sim ntau, tab sis yav tom ntej tus kab mob yuav ua rau nws tus kheej xav tias twb nyob rau hauv ntau dua los yog mob heev. Hauv qhov noKev kho mob yuav tsum tau ua nyob rau hauv ib lub tsev kho mob - qhov no yuav zam tsis muaj teeb meem.
Cov tsos mob tau kuaj pom thaum kuaj, nrog rau hauv kev kuaj thiab ntsuas ntsuas. Raws li tus neeg mob qhov kev tsis txaus siab, cov kab mob ntawm daim siab, kab mob plab thiab lwm yam kabmob uas ib tug neeg tau raug kev txom nyem ua ntej raug txiav txim. Thaum lees paub qhov kev kuaj mob, qee yam tshuaj raug sau tseg. Kev kho mob cholecystitis thiab cholecystitis ntev yog pib tsuas yog tom qab pom zoo nrog tus kws kho mob.
Feem ntau, cov neeg mob yws ntawm qhov mob hnyav hauv thaj tsam hauv qab ntawm tav, plab, xeev siab, ntuav, raws plab, cem quav lossis tsam plab. Ntawm lwm cov tsos mob, tus nplaig furred yuav tsum paub qhov txawv, uas yog ib qho cim ntawm stagnation ntawm cov kua tsib hauv lub zais zis. Cov tsos mob tseem ceeb ntawm cholecystitis yog mob, uas tuaj yeem txiav txim siab los ntawm palpation. Nws feem ntau tshwm tsis hais qhov chaw ntawm lub cev.
Ib yam mob tshwm sim ntawm tus kab mob no yog xeev siab, uas feem ntau ua rau ntuav. Hauv qee kis, cov tsos mob no ua haujlwm tiv thaiv lub cev rau kev qaug cawv. Nrog cholecystitis, lawv ib txwm yog ib feem ntawm cov kab mob. Cov tsos mob ntawm xeev siab tuaj yeem pom tsis tau tsuas yog nrog cholecystitis, tab sis kuj nrog mob plab hnyuv, lom, raum colic, rwj, pancreatitis, lossis ectopic cev xeeb tub.
Txhawm rau txiav txim siab qhov ua rau xeev siab thiab ntuav, koj yuav tsum ua tib zoo saib lub sijhawm twg ntawm hnub cov tsos mob tshwm sim, nrog rau thaum lawv tshwm sim tom qab noj mov. Nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau lub sij hawm ntawm xeev siab, txawm tias nws xaus nrog gag reflex. Nws yog ib qho tsim nyog los kawm txog qhov ntuav(txawm hais tias cov zaub mov puas zom los yog tsis, puas muaj ntshav txhaws thiab txawv teb chaws), puas muaj kev pab tom qab ntuav.
Mob plab, cem quav thiab tsam plab yog cov tsos mob ntawm ntau yam kab mob hauv plab, nrog rau cholecystitis. Yog tias qhov teeb meem tshwm sim tam sim ntawd, qhov no qhia tias muaj teeb meem ntawm tus kab mob.
Mob plab feem ntau tshwm sim nrog dysbacteriosis thaum noj tshuaj tua kab mob los kho cholecystitis. Nws kuj tuaj yeem tshwm sim nyob rau hauv ntau yam kab mob hauv plab, thaum lwm cov plab hnyuv siab raum koom nrog hauv cov kab mob pathogenesis.
cem quav thiab tsam plab feem ntau tshwm sim nrog peritonitis, mob cholecystitis. Feem ntau lawv tshwm sim hauv cov neeg mob sedentary uas tau pw tsaug zog ntev.
Diagnosis
Yog tias muaj cov tsos mob no, tus neeg yuav tsum tau mus ntsib kws kho mob. Tus kws kho mob pom cov kev tsis txaus siab ntawm cov neeg mob, raws li cov ntaub ntawv keeb kwm kho mob tau sau tseg. Cholecystitis yog kuaj los ntawm ntau yam kev kuaj thiab ntsuas cov txheej txheem. Yeej, txhawm rau txiav txim siab cholecystitis, cov kws kho mob tshwj xeeb siv duodenal probing, x-rays thiab ultrasound. Nrog kev pab los ntawm cov kev tshawb fawb no, peristalsis thiab patency ntawm cov kua tsib rau hauv lub duodenum, nrog rau lwm cov cim tseem ceeb ntawm lub cev tau tsim.
