Chenjera cholecystitis

Chenjera cholecystitis ndicho kakawanda kuomesa kwakaita gallstone chirwere. The chirwere kunoratidzwa yakajeka zvekuchipatara zviratidzo, asi muna zvisingawanzoitiki kacho, chirwere chacho atypical. Kurwadziwa iri mupasi mudumbu, ndiyo imwe kiyi zviratidzo chirwere.

Panobva kuti rikwanise cholecystitis ndiyo blockage pamusoro kuerera enduru dundira namabwe. Zvikurukuru vasiri kwemabhakitiriya kuzvimba hwapedyo hunhu, ipapo anobatana utachiona. Kwakadaro Migumisiro kukonzera prostaglandins, lysolecithin nezvimwe zvakafanana zvinhu. Gallbladder infestation chepfu acids, izvo kuita pamusoro zvakakanganisa mucosa.

General kudhaka chiratidzo, iyo inozivikanwa nokuva rikwanise cholecystitis. Zviratidzo zviri chirwere vari kuwedzera nokukurumidza: pane mwero kurwadziwa epigastric, kurudyi hypochondrium, kazhinji zvichiratidza kuti fudzi chipande, rorudyi. Dzimwe nguva vakabatana kuda kurutsa, kurutsa. Munenge zvose zvinoitika, pane kuwedzera tembiricha kuti 39 ° C. , Higher nhamba dzinoti pute kana bacteremia. Palpation kwakaratidza marwadzo zvakarurama subcostal nzvimbo panguva zvokufuridzirwa (Murphy urwere).

Chenjera cholecystitis zvakaoma kusiyanisa nomunhu kurwisa biliary marwadzo munharaunda. Nokuti yakarurama nechirwere, Monitoring zvikashandiswa, iyo inoitwa kwemaawa maviri. Panguva marwadzo refu zvinoda kuvhiyiwa kubvisa njodzi nenyere.

Mune zvimwe zviitiko, zvingaratidza kuva havaratidzi kunorondedzerwa. Izvi kuchengetwa varwere vanotora mapiritsi uye vakwegura. Mune zvimwe zviitiko, hosha chinotanga chepfu chimiro, izvo dzinoratidzwa raidudzwa kuwedzera tembiricha, zvikuru abdominal marwadzo, bacteremia, kuwedzera ropa leukocytes.

Chirwere "chenjera cholecystitis" rinogona kuisa chete kufungisisa zvekuchipatara features, sezvo vari dzakananga nayo. Zvisinei, kune nzira dzakasiyana siyana paku Diagnostics: Ultrasound, hepatobiliary scan. Kana vanofungidzirwa pute uchishandisa computed tomography.

Chenjera cholecystitis kunokanganisa mufananidzo ropa, iro anotibatsira kuongorora chirwere chake. Muzvidzidzo kuchengetwa kuwedzera ropa mumasero machena. Mune dzimwe varwere pane kuwedzera Kuwanda amylase. Izvi zvinoratidza kubatana pfungwa nomuviri zvemwana asati.

Ultrassom ongororo inopa chinokosha Kuwanda kwemashoko pamusoro mamiriro bile ducts, nerwatata. Pamusoro kuonekwa matombo, rusvingo thickening kana mumatenhere muviri pachena chirwere kuti "rikwanise cholecystitis".

On kubvuma murwere anotevera mabasa vakatakudzwa kubva muchipatara: tsanangudzo machena eropa count, ultrasonography. Initial kurapwa kunobva nemishonga, izvo kuita pamusoro enterococci utachiona gramotritsatetelnye. Uyewo yakatakura aizomupa kurapa, iro rinotarisirwa kudzivirira kupera muviri, kuzoita alkali-asidhi nomwero. In pamberi kurutsa akasuma nasogastric chubhu.

Inotevera Danho yokurapa iri kuvhiyiwa, izvo zvakafanira kana kudzikira nokuda yakaderera kunyatsoshanda kuti yamboshandiswa zvinodhaka.

Selection mashandiro ari chirwere ichi chiri kuitwa pakati pachena uye namahwindo maonero cholecystectomy. Mune zvimwe zviitiko, imwe muhombe cholecystostomy. Open cholecystectomy rinoshandiswa pamberi kwazvo yematambudziko akadai pute, perforation, neronda rinonyenga. Selection oparesheni anonzi laparoscopic nhego rokubvisa.