Cholecystitis whakapeka

cholecystitis whakapeka Ko te pōauautanga tino auau o te mate gallstone. huru no te mate e te mārama tohu haumanu, engari i roto i ngā take onge, he mohiotia te mate. paetata te mamae kei roto i te puku, he reira tetahi o nga tohu matua o te mate.

Ko te pūtake o te cholecystitis whakapeka ko blockage o te rere o te kawa tōngāmimi kohatu. Matua o kore-kitakita mumura whanake huru, ka honoa te mate. meinga taua pānga prostaglandins, lysolecithin me ētahi atu matū rite. Gallbladder infestation waikawa paitini, e mahi i runga i te mucosa pāngia.

haurangi General ko te tohu, āhuatanga nei i te cholecystitis whakapeka. Tohu kei te whakanui ake tere o te mate: i reira he mamae āhua i te epigastric, hypochondrium matau, maha anaana ki te peke, huha matau. I te tahi taime piri e whakapairuaki, ruaki. I roto i te tata katoa wā, i reira he he hua i roto i te pāmahana ki te 39 ° C. , Whika Higher whakaaro whēwhē bacteremia ranei. whakakitea Palpation mamae i roto i te rohe subcostal tika i roto i te faaururaa (Murphy syndrome).

he uaua cholecystitis whakapeka ki te rerekëtanga ki te whawhai o te mamae biliary i roto i te rohe. Hoki tātaritanga tika, te aroturuki tono, puritia nei mo te rua haora. I roto i te mamae auroa rapu pokanga ki te tango i te okana pāngia.

I roto i ētahi wā, kia painga tautuhi ai tohumate. kitea ana tēnei i roto i tūroro e tango tranquilizers me te kaumātua. I roto i ētahi wā, ka tīmata te mate ki te puka paitini, āhuatanga nei i te he hua korerotia i roto i te pāmahana, te kaha te mamae puku, bacteremia, he hua nui i roto i leukocytes toto.

Tātaritanga "cholecystitis whakapeka" taea te whakaturia anake e tango ki ngā āhuatanga haumanu pūkete, mai e motuhake ki reira ratou. Heoi, i reira he tikanga rerekē o tātaritanga mauhaa: ultrasound, scan hepatobiliary. A, no te whakapae whēwhē te whakamahi i tomography computed.

cholecystitis whakapeka pānga te pikitia toto, e tauturu hoki i roto i tona tātaritanga. I roto i te akoranga kitea hua i roto i ngā pūtau ma toto. I roto i te tahi mau tūroro i reira ko te hua o te kukū o te amylase. fokotu'u mai tenei hono pancreatitis.

whakarato Ultrasound whakamātautau te nui nui o ngā mōhiohio e pā ana ki te āhua o te aerodynamics ate, ate me te taiaki. Ki runga ki te rapunga o kohatu, thickening taiepa ngawhatanga o te tinana ranei kitea te tātaritanga o "cholecystitis whakapeka".

I te whakauru e kawea te mahi manawanui e whai ake nei i roto i roto i te fare ma'i: te whakamāramatanga o te tatau pūtau toto ma, ultrasonography. hāngai ana maimoatanga tuatahi i runga i paturopi, e mahi i runga i te gramotritsatetelnye huakita enterococci. kawea ano e reira e whaowhia therapy, tikanga nei ki te ārai i maroketanga, whakaora o toenga alkali-waikawa. I roto i te aroaro o te ruaki whakaurua ngongo nasogastric.

Ko te wāhanga i muri mai o te therapy he pokanga, i te mea e tika ana, ka ino tika ki te tōtika iti o taero whakamahia i mua.

whakahaere mahi Tīpakonga i roto i tenei mate ko waenganui i tuwhera, me te kati te cholecystectomy tirohanga. I roto i ētahi wā, he cholecystostomy pakari. whakamahia Open cholecystectomy te i roto i te aroaro o pōauautanga nui pērā i whēwhē, perforation, kikohangatia. whakaaro mahi Tīpakonga te tango okana laparoscopic.