Gallstones vs raum pob zeb
Ob lub raum thiab lub gallbladder tuaj yeem tau pob zeb. Txawm hais tias cov txheej txheem zoo sib xws, qhov kev nthuav qhia ntawm lub raum pob zeb thiab gallstone yog qhov sib txawv heev. Kab lus no yuav tham txog dab tsi lub raum pob zeb thiab gallstones yog dab tsi thiab qhov sib txawv ntawm lawv hauv kev nthuav dav qhia txog lawv cov kev kho mob, cov tsos mob, ua rau, muaj feem yuav tshwm sim, kuaj thiab kuaj mob, kev kuaj mob, thiab kev kho mob / kev tswj lawv xav tau.
Lub raum pob zeb yog dab tsi?
Lub raum pob zeb muaj feem ntau ntawm cov khoom siv lead ua. Cov pob zeb tsim nyob rau hauv cov ducts sau thiab, tej zaum yuav, tso rau qhov twg los ntawm lub raum pelvis mus rau urethra.0.2% ntawm cov pej xeem hauv ntiaj teb muaj pob zeb raum. Nws tshwm sim feem ntau nyob rau hauv peb mus rau tsib lub xyoo caum. Lub raum pob zeb muaj ntau dua rau cov txiv neej dua li poj niam. Lub cev qhuav dej, kab mob hauv lub cev, nce cov calcium ntau ntxiv, noj zaub mov ntau ntawm oxalates, cov kab mob hauv plab me me los yog tshem tawm, raum tubular acidosis, thiab tshuaj ua rau muaj kev pheej hmoo ntawm lub raum pob zeb. 40% ntawm pob zeb yog ua los ntawm calcium oxalate. Calcium phosphate (13%), triple phosphate (15%), oxalate / phosphate (13%), uric acid (8%), cysteine (3%), thiab cov pob zeb sib xyaw (6%) ua tus so.
Lub raum pob zeb tuaj yeem yog asymptomatic lossis tuaj yeem muaj ntau yam tsos mob. Lub raum pob zeb ua rau mob plab. Pob zeb nyob rau hauv lub ureter ua rau mob flank, radiating los ntawm loin mus rau hauv pliaj. Lub zais zis pob zeb ua rau mob thaum tso zis. Pob zeb nyob rau hauv lub urethra ua rau mob thiab tsis ntws. Pob zeb tuaj yeem kis tau. Cov kab mob zais zis ua rau kub taub hau, mob tso zis, ntshav stained zis thiab tso zis ntau zaus. Pyelonephritis ua rau kub taub hau, xeev siab, ntuav thiab mob plab.
Cov zis yuav muaj cov kua paug, cov qe ntshav liab, thiab cov muaju. Cov kab mob tso zis tuaj yeem ua rau muaj kab mob ua pa. Yog tias lub raum ua haujlwm raug cuam tshuam, ntshav siab urea thiab creatinine tuaj yeem nyob ntawd. Cov ntshav suav tag nrho kuj tseem tuaj yeem pom cov yam ntxwv ntawm tus kab mob.
Pob zeb tsis ua rau muaj kev cuam tshuam ntawm kev tawm tsam tuaj yeem tswj xyuas kom zoo. Kev haus dej ntau ntxiv ua rau muaj zis ntau ntxiv. Cov zis tuaj yeem tso lub pob zeb tawm yog tias me me txaus. Cov pob zeb loj dua tuaj yeem tawg tau siv cov khoom siv ntxiv ntawm lub cev shockwave lithotripsy lossis phais. Tshuaj tua kab mob kho cov kab mob sib kis.
Gallstones yog dab tsi?
Daim siab tsim thiab tso kua dej hu ua bile los pab zom zaub mov. Lub luag haujlwm tseem ceeb ntawm lub gallbladder yog khaws cia thiab mloog zoo rau cov kua tsib, uas pab hauv kev zom zaub mov thiab nqus cov rog thiab cov vitamins muaj roj hauv cov hnyuv thiab tshem tawm cov khoom pov tseg. Bile muaj cov roj cholesterol, pigments, thiab phosphates. Yog tias qhov sib txawv ntawm qhov sib txawv, ntau hom pob zeb yuav raug tsim. Pigment pob zeb yog me me, friable thiab irregular. Qhov feem ntau ua rau cov pob zeb pigment yog nce ntshav cell tawg. Cov pob zeb roj (cholesterol) yog loj thiab nyob ib leeg. Lawv tshwm sim nyob rau hauv cov poj niam laus rog rog. Cov pob zeb sib xyaw muaj ntau yam.
Yuav luag 8% ntawm cov neeg laus dua 40 xyoo tau txais pob zeb, thiab 90% ntawm lawv yog asymptomatic. Cov neeg haus luam yeeb thiab cov poj niam cev xeeb tub tau txais cov tsos mob gallstones feem ntau. Gall pob zeb tuaj yeem ua rau lub gallbladder o, biliary colic, pancreatitis thiab obstructive jaundice. Mob cholecystitis tom qab pob zeb cuam tshuam ntawm lub caj dab ntawm lub gallbladder. Nws tuaj yeem ua rau mob plab sab xis, ntuav, xeev siab thiab kub taub hau.
Kev kuaj ntshav qhia cov ntshav dawb suav. Ultrasound scan qhia pom cov phab ntsa ntawm lub gallbladder thickened, kua nyob ib ncig ntawm lub gallbladder thiab pob zeb. Cov kab mob cholecystitis ntev ua rau mob plab, mob plab, xeev siab, flatulence, reflux, thiab gastric ulcers. Cholecystectomy tom qab tshem tawm ntawm qhov mob ntev yog qhov kev kho mob pom zoo.
Qhov txawv ntawm lub raum pob zeb thiab Gallstones yog dab tsi?
• Gallstones muaj ntau dua li lub raum pob zeb.
• lub raum pob zeb yog tsim los ntawm calcium ntsev feem ntau thaum lub gallstones tsis.
• lub raum pob zeb cuam tshuam rau cov neeg hluas thaum lub gallstones tshwm sim rau cov neeg siab dua 40.
• Gallstones tshwm nrog mob plab sab xis thaum lub raum pob zeb tshwm sim nrog mob loin.
• Kev nthuav qhia txawv raws li qhov chaw ntawm lub pob zeb nyob rau hauv txoj hlab zis thaum tag nrho cov pob zeb muaj cov yam ntxwv zoo sib xws.
• Ob qho xwm txheej xav tau tshuaj tua kab mob.
• Ob leeg tuaj yeem tswj hwm kev saib xyuas lossis ua nruj ua tsiv raws li kev kho mob.
Koj kuj tseem xav nyeem:
1. Qhov txawv ntawm Mob raum thiab mob raum tsis ua haujlwm
2. Qhov txawv ntawm Mob raum thiab Mob Rov Qab
3. Qhov txawv ntawm Dialysis thiab Ultrafiltration
4. Qhov txawv ntawm Nephrologist thiab Urologist
