Cholecystitis acute

cholecystitis olunamandla iyona inkinga evame kakhulu isifo gallstone. Lesi sifo libhekene izimpawu ezicacile zokwelapha, kodwa ezimweni ezingajwayelekile, lesi sifo singumbulali atypical. Ubuhlungu itholakala esiswini, ke ingenye izimpawu ezisemqoka lesi sifo.

Ngesisekelo ka cholecystitis acute kuyinto ukuvaleka ukugeleza of nenyongo sesinye amatshe. Ngokuyinhloko non-webhaktheriya ukuvuvukala kukhulisa ubunjalo ke ijoyina ngegciwane. imiphumela enjalo kubangele prostaglandins, lysolecithin kanye nezinye izinto ezifanayo. Gallbladder KWAMAGUNDANE acid anobuthi, okuyinto isinyathelo le mucosa ethintekile.

ukudakwa Jikelele kuwuphawu, esibonakala by cholecystitis oyingozi. Izimpawu zesifo zikhulisa ngokushesha: kukhona ubuhlungu ngokulinganisela ku epigastric, hypochondrium kwesokudla, ngokuvamile imbuthuma ukuba isiphanga, ehlombe langakwesokudla. Ngezinye izikhathi bajoyine ukucanuzela kwenhliziyo, ukuhlanza. Cishe kuzo zonke izimo, kukhona nokwanda lokushisa kuya ku-39 ° C. , Izibalo Ephakeme ukuphakamisa ithumba noma bacteremia. Palpation ubuhlungu ngakwesokudla endaweni subcostal ngesikhathi ugqozi (Murphy syndrome) kwembulwa.

cholecystitis olunamandla kunzima ukuhlukanisa nge ngokuhlasela ubuhlungu biliary endaweni. Ukuze ukusazi ngokunembile isifo esikuphethe, ukuqapha isicelo, esiqhutshwa amahora amabili. Phakathi ubuhlungu isikhathi eside edinga ukuhlinzwa ukhishwe isitho ethintekile.

Kwezinye izimo, izimpawu zingase ongacaciswanga kahle. Lokhu kwaqashelwa ezigulini ukuthatha zinhlungu nasebekhulile. Kwezinye izimo, lesi sifo iqala ifomu anobuthi, esibonakala by ukukhuphuka okukhulu kwezinga lokushisa, okukhulu ubuhlungu besisu, bacteremia, nokwanda okuphawulekayo igazi leukocyte.

Sifo "cholecystitis acute" lingasethwa kuphela ikhumbula izici zokwelapha, ngoba acace kukho. Nokho, zikhona izindlela ezahlukene ukuhlola wezinsimbi: ultrasound, scan hepatobiliary. Lapho esolwa ithumba usebenzisa computed tomography.

cholecystitis olunamandla kuthinta isithombe igazi, esiza nasekuhlanzeni e ekuxilonga. Ezifundweni waphawula ukwanda amangqamuzana amhlophe egazi. Kwezinye iziguli kukhona nokwanda kokungabi lokuhlushwa Amylase. Lokhu kusikisela ngokujoyina pancreatitis.

Ultrasound luhlolo ihlinzeka esibalulekile ulwazi mayelana nesimo se-Bile Amapayipi, pancreas. Phezu ukuthola amatshe, udonga ukuqina noma ukuvuvukala umzimba echayeke ukuxilongwa "cholecystitis acute".

On yokuvuma isiguli esilandelayo imisebenzi eyenziwa esibhedlela: kwencazelo ezimhlophe cell segazi, ultrasonography. ukwelashwa kokuqala kusekelwe imithi elwa namagciwane, okuyinto isinyathelo enterococci amagciwane gramotritsatetelnye. Futhi wazithwala yokwelapha ukumnika, okuyinto kuhloswe ngako ukunqanda amanzi emzimbeni, nokuvulwa ibhalansi alikhali-acid. Ephambi kwezinduna ukuhlanza owethulwa tube nasogastric.

Esigabeni esilandelayo indlela yokuyelapha ukuhlinzwa, okuyilona elidingekayo lapho ukuwohloka ngenxa kahle ongaphakeme izidakamizwa esetshenziswa ngaphambilini.

ukusebenza Ukukhethwa kule sifo lwenziwe phakathi evulekile futhi avaliwe umbono cholecystectomy. Kwezinye izimo, i cholecystostomy elinesithunzi. Vula cholecystectomy isetshenziswa khona izinkinga ezinzima ezifana ithumba, perforation, esibhibhayo. ukusebenza Ukukhethwa kubhekwa laparoscopic isitho ukususwa.