Koj puas tau muaj mob plab heev, hauv qab koj cov tav tav sab saud, tsis ntev tom qab noj mov rog? Tej zaum nrog rau xeev siab, nws hnyav heev uas koj tsis tuaj yeem txav mus los. Qhov no yog qhov uas ntau tus neeg hu ua 'mob gallstone.' Hauv kev kho mob, peb hu qhov mob no ua Biliary Colic. Nws tsis yog ib yam kab mob tiag tiag, tab sis yog ib qho tsos mob ntawm ib qho mob hauv qab. Yog li hnub no, cia peb tham txog nws.
Biliary Colic yog dab tsi?
Hais yooj yim xwb, Biliary Colic yog ib qho mob plab ib ntus, mob hnyav uas tshwm sim los ntawm ib yam dab tsi thaiv koj txoj hlab biliary - uas yog, koj lub gallbladder thiab cov hlab bile. Xav txog ib lub pob zeb me me uas daig hauv cov yeeb nkab dej. Thaum peb qhib lub qhov dej, lub zog dej nce ntxiv thiab tsim ntau lub zog tom qab qhov txhaws, puas yog? Qhov ntawd yog qhov tshwm sim ntawm no.
Cov kua tsib, ib yam kua uas peb lub siab tsim tawm, raug khaws cia ib ntus hauv lub zais zis. Thaum peb noj zaub mov, tshwj xeeb tshaj yog cov zaub mov uas muaj roj ntau, nws mus dhau cov hlab ntsha hauv cov zis thiab nkag mus rau hauv txoj hnyuv me. Qhov no pab zom cov rog. Cov pob zeb hauv cov zis yog qhov ua rau muaj qhov no. Thaum lub pob zeb daig hauv cov hlab ntsha hauv cov zis lossis qhov chaw uas nws tawm hauv lub zais zis, qhov siab yuav nce ntxiv thaum lub zais zis qaug zog, ua rau mob hnyav.
Qhov mob no tshwm sim li cas thiab nyob qhov twg?
Qhov mob ntawm cov kua tsib hauv lub plab txawv me ntsis ntawm lwm yam mob plab. Nws muaj ntau yam ntxwv.
| Qhov xwm txheej ntawm qhov mob | Tsuas yog ib qho kev piav qhia |
|---|---|
| Muaj ntau ntu | Qhov mob pib sai sai, mob heev, thiab tom qab ntawd ploj mus tag hauv ob peb teev. Nws tsis kav ntev li ob peb hnub. |
| Tsis tu ncua | Qhov no txhais tau tias qhov mob tsis tuaj thiab mus ua nthwv dej. Thaum qhov mob pib, nws nyob li qub rau ob peb teev yam tsis nce lossis txo qis. |
| Hnyav heev | Muaj ntau tus neeg piav txog qhov mob no zoo li mob ntse, mob zoo li raug riam chob, ntswj, lossis mob ntse. Muaj ib txhia neeg pom tias nws mob heev ua rau lawv sawv tsis taus. |
Koj hnov qhov mob qhov twg?
Feem ntau, qhov mob yuav hnov nyob rau sab xis saum toj ntawm lub plab, hauv qab cov tav. Qhov ntawd yog qhov chaw uas lub zais zis nyob. Qee zaum, qhov mob tuaj yeem kis mus rau sab xis ntawm lub xub pwg nyom lossis nraub qaum.
Lwm cov tsos mob uas nrog nrog hnoos
Kev mob biliary Colic yuav nrog cov tsos mob hauv qab no:
- Xeev siab thiab ntuav
- Mob plab
- Kev tawm hws ntau dhau (Sweaty)
Qhov txawv ntawm Biliary Colic thiab lwm yam mob hnyav
Yog tias qhov mob ntawm biliary colic tsis ploj mus hauv ob peb teev, nws yuav yog ib qho mob hnyav dua xws li cholecystitis (mob o ntawm lub zais zis) lossis cholangitis (mob o ntawm cov hlab ntsha). Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm cov no.
| Xwm txheej | Cov yam ntxwv tseem ceeb | Cov ntsiab lus tseem ceeb |
|---|---|---|
| Kab mob Biliary Colic | Mob hnyav heev (yuav txo qis hauv ob peb teev), xeev siab. | Tsis kub taub hau. Qhov mob tsuas yog ib ntus xwb. |
| Cholecystitis (mob ntawm lub zais zis) | Mob hnyav tas li, kub taub hau , thiab lub plawv dhia ceev. | Qhov no tej zaum yuav yog vim muaj kab mob hauv lub zais zis. Yuav tsum tau kho mob tam sim ntawd. |
| Cholangitis (mob ntawm cov hlab ntsha hauv lub cev) | Mob plab sab xis, kub taub hau, thiab mob daj ntseg - uas txhais tau tias lub qhov muag thiab daim tawv nqaij daj. | Qhov no yog kev kis kab mob rau cov kua tsib. Nws yog ib qho mob ceev heev thiab loj heev. |
Qhov tseem ceeb tshaj plaws yog, yog tias koj qhov mob kav ntev tshaj 5-6 teev, lossis yog tias koj muaj cov tsos mob xws li kub taub hau, mob khaub thuas, thiab qhov muag daj, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Dab tsi ua rau qhov no?
