Acute cholecystitis yog ib qho mob ntawm cov phab ntsa gallbladder, uas tshwm sim thaum tawm ntawm cov kab mob hauv lub cev thiab ua rau qhov kev raug mob ntawm cov kab mob bacterial infections. Tus kab mob no yog hais txog qhov yuav tsum tau kho phais mob thiab tom qab mob hnyuv taum yog ob txoj hnyav heev.
Cov kev mob tshwm sim ntawm mob cholecystitis
Cov tsos mob tseem ceeb hauv kev tawm tsam mob cholenessstitis yog biliary colic. Nrog nws muaj ib qho ntse mob nyob rau hauv txoj cai hypochondrium, uas yuav muab rau sab xub pwg, scapula, subclavian cheeb tsam. Qhov mob yog los ntawm xeev siab thiab ntuav, uas ua rau lub qhov ncauj saj nthuav tawm hauv lub qhov ncauj, thiab cov kua mis tseem ceeb hauv lub ntuav. Thaum xub thawj tus mob yog mob ntses, tab sis ntev dhau sij hawm nws ua ntau dua thiab mob siab heev thiab, feem ntau, nruam.
Ntxiv nrog rau colic, nrog mob cholecystitis, cov tsos mob yog cov yam ntxwv ntawm kis kab mob hauv general:
- lub cev kub kom siab (ntawm subfebrile mus rau siab);
- ua daus no yuav tshwm sim;
- tus nplaig qhuav thiab npog;
- lub plab feem ntau yog sai;
- arterial siab poob.
Yog tias muaj cov kab mob hauv cov kab mob hauv lub cev, xoo pob txha yuav tshwm sim, txawm tias muaj cov kab mob cholessstitis xws li ib qho kev mob tshwm sim tsis tshua pom.
Cov kev qhia tshwj xeeb ntawm mob cholenessstitis muaj xws li:
- tsos mob Grekov-Ortner (mob hnoos thaum tapping txoj hlua costal nrog lub xib teg ntawm tes);
- mob thaum lub sij hawm palpation nyob rau hauv txoj cai sab qaum txoj quadrant intensifying thaum nqus tau;
- ib qho kev mob ntawm Murphy (nrog lub sib sib zog nqus palpation, tus neeg mob tsis ua pa).
Cov ntaub ntawv ntawm mob cholecystitis
Nyob ntawm qhov ua rau tshwm sim los ntawm tus kab mob, cholecystitis muab faib ua piv txwv thiab tsis muaj tub sab. Feem ntau muaj cov kab mob khees-xaws calculus, uas tshwm sim los ntawm cov kab mob hauv lub pob zeb nrog pob zeb hauv cholelithiasis. Tus kab mob tsis muaj tus kab mob yog los ntawm 5 mus rau 10% ntawm tag nrho cov neeg mob thiab tuaj yeem tshwm sim los ntawm kev kis kab mob, kev plab hnyuv, kab mob thiab lwm yam ua rau. Hauv kev mob hnyuv quav tsom xam cov nyom, cov tsos mob feem ntau yog qhia tau ntau dua, thiab nws yuav tsum muaj kev pabcuam kev phais, qhov twg yog qhov tsis muaj tus kabmob ntawm tus kabmob nkag tau rau hauv ib daim ntawv sib zog thiab muaj peev xwm kho tau qee txoj kev kho.
Nyob ntawm txhua daim duab saib mob thiab qhov hnyav ntawm chav kawm, mob cholenessstitis yog muab faib rau cov ntaub ntawv hauv qab no:
- Catarrhal cholecystitis yog qhov yooj yim daim ntawv, qee zaus yuam kev rau cov colic tawm tsam. Nws yog nrog mob mob hnyav, xeev siab, tsis ntuav heev.
- Phlegmonous cholecystitis - yog mob nyhav , ua kom khov kho los ntawm kev hloov ntawm txoj hauj lwm ntawm lub cev, qhov kub nce mus rau 38 ° C, lub plab ceev ceev, lub plab yuav swell, qib leukocytes hauv cov ntshav nce.
- Gangrenous cholecystitis tshwm sim nrog rau kev mob ntawm cov ntaub ntawv sib zog ntawm tus kab mob. Cov tsos mob ntawm tus mob o tuaj rau pem hauv ntej. Cov txheej txheem inflammatory extends tshaj li lub gallbladder. Qhov kub yog qhov siab, mob tuaj yeem txo qis vim cov necrosis ntawm cov ntaub so ntswg gallbladder, qhia tau hais tias tachycardia, pom cov kev qaug zog.
Teeb meem ntawm mob cholessstitis
Qhov teeb meem feem ntau ntawm cov mob cholecystitis yog qhov ua rau lub plab (tawg) ntawm lub zais zis ntawm lub hauv plab hauv cov kab mob plab, uas ua rau kev loj hlob ntawm peritonitis. Yog tias muaj
Nyob rau hauv cov ntaub ntawv ntawm hluav ntawm tus kab mob nrog preserved blockage ntawm bile bile ducts, nyob rau hauv qee lub sij hawm gall zais edema tshwm sim. Nws tuaj yeem siv sij hawm ntev tsis tau ua rau muaj kev tsis xis nyob, tab sis nws kuj yog phom sij nrog kev hem ntawm kev tawg thiab kev loj hlob ntawm peritonitis.
Tag nrho cov teebmeem tshwm sim thaum muaj kev kho mob ntawm cov mob cholessstitis.