Ntshai thiab mob hauv plab plab tshwm sim ib ntus hauv ntau tus neeg. Feem ntau cov tsos mob no qhia txog kev txhim kho ntawm o nyob rau hauv lub cev ntawm lub digestive ib ntsuj av. Cov kev xav tsis zoo hauv cov xwm txheej zoo li no yuav luag ib txwm cuam tshuam nrog kev siv qee yam khoom. Mob thiab xeev siab tej zaum yuav qhia tias thickening ntawm lub gallbladder ntaub so ntswg. Txawm tias muaj tseeb hais tias lub cev no yog me me, cov tsos mob ntawm nws o yog heev pronounced. Cov poj niam puas yuav raug kuaj pom tias tawv ntawm cov phab ntsa gallbladder? Nws yog dab tsi thiab vim li cas nws tshwm sim? Nws tsim nyog sau cia tias lub cev ua haujlwm li cas. Nws ua hauj lwm raws li ib tug reservoir rau cov kua tsib. Thaum lub sij hawm zom cov zaub mov, cov kua roj ntsha no tso tawm rau hauv lub lumen ntawm duodenum. Qhov no yog nrog los ntawm contraction ntawm lub gallbladder. Kev sib khi ntawm cov phab ntsa ntawm lub cev ua rau muaj kev ua txhaum ntawm nws txoj haujlwm tseem ceeb. Yog li ntawd, cov kua tsib stagnates (cholestasis), thiab cov txheej txheem digestion qeeb. Tsis tas li ntawd, lub cev tuaj yeem nce qhov loj me, uas ua rau mob.
Vim li casthickening ntawm lub gallbladder phab ntsa tshwm sim?
Cov ntaub so ntswg uas ua rau lub cev tsis tuaj yeem ua kom tuab yam tsis muaj laj thawj. Ntau yam tsis zoo ua rau qhov no, uas tuaj yeem yog ob qho tib si exogenous thiab endogenous. Thickening ntawm lub gallbladder phab ntsa tshwm sim vim li no:
- mob mob ntawm lub cev - cholecystitis. Tus kab mob no yog suav hais tias yog ib qho ntawm cov kab mob feem ntau ntawm lub plab zom mov. Raws li koj paub, cov txheej txheem inflammatory ua rau o thiab hyperemia ntawm phab ntsa ntawm lub cev, thiab permeability ntawm cov hlab ntsha me nce. Chronic cholecystitis yog tus cwj pwm los ntawm cov theem ntawm exacerbations thiab remissions. Yog li ntawd, edema ntawm phab ntsa yog hloov los ntawm kev loj hlob ntawm cov ntaub so ntswg, uas, nyob rau hauv lem, yog fraught nrog kev loj hlob ntawm lub cev compaction thiab adhesions nyob rau hauv lub gallbladder.
- Calculous cholecystitis. Ntxiv nrog rau cov txheej txheem inflammatory, qhov no pathology yog nrog los ntawm kev tsim cov pob zeb nyob rau hauv lub lumen ntawm lub cev. Calculi tiv thaiv kev khiav tawm ntawm cov kua tsib.
- Congenital organ deformities. Ntau tus neeg tau kuaj pom tias muaj kev kis mob thiab lwm yam kev hloov pauv hauv kev teeb tsa ntawm lub gallbladder thaum kawm. Cov qauv tsis zoo ua rau muaj kev loj hlob ntawm cholestasis. Thiab nws, nyob rau hauv lem, ua rau mob o thiab thickening ntawm phab ntsa.
- Kev noj ntau dhau ntawm cov zaub mov nyuaj zom. Qhov no yog hais txog cov khoom noj muaj rog, iab, qab ntsev.
- Kab mob ntawm lub plab zom mov. Kab mob siab ntev thiab mob pancreatitis feem ntau tshwm sim nrog kev mob ntawm lub gallbladder.
- Lub plawv tsis ua hauj lwm. Lub sij hawm ntevCov kab mob plawv ua rau tsim cov edema ob leeg ntawm daim tawv nqaij thiab hauv nruab nrog cev.
