Nyob rau hauv lub xub ntiag ntawm ntau yam pathologies thiab mob ntawm lub biliary ib ntsuj av, stagnation ntawm cov kua tsib yuav tshwm sim. Cov tsos mob ntawm cholestasis thiab nws cov tsos mob yog nyob ntawm seb tus kab mob. Nws tuaj yeem tshwm sim los ntawm kev txo qis hauv cov kua tsib los yog nws tsis ua tiav.
Stagnation nyob rau hauv lub gallbladder nyob rau hauv cov me nyuam provokes ib tug xov tooj ntawm pathological kev hloov nyob rau hauv lub biliary system uas cuam tshuam kev ua hauj lwm ntawm lub plab thiab cov hnyuv. Xws li kev ua txhaum cai yog qhov tsawg heev. Yeej, cholestasis ua raws li cov tsos mob ntawm tus kab mob ntawm lub plab zom mov. Tsis muaj kev kho mob ua rau muaj teeb meem loj heev uas cuam tshuam rau tus menyuam tus mob.
Kev faib tawm tseem ceeb
Stagnation ntawm cov kua tsib nyob rau hauv lub gallbladder nyob rau hauv cov me nyuam los yog cholestasis yog ib tug pathology txuam nrog kev ua txhaum ntawm cov kua tsib thiab nws ntws los ntawm lub gallbladder los ntawm lub excretory raws mus rau hauv lub duodenum. Tus kab mob tuaj yeem yog intrahepatic lossis extrahepatic.
Y Intrahepatic pathology tsim nyob rau hauv cov hlwb ntawm daim siab thiab biliarytxoj kev. Qhov ua rau nws tshwm sim yog kev puas tsuaj rau cov ducts. Extrahepatic pathology tshwm sim vim qhov txhaws ntawm cov kua tsib ducts nyob sab nraum lub siab. Feem ntau cov blockage tshwm sim nrog cov pob zeb sib txawv.
Ntxiv rau, cov kua tsib stasis tuaj yeem ua rau mob hnyav thiab mob ntev. Nyob rau hauv lub mob ntawm pathology, cov tsos mob tshwm sim heev unexpectedly, thiab tom qab tshwm sim ntawm tus kab mob muaj cov tsos mob qhia tau hais tias. Daim ntawv mob ntev ntawm cholestasis yog tus cwj pwm los ntawm kev maj mam nce hauv cov cim qhia ntawm tus kab mob, thiab cov txheej txheem pathological no tuaj yeem tshwm sim ntau lub lis piam lossis ntau lub hlis. Cov tsos mob me me heev.
Ntxiv rau, cholestasis raug cais raws li lub cev tshwm sim. Mob yuav ua tau:
- partial;
- tag nrho;
- dissociative.
Daim ntawv ib nrab yog tus cwj pwm los ntawm qhov tseeb tias cov kua tsib tsim tau txo qis. Nrog dissociative cholestasis, cov ntsiab lus ntawm cov kua tsib tsis tsim nyob rau hauv kom muaj nuj nqis txaus. Tag nrho daim ntawv yog tus yam ntxwv los ntawm kev cuam tshuam ntawm cov kua tsib los ntawm lub gallbladder mus rau duodenum.
Kev tshwm sim
Cov tsos mob ntawm cov kua tsib stasis hauv cov menyuam yaus tau hais tau zoo, uas yog vim li cas nws muaj peev xwm paub txog cov kab mob pathology txawm nyob rau theem pib. Txhawm rau kho qhov xav tau, nws yog ib qho tsim nyog yuav tsum paub vim li cas cov kab mob tshwm sim. Ntawm cov provoking yam, nws yog ib qho tsim nyog yuav tsum tau qhia xws li:
- xeeb tubmetabolic ntshawv siab;
- noj tshuaj;
- kab mob kis;
- lub plawv tsis ua hauj lwm;
- malignant neoplasms;
- hereditary factor;
- muaj helminths.
