Cholecystitis maʻi

ʻO ka cholecystitis maʻi mau ka pehu a me ka ukiuki o ka huahuakai e hoʻomau mau ana i ka hala o ka manawa.

ʻO ka gallbladder kahi ʻeke aia ma lalo o ke ake. Mālama ʻo ia i ka lāʻau i hana ʻia i ke ake.

Kōkua ʻo Bile i ka digestion o nā momona i loko o ka ʻōpū liʻiliʻi.

ʻO ka hapa nui o ka manawa, cholecystitis maʻi mau ke kumu o ka hōʻeha pinepine ʻana o cholecystitis huehue. Hoʻokumu ʻia ka hapa nui o kēia mau hoʻouka e nā pōhaku i loko o ka pahu hānai.

Hoʻopili kēia mau hoʻouka i nā paia o ka gallbladder e mānoanoa. Hoʻomaka ka hū o ka gallbladder. Ke holo nei ka manawa, ʻaʻole hiki i ka gallbladder ke noʻonoʻo, mālama, a hoʻokuʻu i ka bile.

Kū pinepine ka maʻi i nā wahine ma mua o nā kāne. ʻOi aku ka maʻamau ma hope o ka makahiki 40. ʻO nā lāʻau hoʻomalu hānau a me ka hāpai ʻana nā mea e hoʻonui ai i ka makaʻu no nā pōhaku ʻaʻa.

ʻO ke koʻikoʻi cholecystitis kahi maʻi ʻeha e alakaʻi i ka cholecystitis mau. ʻAʻole maopopo inā he cholecystitis mau ke kumu o kekahi mau ʻōuli.

Hiki i nā ʻōuli o ka cholecystitis koʻikoʻi ke komo pū me:

• ʻĀʻī, ʻūlū ʻana, a i ʻole ʻeha dull i luna ma luna a i luna o waena o kou ʻōpū
• Paʻa mau ka lōʻihi ma kahi o 30 mau minuke
• ʻO ka ʻeha e pālahalaha i kou kua a i ʻole ma lalo o ka pahi poʻohiwi ʻākau
• Nā noho waihoʻoluʻu pālolo
• Fiva
• ʻO Nusea a me ka luaʻi
• Yellowing o ka ʻili a me nā keʻokeʻo o nā maka (jaundice)

Hiki i kāu mea mālama ola ke kauoha i nā hoʻokolohua koko aʻe:

• Amylase a me lipase i mea e ʻike pono ai i nā maʻi o ka pancreas
• Helu piha koko (CBC)
• ʻO nā hoʻokolohua hana ate i mea e loiloi ai i ke ʻano o ka hana a ke ake

ʻO nā hoʻāʻo e hōʻike ana i nā gallstones a i ʻole ka puhū ʻana o ka hākū me:

• ʻO ke ultrasound ʻōpū
• Scanner CT ʻōpū
• Nānā i ka gallbladder (scan HIDA)
• ʻO cholecystogram waha

ʻO keʻoki ka lāʻau maʻamau. ʻO ke ʻoki ʻana e hemo ai ka gallbladder i kapa ʻia ʻo cholecystectomy.

• Hana pinepine ʻia ʻo Laparoscopic cholecystectomy. Hoʻohana kēia ʻoki i nā ʻoki ʻoki liʻiliʻi, kahi hopena i kahi wikiwiki wikiwiki. Hiki i nā poʻe he nui ke hoʻi i ka home mai ka haukapila i ka lā like me ke ʻoki, a i ke kakahiaka aʻe.
• Pono ka cholecystectomy hāmama i kahi ʻoki nui i ka ʻaoʻao ʻākau o luna o ka ʻōpū.

Inā maʻi nui ʻoe ʻaʻole hiki ke ʻoki ʻana ma muli o nā maʻi a i ʻole nā ​​kūlana ʻē aʻe, e hoʻopau ʻia paha nā gallstones me ka lāʻau āu e lawe ai ma ka waha. Eia nō naʻe, 2 mau makahiki a ʻoi paha ka lōʻihi o ka hana. E hoʻi paha nā pōhaku ma hope o ka mālama ʻana.

ʻO Cholecystectomy kahi hana maʻamau me ka haʻahaʻa haʻahaʻa.

Komo pū nā pilikia:

• Ka maʻi ʻaʻai o ka gallbladder (kākaʻikahi)
• ʻO Jaundice
• ʻO Pancreatitis
• Worsening o ke ʻano

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o cholecystitis.

ʻAʻole hiki ke pale ʻia ke ʻano. ʻO ka ʻai ʻana i nā mea momona momona hiki ke hōʻoluʻolu i nā hōʻailona i ka poʻe. Eia naʻe, ʻaʻole i hōʻoia ʻia ka pōmaikaʻi o ka papaʻai momona momona.

Cholecystitis - maʻi mau

• Wehe i ka gallbladder - laparoscopic - hoʻokuʻu
• Wehe i ka gallbladder - wehe - hoʻokuʻu
• Gallstones - hoʻokuʻu

• ʻO Cholecystitis, CT scan
• Cholecystitis - cholangiogram
• ʻO Cholecystolithiasis
• Gallstones, cholangiogram
• ʻO Cholecystogram

ʻO Quigley BC, Adsay NV. Nā maʻi o ka gallbladder. I: Burt AD, Ferrell LD, Hubscher SG, eds. ʻO MacSween's Pathology of the Liver. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 10.

Kālena ND. ʻO ke ake a me ka gallbladder. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins a me Cotran Pathologic Basis o ka maʻi. 9th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 18.

Wang DQH, Afdhal NH. ʻO ka maʻi Gallstone. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 65.