Zovuta cholecystitis - zizindikiro

Cholecystitis yovuta ndi kutupa kwakukulu kwa makoma a ndulu, omwe amapezeka pamene kutuluka kwa bile kumaphwanyidwa ndipo, motero, kukula kwa matenda a bakiteriya. Matendawa akutanthauza kufunsa opaleshoni komanso pambuyo pa kuwonjezera pa chidziwitso ndilo chachiwiri chachiwiri.

Zizindikiro zomveka za cholecystitis

Chizindikiro chachikulu pa kuukira kwa cholecystitis ndi chophatikizapo biliary. Ndili ndi ululu wopweteka mu hypochondrium yoyenera, yomwe ingapereke ku phewa lakumanja, malo osungirako. Kupweteka kumaphatikizidwa ndi kunyoza ndi kusanza, komwe kulawa kowawa kumayamba pakamwa, ndipo bile imawonekera m'masanzi. Poyamba ululuwu ukuphwanyidwa, koma m'kupita kwanthawi umakhala wolimba kwambiri, ndipo nthawi zambiri umapitirira.

Kuphatikiza pa colic, ndi pachilonda cholecystitis, zizindikiro zimayambira matenda opatsirana ambiri:

• kutentha kwa thupi kunakwera (kuyambira subfebrile to high);
• kuzizira kungabwere;
• lilime louma ndi lophimbidwa;
• mpweya umakhala mofulumira;
• kupanikizika kwa magazi kunachepa.

Nthawi zina pamakhala njira yotsekemera ya ndondomeko ya bile, jaundice ikhoza kuchitika, ngakhale kuti pachilonda cholecystitis chizindikiro choterocho sichipezeka kawirikawiri.

Zizindikiro zapadera za cholecystitis zikuphatikizapo:

• Chizindikiro Grekov-Ortner (kupsinjika pamene akugwiritsira ntchito chithunzi chokwera mtengo ndi dzanja la dzanja);
• ululu pa nthawi ya palpation pamtundu wapamwamba wa quadrant umawonjezeka pamene uvuta;
• Chizindikiro cha Murphy (ali ndi vuto lakuya, wodwala sangathe kupuma).

Mafomu a pachimake cholecystitis

Malingana ndi chifukwa chomwe chinayambitsa matendawa, cholecystitis yagawanika kukhala yowerengeka komanso yopanda matenda. Kaŵirikaŵiri pali chovuta kwambiri cholecystitis, chomwe chimabwera chifukwa cha kutsekedwa kwa bile ducts ndi miyala mu cholelithiasis. Maonekedwe osabisala a matendawa amachokera ku 5 mpaka 10 peresenti ya milandu yonse ndipo amatha kudwala matenda opatsirana, matenda a m'mimba, giardiasis ndi zifukwa zina. Mu zovuta kwambiri cholecystitis, zizindikiro zimatchulidwa kwambiri, ndipo zimafuna kuvomereza opaleshoni yoyenera, pamene mawonekedwe a mitsempha ya mliriwo amayamba kuoneka mopepuka ndipo nthawi zina amatha kuchiritsidwa ndi njira zowonongeka.

Malingana ndi chithunzi chonse cha kachipatala ndi kuuma kwa maphunziro, cholecystitis yogawanika yagawidwa mu mitundu yotsatirayi:

1. Catarrhal cholecystitis ndi mawonekedwe ophweka, nthawi zina akulakwitsa chifukwa cha colic. Zimaphatikizapo kupweteka kochepa, kunyozetsa, kusanza kochepa.
2. Mafinya otchedwa cholecystitis - ululu umatchulidwa, kuwonjezeka mwa kusintha thupi, thupi limatentha kufika 38 ° C, kuthamanga kuli mofulumira, mimba imatha kukulirakulira, mlingo wa leukocyte m'magazi ukuwonjezeka.
3. Gangrenous cholecystitis imapezeka ndi kukula kwa mitundu yowala ya matendawa. Zizindikiro za kutupa kwakukulu zimabwera patsogolo. Njira yotupa imapitirira kuposa ndulu. Kutentha kumakhala kwakukulu, kupweteka kumatha kuchepa chifukwa cha necrosis ya ndulu zamatenda, zotchulidwa tachycardia, zizindikiro za kuledzeretsa kwachizolowezi.

Zovuta za pachilonda cholecystitis

Kuopsa koopsa kwa cholecystitis ndi kupopera kwa ndulu ndi ingress ya zomwe zili m'kati mwa mimba, zomwe zimabweretsa chitukuko cha peritonitis. Ngati alipo Kutsekemera kotupa, peritonitis kumakhala kwanuko, kumaloko, mwinamwake imagwira mimba yonse ya m'mimba, yomwe imayambitsa chikhalidwe chowopsya. Kuwonjezera pamenepo, chitukuko cha bile fistula, abscesses, cholangitis n'zotheka.

Pankhani ya kuthetsa matenda ndi kusungidwa kwa blockage ya bile ducts, nthawi zina ndulu ya chikhodzodzo imakhalapo. Zitha kutenga nthawi yaitali popanda kukhumudwitsa, komabe zimayambanso kuopseza ndi kukula kwa peritonitis.

Zovuta zonse zimakhalapo pokhapokha ngati chithandizo cha msanga cholecystitis chilibe mankhwala.