- Polyps thiab lwm yam neoplasms. Kev loj hlob ntawm cov ntaub so ntswg ntawm lub cev yog ib txwm nrog los ntawm cov phab ntsa tuab.
Tag nrho cov laj thawj no yuav tsum tau coj mus rau hauv tus account txhawm rau kho tus mob cholecystitis ntev. Deformation thiab compaction ntawm phab ntsa ntawm lub gallbladder yog txaus ntshai rau txoj kev loj hlob ntawm unpleasant txim. Ntawm lawv - o ntawm lwm yam kabmob ntawm lub plab zom mov, plab zom mov.
Cov tsos mob ntawm daim tawv nqaij thickening
Kev sib koom ua ke ntawm phab ntsa ntawm lub gallbladder tsis tshwm tawm sab nraud. Yog li ntawd, yog tias tus txheej txheem no xav tias yuav tsum tau mus kuaj, tshwj xeeb tshaj yog ultrasound scan. Kev tshwm sim ntawm tus kab mob tsis yog ib txwm qhia, tab sis tsuas yog thaum lub sij hawm exacerbation ntawm o ntawm lub cev. Nyob rau tib lub sijhawm, cov tsos mob xws li xeev siab, kev hnov mob hauv qhov ncauj, mob hauv plab, thiab kev qaug zog. Thaum tshem tawm, cov cim no tsis tuaj. Txawm li cas los xij, tom qab noj cov zaub mov uas muaj rog thiab zom zom, qhov tsis xis nyob yuav tshwm sim dua.
Ntaus thiab iab hauv qhov ncauj thaum lub sijhawm exacerbation tsis yog ib txwm cuam tshuam nrog zaub mov. Feem ntau cov neeg mob yws ntawm qhov tsis xis nyob thaum sawv ntxov, ua ntej yuav mus pw. Tom qab noj mov, cov tsos mob hnyav dua. Qee lub sij hawm muaj ntuav cov kua tsib.
kuaj lub cev rau cholecystitis
Pom qhov xaus ntawm kev kuaj mob ultrasound, cov neeg mob pib xav txog cov lus nug: dab tsi yog qhov thickening ntawm phab ntsa ntawm lub gallbladder txhais tau tias? Nws yuav tsum raug sau tseg tias cov lus nohais txog kev hloov morphological hauv lub cev. Phab ntsa compaction tsis yog ib qho kev kuaj mob ywj pheej. Cov tsos mob no raug kuaj pom thaum kuaj ntsuas ntsuas. Daim paib no yuav luag txhua lub sijhawm txhais tau hais tias tus neeg mob muaj mob ntev ntawm lub gallbladder.
Txawm li cas los xij, tus kws kho mob yuav tsum ntseeg qhov no. Rau lub hom phiaj no, kev kuaj lub cev yog ua. Cov cim tshwj xeeb ntawm cholecystitis suav nrog:
- Mob thaum lub siab siv rau thaj tsam ntawm lub zais zis (Ker tus tsos mob).
- Ntau qhov tsis xis nyob ntawm palpation thaum nqus pa.
- Mob thaum tapping ntawm tus nqi qis (Murphy's tsos mob).
Tag nrho cov cim no tau kuaj pom hauv ob qho tib si mob thiab mob cholecystitis. Yog li ntawd, txhawm rau paub seb puas muaj cov phab ntsa ntawm lub cev, kev kuaj xyuas ultrasound.
Kev kuaj mob ntawm lub gallbladder
Cov tsos mob ntawm cov phab ntsa ntawm lub gallbladder yog qhov qhia rau kev kuaj mob. Cov yam ntxwv ntawm kev kuaj mob cholecystitis muaj xws li: nce AST thiab ALT. Cov qib ntawm cov enzymes no nce nrog stagnation ntawm cov kua tsib hauv cov ducts. Thaum lub sij hawm exacerbation, leukocytosis thiab acceleration ntawm ESR nyob rau hauv cov ntshav kuaj tau sau tseg.