Qee zaum, cov kab mob kis dhau los ua rau muaj qhov tshwm sim loj uas cuam tshuam rau cov txheej txheem ntawm cov kua tsib. Tshwj xeeb yog cov teeb meem txaus ntshai provoke ntau theem ntawm kab mob siab. Yuav luag ib txwm, tus kab mob siab no ua rau stagnation ntawm cov kua tsib. Tuberculosis muaj qhov cuam tshuam zoo sib xws rau tus menyuam lub cev.
Ntau zaus, lub plawv tsis ua haujlwm ua rau cholestasis, nrog rau kev noj tshuaj. Kev puas siab puas ntsws tshwm sim tsis tau tsuas yog tom qab noj tshuaj ntau dhau ntawm qee yam tshuaj, tab sis kuj nyob rau hauv cov ntaub ntawv muaj kev phom sij rau cov tshuaj hepatotoxic.
Feem ntau nyob rau hauv tus me nyuam lub cev helminths parasitize, uas provoke ib tug ua txhaum ntawm lub plab thiab cov hnyuv, uas yuav ua rau txoj kev loj hlob ntawm cholestasis. Tsis tas li ntawd, qee cov kab mob hauv caj ces, tshwj xeeb, xws li Caroli syndrome, tuaj yeem ua rau cov kua tsib stasis. Nws yog yus muaj los ntawm dilation ntawm cov kua tsib ducts. Lwm yam kab mob uas provokes cholestasis yog sclerosing cholangitis. Nws yog tus cwj pwm los ntawm kev mob ntawm cov kua tsib, uas ua rau lawv qhov qis dua.
Symptomatics
Cov tsos mob ntawm cov kua tsib nyob hauv cov menyuam yaus nyob ntawm ntau yam sib txawv. Qhov tseem ceeb tshaj plaws yog qhov peculiarity ntawm lub cev, lub hnub nyoog ntawm tus menyuam. Ntawm cov yam ntxwv ntawm cov tsos mob ntawm stagnation ntawm cov kua tsib nyob rau hauv tus me nyuam, nws yog ib qho tsim nyog yuav tsum tau hais txog xws li:
- pob khaus thiab khaus tawv nqaij;
- xeev siab thiab ntuav;
- icteric skin tone;
- kub nce;
- cov pos hniav;
- dub mob sab xis.
Cov pob khaus thiab khaus tawv nqaij feem ntau pom thaum hluas. Txhua yam pib nrog lub fact tias ntawm txhais tes, plab, pob tw thiab ob txhais ceg, daim tawv nqaij qhuav thiab flaky. Qhov no provokes khaus khaus heev, thiab tom qab ntawd ua pob khaus. Qee lub sij hawm cov niam txiv tsis cuam tshuam ntau qhov tseem ceeb rau cov tsos mob ntawm biliary dyskinesia hauv cov menyuam yaus, noj cov teeb meem zoo li kev ua xua.
Hauv qhov no, kev kho tus kheej yog qhov txaus ntshai tshwj xeeb, vim tias tsis muaj kev kho raws sijhawm, tus kab mob tuaj yeem mus rau theem ntev. Tus me nyuam yuav chim siab, tshee, ib ntus raug kev txom nyem los ntawm kev tsis qab los noj mov thiab pw tsaug zog. Qhov no yog vim lub fact tias thaum lub sij hawm stagnation ntawm cov kua tsib, lub cev muaj ib tug mob tsis muaj vitamin A, uas provokes irritation ntawm tej qhov chaw ntawm daim tawv nqaij. Cov menyuam yaus hnub nyoog qis dua ib xyoos tsis muaj cov cim no.
Cov tsos mob feem ntau ntawm cov kua tsib nyob rau hauv cov me nyuam mos yog jaundice. Hauv kev ua txhaum ntawm kev ua haujlwm ntawm daim siab, kev nce qib ntawm bilirubin hauv cov ntshav tau pom. Qhov no ua rau daim tawv nqaij noj ib me ntsis yellowish tint. Mucous tuaj yeem yog xim tib yam.
