Gallbladder empyema: izimpawu, ukuxilongwa kanye nokwelashwa

Abantu abaningi abazi nakwazi ukuthi imisebenzi emzimbeni enze izitho ezithile. Kuphela lapho sibhekene ukwephula umsebenzi wabo, siqala engaqapheli ukuthi empeleni kudingeka. Noma yimuphi ukuphambuka ngokushesha ezithinta abantu nenhlalakahle, kwemizwelo yakhe.

Omunye izitho ezibaluleke kakhulu iyona esinyeni nenyongo. It njalo aqoqana mfihlo ekhethekile, kuyadingeka ukuze ugcwalise inqubo ukugaya. Lokhu umzimba kukhonjelwe pathologies ezehlukene. Phakathi kwazo zonke izifo ufanelwe ukunakekelwa okukhethekile gallbladder empyema. Umtholampilo, ukuxilongwa kanye nokwelashwa yalesi sifo esikhohlisayo - lezi ezinye nje imibuzo ukucabangela ukuthi manje ujike.

Incazelo isifo

Ngaphansi empyema we nenyongo sesinye ayiswe kusho yisishiso acute esakheka phakathi nomzimba. It libhekene olwenzeka kancane kancane ubovu exudate. Lesi sifo livezwa sebuhlungwini obunzima, imfiva, izimpawu zokudakwa. Ukuthuthukisa inqubo sokugembula kungenzeka ngezindlela ezimbili. Ukuvuvukala isukela izitho eduze noma is phetho ukuchayeka izinto ezithwala izifo.

Gallbladder empyema kwenzeka 5-15% eziguli abaye cholecystitis oyingozi. Ill ikakhulukazi izintokazi yobudala emaphakathi ne izimpawu ezinamandla ezihambisana nokukhuluphala. Empyema libhekwa njengoba iziyaluyalu lesichubekako, ngakho ngemva ukuthola yayo kudinga esibhedlela ngokushesha. Esikhathini engekho cishe ukwelashwa okufanele ukufa isiguli.

I izigaba zokugula

Gallbladder empyema eba kancane kancane. Ake sihlole ngayinye izigaba le nqubo.

Encwadini umzimba uphilile kwesibindi ngenkuthalo inike imfihlo ukuthi buthelela ku gallbladder. Omunye ingxenye uboniswa emathunjini, lapho kuningi okuhilelekile ukugaya ukudla. Okunye - bubble ngodonga is resorbed.

Ngenxa yalokho ukuvuvukala kule ingaphakathi umzimba uqala ukuba athuthukiswe ubovu exudate. Resorbing umthamo kwezingange zawo elahleka. Esinyeni nenyongo kancane kancane zanqwabelana uketshezi. Ukuvuvukala ifomu serous ngokushesha kakhulu iba ubovu. Concomitant ezivamile Bile imbobo isimiso esiphazamisayo ukususwa egcwele Bile. Ngaphezu kwalokho esisuka komzimba odongeni kungaholela yoma ka kwezicubu.

Sokuvuvuka futhi empyema we gallbladder

Lezi zifo ezimbili babe omsakazo efanayo nesithombe emtholampilo. Ngakho-ke uyelulekwa ukucabangela ndawonye.

Sokuvuvuka futhi empyema kwesinye nenyongo avame umphumela ukuvaleka imbobo. Ukuze lokhu ukuphazamisa kungadala calculus ahlukaniswe noma neoplasm. Ngokungafani sokuvuvuka, ukuthuthukiswa empyema ekulandulayo acute cholecystitis, t. E. njalo I ukuvuvukala.

Ngokuphathelene isithombe emtholampilo, kokubili isifo wabonakaliswa imfiva, ukungakhululeki ku hypochondrium kwesokudla. Iziguli iphimbo futhi ezikhala ngezinhlungu njalo ukuhlanza Bile futhi colic emathunjini.

Abanye odokotela bakholelwa sokuvuvuka ka omunye izimbangela zangempela empyema. Nokho, kunezinye izici ukuthi bafake isandla ekuthuthukiseni yenqubo sokugembula.

Okunye izimbangela empyema

Njengoba kushiwo ngaphambili, lesi sifo ngokuvamile eba ku isizinda cholecystitis. Calculus wenza ucingo Amapayipi, futhi umphumela nokuphulwa ukuvuvukala. Imfihlo ngaphakathi esinyeni nenyongo kancane kancane zanqwabelana. Kuthathwa indawo evumayo ukuphila flora pathogenic. Ekhuluma ewukuhlakanipha okwenziwe ezithwala izifo bangase benze njengokungathi clostridia, staphylococci, Klebsiella namanye amagciwane.

