Pachimake cholecystitis

Pachimake cholecystitis ndi vuto zambiri za matenda gallstone. Matendawa ali ndi makhalidwe ndi zizindikiro momveka matenda, koma nthawi zina matenda ndi atypical. ululu isanafalikire mu pamimba, ndi wina zizindikiro chifungulo cha matenda.

Maziko a cholecystitis pachimake ndi blockage wa otaya a ndulu miyala. Makamaka omwe sanali bakiteriya kutupa akufotokozera khalidwe, ndipo amayamba ndi matenda. Zotsatira amenewa, prostaglandins, lysolecithin ndi zinthu zina zofanana. Ndulu infestation zidulo poizoni, amene kanthu pa mucosa akhudzidwa.

General kuledzera chizindikiro, amene amakhala ndi cholecystitis pachimake. Zizindikiro za matenda akuchuluka mofulumira: pali zolimbitsa ululu epigastric ndi, hypochondrium bwino, nthawi zambiri yochokera kwa tsamba phewa, phewa kumanja. Nthawi zina limodzi ndi nseru, kusanza. Pafupifupi onse milandu, pali kuwonjezeka kutentha mpaka 39 ° C. , Kanjedza Apamwamba amati abscess kapena bacteremia. Palpation anaulula ululu malo pomwe subcostal pa kudzoza (Murphy syndrome).

Pachimake cholecystitis kovuta kusiyanitsa ndi kuukira kwa ululu biliary m'deralo. Pakuti matenda zolondola, kuwunika ntchito yomwe imachitika kwa maola awiri. Pa ululu yaitali opaleshoni kuchotsa limba akhudzidwa.

Nthawi zina, zizindikiro akhoza bwino kumatanthauza. Izi anati odwala amene asamakhale ndi nkhawa komanso okalamba. Nthawi zina, matenda ikuyamba ndi mawonekedwe poizoni, amene amakhala ndi kuwonjezeka kutchulidwa kutentha kwambiri kapena kupweteka m'mimba, bacteremia, kuwonjezeka kwambiri leukocytes magazi.

Matendawa "cholecystitis pachimake" akhoza chilichonse koma chifukwa amaganizira mbali matenda, popeza yeniyeni izo. Komabe, pali njira zosiyanasiyana diagnostics zoimbidwa: ultrasound, hepatobiliary jambulani. Pamene amaganiziridwa abscess ntchito yopangidwa tomography.

Pachimake cholecystitis amakhudza magazi chithunzi, amene athandiza matenda ake. Mu maphunziro anati kuwonjezeka maselo oyera. Odwala ena pali ponso ndende ya amylase. Izi zikusonyeza kujowina kapamba.

Ultrasound Kupenda lili kwambiri kuchuluka kwa mfundo za boma ya ndulu ducts, chiwindi ndi kapamba. Pa kudziwika miyala, khoma thickening kapena kutupa kwa thupi poyera matenda a "cholecystitis pachimake".

Pa chikuonetseratu wodwala zotsatirazi zochitika ikuchitika chipatala: tanthauzo la woyera achiyesa maselo a magazi, ultrasonography. chithandizo koyamba zachokera mankhwala omwe kanthu pa enterococci mabakiteriya gramotritsatetelnye. Komanso inatenga kulowetsedwa mankhwala amene anafuna kuletsa madzi m'thupi, ayambe bwino soda-acid. Pamaso pa kusanza anayambitsa chubu nasogastric.

Siteji yotsatira mankhwala ndi opaleshoni, chimene chili chofunika pamene kuwonongeka chifukwa Mwachangu otsika mankhwala kale ntchito.

Kusankha ntchito ku matenda wochititsidwa pakati womasuka ndi chatsekedwa view cholecystectomy. Nthawi zina, ndi yokongola cholecystostomy. Open cholecystectomy ntchito pamaso pa mavuto aakulu monga abscess, perforation, chilonda. ntchito Kusankha imatengedwa laparoscopic limba kuchotsa.