Raws li peb tau hais ua ntej, tus neeg ua txhaum loj tshaj plaws yog gallstones , tab sis kuj tseem muaj lwm yam ua rau thiab.
- Kab mob qog: Qhov no yog qhov ua rau muaj li ntawm 90% ntawm cov neeg mob. Ib lub pob zeb yuav daig ib ntus hauv cov kav dej ntawm cov kua tsib, ua rau muaj kev nyuaj siab thiab mob ntxiv. Qhov mob yuav ploj mus thaum lub pob zeb txav mus los lossis thaum lub qog tsis txav lawm.
- Kev nruj ntawm cov kua tsib: Txawm yog los ntawm kev phais mob yav dhau los lossis mob ntev, cov kua tsib tuaj yeem ua rau mob thiab nqaim, thaiv kev ntws ntawm cov kua tsib.
- Kev Ua Haujlwm Tsis Zoo ntawm Cov Kab Mob Biliary: Qee zaum lub zais zis tsis ua haujlwm zoo, lossis lub sphincter ntawm Oddi tsis qhib zoo. Cov teeb meem no kuj tseem tuaj yeem ua rau cov kua tsib sib sau ua ke thiab ua rau muaj kev nyuaj siab ntxiv.
Cov kev kho mob rau qhov no yog dab tsi?
Thaum koj mus ntsib kws kho mob, nws yuav kuaj koj thiab ua cov kev kuaj mob, xws li kev ntsuas ultrasound, kom paub meej tias yog qhov ua rau muaj qhov teeb meem no. Kev kho mob yuav nyob ntawm qhov ua rau muaj qhov teeb meem no thiab qhov mob hnyav npaum li cas.
1. Tshuaj Tua Kab Mob: Cov tshuaj tua kab mob xws li NSAIDs (Cov tshuaj tsis yog steroidal anti-inflammatory) yog muab los tswj qhov mob.
2. Kev Npaj Pluas Noj: Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob noj cov khoom noj uas muaj roj thiab rog ntau (cov khoom noj kib, nqaij rog, khoom noj mis nyuj, cheese, butter) . Vim tias cov khoom noj no ua rau lub zais zis nqaim. Los ntawm kev txo cov no, qhov mob rov tshwm sim tuaj yeem tswj tau ntau heev.
3. Cov tshuaj yaj pob zeb: Cov tshuaj xws li Ursodeoxycholic acid yog muab los yaj qee cov pob zeb me me uas muaj roj cholesterol. Txawm li cas los xij, qhov no tsis haum rau txhua tus.
4. Kev Siv Tshuaj Endoscopy/ERCP: Yog tias lub pob zeb daig hauv cov kav dej kua tsib, ib txoj kev kho mob hu ua ERCP (Endoscopic Retrograde Cholangiopancreatography) siv tau los tshem tawm lub pob zeb los ntawm kev ntxig ib lub raj nrog lub koob yees duab los ntawm qhov ncauj thiab siv cov cuab yeej tshwj xeeb los ntawm nws.
5. Kev Phais Mob: Yog tias qhov ua rau mob plab hnyuv loj yog pob zeb hauv lub zais zis, thiab qhov mob no rov tshwm sim dua, qhov kev daws teeb meem zoo tshaj plaws thiab ruaj khov tshaj plaws yogCholecystectomy. Qhov no feem ntau ua los ntawm kev phais qhov hu ua laparoscopic surgery. Qhov no ua rau muaj qhov caws pliav tsawg dua thiab kho sai dua. Nws tsis yog teeb meem rau kev ua neej nyob li qub yam tsis muaj lub gallbladder.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Biliary Colic yog ib qho mob hnyav, tsis tu ncua nyob rau sab xis saum toj ntawm lub plab. Nws feem ntau tshwm sim tom qab noj cov zaub mov rog.
- Qhov no yog ib qho cim ceeb toom ntawm ib qho mob hauv qab, xws li pob zeb hauv lub zais zis, yog li ntawd tsis txhob tsis quav ntsej nws.
- Yog tias qhov mob tseem mob ntev tshaj ob peb teev, lossis yog tias muaj cov tsos mob xws li kub taub hau lossis mob daj ntseg, mus rau chav kho mob ceev (ETU) tam sim ntawd.
- Txawm tias qhov mob ploj mus lawm los xij, nco ntsoov mus ntsib kws kho mob kom paub qhov ua rau thiab tau txais kev kho mob kom tsim nyog.
- Yog tias kho kom zoo, qhov mob no tuaj yeem kho tau tag nrho thiab cov teeb meem loj tuaj yeem tiv thaiv tau.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus