Sib thau khoom tawm
Nyob rau hauv lub unspoken kho mob terminology muaj xws li ib tug tshaj plaws raws li ib tug "nyom gallbladder". Qhov no txhais tau hais tias nws tsis ua tiav nws cov hauj lwm, vim hais tias nyob rau hauv nws (los yog nyob rau hauv lub bile ducts) pob zeb tsim, thiab tus neeg tsim cholelithiasis. Qhov kev tawm ntawm cov kua qaub kuj yog cuam tshuam, uas txhais tau hais tias cov kab mob kis mus rau lub cev yooj yim dua, cov phab ntsa ntawm lub gallbladder thiab ducts ua inflamed. Cov neeg nyob ze - qhov txiav npluav, duodenum, plab - yog koom tes rau txoj kev mob siab, thiab cov kws kho mob kuaj xyuas mob cholenessstitis. Qhov hnyav, thaum lub pob zeb clogs tsis tsuas lub bile ciav, tab sis kuj lub pancreatic ciav. Ces txawm tsis tuaj yeem mus rau lub hom phiaj, thiab nws cov acids thiab pigments yog absorbed rau hauv cov ntshav. Muaj kev qaug cawv (raug lom nrog tshuaj lom) thiab hu ua cov neeg ua haujlwm hauv lub cev (hauv tus neeg lub qhov muag daj, cov tawv nqaij). Yog hais tias qhov txiav toxicos (mob pancreatitis thiab pancreatic necrosis), muaj kev tsim txom lub neej tuaj yeem tshwm sim tau. Yuav kom tsis txhob coj koj tus kheej mus rau qhov kev phem heev, tam sim ntawd sab laj nrog ib tus kws kho mob ntawm thawj lub npe ntawm cholelithiasis.
Ultrasound kev kuaj xyuas cov kab mob plab
Nrog kev pab los ntawm ultrasound, kev ua txhaum nyob rau hauv kev ua hauj lwm ntawm kabmob yog qhia. Lawv qhov loj thiab mob yog pom ntawm lub monitor screen. Tus qauv siv ntau zaus, nws yog tus qauv kub ntawm cov tshuaj niaj hnub.
Computed Tomography
Kev tshawb nrhiav cov neeg hauv nruab nrog siv xoo hluav taws xob. Cov tshuaj muaj yees yog txhaj rau hauv cov hlab ntsha, ntshav kis thoob plaws hauv lub cev. Tom qab ntawd ua ntau cov duab fawm, ntsuas lawv thiab tau txais cov ntaub ntawv txhim khu kev ntseeg ntawm lub xeev ntawm kabmob. Tus qauv yog siv los cais cov kev kuaj mob, thaum cov ntsiab lus ntawm ultrasound yog qhov muaj teeb meem. Endoscopic fibrogastroduodenoscopy (FGDS). Ib qho kev sojntsuam me me uas muaj fibrous optics yog nkag los ntawm lub qhov ncauj mus rau tus neeg mob. Nws xa cov duab ntawm mucosa ntawm txoj hlab pas, plab lossis duodenum rau lub monitor. Cov txheej txheem pub rau ntsuam xyuas tus mob ntawm mucous daim nyias nyias ntawm lub Upper seem ntawm gastrointestinal ib ntsuj av. Endoscopic retrograde pancreatocholangiography (RPHG).
Cov khoom siv tsis zoo uas siv cov cuab yeej tshwj xeeb - qhov kawg - yog txhaj tshuaj rau hauv qhov chaw ntawm qhov ntws ntawm lub zais zis rau hauv plab hnyuv. Thaum lub sij hawm RPCH nws muaj peev xwm tshem cov pob zeb me me ntawm lub kaus hniav. Siv tsawg, tsuas yog kev qhia tshwj xeeb.
Cov txheej txheem niaj hnub no cia koj pom thawj cov cim ntawm cholelithiasis thiab ua rau nws mob tsis txaus thiab tsis muaj kev rau txim rau lub cev, tsis pub tshaj ib teev. Keeb meem qhov tseeb: thaum tus thawj tswj hwm Thib kaum peb, James Polk, nws muaj 17 xyoo, nws tau raug tshem tawm ntawm lub qhov taub. Cov kws kho mob siv anesthesia, watering lub neej yav tom ntej tus thawj tswj hwm nrog cognac. Qhia rau cov neeg mob tsis tuaj yeem ntshai txog txoj kev ua haujlwm xws li: thaum lub sijhawm ua haujlwm lawv tau nrog pw tsaug zog hauv cov tshuaj loog.
