在多数情况下, 胆结石 阻塞管, 引出的你的胆囊引起胆囊炎. 这结束在胆汁积聚可引起感染和肿胀. 胆囊炎的其他原因还包括胆管的问题和肿瘤.
如果不及时治疗, 胆囊炎可以生长危险, 有时threating生命的并发症, 如胆囊破裂. 治疗胆囊炎往往涉及胆囊切除.
- 胆结石 – Most cholecystitis is the result of hard particles that developed in your gallbladder (胆结石) 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
- Tumor . 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
胆囊炎 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.
An imaging test that reveals your gallbladder. An imaging test such as abdominal ultrasound or a computer-aided tomography (CT) scan, 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.
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. 治疗可包括:
Fasting- 你可能不会被允许吃或喝首先把压力过受感染的胆囊，这样你就不会成为脱水, 你可以通过在你的手臂静脉液体复苏.
抗生素抗感染- 如果你的胆囊感染, 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.
保持健康的体重. 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. 饮食中高脂肪和低纤维会增加胆结石的机会. 为了减少您的胆结石的风险, 选择水果高的饮食, 蔬菜, 和粗粮.