Lapaʻau o huʻi cholecystitis. Symptoms, ke kumu o ka maʻi. ʻai ma ka cholecystitis

Inā 'oe i loa eha ma ka akau maluna quadrant, nausea a me ka luaʻi, a' aʻole ole i ke kokua, waha manao awaawa ai, ka mea i hiki ia oe i ka kaua o ka huʻi cholecystitis.

Cholecystitis - kekahi o ka loa pinepine maʻi. E like me ka Mea Maluna International o Nā Maʻi (ICD-10) ka mea, no a hiki i ka papa o ka digestive pathologies. Kēia maʻi hiki e kuokoa a me ka hiki ke hana me ka complication o nā maʻi, e like me pancreatitis, kekahi mauʻano o ka gastritis, hepatitis a me na mea e ae. I ka maʻi e hoʻomōhala ana i ke kiʻekiʻe o, unobtrusively ma mua, no laila hoi e pono e pana aku au i hana maikaʻiʻole o ka huʻi me ka hikiwawe e loaa cholecystitis, na hoailona o ka a i waho nei.

He aha ka cholecystitis

Cholecystitis e like me ICD-10 - he li nui o ka gallbladder. Ke iniiaiie kumu o ka maʻi - ka bile ducts, ka laau awaawa, bladder ma i hoomaemaeia o ka bile pohaku puka liiiU. O kŰia Ua backfired. Ka bile stagnates i loko o ke kino haalele i kona antimicrobial waiwai, e like me ka hopena o ka gallbladder pa iho mailoko o (a me ka koʻohune i hele mai, mai ka gastrointestinal'āpana). Ma muli o ka cholelithiasis ana mai i 95 pakeneka o ka cholecystitis.

Emi maa maʻi, kena ae la ia e nā kumu: acalculous cholecystitis i ke precipitated vasculitis, hoʻolōʻihiʻia ka hoʻokēʻaiʻana, sepsis, abdominalʻoki kino, trauma, salmonellosis, a me nā aʻe i pili i ke kahua o ka gallstones.

I ka maʻi i loko o ia lŘlŘ huʻi a me ka maʻi 'ano apau loa. Ka huʻi palapala Ua diagnosed hikiwawe loa ka ulu 'li nui. Ma awelika, he 15% o nā mea maʻi me ka maʻi o ka abdominal lua e susceptible i ka huʻi cholecystitis. Ka mea i waeʻia e loa kaʻeha i loko o ka abdomen. Inā 'oe hāʻupu aʻe ia oe i ka kaua o ka huʻi cholecystitis, imi' inikua aʻo koke (i kapa aku ai i ka ambulance).

Maʻi cholecystitis o ka hopena o ka hai bouts o ka huʻi. Loa pinepine ia mea calculous ( 'o ia hoʻi gallstones). Gallbladder paia ai hanaʻia naʻe me ka manawa, pathological loli ana a me ka bile ducts o ka bladder emi ka hiki e hoahu, a hookuu ka laau awaawa, na pohaku i hana. I ole ka maʻi i hoʻomōhala i loko o ka maʻi palapala, e pono manaʻoi hoʻokoe 'e lohe i ka pathological ke ano o ke kino a me ka pono huʻi cholecystitis.

maʻi symptoms

Ka loa kekahi 'symptom o ka maʻi - heʻoi kaʻeha i loko o ka hypochondrium akau. Pain i cholecystitis mea kaumaha, mau i ka lōʻihi manawa - e pili ana i eono hora, pinepine i hāʻawi mai i loko o ka hope paha ma lalo o ka'ūhā mua'ākau maka, a me ka hiki ke hele i ke kāʻili 'ana.

Me ka hooulu ana o ka maʻi i ka hoʻomanawanui i ka mahina nausea, i kona mau waimaka, i kekahi manawa, i kāwili pūʻia me ka bile, akā, ka mea, ke hiki ma hope o ka luaʻi lilo. Nō hoʻi, nā mea maʻi e ohumu o maloo waha, kapa komo iā ia elelo. Pinepine hoopii o bloating, belching makani. A pau o kēia mau symptoms koi koke malama ia no elike huʻi cholecystitis.

