Cholecystitis e sa foleng

Cholecystitis e sa foleng ke ho ruruha le ho halefa ha gallbladder e tsoelang pele ho feta nako.

The gallbladder ke mokotla o ka tlasa sebete. E boloka bile e entsoeng sebeteng.

Bile e thusa ka tšilo ea mafura ka maleng a manyane.

Boholo ba nako, cholecystitis e sa foleng e bakoa ke tlhaselo e phetoang ea cholecystitis e matla (ka tšohanyetso). Bongata ba litlhaselo tsena li bakoa ke majoe a nyururu.

Litlhaselo tsena li etsa hore mabota a gallbladder a hōle. Nyooko e qala ho honyela. Ha nako e ntse e ea, gallbladder ha e khone ho tsepamisa mohopolo, ho boloka le ho lokolla bile.

Lefu lena le hlaha hangata ho basali ho feta banna. E tloaelehile haholo kamora ho ba lilemo tse 40. Lipilisi tsa thibelo ea bokhachane le bokhachane ke lisosa tse eketsang menyetla ea ho ba le li-gallstones.

Cholecystitis e bohloko ke boemo bo bohloko bo lebisang ho cholecystitis e sa foleng. Ha ho hlake hore na cholecystitis e sa foleng e baka matšoao afe kapa afe.

Matšoao a cholecystitis e matla a ka kenyelletsa:

• Bohloko bo bohale, bo pepesang, kapa bo lerootho karolong e kaholimo ea mpa ea hau
• Bohloko bo tsitsitseng bo nka metsotso e ka bang 30
• Bohloko bo namelang mokokotlong oa hau kapa ka tlase ho lehare la lehetla le letona
• Litulo tsa 'mala oa letsopa
• Feberu
• Ho nyekeloa le ho hlatsa
• Letlalo le mosehla le makhooa a mahlo (jaundice)

Mofani oa hao oa tlhokomelo ea bophelo a ka odara liteko tse latelang tsa mali:

• Amylase le lipase bakeng sa ho fumana mafu a manyeme
• Palo e felletseng ea mali (CBC)
• Liteko tsa ts'ebetso ea sebete e le ho hlahloba hore na sebete se sebetsa hantle hakae

Liteko tse senolang li-gallstones kapa ho ruruha ka har'a gallbladder li kenyelletsa:

• Mpa ea ka mpeng
• Tlhaloso ea mpa ea mpa
• Sesebelisoa sa gallbladder (scan ea HIDA)
• Molomo cholecystogram

Ho buoa ke kalafo e atileng haholo. Ho buoa ho tlosa gallbladder ho bitsoa cholecystectomy.

• Laparoscopic cholecystectomy hangata e etsoa. Ts'ebetso ena e sebelisa ho fokotsa likarolo tse nyane tsa ho buoa, tse lebisang ho foleng kapele. Batho ba bangata ba khona ho khutlela hae ba tsoa sepetlele ka letsatsi le le leng la ho buuoa, kapa hoseng ho latelang.
• Ho bula cholecystectomy ho hloka khaola e kholo karolong e kaholimo ho le letona la mpa.

Haeba u kula haholo hoo u ke keng ua etsoa opereishene ka lebaka la maloetse kapa maemo a mang, li-gallstones li ka qhibiliha ka moriana oo u o sebelisang ka molomo. Leha ho le joalo, sena se ka nka lilemo tse 2 kapa ho feta ho sebetsa. Majoe a ka khutla kamora kalafo.

Cholecystectomy ke mokhoa o tloaelehileng o nang le kotsi e tlase.

Mathata a ka kenyelletsa:

• Kankere ea gallbladder (ka seoelo)
• Jaundice
• Pancreatitis
• Ho mpefala ha boemo bona

Bitsa mofani oa hau haeba u ba le matšoao a cholecystitis.

Boemo ha se kamehla bo ka thibeloang. Ho ja lijo tse se nang mafura haholo ho ka kokobetsa matšoao a batho. Leha ho le joalo, molemo oa phepo e fokolang ea mafura ha o so pakoe.

Cholecystitis - e sa foleng

• Ho tlosa gallbladder - laparoscopic - ho tsoa
• Ho tlosoa ha gallbladder - ho bula - ho tsoa
• Majoe a majoe - ho tsoa

• Cholecystitis, CT e hlahloba
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Majoe a majoe, cholangiogram
• Cholecystogram

Quigley BC, Adsay NV. Maloetse a gallbladder. Ka: Burt AD, Ferrell LD, Hubscher SG, bahlophisi. MacSween's Pathology ea Sebete. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 10.

Theise ND. Sebete le gallbladder. Ka: Kumar V, Abbas AK, Aster JC, bahlophisi. Robbins le Cotran Pathologic Motheo oa Mafu. La 9th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 18.

Mokhatlo oa Wang DQH, Afdhal NH. Lefu la Gallstone. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 65.