Uphawu odongeni gallbladder: Izimbangela Nezingozi Ukwelashwa

Ukucanuzela kwenhliziyo ubuhlungu esiswini engenhla ngezikhathi ebonwe abantu abaningi. Ngokuvamile, lezi zimpawu ukhombise ukuthuthukiswa ukuvuvukala kule ipheshana wokugaya ukudla. emizweni ezingemnandi ezimweni ezinjalo Cishe njalo elihlobene ne-ukusetshenziswa kwemikhiqizo ezithile. Ubuhlungu nesicanucanu kungase kubonise gallbladder izicubu uphawu. Naphezu kweqiniso lokuthi kule umzimba incane, izimpawu zayo ukuvuvukala eshiwo ngamagama ashubile. Abesifazane kaningi kutholakala ukuthi uphethwe yini uphawu ezindongeni gallbladder? Kuyini futhi kungani ukuba kwenzeke? Kuyaphawuleka ukuthi imisebenzi eyenziwa yi-igunya. It ukhonza njengelungu ayesisebenzisa ukuze Bile. Phakathi ukugaya ukudla lolu ketshezi lomzimba adedelwa duodenum. Kuhambisana nokuncipha kwesinye nenyongo. Uphawu izindonga umzimba kuholela ukuphazamiseka umsebenzi wayo ophambili nosemqoka. Ngenxa Bile amile (cholestasis), kanti futhi le nqubo ukugaya is ehlile. Ngaphezu kwalokho, umzimba kungase kwandise kakhulu ngobukhulu, okuholela ubuhlungu.

Kungani uphawu odongeni khona gallbladder?

Indwangu eyenza umzimba awukwazi cindezela ngaphandle kwesizathu. Ngalokhu yi zezici ahlukahlukene esibi, okungaba kokubili exo- futhi endogenous. Uphawu gallbladder odongeni kuphakama ngenxa yezizathu ezilandelayo:

1. ukuvuvukala Okungalapheki zomzimba - cholecystitis. Lesi sifo ubhekwa omunye izifo ezivame kakhulu wokugaya ukudla. Njengoba yaziwa, ukuvuvukala kuyinto edema kanye hyperemia umzimba odongeni, permeability emincane yegazi luyanda. cholecystitis Okungalapheki libhekene izigaba exacerbations futhi remissions. Ngenxa yalokhu ukuvuvukala esikhundleni izindonga ukukhula sezicubu zezinzwa, okuyinto yena, igcwele ukuthuthukiswa compaction isitho ukuvuvukala nasesikhathini gallbladder.
2. cholecystitis Calculous. Ngaphezu ukuvuvukala ezingamahlalakhona lokhu zokugula kuhambisana kumiswa amatshe e mafutha anciphisa isikhala esingaphakathi umzimba. Amatshe ukuvimbela esiphuthumayo Bile.
3. Azalwa naso umzimba ukusonteka. Abantu abaningi e-cwaningo kutholakala ukuthi uphethwe yini inflection nezinye izinguquko ukucushwa kwe gallbladder. isakhiwo engalungile kunomthelela ukuthuthukiswa cholestasis. Futhi, yena, okubangela ukuvuvukala chronic izindonga uphawu.
4. Ngokweqile ukusetshenziswa trudnousvaivaemoy ukudla. Lokhu kusho inani lemali enkulu amafutha, waba nenhliziyo ebuhlungu, ukudla okunosawoti.
5. Izifo wokugaya ukudla. ukusha kwesibindi kohlobo Okungalapheki futhi pancreatitis ngokuvamile uhlanganiswa ukuvuvukala gallbladder.
6. ukuhluleka Inhliziyo. Long zamanje isifo senhliziyo okuholela ukwakheka edema kokubili isikhumba kanye izitho zangaphakathi.
7. Polyp kanye nezinye izimila. Kukhula izicubu emzimbeni ngaso sonke isikhathi sihambisana seal abhidliza izindonga zayo.

Zonke lezi zici kumele kubhekwe ukuze aphathe cholecystitis okungamahlalakhona. Deformation kanye compaction kwezindonga ingozi gallbladder asathuthuka nemiphumela ebuhlungu. Phakathi kwabo - omunye ukuvuvukala ipheshana wokugaya ukudla, ukuqunjelwa.

Izimpawu izicubu uphawu

Uphawu gallbladder nibonakala wabonakaliswa udonga. Ngakho-ke, uma usola le nqubo kumele bahlolwe, e-ultrasound ethile. Izenzo sifo kungukuthi njalo esivezwayo, kodwa kuphela inkathi acute isitho ukuvuvukala. Ngesikhathi esifanayo imakwe izimpawu ezifana isicanucanu, umuzwa umunyu emlonyeni, ubuhlungu esiswini kwesokudla, ubuthakathaka jikelele. Phakathi ukuthethelelwa, lezi zibonakaliso bengekho. Nokho, ngemva okunamafutha kuphakama ukudla futhi trudnousvoyaemoy emizweni ezingemnandi futhi.

