Chii CL? Zviratidzo zviri chirwere chacho kurapwa.

State nokuda chimiro matombo ari gallbladder uye biliary turakiti rinonzi cholelithiasis, cholelithiasis, kana mune rakapfupikiswa. Zviratidzo chirwere ichi, kunyanya iziviswe panguva exacerbation. Iri zvakajairika chirwere ari zvomudumbu hurongwa. In pakati zera - anenge makore 40, cholelithiasis, zviratidzo chirwere ichi chinogona kuonekwa muna 30% yevakadzi uye 15% vanhu. Kazhinji, kana matombo omunduru akawana kuzvimba dundira (vanenge 35% nyaya). Pakuonekwa mabwe chokuita zvakanaka nguva dzose pakati bile acids, lecithin rumwe rutivi uye ichiputswa zvinhu mu bile (remafuta akawandisa, bilirubin, karusiyamu carbonate) pamwe Ukuwo. Nokuti kurasikirwa remafuta akawandisa mu emadhaka, zvikuru kupfuura vasingakoshi nokufamba ichi pachiyero. Mugumisiro ndiyo crystallization kuti bile wayo fallout mu emadhaka. Zvinokonzera zvakawandisa remafuta akawandisa mugove. Izvi, chokutanga, vakawedzera kugadzirwa remafuta akawandisa, kuderedza paumbwe bile acids uye phospholipids. Chechipiri, kuti mucosa ari gallbladder allocates glycoproteins zvinogona kukonzera kunyanya saturation pakati bile pamwe remafuta akawandisa. Chimwe chezvinonhuwira bile zvinoti - bilirubin, gouged chaicho remafuta akawandisa, sezvo cements nayo mberi achisimbisa ibwe. The zvichiguma calculus ane pathological Migumisiro: reductions mu dundira ibwe anogona kuvhara lumen ari mutsinga dzinofamba nemukaka, Ukuwo, nguva dzose kunovhiringidza uye akakuvadza dundira rusvingo, inotungamirira kuvapo cholecystitis.

Chirwere pamusoro gallstone chirwere, zviratidzo

Typical zvichemo murwere, kuti vasabatwa yamabwe dundira, sezvinoita mutemo, nyore kubvumira kuti kuisa chiremba chirwere pakati cholelithiasis. Zviratidzo uye kurapwa chirwere dzinoratidzwa chitarisiko panguva exacerbation colic (zvikuru paroxysmal marwadzo) ari fungidziro pamusoro dundira uye chiropa. Pain anogona dzinozopenya pamutsipa, kurudyi pasi pamafudzi chipasa. izvi zvose zvinogona achiperekedzwa kuda kurutsa, shungu kuravira mumuromo uye kurutsa pamwe bile. Panguva marwadzo kwenguva refu, blockage excretory ducts ibwe rinowanika itchy uye anogona kuva jaundice ganda uye sclera. Zvakakomba colic angaperekedzwa zviratidzo kuzvinetsa pamusoro peritoneum.

Nguva dzose unofanira kuziva chaizvoizvo chii twinge ose kana exacerbation zvirwere, huchavapo maawa mashoma, kana kutorwa kuchinja matanho hadzibatsiri, kunoratidza kuti muchipatara ari kuvhiya dhipatimendi kuona mimwe mishonga nzira.

Muongororo yakaitwa, zvinokwanisika kuona nokuda palpation uye kurwadza awanda gallbladder. Chiropa rinogonawo kuva zvishoma wakakurisa uye kurwadza. Positive anowanzoramba kuti gallstone zviratidzo (Ortner, Murphy, Kerala, Zakharyin nevamwe).

Sezvo GSD zvikuru nevakawanda vakadzi, zvinokosha kugara oga pamusoro Shanduro iyi sechinhu CL uye pamuviri. Kana mukadzi ane pamberi pamuviri matombo, kana pane kubatwa kuti inotungamirwa yavo (gobvu bile uye deformation Bends dundira, biliary dyskinesia), kuti pamuviri zvinogona kukonzera kusembura chirwere chacho. Rakawedzerwa dumbu runonditsikirira ari sefuro, nokudaro vachikonzera kurega kunotanga kubva bile yayo crystallization. Kudzora varwere ava exacerbation kunoderedza zvinobvira kuchinja cupping kwaizotevera mashandiro pashure pakukurukura. Kana Kurwisa isina akamira, kukurumidza kuita cholecystectomy pamwe abudise mutsinga dzinofamba nemukaka.

matambudziko anoitika cholelithiasis

Matambudziko ari chirwere chingava kukura cholecystitis nokuda kukuvara dundira rusvingo uye kuomerera hweHIV. Choledoch impaction ibwe kana zvimwe hepatic mutsinga dzinofamba nemukaka kunokonzera blockage (choledocholithiasis), uye zvokuimba mhando jaundice. Izvi zvinozoita kunokonzera kuzvimba ducts. Wakakura zvikuru kuomesa kwakaita gallstone chirwere kukura bile peritonitis. Kunonoka rubatsiro kungatungamirira rufu.

mabatiro

CL kuvhiya kurapwa. Revai dhudhumira rokubvisa. Kana mabwe vari vanhuwo bile mutsinga dzinofamba nemukaka, zvinonzi kuzarurwa, akabvisa concrements pashure sutured uye zvakapedza.