Qhov Tseem Ceeb Qhov txawv - Cholecystitis vs Cholelithiasis
bile yog ib yam khoom tsim los ntawm lub siab thiab khaws cia rau hauv lub gallbladder. Nws emulsifies cov rog globules hauv cov zaub mov peb noj thiab txhim kho lawv cov dej solubility thiab lawv nqus mus rau hauv cov hlab ntsha. Thaum cov kua tsib khaws cia hauv lub gallbladder yog qhov txawv txav, qee qhov ntawm nws cov neeg tuaj yeem tuaj yeem ua rau cov pob zeb hauv lub gallbladder. Hauv kev kho mob, tus mob no tau txheeb xyuas tias yog cholelithiasis. Cholelithiasis tuaj yeem ua rau cov ntaub so ntswg ntawm lub gallbladder. Cov txheej txheem inflammatory no tshwm sim hauv lub gallbladder yog hu ua cholecystitis. Yog li, qhov sib txawv tseem ceeb ntawm cholecystitis thiab cholelithiasis yog tias cholecystitis yog o ntawm lub gallbladder thaum cholelithiasis yog tsim ntawm gallstones. Tus mob cholecystitis yog qhov teeb meem ntawm cholelithiasis uas yog tsis kuaj lossis tsis kho kom raug.
Cholecystitis yog dab tsi?
Cov kab mob ntawm lub gallbladder yog hu ua cholecystitis. Feem ntau, qhov no yog vim muaj kev cuam tshuam rau kev tawm ntawm cov kua tsib. Xws li ib qho kev cuam tshuam ua rau lub siab nyob rau hauv lub gallbladder uas ua rau nws mob heev uas cuam tshuam cov vascular mov rau cov ntaub so ntswg gallbladder.
Caus
- Gallstones
- hlav hauv lub gallbladder lossis biliary tract
- Ascending cholangitis
- Tauma
- kab mob hauv tsob ntoo biliary
Pancreatitis
Tshuaj Kho Mob
- mob plab epigastric uas tawm mus rau sab xis ntawm lub xub pwg lossis sab nraub qaum ntawm lub scapula.
- Ntaus thiab ntuav
- Qee zaus ua npaws
- plab plab
- Steatorrhea
Kev tshawb nrhiav
- kuaj ntshav ua haujlwm
- suav ntshav
- USS
- CT scan kuj ua tau qee zaum
- MRI
Daim duab 01: Chronic Recurrent Cholecystitis
Kev tswj hwm
Raws li tus mob pancreatitis ntev, kev kho mob ntawm lub gallbladder tawm tsam kuj txawv raws li qhov tshwm sim ntawm tus kab mob.
Kev hloov pauv kev ua neej xws li tshem tawm kev rog tuaj yeem pab txo qis kev pheej hmoo ntawm cov kab mob gallbladder.
Kev tswj qhov mob thiab txo tus neeg mob qhov tsis xis nyob yog thawj feem ntawm kev tswj hwm. Muaj zog tshuaj loog zoo li morphine tej zaum yuav xav tau nyob rau hauv cov mob hnyav tshaj plaws. Txij li thaum o ntawm lub gallbladder yog lub hauv paus pathological ntawm tus kab mob, cov tshuaj tiv thaiv kab mob yog muab los tswj cov o. Yog tias qhov cuam tshuam ntawm tsob ntoo biliary yog vim muaj qog, kev phais yuav tsum tau ua.
Kev nyuaj siab
- peritonitis vim perforation thiab tso kua paug
- plab hnyuv obstruction
- Malignant transformation
YColelithiasis yog dab tsi?
Vim qhov nce hauv cov kua tsib, qee qhov ntawm nws cov neeg tuaj yeem tuaj yeem ua rau hauv lub gallbladder ua pob zeb. Cov kab mob no tau kuaj pom tias yog cholelithiasis.
Risk Factors for Cholelithiasis
- poj niam txiv neej
- Kev rog
- Inborn yuam kev ntawm metabolism
- YHyperlipidemia Syndromes
- Ntau kab mob plab xws li Crohn tus kab mob
Pathogenesis
Nyob ntawm cov ntsiab lus uas yog precipitated thaum lub sij hawm tsim cov gallstones, lawv tau categorized ua 2 pawg loj li cov cholesterol pob zeb thiab pigment pob zeb.