Ukucanuzela kwenhliziyo umunyu umlomo ngesikhathi exacerbations kungukuthi njalo ezihlobene nokudla. Ngokuvamile iziguli esekhala kabi ekuseni, ngaphambi kokulala. Ngemva kokudla izimpawu ziya ziba zimbi nakakhulu. Ngezinye izikhathi kukhona ukuhlanza Bile.

behlolwa ne cholecystitis

Ukubona ultrasound Ekuphetheni, iziguli baqala abanesifiso umbuzo: ukuthi kusho ukuthini seal ezindongeni gallbladder? Kuyaphawuleka ukuthi la mazwi kwakusho ukushintsha morphological emzimbeni. Seal udonga - akuyona uphethwe ezimele. Lokhu uphawu itholwa ngesikhathi ithuluzi ukuhlolwa. Lesi sici cishe njalo kusho ukuthi isiguli has a ukuvuvukala ezingamahlalakhona we gallbladder.

Nokho, lo dokotela kumele qiniseka. Kuze kube yimanje, behlolwa. Timphawu letitsite cholecystitis zihlanganisa:

1. Nesisa ku ingcindezi esifundeni esinyeni (Kera uphawu).
2. Ukuqinisa ukungakhululeki ku palpation ngesikhathi lapho ephefumula.
3. Ubuhlungu ngesikhathi effleurage ngakwesokudla lwaleli costal (uphawu Murphy).

Zonke lezi zimpawu kutholwa kokubili cholecystitis oyingozi futhi ezingalapheki. Ngakho-ke, ukuze uthole ukuthi umzimba uphawu has a odongeni, enze ultrasound.

Ukuxilongwa yezifo gallbladder

Izimpawu gallbladder odongeni seal izinkomba ngoba izindlela zokuxilonga. Izici laboratory cholecystitis okungamahlalakhona zihlanganisa: AST anda no-ALT. Izinga la ma-enzyme luyanda yokujama tsi of Bile ku mapayipi. Ngesikhathi exacerbation waphawula leukocytosis kwadlanga ESR e ukuhlolwa igazi.

I ukushuba odongeni umzimba kumele singeqi 5 mm. Imfuyo le nkomba kubonisa khona inqubo ezingamahlalakhona ukuvuvukala. Futhi, lapho ugange uphawu imakwe ushintsho echo ukuminyana umzimba wabuka.

Ngaphezu ultrasound eyenziwa computed tomography esimweni besisu. Kwezinye izimo zidinga izifundo ezikhethekile koda. Phakathi kwabo - the cholangiopancreatography retrograde.

izindonga uphawu gallbladder: ekwelapheni pathologies

ukwelashwa cholecystitis kusekelwe yokwelapha Ukudla, ukusetshenziswa kwezidakamizwa. Lapho ukuvuvukala calculous ekhiqizwa ukuhlinzwa - ectomy gallbladder. Ukuze izidakamizwa ukuthi ngcono ukugeleza Bile, kukhona imithi "Allohol", "holosas", "Ursosan". Phakathi exacerbation antibiotic. Ukuze kuncishiswe spasm imisipha umzimba futhi unciphise ubuhlungu, ukusebenzisa izidakamizwa "Cha-spa."

Ukudla okunomsoco kanye cholecystitis

Lapho uphawu isitho izindonga kudinga yokudla njalo. Ukuze abangele i exacerbation yokudla kumele isuswe ngibhema ukudla kakhulu okunosawoti, okunamafutha izitsha. Libuye engathandeki ukudla imifino, abakucasulayo ulwelwesi lwamafinyila igobolondo umzimba (isithombo, isithombo). Iziguli belulekwa ukuba ukudla kusuka inyama engenamafutha nenhlanzi. Iziguli imikhiqizo ewusizo yobisi, okusanhlamvu, izithelo nemifino purees, isobho.

Imiphumela seal izindonga umzimba

Yini engabangela uphawu odongeni gallbladder? Uma iyekwa ingelashwa, kuphakama izinkinga ezingase zivele. exacerbations njalo kungaholela anda uphawu ezicutshini zomzimba. Ngenxa ukuvuvukala kwakheka gallbladder. cholecystitis Okungalapheki ukusabalala esiyingozi ukuvuvukala. Lokhu kuholela ukuvela ezinye pathologies - kwesibindi, gastroduodenitis, pancreatitis. Amatshe e mafutha anciphisa isikhala esingaphakathi komzimba kungase kubangele perforation, peritonitis.

Prevention uphawu izindonga umzimba

Ukuze uvimbele gallbladder odongeni ukubekwa uphawu kubalulekile ukuvikela ukuthuthukiswa nezifo ezingamahlala khona. Kunconywa ukuba adle kahle (ungahlukumezi okunamafutha, ukudla okubabayo). Ephambi kwezinduna ayehlasela helminthic kufanele ukuqeda izimuncagazi, njengoba ngokuvamile abahlala Bile futhi Amapayipi hepatic. Iziguli ezikhonjwe isitho anomalies kudingeke ukuba okwaxoxwa okungenani isikhathi esingu-1 ngonyaka.