Cholecystitis huehue a koʻikoʻi: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• 1. cholecystitis huehue
• 2. cholecystitis maʻi
• Pehea e hōʻoia ai i ke kuhi
• He aha nā kumu
• Pehea e hana ai i ka lāʻau

ʻO Cholecystitis ka mumū o ka gallbladder, kahi ʻeke liʻiliʻi e pili ana me ke ake, a mālama i ka bile, kahi wai waiwai nui no ka ʻai ʻana o nā momona. Hiki ke hōʻeha kēia mumū, i kapa ʻia ʻo cholecystitis huehue, me nā ʻōuli ikaika a wikiwiki hoʻi, a i ʻole ka maʻi mau, me nā ʻōuli milder e mau ana i mau pule i mau mahina.

Hoʻokumu kahi cholecystitis i nā hōʻailona a me nā ʻōuli e like me ka ʻeha o ka ʻōpū colic, nausea, ka luaʻi, ka fiva a me ka palupalu o ka ʻōpū. ʻO ka ʻeha ma mua o 6 mau hola e kōkua i ka ʻokoʻa ma waena o ka cholecystitis maha a me ka ʻeha cholelithiasis mau.

Hiki ke hana i ka mumū koʻikoʻi o ka gallbladder ma o nā ʻano hana 2:

• Lithiasic cholecystitis aiʻole helu: ʻo ia ke kumu nui o ka cholecystitis a ʻoi aku ka pinepine i nā wahine waena. Hana ʻia ia i ka manawa o kahi pōhaku, i kapa ʻia hoʻi he pōhaku, ke kumu o ka ālai ʻana o ke duct e ninini i ka pā. Pēlā, hōʻiliʻili ka bile i loko o ka gallbladder a hoʻolilo ia i mea mamao a wela. Hoʻomaopopo i ke kumu o ka pōhaku gallbladder;

  
  
• Alithiasic cholecystitis: ʻoi aku ka liʻiliʻi a kumu ʻia ka hoʻāhu o ka hū ʻole me ka loaʻa ʻole o nā pōhaku. Ua like nā ʻōuli me nā lithiasic cholecystitis, akā ʻoi aku ka paʻakikī o ka mālama ʻana a me kahi manawa ʻoi aku ka maikaʻi o ka hoʻōla, e like me ka hana maʻamau i nā poʻe maʻi nui.

I kēlā me kēia hihia, pono e mālama koke ʻia ka cholecystitis, a ʻaʻole pono e kali kekahi ma mua o 6 mau hola ma hope o ka hoʻomaka ʻana o nā ʻōuli, e hōʻalo ai i nā pilikia koʻikoʻi e like me ka haki ʻana o ka gallbladder a i ʻole ka maʻi maʻamau.

Nā hōʻailona nui

ʻO ka ʻōuli nui loa o ka cholecystitis ka ʻeha o ka ʻōpū, akā naʻe, ʻokoʻa paha nā ʻōuli ʻē aʻe inā he maʻi maʻi a maʻi maʻi paha ia.

1. cholecystitis huehue

I ka hapanui o nā hihia, ʻo nā hōʻailona a me nā ʻōuli o cholecystitis me:

• ʻO kaʻeha Colic ma kaʻaoʻao'ākau i luna o ka'ōpū, ʻoi aku ka lōʻihi ma mua o 6 mau hola. Hiki i kēia ʻeha ke hoʻomaka ma luna o ka piko a laila neʻe i ka luna pono;
• ʻO ka ʻeha o ka ʻōpū e hoʻomālamalama i ka poʻohiwi ʻākau a i hope paha;
• Sensitivity i loko o ka ʻōpū i ka wā palpation ma ke kauka lāʻau lapaʻau;
• ʻO Nusea a me ka luaʻi, me ka make ʻole o ka makemake;
• Fiva, ma lalo o 39ºC;
• ʻIke o ka malaise laulā;
• Puʻuwai wikiwiki;
• ʻO ka ʻili melemele a me nā maka, i kekahi mau hihia.

