Gallbladder empyema: zviratidzo, kuongorora chirwere uye kurapwa

Vanhu vakawanda havatombozivi kuti inoshanda mumuviri kuita zvimwe zvomukati. Chete kana tatarisana kutyorwa basa ravo, tinotanga kuona sei chaizvoizvo zvavanoda. Chero kutsaudzira pakarepo kukanganisa munhu hwakanaka, chinja.

Chimwe chezvinhu zvinokosha zvomukati ndiyo nduru dundira. Nguva dzose rinoungana chaiyo chakavanzika, kunodiwa kupedza chirongwa kugaya. muviri Izvi pasi pathologies siyana. Pakati hosha dzose akakodzerwa vainyatsotarisirwa gallbladder empyema. The kiriniki, chirwere uye kurapwa chirwere ichi achinyengera - izvi inongova mimwe mibvunzo kuti funga kuti isu zvino kutendeukira.

Description of chirwere

Under empyema of nduru dundira akatorwa kureva kusachengeteka kukuru kuzvimba kuti anova mukati muviri. It kunoratidzwa zvishoma nezvishoma kuunganidza purulent exudate. The chirwere kunoratidzwa irwadziwe, fivha, zviratidzo kudhaka. Development of pathological kwacho zvinogoneka nenzira mbiri. Kuzvimba Ndakatengesa pedyo nhengo kana ari mugumisiro yokuwana zvinokonzera zvirwere.

Gallbladder empyema kunoitika muna 5-15% wevarwere vakambova rikwanise cholecystitis. Vachirwara kunyanya vakadzi pakati zera zvakaoma. zviratidzo kufutisa. Empyema iri semhosva mberi kwepfungwa, saka pashure ayo vasabatwa kunoda pakarepo muchipatara. Pasina zvakakwana kurapwa zvichida rufu murwere.

Nzendo zvokurwara

Gallbladder empyema hwapedyo zvishoma nezvishoma. Ngationgororei rimwe nerimwe rematanho uyu muitiro.

Mune imwe nhengo utano chiropa vachishingaira allocates chakavanzika uchingounganidza ari gallbladder. Chimwe chikamu kuti rwunoratidzwa ari ura, apo zvakawanda rinobatanidzwa kugaya zvokudya. Other - akavakirirwa sefuro iri resorbed.

Somugumisiro kuzvimba pamuviri mhango anotanga kugadzirwa purulent exudate. Resorbing inokwana masvingo aro vakarasika. Nduru dundira iri inowanikwa zvishoma nezvishoma Urume. Kuzvimba serous chimiro nokukurumidza anova purulent. Concomitant zvakafanana bile mutsinga dzinofamba nemukaka mhingaidzo kuzvirega zvichikanganisa zvizere kubviswa bile. Uyezve Munotatamura porusvingo muviri kungaita kuti atrophy pakati munyama.

Norukandwe uye empyema of gallbladder

zvirwere mbiri idzi vane etiology zvakafanana uye kunotoda mufananidzo. Saka here kufunga navo pamwe chete.

Norukandwe uye empyema pamusoro nduru dundira vanowanzobatwa mugumisiro blockage ari mutsinga dzinofamba nemukaka. To Kuvhiringidza izvi zvingaita calculus vakaparadzana kana neoplasm. Kusiyana norukandwe, empyema kukura inotanga rikwanise cholecystitis, t. E. The kushoma.

Panyaya kunotoda mufananidzo, zvose chirwere akaratidza fivha, kusagadzikana zvakarurama hypochondrium. Varwere hydrocephalus uyewo vanotsutsumwa tinyanye kurutsa bile uye intestinal colic.

Vamwe vanachiremba vanodavira norukandwe imwe zvinokonzera empyema. Zvisinei, pane zvimwe zvinoita kuti kukura pathological muitiro.