Enye Imbangela evamile ngalesi sifo kuyinto umdlavuza. Uma kungenjalo ngokushesha asuse isimila kusukela kwesinye, ukuvuvukala uzoqhubeka ukuba bathuthuke. Kulokhu, umphumela esigulini esidumazayo - izicubu necrosis.

Odokotela isehlane iqembu ekubulaleni iziguli ezigulela ziyashesha kakhulu nesenzakalo empyema kwesinye nenyongo. Kuhlanganisa:

• abantu abakhuluphele;
• abanesifo sikashukela;
• iziguli kanye nezinhlobo ezahlukene immunodeficiencies.

Icacisa imbangela isifo Ngokuvamile kuyasiza ukukhetha amacebo yokwelashwa.

Indlela bathola lesi sifo ngendlela efanele usaqala?

Ukuthuthukisa empyema nenyongo izimpawu esinyeni iyafana leyo nobuntu cholecystitis oyingozi. Iziguli esekhala kabi ilungelo hypochondrium esifundeni, ukwanda elibukhali lokushisa. Ngezinye izikhathi izimpawu ziya kwahambisana nomkhuhlane eqinile.

Izibonakaliso ongaqondile sifo zihlanganisa ukungabi esesuthi, ukujuluka ngokweqile nomlomo owomile. Ubuhlungu ilungelo endaweni subcostal azikho unomphela. Bangakwazi ukucasulwa ukudonsa umoya noma ukukhwehlela.

Kufanele kuqashelwe ukuthi izimpawu sikashukela kanye immunodeficiency iziyaluyalu efakwe ohlwini mancane evelele. Ngakho-ke, iziguli sekwephuze kakhulu ukuba kunganikezwa usizo lwezokwelapha. Asilapheki igcwele esinyeni perforation futhi sepsis. On ukuthuthukisa lezi uthi sokugembula kusikisela i ukwanda ngisho nakakhulu lokushisa. Kungaphindze kube netikhatsi ukudideka, ukunciphisa wegazi izinkomba.

Iziguli acute cholecystitis noma gallbladder izimila kudingeka ukunakekela okukhethekile nempilo yabo engozini. Lapho izimpawu ngenhla kufanele ngokushesha ubize iqembu kwabasebenzi bezempilo abaqeqeshiwe. esibhedlela kuphela kanye nokwelashwa abanekhono ezimweni ezinjalo kungasindisa ukuphila.

ngihlolwa

Empyema kwesinye nenyongo itholwa ngesisekelo izikhalazo nesineke, umlando kanye imiphumela cwaningo yayo. Isiguli kufanele akutshele esingakanani kwadingeka izimpawu izimo umfutho wabo kwandisa ngaphansi kwazo, okuyinto waphathwa ngaphambili. Yonke idatha kubalulekile ukuba udokotela. Ngaphandle kwalolu lwazi akunakwenzeka ukukhetha ukwelashwa okufanele.

Kuphoqelekile okwazo zonke iziguli babelwe ukuhlolwa kwesidumbu. Uma usola isifo esinjengo gallbladder empyema, ukuhlola kuhlanganisa imisebenzi elandelayo:

1. Igazi test. Ukwandisa amangqamuzana amhlophe egazi kubonisa ukuvuvukala.
2. ukuhlolwa microbiological yegazi. Ukuze sithole khona izinto ezithwala izifo futhi ukuzwela kwabo nemithi.
3. Igazi-biochemistry. Nale test kungenzeka ukuhlola umsebenzi sesibindi. bilirubin bandisa inkonzo kubonisa empyema.
4. US. Nge okuqhubekayo ukuvuvukala ngokuvamile lenyuka gallbladder emhlabeni kungaba cabanga ekuqongeleleni uketshezi.

Ngaphezu kwalokho, ukuxilongwa umehluko sokuvuvuka futhi empyema we gallbladder.

ukwelashwa ezinconyiwe

Le nqubo yokwelapha kuphela empyema - ekususweni gallbladder. Ukusebenza ngokuthi "cholecystectomy". Ngaphambi abulawe yayo isiguli ekunike Yiqiniso kwama-antibiotic. ukwelashwa kunciphisa izimpawu concomitant, kuncishiswe ingozi yezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa.