Cov tsos mob ntawm cov kua tsib nyob rau hauv cov menyuam yaus tuaj yeem tshwm sim raws li xeev siab thiab ntuav. Cov tsos mob zoo li no tshwm sim thaum tus kab mob pib hloov mus rau hauv daim ntawv mob hnyav thiab yuav tsum tau kho sai. Thaum lub sij hawm tus kab mobmuaj qhov hloov pauv ntawm qhov khoob. Cov zis dhau los ua xim tsaus, thiab cov quav ua paug tag nrho. Thaum ua qhov kuaj sim, cov ntsiab lus ntawm cov rog hauv cov quav tuaj yeem raug sau tseg.
Thaum tus kab mob no zuj zus, muaj kev noj qab haus huv, kub cev, mob sab xis, thiab cov pos hniav los ntshav. Yog tias muaj qhov ua rau thiab cov tsos mob ntawm stagnation ntawm cov kua tsib nyob rau hauv tus menyuam, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas tam sim ntawd thiab kho kom zoo.
Diagnostics
Kev kuaj xyuas cov kua tsib nyob hauv tus menyuam pib nrog kev kuaj thawj zaug thiab anamnesis, raws li tus kws kho mob txiav txim siab txog kev siv qee yam kev kuaj mob. Txij li thaum muaj ntau yam pathologies ntawm lub gallbladder muaj cov tsos mob zoo sib xws, kev ntsuam xyuas dav dav yog qhov tseem ceeb. Txhawm rau sau cov kev kho mob uas yuav tsum tau ua rau stagnation ntawm cov kua tsib hauv tus menyuam, qhov kev kuaj mob yuav tsum ua kom tiav thiab suav nrog:
- kuaj ntshav;
- tshuaj ntsuam cov zis thiab quav;
- kuaj mob ultrasound;
- tomography;
- duodenal suab;
- cholecystography.
Kev kuaj ntshav thiab tso zis tso cai rau koj los txiav txim qhov muaj mob thaum lub sijhawm exacerbation. Thaum lub sijhawm tshem tawm, tag nrho cov ntsuas yuav nyob twj ywm hauv qhov qub. Nrog rau lub sijhawm ntev ntawm tus kabmob, tus lej ntawm leukocytes tuaj yeem txo qis. Kev tshuaj ntsuam Fecal pab txhawm rau txheeb xyuas cov kab mob hauv lub cev.
Thaum ua kev kuaj mob ultrasound, nws tuaj yeem txiav txim siab qhov nce lossis txo qis hauv cov ntim ntawm lub gallbladder,txheeb xyuas nws cov deformation, thickening ntawm phab ntsa, lub xub ntiag ntawm pob zeb, raws li zoo raws li ntsuam xyuas lub contractility ntawm lub cev. Cholecystography rau kev kuaj mob yog siv heev sharply, vim hais tias xws li ib tug kev tshawb fawb txoj kev nqa ib tug hluav taws xob load. Cov txheej txheem no tso cai rau koj los ntsuas qhov chaw thiab cov duab ntawm lub gallbladder, nrog rau qhov ceev ntawm nws qhov khoob.
Kev kuaj mob ultrasound yuav tsum tau ua ntau zaus, vim qhov kev tshawb fawb no tso cai rau koj taug qab cov kab mob pathology, cov txiaj ntsig ntawm kev kho mob thiab cov xwm txheej ntawm lub cev tom qab kev kho mob tas.
Txoj kev kho mob
Txhawm rau tshem tawm cov laj thawj thiab cov tsos mob ntawm cov kua tsib stasis, kev kho mob yuav tsum tau ua nyob rau hauv ntau cov lus qhia ib zaug. Kev kho mob yuav tsum yog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau, nws txoj kev loj hlob ntawm cov txiav, nws txoj kev kho yuav tsum tau muab tshem tawm, qhov kev kho mob yuav tsum tau muab tshem tawm, tshem tawm cov kua tsib los ntawm cov kua tsib. Rau kev kho mob, tshuaj yog siv, uas tsuas yog sau los ntawm tus kws kho mob.