Noncalculous cholecystitis
6-7 tus neeg ntawm 1000 muaj cov kab mob cholecystitis, feem ntau mob ntev. Nws muaj ntau dua rau cov poj niam dua li cov txiv neej. Qee tus kws kho mob ntseeg tias hom kab mob no tuaj yeem ua rau muaj txiaj ntsig. Yog li ntawd, kev kho mob ntawm cholecystitis thiab mob cholecystitisNws yog ib qho tseem ceeb uas yuav tau pib raws sij hawm. Cov neeg mob yuav tsum to taub hais tias qhov no tsis yog yuav tsum tau trifled nrog.
Vim li cas acalculous cholecystitis tshwm sim? Cov kab mob tseem ceeb ntawm tus kab mob no yog: Escherichia coli, Enterococcus, Staphylococcus aureus, Proteus los yog mixed flora. Yog tias tus neeg mob muaj dysbacteriosis, colitis lossis enteritis, tus kab mob tuaj yeem dhau los ntawm txoj hnyuv mus rau lub gallbladder, lossis los ntawm thaj chaw hepatopancreatic yog tias tus neeg mob muaj tus mob pancreatitis ntev. Nyob rau hauv tsawg zaus, kab mob tshwm sim los ntawm foci nyob deb ntau nyob rau hauv uas mob o tshwm sim. Cov kab mob no muaj xws li: mob tonsillitis, kab mob periodontal, appendicitis, pneumonia thiab lwm yam.
Tus kab mob no feem ntau yog kho nrog cov txheej txheem ib txwm muaj. Tus neeg mob yuav tsum tau muab tshuaj noj tshwj xeeb. Nws yog ib qho tseem ceeb heev uas tus neeg mob noj fractionally thiab feem ntau. Nws yog ib qho tsim nyog kom tshem tawm cov khoom noj uas muaj rog, kib, ntsim, nrog rau cov dej qab ntsev thiab dej cawv los ntawm kev noj haus.
Tam sim no, acalculous cholecystitis yog kho nrog tshuaj xws li Amoxicillin, Cefazolin, Erythromycin thiab lwm yam. Txhawm rau ua kom cov txheej txheem zom zaub mov zoo, kev noj cov tshuaj no feem ntau yog ua ke nrog kev npaj enzyme, piv txwv li, nrog Festal, Mezim Forte, Pancreatin. Txhawm rau tsim cov kua tsib, tus neeg mob tau muab tshuaj choleretics ("Holenzim", "Allohol" thiab lwm yam). Magnesium sulfate los yog sorbitol yog sau tseg kom txo qis lub gallbladder.
kab mob chronic
Chr. cholecystitis qhia tias muaj pob zeb hauv lub gallbladder,Cov txheej txheem mob me me thiab ntu ntu ntawm cov tsos mob ntawm tus kab mob. Tus kab mob tuaj yeem yuav luag asymptomatic lossis nco nws tus kheej ntawm hepatic colic. Yog hais tias tus kab mob no tshwm sim nyob rau hauv ib tug latent daim ntawv, tus neeg mob yuav muaj ib tug kev xav ntawm hnyav ntawm sab xis nyob rau hauv lub hypochondrium. Nrog rau qhov no, nws raug tsim txom los ntawm flatulence, raws plab, kub siab, thiab belching. Cov tsos mob no yog nrog los ntawm iab nyob rau hauv lub qhov ncauj. Kev noj ntau dhau lossis tom qab noj cov zaub mov muaj rog ua rau cov kev tsis xis nyob no.
Sudden hepatic colic feem ntau tshwm sim nrog cov kab mob xws li cholecystitis, pancreatitis, kev kho mob uas yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob. Raws li txoj cai, colic yog ua ntej los ntawm kev tsis ua raws li kev noj haus, kev tawm dag zog lub cev hnyav, lossis qee yam kev xav ntau dhau. Qhov kev tawm tsam yog provoked los ntawm contractions ntawm lub gallbladder thiab nws cov ducts, uas tshwm sim los ntawm irritation ntawm mucous daim nyias nyias nrog pob zeb. Nyob rau hauv cov ntaub ntawv no, ib tug neeg muaj ib tug ntse stabbing mob, localized nyob rau hauv txoj cai hypochondrium, ntws mus rau hauv lub caj dab, sab xub pwg nyom thiab lub xub pwg hniav. Lub sijhawm ntawm kev tawm tsam txawv ntawm ob peb feeb mus rau 2 hnub.
