什麼是膽囊炎

膽囊炎是發生在膽囊發炎. 你的膽囊是一個小, 在你的腹部右側的梨形器官, 我們的肝臟下方, 膽囊認為,交付到你的小腸消化液 (膽汁).

在多數情況下, 膽結石 obstructing the tube, 引出的你的膽囊引起膽囊炎. 這結束在膽汁積聚可引起感染和腫脹. Other reasons of cholecystitis include bile duct problems and tumors.
如果不及時治療, cholecystitis can grow dangerous, sometimes life-threating complications, such as a gallbladder rupture. Treatment for cholecystitis often involves gallbladder removal.

症狀
Signs and symptoms of cholecystitis may include:

  • An imaging pain in your upper shows abdomen
  • 噁心
  • 嘔吐
  • 發熱
  • 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.

當去看醫生 :
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.

原因
Cholecystitis happens when your gallbladder becomes inflamed. Gallbladder inflammation can be caused by:

  1. 膽結石Most cholecystitis is the result of hard particles that developed in your gallbladder (膽結石) from irregularities in the substances in bile, such as cholesterol and bile salts. Gallstones can block the cystic ductthe tube within which bile flows when it leaves the gallbladderleading to bile build up and resulting in inflammation
  2. . A tumor may obstruct bile from draining out of your gallbladder properly, causing bile buildup that can lead to cholecystitis.
  3. Bile duct blockage. King or scarring of the bile ducts can cause blockages that lead to cholecystitis.

風險因素

Having gallstones is the primary risk factor for developing cholecystitis
並發症

膽囊炎 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.

測試和診斷
Test and procedures used to diagnose cholecystitis include:
驗血. 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) 掃描, 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.

治療手段和藥物
膽囊炎的治療通常需要住院,以穩定膽囊發炎和可行手術治療.

住院
如果確診為膽囊炎, 你可能會被住院. 你的醫生將努力控制自己的症狀和體徵,並監測你的膽囊發炎. 治療可包括:
禁食- 你可能不會被允許吃或喝首先把壓力過受感染的膽囊,這樣你就不會成為脫水, 你可以通過在你的手臂靜脈液體復甦.
抗生素抗感染- 如果你的膽囊感染, 你的醫生可能會開抗生素.
止痛藥. 這些可以協助管理的疼痛,直到你的膽囊發炎鬆了一口氣.

你的症狀預計將在一兩天內消退.
手術切除膽囊.
由於膽囊炎時常浮現, 大多數人的條件,最終需要膽囊摘除手術 (膽囊切除術), 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.

預防
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 要么 2 pounds or (0.4 o about 1 kilogram) a week.
保持健康的體重. Being overweight raises the risk of gallstones. 為了獲得健康的體重,減少熱量和增加體力活動, 通過進行到吃得好和鍛煉保持健康體重.
保持健康的飲食習慣. 飲食中高脂肪和低纖維會增加膽結石的機會. 為了減少您的膽結石的風險, 選擇水果高的飲食, 蔬菜, 和粗糧.

什麼是膽囊 (膽結石) 症狀