Kev tsim cov pob zeb roj cholesterol yog vim muaj cov kab mob hauv qab no
- Supersaturation ntawm bile nrog cov roj cholesterol
- Hypomotility ntawm lub gallbladder
- Accelerated cholesterol crystal nucleation
- Hypersecretion ntawm mucus hauv gallbladder
Pigment Stones
Pigment pob zeb tuaj yeem suav hais tias yog qhov sib xyaw ntawm cov calcium uas tsis muaj ntsev thiab tsis sib xyaw bilirubin. Yog li ntawd, txhua yam mob uas ua rau kom tus nqi ntawm unconjugated bilirubin xws li mob hemolytic anemia ua rau muaj kev pheej hmoo ntawm cov pob zeb pigment nyob rau hauv lub gallbladder. Kev kis kab mob ntawm cov kab mob biliary los ntawm qee cov kab mob xws li E. Coli thiab Ascaris lumbricoides tseem paub tias yuav ua rau muaj cov pob zeb hauv lub gallstones ntawm tib lub tswv yim.
Daim duab 02: Tsim cov pob zeb
Tshuaj Kho Mob
Gallstones tuaj yeem nyob tsis muaj tsos mob rau lub sijhawm ntev.
- Qhov chaw kho mob tseem ceeb tshaj plaws ntawm tus mob no yog lub plab biliary. Tom qab noj zaub mov rog vim qhov nce siab hauv lub gallbladder, tus neeg mob hnov qhov mob hnyav hauv thaj tsam epigastric lossis sab xis hypochondriac ntawm lub plab uas tuaj yeem ua rau lub xub pwg nyom lossis nraub qaum.
- Cov kev mob tshwm sim tom qab tshwm sim hauv lub gallbladder vim muaj cov pob zeb hauv lub gallstone tuaj yeem ua rau muaj lwm yam tsos mob xws li xeev siab, ntuav, poob phaus thiab qab los noj mov thiab lwm yam.
- Yuav muaj jaundice uas yog daj daj ntawm daim tawv nqaij
- Steatorrhea thiab cov zis xim tsaus yog lwm yam tshwm sim
Kev tshawb nrhiav
- Abdominal USS
- ERCP
- kuaj ntshav ua haujlwm thiab lwm yam kev kuaj ntshav
Kev tswj hwm
Kev xaiv cov kev kho mob lossis kev kho mob phais yog nyob ntawm qhov mob hnyav.
- Cov kua qaub hauv qhov ncauj tuaj yeem muab rau kom yaj cov pob zeb los ntawm diluting lawv.
- Extracorporeal Shock Wave Lithotripsy
- Percutaneous cholecystostomy
- Kev tshem tawm ntawm lub gallbladder yog hu ua cholecystectomy
Kev nyuaj siab
Peritonitis Nyob
Pancreatitis
Dab tsi zoo sib xws ntawm cholecystitis thiab cholelithiasis?
- Ob qho xwm txheej cuam tshuam nrog lub gallbladder
- Qhov tseem ceeb ntawm ob yam kab mob yog qhov mob hnyav uas tshwm sim hauv thaj av epigastric uas qee zaum tawg mus rau sab nraub qaum lossis xub pwg.
Qhov txawv ntawm Cholecystitis thiab Cholelithiasis yog dab tsi?