Other zvinokonzera empyema

Sezvambotaurwa, chirwere kazhinji anova pamusoro pakanyorwa cholecystitis. Calculus kuzadza pasi ducts, uye mugumisiro wacho kutyora ndiko kuzvimba. Chakavanzika mukati nduru dundira iri inowanikwa zvishoma nezvishoma. It anonzi yakanaka ezvinhu upenyu pathogenic kasvisto. In basa zvinotapuriranwa yomuchipatara ave clostridia, staphylococci, Klebsiella uye mamwe majemusi.

Chimwe chikonzero zvinowanzovapo chirwere ane malignancy. Kana kwete nokukurumidza kubvisa bundu kubva dundira, kushoma acharamba mberi. Panyaya iyi, zvaizoitika murwere Zvinogumbura - tishu necrosis.

Vanachiremba oga boka varwere vane kubatwa panowanikwa empyema yacho nduru dundira. Zvinosanganisira:

• vanhu vari vakafuta;
• chirwere cheshuga;
• varwere-siyana immunodeficiencies.

Pakusarudza mhaka chirwere Zvinowanzobatsira kusarudza mazano kurapwa.

Sei kuziva chirwere vachiri Danho?

Kukudziridza empyema nduru dundira zviratidzo zvakafanana vari yo rikwanise cholecystitis. Varwere chokunyunyuta pamusoro kusagadzikana zvakarurama hypochondrium nharaunda, rakapinza kuwedzera kupisa. Dzimwe zviratidzo zviri nechimwe zvakasimba nefivha.

The zvisina kunanga zviratidzo chirwere zvinosanganisira kushaya kudya, kunyanya vangadikitira uye muromo yakaoma. Marwadzo zvakarurama subcostal nzvimbo havasi zvachose. Vanogona kuwedzerwa kufema yakadzika kana vangakosora.

Zvinofanira kucherechedzwa kuti chirwere cheshuga uye immunodeficiency zvirwere dzakanyorwa zviratidzo zviri zvishoma raidudzwa. Naizvozvo, varwere yapera kuti kurapwa. Hapana kurapwa hwakazara dundira perforation uye sepsis. On kukura izvi pathological inoti inoratidza kuwedzera yakatokura kupisa. Panogona kuva kuvhiringidzika, zvinoderedza ropa nevezera zviratidzo.

Varwere chenjera cholecystitis kana gallbladder mapundu vanoda chaizvo kufunga pachavo utano hwavo. Kana pamusoro zviratidzo hwobva kudana chikwata utano nenyanzvi. Chete muchipatara uye nomazvo kunorapwa nyaya dzakadaro kunogona kuponesa upenyu.

Medical ongororo

Empyema of nduru dundira iri dzakaonekwa pachishandiswa murefu zvichemo, nhoroondo uye migumisiro Analyses ayo. Murwere anofanira kukuudza sei refu akanga zviratidzo mamiriro ezvinhu pasi iyo kuchinyanya wavo kunowedzera, izvo aiitirwa ambotaurwa. date zvose zvakakosha kuti chiremba. Pasina ruzivo urwu hazvibviri kusarudza zvakakodzera kurapwa.

Zviri fanira varwere vose basa kuongorora muviri. Kana uchifungidzira chirwere akadai gallbladder empyema, Diagnostics zvinosanganisira zvinotevera mabasa:

1. Blood bvunzo. Kuwedzera ropa Masero chinoratidza kuzvimba.
2. Microbiological kuidzwa ropa. Kuti tizive kuvapo zvinokonzera zvirwere zvavo aikanganiswa nemishonga.
3. Blood nemakemikari omuviri. With bvunzo iyi zvinokwanisika kuti kuongorora chiropa ushande. Inosimudzira bilirubin basa chinoratidza empyema.
4. US. Mberi kushoma kazhinji kwakawedzera gallbladder kumativi chinogona kufunga mvura mvura ikwanise kuwanika.

Uyezve, imwe differential chirwere pakati norukandwe uye empyema yacho gallbladder.

Recommended kurapwa

The chete pakurapa empyema - nokubviswa gallbladder. The oparesheni unonzi "cholecystectomy". Asati kwayo kuuraya murwere ushandiswe nzira inorwisa mabhakitiriya. Drug kurapa kunoderedza concomitant zviratidzo, yekuzvidzivirira postoperative yematambudziko.