Ma waho aʻe o kēia mau hōʻailona, ​​nānā ke kauka no ka hōʻailona Murphy, ka mea maʻamau loa i ka cholecystitis a ʻo ia hoʻi ke noi ʻana i ke kanaka e hanu hohonu, ʻoiai e kaomi ana i ka ʻōpū ma ka ʻaoʻao ʻākau luna. Manaʻo ʻia ka hōʻailona maikaʻi a no laila, hōʻike i ka cholecystitis, ke paʻa ka hanu o ke kanaka, me ka hoʻomau ʻole e hanu.

Hōʻike pinepine ʻia nā ʻōuli i hōʻike ʻia ma kahi o 1 mau hola a ʻoi iki paha ma hope o ka ʻai ʻana i nā meaʻai momona, ʻoiai ke hoʻohana ʻia ka bile e ke kino e kōkua ai i ka hoʻowali ʻana i nā momona a me ka lawe ʻana i nā meaʻai.

Eia nō naʻe, i nā maʻi ma luna o ka makahiki he 60 a ʻoi paha nāwaliwali, ʻokoʻa paha nā ʻōuli. I kēlā mau hihia, he mea nui e makaʻala i nā ʻōuli ʻē aʻe e like me ka huikau o ka noʻonoʻo, ke kuni a me ke anuanu, ʻili bluer. I kēia mau hihia, pono ʻoe e hele wikiwiki i ka haukapila.

2. cholecystitis maʻi

ʻO ka cholecystitis mau loa kahi lōʻihi lōʻihi, huki ʻia i waho. Hoʻokumu ʻia ia e kahi hana e like me ke ʻano o ka cholecystitis huehue, a ʻaʻole paha e pili me ka loaʻa ʻole o ka pōhaku.

Hōʻike pinepine ʻia nā ʻōuli ma hope o ka ʻai ʻana i nā mea momona momona a i ka hopena o ka lā, e like me nā mea o ka cholecystitis huehue, akā akahai.

• ʻEha ma ka ʻaoʻao ʻākau i luna o ka ʻōpū, e hoʻomālamalama ana i ka poʻohiwi ʻākau a i ʻole hoʻi
• ʻO nā pilikia ʻeha ʻoi loa, kahi e hoʻomaikaʻi ai ma hope o kekahi mau hola, biliary colic;
• Sensitivity i loko o ka ʻōpū i ka wā palpation ma ke kauka lāʻau lapaʻau;
• Nualea, luaʻi, nalo o ka makemake ʻole, huhū a hoʻonui i ke kinoea;
• Ka manaʻo hōʻoluʻolu ʻole;
• ʻO ka ʻili melemele a me nā maka, i kekahi mau hihia.

Hoʻokumu ʻia nā cholecystitis maʻi mau e nā ʻāpana liʻiliʻi o ka mumū o ka gallbladder, i hana ʻia i mau manawa, i ka hala ʻana o ka manawa. Ma muli o kēia mau pilikia pinepine, hiki i ka gallbladder ke hoʻololi i nā loli, e liʻiliʻi a me nā paia mānoanoa. Hiki iā ia ke hoʻopau i ka hoʻomohala ʻana i nā pilikia, e like me ka helu ʻana o kona mau paia, i kapa ʻia ka porcelain vesicle, ka hoʻokumu ʻana o fistulas, kahi pancreatitis a i ʻole ka ulu ʻana o ka maʻi ʻaʻai.

Pehea e hōʻoia ai i ke kuhi

Ke hōʻike ʻia nā ʻōuli o cholecystitis, pono e nīnau aku i kahi loio a i ʻole gastroenterologist e kālailai i ka hihia a hana i nā hoʻokolohua diagnostics, e like me nā hoʻokolohua koko, ultrasound a i ʻole cholecintilography.

Hoʻohana pinepine ʻia ʻo Cholecintilography ke maopopo ʻole ka hopena o ka ultrasound e nānā ai inā mānoanoa a hoʻomāhuahua ʻia paha ka gallbladder, a inā he pilikia paha e hoʻopiha ana iā ia.