Lub thickness ntawm phab ntsa ntawm lub cev yuav tsum tsis pub tshaj 5 hli. Ib qho kev nce ntxiv hauv qhov ntsuas no qhia tias muaj cov txheej txheem mob ntev. Tsis tas li ntawd, thaum cov phab ntsa yog thickened, ib qho kev hloov nyob rau hauv lub ncha ntom ntawm lub contours ntawm lub cev tau sau tseg.
Ntxiv rau ultrasound, suav tomography ntawm lub plab kab noj hniav yog ua,radiography. Qee zaum, kev tshawb fawb tshwj xeeb yog xav tau. Ntawm lawv yog retrograde cholangiopancreatography.
Condensation ntawm phab ntsa ntawm lub gallbladder: kev kho mob ntawm pathology
Kev kho mob cholecystitis yog raws li kev noj zaub mov, kev siv tshuaj. Nrog calculous o, kev ua haujlwm yog ua - ectomy ntawm lub gallbladder. Cov tshuaj uas txhim kho cov kua tsib muaj xws li Allohol, Holosas, Ursosan. Nyob rau hauv cov ntaub ntawv ntawm exacerbation, tshuaj tua kab mob yog muab. Txhawm rau txo qhov spasm ntawm cov leeg ntawm lub cev thiab txo qhov mob, cov tshuaj "No-shpa" yog siv.
khoom noj kom raug rau cholecystitis
Thaum kaw cov phab ntsa ntawm lub cev, koj yuav tsum ua raws li kev noj haus tas li. Txhawm rau kom tsis txhob ua rau exacerbation, nws yog ib qho tsim nyog yuav tsum tsis suav nrog cov khoom noj uas haus luam yeeb thiab qab ntsev ntau dhau, cov khoom noj muaj roj ntawm cov khoom noj. Nws tseem yog qhov tsis xav noj zaub uas ua rau lub qhov txhab ntawm lub cev (radish, radish). Cov neeg mob tau qhia kom npaj zaub mov los ntawm cov nqaij ntshiv thiab ntses. Cov neeg mob tau txais txiaj ntsig los ntawm cov khoom siv mis nyuj, cov zaub mov, zaub thiab txiv hmab txiv ntoo purees, kua zaub.
Qhov tshwm sim ntawm thickening ntawm phab ntsa ntawm lub cev
Dab tsi tuaj yeem ua rau cov phab ntsa zais zis tawv? Yog tias tus kab mob tsis kho, muaj teeb meem tshwm sim. Feem ntau exacerbations ua rau kom muaj zog ntawm cov ntaub so ntswg ntawm lub cev. Yog li ntawd, adhesions tsim nyob rau hauv lub gallbladder. Cov kab mob cholecystitis ntev yog qhov txaus ntshai los ntawm kev sib kis ntawm cov txheej txheem inflammatory. Qhov no ua rau qhov tshwm sim ntawm lwm yam pathologies -kab mob siab, gastroduodenitis, pancreatitis. Pob zeb hauv lumen ntawm lub cev tuaj yeem ua rau perforation, peritonitis.
Tiv thaiv kom tuab ntawm phab ntsa ntawm lub cev
Kom tsis txhob thickening ntawm phab ntsa ntawm lub gallbladder, nws yog ib qho tsim nyog los tiv thaiv kev loj hlob ntawm cov kab mob ntev. Txhawm rau ua qhov no, nws raug nquahu kom noj kom raug (tsis txhob tsim txom cov rog, ntsim zaub mov). Nyob rau hauv lub xub ntiag ntawm helminthic ntxeem tau, cov cab yuav tsum tau muab pov tseg, raws li lawv feem ntau nyob rau hauv cov kua tsib thiab lub siab ducts. Cov neeg mob uas muaj lub cev txawv txav yuav tsum tau kuaj tsawg kawg ib xyoos ib zaug.
