Nnukwu cholecystitis bụ nnukwu mbufụt nke mgbidi gallbladder, nke na-eme mgbe a na-emebi ọgbụgba bile na, n'ihi ya, mmepe nke ọrịa nje. Ọrịa a na-ezo aka n'ịchọ enyemaka ịwa ahụ na mgbe ngwa ngwa bụ nke abụọ kachasị.
Ngosipụta doro anya nke nnukwu cholecystitis
Ihe mgbaàmà kachasị na mwakpo cholecystitis bụ biliary colic. Ya na enwere ihe mgbu dị mma na hypochondrium kwesịrị ekwesị, nke nwere ike inye aka ekpe aka nri, scapula, mpaghara subclavian. Ihe mgbu na-esonyere na ọgbụ na vomiting, nke uto uto na-etolite n'ime ọnụ, ma bịle na-ahụ anya na vomit. Na mbụ, ihe mgbu ahụ dị mgbochi, ma ka oge na-aga, ọ na-adịwanyewanye njọ ma, mgbe mgbe, na-aga n'ihu.
Na mgbakwunye na colic, nwere nnukwu cholecystitis, ihe mgbaàmà bụ ihe gbasara ọrịa na-efe efe n'ozuzu:
- elu igwe dị elu (site na subfebrile elu);
- chills nwere ike ime;
- ire asat ma kpuchie ya;
- nchịkọta na-abụkarị ngwa ngwa;
- nrụgide na-ebelata.
N'ọnọdụ ebe a na-egbochi ọgbụgba bile, jaundice nwere ike ime, ọ bụ ezie na enwere nnukwu cholecystitis ụdị mgbaàmà a adịghị ahụkebe.
Ihe ịrịba ama nke nnukwu cholecystitis gụnyere:
- ihe mgbaàmà Grekov-Ortner (ọnyá mgbe ị na-eji aka nkwụnye aka ya);
- ihe mgbu mgbe palpation na nri elu nke anọ na-arị elu mgbe a na-ekpo ọkụ;
- ihe mgbaàmà nke Murphy (nke nwere nrịbama miri emi, onye ọrịa ahụ apụghị iku ume).
Ụdị cholecystitis dị ukwuu
Dabere na ihe mere kpatara ọrịa a, a na-ekewa cholecystitis n'ime ọrụ ebube na enweghị ngwụcha. Ọtụtụ mgbe a na-enwe cholecystitis nnukwu ọrụ ala, nke na-esite na mgbochi nke bile ducts na nkume na cholelithiasis. Ụdị ụdị ọrịa a abụghị nke 5 ruo 10% nke ọnụ ọgụgụ ndị nwere ike ịkpata ọrịa na-efe efe, ọrịa na-akpata ọrịa, giardiasis na ihe ndị ọzọ. N'ime ọrịa cholecystitis dị egwu, a na-akpọkarị ihe mgbaàmà, ọ na-achọkwa ịmịnye aka, ọ bụ ezie na ụdị ọrịa ahụ enweghị atụ na-abịa na mpempe ọkụ ma nwee ike mgbe ụfọdụ na-emeso ya n'ụzọ na-agbanwe agbanwe.
Dabere na foto zuru oke na ogo nke usoro ahụ, nnukwu cholecystitis kewara n'ime ụdị ndị a:
- Cholecystitis Catarrhal bụ ụdị nke kachasị mfe, mgbe ụfọdụ ọ na-ezughị oke maka ọgụ ọgụ. Ọ na-esonyere ụfụ na-agafeghị oke, ọgbụgbọ, ọ na-esighi na-agbọ agbọ.
- Akpọrọ cholecystitis nke ọma - a na - akpọwanye ihe mgbu, site n'ịgbanwe ọnọdụ nke ahụ, ọnọdụ okpomọkụ na - arị elu ruo 38 ° C, ụbụrụ ahụ dị ngwa, afo nwere ike ịmalite, ọkwa nke leukocytes na ọbara abawanye.
- Ọgwụ cholecystitis dị iche iche na- apụta na ọganihu nke ụdị ọrịa ahụ. Ihe mgbaàmà nke mgbapụ zuru ezu na-abịa n'ihu. Usoro mkpali na-agbatị gallbladder. Ọnọdụ okpomọkụ dị elu, ihe mgbu nwere ike ibelata n'ihi nchịkọlọtọ nke arịa gallbladder, akpọ tachycardia, ihe ịrịba ama nke ịṅụbiga mmanya ókè.
Nsogbu nke nnukwu cholecystitis
Ihe kachasị dị ize ndụ nke cholecystitis dị ukwuu bụ nkwụsịtụ (rupture) nke gallbladder na onye na-emepụta ọdịnaya ya n'ime abdominal cavity, nke na-eduga ná mmepe nke peritonitis. Ọ bụrụ na ọ dị
N'ihe banyere nkwụsị nke ọrịa site na nchịkọta echekwara echekwa nke bile, ọ na-eme ụfọdụ ederede na-egbuke egbuke. Ọ nwere ike iwe ogologo oge n'enwetaghị nsogbu ọ bụla, ma ọ na-ejidekwa egwu nke mgbagwoju anya na mmepe nke peritonitis.
Nsogbu nile na - ebulite ma ọ bụrụ na ị na - agwọ ọrịa cholecystitis ukwu.