Colic nrog kub taub hau thiab ntuav, uas tsis ua rau mob. Tus neeg mob hnov zoo siab, nws cov mem tes ua arrhythmic. Tus kab mob no cuam tshuam me ntsis rau cov ntshav siab. Hauv cov neeg mob laus, feem ntau pib angina.
Tus nplaig ntub dej thaum muaj kev tawm tsam, feem ntau cov quav hniav tshwm rau ntawm nws. Nrog rau qhov no, tus neeg mob tuaj yeem ua rau tsam plab thiabmob nyob rau hauv lub hypochondrium ntawm sab xis. Nws yog ib qho tseem ceeb hais tias nyob rau hauv cov ntaub ntawv no, kev kuaj ntshav tsis qhia ib qho txawv txav, thiab lub gallbladder thiab daim siab tsis nce, tsis muaj cov tsos mob ntawm khaus khaus. Kev tawm tsam ntawm colic nres sai li sai tau thaum lawv pib, thaum tus neeg mob hnov ib co nyem thiab tsis muaj zog.
Tiv thaiv cholecystitis
Yuav ua li cas tiv thaiv koj tus kheej kom tsis txhob kis tus kab mob no? Txhawm rau ua qhov no, nws yog ib qho tsim nyog yuav tsum tau sim ua kom lub cev qhov hnyav thiab qib ntawm lub cev ua si, vim tias vim muaj kev ua neej nyob tsis tu ncua, stagnation ntawm cov kua tsib thiab tsim cov pob zeb hauv lub zais zis tshwm sim. Tus neeg mob raug qhia kom ua raws li kev noj zaub mov tshwj xeeb. Los ntawm cov dej qab zib nws raug tso cai haus compotes thiab tsis muaj zog brewed tshuaj yej. Daim ntawv teev cov tais diav thiab cov khoom lag luam muaj xws li: khob cij, tsev cheese, zaub zaub, nqaij nyuj (tsis muaj rog), nqaij qaib, cereals crumbly thiab zaub tsis muaj acidic thiab txiv hmab txiv ntoo.
Kev txwv tsis pub noj: pastries tshiab, lard, spinach, sorrel, kib nqaij, fatty ntses thiab nqaij, mustard, kua txob, kas fes, ice cream, cawv, khoom noj yooj yim.
Rau lub hom phiaj ntawm kev tiv thaiv, cov kws kho mob tshwj xeeb tau sau ursodeoxycholic acid rau cov neeg mob, uas tiv thaiv cov pob zeb zoo li thaum poob ceeb thawj (los ntawm 2 kg ib lub lis piam).
Nyob rau hauv ib qho kab mob uas twb muaj lawm, kev tiv thaiv kev tiv thaiv yog txhawm rau tiv thaiv qhov tshwm sim ntawm qhov rov tshwm sim ntawm qhov mob thiab muaj feem cuam tshuam. Nws yuav tsum raug sau tseg tias lawv tuaj yeem tshwm sim txawm tias tom qab kho. Hauv qhov xwm txheej no, tus neeg mob xav taukev ua haujlwm. Cholecystitis yuav tsum tsis txhob raug ignored thiab yuav tsum tau kuaj ntawm thawj lub cim ntawm tus kab mob.
tshuaj ntsuab zaub mov txawv rau kev kho mob cholecystitis
Kev kho mob cholecystitis, raws li kev siv tshuaj ntsuab thiab infusions, yuav tsum tau pom zoo nrog tus kws kho mob. Qhov no yog qhov tsim nyog txhawm rau zam kom tsis txhob muaj kev puas tsuaj rau kev noj qab haus huv thiab kev noj qab haus huv. Ntawm cov kev kho neeg paub zoo, kev sau tshuaj ntawm tshuaj ntsuab raws li immortelle, uas muaj cov nyhuv choleretic, qhia tau zoo.
Ua ntej pib kho, nws yog ib qho tseem ceeb kom paub meej txog hom kab mob, txij li kev noj cov tshuaj choleretic tsis raug tso cai rau calculous cholecystitis. Lwm txoj kev kho mob cholecystitis tsuas yog siv tau yog tias tus neeg mob raug kev txom nyem los ntawm cholecystitis uas tsis suav nrog. Nyob rau hauv lub xub ntiag ntawm ib tug calculous daim ntawv ntawm tus kab mob, nws yog ua tau los txhawb kev tso tawm ntawm cov kua tsib nrog kev pab los ntawm tshuaj ntsuab thiab tshuaj tsuas yog nyob rau hauv ib tug neeg cov tshuaj ntawm kws kho mob.