Symptoms o huʻi cholecystitis i loaʻa:

• wela, kuni;
• jaundice;
• noho oho;
• naau palpitations a me nā symptoms o intoxication.

Ma waho aʻeo i keia mea, e pono nō ia e lohe i ka kēia symptoms:

• Murphy a kükohu: ma luna o ka hohonu palpation o ka akau hypochondrium hoʻomanawanui paakiki i ka hanu, ka mea eha e hanu;
• Grekov - Ortner: ka hoʻomanawanui inā pilikia ka haumāna eha i effleurage nā lāʻau o ka akau costal e pio mai;
• Shchetkina - Bloomberg: i ka eha o ka cholecystitis listen ina koke lele mai ma luna o ka anterior abdominal paia, a e hele.

Kumu o ka huʻi cholecystitis

I ka papa kuhikuhiE kumu o ka cholecystitis - gallstones:

• o ka naʻokoko pohaku (o ka loa e like me ka hihia);
• bilirubin pohaku a pigmented (i hoʻomaka ai ma fracture oʻulaʻula koko aeee).

Other kumu o ka maʻi.

• bile stasis i loko o ka hui,;
• cirrhosis o ke ake, a biliary'āpana;
• kokololio kaumaha poho (ina paha me ka hopena o kaʻai a bariatricʻoki kino ia mai ai);
• hāpai keiki (i loko o ka gallbladder e loli ai ke kulana o ka fetus, like hoʻi me hormonal EUIAaIN ke kino).

An nui kūlana ma ka hoouka kaua o ka huʻi cholecystitis pāʻani i keka a me ka makahiki. Women olohelohe ia lakou i ka maʻi ma luna o awelika 2-3 manawa oi pinepine ma mua o nā kānaka. Ua Ua pū kaulana i ka maʻi mea oi paha e hoʻomōhala ina ua haawi mai ai i ka wahine hanau, e ma ka liʻiliʻi loa hoʻokahi keiki ua hoomaluia contraceptives me kiʻekiʻe estrogen maʻiʻo, Ua overweight. Eia naʻe, overweight hiki i ka maʻi, nānā 'ole o ka wahine: he sedentary Aloha Hawaii a me ka unhealthyʻai me ka hailona o kaumaha oilyʻai i 4 manawa hou aku paha e imi kōkua mai kauka no ka huʻi cholecystitis. Eia naʻe,, pili physical hana i ka poʻea pau i ke kūpono 'ana o ke cholecystitis like mahuahua wahie, negatively pili i ka gallbladder a me ka bile ducts.

Ka pilikia o ka aoao hana ikaika e pii ai ma hope o 40-50 makahiki, akā, i ka kiko'ī kumu keia hana mea nō unclear. Mua na kanaka i oi pinepine malama huʻi calculous cholecystitis.

Cholecystitis i loko o nā mākua mea oi, he pono ole ma mua i loko o nā keiki, akā, i loko o na hihia, ka maʻi ia lŘlŘ ma ka wā kamaliʻi a loko o adulthood.

Nō hoʻi, nā kumumea hoonaukiuki huʻi cholecystitis nā maʻi e like me mimikō, Crohn ka maʻi, immunodeficiency.

Pathology e hana ana i ka hopena o ka lawe ana i ka lāʻau no ka hookuu iho naʻokoko pae, hooloihi ae i ka hoʻokēʻaiʻana, abdominal nā palapū.

ʻike, no ka maʻi

hoʻomaka noiʻi e hōʻoia i kaʻike, no ka mea, o ka maʻi hāpai i ka hoʻoweliweli 'ana i ke ola ma ka mea iki e hoʻohuoiʻia o ka huʻi cholecystitis nā mea maʻi Pono e e hospitalized ma ka hapanui o na hihia a me loko o 24 hola.

