Une-cholecystitis? Ukwelashwa aqoke uDkt

Cholecystitis - akulutho like ukuvuvukala gallbladder, isitho esincane eduze isibindi. Ngalo uphasisa Bile ezidingekayo ukuze kokudla esiswini. Uma ukugeleza Bile imbobo ivinjelwe noma ayisesemikhulu, esinyeni nenyongo livuvukele futhi avuvukele, liphinde ukubusa kungenzeka ukutheleleka.

Kukhona izinhlobo ezintathu oyinhloko cholecystitis: acute, chronic acalculous cholecystitis. Ukwelashwa ezihlukahlukene ezahlukene. cholecystitis olunamandla ngokuvamile kwenzeka uma gallstone kuyinto endleleni Bile. ukuvuvukala Okungalapheki lihlotshaniswa unomphela gallbladder udonga lapho babe nesisindo esikhudlwana. A cholecystitis acalculous - a rarity, iningi labo ebhekene odokotela egumbini eziphuthumayo, ukuthi kwande ukuthi kube eba ku ngemuva izifo ezifana nengculazi kanye nesifo sikashukela. Yiziphi izimpawu ze-cholecystitis? Okuvame kakhulu uphawu - ubuhlungu ngakwesokudla quadrant eliphezulu, okuyinto zingasuswa e enhla nomhlane nasezithweni ehlombe langakwesokudla. Ezinye izimpawu - isicanucanu nokuhlanza, ukunyuka kwezinga lokushisa, sensitivity high ilungelo endaweni subcostal uthinte, ubuhlungu, okuyinto buyaqina lapho umoya kakhulu kuthathe amahora angaphezu kuka-6. Abantu abadala awavamile likhuphuka izinga lokushisa, ngakho kufanele bathembele kwezinye izimpawu.

Sifo iqala uma ukuchaza izimpawu ukunakekelwa kwezempilo. kuvame kakhulu ukuba kusetshenziswe i-ultrasound uphethwe, isikrini kuyoba amatshe ebonakalayo seal odongeni gallbladder futhi ubungako balokho okusamanzi. Futhi, udokotela uzokwazi ukulinganisa usayizi umzimba shape.

Kwenzekani uma uxilongwe cholecystitis neso elibukhali kangaka? Ukwelashwa kungenzeka embodiments ezimbili - ngoludala futhi kuhlinzwa. Nokho, iziguli belulekwa ukuba adle njalo ilungelo ngemuva ukusazi ngokunembile isifo esikuphethe, ngoba ukusebenza kungenziwa okwakuseduze. Uma isimo akusona acute, ukuhlinzwa zingase zephuze noma ukuphuma nhlobo. Kulokhu kutuswa Ukudla ongaphakeme emafutheni (ngoba Bile ukuze kugayeke ukudla okunamafutha, ngakho asikho isidingo sokuthi avuse isibindi amafutha ukudla lapho kuvezwa Bile). Kwezinye izimo, isiguli iphathwa esigulini esingalalisiwe esibhedlela? Lapho akanawo lokushisa ukuhlaziywa akukho okubonisa ukuthi fibrosis Bile imbobo ivaliwe ngokuphelele, okuvame Bile imbobo (ivela isibindi) is hhayi ukuvala imbobo matshe imiphumela US. Futhi uma azikho izimo nzima, ezifana yobudala amadala, ukukhulelwa noma isifo kwesimiso somzimba sokuzivikela ezifweni. Ezimweni iziguli olandelanayo ukwelashwa ukuthola imithi elwa namagciwane, antiemetic kanye analgesic. Kodwa kumelwe niqaphelisise ngesikhathi Ukuwohloka lokuqala, ukufuna usizo lodokotela.

Uma izimpawu ezinzima kakhulu, futhi odokotela bethi amathekhiniki kuhlinzwa kwakudingeka ukuba aphulukise cholecystitis? Ukwelashwa ezimweni okunjalo ihilela ukufundisa ekususweni gallbladder. Ngokuvamile, ukuhlinzwa laparoscopic wenziwa ezibhedlela zesimanje, okuyinto ubuncane izibazi. Nokho, uma wena miss isikhashana bese udokotela ukwenze ukusebenza evamile, ikakhulukazi lapho uvule imbobo Bile, sisakwazi ukuma, zidabukile. Lesi simo kuphila kwetfu engotini, ngakho uma izinsolo cholecystitis iningi iziguli owasebenza ngayo ngokushesha ngangokunokwenzeka, uma kungenzeka. Abakhulelwe ziphumelele, futhi kungalimazi umama impilo kwengane.

cholecystitis Acalculous futhi iphathwa surgically uma isimo lesiguli emvumela ukuba asinde msebenzi. Ngokuvamile lokhu usesimweni esibucayi kakhulu uma kuqhathaniswa nezinye izifo ezingathi sína kakhulu, ngakho udokotela kufanele enze izinqumo ezinzima ekwelapheni iziguli anjalo. Phakathi ukuhlinzwa, udokotela ohlinzayo ngokuvamile kwenziwa endoscopic cholangiopancreatography retrograde, okusho ukuhlola isimo imbobo Bile, imbobo pancreatic futhi isimo odongeni duodenum.

Kuthiwani uma uxilongwe cholecystitis okungamahlalakhona? Ukwelashwa ngokuvamile - esihleliwe ukuhlinzwa ukhishwe isinye inyongo lapho isiguli sikulungele isikhashana.

Ngaphandle gallbladder kungenzeka ukuphila, uma ulandela iseluleko umsoco futhi ahole indlela yokuphila enempilo kakhudlwana. Nokho kungcono ukudla ngendlela efanele futhi siphile ngokuvumelana kuhlonzwa ukuthi nginesifo cholecystitis. Ukwelashwa ngokuvamile sisikhulu kakhulu ukuba indiva izinyathelo zokuvimbela, ezifana okuqukethwe ngokulinganisela amafutha ekudleni, ukulawula isisindo, futhi ukwelashwa esifike ngesikhathi ezidala emathunjini.