In kwokutanga kuti nzendo anogumbura muitiro inoshandiswa "Ampicillin" uyewo wokutanga chizvarwa cephalosporins. Kana zviri kuoma kuti sepsis kana perforation pamusoro gallbladder, zvinoda kuva akakura asingaurayiwi kurapa. Kazhinji, murwere ushandiswe concomitant kushandisa zvinodhaka zvitatu: "Gentamicin," "Ampicillin" uye "metronidazole". The chipimo chemushonga uye kurapwa zvaiitwa vakasarudzwa nomumwe.

Cholecystectomy akaita kana kuburikidza wenguva abdominal incision, kana laparoscopically. Ndeupi shanduro yaida kusarudza chiremba anosarudza. Pashure pokuvhiyiwa, kana pane kare gallbladder empyema, asingaurayiwi kurapwa mberi. Ya yokurapa kunoenderana nokukurumidza sei tembiricha uye ropa Counts kudzokera dzose. Dzimwe nguva varwere vanofanira kutora mishonga, kunyange wapedza muchipatara.

Recipes tsika varapi

mushonga kuchinja chete anogona kubatsira varwere empyema. Self-mishonga kazhinji zvinouraya kana kutungamirira kukudziri- yematambudziko.

Zvisinei, vamwe zvirimwa somushonga vakashandisa kurwisa mumwe zvinokonzera chirwere - cholecystitis. Vanorapa zviri zano unyatsoteerera kugehena. Midzi zvinomera kubatsira vakawanda zvirwere. Kubvisa cholecystitis zviratidzo vanofanira kugadzirira decoction. Girazi mbishi zvinhu zvinofanira yakazara ity remvura inopisa uye akasiyiwa mudziyo pasi pechifukidziro. Zuva rakatevera, kunoguma aizomupa zvaanofanira wopedza. mushonga uyu zvinofanira kuchengetwerwa mufiriji uye tora yakareba muchimiro kupisa mukati zvikamu zviduku.

zvinogoneka yematambudziko

Gallbladder empyema, akapa ayo rakakodzera vasabatwa haisi upenyu pangozi. The ngozi huru kutakura matambudziko ari pathological muitiro kuti varwere chirwere ichi vari zvakajairika.

Munotatamura uye atrophy pakati pamasvingo gallbladder kungaita kuti perforation muviri. Perforation ndirwo mhando mbiri: yokuvanda uye kwakakwana. Mukupera nyaya, nokukurumidza dzichiri peritonitis. Pashure kuonana zvirwere vamiririri muropa murukova kunoitika sepsis, iyo inozivikanwa kakawanda, mudzivisi mugumisiro.

Pakati postoperative matambudziko anosanganisira muchikuvadza noutachiona uye pute obstructive.

The for kupora

Chii chinofanira kutarisirwa pavarwere vane chirwere che "empyema nduru dundira?" Species uye pavaipfuura chero chirwere kwacho anosarudza mugumisiro wayo. Kana maperembudzi akanzi nenzira yakakodzera nenzira, uye murwere vakagamuchira rubatsiro zvakakodzera zvinofanira kuva tariro yakanaka fungidziro. Kana ropa chepfu kurapwa Mugumisiro hakusi akanaka nguva dzose. Mukana rufu murwere pamwe nemamwe matambudziko akadai zvakakwirira zvikuru.

matanho

Zvinoita kudzivisa panowanikwa zvirwere zvakadai empyema nduru dundira? Zviratidzo pathological chichiitwa, izvo akapa chete pamusoro nyaya, akaita kuti vakawanda vafunge pamusoro kukomba kwechirwere chacho.

Kudzivirira kukura kwayo, vanachiremba vari zano kuti nguva nenguva chaidzo zvizere vanachiremba kuzviongorora muviri. Pfungwa dzinofanira kupiwa pelvic Ultrasound. Detailed chirwere kuti gallbladder kunoratidza chero abnormalities vachiri padanho kwayo kukura. Nokukurumidza murwere achaita mberi kune ramakanzi kurapwa, nokukurumidza achapora.