Ma kekahi typical papa o ka huʻi cholecystitis hoʻokūpaʻa i kaʻike, o ka hoao ana i ka Kauka, he mama.

Ma waho aʻeo ia physical ninaninau ana i ka abdomen mea pono e hoʻomaka i na ana me ultrasound a Me tomography o ka abdomen. Ma kaʻike, o ke kauka e eʻoiaʻiʻo ia mākou e kamaʻilio e pili ana i huʻi cholecystitis, pancreatitis ma mua o nā symptoms o ka i mea like, a me appendicitis 'ole' ē aʻe 'inikua ana. Ma ultrasound ke kauka, e ike ina o ka gallbladder nui, paha ka mea, ai hanaʻia naʻe pā pōhaku, a mahuahua nui, ma laila nō nā loli, pus, a me nā pōhaku makamae. I ka laulā o kēia ao nei i ka 90 pakeneka.

Ma kekahi mau hihia, e koi X-Ray, endoscopic, laparoscopic a me nā 'ano o ka noiʻi. E hōʻoia i ka mimi a me ke koko Eia kekahi laʻana i lawe mai - mau, bilirubin, amylase a me ka lipase, pancreatic nā'ūhū, e like me ka makemakeʻana e Loiloi i ake kuleana pili i.

Makeʻe kulana Inc o ka huʻi cholecystitis

Inā he huʻi cholecystitis aohe mea ino o peritonitis, ke anamanaʻo hōʻike, a me ka makeʻe kulana hana. Ke hoomanawanui Ua kuhikuhi kuhikuhi analgesics a me antibiotics. Wā lawelawe cholecystitis antispasmodics no ka eha kokua (e laʻa me, "Papaverine", "No-Spa" a me na mea e ae). Hui hoomakaukau me ka cholecystitis (antispasmodics, a me anesthetics, no ka laʻana) i ka loa ka hoʻokō 'ana.

Antibiotics cholecystitis e hoʻohana i ka uhi i ka maʻiʻaʻai o ke au bladder, a pale ia hoʻomōhala.

Hoomanawanui i Inc pono ke ku imua o ka ikaikaʻai, i ka mua lā e hiki pololi. Ma o ka pono maluna quadrant ua noi anu.

E hoike mai i na pohaku hoʻohana hoomakaukau chenodeoxycholic a ursodeoxycholicʻakika. E malama i ka mana o na nā loko kohoia Bile a me gepatoprotektory. Oia lapaʻau i mau oi ma mua o nā makahiki, akā, i ka manawa kūpono o ka relapse koe.

ʻoki lāʻau lapaʻau lapaʻau

Wā ua lawe mai lakou i na hoailona o ka peritonitis i ka hoʻomanawanui pilikiaʻoki kino - cholecystectomy (ka laau awaawa, bladder pōpilikia 'ana). Ma peritonitis, make ka loa kiʻekiʻe, a hiki ma ka pilikia ana, pela no ka lohi ma ka hospitalization ka loa pilikia loa ka wā na hoailona o ka huʻi cholecystitis.

Inā i loaʻa i ke anamanaʻo calculary cholecystitis (a laila, a me nā pōhaku),ʻaʻole ma hope o nā lāʻekolu ma hope o ka hoouka kaua ana o ka maʻi i loko o ka wa e kaawale aku o contraindications paipai kakahiakaʻoki kino, e ālai 'complications kēia huʻi cholecystitis. Kona ano - i ka wehe 'ana o ka gallbladder, he poino ke ano.

Currently ma lalo o nāʻano o nā hana: laparotomy a me laparoscopic cholecystectomy. Ma ka hihia mua ia mea he pono e wehe aeʻoki kino me ka abdominal incision i ua hana ka manawa emi emi a. Laparoscopy ua hana me kaʻoki lāʻau lapaʻau incisions ka hoʻohana kūikawā lako a pan. Ma laparoscopicʻoki kino liʻiliʻi incisions ma a ka pahupaʻiwikiō a me nā mea i hoʻolauna. Kēiaʻano o ka cholecystectomy emi traumatic, mea he uuku hoʻopulapula au ma hope o ka mea ka hema ami i kokoke ole adhesions. No hoi ka mea hiki ke hoʻohana i ka PalekanaEND_LINK iaoia.

