Cholecystitis enamandla - izimpawu

I-cholecystitis enamandla ukuvuvukala okukhulu kwezindonga ze-gallbladder, okwenzeka lapho ukuphuma kwebhili kuphulwa futhi, ngenxa yalokho, ukuthuthukiswa kokutheleleka kwebhaktheriya. Lesi sifo sibhekisela ekudingeni ukungenelela okuhlinzekwayo futhi emva kokufaka uhlelo lokusebenza yi-case yesibili evame kakhulu.

Izimpawu ezibonakalayo ze-cholecystitis enzima

Uphawu oluyinhloko ekuhlaselweni kwe-cholecystitis eliyingozi i-colic biliary. Kuye kukhona ubuhlungu obubukhali ku-hypochondrium enhle, engayinikeza ehlombe elifanele, indawo ye-scapula, i-subclavia. Ubuhlungu buhambisana ne-nausea nokuhlanza, lapho ukunambitheka okubabayo kuvela emlonyeni, futhi i-bile iyabonakala emhlanzweni. Ekuqaleni ubuhlungu buyaqina, kodwa ngokuhamba kwesikhathi luyaqina kakhulu futhi, njalo, luqhubeka.

Ngaphezu kwalokho, nge-cholecystitis ephawulekayo, izimpawu ziyisifo sezifo ezithathelwanayo ngokujwayelekile:

• ukushisa komzimba kuphakanyisiwe (kusuka ku-subfebrile kuya phezulu);
• ukubola kungase kwenzeke;
• ulimi olumile futhi olumboziwe;
• i-pulse ivame ukushesha;
• ukucindezela komzimba kwehle.

Ezimweni lapho kuvinjelwa khona i-bile duct, i-jaundice ingenzeka, nakuba nge-acute cholecystitis uphawu olunjalo lungavamile ukugcinwa.

Izibonakaliso ezithile ze-cholecystitis ezimbi zihlanganisa:

• uphawu iGrkov-Ortner (ukukhathazeka lapho ushaya umcibisholo ophansi wezindleko ngesandla sesandla);
• ubuhlungu ngenkathi kuphakanyiswa i-quadrant engenhla eqiniswayo lapho kukhulunywa;
• uphawu lweMurphy (nge-palpation ejulile, isiguli asikwazi ukuphefumula).

Amafomu we-cholecystitis enzima

Ngokuya ngesibangela esabangela lesi sifo, i-cholecystitis ihlukaniswe yaba yizibalo futhi ayikho. Ngokuvame ukutholakala kwe-cholecystitis ephawulekayo, okuvela ekuvimbelweni kwe-bile ducts ngamatshe e-cholelithiasis. Ifomu lesiguli lesi sifo livela ku-5 kuya kwezingu-10% wezingqikithi zamacala futhi kungabangelwa izifo ezithathelwanayo, izifo zamathunjini, i-giardiasis nezinye izimbangela. Nge-cholecystitis ephawulekayo yokubala, izimpawu zivame ukwedlula, futhi kudinga ukungenelela okudingekayo ngokuhlinzwa, kuyilapho isimo esingenakukhubazeka sesifo sifana nesimo sokukhanya futhi ngezinye izikhathi singaphathwa ngezindlela ezizenzekelayo.

Kuye ngesithombe somtholampilo jikelele kanye nobukhulu beklasi, i-cholecystitis ehlukumezekile ihlukaniswe ngamafomu alandelayo:

1. I-Catarrhal cholecystitis iyindlela elula, ngezinye izikhathi iphutha ngokuhlaselwa kwe-colic. Kuhambisana nobuhlungu obulinganiselayo, isicanucanu, ukuhlanza okungavamile.
2. I-cholecystitis ye-phlegmonous - ubuhlungu bubizwa, buqiniswa ngokushintsha isimo somzimba, izinga lokushisa likhuphukela ku-38 ° C, ukushaywa kwegazi kuyashesha, isisu singakhula, izinga lama-leukocyte egazini landa.
3. I-chorencystitis ye-Gangrenous iyenzeka ngokuthuthukiswa kwezinhlobo ezilula zalesifo . Izimpawu zokuvuvukala okujwayelekile zivela phambili. Inqubo yokuvuvukala idlula ngaphezu kwe-gallbladder. Ukushisa kuphezulu, ubuhlungu bungancipha ngenxa ye-necrosis yamathambo, i-tachycardia ebizwa ngokuthi yi-toxicity.

Izinkinga ze-cholecystitis enzima

Inkinga eyingozi kunazo zonke ye-cholecystitis ephawulekayo i-perforation (ukuphuka) kwe-gallbladder ne-ingress yezinto ezikuyo ngaphakathi kwesigxobo esiswini, okuholela ekuthuthukiseni i-peritonitis. Uma kutholakala ukunamathela okuvuthayo, i- peritonitis ingasendaweni yangakini, yendawo, kungenjalo ibamba yonke indawo yesisu, okuholela esimweni esisongela ukuphila. Ngaphezu kwalokho, ukuthuthukiswa kwe-bile fistula, i-abscesses, i-cholangitis kungenzeka.

Endabeni yokunciphisa ukutheleleka ngokuvinjelwa okulondoloziwe kwe-bile ducts, kwezinye izimo inkomo yesikhumba senyuka i-edema ivela. Kungathatha isikhathi eside ngaphandle kokubangela ukukhathazeka okuthile, kodwa kubhekene nosongo lokuphuka nokuthuthukiswa kwe-peritonitis.

Zonke izinkinga zithuthuka uma kwenzeka ukwelashwa okungakazelelwe kwe-cholecystitis enzima.