Cholecystitis e bohloko

Cholecystitis e bohloko ke ho ruruha ka tšohanyetso le ho halefa ha gallbladder. E baka bohloko bo boholo ba mpa.

Gallbladder ke setho se lutseng ka tlase ho sebete. E boloka bile, e hlahisoang sebeteng. 'Mele oa hau o sebelisa bile ho sila mafura ka maleng a manyane.

Cholecystitis e matla e etsahala ha bile e tšoasoa ke gallbladder. Hangata hona ho etsahala hobane lejoe la lejoe le koala mothapo oa cystic, e leng pompo eo bile e kenang kahare le kantle ho gallbladder. Ha lejoe le thibela tsela ena, bile e ea haella, 'me e baka ho teneha le khatello mokokotlong. Sena se ka lebisa ho ruruheng le tšoaetsong.

Lisosa tse ling li kenyelletsa:

• Maloetse a tebileng, joalo ka HIV kapa lefu la tsoekere
• Lihlahala tsa gallbladder (seoelo)

Batho ba bang ba kotsing ea ho ba le li-gallstones. Mabaka a kotsi a kenyelletsa:

• Ho ba motho e motshehadi
• Boimana
• Phekolo ea Hormone
• Botsofali
• Ho ba Maindia a Amerika kapa Masepanishe
• Botenya
• Ho theola kapa ho nona ka potlako
• Lefu la tsoekere

Ka linako tse ling, tsela ea bile e koaloa nakoana. Ha sena se etsahala khafetsa, se ka lebisa ho cholecystitis ea nako e telele (e sa foleng). Hona ke ho ruruha le ho halefa ho tsoelang pele ha nako e ntse e tsamaea. Qetellong, gallbladder e ba e tenya le e thata. Ha e boloke le ho lokolla bile joalo ka ha e entse.

Letšoao le ka sehloohong ke bohloko bo ka lehlakoreng le ka holimo le letona kapa bohareng ba mpa ea hau bo atisang ho nka bonyane metsotso e 30. U kanna oa ikutloa:

• Bohloko bo hlabang, bo petetsanang, kapa bo lerootho
• Bohloko bo tsitsitseng
• Bohloko bo namelang mokokotlong oa hau kapa ka tlase ho lehare la lehetla le letona

Matšoao a mang a ka bang teng a kenyelletsa:

• 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 o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao a hau. Nakong ea tlhahlobo ea 'mele, o kanna oa utloa bohloko ha mofani oa thepa a ama mpa ea hau.

Mofani oa hau a ka laela liteko tse latelang tsa mali:

• Amylase le lipase
• Bilirubin
• Palo e felletseng ea mali (CBC)
• Liteko tsa ts'ebetso ea sebete

Ho etsa liteko ho ka bontša li-gallstones kapa ho ruruha. U kanna oa ba le e le 'ngoe kapa tse' maloa tsa liteko tsena:

• Mpa ea ka mpeng
• Sesebelisoa sa mpa sa CT kapa sesebelisoa sa MRI
• X-ray ea mpeng
• Molomo cholecystogram
• Sesebelisoa sa `` gallbladder radionuclide ''

Haeba u na le mahlaba a bohloko ka mpeng, batla thuso ea lingaka hang-hang.

Kamoreng ea maemo a tšohanyetso, o tla fuoa maro ka mothapo. Le uena u ka fuoa lithibela-mafu ho loants'a ts'oaetso.

Cholecystitis e ka hlaka ka boeona. Leha ho le joalo, haeba u e-na le li-gallstones, mohlomong u tla hloka ho buuoa ho tlosa gallbladder ea hau.

Kalafo ea bongaka e kenyelletsa:

• Lithibela-mafu tseo u li nkang lapeng ho loants'a tšoaetso
• Lijo tse nang le mafura a tlase (haeba o khona ho ja)
• Meriana ea bohloko

U kanna ua hloka ho buuoa ka tšohanyetso haeba u na le mathata a kang:

• Sekhahla (lefu la lisele) tsa gallbladder
• Perforation (lesoba le bopehang leboteng la gallbladder)
• Pancreatitis (manyeme a chesang)
• Thibelo e tsitsitseng ea bile
• Ho ruruha ha tsela e tloaelehileng ea bile

Haeba u kula haholo, ho ka kenngoa pompo ka mpeng ea hao hore e e tsoe. Hang ha u ikutloa u le betere, mofani oa hau a ka khothaletsa hore u etse opereishene.

Boholo ba batho ba buuoeng ho ntša gallbladder ba fola ka botlalo.

Ho sa alafatsoe, cholecystitis e ka lebisa ho a mang a mathata a latelang a bophelo bo botle:

• Empyema (pus e ka har'a gallbladder)
• Sekhahla
• Ho lematsa methapo ea bile e fang sebete (e ka hlaha kamora ho buuoa ka nyooko)
• Pancreatitis
• Pherekano
• Peritonitis (ho ruruha ha lesela la mpa)

Bitsa mofani oa hau haeba u na le:

• Bohloko bo bohloko ba mpeng bo sa foleng
• Matšoao a cholecystitis a khutla

Ho tlosa gallbladder le gallstones ho tla thibela litlhaselo tse ling.

Cholecystitis - e hlobaetsang; Majoe a majoe - cholecystitis e matla

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

• Tsamaiso ea ho sila lijo
• Cholecystitis, CT e hlahloba
• Cholecystitis - cholangiogram
• Cholecystolithiasis
• Majoe a majoe, cholangiogram
• Ho tlosoa ha gallbladder - Letoto

Glasgow RE, Mulvihill SJ. Kalafo ea 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 66.

Jackson PG, Evans SRT. Tsamaiso ea biliary. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Motheo oa Biological oa Tloaelo ea Kajeno ea Thibelo. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 54.

Monghali Wang DQ-H, Afdhal NH. Lefu la Gallstone. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 65.