Cholelithiasis yog ib yam kab mob uas tshwm sim nrog kev tsim cov pob zeb hauv lub gallbladder. Cov kab mob no feem ntau tshwm sim, feem ntau cov poj niam mob.
Ntawm cov txheej txheem tseem ceeb ntawm cov txheej txheem pathogenetic uas ua rau cov kab mob no, ib tus yuav tsum tau hais txog kev ua txhaum ntawm cov rog metabolism, stagnation ntawm cov kua tsib, nrog rau nws cov kab mob. Ntawm qhov ua rau muaj tus mob cholelithiasis, cov hnub nyoog laus dua, kev siv qee yam tshuaj siv tshuaj (piv txwv li, tshuaj tiv thaiv kab mob, Ceftriaxone), qee lub luag haujlwm raug muab rau cov yam ntxwv ntawm kev xeeb tub, rog rog, cev xeeb tub, ntshav qab zib mellitus, nrog rau kev phais plab, txo cov roj cholesterol. thiab dyskinesia ntawm cov kua tsib. Txoj kev loj hlob ntawm cov kab mob no kuj tseem txhawb nqa los ntawm kev ua xua thiab autoimmune txheej txheem, o ntawm lub gallbladder, noj zaub mov tsis tu ncua, cov roj (cholesterol) siab hauv cov zaub mov, nrog rau kev noj zaub mov nruj. Kev kho tus kab mob gallstone nyob ntawm nws theem ntawm kev loj hlob, etiology thiab chav kawm.
Kev kho mob tshwm sim
Ntau zaus qhov no pathology yog asymptomatic. Thaum cov pob zeb tawm ntawm lub gallbladder, muaj kev tawm tsam ntawm cholelithiasis, uas tshwm sim los ntawm qhov mob tam sim ntawd hauv hypochondrium, xeev siab thiab ntuav, qhov ncauj qhuav, khaus tawv nqaij. Yellowness ntawm daim tawv nqaij thiab sclera tuaj yeem tshwm sim, cov zis tsaus nti thiab cov quav tsis muaj xim tau pom.
kev kho mob cholelithiasis
Thaum thawj theem ntawm kev txhim kho ntawm cov kab mob no, kev ua neej nyob tau raug pom zoo. Nws tseem yog tsim nyog los normalize lub cev qhov hnyav thiab tshem tawm etiological yam - endocrine ntshawv siab, o ntawm lub biliary ib ntsuj av, plab hnyuv pathology. Dab tsi tseem ceeb yog kev noj zaub mov zoo tshwj tsis yog cov khoom noj rog thiab calorie ntau ntau.
Kev kho tus kab mob gallstone yuav tsum muaj cov tshuaj tsim nyog, suav nrog cov hauv qab no:
• "Phenobarbital" (los txhawb kev tsim cov kua tsib acids);
• ursodeoxycholic acid - txhawb kev tawg ntawm pob zeb;
• peripheral M-cholinolytics (piv txwv li, atropine sulfate) - pab tshem tawm qhov mob;
• analgesics uas tshem tawm qhov mob ("Analgin", "Baralgin", thaum mob hnyav - "Promedol");
• myotropic antispasmodics (xws li "Papaverine hydrochloride");
• tshuaj tua kab mob.
Thaum cholelithiasis tshwm sim, kev phais hauv daim ntawv ntawm cholecystectomy feem ntau ua rau hauv daim ntawv suav nrog kev tawm tsam hnyav ntawm biliary colic. Tam sim no, txoj kev pheej hmoo ntawm kev phais mob yog laparoscopiccholecystectomy.
Qee zaum, kev poob siab yoj cholelithotripsy tuaj yeem siv rau kev kho mob, uas cov pob zeb loj raug crushed rau hauv me me. Nws yuav tsum tau muab sau tseg tias kev kho mob ntawm tus kab mob gallstone yuav tsum tau ua kom tiav. Qhov ntim ntawm txoj kev kho mob tsuas yog txiav txim siab los ntawm tus kws kho mob, suav nrog cov yam ntxwv ntawm kev kho mob tshwm sim ntawm cov kab mob no, nrog rau qib ntawm kev cuam tshuam ntawm cov kua tsib.