YCholecystitis vs Cholelithiasis |
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| Cov kab mob ntawm lub gallbladder yog hu ua cholecystitis | Kev tsim cov pob zeb hauv lub gallstones raug kuaj pom tias yog cholelithiasis. |
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Cholecystitis yog tshwm sim los ntawm, · Gallstones · Cov qog nyob rau hauv lub gallbladder los yog biliary tract · pancreatitis · Ascending cholangitis · Kev nyuaj siab · Kab mob hauv tsob ntoo biliary |
Ua rau cholelithiasis yog, · Chronic hemolytic anemia · Kab mob los ntawm E.coli, Ascaris lumbricoides thiab lwm yam. · mob hnyav ileal dysfunction lossis bypass |
| Tshuaj kho mob | |
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kho mob nta ntawm cholecystitis yog, · mob plab epigastric uas tawm mus rau sab xis ntawm lub xub pwg nyom lossis sab nraub qaum ntawm lub scapula. · xeev siab thiab ntuav · Qee zaus ua npaws · plab plab · Steatorrhea · Jaundice · Pruritus |
Gallstones tuaj yeem nyob tsis muaj tsos mob rau lub sijhawm ntev. · Tom qab noj zaub mov rog vim qhov nce siab hauv lub zais zis, tus neeg mob hnov qhov mob hnyav hauv thaj tsam epigastric lossis sab xis hypochondriac ntawm lub plab uas qee zaus radiates rau lub xub pwg lossis nraub qaum. · Cov kev mob tshwm sim tom qab uas tshwm sim hauv lub gallbladder vim muaj cov pob zeb hauv lub gallstone tuaj yeem ua rau muaj lwm yam tsos mob xws li xeev siab, ntuav, poob phaus thiab qab los noj mov thiab lwm yam. · Muaj jaundice uas yog daj daj ntawm daim tawv nqaij · Steatorrhea thiab cov zis xim tsaus yog lwm yam tshwm sim |
| Diagnosis | |
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Cholecystitis yog kuaj tau los ntawm kev kuaj hauv qab no, · kuaj ntshav ua haujlwm · suav ntshav tag nrho · USS · CT scan kuj ua tau qee zaum ·MRI |
Kev tshawb nrhiav siv rau kev kuaj mob cholelithiasis yog, · Abdominal USS · ERCP · kuaj lub siab ua haujlwm thiab lwm yam kev kuaj ntshav |
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Cholecystitis tuaj yeem cuam tshuam nrog cov xwm txheej hauv qab no · Peritonitis vim perforation thiab cov kua paug · plab hnyuv obstruction . Kev hloov pauv tsis zoo |
Cov teeb meem ntawm cholelithiasis yog, · Perforation · Peritonitis · Fistulas · cholangitis · pancreatitis · Gallbladder carcinoma |
| Kev tswj hwm | |
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Kev hloov pauv kev ua neej xws li tshem tawm kev rog tuaj yeem pab txo qis kev pheej hmoo ntawm cov kab mob gallbladder. Kev tswj qhov mob thiab txo tus neeg mob qhov tsis xis nyob yog thawj feem ntawm kev tswj hwm. Muaj zog tshuaj loog zoo li morphine tej zaum yuav xav tau nyob rau hauv cov mob hnyav tshaj plaws. Txij li thaum o ntawm lub gallbladder yog lub hauv paus pathological ntawm tus kab mob, cov tshuaj tiv thaiv kab mob yog muab los tswj cov o. Yog tias qhov cuam tshuam ntawm tsob ntoo biliary yog vim muaj qog, kev phais yuav tsum tau ua. |
Kev xaiv cov kev kho mob lossis kev kho mob phais yog nyob ntawm qhov mob hnyav. · Cov kua qaub hauv qhov ncauj tuaj yeem muab rau kom yaj cov pob zeb los ntawm diluting lawv. · Extracorporeal Shock Wave Lithotripsy · Percutaneous cholecystostomy · Kev phais tshem tawm ntawm lub gallbladder yog hu ua cholecystectomy |
Summary – Cholecystitis vs Cholelithiasis
Vim qhov nce hauv cov kua tsib, qee qhov ntawm nws cov neeg tuaj yeem tuaj yeem ua rau hauv lub gallbladder ua pob zeb. Cov tsos mob no yog kuaj pom tias yog cholelithiasis. Cholecystitis, ntawm qhov tod tes, yog qhov mob ntawm lub gallbladder. Cholecystitis yog ib qho teeb meem ntawm cholelithiasis. Qhov no yog qhov txawv ntawm cholecystitis thiab cholelithiasis.
Download PDF Version of Cholecystitis vs Cholelithiasis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Cholecystitis thiab Cholelithiasis