Ma hope oʻoki kino, i ke ahonui ola koke, he mau mahina hiki hoʻi i mau ola, akā, i ka pono i koe no ka eono mahina, e hooko me ka ikaikaʻai, a me ka wā e hiki mai a hiki i ka pāʻana i kāuʻai.

A kŘpa a hou ano o ka ole-invasiveʻoki kino - kākou hawewe-nalu lithotripsy. Gallbladder lithotripsy ua hoʻohana 'ia ka wā ma laila e contraindications no intracavitaryʻoki kino. Ua Ua hana ka hoʻohana 'ana i ka mea i hoouna mai i kekahi hawewe ma luna o ka pōhaku a me ka palaoa ka mea, i na la a pau, aole ia i huli i ka lepo.

Ke prognosis o ka huʻi cholecystitis nui maikaʻi. Ma hope oʻoki kino manawa calculous cholecystitis Aneane pau nā mea maʻi mai i ka mahina symptoms hou.

complications o ka maʻi

Huʻi cholecystitis pinepine nā maʻi alakai i peritonitis. Peritonitis hoike mai ai ia ia iho i loko o ka nui hoʻoikaika 'ana i ka eha i ka 3-4th lā o ka maʻi, Muscle hoʻopilikia o ka abdominal pa, abdominalʻeha.

I huʻi cholecystitis ke alakai i ka perforation o ka gallbladder. Ma keia hihia, e hoemiia ka eha no kekahi manawa, e, akā, laila, na symptoms a pau, a me ka eha, e ikaika.

Complications o ka maʻi nā cholangitis, pancreatitis, gallbladder gangrene, suppuration i loko o ka bladder. Mau complication - biliary poino i ʻoki kino, e wehe i ka gallbladder.

Hai ho'āhewa wale o ka huʻi cholecystitis ke alakai i ka maʻi maʻi.

kāohi ana

I ka susceptibility i gallstone ho okumu loa ole i ka hanana o ka huʻi cholecystitis mea pilikia. Eia naʻe, hiki ke hoemiia ka likelihood o ka ulu gallstones e kāohi ana, hiki hoemi i ka pilikia o ka ho'āhewa wale 'o ka huʻi cholecystitis a me ka maʻi? Acaeoey.

Stagnation o ka bile ua ālai 'ʻeleu Aloha Hawaii. Ka hoʻoneʻe 'ano ua ālai pohaku ho okumu, e like me malama he maʻamau kino kaumaha.

Inā he mau overweight, e hiki ole a loa ho'ēmi i ia.

Nō hoʻi, pono e mālama i ka wai koena (i ka lā e pono ai, e inu i ka liʻiliʻi 2 nā lika o ka wai).

Pono kanaka hoʻoponopono i ke ola, e haawi mai i ka waiʻona a me ka uwahi, no ka mea, emi ka'ōnaehana paleʻea'ōnaehana, a i ka hopena maikaʻi 'ole ma ke kaʻina hana o ka digestion.

Huʻi cholecystitis He pinepine ka concomitant maʻi me gastrointestinal pathologies, no laila, a pau mai o ka gastrointestinal'āpana E e hana i loko o ka 'eleu kūpono.

Ke kumu o rula - kupono no kou kino. Oe Pono eʻai mau, i ka mea ia manawa, ma ka liʻiliʻi loa ekolu i elima manawa i ka lā i loko o ka poe liilii,'āpana. Kēia kōkua e pale aku stagnation o bile i loko o ka gallbladder.

Mana no ka huʻi cholecystitis

ʻai Radio he nui kūlana ma ka iapaau ana o ka maʻi. No laila, i ka hoʻomanawanui pono hoomanao mua ia e ai me ka cholecystitis, a pololei like me nā mea a pau kapu, e ole ka recurrence o ka hoouka.