Tus neeg mob tuaj yeem haus tshuaj ntsuab infusions uas txhim kho plab hnyuv thiab ntshav ncig. Tseem ceeb heev nyob rau hauv cov ntaub ntawv no yog ntau yam soothing infusions thiab tshuaj ntsuab tshuaj yej, raws li zoo raws li tshiab zaub ntug hauv paus thiab taub dag kua txiv.
Ntau tus neeg kho mob tsis suav nrog cholecystitis nrog homeopathy, uas qee zaum txhim kho kev noj qab haus huv tag nrho. Kev noj cov tshuaj homeopathic tsuas yog muab los ntawm tus kws kho mob.
- Thaum cholecystitis yog qhov zoo heev los haus kua txiv rowan. Nws yuav tsum tau noj 50 ml 3 zaug hauv ib hnub 30 feeb ua ntej nojfood.
- Koj tuaj yeem kho cov kab mob xws li cholecystitis, mob pancreatitis nrog decoction ntawm St. John's wort. Nws muaj tsis tsuas yog ib tug choleretic nyhuv, tab sis kuj muaj anti-inflammatory. Txhawm rau npaj nws, koj yuav xav tau 1 tablespoon ntawm St. John's wort thiab 1 khob dej kub. Lub broth yog boiled rau 15 feeb thiab lim. Noj 50 ml peb zaug ib hnub twg.
- Decoction ntawm birch nplooj kuj zoo heev hauv kev tawm tsam tus kab mob. Rau nws, noj 1 tablespoon ntawm nplooj thiab ncuav 200 ml ntawm boiling dej tshaj lawv. Lub broth yuav tsum tau boil rau 30 feeb, tom qab ntawd nws yuav tsum tau txias rau chav tsev kub. Thaum lub sij hawm ua noj ua haus, tus nqi ntawm broth yuav txo, yog li nws yuav tsum tau topped nrog dej mus rau lub ntim ntawm ib khob. Haus ib decoction yuav tsum yog 3 zaug ib hnub twg, 50 ml ua ntej noj mov. Cov tshuaj no yog siv los kho Giardia cholecystitis.
- Koj tuaj yeem ua lwm yam decoction ntawm St. John's wort, tab sis nrog ntxiv ntawm immortelle thiab pob kws stigmas. Tag nrho cov khoom xyaw yog tov sib npaug zos rau 1 tablespoon ntawm tshuaj ntsuab tshuaj yej. Tom qab ntawd qhov sib tov yog poured rau hauv 200 ml ntawm boiling dej thiab boil rau 30 feeb. Tom qab ntawd, lub broth yuav tsum tau txias rau chav tsev kub thiab me ntsis diluted nrog boiled dej. Noj cov tshuaj no 1/3 khob ib nrab ib teev ua ntej noj mov peb zaug hauv ib hnub.
- Camomile decoction pab kho tus mob cholecystitis uas tsis suav nrog. Rau nws, koj xav tau 15 g ntawm chamomile rau 1 khob ntawm boiling dej. Lub decoction yuav tsum haus dej sov. Nws kuj tseem siv tau rau enemas, uas yuav tsum tau ua tsis pub ntau tshaj 2-3 zaug hauv ib lub lis piam.
Nws yog ib qho tseem ceeb kom nco ntsoov tias hauv tib neeg lub cev txhua yam muajqhov tseem ceeb, txhua lub cev yog qhov tseem ceeb hauv nws txoj kev thiab cuam tshuam rau lub sijhawm thiab tag nrho ntawm lub neej. Lwm txoj hauv kev yog ib feem ntawm kev kho mob. Txij li cov zaub mov pej xeem tsis tuaj yeem hloov cov tshuaj tua kab mob thiab lwm yam tshuaj, tus neeg mob yuav tsum ua raws li tag nrho cov kws kho mob cov lus qhia thiab tsis quav ntsej cov tshuaj. Nws tsis pom zoo kom kho tus kab mob cholecystitis nrog tshuaj ntsuab. Nws yog ib qho tseem ceeb los saib xyuas koj txoj kev noj qab haus huv thiab tsis txhob quav ntsej cov tsos mob ntawm cholecystitis, txawm tias lawv yog me.