Laparoscopic cholecystectomy. Nws tau nrog kev pab los ntawm cov khoom siv roj nyias tshwj xeeb, uas tau muab tso rau hauv lub qhov ntswg los ntawm plaub lub qhov me, mus txog ib nrab. Yog li tshem tawm cov gallbladder nrog rau lub pob zeb. Tom qab ua haujlwm, yuav luag tsis muaj cov cim ntawm daim tawv nqaij. Txoj kev no tau ua tsis zoo rau cov kev ua haujlwm hauv lub pob zeb tshem tawm: kev kis tus kab mob thaum tsis muaj kev cuam tshuam, kev poob plig tsawg, luv luv (txog li 4-5 hnub) lub sijhawm ntawm tsev kho mob, sai sai rau txoj kev ua neej.
Classical lag luam. Thaum lub sij hawm nws ua kom haum dav dav ntawm lub plab. Muaj ntev li ntawm 10-12 cm ntawm qhov ntev. Kev rov kho dua ntawm xya hnub thiab ntau dua ntxiv.
Lub neej tshiab
Kom sai sai ntawm kev phais, tus kws kho mob tuaj yeem pom zoo kom siv cov dej haus tsawg tsawg: "Naftusi", "Berezovskaya", "Luzhanskaya", "Glade Kvasova". Tab sis cov chaw dej tau tso cai cia tawm tom qab 6-8 lub hlis: tshaj lub plab hnyuv taum tseem tsis tau tsim nyog.
Thaum lub xyoo yuav tsum ua raws li kev noj zaub mov 5: cov roj tsawg hauv cov tais diav, tsis txhob muab kib, ntsim thiab qaub. Tsiaj cov rog yuav tsum tsis pub tshaj rau qhov siab, hloov lawv nrog tsob nroj. Qhov zoo ntawm qhov tom kawg yog rab peev xwm los tsim kho cov metabolism hauv lub siab thiab txo qhov kev xav ntawm lub pob zeb kom tsim tau. Nws yog ib qho tseem ceeb heev kom ntxiv fiber ntau rau kev noj haus. Nws yog nplua nuj nyob rau hauv apples, cabbage, bananas, zaub nyoos los ntawm zaub.
Kev ruaj ntseg zoo
Noj zaub mov zoo. Yog xav haus ib zaug ob zaug ib xyoo muaj ntau hom kab mob ntawm tus kws kho mob, nrog rau ntau cov zaub thiab txiv hmab txiv ntoo nyob hauv kev noj haus. Ua kis las. Khiav tawm, ua luam dej, caij tsheb kauj vab yog cov menyuam tw ntawm cholelithiasis.
Kev kho duab. Psychologists tawm tswv yim nrog rau kev mob siab rau "pob zeb kab mob" ntau dua los siv nyob rau hauv txhua txhua hnub lub neej ntsuab thiab xiav xim - lawv muaj ib tug zoo zoo rau ntawm lub poob siab system. "Twj ywm thiab tsuas yog nyob ntsiag to!" - tau tsim tsis yog rau cov me nyuam yaus cov phau ntawv thiab cartoons, tab sis kuj rau kev noj qab haus huv ntawm cov hauv nruab nrog cev.
Cov Kev Tshaj Tawm Kev Nyab Xeeb
Qhov mob hauv txoj cai sab qaum plaub, tshwj xeeb tshaj yog tom qab hnyav rog lossis noj hmo, xeev siab, ntuav, kub txog 38 degrees. Ceev faj: qhov mob yuav muab tau rau sab npab sab los yog lub xub pwg, zoo li sab nraub qaum los yog qis qis. Los txiav txim qhov ua rau muaj kev puas tsuaj, koj xav tau ib qho kev kuaj mob. Cov Piv Nyas Ib Pawg Cov Poj Niam Cev, cov neeg uas muaj rog, cov kev tsis taus hauv endocrine, kev xeeb tub. Gallstone kab mob cuam tshuam cov poj niam 4-5 zaus ntau tshaj cov txiv neej. Exhibition ntawm pob zeb Lawv tsim tawm raws li ib tug ntawm lub deposition ntawm ntom feem ntawm bile. Feem ntau cov pob zeb muaj cov cholesterol, bilirubin (bile pigment) thiab calcium salts. Lawv ntau thiab tsawg los ntawm ob peb millimeters mus rau 10 cm inch. Nqi - tawm ntawm ib mus rau 30.