I-cholecystitis ephawulekayo - iimpawu

I-cholecystitis echanekileyo yindumalo enzima yeendonga ze-gallbladder, ezenzeka xa ukuphuma kwebhile kuphulwa kwaye, ngenxa yoko, ukuphuhliswa kosulelo lwebhaktheriya. Esi sifo sibhekisela ekufuneni ukungenelela kokutyathisa kwaye emva kokufakwa kwe-appendicitis yimeko yesibini eqhelekileyo.

Izimpawu ezibonakalayo ze-cholecystitis

Uphawu oluphambili ekuhlaselweni kwe-cholecystitis elibi li-colic bilic. Kuye kukho intlungu ebuhlungu kwi-hypochondrium efanelekileyo, enokunika ihlombe elungileyo, i-scapula, i-subclavia. Intlungu ihamba kunye neentlanzi kunye nokuhlanza, apho inambitheka enomlenze ivela emlonyeni, kwaye i-bile ibonakala kwimhlanzi. Ekuqaleni intlungu iyaqhawula, kodwa ngokuhamba kwexesha iya kuba yomelele ngakumbi kwaye, rhoqo, iyaqhubeka.

Ukongeza kwi-colic, nge-cholecystitis ephawulekayo, iimpawu ziphawu lwezifo ezithathelwanayo ngokubanzi:

• ukushisa komzimba okuphakamileyo (ukusuka kwi-subfebrile kuya phezulu);
• ukubola kungenzeka;
• Ulwimi olunomileyo nolutyhilekileyo;
• i-pulse ivame ukukhawuleza;
• Ukunyanzeliswa komzimba kuyehla.

Kwiimeko apho kukho ukucinywa kwe-bile duct, i-jaundice iyakwenzeka, nangona i-cholecystitis ephawulekayo loo mpawu ingabonakali.

Iimpawu ezithile ze-cholecystitis ziquka:

• uphawu lweGrkov-Ortner (ukunyameka xa uthetha i-arch efanelekileyo yexabiso kunye nesandla sesandla);
• intlungu ngexesha lokutsalwa kwesigxina esiphezulu se-quadrant kuqiniswa xa kutyalwa;
• uphawu lweMurphy (kunye nesondlo esinzulu, isiguli asikwazi ukuphefumula).

Iiifom ze-cholecystitis

Ngokuxhomekeka kweso sizathu esibangela isifo, i-cholecystitis iyahlula ibe yibala kunye ne-tubeless. Ngokuqhelekileyo kukho i-cholecystitis ephawulekayo yokubala, ephuma ekuthintekeni kwamathambo e-bile ngamatye e-cholelithiasis. Ifomu le-stoneless ye sifo ivela kwi-5 ukuya ku-10% yenani lamanani kwaye lingabangelwa zizifo ezithathelwanayo, izifo zesisu, i-giardiasis nezinye izizathu. Kwi-cholecystitis ephawulekayo, izibonakaliso zivame kakhulu, kwaye kufuna ukungenelelo okunyanzeliswayo, nangona uhlobo lwesigxina sesifo luqhubeka ngendlela elula kwaye ngamanye amaxesha lunokuphathwa ngoncedo.

Ngokuxhomekeka kwiphepha leklinikhi jikelele kunye nobukhulu bekhosi, i-cholecystitis enzima ihlukaniswe ngamafomu alandelayo:

1. I-Catarrhal cholecystitis yindlela elula kakhulu, ngamanye amaxesha iphosakele ngokuhlaselwa kwe-colic. Ihamba neentlungu ezilinganayo, isicupunu, ukuhlanza.
2. I-cholecystitis ye-Phlegmonous - iintlungu zibizwa, ziqiniswe ngokutshintsha isikhundla somzimba, iqondo lokushisa liphakama liya kuma-38 ° C, i-pulse ikhawuleza, isisu singakhula, inqanaba lama-leukocytes egazini landa.
3. I-gangrenous cholecystitis ivela kunye nokuqhubela phambili kweefom elula. Iimpawu zokuvuvukala ngokubanzi ziza kuqala. Inkqubo yokuvuvukala idlula ngaphaya kwe-gallbladder. Iqondo lokushisa liphezulu, intlungu ingancipha ngenxa ye-necrosis yamathambo e-gallbladder, i-tachycardia ebizwa ngokuba yi-toxicity.

Iingxaki ze-cholecystitis

Ingxaki enobungozi kakhulu ye-cholecystitis yintlungu (ukuphuka) kwe-gallbladder kunye ne-ingress yezinto eziqulethwe ngaphakathi kwisisu esiswini, okukhokelela ekuphuhlisweni kwe-peritonitis. Ukuba zikhoyo ukunamathela okuvuthayo, i- peritonitis ingasendaweni yendawo, kwendawo, kungenjalo ibamba yonke indawo yesisu, ekhokelela kwisimo esisongela ubomi. Ukongezelela, ukuphuhliswa kwe-bile fistula, i-abscesses, i-cholangitis inokwenzeka.

Kwimeko yokunciphisa intsholongwane ekukhuselweni kwe-bile ducts, kwezinye iimeko i-edema ye-bladder edema ivela. Kungathatha ixesha elide ngaphandle kokubangela ukukhathazeka okuthe ngqo, kodwa kubangelwa ingozi yokuphuka kunye nophuhliso lwe-peritonitis.

Zonke iingxaki ziphuhliswa xa kukho unyango olungalindelekanga lwe-cholecystitis.