Urodynamus ntawm lub gallbladder

US gallbladder siv los kuaj cov kab mob xws li cholelithiasis, mob thiab mob cholecystitis, congenital anomalies, polyps, malignant qog. Nws yog nqa tawm nrog kev tshawb fawb ntawm txiav thiab siab, vim lub zog ntawm cov kabmob no yog sib xyaw.

Ua kom tiav cov khoom noj rau yim mus rau kaum ob xuab moos yog qhov mob raws li qhov zais zis ua kom tiav. Kev npaj rau qhov no diagnostic ntsuas kuj implies lub tshem tawm ntawm qhov kev siv ntawm muaj zog tshuaj yej thiab kas fes, haus luam yeeb, cov khoom uas txhim khu lub tso pa tawm ntawm cov kua tsib (zom cov pos hniav). Txoj kev tshawb no ua nyob rau hauv ntau txoj haujlwm, tus neeg mob yuav tsum hloov txoj haujlwm ntawm lub cev - sab laug, pw ntawm nws nraub qaum, zaum. Qhov no yuav pab txhawm rau txhawm rau soj ntsuam cov kev sib txuas ntawm cov qauv uas nyob rau hauv lub gallbladder. Piv txwv, lub pob zeb ntawm lub cev no nrog kev hloov hauv txoj hauj lwm ntawm lub cev yog hloov mus, thiab qhov no yog ib qho kev ntsuas ntxiv. Yog hais tias tus neeg mob tau noj hmo dhau los, nws lub qhov hnyav tau tso rau hauv qhov ntev. Yuav kom tsis txhob muaj qhov no, ua ntej txoj kev tshawb fawb, tus neeg mob siv cov khoom noj khoom haus, uas yuav pab tau secrete ntawm daim ntawv no.

Kev siv ntawm lub gallbladder pab txhawm rau txhawm rau txiav txim siab tshaj qhov tseeb ntawm cov khoom hauv lub cev. Lub ntsiab xws li malformations muaj xws li agenesis, ectopic localization, bifurcation, tsim ntawm ntau septa, diverticula, nce los yog txo nyob rau hauv loj. Agenesis yog to taub raws li qhov tsis tuaj yeem ntawm ib lub lauj kaub tais diav, uas yog congenital. Nrog ectopic localization hauv lub cev yog nyob rau hauv ib qho chaw tsis muaj kev txwv rau nws: ntawm txoj cai lobe ntawm daim siab thiab lub diaphragm, retroperitoneum. Diverticulum-protrusion ntawm lub phab ntsa gallbladder. Ib qho kev nce lossis txo qis hauv lub cev tuaj yeem tham txog cov kab mob xws li cholecystitis, ciav tus kab mob, kab mob viral.

Ulcer ntawm lub gallbladder yog lub ntsiab kev tshuaj ntsuam xyuas lub pob zeb hauv cov khoom no. Lawv tuaj yeem tsim nyob rau ntawm ib tug hluas hnub nyoog thiab nce nrog lub sijhawm. Yog li ntawd, cov kab mob gallstone tau tsim, uas tuaj yeem tshwm sim los ntawm qhov hnyav sai, rog, kev noj haus tsis zoo, cov cwj pwm haiv neeg, thiab kev siv cephalosporin antibiotics. Lub pob zeb feem ntau muaj ib cov qauv khov (calcium bilirubinat, cholesterol, calcium carbonate). Uzi pab kom nrhiav tau yooj yim xws li formations. Nws yog tsiag ntawv los ntawm muaj ib qho echo-shadow, cov tsos ntawm uas yog piav qhia los ntawm impermeability rau ultrasound ntawm lub pob zeb. Rau qhov ntau me me, qhov duab ntxoov ntxoo tsis tuaj yeem kuaj tau.

Rau cov mob ntawm mob cholecystitis yog tseem siv ultrasound gallbladder. Lub cev rau cov khoom no yog qhov qhaj ntawv tsis zoo ntawm cov phab ntsa. Nws yog lub thickening uas yog lub ntsiab kos npe ntawm tus kab mob no. Lwm kos npe yog qhov zoo li mob mob thaum hnov qhov ntxaiv los rau hauv txoj cai hypochondrium uas yog qhov chaw nyob hauv lub gallbladder. Nrog rau kev mob ntawm cov khoom hauv lub cev, qhov kuaj xyuas qhov tseeb nce mus txog 80%. Nyob rau hauv txoj kev tshawb no, qhov teeb meem ntawm cov mob cholessstitis tuaj yeem kuaj tau: kev paub txog biliary-me plab hnyuv plab, qhov tsim ntawm emphysema, cov tsos mob ntawm hemorrhages, perforations, empyema, kev loj hlob ntawm gangrene.

Qhov qoob loo ntawm lub gallbladder kuj tso cai rau kuaj cov hlab ntsha thiab cov pob txha. Tus mob neoplasm feem ntau yog adenocarcinoma. Cov mob polyps tsis muaj qhov mob tshwm sim. Txawm li cas los xij, lawv cov me nyuam yuav tsum raug coj mus rau hauv koj tus account. Yog tias qhov kev ntsuas no yog ib lub voj vaum lossis siab dua, ces muaj qee qhov ua rau qaug zog. Thaum nqa tawm lub ultrasound nws tsis tuaj yeem txiav txim siab raws nraim li hom polyp, yog li ntawd, nyob rau hauv txhua rooj plaub, phais kev tshem tawm ntawm cov tsim no qhia.