Muaj ntau tus poj niam tsis txaus siab txog kev sib deev los yog tsis zoo nyob rau hauv cheeb tsam lub siab. Qhov tsos mob no feem ntau qhia tau hais tias kev loj hlob lossis kev ntxiv dag zog ntawm cov kab mob hauv lub cev no, thiab cov qoob loo. Nws yog ib qho tseem ceeb rau kev xyuam xim sai thiab pib kho mob nyob rau hauv txoj cai hypochondrium - qhov ua rau pathology yav tom ntej yuav ua rau cholecystitis, kab mob siab thiab mob qhov ntswg.
Vim li cas qhov mob tshwm sim hauv txoj kev hypochondrium?
Yuav kom kuaj pom tus kab mob uas ua rau muaj qhov tshwm sim nyob rau hauv kev xav, nws yog ib qho tseem ceeb rau kev txiav txim siab ntawm qhov mob ntawm tus mob qhov hnyav, nws qhov siv thiab qhov muaj tsawg.
Feem ntau yog vim li cas:
- kab mob ntawm daim siab thiab gallbladder;
- o ntawm txoj cai appendix;
- raum pathologies;
- pancreatitis;
- roog ntawm duodenum.
Cov npe ntawm cov kab mob nkeeg rau 90% ntawm tag nrho cov kev kho mob ntawm cov neeg mob uas tau piav qhia. Lwm yam:
- secondary biliary cirrhosis;
- adenoma ntawm lub siab;
- stenosis ntawm fatker lub txiv mis;
- mob cancer ntawm lub gallbladder;
- cov tawv nqaij tsis ua haujlwm thaum lub caij hloov siab;
- cholangiocarcinoma;
- thawj tus kab mob sclerosing cholangitis;
- mob ntsws ;
- epithelium haemangiendothelioma ntawm lub siab;
- kev ntseeg ntawm lub gallbladder;
- fatty degeneration ntawm daim siab ntawm ib daim ntawv loj-meem;
- echinococcosis;
- abscess ntawm daim siab;
- biliary sludge;
- hepatomegaly;
- cov kab mob sib kis ischemic ntawm lub plab;
- Fitz-Hugh-Curtis Syndrome;
- thrombosis ntawm cov leeg leeg;
- opisthorchiasis;
- amebiasis.
Cia peb xav txog lub ntsiab ua rau mob hnyav li ntawm ntau yam.
Ntev heev mob nyob rau hauv txoj cai hypochondrium
Tus cwj pwm ntawm cov tsos mob feem ntau yog tshwm sim nrog dyskinesia ntawm bile ducts, inflammatory processes nyob rau hauv ob lub raum, kab mob siab (viral, alcoholic, medicamentous) thiab ntev o ntawm gallbladder.
Ntxiv rau, cov tsos mob nram no yog pom:
- mob xeev siab, feem ntau nrog ntuav, uas ua rau lub sij hawm luv luv;
- tsis muaj zog hauv cov leeg, qaug zog;
- ntsim saj hauv qhov ncauj;
- daj tawv nqaij;
- hloov (darkening) ntawm cov xim ntawm cov zis;
- icterus ntawm mucous daim nyias nyias ntawm lub qhov ncauj, sclera;
- tsis pom muaj quav;
- tsis qab los noj mov, muaj cai mus txog qhov anorexia;
- nkees nkees;
- mob los sis kub nyhiab thaum tso zis, yog tias muaj mob ntawm ob lub raum, pyelonephritis;
- quav mob.
Mob mob nyob hauv txoj kev hypochondrium
Hom mob hnyav no tuaj yeem ua pulsating, hlawv, nias, stitching. Nws nrog cov kab mob xws li:
- cholecystitis;
- cirrhosis ntawm lub siab ntawm lub xeem theem;
- tus kab mob ntawm lub gallbladder;
- pancreatitis (mob);
- kev puas tsuaj nyob rau hauv txoj cai raum.
Cov kab mob pathologies muaj ntau cov cwj pwm:
- zawv plab;
- xeev siab;
- irradiation qis qis dua, rov qab, coccyx thaj av, plab hauv qab;
- ntxiv zog kub cev;
- tsam plab, nrhau ;
- ntuav nrog impurities ntawm bile;
- loj heev ntawm daim tawv nqaij, sclera thiab mucous daim nyias nyias.
Raspiruyuschaya mob nyob rau hauv txoj cai hypochondrium
Cov lus piav qhia tshwj xeeb tshaj yog nyob rau hauv daim ntawv ntev ntawm pancreatitis nrog cov tsis muaj zog txaus. Hauv qhov no, qhov mob hnyav no tuaj yeem muaj ib tug cwj pwm txawv, nrog lub plhaw, kub siab thiab khaus, hnyav hauv plab tom qab noj mov. Chronic pancreatitis kuj tuaj yeem ua rau nws tus kheej ua ib qho nyuaj
Hmo ntuj siab nyob rau hauv txoj cai hypochondrium
Qhov tsos mob no qhia tau hais tias muaj dej ntawm duodenum. Yog hais tias qhov mob tsuas yog thaum hmo ntuj, thaum ntxov thaum sawv ntxov (vim yoo mov) thiab sai li sai tau tom qab noj mov, tab sis tsis tau qhia zoo heev, tus kab mob yog nyob rau hauv kev so ib txhis. Ntxiv thiab, cov neeg mob tsis txaus siab ntawm ntuav, plab, xeev siab. Thaum qhov mob ua unbearable, thiab ntawm cov tsos mob - tsis muaj zog thiab kiv taub hau, feem ntau yuav, muaj ib tug perforation ntawm rwj.