Cholecystitis yayiyazi

cholecystitis Acute yeyona bunzima rhoqo yesifo gallstone. Isifo lubonakala ngokuba iimpawu ecacileyo kwezonyango, kodwa kwiimeko ezinqabileyo, isifo Nedlac. Le ntlungu yenzelwe esiswini, yenye iimpawu ezingundoqo zesi sifo.

Isiseko of cholecystitis etsolo na ukuvaleka ukuhamba inyongo lwesinye amatye. Ngokuyintloko of non-ziibhakteriya ukudumba kukhulisa ubunjalo, koko ajoyine wosulelekile. imiphumela enjalo prostaglandins, lysolecithin kunye nezinye izinto ezifanayo. Senyongo ohlaselo asidi ezingenabungozi, leyo ukuthobela isifo abachaphazelekayo.

ukunxila jikelele ngumqondiso, nto leyo luphawulwa cholecystitis oyingozi. Iimpawu zesi sifo ziyanda ngokukhawuleza: kukho intlungu ngcathu kule epigastric, hypochondrium ekunene, ngokufuthi ibonakala ukuya igxalaba, nomlenze wasekunene. Maxa wambi bajoyine isicaphucaphu, ukugabha. Phantse kuyo yonke imiba, kukho ukunyuka kobushushu ukuya 39 ° C. , Amanani Higher ibonisa ithumba okanye bacteremia. Ngokucofa kutyhilwa iintlungu kwindawo ekunene subcostal ngexesha iphefumlelwe (Murphy syndrome).

cholecystitis Acute kunzima ukuba umahluko ngokuhlaselwa buhlungu biliary kule ndawo. Kuba ukuxilongwa, esweni isicelo, ibanjwa iiyure ezimbini. Kwintlungu elide ifuna utyando ukususa organ achaphazelekayo.

Kwezinye iimeko, iimpawu zinokuthi kakuhle ichaziwe. Oku waphawula kwizigulane abathatha okudambisa kunye nabantu abadala. Kwezinye iimeko, esi sifo iqala luhlobo ityhefu, nto leyo zibandakanya ukwanda ngokukhawuleza kwendlela lobushushu, kanzima iintlungu esiswini, bacteremia, ukwanda kakhulu leukocytes egazini.

Uxilongo "cholecystitis etsolo" zingasetwa kuphela ngokuthatha kwi iimpawu lwezonyango akhawunti, ekubeni ethile kuyo. Noko ke, kukho iindlela ezahlukeneyo kuxilongo negalelo: ultrasound, scan hepatobiliary. Xa okusolwayo ithumba usebenzisa Itomography ngekhompyutha.

cholecystitis Acute luchaphazela umfanekiso igazi, nayo leyo kunceda ekufumaniseni yakhe. Xa izifundo waphawula ukwanda iiseli ezimhlophe zegazi. Kwezinye izigulane kukho ukwanda abasuka amylase. Oku kubonisa ukujoyina pancreatitis.

Uviwo ultrasound ibonelela isixa esikhulu ulwazi malunga nemeko enyongweni yobisi, isibindi nepancreas. Xa efumanise amatye, zodonga ukuqina okanye ukudumba umzimba usekuhleni une "cholecystitis ahlekise".

Kwi yokwamkelwa imisebenzi isigulane ilandelayo kwenziwa esibhedlele: kwenkcazelo amhlophe egazi count, ultrasonography. unyango lokuqala esekelwe kwi-antibiotics, leyo ukuthobela iintsholongwane enterococci gramotritsatetelnye. Kwakhona wazithwala unyango iimela, ekuthi kujongwe ukuba aphephe ukomisa, ukufunyanwa eseleyo kwealkali-asidi. Phambi ukugabha wazisa tube nasogastric.

Inqanaba elilandelayo unyango na kotyando, apho kuyimfuneko xa ukonakala ngenxa ukusebenza ophantsi amachiza asetyenziswa ngaphambili.

ukusebenza Selection kule sifo lwenziwa phakathi olunemboniselo cholecystectomy evulelekileyo kunye ezivaliweyo. Kwezinye iimeko, umntu cholecystostomy enkulu. cholecystectomy Vula isetyenziswa phambi yeengxaki ezinkulu ezifana ithumba, perforation, ukubola. umsebenzi Selection igqalwa ukususwa omzimba laparoscopy.