He aha nā kumu

I ka hapanui o nā hihia, kumu ʻia ka cholecystitis e nā gallstones, ka mea e keakea ai i ke kahe o ka iwi i loko o kahi kahawai i kapa ʻia ka cystic duct, i hiki ai i ka bile ke pakele mai ka gallbladder. ʻO ka hapa nui o nā hihia i pili pū me kahi ʻano o ka pōhaku, i loaʻa a loaʻa ʻole paha nā ʻōuli, me kahi o people o ka poʻe me nā pōhaku e hoʻomōhala cholecystitis loa i kekahi manawa.

I kekahi mau kumu, ʻaʻole no ka pōhaku ka mea keakea, akā i kahi puʻupuʻu, kahi tumo, ke kū ʻana o nā parasite a i ʻole ma hope paha o ke ʻoki ʻana ma nā aʻa o ka bile.

I nā hihia o alitiásic cholecystitis, kū ka mumū ma ka gallbladder ma muli o nā kumu i hoʻomaopopo ʻole ʻole ʻia, akā ʻo ka poʻe ʻelemākule, nā mea maʻi nui, i hana i kahi ʻoki paʻakikī a i ʻole nā ​​diabetic, ʻo kahi laʻana, aia i kahi makaʻu.

Pehea e hana ai i ka lāʻau

Hoʻomaka pinepine ʻia ka mālama ʻana no cholecystitis me ke komo ʻana i ka haukapila e kōkua ai i ka mālama ʻana i ka mumū a me ka hoʻoluhi ʻana i ka ʻeha, a laila hana ʻia ka ʻoki wehe kino. Paipai ʻia e lawelawe ʻia ka gallbladder ma loko o nā lā mua 3 o ka hoʻomaka ʻana o ka huʻi nui.

No laila, hiki i ka mālama ʻana ke:

• Wikiwiki: e like me ka gallbladder e hoʻohana ai no ka digestion, hiki i ke kauka ke paipai e hoʻopau i ka lawe ʻana o ka meaʻai a me ka wai no kekahi manawa e hōʻoluʻolu i ke kaomi o ka gallbladder a hoʻomaikaʻi i nā hōʻailona;
• Fluids pololei i loko o ka aa koko: ma muli o ke kaohi e ʻai a inu paha, pono ia e mālama i ka hydration o ka meaola me ka saline pololei i ka aa koko;
• Nā Antibiotics: ma mua o ka hapalua o nā hihia, ua hele a maʻi ka gallbladder ma loko o 48 mau hola ma hope o ka hoʻomaka ʻana o cholecystitis, ʻoiai ka hoʻomaʻamaʻa ʻana o kāna distension i ka hoʻonui ʻana o nā bacteria i loko;
• Nā mea hōʻeha ʻeha: hiki ke hoʻohana a hiki i ka hōʻoluʻolu ʻana o ka ʻeha a hoʻemi ʻia ka mumū o ka ʻūhā o ke au;
• ʻO kahi ʻoki e hemo ai ka gallbladder: ʻo ka laparoscopic cholecystectomy ka mea nui o ke kaha ʻana e mālama ai i ka cholecystitis. ʻAe kēia hana i ka hoʻōla wikiwiki, no ka mea, ʻaʻole ia ka mea hoʻonāukiuki i ke kino. Maopopo pehea e hana ai i ke kahaʻoki ʻana o ka gall bladder a me ka hoʻōla ʻana.

I nā hihia kahi cholecystitis koʻikoʻi loa a ʻaʻole hiki i ka mea maʻi ke hana ʻoki koke, hana ʻia kahi kahe o ka gallbladder, i mea e kōkua ai e hemo i ka pā mai ka gallbladder a hoʻēmi i ka mumū, no laila hiki ke wehe i ke kahawai i ālai ʻia. I ka manawa like, lawelawe ʻia nā lāʻau ʻalopika i mea e pale aku ai i ka gallbladder mai ka maʻi maʻi ʻana. Ma hope o ke kūpaʻa o ke ʻano, hiki ke hana ʻoki e wehe i ka gallbladder.