Kom normalize cov kua tsib, choleretics raug sau, thiab yog tias muaj cov txheej txheem inflammatory, ces siv tshuaj tua kab mob. Tsis tas li ntawd, kev kho mob yuav xav tau cholekinetics, uas ua kom cov kua tsib, tshuaj tua kab mob kom tshem tawm khaus.
Thiab tshwj xeeb yog mob hnyav, kev phais yuav raug sau tseg kom nthuav tawm cov kua tsib. Yeej, nws yog ua los ntawm kev siv minimally invasive cov tswv yim. Feem ntau, kev ua haujlwm cuam tshuam nrog endoscopic punctures, uas tso cai rau tus neeg mob tuaj sai sainws tus kheej, thiab tseem tshem tawm qhov xav tau ntawm suturing. Tsis tas li ntawd, ib qho kev ua haujlwm classic tuaj yeem ua tau, thaum lub sij hawm cov ducts yog drained, pob zeb raug tshem tawm, thiab patency rov qab.
Kev kho yuav tsum tau ua ntev thiab yuav tsum tau noj zaub mov tshwj xeeb thoob plaws lub sijhawm kho. Nws pab ua kom lub siab ua haujlwm ntawm lub siab, nrog rau txo qhov tshwm sim ntawm kev tsim kab mob gallstone.
Txhawm rau tswj cov tsos mob thiab kho lub gallbladder, tus kws kho mob tuaj yeem sau ntawv kho mob raws li kev saib xyuas ntawm cov kws tshaj lij uas tsim nyog, thiab qee hom kev kho lub cev kuj yuav tsum tau.
Drug therapy
Cholestasis yog ib yam kab mob txaus ntshai thiab nyuaj. Kev kho mob ntawm stagnation ntawm cov kua tsib hauv tus menyuam yuav tsum yog qhov nyuaj thiab qhia txog kev siv tshuaj. Muaj ntau cov tshuaj choleretic uas pom zoo rau cov menyuam yaus. Cov nyiaj no yog sawv cev los ntawm pawg hauv qab no:
- tshuaj choleretic ("Allohol", "Osalmid", "Nicodin");
- choleretics ("Holosas", "Flamin", "Holos");
- tshuaj cholekinetic ("Magnesia", "Valerian");
- tshuaj anticholinergic ("Papaverine", "No-shpa", "Atropine", "Spazmol").
Txhawm rau tshem tawm cov tsos mob uas twb muaj lawm, rau kev kho lub gallbladder hauv cov menyuam yaus, nws raug nquahu kom noj tshuaj ntsuab choleretic yog tias tsis muaj qhov ua xua rau qee yam tshuaj ntsuab thiab lawv cov khoom lossis ib tus neeg intolerance. Tib lub sijhawm, nws tseem ceeb heevxam qhov ntau npaum li cas, uas feem ntau nyob ntawm qhov hnyav ntawm tus menyuam. Qhov ntau npaum yog qhia nruj me ntsis hauv cov lus qhia rau kev siv tshuaj thiab rau txhua tus neeg sawv cev nws tuaj yeem sib txawv kiag li. Ua ntej siv cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob ua ntej.
Ntxiv rau kev noj tshuaj choleretic, tus kws kho mob yuav pom zoo kom noj cov dej qab zib alkaline xws li Essentuki lossis Borjomi. Cov dej no suav hais tias yog ib qho zoo heev ntuj choleretic thiab muaj cov nyhuv sib xws, diluting bile, txo nws cov viscosity thiab txhawb kom sai thiab yooj yim outflow.
Txhawm rau tshem tawm cov tsos mob ntawm cov kua tsib stasis hauv cov menyuam yaus, kev kho mob kuj tau ua nrog kev siv tshuaj tua kab mob thiab tshuaj tua kab mob, uas pab tshem tawm spasms thiab txo qhov mob. Yog hais tias muaj cov tsos mob ntawm o nyob rau hauv lub biliary ib ntsuj av tau thiab gallbladder, tshuaj tua kab mob tej zaum yuav qhia, tshwj xeeb tshaj yog, xws li Metronidazole, Biseptol, Clarithromycin.