ʻai hoʻi i kekahi ma na kahua o ka maʻi.

• Mai ka hoʻomanawanui hospitalization hōʻike hookeai ana au, a hiki i ka eha, (akā,ʻaʻole oi aku 4 lā). Ma kēia kahua wale ae ke kinowai (mea pōhaku ka wai me ke kinoea i oluolu nawaliwali kī, hua kea, kī chamomile, peppermint, ala). E Pono e inu pinepine i ka poe liilii, e hō mai noʻu.
• Ma hope o ka wehe 'ana i ka eha i loko o kaʻai hiki ke hoʻolauna papa manamana wai aʻai -ʻano nawaliwali kai, Nā Kopa, raiki, semolina, ota, waiu Nā Kopa, jelly, haʻahaʻa-momona yogurt. Aia i kekahi pono ma ka liʻiliʻi'āpana. Ma kēia kahua, e pono e inu hou aku 2 nā lika o ka wai i ka lā.
• Kokoke i ke ola i loko o kaʻai ua pākuʻi i haʻahaʻa-momona ka iʻa a me ka ai. Nō 'ae wale Masa ka ai, hoolapalapaia paha mahu, akā, hiki ke hoomahuahua ia mau apana. Ma keia kahua, keʻai e leie aku ka hua a me ka lau, maloo ka berena, biscuits, marshmallows, kope me ka waiu.

I ka huʻi a me ka maʻi cholecystitis i ole hihia hiki ole ai palai, paka, spicy, marinated, spicy. Papa ia huahana cholecystitis - kokoleka, mea inu, mea pastries, Fish. Ua kaumaha ai negatively e loli ai i ka digestive'ōnaehana a me ka hiki ke alakai i ka hou hoouka.

Ma hope o ke ola kino kapu koe, i ka hoʻomanawanui ua iaʻai № 5a (i kaupalena 'ana o nā bipi kūpaluʻia, aʻai waiwai lohi puluniu, oxalicʻakika, naʻokoko, nitrogenous extractives).

Iapaau ana o ke kanaka laau

Folk Kids paipai like keu. Loa e puku i kā lākouʻike mau Inc, o ka oi aku i loko o ka huʻi palapala, ia mea pilikia loa. Inā e manaʻo ai i ka maʻi i loko o ka wahi mua ia mea e pono, e nīnau aku i ke kauka. Ua pono mua e lawe mai hana maikaʻiʻole o ka huʻi cholecystitis, a hoʻomōhala symptoms, a koi ka manaʻo 'inikua mana, a me ka wale laila oe e Hawaii i ka lau nahele a me nā uku.

Iapaau ana o ka maʻi cholecystitis kanaka Kids mea i hoʻohana i hou i ka papa kuhikuhiE kanaka hana. Mau hoʻohana mea kanu me ka choleretic, Anati-hoʻoʻino, antimicrobial waiwai, e like me ka pono me ka meli a me kaʻaila. Morning kī ua? Aeiiaiaoaony e puku i ka decoction o maize stigmas a ku ae la puhaka. Kekahi o ka pono ka mea e like ma ka cholecystitis a me nā maʻi 'ē aʻe o ka gastrointestinal'āpana - he decoction o ka maka mānoanoa o ka busela.

pono e apono ia e kou kauka i kekahi poʻe e ola ai.

I ka eaioiuo, ola Aloha Hawaii pilikia o gallstones a me cholecystitis? Acaeoey mea uuku loa. Naʻe, i ka wa a ke ano o ka huʻi cholecystitis symptoms e ole ka hoʻoponopono-lapaʻau, a nīnau aku i ke kauka koke no e ka pololeiʻike, a me ka mea e like, me ka hoʻomake 'i keʻano o nā complications, a hoʻomōhala i loko o ka maʻi ano o ka maʻi hiki ke ola koke.