He aha ka Cl? Symptoms o ka maʻi a me kona nohoʻana.

State aie i ka ikea ana o nā pōhaku i loko o ka gallbladder a me ka biliary'āpana, i kapaia o cholelithiasis, cholelithiasis, a ma abbreviated palapala. Nā symptoms o kēia maʻi, pakahi aku la ia'ōlelo ai i exacerbation. He He 'ano like maʻi o ka digestive nenoaiu. Ma waena makahiki - e pili ana i ka makahiki o ka 40, cholelithiasis, symptoms o keia maʻi hiki ke 'akomi i loko o 30% o na wahine a me 15% kanaka. Muli o kona kulana pinepine, ka wā gallstones loaʻa li nui o ka bladder (ka hola 35% o nā hihia). Ke ano o ka pohaku pili me kaʻole kūpaʻa ma waena o bile nāʻakika, lecithin ma ka kekahi lima, a me ka mea hoʻoheheʻe 'ona i loko o bile (naʻokoko, bilirubin, paʻapuna) me ka' ē aʻe lima. No ka lilo o ka naʻokoko i loko o ka sediment, he ka loa mailuilu haalele fluctuations o keia kaulike. Ka hopena o ka crystallization o ka bile a me kona fallout i loko o ka sediment. Nā kumu o ka oi naʻokoko hailona. Kēia mea, mua, mahuahua? Iecaianoaaiiie o ka naʻokoko, emi ke kahua o ka bile nāʻakika a me phospholipids. Ka lua, ka mucosa o ka gallbladder allocates glycoproteins e hiki he hoʻonui i excessive saturation o ka bile me ka naʻokoko. Kekahi ke keʻena o ka bile eiiiiiaiou - bilirubin, poalo crystallized naʻokoko, e like me ka mea lepo pipili no hoi ia no hoi ia e hooikaika pohaku. Ke kūpono calculus eiaao pathological ole: ho'ēmi ma ka pohaku bladder hiki aeie i ka lumen o ka leki uea, ma ka kekahi lima, mau o keʻano ukiuki a me kaʻeha ai ka bladder pa, e hele aku ai i ke kūpono 'ana o ke cholecystitis.

ʻike, o ka gallstone maʻi, symptoms

Typical hoopii o ka hoomanawanui, me ka ka loaʻaʻana o nā pōhaku i loko o ka bladder, e like me ka rula, hoopuni ae oe, e kau i kekahi kaukaʻike, o ka cholelithiasis. Nā symptoms a me ka lapaʻau mai wehewehe aku ma ka helehelena i exacerbation colic (loa paroxysmalʻeha) i loko o ka wānana o ka bladder a me ke akepaʻa. Pain e pāhawewe hou i ka ai, lima'ākau ma lalo o ka'ūhā mua maka. A pau i kēia hiki e ukali ma ka nausea, awaawa ho'āʻoʻana i loko o ka waha a me ka luaʻi me ka bile. Ma lōʻihi-makahiki eha, blockage excretory ducts pōhakuʻikea itchy, a e hoʻomōhala jaundice o ka ili a me ka sclera. Loa colic hiki e ukali ma symptoms o ka hookaawale ana o ka peritoneum.

Oe E mau ike pono i ka mea a kela twinge a exacerbation o ka maʻi, i mau he mau hola, ina ia makeʻe kulana ana i ineffective, he PAaIEN no hospitalization i loko o ka meaʻoki lāʻau lapaʻau 'Oihana e hoʻoholo hou lapaʻau ka hoʻolālā.

Ma ke ana manaʻo, he mea hiki, e huai ae ma palpation, a ola hoonee aku gallbladder. Ke ake hiki hoi e iki hoonee aku, a ola. Noke i typical no ka gallstone symptoms (Ortner, Murphy, Kerala, Zakharyin a me na mea e ae).

No ka GSD mea oi, he pono ole i ka wahine, ia mea pono e noho kaawale i keia mana me he Cl a me ka hāpai keiki. Inā he wahine ua i mua hāpai keiki i na pohaku, a he mea he predisposition i kā lākou ho okumu (mānoanoa bile a me ka deformation huakai hele bladder, biliary dyskinesia), na pregnancies hiki i aggravation o ka maʻi. Ke hoonee aku i uterus lua kaomi waina i ka Oe, pela e kauoha ana stagnation o ka bile a me kona crystallization. Ka malama ana i kēia mau nā mea maʻi i loko o exacerbation ho'ēmi i kā ka hiki makeʻe kulana cupping, a mahope ana ma hope o haawi. Inā ke kaua ua i pani, urgently hana cholecystectomy me ka nōkahea leki uea.

complications o cholelithiasis

Complications o ka maʻi i ia i ka hooulu ana o ka cholecystitis ma muli o ka poino bladder paia a me ka adherence maʻiʻaʻai. Choledoch impaction pohaku 'ole' ē aʻe hepatic leki uea kumu no blockage (choledocholithiasis), a me he me mechanical type jaundice. Kēia ma ka huli ke kumu li nui o na ducts. Ka loa loa complication o ka gallstone maʻi o ka hooulu ana o ka bile peritonitis. Hoolohi kōkua i alakai i ka make.

lapaʻau

Clʻoki lāʻau lapaʻau lapaau. Paka Oe wehe 'ana. Inā i nā pōhaku i loko o ka na bile leki uea, ua wehe ia, wehe concrements hope sutured a moni loa.