Txhawm rau txo qhov khaus, tshuaj tiv thaiv kab mob, xws li Cetrin, Dimedrol, Suprastin, Tavegil. Nrog rau khaus hnyav, cov tshuaj tua kab mob tuaj yeem siv tau, tshwj xeeb, gels, cream, tshuaj pleev.
Txoj kev kho cov stagnation ntawm cov kua tsib nyob rau hauv lub gallbladder hauv cov menyuam yaus tsuas yog xaiv los ntawm tus kws kho mob uas tsim nyog, suav nrog cov yam ntxwv ntawm cov kab mob. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias cov menyuam yaus hnub nyoog qis dua 12 xyoos tsis pom zoo kom noj tshuaj choleretic, vim tias lawv muaj ntau yam khoom xyaw, yog li ntawd, kwv yees lawv cov txiaj ntsig rau tus menyuam.ua tsis tau.
Ntseeg haiv neeg
Nrog kev cuam tshuam ntawm cov kab mob biliary lossis kev ntws ntawm cov kab mob ntawm lub gallbladder, cholestasis pib tsim. Kev kho mob ntawm stagnation ntawm cov kua tsib nyob rau hauv tus me nyuam kuj tau ua nrog kev pab los ntawm pej xeem cov kev kho mob thiab txoj kev, txawm li cas los xij, ua ntej siv lawv, nws yog ib qho tsim nyog yuav tsum sab laj nrog kws kho mob kom tsis txhob ua mob rau tus menyuam lub cev. Tsis tas li ntawd, nws tsim nyog sau cia tias decoctions thiab infusions ntawm cov tshuaj ntsuab tsuas yog siv los ua ib qho ntxiv rau kev kho mob tseem ceeb, vim tias lawv cov txiaj ntsig tsis txaus los daws cov kab mob uas twb muaj lawm.
Cov tshuaj siv tau zoo tshaj plaws thiab nyab xeeb tshaj plaws siv rau cov kua tsib stasis yog:
- kho nrog tshuaj ntsuab uas muaj cov nyhuv choleretic;
- noj yoo mov txhua hnub ntawm cov taub taub taub;
- siv cov kua txiv hmab txiv ntoo tshiab;
- plab ntxiv dag zog;
- plab zais zis massage;
- tub.
Ib decoction ntawm peppermint, immortelle, wormwood, St. John's wort, nrog rau rosehip decoction yog heev zoo. Tag nrho cov tshuaj no yuav tsum tau noj 20 feeb ua ntej noj mov.
Dieting
Kev noj zaub mov tseem ceeb heev hauv kev kho cov kua tsib stasis. Cov tsos mob ntawm pathology tuaj yeem raug tshem tawm sai dua nrog kev noj zaub mov kom raug. Nco ntsoov ua raws li cov ntsiab cai ntawm kev noj haus:
- noj me me;
- zaub thiabtxiv hmab txiv ntoo, khoom noj siv mis;
- los ntawm cov zaub mov muaj protein, nyiam yuav tsum tau muab rau ntau hom ntses thiab nqaij.
Hauv kev noj zaub mov ib txwm, nco ntsoov txwv cov khoom qab zib thiab rog. Nws yog nruj me ntsis txwv tsis pub noj ntsim, kib, ntsev, ntsim zaub mov, nrog rau cov dej qab zib thiab dej cawv. Nws tsis pom zoo kom noj cov qhob cij tshiab tshiab. Nws yog qhov zoo dua kom tsis suav sorrel, dos ntsuab, radishes los ntawm kev noj haus.
