Biliary Colic

Biliary Colic yog dab tsi?

Harvard Health Publishing

Biliary colic yog ib qho mob tsis tu ncua lossis tsis sib xws hauv plab plab, feem ntau nyob rau sab xis ntawm lub tawb tawb. Nws tshwm sim thaum ib yam dab tsi thaiv cov kua tsib li qub los ntawm lub gallbladder. Cov kua tsib yog cov kua uas pab zom cov rog. Raws li ib txwm muaj, cov kua tsib yog tsim nyob rau hauv daim siab thiab khaws cia rau hauv lub gallbladder. Thaum koj noj mov, cov kua tsib dhau los ntawm lub gallbladder los ntawm lub cystic duct thiab cov kab mob sib kis mus rau hauv cov hnyuv me, qhov chaw uas nws sib xyaw nrog cov khoom noj zom zom.

Gallstones yog qhov laj thawj tshaj plaws rau biliary colic. Yog hais tias lub gallstone thaiv ob qho tib si ntawm cov ducts, cov kua tsib ntws mus rau hauv txoj hnyuv raug cuam tshuam. Cov leeg nqaij hauv cov kab mob hauv cov kua tsib cog lus ua haujlwm kom txav mus rau lub pob zeb, ua rau mob biliary colic. Kev nruj ntawm cov kua tsib los yog cov qog kuj tuaj yeem thaiv cov kua tsib thiab ua rau biliary colic.



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Biliary Colic

Cov tsos mob

Ib tug neeg uas muaj biliary colic feem ntau yws yws ntawm qhov mob los yog kev xav ntawm lub plab sab sauv. Qhov mob no tuaj yeem nyob hauv nruab nrab ntawm lub plab mog hauv qab ntawm lub mis, lossis nyob rau sab xis sab xis ntawm lub plab ze ntawm lub gallbladder thiab daim siab. Hauv qee tus neeg, qhov mob plab kis rov qab mus rau sab xis ntawm lub xub pwg hniav. Ntau tus neeg kuj muaj xeev siab thiab ntuav.

dysuria txhais li cas

Vim tias cov tsos mob ntawm biliary colic feem ntau tshwm sim los ntawm lub plab zom mov qhov kev thov rau cov kua tsib, tshwj xeeb tshaj yog tom qab noj zaub mov rog. Cov tsos mob kuj tuaj yeem tshwm sim thaum tus neeg uas tau yoo mov tam sim ntawd ua rau qhov ceev ceev thiab noj mov loj heev.

Kev kuaj mob

Tom qab koj piav qhia koj cov tsos mob, koj tus kws kho mob yuav kuaj xyuas lub cev, ua tib zoo saib xyuas ntawm sab xis ntawm koj lub plab (qhov chaw ntawm koj lub siab thiab lub gallbladder). Ultrasound, tib txoj kev tsis mob siv los tsim cov duab ntawm cov menyuam mos hauv plab, tuaj yeem siv los tsim cov duab ntawm koj lub plab kom koj tus kws kho mob tuaj yeem nrhiav cov pob zeb. Kev kuaj ntshav kuj tseem tuaj yeem ua tiav, tshwj xeeb tshaj yog tias koj kub taub hau lossis yog tias koj qhov mob tshwm sim.

Lub sijhawm xav tau

Feem ntau cov mob ntawm biliary colic kis tom qab 1 mus rau 5 teev. Tom qab qhov mob hnyav tshaj plaws dhau mus, koj lub plab yuav mob me ntsis li ntawm 24 teev.

Kev tiv thaiv

Vim tias biliary colic feem ntau cuam tshuam nrog gallstones, nws tuaj yeem tiv thaiv tau los ntawm kev tswj hwm qhov muaj feem cuam tshuam rau gallstones. Qee yam ntawm cov kev pheej hmoo no, xws li kev xeeb tub, muaj hnub nyoog nce thiab cev xeeb tub, yog ib feem ntawm lub neej. Lwm tus, xws li kev rog rog thiab kev noj zaub mov muaj roj ntau, yog qhov pheej hmoo uas koj tuaj yeem hloov kho los ntawm kev noj qab haus huv. Cov poj niam uas dhau los ntawm cov poj niam cev xeeb tub uas noj tshuaj estrogen (hormone hloov kho) kuj muaj feem ntau yuav tsim cov pob zeb thiab biliary colic.

Kev kho mob

Thaum xub thawj, koj tus kws kho mob yuav sau tshuaj kho mob thiab txhawb kom koj noj zaub mov tsis muaj rog. Yog tias thawj zaug ntawm biliary colic tshwj xeeb yog mob hnyav, lossis ntu ntawm colic kom rov zoo, kev phais kom tshem tawm lub gallbladder (cholecystectomy) feem ntau yog pom zoo. Cov txheej txheem no tuaj yeem ua tiav los ntawm kev txiav me me uas siv cov cuab yeej hu ua laparoscope. Cov txheej txheem feem ntau tsuas yog yuav tsum tau nyob luv luv hauv tsev kho mob, thiab qee tus neeg tuaj yeem tawm hauv tsev kho mob tib hnub lawv ua haujlwm. Nws yog qhov kev kho mob uas siv ntau tshaj plaws hauv cov neeg uas muaj teeb meem los ntawm cov kab mob gallstones, vim tias nws muaj txiaj ntsig zoo thiab muaj kev nyab xeeb, tsis muaj teeb meem ntau dua 90 feem pua ​​​​ntawm cov neeg mob.

Yog tias kev phais tsis tuaj yeem ua tiav thiab cov tsos mob ntawm biliary colic nyob ntev, cov tshuaj uas ua rau cov pob zeb yaj tuaj yeem siv tau. Txawm li cas los xij, cov tshuaj no kim heev thiab tuaj yeem siv ntau lub hlis lossis xyoo ua haujlwm. Tsis tas li ntawd, tsuas yog pob zeb me me yuav yaj. Tsis tshua muaj, cov tshuaj kom yaj cov pob zeb hauv lub gallstone yog ua ke nrog cov txheej txheem hu ua shock-wave lithotripsy, uas siv cov kev ua tib zoo tsom rau kev poob siab tsis ua rau cov pob zeb tawg. Txawm li cas los xij, hauv ntau tus neeg tau kho nrog tshuaj los yog lithotripsy, gallstones zoo li rov tsim dua hauv ob peb xyoos.

tshuaj quav quav rau cov neeg laus

Thaum Hu Rau Tus Kws Tshaj Lij

Hu rau koj tus kws kho mob thaum twg koj muaj mob plab hnyav, nrog lossis tsis xeev siab thiab ntuav. Yog tias koj muaj cov tsos mob ntawm biliary colic thiab koj mam li ua npaws thiab tshee tshee, qhov no yuav qhia tau tias muaj kab mob gallbladder (cholecystitis), yog li hu rau koj tus kws kho mob tam sim ntawd.

Kev kwv yees

Tsuav koj muaj cov pob zeb uas tuaj yeem thaiv koj cov kab mob cystic lossis cov kab mob sib xyaw ua ke, koj yuav muaj kev pheej hmoo rau rov tshwm sim ntawm biliary colic. Kuj tseem muaj 25 feem pua ​​​​uas koj yuav tsim mob cholecystitis, lossis qee qhov teeb meem ntawm gallstones, hauv 10 txog 20 xyoo.

Cov peev txheej sab nraud

National Digestive Diseases Information Clearinghouse (NDDIC)
http://digestive.niddk.nih.gov/

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Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub meej tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.