Kacha nkịtị ọrịa nke gallbladder. Mgbaàmà na Ọgwụgwọ.

The kasị gallbladder ọrịa, ihe mgbaàmà nke ọ bụla ọrịa na ọgwụgwọ - niile a ga-atụle n'isiokwu a.

N'etiti digestive usoro ọrịa dị nnọọ nkịtị ọrịa nke ńsí eriri afo. Mgbaàmà nke ọrịa ndị a na mgbanwe degrees, nkezi afọ ndụ na-egosi na ọ bụla onye n'ime mmadụ ise.

Nọmalị, ńsí eriri afo podpechonochnom dị na mbara nwere oval (ube-ekara) ụdị. Ọ bụ ụdị dị ngwa Depository bile mkpa maka mgbaze na abụba mgbaze. Na imeju site hepatic bile aga anya biliary ụzọ na ndị nkịtị duct (choledoch) na n'omume edebe ke gallbladder. Common bile duct na jikọọ na duodenum, n'ime nke ọ na-aga oyi nke bile na pancreatic ihe ọṅụṅụ.

Good ịrịba ama nnukwu na-adịghị ala ala cholecystitis, cholelithiasis, biliary dyskinesia, otito abnormalities (bends na adhesions) etolite a otu, nke a na-akpọ - gallbladder ọrịa. Mgbaàmà nke ọrịa ndị a nwere ọtụtụ ihe na-emekarị.

Ịrịba ama nke gallbladder ọrịa na-adakarị ngosipụta

1. Nnukwu na-adịghị ala ala cholecystitis, na-anọchi anya ọnụnọ nke mbufụt ke eriri afo. Mbufụt nwere ike ime ka a n'ihi nke penetration nke nje, malitere ịrịa, fungal-efe efe, dị ka nke ọma dị ka helminthic mbuso agha. The gị n'ụlọnga nwere ike banye n'ime n'ime gallbladder hematogenically (site n'ọbara), ma ọ bụ na Lymph site na eriri afọ. Akwalite mbufụt ihe gụnyere dyskinesia (isi biliary tract motility), nri, oké ibu, afọ ime, ọnụnọ nke ọzọ adịghị ala ala ọrịa nke digestive usoro. The ọrịa ayarade onwe ke omume nke ihe mgbu nke ńsí eriri afo na imeju na ntule. Nwere ike ime ka dyspeptic mgbaàmà, dị ka ọgbụgbọ, ilu uto ke inua metụtara reflux nke bile n'ime afo, vomiting. Ahu okpomọkụ nwere ike ebili ka subfebrile. Na-anọghị nke nkume, jaundice, dị ka a na-achị, adịghị bilie. Mgbe ultrasound bụ omume na-ahụ onye na-ikpọ eriri afo na thickened, oge ufodu mgbidi.
2. Cholelithiasis - biliary tract nkume - anọchi anya gallbladder ọrịa onye mgbaàmà na-egosipụta hepatic colic na esonyere guzobe nkume na eriri afo. Site nkume guzobere pụta mebiri nke mgbe nile mejupụtara nke bile mmiri, na a predominance nke cholesterol na bilirubin. Dị fọrọ nke nta mgbe nile mgbidi eriri afo mbufụt n'ihi mmerụ ha nkume-eduga ná mmepe nke mbufụt njọ ọrịa. Nkume pụrụ kpụrụ bụghị naanị na eriri afo, ma na hepatic biliary ducts. Karịsịa na-egbuke egbuke-adakarị ngosipụta hụrụ nnukwu ọrịa, a na-akpọ biliary colic. Ndị agha na-emekarị-amalite acutely, na ọdịdị nke ihe mgbu cramping na ọdịdị na afụ ebe. The mgbu bụ nnọọ ike, ha nwere ike inye na azụ, n'olu, aka nri. Mgbe mgbe, ahu okpomọkụ adahade. Na omume na ndị nkịtị bile duct nkume nwechapụ corked, akwusila nkịtị eruba nke bile na jaundice emee. Ọ na-egosi odo agba? Nke anụ, sclera ufiop itching. Palpation nke abdominal mgbidi bụ nnọọ na-egbu mgbu, nwere ike na-nti ịrịba ama nke peritoneal iyatesịt.
3. Biliary dyskinesia - a ụdị biliary tract ọrịa, mgbaàmà na ọgwụ na nke na-adabere na ụdị nke psoriasis. Dysmotility biliary tract nwere ike ịbụ hyper- na hypokinetic ụdị. Mgbe gipomotornomu ụdị ndetu egbu oge esi kpọpụ mmadụ nile nke bile. Onye ọrịa ọdọhọde nke mgbe nile, igbu mgbu mgbu na eriri afo ebe. The ńsí eriri afo bụ umengwụ, hyperinflate. Bile stasis nwere ike na-akwalite ya crystallization. Ji onu nke dyspepsia na oche. Gipermotornaya ụdị dyskinesia e ji ngwa esi kpọpụ mmadụ nile nke bile. Mgbu otú yiri hepatic colic, ma ha obere ufiop. N'ihi na nke a ụdị motility ọrịa, ji ọdịdị nke ihe mgbu na nduzi nke nri.
4. Ọ bụrụ na abnormalities nke eriri afo na ultrasound ike iṅomi ị pụrụ ịhụ ya ma ọ bụ ehulata ya n'iru adhesions, ma ọ bụ constriction. Ntem, akwusila nkịtị eruba nke bile, na-ahụkarị mkpesa bilie.

N'elu nchọpụta nke ọrịa nke gallbladder ọgwụgwọ na eme nke onye ọrịa na-ekpebisi ike site dọkịta. Oké mkpa bụ na nri kwesịrị ekwesị, na-enweghị akpali iche ihe agha nke ngwaahịa. Na-anọghị nke nkume mee cholagogue preparations na herbal teas, antispasmodics na analgesics. Na akara mbufụt kenyere ọgwụ nje. Ikekwe a tyubazh na magnesium ma ọ bụ ịnweta mmiri. Stone cholecystitis, karịsịa ma ọ bụrụ na nkume bụ nnukwu ma ọ bụ egbochi ndị ducts, emeso surgically.