Hauv cov tshuaj, cov kab mob cholecystitis ntev tau nkag siab tias yog mob ntawm lub gallbladder nws tus kheej nrog cov pob zeb hauv nws. Tus kab mob no yog tam sim no kuj muaj. Hauv tsab xov xwm no peb yuav tham txog dab tsi yog nws cov cim tseem ceeb, thiab kho mob cholecystitis li cas. Raws li cov kws tshaj lij, kev tsim cov pob zeb tau yooj yim los ntawm kev ua txhaum ntawm lipid thiab pigment metabolism, nrog rau ntau yam txheej txheem inflammatory hauv lub cev nws tus kheej.
Case keeb kwm: chronic calculous cholecystitis
Nws tuaj yeem sib cav tias lub tswv yim ntawm tus kab mob no cuam tshuam nrog cholelithiasis. Cov yav tas yog hais txog nyob rau hauv cov kev tshwm sim uas pob zeb tau pom ncaj qha nyob rau hauv lub npuas nws tus kheej. Lawv tsim tshwm sim, raws li tau sau tseg saum toj no, vim muaj kev ua txhaum ntawm qee cov txheej txheem metabolic, nrog rau kev hloov pauv ntawm cov kua tsib. Hais txogQhov teeb meem ntawm cov kab mob cholecystitis ntev, nws tsuas yog kuaj tau tawm tsam keeb kwm yav dhau los ntawm tus kab mob uas twb tau xa mus rau hauv daim ntawv mob. Qhov xwm txheej no paub txog ntau tus uas tsis tuaj yeem tau txais kev kho mob zoo los ntawm cov kws tshaj lij.
Nyob calculous cholecystitis. Symptoms
Ua ntej tshaj plaws, nws yuav tsum raug sau tseg tias qhov kev tsis txaus siab ntawm cov neeg mob tuaj yeem nyob ntawm qhov hnyav ntawm cov txheej txheem inflammatory nws tus kheej. Yog li ntawd, qee cov neeg qhia qhov mob hnyav. Ntawm qhov tod tes, thaum tsis muaj exacerbation, kev tsis txaus siab yog qhov tsis tseem ceeb (kev iab hauv qhov ncauj, kev xav tsis tu ncua ntawm qhov hnyav hauv thaj tsam ntawm txoj cai hypochondrium). Nws yog ib qho tseem ceeb uas qhov mob feem ntau kis mus rau sab nraub qaum.
Kev kuaj mob chronic calculous cholecystitis
Yog tias koj xav tias tus kab mob no, tus kws kho mob yuav tsum tau sau ib daim ntawv ntsuam xyuas, uas, ntxiv rau cov qauv kuaj ntshav thiab zis, tej zaum yuav muaj cov khoom xws li:
- kuaj ultrasound (tso cai rau koj txheeb xyuas qhov tuab ntawm phab ntsa ntawm lub gallbladder, nce hauv nws ntim);
- endoscopic retrograde cholangiography (yuav tsum tau txiav txim siab txog qhov xwm txheej ntawm cov ducts thiab muaj qhov hu ua calculi hauv lawv);
- xam tomography (tso cai rau koj txheeb xyuas qhov kev nthuav dav ntawm cov ducts uas twb muaj lawm, nrog rau kev nce hauv cov qog ntshav qab zib).
Kev kho mob chronic cholecystitis
Tam sim no, raws li tau thovua cov kws kho mob hauv ntiaj teb, kev kho mob phais raug lees paub tias yog txoj kev kho mob zoo tshaj plaws. Nws tau raug pov thawj tias kev sim ua kom yaj pob zeb hauv tus kab mob no los ntawm kev siv qee pawg tshuaj feem ntau tsis muaj txiaj ntsig. Tsis tas li ntawd, fragmentation ntawm pob zeb siv tshwj xeeb ultrasonic tej thaj chaw deb lithotripsy nrog ntxiv kev tshem tawm ntawm cov tsim fragments los ntawm duodenum yog ua tau tsuas yog nyob rau hauv ib co neeg mob. Qhov tseeb yog tias dhau sijhawm, cov pob zeb tshiab tuaj yeem tsim. Tsuas yog txoj kev phais xwb thiaj daws tau qhov teeb meem no.
