M cholecystitis

M cholecystitis ne mafi m wahala da gallstone cuta. A cutar halin bayyananne asibiti bayyanar cututtuka, amma a rare lokuta, da cuta ne atypical. A zafi da aka sarrafa a ciki, shi ne daya daga cikin key bayyanar cututtuka da cutar.

Dalili na m cholecystitis ne blockage na kwarara daga gall mafitsara duwatsu. Da farko na ba-kwayan kumburi tasowa hali, sa'an nan ya koma wani kamuwa da cuta. Irin wannan effects sa prostaglandins, lysolecithin da kuma sauran irin wannan abubuwa. Gallbladder infestation mai guba acid, wanda aiki a kan ya shafa mucosa.

Janar maye akwai ãyã, wanda aka halin m cholecystitis. Alamun cutar suna kara karuwa: akwai mai tsakaitãwa zafi a cikin epigastric, dama hypochondrium, sau da yawa haskakawa da kafada ruwa, dama kafada. Wani lokaci shiga ta tashin zuciya da amai. A kusan dukkan lokuta, akwai wani karuwa a yawan zafin jiki zuwa 39 ° C. , Higher Figures bayar da shawarar ƙurji ko bacteremia. Palpation saukar zafi a dama subcostal yanki a lokacin wahayi (Murphy ciwo).

M cholecystitis ne da wuya a bambance da wani hari na biliary zafi a yankin. Ga cikakken ganewar asali, Kulawa amfani, wanda aka gudanar don sa'o'i biyu. A lokacin shafe tsawon zafi bukatar tiyata don cire shafa sashin jiki.

A wasu lokuta, cututtuka iya talauci a tsare. Wannan ne lura a marasa lafiya da suke yi tranquilizers da kuma tsofaffi. A wasu lokuta, cutar ta fara da wani mai guba tsari, wanda aka halin a pronounced karuwa a yawan zafin jiki, da zafin ciwon mara, bacteremia, wani gagarumin karuwa a jini leukocytes.

Ganewar asali "m cholecystitis" za a iya kafa ne kawai ta hanyar shan la'akari asibiti fasali, tun da sun kasance musamman zuwa gare shi. Duk da haka, akwai hanyoyi daban-daban na instrumental bincikowa: duban dan tayi, hepatobiliary scan. Lokacin da ake zargin ƙurji amfani lissafta tomography.

M cholecystitis rinjayar da jini hoto, wanda kuma taimaka a cikin ganewar asali. A nazarin kiyaye karuwa a farin jini Kwayoyin. A wasu marasa lafiya akwai wata karuwa da taro na amylase. Wannan ya nuna shiga pancreatitis.

Duban jarrabawa samar da wani gagarumin adadin bayanai game da jihar na bile ducts, hanta da kuma pancreas. Bayan ganewa na duwatsu, bango thickening ko kumburi na jiki ne fallasa ganewar asali da "m cholecystitis".

A m da haƙuri wadannan ayyuka suna da za'ayi a asibiti: definition farin jini cell count, ultrasonography. Harufan magani dogara ne a kan maganin rigakafi, wanda aiki a kan enterococci kwayoyin gramotritsatetelnye. Har ila yau ta kai jiko far, wanda aka yi nufi ga hana dehydration, dawo da Alkali-acid balance. A gaban amai ya gabatar nasogastric tube.

A na gaba mataki na far ne tiyata, wanda wajibi ne a lokacin da tabarbarewar saboda da low yadda ya dace da baya amfani da kwayoyi.

Selection aiki a wannan cuta da aka gudanar tsakanin wani bude da kuma rufe view cholecystectomy. A wasu lokuta, an tsawwala cholecystostomy. Open cholecystectomy da ake amfani a gaban mai tsanani da rikitarwa kamar ƙurji, perforation, gangrene. Selection aiki yana dauke laparoscopic sashin jiki kau.