Yuav ua li cas thiaj yuav tshwm sim
Txhawm rau tshem tawm cov tsos mob ntawm stagnation ntawm cov kua tsib nyob rau hauv lub gallbladder, kev kho mob yuav tsum tau ua tiav, vim tsuas yog qhov no tau lees paub qhov kev pov tseg sai thiab ua tiav ntawm cov kab mob uas twb muaj lawm. Yog tias txoj kev kho tsis tau ua tiav raws sijhawm, muaj ntau yam teeb meem thiab qhov tshwm sim txaus ntshai yuav tshwm sim, tshwj xeeb, xws li:
- tsis muaj calcium hauv lub cev;
- vitamin deficiency;
- cirrhosis ntawm daim siab;
- kev txhim kho ntawm lub gallbladder;
- siab tsis ua hauj lwm.
Tag nrho cov kev tshwm sim no tuaj yeem ua rau muaj kev phom sij heev rau kev noj qab haus huv thiab lub neej ntawm tus menyuam, yog vim li cas thaum thawj cov tsos mob tshwm sim, koj yuav tsum tau mus ntsib kws kho mob kom paub meej thiab kho.
prophylaxis
Txhua yam kab mob no yooj yim dua los tiv thaiv dua li kho tau ntev. Tias yog vim li cas cov txheej txheem yooj yim ntawm kev tiv thaiv yuav zam qhov tshwm sim ntawm cov teeb meem txaus ntshai thiab teeb meem nrog lub gallbladder, feem ntau ntawm cov uas.yog kua tsib stasis.
Qhov kev ntsuas tseem ceeb rau kev tiv thaiv cholestasis hauv cov menyuam yaus yog tiv thaiv qhov tshwm sim ntawm pathologies ntawm lub plab zom mov. Koj yuav tsum tau sim ntau li ntau tau kom taug kev hauv huab cua ntshiab, nruj me ntsis saib xyuas kev pw tsaug zog thiab so. Nws yog ib qho tseem ceeb kom paub meej tias tus me nyuam noj tsis tu ncua thiab kom raug. Yog tias pom thawj theem ntawm pathology, ces koj yuav tsum ua raws li kev noj haus nruj me ntsis.
Cov menyuam yaus xav tau lub cev ua haujlwm ntawm qhov nruab nrab, vim tias lub cev tsis ua haujlwm yog suav tias yog ib qho ntawm qhov ua rau muaj kev cuam tshuam. Kev tawm dag zog thaum sawv ntxov, ua luam dej hauv pas dej, hiking, kev ua si sab nraum zoov yog qhov ua tau zoo.
Rau kev tiv thaiv cov kua tsib stagnation, nws yog ib qho tseem ceeb kom tsis tu ncua haus dej ntxhia, xws li Essentuki, Borjomi, Narzan. Ntuj tshuaj ntsuab tshuaj yej npaj los ntawm cov nroj tsuag tshuaj, xws li St. John's wort, wormwood, mint, oregano, kuj yuav pab tau. Kev tiv thaiv zoo heev yuav yog kev mus ntsib txhua xyoo rau cov chaw kho mob tshwj xeeb nrog kev kho mob nyuaj.
Stagnation ntawm cov kua tsib rau lub sijhawm ntev tuaj yeem tshwm sim yam tsis muaj tsos mob. Tsis muaj kev kho mob raws sij hawm ua rau lub siab tsis ua haujlwm, cirrhosis, osteoporosis thiab ntau lwm yam mob hnyav. Txhawm rau kuaj pom tus kab mob raws sijhawm, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas ultrasound ntawm lub plab zom mov yam tsawg ib xyoos ib zaug.
Yog tias tus menyuam yaus pib yws ntawm qhov mob ntawm nws sab, poob nws qab los yog muaj lwm yam tsis zoo siab ntawm pathology, ces koj yuav tsum tsis txhob sim kho nws tus kheej. Tsuas yog ib tus kws kho mob uas tsim nyog yuav tsum tau sau ntawv kho mob.
Feem ntau ntawm tus mob cholecystitis nrog kev kho raws sij hawm xaus rau tus menyuam kom rov zoo. Txawm li cas los xij, tom qab exacerbation, dyskinesia tuaj yeem nyob ntev, yog li koj yuav tsum ua raws li txhua tus kws kho mob cov lus pom zoo.
