Cholecystitis matuitui
Ogaoga cholecystitis o faafuaseʻi fulafula ma itaitagofie o le gallbladder. E mafua ai tiga tiga o le manava.
O le gallbladder o se totoga e nofo i lalo o le ate. E teuina le faʻapipiʻi, e gaosia i le ate. E faʻaaoga e lou tino le paluga e faʻalu ai gaʻo i totonu o le tamaititi.
E tupu le cholecystitis matuitui pe a maileia le ate i totonu o le gallbladder. E masani ona tupu lenei mea ona o le maʻa e poloka ai le auala o le cystic, le paipa lea e fealuaʻi ai le maʻa i totonu ma fafo atu o le faʻatonuga. A poloka e le maʻa lenei auala, e faaputuputu le palu, ma mafua ai le ita ma le omiga i le paipa oona. Ole mea lea e mafai ona tupu ai le fulafula ma faʻamaʻi.
Isi mafuaaga aofia ai:
- Maʻi tuga, pei o le HIV poʻo le maʻisuka
- Tumua o le gallbladder (seasea)
Nisi tagata e sili atu i le tulaga lamatia mo maa. Mea lamatia aofia ai:
- Avea ma fafine
- Maitaga
- Hormone togafitiga
- Matua tausaga
- Avea ma Tagatanuu Amerika poʻo le Sipaniolo
- Puta tele
- Leiloa pe maua vave mamafa
- Maʻi suka
O isi taimi, o le bile duct avea poloka le tumau. A tupu pea lenei mea, e mafai ona taitai atu ai i le tumau (tumau) cholecystitis. Ole fula male itaitagofie e faʻaauau ile taimi. Mulimuli ane, ua mafiafia ma faigata le afu. E le faʻaputuina ma faʻasaʻoloto le bile e pei ona faʻapena.
O le faʻailoga iloga o le tiga i le itu taumatau i luga poʻo le pito i luga o lou manava e masani ona umi ia le itiiti ifo ma le 30 minute. Atonu e te lagona:
- Maʻa, taofiofia, poʻo le tiga tiga
- Paʻu tumau
- Tiga e sosolo i lou tua pe lalo o lou taumatau tauau
Isi faʻailoga e ono tutupu e aofia ai:
- Fata e lanu samasama
- Fiva
- Faanoi ma puaʻi
- Lanu samasama o paʻu ma papaʻe o mata (jaundice)
O lau fomaʻi tausi soifua o le a faia se faʻataʻitaʻiga tino ma fesili e uiga i ou faʻailoga. I le taimi o suʻega faʻaletino, e ono maua oe i le tiga pe a paʻi atu le sapalai o lou manava.
E ono okaina e lau tautua nei suʻega ile toto:
- Amylase ma lipase
- Bilirubin
- Faitau atoa le toto (CBC)
- Suʻega gaioiga ole ate
O faʻataʻitaʻiga i ata e mafai ona faʻaali mai ai maa poʻo le fulafula. Atonu e i ai sau tasi pe sili atu o nei suʻega:
- Laʻititi ultrasound
- Suʻega o le CT scan poʻo le MRI scan
- Manava x-ray
- Orth cholecystogram
- Suʻesuʻega o le radionuclide
Afai e tiga lou manava tiga, saili vave togafitiga.
I totonu o le potu faʻafuaseʻi, oe o le a tuʻuina atu vai i se uaua. E ono avatu foʻi ia oe ni vailaʻau faʻafomaʻi e teteʻe ai i siama.
Cholecystitis mafai ona faʻamamaina na o ia lava. Ae peitaʻi, afai e i ai au maa faʻapitoa, oe ono manaʻomia se taotoga e aveʻese ai lau gallbladder.
Togafitiga faʻapitoa e aofia ai:
- Vailaau vailaʻau e te ave i le fale e tau ai faʻamaʻi
- Meaʻai maualalalo gaʻo (pe a mafai ona e 'ai)
- Paʻu vailaʻau
Atonu e te manaʻomia se taotoga faʻafuaseʻi pe a iai ni faʻalavelave e pei o:
- Gangrene (oti oti) o le gallbladder
- Perforation (o se pu e fausia i le puipui o le gallbladder)
- Pancreatitis (susunu pancreas)
- Faʻaauau pa pupuni auala
- Fula o le masani tafe gaʻo
Afai o loʻo e maʻi tele, e mafai ona tuʻu se paipa i totonu o lou manava i totonu o lau afu e faʻateʻa ai. O le taimi lava e te maua ai se lagona lelei, e ono fautuaina oe e lau tautua o loʻo faia sau taotoga.
Tele o tagata o loʻo faia taotoga e aveʻese a latou gallbladder toe faʻaleleia atoatoa.
Le togafitia, cholecystitis ono taitai atu ai i se tasi o le nei maloloina faafitauli:
- Empyema (nana i totonu o le afu)
- Gangrene
- Manuʻaga i le gaʻo o le gaʻo faʻamaligiina le ate (ono tupu pe a uma taotoga gallbladder)
- Pancreatitis
- Faapapa
- Peritonitis (mumu o le ie puipui o le manava)
Valaʻau lau tautua peʻa iai sau:
- Paʻu tiga o le manava e le alu ese
- Faʻailoga o cholecystitis toe foʻi
Aveʻese le gallbladder ma gallstones o le a puipuia nisi osofaʻiga.
Cholecystitis - ogaoga; Gallstones - ogaoga cholecystitis
- Aveesea o le lapisi - laparoscopic - tiaʻi
- Aveesea o le lapisi - tatala - lafoa
- Maa maa - faʻateʻaina
- Polokalama Digestive
- Cholecystitis, CT faʻasolosolo
- Cholecystitis - cholangiogram
- Cholecystolithiasis
- Gallstones, cholangiogram
- Aveesea o le lapisi - Faasologa
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Jackson PG, Evans SRT. Faʻamaumauga I totonu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Le Biological Basis o Aso Nei Faʻatinoga Faʻataʻitaʻi. 20 ed. Filatelefia, PA: Elsevier; 2017: mata 54.
Wang DQ-H, Afdhal NH. Faamaʻi Gallstone I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi ole: Pathophysiology / Diagnosis / Pulega. 10 ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 65.