대부분의 경우에, 담석 obstructing the tube, 담낭은 담낭염의 원인 중 선두. 이것은 감염과 부종을 일으킬 수있는 담즙 축적에 종료. Other reasons of cholecystitis include bile duct problems and tumors.
방치하는 경우, cholecystitis can grow dangerous, sometimes life-threating complications, such as a gallbladder rupture. Treatment for cholecystitis often involves gallbladder removal.
Signs and symptoms of cholecystitis may include:
- An imaging pain in your upper shows abdomen
- Tenderness over your abdomen when it’s touched
- Pain spreading to your right shoulder or back
Cholecystitis signs and symptoms often occur after a meal. A large of fatty dishes.
때 의사를 표시하는 방법 :
Make a primary with your doctor if you have worrisome signs or symptoms. FOr abdominal pain so severe you can’t sit still or get comfortable, have someone drive you to the emergency room.
Cholecystitis happens when your gallbladder becomes inflamed. Gallbladder inflammation can be caused by:
- 담석 – Most cholecystitis is the result of hard particles that developed in your gallbladder (담석) from irregularities in the substances in bile, such as cholesterol and bile salts. Gallstones can block the cystic duct – the tube within which bile flows when it leaves the gallbladder – leading to bile build up and resulting in inflammation
- 종양 . A tumor may obstruct bile from draining out of your gallbladder properly, causing bile buildup that can lead to cholecystitis.
- Bile duct blockage. King or scarring of the bile ducts can cause blockages that lead to cholecystitis.
Having gallstones is the primary risk factor for developing cholecystitis
담낭염 can give rise to some severe complications including:
Infection of the gallbladder- If bile builds up within your gallbladder, producing cholecystitis, the bile ma becomes infected.
The Death of gallbladder tissue – Untreated cholecystitis can make tissue in the gallbladder to die, which in turn can lead to a tear in the gallbladder tissue or it may cause your gallbladder to burst.
Torn gallbladder- A tear in your gallbladder may can’t form gallbladder enlargement or infection.
테스트 및 진단
Test and procedures used to diagnose cholecystitis include:
혈액 검사. Your physician may order a blood analysis to observe signs of infections of signs of gallbladder problems.
An imaging test that reveals your gallbladder. An imaging test such as abdominal ultrasound or a computer-aided tomography (CT) 주사, can be used to create photographs of your gallbladder that may reveal signs of cholecystitis.
A scan that reveals the passage of bile through your body. A hepatobiliary iminodiacetic acid (HIDA) scan traces the production and flow of bile from your liver to your small intestine and shows blockage. A HIDA scan includes inserting a radioactive dye into your body, which binds to the bile-producing cells so that it can be seen as it moves with the bile through the bile ducts.
치료 및 약물
Treatments for cholecystitis usually involves a hospital stay to stabilize the gallbladder inflammation and possible surgery.
If you diagnosed with cholecystitis, you would likely be hospitalized. Your doctor will work to control your signs and symptoms and to monitor the inflammation in your gallbladder. Treatments may include:
Fasting- You may not be allowed to eat or drink at first to take stress off your infected gallbladder so that you don’t become dehydrated, you may recover fluids through a vein in your arm.
Antibiotics to fight infections- If your gallbladder is infected, your doctor likely will prescribe antibiotics.
Pain medications. These can assist in managing the pain until the inflammation in your gallbladder is relieved.
Your symptoms are expected to subside in a day or two.
Surgery to remove the gallbladder.
Since cholecystitis often recurs, most people with the condition ultimately need gallbladder removal surgery (cholecystectomy), The timing of procedure will be based on the severity of your symptoms and your overall risk of difficulties while and after surgery. If you’re at low surgical risk, you may have a procedure within 48 or during your hospital stay
Cholecystectomy is ordinarily performed utilizing a tiny video camera positioned at the end of a flexible tube. This enables your surgeon to see inside your abdomen and to use specialized surgical tools to remove the camera are inserted through an incision in your abdomen, and the surgeon observes a monitor during surgery to guide the tools, An open procedure in which a deep incision made in your abdomen, is rarely needed.
A less invasive technique to remove gallbladders is under study, known as natural orifice transluminal endoscopic surgery (NOTES), the procedure is designed to lessen scarring and discomfort. While laparoscopic cholecystectomy remains the model of care for gallbladder removal. NOTES are being performed in a few centers across the globe and may ultimately be an essential alternative.
Once your gallbladder is extracted, bile flows immediately from your liver into your small intestine, rather than being stored in your gallbladder. You don’t need your gallbladder to live regularly.
You can lessen your risk of cholecystitis by taking the following steps to prevent gallstones.
Lose weight slowly. Rapid weight loss can increase the possibility of gallstone. If your need to lose weight, you should aim to lose 1 or 2 pounds or (0.4 o about 1 kilogram) a week.
건강한 체중을 유지. Being overweight raises the risk of gallstones. To obtain a healthy weight decrease calories and increase the physical activity, Maintain a healthy weight by proceeding to eat well and exercise.
Keep a healthy diet. Diets high in fat and low in fiber can increase the chance of gallstones. To reduce your risk of gallstones, choose a diet high in fruits, vegetables, 및 전체 곡물.