Gịnị bụ cl? Mgbaàmà nke ọrịa na ya ọgwụgwọ.

State ruru ka onye ahụ nke nkume na gallbladder na biliary tract, na-akpọ cholelithiasis, cholelithiasis, ma ọ bụ na abbreviated ụdị. Mgbaàmà nke ọrịa a, karịsịa akpọ n'oge exacerbation. Nke a bụ a pụtara nkịtị ọrịa nke digestive usoro. Na n'etiti afọ - ihe dị ka afọ 40, cholelithiasis, ihe mgbaàmà nke ọrịa a nwere ike achọpụtara na 30% nke ndị inyom na 15% mmadụ. Ọtụtụ mgbe, mgbe gallstones hụrụ mbufụt nke eriri afo (ihe dị ka 35% nke ikpe). Ọdịdị nke nkume metụtara na mkpọchị mgbe niile n'etiti bile asịd, lecithin na otu aka na etisasịwo bekee ke bile (cholesterol, bilirubin, calcium carbonate) na aka nke ọzọ. N'ihi na ọnwụ nke cholesterol na sedimenti, ezi abụghị nke kasị nta fluctuations nke itule. N'ihi bụ crystallization nke bile na ya fallout na sedimenti. Na-akpata ngafe cholesterol otutu. Nke a bụ, apụ, mụbara mmepụta nke cholesterol, belata guzobere bile asịd na phospholipids. Nke abuo, ndị mucosa nke gallbladder allocates glycoproteins ndị ga-eme ka oké saturation nke bile na cholesterol. Ọzọ akụrụngwa nke bile mmiri - bilirubin, gouged crystallized cholesterol, dị ka ọ cements ya n'ihu ike nkume. Ihe Calculus nwere enweghị nchịkwa mmetụta: mbelata eriri afo nkume nwere ike igbochi ndị lumen nke duct, na aka nke ọzọ, mgbe niile iwe ma merụọ eriri afo mgbidi, ọ na-eduga mmepe nke cholecystitis.

Diagnosis nke gallstone ọrịa, mgbaàmà

Ahụkarị mkpesa nke onye ọrịa, nchọpụta nke nkume na eriri afo, dị ka a na-achị, na-adị mfe ekwe ka ị na-etinye a dọkịta nchoputa nke cholelithiasis. Mgbaàmà na-adakarị ọrịa ji ọdịdị n'oge exacerbation colic (oké paroxysmal mgbu) na ntule nke eriri afo na imeju. Pain nwere ike radiate n'olu, n'aka nri n'okpuru ubu. All nke a nwere ike so site ọgbụgbọ, ilu uto ke ọnụ na vomiting na bile. N'oge ogologo oge mgbu, mkpọchi excretory ducts nkume egosi itchy na ike ịzụlite jaundice nke anụ ahụ na sclera. Siri ike colic nwere ike so mgbaàmà nke iyatesịt nke peritoneum.

Ị mgbe niile kwesịrị ịma kpọmkwem ihe ọ bụla twinge ma ọ bụ exacerbation nke ọrịa, nke dịruru a awa ole na ole, ma ọ bụrụ na e mgbanwe jikoro bụ adighi ike, ihe na-egosi ụlọ ọgwụ na nke ogwugwo ngalaba chọpụta n'ihu ọgwụgwọ atụmatụ.

Ná nnyocha e mere, ọ bụ ike ịchọpụta na site palpation na-egbu mgbu ikpọ gallbladder. Imeju nwekwara ike ịbụ ubé ikpọ na-egbu mgbu. Positive bụ ahụkarị gallstone mgbaàmà (Ortner, Murphy, Kerala, Zakharyin na ndị ọzọ).

Ebe ọ bụ na GSD bụ ihe nkịtị na ndị inyom, ọ dị mkpa ka ha biri iche iche na nke a version dị ka a cl na ime. Ọ bụrụ na a nwaanyị nwere tupu afọ ime nkume, ma ọ bụ na e nwere a pụrụ ịrịa ha guzobere (oké bile na deformation bends eriri afo, biliary dyskinesia), na ime nwere ike ime ka nkpasu-iwe nke ọrịa. The ikpọ akpanwa presses afụ, si otú na-eme ọnọdụ na-achọghị nke bile na ya crystallization. Idebe ndị ọrịa a na exacerbation ebelata kwere omume mgbanwe cupping na ụdi arụmọrụ mgbe nnyefe. Ọ bụrụ na ndị agha na-adịghị akwụsị, ngwa ngwa igosi cholecystectomy na drainage duct.

nsogbu nke cholelithiasis

Nsogbu nke ọrịa nwere ike mmepe nke cholecystitis n'ihi mmerụ eriri afo mgbidi ma igbaso ọrịa. Choledoch impaction nkume ma ọ bụ ndị ọzọ hepatic duct akpata mkpọchi (choledocholithiasis), na a n'ibu ụdị jaundice. Nke a na n'aka-akpata mbufụt nke ducts. The kacha njọ sikwuoro nke gallstone ọrịa mmepe nke bile peritonitis. Egbu oge enyemaka pụrụ iduga ọnwụ.

ọgwụgwọ

Cl ịwa ahụ ọgwụgwọ. Mepụta afụ mwepụ. Ọ bụrụ na nkume na-na nkịtị bile duct, ọ na meghere, wepụrụ concrements mgbe sutured na drained.