Esikhathini sokuqala izigaba ukuvuvukala inqubo isetshenziswa "Ampicillin" kanye cephalosporins isizukulwane sokuqala. Uma kuwukuthi eziyinkimbinkimbi sepsis noma perforation we gallbladder, kudingeka ube ukwelashwa okukhulu ngaphezulu ama-antibiotic. Ngokuvamile, isiguli ezinqunyiwe ukusetshenziswa concomitant izidakamizwa ezintathu: "Gentamicin," "Ampicillin" futhi "metronidazole". Umthamo kanye nokwelashwa lwemithi akhethiwe ngamunye.

Cholecystectomy kwenziwe noma ngokusebenzisa imbobo umnyuziki besisu, noma laparoscopically. Ukuthi iyiphi inguqulo ye-ezihlongozwayo ukhethe udokotela enquma. Ngemva kokuhlinzwa, uma kukhona esikhathini esidlule gallbladder empyema, ukwelashwa ngemithi elwa namagciwane kwaqhubeka. Isikhathi yokwelapha kuncike ngokushesha kangakanani izinga lokushisa futhi igazi ibala ukubuyela esimweni esivamile. Ngezinye izikhathi iziguli Kufanele ngiphuze imithi, ngisho nangemva ushiya esibhedlela.

Ungadliwa of abelaphi bendabuko

imithi olandelanayo kuphela kungasiza iziguli ezine empyema. Ukuzelapha ngokuvamile ziyabulala noma kungaholela ekwakhiweni yezinkinga.

Nokho, ezinye izitshalo zokwelapha ezisetshenziswa ukuze silwe yezimbangela zesifo - cholecystitis. Abelaphi belulekwa ukuba banake esihogweni. Izimpande izitshalo ukusiza izifo eziningi. Ukuqeda cholecystitis izimpawu kudingeka ukulungiselela decoction. A ingilazi impahla eluhlaza kumele ligcwaliswe nge litre amanzi ashisayo futhi washiya ku isitsha Ngibambeni. Ngemva kosuku, ukumnika kwaphumela kuyadingeka ukuze some. Lokhu imithi kufanele agcinwe kule esiqandisini futhi kuthathe isikhathi eside ngesimo ukushisa izingxenyana ezincane.

yezinkinga kungenzeka

Gallbladder empyema, inqobo ukuthola kwayo okufika ngesikhathi akuyona ukuphila kusengozini. Ingozi embi kunazo zonke athwale yezinkinga inqubo sokugembula ukuthi iziguli nale Ihlahlubo akukhona okungavamile ukuba likhithike.

Welulekela futhi yoma ka ezindongeni gallbladder kungaholela perforation umzimba. Perforation kuyinto ezinhlobo ezimbili: esikhoselweni futhi ephelele. Kulo mBhalo, i-ngokushesha ukuthuthukisa peritonitis. Ngemva contact nge ezithwala izifo ekusakazeni igazi kwenzeka sepsis, esibonakala ezimweni eziningi, umphumela ezingezinhle.

Phakathi nezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa zihlanganisa ukutheleleka ukulimaza kanye obstructive ithumba.

Isibikezelo ukutakula

Yini okufanele kumelwe zilindelwe iziguli kwathiwa unesifo "empyema nenyongo sesinye?" Lesitshalo nasesigabeni sokukhula noma iyiphi inqubo isifo inquma umphumela wayo. Uma lesi sifo sitholakale umuntu ngendlela esifike ngesikhathi, kanti isiguli wathola usizo oludingekayo kufanele kube ukuthemba ukuthi Izibikezelo evumayo. Endabeni ukwelashwa ubuthi igazi umphumela akuyona eyakhayo ngaso sonke isikhathi. Amathuba kokufa nesineke yezinkinga ezifana impela high.

izinyathelo

Kungenzeka yini ukuthi luvimbele nesenzakalo kwezifo ezifana empyema nenyongo sesinye? Izimpawu inqubo sokugembula, okuyinto ethulwa ngenhla nje isihloko, kuye kwaholela abaningi ukuba cabanga kahle ukungathí sina kwaleso sifo.

Ukuvimbela ukuthuthukiswa yayo, odokotela belulekwa ukuba ngezikhathi ahlolwe ngokugcwele yezokwelapha zomzimba. Ngokukhethekile kufanele inikwe i-ultrasound okhalo. Imiphumela yaloku kuhlola okungenhla eningiliziwe gallbladder lembula iyiphi kwezinso ngendlela efanele usaqala yentuthuko yayo. Ukushesha isiguli ngeke uqhubekele ukwelashwa enqunyiwe, ngokushesha uyakusinda.