He aha te mea CL? Tohu o te mate, me tona maimoatanga.

State tika ki te ahua o kohatu i roto i te gallbladder me wahi biliary, ka karanga cholelithiasis, cholelithiasis, i roto i te puka haapotohia ranei. Ko te tohu o tenei mate, tino korerotia i roto i exacerbation. Ko te mate tika noa o te pūnaha kūnatu tenei. I roto i te tau waenganui - e pā ana ki te tau o 40, cholelithiasis, e taea te kitea tohu o tenei mate i roto i te 30% o nga wahine, me te 15% nga tangata. Tino maha, ka gallstones kitea mumura o te tōngāmimi (āhua 35% o te wā). Ko te ahua o nga kohatu e pā ana ki tamau waimaero i waenganui i waikawa ate, lecithin i runga i te ringa kotahi me te matū rewa i roto i te ate (cholesterol, bilirubin, konupūmā pākawa waro) ki ētahi atu i te ringa. Hoki te mate o te cholesterol i te waipara, tino te rerekē tino iti o tenei pauna. Ko te hua ko te whātioatanga o ate, me tona pea nā i roto i te waipara. Ko te take o te rota cholesterol i te taikaha. Ko tenei, tuatahi, nui haere production o cholesterol, whakaiti i te hanganga o te waikawa ate me phospholipids. Tuarua, ko te mucosa o te gallbladder tukuna glycoproteins e taea whai wāhi ki te waiwai nui o bile ki cholesterol. Ko tētahi atu wāhanga o ngā wāhanga ate - bilirubin, tikarohia cholesterol ö, rite tima reira kohatu reira e whakakaha ana anō. He pānga pathological te tuanaki hua: ngä i roto i te kohatu tōngāmimi taea te ārai i te lumen o te tau mahani, i te tahi atu te ringa, tonu irritating me te maru i te taiepa tōngāmimi, arata'i te reira ki te whanaketanga o te cholecystitis.

Tātaritanga o te mate gallstone, tohu

amuamu Angamaheni o te manawanui, te rapunga o kohatu i roto i te tōngāmimi, rite ki te tikanga, ngāwari tukua ki a koe te hoatu i te tātaritanga tākuta o cholelithiasis. Ko te mate tohu, me te haumanu āhuatanga e te ahua i roto i exacerbation colic (nui te mamae paroxysmal) i roto i te ngä o te tōngāmimi, me te ate. kia Pain anaana ki te kaki, ringa matau i raro i te pokohiwi mata. tenei katoa e taea te haere tahi i te whakapairuaki, reka kawa i roto i te mangai, me te ruaki ki te ate. I roto i te mamae wā roa-, puta oranga blockage kohatu aerodynamics puha a kia whakawhanake jaundice o te kiri, me te mā karu. kia haere tahi colic nui e tohu o ritenga o te peritoneum.

kia mohio tonu koe rite te mea ki nga twinge ranei exacerbation o mate, i pumau te torutoru haora, ki te e whai hua ana riro mehua momo, he tohu mo te hohipera i roto i te tari hāparapara whakatau rautaki maimoatanga atu.

I roto i te rangahau, ka taea ki te kitea i te palpation me fakamamahi gallbladder nunui. Ka taea hoki e paku rahi me te mauiui te ate. He angamaheni mō te gallstone takatika tohu (Ortner, Murphy, Kerala, Zakharyin me ētahi atu).

Mai te mea atu noa i roto i nga wahine GSD, he mea e tika ana ki te noho wehe i runga i tenei putanga rite te CL me te hapū. Ki te i tetahi wahine kua ki te aroaro o nga kohatu hapū, ranei i reira he he predisposition ki to ratou hanganga (matotoru ate me whakaiti deformation tōngāmimi, dyskinesia biliary), ka taea e te hapūtanga meinga whakahōhā o te mate. Te kōpū rahi fakamālohii te mirumiru, ko te kupu meinga stagnation o ate , me tona whātioatanga. E rongoa nei i enei tūroro i roto i exacerbation whakaiti te kapu momo taea me ngā mahi muri i muri i te tuku. Ki te te kore mutu te whakaeke, wawe te mahi cholecystectomy ki te tau mahani waikeri.

fifi o te cholelithiasis

kia fifi o te mate te whanaketanga o te cholecystitis tika ki whara taiepa tōngāmimi, me te pipiki mate. Choledoch kohatu impaction atu tau mahani ate ranei ai blockage (choledocholithiasis), me te momo jaundice aunoa. Tenei i roto i te tahuri ai mumura o te aerodynamics. Ko te pōauautanga tino nui o te mate gallstone ko te whanaketanga o te ate peritonitis. āwhina whakaroa kia arahi ki te mate.

maimoatanga

CL maimoatanga hāparapara. Hua i tango mirumiru. Ki te ko te kohatu i roto i te tau mahani ate noa, kua whakatuwheratia reira, i muri sutured concrements nekehia atu, ka heke.