Ultrasound ntawm lub plab ua rau nws muaj peev xwm tsim qhov kev kuaj mob, kuaj pom 90% ntawm pob zeb. Nws yog txuam nrog kev kuaj kab mob lom (kev kuaj ntshav) txhawm rau kwv yees qhov xwm txheej hnyav. Kev kho mob yog qhia thaum lub gallstones ua rau mob heev los yog muaj teeb meem. Thaum lub gallstones pom los ntawm lub caij nyoog thaum mus kuaj mob thiab tsis ua rau tsis xis nyob, nws tsis pom zoo kom kho lawv.

Noj cov zaub mov

Nws raug sau tseg rau lub sijhawm tsawg kawg 48 teev.

pharmaceuticals

Hauv kev qaug dab peg, lub gallstone tuaj yeem thaiv cov duct uas cov kua tsib hla. Qhov no ua rau muaj kev cuam tshuam ntawm cov kua tsib thiab cov tshuaj tiv thaiv ntawm o, thiab kev ntxhov siab ntawm lub gallbladder phab ntsa (ischemia lossis tsis muaj oxygen, necrosis lossis kev puas tsuaj ntawm cov hlwb hauv phab ntsa) thiab qee zaum cov kab mob ntawm lub gallbladder. 'qhov chaw kho mob tseem ceeb.

Tshuaj tua kab mob

Lawv raug sau tseg raws li cov txheej txheem ua rau nws muaj peev xwm kwv yees seb puas muaj cov kab mob tshwm sim hauv cov kua tsib. Cov txheej txheem no suav nrog qhov hnyav ntawm cov tsos mob, hnub nyoog, muaj chills, ntshav qab zib, kev tiv thaiv tsis zoo, kub siab tshaj 38 ° 5 thiab kuaj hauv chav kuaj.

Pob Taum Pleev

Lub siab colic nres yog qee zaum mob heev, analgesics yog qhov tseem ceeb. Tus kws kho mob tau sau cov tshuaj uas tsis yog opioid xws li Visceralgine.

Antispasmodics

Ua ke nrog tshuaj tua kab mob, xws li Spasfon.

Antiemetics

Cov no yog cov tshuaj rau xeev siab thiab ntuav, piv txwv li, Primperan.

phais

Nyob rau hauv cov kev tshwm sim ntawm hepatic colic los yog biliary colic, cov tshuaj kho mob tso cai rau tus mob ntsoog kom kov yeej. Txawm li cas los xij, lub plab ultrasound yog ib txwm ua thiab yog tias muaj kev suav, kev ua haujlwm kom tshem tawm lub gallbladder yog teem rau lub hli tom ntej, kom tsis txhob rov muaj dua lossis muaj teeb meem.

Nyob rau hauv cov ntaub ntawv ntawm gallstones ua rau mob cholecystitis ntawm me me los yog nruab nrab hnyav, tus kws phais ua tustshem tawm gallbladder (cholecystectomy). Qhov no yog tib txoj hauv kev kom tsis txhob muaj cov kab mob gallstones, uas yog ib txwm muaj.

Kev khiav hauj lwm feem ntau yog ua los ntawm laparoscopy, uas yog hais los ntawm kev ua me me incisions los ntawm qhov uas tus kws phais tau hla cov fibers optical pom thiab cov cuab yeej tsim nyog rau kev ua haujlwm. Qhov no tiv thaiv qhov qhib dav hauv phab ntsa plab thiab tso cai rau kom rov zoo dua. Qee zaum, txawm li cas los xij, tus kws phais tau xaiv los ua laparotomy, uas yog hais txog kev qhib lub plab.

Kev rov qab tsuas yog siv ob peb hnub xwb. Qhov kev cuam tshuam no nquag heev thiab qhov tshwm sim feem ntau zoo heev. Thaum cholecystitis hnyav heev, kev ua haujlwm cuam tshuam nrog kev tso lub gallbladder los ntawm daim tawv nqaij.

Thaum lub sijhawm ua haujlwm li no, pab pawg phais ua haujlwm a cholangiographie peroperatoire, Kev kuaj xyuas kom pom ib pob zeb nyob rau hauv lwm qhov intra- lossis extrahepatic bile ducts, thiab hauv cov ducts loj. Yog tias lawv muaj lawm lawv tuaj yeem ua rau muaj teeb meem tom qab thiab lawv yuav tsum tau kho.

Kev tshem tawm ntawm lub gallbladder feem ntau muaj ob peb lub txim mus ntev. Tom qab ua haujlwm, lub siab txuas ntxiv tsim cov kua tsib, uas dhau los ntawm cov kab mob sib xyaw ua ke thiab tawm ncaj qha mus rau hauv cov hnyuv. Yog li tus neeg tuaj yeem noj tau ib txwm. Cov kua tsib ces zais ntau zaus, uas tuaj yeem ua rau cov quav dej ntau dua. Yog tias qhov teeb meem tshwm sim thiab ua pov thawj tias muaj teeb meem heev, qee qhov kev hloov pauv hauv kev noj zaub mov tuaj yeem pab tau, xws li tsis txhob noj cov rog thiab ntsim thiab noj fiber ntau.

Tsis tas li ntawd, cholestyramine (piv txwv li, Questran®), cov tshuaj uas nqus cov kua tsib hauv cov hnyuv, pab tswj qhov xwm txheej no.