Lub ntsiab ntawm cov tsos mob cholecystitis.

Muaj ntau rog cov neeg, uas yuav tsis ua raws li lub hauv paus ntsiab lus ntawm muaj kuab thiab noj qab nyob zoo khoom noj khoom haus, koj yuav nrhiav tau cov tsos mob ntawm cholecystitis. Tej yaam kws haus ntev li ntawm nqi ntawm fatty cov khoom noj uas lawv lub cev tsis muaj peev xwm kiag li zom. Nyob rau tej taw tes neeg puab kawg tau nyiaj mechanisms, thiab pib lub tsim ntawm tsib insoluble precipitate uas tom qab Cov ntaub ntawv nyob rau ntawd lub pob zeb. Qhov no tus txheej txheem no feem ntau nrog los ntawm inflammatory txheej xwm nyob rau hauv lub phab ntsa nws tus kheej ntawm lub tsib lub zais zis thiab txuas mus rau nws thiab los ntawm lub ducts.

Thaum pib ntawm tus kab mob cov neeg mob yuav tsis cuam tshuam dab tsi. Tom qab tas yuav tshwm sim thaum ntxov qhia cholecystitis, uas yog txuam nrog rau cov kev xav ntawm fullness thiab heaviness nyob rau hauv txoj cai hypochondrium, i.e. nyob rau hauv qhov chaw ntawm lub projection ntawm lub siab thiab lub tsib lub zais zis, raws li zoo raws li dyspeptic syndromes. Dyspepsia yuav ua tau mob loj tsawv ntawm me me chav kawm ntawm lub txheej txheem, los yog hnyav heev, nyob rau hauv daim ntawv ntawm cov ntuav cov kua tsib thiab ntse saj ntawm bitterness nyob rau hauv lub qhov ncauj nrog lub kev vam meej ntawm tus kab mob.

Nyob rau tej taw tes, thaum ib tug neeg ntau heev yuav zom koj cov zaub mov los yog yauv intensive tuav, calculus ntawm gallbladder pib txav los ntawm nws qhov chaw thiab nquag mus ntawm cov kua tsib txaus. Lub pob zeb feem ntau pib twb daig nyob rau hauv lub caj dab ntawm lub gallbladder. Ib txhia ntawm lawv yog cov me me thiab tshaj rau qhov ntev ntawm lub caj dab ntawm lub lumen, mus rau, tau daig nyob rau hauv lub ducts los yog nyob rau hauv lub qhov ncauj ntawm tus sphincter ntawm Oddi. pob zeb zog tsis dhau tsis muaj ib tug kab, txawm rau cov "tuab-skinned" cov neeg mob. Cov tsos mob ntawm cholecystitis burdened los ntawm hnyav thiab mob nres ntawm biliary Colic. Los ntawm tej yam calculus sim cov kua tsib tso zis, pib loj hlob tej yam tshwm sim ntawm intoxication thiab o. Muaj tsis kub taub hau vim puas kub rau hauv lub Upper quadrant, qhov twg lub siab, throbbing npub mob radiates kuj nyob rau hauv lwm qhov chaw ntawm lub cev. Cholecystitis, tej yam tshwm sim uas yog nyob rau ntawm nws cov ntaub ntawv: catarrhal, purulent los yog gangrenous, nyob rau hauv nws tus kheej yog ib tug heev insidious tus kab mob. Nws yuav simulate ib tug nres ntawm hnyuv tws, lub plawv mob, los yog masquerade li exacerbation ntawm tus kab disc kab mob. Yog li ntawd, nyob rau pib meej kuaj tus kab mob no, tshwj xeeb tshaj yog ib tug inexperienced tus kws kho mob yog ib yam nyuaj heev. Tau kev pab nyob rau hauv cov ntaub ntawv ntawm tsis ntseeg, tuaj instrumental txoj kev xeem. Qhov no ultrasound, thiab x-ray kuaj nrog contrasting sawv cev, thiab xoo tomography, thiab sib nqus resonance.

Los ntawm tus sau los ntawm ncauj lus kom ntxaws thiab ua kom tiav kev kho mob yav dhau los ntawm tus neeg mob, qhov chaw uas nws yuav qhia tsis tau tsuas yog tag nrho cov tsos mob ntawm tus cholecystitis, tab sis kuj qhia tau rau koj uas yog vim li cas lawv muaj arisen, nws nyob 98% kawm tau zoo npaum li cas nyob rau hauv zus tau tej cov xwb yeej muaj tseeb kuaj mob. Ib tug tseem ceeb luag hauj lwm nyob rau hauv tshe tus txheej txheem ntawm lub ntiajteb txawj nqus ua si ib kuaj tsom. Qhov no yog ib tug general thiab biochemical kev kuaj ntshav. Tus thawj ntawm no yuav ua rau kom leukocytosis thiab ceev ESR, thiab nyob rau hauv lub thib ob mloog yuav tsum tau them rau bilirubin, uas yuav tsum tau nco ntsoov loj hlob. Thaum cov neeg kho tshuab txhaws excretory ducts qhov twg cov kua tsib tsis tau tawm hauv lub cev lawm yuav tsub kom lub kev faib ua feem ntawm ncaj qha bilirubin, uas nkag mus rau hauv cov hlab ntsha nyob rau hauv siab ntau. Bilirubin ntshav - yog alien thiab heev tshuaj lom tshuaj. Yog li ntawd, lub tswv yim zoo lub hom phiaj, thaum tus neeg mob tau qhia cholecystitis cov tsos mob nyob rau hauv lub mob nyob ntev, yog normalize cov ndlwg ntawm cov kua tsib, kom txhob muaj cov ndlwg ntawm bilirubin thiab cov kua tsib acids nyob rau hauv cov ntshav. Tseem, los ntawm cov neeg mob raws li cov kws kho mob yuav tsum tau them cov xim rau cov xim ntawm quav xim. Yog hais tias cov zis pib yuav tsaus ntuj thiab discolor cov quav, nws txhais tau tias tus kab mob no yog cov neeg kawm txoj thiab yuav tsum tau tam sim ntawd kev kho mob.