Mob cholecystitis

Mob cholecystitis yog mob ib ce sai thiab mob lub ncauj plab. Nws ua rau mob plab heev.

Lub zais zis yog ib qho khoom ua haujlwm uas zaum hauv qab lub siab. Nws khaws cov kua tsib, uas yog ua hauv lub siab. Koj lub cev siv cov kua tsib los zom cov rog hauv cov hnyuv.

Mob cholecystitis muaj tshwm sim thaum uas cov kua tsib los daig rau hauv lub zais khoom. Qhov no feem ntau yuav tshwm sim vim tias muaj pob zeb txhaws ua rau lub tog raj, txoj hlab uas mus rau cov kua tsib mus rau hauv thiab tawm hauv lub zais khoom. Thaum lub pob zeb txhaws cov kab mob no, bile ntau ntxiv tuaj, ua rau voos thiab nias siab hauv lub zais plab. Qhov no tuaj yeem ua rau o thiab kis mob.

Lwm cov laj thawj suav nrog:

• Muaj mob hnyav, xws li HIV lossis ntshav qab zib
• Lub qog ntawm lub zais zis (tsawg)

Qee tus neeg feem ntau muaj kev pheej hmoo rau mob qog. Yam txaus ntshai muaj xws li:

• Ua poj niam
• Cev xeeb tub
• Kev kho tshuaj hormones
• Muaj hnub nyoog laus dua
• Ua Neeg Nyob Mes Kas lossis Neeg Mev
• Kev pham
• Poob los yog nce phaus sai heev
• Mob ntshav qab zib

Qee zaum, tus kab mob bile du ua txhaws ib ntus. Thaum qhov no tshwm sim ntau, nws tuaj yeem ua rau ntev (ntev) cholecystitis. Qhov no yog o thiab voos uas txuas ntxiv thaum lub sijhawm ua haujlwm. Nws thiaj li, lub zais zis ua tuab thiab tawv. Nws tsis khaws thiab tso bile ib yam nkaus li uas nws tau ua.

Cov tsos mob tseem ceeb yog qhov mob ntawm sab xis sab xis lossis hauv nruab nrab ntawm koj lub plab uas feem ntau kav ntev li 30 feeb. Koj yuav xav tias:

• Ntse, khaus, lossis npus mob
• Mob tus yees
• Mob uas kis rau koj sab nraub qaum lossis hauv qab koj sab xis

Lwm cov tsos mob uas yuav tshwm sim suav nrog:

• Av ntawm cov quav tawv nqaij
• Ua npaws
• Xeev siab thiab ntuav
• Daj ntawm daim tawv thiab ntsiab muag ntawm lub qhov muag (daj)

Koj tus kws kho mob yuav kuaj ib ce thiab nug txog koj cov tsos mob. Thaum kuaj mob lub cev, koj yuav zoo li mob thaum tus kws kho mob chwv koj lub plab.

Koj tus kws kho mob yuav yuam kom kuaj ntshav li nram no:

• Amylase thiab lipase
• Bilirubin
• Ua kom tiav cov ntshav suav (CBC)
• Kev kuaj mob siab ua haujlwm

Kev ntsuam xyuas cov duab qhia tuaj yeem pom cov kab mob gallstones lossis o. Koj tuaj yeem muaj ib lossis ntau dua ntawm cov kev ntsuam xyuas no:

• Mob plab hauv ultrasound
• Mob plab hauv plab CT scan lossis MRI scan
• Lub plab xoo hluav taws xob
• Qhov ncauj cholecystogram
• Gallbladder radionuclide scan

Yog tias koj mob plab heev, nrhiav kev kho mob tam sim ntawd.

Hauv chav kho mob ceev, koj yuav tau muab dej rau ntawm cov leeg ntshav. Koj tseem tuaj yeem raug muab tshuaj tua kab mob rau tiv thaiv kev kis mob.

Tus mob cholecystitis tuaj yeem tshem tawm nws tus kheej. Txawm li cas los xij, yog tias koj muaj gallstones, koj yuav tuaj yeem xav phais kom tshem koj lub zais zis.

Kev Kho Mob Nonsurgical suav nrog:

• Tshuaj tua kab mob koj noj hauv tsev los tua kab mob
• Kev noj muaj rog tsawg (yog tias koj muaj peev xwm noj)
• Tshuaj kho mob

Koj yuav tsum tau phais mob ceev yog tias koj muaj teeb meem xws li:

• Mob caj pas (nqaij tuag) ntawm lub qog
• Perforation (ib lub qhov uas ua rau ntawm phab ntsa ntawm lub zais khoom)
• Pancreatitis (mob hlab caj pas)
• Pheej mob cov kua tsib duct txhaws
• Kev ua mob ntawm cov kua tsib feem ntau

Yog tias koj mob heev, yuav tso txoj hlab xa mus rau hauv koj lub plab mus rau hauv lub zais zis kom tso dej. Thaum koj xis nyob me ntsis, koj tus kws kho mob yuav qhia koj kom muaj kev phais mob.

Feem ntau cov neeg uas tau raug phais los tshem tawm cov kuab qog rov qab tau tag nrho.

Yog tsis kho, cholecystitis tuaj yeem ua rau qee yam teebmeem kev noj qab haus huv:

• Empyema (pus hauv lub zais khoom)
• Ua Tsov
• Raug mob rau lub bile ducts txhuav lub siab (tej zaum yuav tshwm sim tom qab phais plab zom mov)
• Kev mob caj dab
• Kev sib tshooj
• Peritonitis (mob rau daim tawv ntawm lub plab)

Hu rau koj tus kws khomob yog koj muaj:

• Mob plab heev uas ua tsis taus ntxiv
• Cov tsos mob ntawm tus mob cholecystitis rov qab

Tshem tawm lub zais zis thiab gallstones yuav tiv thaiv kev tawm tsam ntxiv.

Tus mob cholecystitis - mob heev; Gallstones - mob cholecystitis

• Gallbladder tshem tawm - laparoscopic - paug
• Gallbladder tshem tawm - qhib - tso tawm
• Gallstones - paug

• Lub plab zom mov
• Tus mob cholecystitis, CT scan
• Tus mob cholecystitis - cholangiogram
• Tus mob cholecystolithiasis
• Gallstones, cholangiogram
• Gallbladder tshem tawm - Series

Glasgow RE, Mulvihill SJ. Kev kho mob ntawm gallstone kab mob. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 66.

Jackson PG, Evans SRT. Biliary system. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev phais mob: Txheej Txheem Qoob Loo ntawm Kev xyaum phais mob niaj hnubCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 54.

Wang DQ-H, Afdhal NH. Cov kab mob Gallstone. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 65.